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A L>DATE (MM/DDIYYYY) <br />.--� CERTIFICATE OF LIABILITY INSURANCE 0135/28/2016 <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 />certofacate holder in lieu of sugh-endorsement(s), <br />PRODUCER CCHTAC7 <br />'AM[: Karen Bronson <br />CorRisk Solutions PHONE FAx <br />225 W. Washington St. Suite 1560 �MA4 E"1' 312-263-4218 NC. No, Eon, <br />Chicago, TL 60606 MRR. kbronson@ccrrisksolutions.com <br />INSURER(S) AFFORDING COVERAGE NAIC 4 <br />INSURER A: New Hampshire Insurance Company 23841 <br />INSURED <br />INSURER B: <br />MDG Associates, Tnc. INSURERC: <br />10722 Arrow Route <br />Shite 822 INSURER D: <br />Rancho Cucamonga, CA 91730 INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NEJMBER! Rr-VISICIN NIIMRER- <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 />IN5R <br />LTR <br />TYPE OF INSURANCE <br />ADD'L <br />IN5RD <br />5UBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />iMMlnoryYYY) <br />POLICY EXP <br />(MMIDONYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE ❑ OCCUR <br />DAMAGE TO RENTEDPREMISES (Ea occurance) <br />MED EXP (Any one person) <br />DOES NOT APPLY <br />PERSONAL & AND INJURY <br />GENERALAGGREGATE <br />PRODUCTS - COMP/OP AGG <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PROJECT MLOC <br />AUTOMOBILE LIABILITY <br />1,;OMaINED bINULE LIMIT (Ea <br />e.dd.�10 <br />BODI LY INJURY (Per parson) <br />ANY AUTO <br />ALL OSCHEDULED <br />AUTOS AUTOS <br />DOES NOT APPLY <br />BODILY INJURY (Per accldmt) <br />PROPERTY UAMA L! IPer <br />accident) <br />HIRED AUTOS NON -OWNED <br />AI ]TtnS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURANCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS MADE <br />DOES NOT APPLY <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />VSTATU- OTHER <br />TORY LIMITS <br />ANY PROPRIETORIPARTNFRlEXECUTIVE <br />OFFICEIMEMBER EXCLUDED? <br />(Mandatary in NH} YIN <br />It yes, describe under UE5GRIP1ION OF OPERATIONS below <br />NIA <br />DOES NOT APPLY <br />E.L. EACH ACCIDENT <br />k.L. P - EA <br />EMPLOYEE E <br />E.L. DISEASE - POLICY LIMIT <br />A <br />Professional Liability <br />064991891- <br />00 <br />07/01/16 <br />07/01/17 <br />Per Occurrence: $1,000,000 <br />Annual Aggregate, $1 000 000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) <br />A,As' �'- <br />L;tK I II-IGA I t HULUtK CANCELLATION <br />City of Santa Ana, Community Development <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />Agency <br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />Attn.: Terri Eggers, Sr. Mgmt. Analyst <br />2C Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701. <br />ACO RD 25 (2010105) ©1988.2010 AC ORD CORPORATION. Allrighls reserved. <br />The ACORD name and logo are registered marks of ACORD <br />a <br />