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AICOR"8, CERTIFICATE OF LIABILITY INSURANCEDATE(MM1DDYYYY) <br />1 <br />Ill <br />08104/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES <br />NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS <br />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 <br />certificate holder in lieu of such endorsement s <br />PRODUCER <br />CONTACT <br />CS&SIEDGEWOOD PARTNERS INS CENTER <br />NAME: <br />PHONE <br />(NC, E Ext): <br />FAX <br />(AIC, No): <br />PO BOX 946580 <br />MAITLAND, FL 32794.6580 <br />EMAIL <br />Phone -877.724.2669 <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE NAIC q <br />Fax - 877-763-5122 <br />INSURER A: Valley Forge Insurance Company 20508 <br />INSURED <br />TOWNSEND PUBLIC AFFAIRS, INC. <br />INSURER a <br />6021175995 <br />1401 DOVE ST STE 330 <br />INSURER C: <br />NSURER D: Continental Casualty Company 20443 <br />NEWPORT BEACH, CA 92660 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 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 INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE <br />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 <br />CLAIMS, <br />man <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />Won <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYri <br />POLICY <br />MM/DD"YY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ® OCCUR <br />EACH OCCURRENCE 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES(Ea Occurrence) 300,000 <br />MED EXP Anyone erson $ 10,000 <br />A <br />Y <br />N <br />6021175995 <br />08131/2017 <br />0813112018 <br />PERSONAL &ADV INJURY 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER'. <br />POLICY ❑PRO -GENERAL <br />JECT <br />OTHER <br />AGGREGATE $ 2,000,000 <br />PRODUCTS - COMP/OP AGG 2,000,006 <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ee accident) <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />N <br />N <br />6021178995 <br />08131/2017 <br />08/3112018 <br />BODILY INJURY(Pan b.od Q <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA UAB <br />OCCUR <br />EACH OCCURRENCE 5,000,000 <br />D <br />EXCESS LIAB <br />CLAIMS -MADE <br />N <br />N <br />6021179581 <br />08/3112017 <br />08/3112018 <br />AGGREGATE 5,000,000 <br />DED RETENTION $ 10,000 <br />$ <br />WORKERS COMPENSATION <br />PER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE <br />ER <br />. <br />EL. EACH ACCIDENT $ <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L. DIBEASE-EAEMPLOYEE$ <br />(Mandatory In NH) <br />If yes, describe undef <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its officers, employees, agents, volunteers and representatives are added as an additional insureds as provided in <br />the blanket additional insured endorsement as it pertains to work being performed by the named insured under written contract. <br />Waiver of Subrogation applies. Cancellation is per policy provisions. r� <br />�' ) ✓� <br />CERTIFICATE HOLDER CANCFI I ATIn1 h'�" v(\ `k. \ <br />City of Santa Ana <br />20 Civic Center Plaza (M-31) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />PO Box 1988 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />n�1 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD naoe930 <br />