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ACOR®® CERTIFICATE OF LIABILITY INSURANCE DATE(MM 8�1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER The Van Wagner Group 135 Crossways Park Drive, P.O. Box 9017 Woodbury NY 11797 CONTACT PHONE_ Patti Kenny__._._ FAX -(ALC.KIi 516-719-8760 All c NaL488-290-0302 nooaess, pkenny@sterlinwisk.com INSURER(Sll AFFORDING COVERAGE NAICA N-2018-021 INSURER A: Great American Assurance Company 26344_ INSURED CASADEL-01 Casa De" La"Pamllle INSURER B : 1650 E.4th"Street #101 INSURER C ---- ----- INSURER D: Santa Ana CA 92701 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 738780878 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND17IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' LTR :ADDO.SUBRIi POLICY EFF PPOLICY EXP ! TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY I MMIDDIYVYY LIMITS A X'I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE -XI OCCUR III, Y Y ELF 4294348-02 51 1 5/BI2018 EACH OCCURRENCE DAMAGE TO RENTED '., PREMISES IEa occurrence)'�I MEO EXP (Any one person) $1000000 - $100,000 II $ 5000 $1,000,000 PERSONAL dADVINJURY,.. GEN'L AGGREGATE LIMITAPPLIES PER ','i X''t. POLICY1:1 JECT LOC $300g000 -. GENERAL AGGREGATE -. PRODUCTS-COMP/OP AGG_I_$3000,000 $ OTHER: AUTOMOBILE LIABILITY j COMBINEDSINGLE LIMIT Ea eccldenl $ $ L ANY AUTO ALL OWNED SCHEDULED r_ AUTOS AUTOS HIRED AUTOS —II NON -OWNED AUTOS I r iBODILV INJURY (Per person) BODILY INJURV (Per accident) PROPERTY DAMAGE (Per accident) $ $ UMBRELLA LIAB ~EXCESS LAB a OCCUR CLAIMS -MADE., _ j EACH OCCURRENCE_ IAGGREGATE $ 5 CEO RETENTION s WORKERS COMPENSATION ANDEMPLOVEBS'LIABILITY YIN,. !AN V PROPRIETORIPARTNEMEXECUTIVE OFFICERiMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA - PER OTH- STATUTE ER _ E.L.EACH ACCIDENT I E L. DISEASE -EA EMPLOYEE, - EL. DISEASE -POLICY LIMIT I$ $ I$ A Professional Liability Y 1 Y GLP 429-33-48-02 1 5/6/2017 5/612018 I Each Incident $1,000,000 Aggregate $3,000,000 I •I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Adritional Remark ule, stay be attached 0 space ie required) City of Santa Ana is included as an additional insured as required b�r;�n N contr�c( t t only respect to services provided by the Named Insured. City of Santa Ana PRCSA M-23 20 Civic Center Plaza Santa Ana CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1983.2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD