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ACCORr CERTIFICATE ®F LIABILITY INSURANCE <br />�.. AcotN: 1171322 <br />DarE/0112017 <br />10/01/2017 <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 />Lockton Companies, LLC <br />5847 San Felipe, Suite 320 <br />Houston, TX 77057 N-2017-141-02 <br />CONTACT 888-828-8385 <br />NAMEi <br />PHONE FAX <br />%{1' .____........._._.._...._.......__ AI0- <br />He,, <br />_ <br />EMAIL <br />DD <br />INSURERS) AFFORDING COVERAGE NAIC q <br />INSURER A: Ace American Insurance Co. 22667 <br />INSURED <br />Insperity, Inc. LICIF------_-- <br />INSURER e <br />---- _ <br />INSURER C; .__,.,_ ..................._.........._._..._ <br />KQSMQNT & ASSOCIATES, INC. <br />1$001 -Crescent Springs Drive <br />Kingwood, TX 77339 <br />INSURER o <br />INSURER E t <br />PERSONAL It ADV INJURY $ <br />INSURER P: <br />GENERALAGGREGATE It <br />CK�YIq:L[e1�t�N�aYfylit7riY�.Oli41T : • . .. �, c r <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 />CERTIPICATE 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 />IL;R <br />TYPE OF INSURANCE <br />ADDLSUSR <br />POLICY NUMBER <br />POLICY EPP <br />M Dr—",YYI <br />POLICY EXP <br />WMIDDIYYYYI <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE_ $ <br />A A E Ere <br />5.9.1E@..occurrence) $ <br />MED EXP(Anyone .person) $ <br />PERSONAL It ADV INJURY $ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO - <br />ECT El LOC <br />OTHER: <br />GENERALAGGREGATE It <br />PRODUCTS - COMP/OP AGO $ <br />1 $ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />ALL OWNEDSCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS <br />COMBINED SINGLE LIMIT $ <br />Ea acc'den <br />BODILY INJURY (Per person) �$ <br />BODILY INJURY (Per accident) $ <br />_ _ <br />PROPERTY DAMAGE <br />Pereccldenl <br />UMBRELLA LIAROCCUR <br />EXCESS LIAR <br />CtAIM5-MAGE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />ED RETENTION$ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY OFFICERIMEMBEER EXCLUDED ECUTIVE ❑ <br />(Mandatory in NH) <br />If OyS, describe under <br />DESGRiPTIGN OF OPERATIONS below <br />NIA <br />C64742280 <br />10/01/2017 <br />.10/0112018 <br />% 87ATU7E 6H <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE -EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />�9 <br />if <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) <br />IIV <br />CITY OF SANTA ANA <br />ATTN:MARC MORLEY <br />20 CIVIC CENTER PLAZA (M-25) <br />SANTA ANA, CA 02702 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />