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J!E�?Op® CERTIFICATE OF LIABILITY INSURANCE
<br />Dq 1/5/2018 V)
<br />115/2018
<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 be endorsed. If SUBROGATION IS WAIVED, subject to
<br />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 />HAUSER
<br />5905 E. Galbraith Rd Suite 9000
<br />_;0;A6 TE ACT VICKI Dixon
<br />45-9200 AIC NO), 513-745-9129
<br />R.P.nooaesvdixon thehauser rou .com
<br />Cincinnati OH 45236
<br />INSURERS AFFORDING COVERAGE
<br />NAIC4
<br />SKS57626057
<br />INSURER A: Ohio Security Insurance Co
<br />24082
<br />EACH OCCURRENCE $1,000,000
<br />INSURED MANAG-2
<br />Management Partners, Inc.
<br />1730 Madison Road
<br />INSURER B: American Fire & CasualtyCO
<br />24066
<br />INSURER C: The Ohio Casualty Ins. Co.
<br />24074
<br />INSURER D: Continental Casualty Co.
<br />35289
<br />Cincinnati OH 45206
<br />INSURER E:
<br />CLAIMS -MADE FxI OCCUR
<br />INSURER F.
<br />COVERAGES CERTIFICATE NUMBER: 1397837418 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 />NSR
<br />LTR
<br />TYPE OF INSURANCE
<br />ADOL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MIDDIYVYY
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />SKS57626057
<br />3/1/2017
<br />3/1/2010
<br />EACH OCCURRENCE $1,000,000
<br />X COMMERCIAL GENERAL LIABILITYDAMAGE
<br />TO RENTED
<br />PREMISES Ea occurrence $1,000,000
<br />MED EXP (Any one person) $15,000
<br />CLAIMS -MADE FxI OCCUR
<br />PERSONAL &ACV INJURY $1,000,000
<br />GENERAL AGGREGATE $2,000,000
<br />GEN'L AGGREGATE
<br />LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $2,000,000
<br />X POLICY
<br />PRO LOC
<br />OHIO STOP GAP $1,000,000
<br />B
<br />AUTOMOBILE
<br />LIABILITY
<br />BAA57626057
<br />3/1/2017
<br />3/1/2010
<br />COMBINED SINGLE LIMIT
<br />Ea accident 1ppp OpO
<br />BODILY INJURY (Per person) $
<br />X
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY Per accident $
<br />( )
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PROPERTY DAMAGE $
<br />Per accident
<br />$
<br />C
<br />X
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />U3057826057
<br />3/1/2017
<br />3/1/2018
<br />EACH OCCURRENCE $3,000,000
<br />AGGREGATE $3,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED X RETENTION$0
<br />$
<br />A
<br />WORKERS COMPENSATION
<br />XWS57826057
<br />3/1/2017
<br />3/1/2016
<br />XWC STATU- OTH-
<br />ANDEMPLOYERS'LIABILITY YIN
<br />E.L. EACH ACCIDENT $1,000,000
<br />ANY OFFICERIMEMBER EXCLUDED? ECUTIVE
<br />NIA
<br />E.L. DISEASE -EA EMPLOYEE $1,000,000
<br />(Mandatory in NH)
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $1,000,000
<br />D
<br />Mgmt. Prof. Liability
<br />Deductible
<br />596801719
<br />6/20/2017
<br />311/2018
<br />Mgment Use Profess. $1,000,000
<br />Deductible $10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace Is required)
<br />Umbrella Policy follows farm to the General Liability and Auto Liability Policies
<br />The City of Santa Ana its officers, employees, agents, volunteers and representatives are Additional Insured per General Liability Blanket Additional Insured
<br />endorsement CG 88 10 04 13. Subject to signed written contract, policy terms, conditions, and exclusions.
<br />'fwbe�l`CoY� �
<br />CERTIFICATE HOLDER CANCELLATION
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />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
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza M31
<br />AUTHORIZED REPRESENTATIVE
<br />PO Box 1988
<br />Santa Ana CA 92702
<br />' �G�'i.1.C1.1�
<br />© 1988-2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
<br />
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