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ACC>R0" CERTIFICATE OF LIABILITY INSURANCE GATE IMMIDD YYYY <br />12/19/2017 <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: H the certificate holder Is an ADDITIONAL INSURED, the pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the <br />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 endamement(s). <br />PRODUCER CONTACT WAKE: Gail D'Amour _ <br />CAMICO Insurance Services PHONE 000-652-1772 <br />1800 Gateway Drive, Suite 300 Ac.xm: Boo-227-2oso <br />San Mateo, CA 94404 PRODUCER <br />cu3lpM�µlD s: <br />INSURER(S) AFFORDING COVERAGE <br />NMCe <br />INSURED <br />INSURERA: <br />_ <br />Great Divide Insurance Company <br />White Nelson Diehl Evans LLP <br />INSURER5: <br />2875 Michelle Drive, Suite 300 <br />INSURER C: <br />Irvine, CA 92606 <br />INSURER D: <br />A-ao� <br />-oqg oI <br />INSURERE: <br />_ <br />INSURER F : <br />COVERAGES <br />CFRTFICATP MI IEARFR <br />Rnmm�. uuueen. <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 <br />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 LTR TYPE OFINSURANCIE SUBRI POLICY NI161BER <br />PMUC`%EFF POULD EXP lAlllT3 <br />" <br />GENERALLIASLITY <br />EACH OCCURRENCE <br />$ <br />DMMERCIALGENERALDABIUTY I� <br />PR EMISES wurn egp) <br />_ <br />_$ _ <br />TCCLNMSa D OCCUR I <br />MED OtP NIA'ano lA+ean) <br />E _ <br />PERSONALSADVINJURY <br />_$ _ <br />_ — _ _..—. <br />GENERAL AGGREGATE <br />$ <br />GENL AGGREGATE UMITA ESPEIL <br />PROOUCTE-COMP/OPAGO <br />If <br />POLICY I PRO- LOC <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE UNIT <br />$ <br />i <br />IEe aeddenu <br />AMYAUTO <br />r'�'—' <br />— <br />- - - <br />_ <br />BODILYINJURY (Perpengn) <br />$ <br />ALL OWNED AUTOS <br />-- <br />BOOILYINJURY(PeraaBaM) <br />S <br />SCHEDULED AUTOS <br />PROPERTY DAMAGE <br />I{PracddmR) <br />$ <br />HIRED AUTOS <br />I <br />NON-OMED AUTOS <br />$ <br />I <br />$ <br />IANeRELLA LUIB OCCUR <br />EACH OCCURRENCE <br />$ <br />IXCE66 LNB _JJ <br />�- <br />AGGREGATE <br />$ _ <br />DepucnBLE <br />$ <br />RETENTION $VIORKERS <br />$ <br />SATION <br />NLIAGIU <br />WCSTATU <br />AND EMPLOYERS , YIN <br />ANYPROPRRTORIPAFOWRIE%ECUTIVE <br />WR <br />—. —. <br />OFFICERAEMSEREXCWOEDT �I <br />NIA <br />EL EACH ACCIpENT_ <br />$ <br />r1Vad mV In NH) <br />E.L DISEASE -EA EMPLOYEE$ <br />ym,EeeMbe ui r <br />E.LDISEABE-POLICYUMTT <br />$ <br />Xi <br />Professional Liability <br />CAB201217 <br />01/01/201801/01/2019S5'000,000 <br />per Claims /$10,000,000Aggregate <br />Insurance <br />DESCRIPTION OF OPERATIONS LOCATIONS [VEHICLES (A0 ACORDtat,AddlSauNRennhe SMeCUM,Nmansa ulenquimdl <br />InPCTIRCATF LIM rIFR rw.r•o I Ann. <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE E R BED POULIE3 BE CANCELLED BEFORE THE <br />20 Civic Center Plaza <br />EXPIRATION DATE THEREOF, N TICE WILL E D LIVERED IN ACCORDANCE 1NTH THE <br />POLICY PRO% SIONS. <br />Santa Ana, CA 92701 <br />0.UTHOWZEO REPRESEMATNE L ' <br />V TSSS- 2003 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD <br />Gear All <br />Rev Lw�aL;)- <br />