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ACOR" CERTIFICATE OF LIABILITY INSURANCE <br />`� <br />DATEI 24/20YY) <br />03/24/2020 <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(tes) 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 i Associated Insurance Agency <br />CA License #0691071 <br />305 17th Street <br />Huntington Beach CA 92648-4209 <br />CONTACT <br />NAME: Rich Higgins <br />PNONE FAX <br />(714) 536-6086 A,' No:(714) 536-4054 <br />AppRE richebai-ias.com <br />INSURE S AFFORDING COVERAGE <br />NAN:s <br />INSURERA: Continental Casualty Company <br />20443 <br />INSURED (949) 399-9050 <br />Townsend Public Affairs, Inc. <br />INSURERS:Hationwide Mutual Insurance Co <br />23787 <br />INSURERC: Technology InsurnaCs CompanyCOMpany <br />42376 <br />INSURER D: AXIS Su lus Insurance C an <br />26620 <br />1401 Dove Street, Suite 330 <br />INSURER E: <br />Newport Beach CA 92660 <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: Cart ID 3965 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 />TR <br />TYPE OF INSURANCE <br />L <br />SUBR <br />POLICY NUMBER <br />MWDOY EFF <br />MWDDYUP <br />UWTS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 11000,000 <br />CLAIMS -MADE �1l OCCUR <br />y <br />B 6074573557 <br />08/31/2019 <br />08/31/2020 <br />DAMAGE TO RhN [ED <br />PREMISES Ea occurrence <br />$ 300,000 <br />MED EXP (Any one person) <br />E 10,000 <br />PERSONAL S ADV INJURY <br />$ Ibtcluded <br />GENL AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />S 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ 2,000,000 <br />RO- <br />POLICY PRO- JECT TLOC <br />$ <br />OTHER. <br />AUTOMOBILELIASIUWY <br />Es emtle t I L LI In <br />E 11000,000 <br />SCOILY INJURY (Par person) <br />S <br />B <br />ANY AUTO <br />y <br />ACP 3028752717 <br />05/01/2020 <br />05/01/2021 <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOSONLY AUTOS ONLY <br />I <br />✓ <br />BODILY INJURY IPW ao i0nl) <br />$ <br />PROPERTY DAMAGE <br />Per acdtlsea <br />S <br />i <br />A <br />g <br />UMBRELLA LIAB <br />% <br />OCCUR <br />8 6074573560 <br />08/31/2019 <br />00/31/2020 <br />EACH OCCURRENCE <br />S 51000,000 <br />AGGREGATE <br />S 5,000,000 <br />EXCESS LIAB <br />CLAIMS44ADE <br />DED <br />I E <br />RETENTIONS 10, 000I <br />$ <br />WORKERSCOMPNSATIO <br />AND EMR' LIABILITY YIN <br />ANYPROPRIETOR/PARTNERIEXECUTIVE <br />TNC3810952 <br />07/01/2019 <br />07/01/2020 <br />AUTE Rµ <br />%TC <br />E.L. EACH ACCIDENT <br />S 11000,000 <br />E.L DISEASE - EA EMPLOYE <br />$ 11000,000 <br />OFFICERIMEMBEREXCLUDED1 ❑ <br />(Mandatory In NH) <br />NIA <br />E.L. DISEASE -POLICY LIMB <br />$ 1,000,000 <br />8 yae PTION OFO <br />DESCRIPTION OF OPERATIONS bebw <br />D <br />Professional Liability <br />P-001-000144554-01 <br />07/31/2013 <br />07/31/2020 <br />Limit (each <br />claim): <br />$ 2,000,000 <br />(claims -made form) <br />Retention: $5,000 <br />Limit (aggregate): <br />E 4, 000, 000 <br />DESCRIPTION OF OPERATIONS LOCAnONS I VEHICLES (ACORD 101, Adtlklonal Remarks Schedule, may he aaached N more space Is required) <br />City of Santa Ana, its officers, employees, agents and representatives are named as additional <br />insureds with respects general and auto liability policy limits. Priyary and non-contributory <br />wording applies with respects general liability policy limits. <br />REVIEWED & APPROVED <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 <br />JuN azo <br />4th Floor ANGiE ACFVEdO <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 CORPORA <br />M <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />