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Client#: 467968
<br />PARAGPARTNI
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />FDATE(MM/DD/YYYY)
<br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br />1/18/2018
<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(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer any rights to the certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />CONTACT Lauren Michael
<br />NAME:
<br />Marsh & McLennan Agency LLC
<br />HON o, 949-544-8475 Fax
<br />Marsh & McLennan Ins. Agency LLC
<br />Ext): AC, No:
<br />E-MAIL ss: Lauren.Michael@MarshMMA.com
<br />1 Polaris Way
<br />EACH OCCURRENCE $1,000,000
<br />INSURER(S) AFFORDING COVERAGE NAIC #
<br />1119682
<br />Aliso Viejo, CA 92656
<br />92
<br />INSURER A : Hartford Fire Insurance company
<br />INSURED
<br />INSURER B : Hiscoz Insurance Company Inc. 110200
<br />Paragon Partners, LTD
<br />5660 Katella Avenue, Suite 100
<br />INSURER C: �—
<br />Cypress, CA 90630
<br />INSURER D:
<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
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 />LTRR
<br />TYPE OF INSURANCE
<br />NSRADDLSUBFI
<br />WVD
<br />POLICY NUMBER
<br />MM/DD/YYYF
<br />MM/DD/YYYP
<br />LIMITS
<br />A
<br />X� COMMERCIAL GENERAL LIABILITY
<br />72UUNHB5671
<br />1/01/2018
<br />01/01/2019
<br />EACH OCCURRENCE $1,000,000
<br />CLAIMS -MADE F OCCUR
<br />Ep
<br />PREMISESOEa�u ence $300000
<br />MED EXP (Any one person) $10,000
<br />PERSONAL & ADV INJURY $1,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />X POLICY [__1 ECOT D LOC
<br />GENERAL AGGREGATE $2,000,000
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />$
<br />OTHER:
<br />A
<br />AUTOMOBILE
<br />LIABILITY
<br />72UUNHB5671
<br />1/01/2018
<br />01/01/201
<br />EaaccldeDSINGLELIMIT 1,000,000
<br />BODILY INJURY (Per person) $
<br />ANY AUTO
<br />X
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />AUTOS ONLY X NON -OWNED
<br />AUTOS ONLY
<br />BODILY INJURY (Per accident) $
<br />PROPERTYDAMAGE $
<br />Per accident
<br />$
<br />A
<br />X
<br />UMBRELLA LIAB
<br />IX
<br />OCCUR
<br />72RHUHB5363
<br />1/01/2018
<br />01/01/201
<br />EACH OCCURRENCE $10,000,000
<br />AGGREGATE $10,000.000
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />DED XI RETENTION $1 O 000
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N
<br />OFFICER/MEMBER EXCLUDED? �
<br />N/A
<br />72WENG6914
<br />1/01/2018
<br />01/01/2019
<br />X IspTEARTLITE OTH-
<br />IER
<br />E.L. EACH ACCIDENT $1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $11,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT $1,000,000
<br />B
<br />E&O
<br />MPL1028074
<br />5/22/2017
<br />05/22/201
<br />Per Claim $2,000,000
<br />Aggregate: $2,000,000
<br />Claims made: Ret: $15K
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />Agreements A-2017-227 and A-2017-229. Agreements A-2011-056-01 and A-2015-164.
<br />The City of Santa Ana, its officers, employees, agents, volunteers and representatives are named Additional
<br />Insured for Auto and General Liability as respects operations of the Named Insured. Coverage is primary and
<br />non-contributory. Endorsement sattached. 30 days written notice of cancellation applies e t 10 days
<br />notice for nonpayment of premium.
<br />REVIEWED BY: EUNICE HEREDIA (PG I O
<br />City of Santa Ana
<br />Attn: Purchasing Department
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />ACORD 25 (2016/03) 1 of 1
<br />#S3233325/M3202872
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
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