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667979 Miller Mendel, Inc. Certificate of Insurance (page 1 of 1) 01/08/2018 10:00:49 AM <br />T ® <br />ACICERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIOD/YYW) <br />1/612016 <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(ies) 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 />CONTACT <br />NAME: <br />PNONE 800-668-7020 uc Not, (877) 826-9067 <br />Techlnsurance <br />000 30 N. LaSalle, 25th Floor <br />0000 30 Chicago, IL 60602 <br />E-MAIL <br />ADDRESS, <br />COMMERCIAL GENERAL LIABILITY <br />INSURERS AFFORDING COVERAGE <br />NAIC Ii <br />INSURER A: Beazley Insurance Company Inc. <br />37540 <br />INSURED <br />Miller Mendel, Inc. /1 2�(�.--i51 �DI <br />INSURER B: Sentinel Insurance Company, Limited <br />11000 <br />INSURERC: Hartford Casualty Insurance Company----- - - <br />29424 <br />INSURER D <br />32410 Dutch Canyon Rd /'� <br />Scappoose, OR 970564001 <br />INSURER E <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 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 />R <br />TYPE OF INSURANCE <br />ADDL <br />SURR <br />POLICY NUMBER <br />EFF <br />MM/DDYNYYY <br />TY EXP <br />M/DD <br />MtYYYY <br />LIMITS <br />1/ <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE F✓ OCCUR <br />DAMAGE T RENTED <br />PREMISES Meoccurrrence $ 1.000,000 <br />MED EXP (Any one person) $ 10,000 <br />STOP GAP (see belowfor limits) <br />PERSONAL B ADV INJURY $ 1,000,000 <br />B <br />Yes <br />46SBMUF4112 <br />12126/2017 <br />12/26/2018 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $2.000,000 <br />POLICY ❑ JECT PRO- r-1LOC <br />PRODUCTS - COMP/OP AGG $ 2,000.000 <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br />We accident 1.000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />BODILY INJURY (Per accident) $ <br />ALLOWNED SCHEDULED <br />AUTOS <br />46SBMUF4112 <br />12Y26/2017 <br />12/26/2018 <br />PROPERTY DAMAGE $ <br />Per accident) <br />B <br />, , NON-0WNED <br />HIREDAUTOS AUTOS <br />Yes <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO RETENTION$ <br />$ <br />C <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE ❑ <br />OFFICEWMEMBER EXCLUDED? Y <br />(Mandatory In NH) <br />NIA <br />46WECAA9PY1 <br />11/20/2017 <br />11/20/2018 <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYE $ 7,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />F . DISEASE -POI CYI IMIT $ 7,000,000 <br />A <br />Professional Liability(Emors and Omissions) <br />V177137160301 <br />12/26/2017 <br />12/26/2018 <br />$1,000,000/$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) I <br />City of Santa Ana is named as Additional Insured as their interests may appear in regards to general liability and automobile liability. <br />(�o g <br />iea.uoCeara <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />I <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />