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!1® <br />"� " CERTIFICATE OF LIABILITY INSURANCE °"�'MW°°Y"YY' <br />OB/19/2019 <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 ATE <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE BY THE POLICIES <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(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 />Bannister & Associates Insurance Agency <br />CA License 40691071 <br />Street <br />Huntington <br />Hunngton Beach CA 92648-4209 <br />CONTACT <br />NAME: Rich Higgins <br />FAX <br />PHONE (714) 536-6086 C No: (714) 536-4054 <br />E-MAIL <br />AD ESS: richt4bai-iac.com <br />INSURE S AFFORDING COVERAGE <br />NAIC0 <br />INSURER A: Continental casuals company <br />20443 <br />INSURED (949) 399-9050 <br />Townsend Public Affairs, Inc. <br />INSURERS: Nationwide Mutual Insurance CO <br />23787 <br />INSURER C: TechnologyInsurnace Company <br />42376 <br />1401 Dove Street, Suite 330 <br />INSURER D: AXIS Su IUS Insurance C2E2any <br />26620 <br />INSURER E: <br />Newport Beach CA 92660 <br />INSURER F <br />RCVIaIVIN INUMLIMM <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 SHOWM MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR DL BR <br />LT TYPE OF INSURANCE POLICY NUMEER MM DCDY MM1OVUDOIYE%YY LIMITS <br />A <br />X <br />COAIMERCMLGENERALLIASILITY <br />CLAIMS MADE OCCUR <br />y <br />B 6074573557 08/31/2019 <br />08/31/2020 <br />EACHOCCURRENCE$ <br />11000,000 <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP(Any one Person) <br />$ 3.0,000 <br />PERSONAL& ADV INJURY <br />$ Excluded <br />GENT <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JEa LOC <br />GENERALAGGREGATE <br />$ 21000,000 <br />PRODUCTS - COMPIOP AGO <br />$ 2,000,000 <br />OTHER: <br />E <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY <br />OWNED <br />OWNED SCHEDULED <br />AUTOSONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />Y <br />ACP 3018752757 05/01/2019 <br />05/01/2020 <br />COMBINED SINGLE LIMIT <br />(Ea SLY <br />E 1,000,000 <br />g <br />INJ <br />BODILY INJURY Per person) <br />E <br />(Perawitlerrt) <br />$ <br />PROPSBODILY TYDA <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />$ <br />A <br />X <br />UMBRELLALIAB <br />EXCESS UAe <br />X <br />OCCUR <br />CLAIMS -MADE <br />B 6074573560 08/31/2019 <br />08/31/2020 <br />EACH OCCURRENCE <br />$ 51000,000 <br />AGGREGATE <br />$ 5,000,000 <br />CIPERAND <br />DED I % I RETENTION$ 10, 000 <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETORIPARTNEWEXECUTIVE <br />OFFICERMIEMBEREXCLUDED7 <br />NIA <br />WC3810952 07/01/2019 <br />07/01/202C <br />X STAT E EORH _ <br />$ <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />(Mentlamryln NH) <br />If yea, Oesrsiceintler <br />DESCRIPTION OF OPERATIONS... <br />E.L. DISEASE - FA EMPLOYEE <br />E 11000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$ 11000,000 <br />D <br />Professional Liability <br />(Claims -made form) <br />P-001-000144554-01 <br />Retention: $5,000 <br />07/31/2019 <br />07/31/2020Limit <br />(each <br />claim): <br />Limit (aggregate): <br />$ 2,000,000 <br />S 4,000, 000 <br />DESCRIPTION OFOPERATIONSILOCATIONSIVEMICLES (ACORD 101,Adtlitilml Remark, Schedule, maybe attaehetl if more space i, requiretl) <br />City ed Santa Ana, its officers, employees, agents and representatives are named as additional <br />insureds with respects general and auto liability policy limits. Primary and non-contributory <br />wording applies with respects rgarW�gtli` CAnoyiCvOVE}$e, <br />By RIS ANAf1EMENT DIVISION <br />212019 <br />eeorinrAT•e unr nce 1 _ <br />SAMAWHA M. LAMBERT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />Risk Management Division, 4th Floor <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Santa Ana CA 92702 �1� A �'� • P. <br />01988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />