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A�oRD® CERTIFICATE OF LIABILITY INSURANCE <br />Dn8/8/2D/vvvvl <br />/8/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Welch, Graham & Ogden Ins., Inc. <br />7723 Ashton Avenue <br />Manassas VA 20109 <br />COME:NTACT Tom Perkins <br />NA <br />PHONN Ext (703)530-1300 FAX <br />No: (7031530-9994 <br />EMAIL t erkins@w oins.com <br />ADDRESS: P ins@wgoins.com <br />AFFORDING COVERAGE <br />NAIC r <br />INSURER A:CSU Producer Resources, Inc. <br />113037 <br />INSURED <br />The Olson Group Ltd <br />300 N Washington Street <br />Suite 600 <br />Alexandria VA 22314 <br />INSURER B Accident Fund General <br />12304 <br />INSURERc:The Hartford <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMB ER:CL1621817017 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTRR TYPE OF INSURANCE <br />INS12ADDL WOODSUBR <br />POLICY NUMBER <br />IIID)VYYFF <br />MM/DONEXP <br />LIMITS <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />A ! <br />I I �� <br />CLAIMS -MADE X OCCUR <br />! <br />DAMA E O REN EO <br />PREMISES Ea occurrence <br />5 100, 000 <br />MED EXP(Any one person) <br />$ 1,000 <br />X <br />CS00045016 <br />2/13/2016 <br />2/13/2017 <br />�I <br />PERSONAL&ADV INJURY <br />$ 1, 000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 2,000, 000 <br />X POLICY ❑PROT FLOG <br />PRODUCTS - COMP/OP AGG <br />$ 2, 000, 000 <br />S <br />1 OTHER' <br />-' AUTOMOBILE LIABILITY <br />CEa MaOBINEDccident SINGLE LIMIT <br />!S 11000, 000 <br />1�ANY AUTO <br />!, <br />BODILY INJURY (Per person) <br />15 <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />I� HIRED AUTOS AUTOS <br />CS0004501fi <br />2/13/2016 2/13/2017 <br />BODILY INJURY (Par acciden0 $ <br />PROPERTY DAMAGE $ <br />_Per accitlant <br />X'I <br />UMBRELLALIAB <br />(OCCUR <br />EACH OCCURRENCE 1, 000,000 <br />4i$ <br />AGGREGATE I$ <br />A <br />EXCESS LIAB <br />CLAIMS -MADE( <br />OED <br />RETENTION$ <br />:.$ <br />CSU 0068161 <br />2/13/2016 1 2/13/2017 <br />B <br />i WORKERS COMPENSATION <br />j AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED' DED7 �N/A <br />(Mandatory in NH) <br />WCv6089388 <br />j <br />3/14/a016 3/14/2017 <br />X PER OTH- 1 <br />STATUTE ER <br />E.L. EACH ACCIDENT ':S 500,000 <br />E.L. DISEASE - EA EMPLOVEg$ 500,000 <br />' <br />E.L. DISEASE- POLICY LIMIT '.$ 500, 000 <br />If yes, Of scribe under <br />OE SC RIPTION OF OPERATIONS below <br />C <br />Employee Theft <br />I428DDGZ6189 <br />1/7/2016 i 1/7/2017 <br />$500,000 Ded $ 2,500 <br />!, SEP <br />� <br />I <br />CSU 0045019 <br />2/13/16 2/13/2017 <br />I <br />$100,000 Ded $ 1,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) <br />Certificate holder, its officers, agents, and employees are named as Additional Insured in regards to <br />General Liability per written contract. Endorsement attached. <br />10 day written notice of cancellation for non payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Purchasing Department ACCORDANCE WITH THE POLICY PROVISIONS, <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE �qp <br />Thomas Perkins/TIP _M°-i. JL <br />© 1988-2014 ACORD CORPORATION. All rights r e <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD SEP 24 20I6 <br />INsn25:cn, <br />D V. <br />