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AT 20(�-225 <br />ACORO® CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYY)') <br />1 <br />`�- <br />06/21/2018 <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(ies) 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 rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: Rich Higgins <br />Bannister & Associates Insurance Agency <br />PHONE FAX <br />CA License #06Ofi91071 <br />(714) 536-6086 AIC Not, (714) 536-4054 <br />E-MAIL <br />ADDRESS rich@bai-ins.com <br />305 17th Street <br />Huntington Beach CA 92648-4209 <br />INSURERS AFFORDING COVERAGE <br />NAIC0 <br />INSURERA: Nationwide Mutual Insurance Cc <br />23787 <br />INSURED (949) 399-9050 <br />INSURER B: AXIS Surplus Insurance Company <br />26620 <br />Townsend Public Affairs, Inc. <br />INSURER C : <br />INSURER D: <br />1401 Dove Street, Suite 330 <br />INSURER E: <br />Newport Beach CA 92660 <br />INSURER I: <br />COVERAGES CERTIFICATE NUMBER: Cert ID 1635 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 />INSR <br />A <br />TYPE OF INSURANCE <br />ADDL <br />BUBR <br />POLICYNUMBER <br />MMIUDY� <br />MMIDDY EXP <br />/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />CLAIMS -MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP(My one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ <br />GENL AGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE <br />$ <br />POLICY JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 11000,000 <br />X <br />BODILY INJURY(Per person) <br />$ <br />A <br />ANY AUTO <br />ACP 3008752757 <br />05/01/2018 <br />05/01/2019 <br />OWNED SCHTOSEDULED <br />AUTOS ONLY AU <br />BODILY INJURY (Per accident) <br />$ <br />HIRED NOWOWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />$ <br />h <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED <br />RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY YIN <br />PER OH_ <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ANYPROPMETOWPARTNER/EXECUTIVE ❑ <br />OFFICERIMEMBEREXCLUDED? <br />N/A <br />E.L. DISEASE EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS be. <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />B <br />Professional Liability <br />T <br />ECN000036191801 <br />07/31/2018 <br />07/31/2019Limit <br />(each <br />act/total limit): <br />$ 11000,000 <br />1 <br />(claims -made form) <br />Retroactive date: 7/31/02 <br />Retention (each <br />wrongful act): <br />$ 5,000 <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES(ACORD 101, Additional Remarks Schedule, maybe attached if more space is reeq'uuii�red)A) <br />1V�r� oral <br />City of Santa Ana <br />20 Civic Center Plaza (M-31) <br />PO Box 1988 <br />Santa Ana CA 92702 <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 <br />©1988.2015 ACORD CORPORATION. All riahfR <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />