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AC Rh® CERTIFICATE OF LIABILITY INSURANCE DATEP 1/3/2017 /3/ 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(les) 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 SelectSolutions Insurance Services 1350 Carlback Avenue Suite 100 Walnut Creek CA 94596 CONTAC NAE:T Elizabeth Lee PNONE (866)500-6359 FA% AIC No (655)804-9449 AIL ADDR5Ss:elizabethl@ppibselect.com INSURERS AFFORDING COVERAGE NAIC # INSURER A:Travelers Property Casualty Company 025674 INSURED Templeton Planning Group 20250 Acacia Street, Suite 260 Newport Beach CA 92660 INSURERB:The Travelers indemnity Company of 25682 INSURER C:Continental Casualty Company 20443 INSURER D: INSURER E: INSURER F: rnvconn_eo CFGTIFICATF N11MRFR•17 GL/AO/PL REVISION NUMBER: V 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 'TR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF M DO POLICYEXP M DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS -MADE ❑X OCCUR D MAGE TO RENTED PREMISES Eii gircurgyang)$ 1,000,000 MED EXP (Any one person) $ 10,000 X 6805174L755TCT16 7/1/2016 7/1/2017 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS COMP/OP AGO $ 2,000,000 POLICY[X]PRO LJLOC JE $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS A➢5174L61416GRP 7/1/2016 7/1/2017 BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident UMBRELLA LIAB OCCUR N/A EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DEO RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE N/A STATUTE ORH E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) N /A E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below C Professional Liability EEH288316322 11/17/2015 11/17/2017 Per Claim $1,000,000 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: As Per Contract or Agreement on File with Insured. City of Santa Ana, its officers, employees, agents, volunteers and representatives are named as additional insureds on General Liability policy if required by written contract per attached endorsement. / Il $W y c'21 :_—m e�J City of Santa Ana Planning and Building 20 Civic Center Plaza P.O. Box 1988 Santa Ana, CA 92702 ACORD 25 (2014/01) INS0250r)14nn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Agency ACCORDANCE WITH THE POLICY PROVISIONS. Ross Annex (M-20) AUTHORIZED REPRESENTATIVE ,�,--�---- r L Trevino/CHADII © 1988.2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD