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A� ®® CERTIFICATE OF LIABILITY INSURANCE 2/DATE(M DDmYv) 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(ies) 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 endorsements . PRODUCER CONTNAMEACT Patti Kenn The Van Group a Division Wagnera erlGroupk 135 Crossways Park Drive, P.O. Box 9017 PHONE 516-719-8760 FAX .888-290-0302 E-MAIL ADDRESS. pkenny@sterlingrisk.com INSURERS AFFORDING COVERAGE NAIC # Woodbury NY 11797 INSURERA:Great American Assurance Company 26344 INSURED REACEMP-01 INSURER B : Reach Employee Assistance, Inc 101 E Lincoln Ave, #230 Anaheim CA 92805 INSURER Ci INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 134747264 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 CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE INSD WVD POLICVNUMBER POLICY EFF MDDIYYYY POLICY EXP MWDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GLP 47&88-02-01 2/17/2017 2/17/2018 EACH OCCURRENCE $1,000,000 CLAIMS -MADE X❑ OCCUR PREMI ETORENTED PREMISES RENT rrence $100,000 MED EXP(Any one person) $5,000 PERSONAL &ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: PNOLICY JEa LOG GENERAL AGGREGATE $3,000,000 GEN'L X PRODUCTS - COMP/OP AGG $3,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE L Ea accident $ BODILY INJURY (Par person) $ ANY AUTO AUTOS NED ALTOSULED BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION OTH- ANDEMPLOYERVLIABILITY Y/N SPER TATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNEWEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under DE SCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Professional Liability Y Y GLP 478-88-02-01 2/17/2017 2/17/2018 Each Incident $1,000,000 Aggregate $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana is included as an additional insured as required by written contract but only as respects to the operations performed by the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZEDREPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD