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CERTIFICATE OF LIABILITY INSURANCE DABE(MWDDNY Y) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Welch, Graham & Ogden Ins., Inc. 7723 Ashton Avenue Manassas VA 20109 CONTACT NAME: Tom Perkins ai N a x (703) 530-1300 A/C No: (703)530-9994 AoOFIISE, tperkins®wgoins.com INSURERS) AFFORDING COVERAGE NAIC M INSURERA:CSU Producer Resources, Inc. 13037 INSURED The Olson Group Ltd 300 N Washington Street Suite 600 Alexandria VA 22314 INSURER B Accident Fund General 12304 INSURERC:The Hartford INSURER D: INSURER E: 1 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1621817017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR W= POLICY NUMBER POLICY EFF MWDD/YYYY) POLICY EXP fMM/DDNYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1, 000, 000 CLAIMS -MADE � OCCUR DAMAGA ES( RENTED PREMISES RENT occurrence) PREMISES $ 100,000 MED EXP(Any one person) $ 1,000 X CSU0045016 2/13/2016 2/13/2017 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000, 000 POLICY jEpT LOC X PRODUCTS - COMP/OP ASS 2,000,000 _$ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1, 000, 000 BODILY INJURY (Per person) $ A ANY AUTO X ALL OWNER SCHEDULED AUTOS AUTOS CS00045016 2/13/2016 2/13/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1, 000, 000 AGGREGATE_ $ A EXCESS LIAB CLAIMS -MADE DED RETENTION$ 1 $ ICSU 0068161 2/13/2016 2/13/2017 WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N X PER OTH- OR _STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) N/A WCV6089388 3/14/2016 3/14/2017 E.L. DISEASE - EA EMPLOYFF $ 500,000 It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500 000 C Employee Theft 42BDDGZ6189 1/7/2016 1/7/2017 $500,000 Ded $ 2,500 SPP DEC 0045019 2/13/16 2/13/2017 $100,000 Ded $ 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Certificate holder, it's officers, agents, and employees are named as Additional Insured in regards to General Liability per written contract. Endorsement attached. 10 day written notice of cancellation for non payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 Thomas Perkins/TIP 01988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SE� 2 4 2�� INS025 t9nl Ann rcr_