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Client#: 160973 WESTHART ACORDT„ CERTIFICATE OF LIABILITY INSURANCE DA YY) TYPE OF INSURANCE 8//20(2201201177 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIPICATE 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), suhject 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 endorsameril PRODUCER NAME: USI SouthwestPHONE e MAIL' EM: 713 490.4500 A(c�.Ne�,a713-4904700 9811 Katy Freeway, Suite 500 EACH OCCURRENCE $1000000 Houston, TX 77024 N-2015-092-03 ADDRESS: Retained Limit 713 490.4600 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : aaminl Ie,sor=a Cu10ey j 10833 PRODUCTS - COMP/OPAGG S INSURED Town of West Hartford INSURER B _ sn.N Nmm„m C --ft, C=m -15105 INSURER C: 50 South Main Street INSURER D: West Hartford, CT 06107 nn �\e �%"`p ,!f 't �<`,,./ 1 l / a51 , `QiJ INSURER F.: INSURER F: __ BODILY INJURY (Per person) $ COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 REII,,D�UC��EppDDp BY PAID CLAIMS. (LTR TYPE OF INSURANCE INORL VWD RI POLICY NUMBER MMIODN MWDDyYYy LIMITS A X' COMMERCIAL GENERAL LIABILITY X CLAIMGMADE OCCUR X. $250,000 �,1.. PEM000000605 7/011201 710710112018 I 1 EACH OCCURRENCE $1000000 PRiMISES Eeocc��nce $ MED EXP An one person) S Retained Limit PERSONAL A ADV INJURY S SENT. AGGREGATE LIMIT APPLIES PER: PRO. POLICY = .(ECT _I LOC I OTHER GENERAL AGGREGATE $1,000,000 PRODUCTS - COMP/OPAGG S S AUTOMOBILE LIABILITY I ANY AUTOnV ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOSNON-OWNED AUTOS nn �\e �%"`p ,!f 't �<`,,./ 1 l / a51 , `QiJ I £ COMBINED SINGLE LIM IT Ea aCCldanl __ BODILY INJURY (Per person) $ `S BODILY INJURY (Per accident) $ PROPER Y DAMAGE $ S UMBRELLA LIAR EXCESS LIAR OCCUR�(^ CLAIMS -MADE S� V EACHOCCURRENCE $ AGGREGATE 5 DEO 1 1 RETENTIONS $ B WORKERS EMPLOY EMPLOYERS' AND EMPLOYERS' LIABILITY YIN APIYPRIRRAEMORIPARTPEXECUTIVE OFFICER/MEMBER EXCLUDED' C (Mandatory In NH) If gas, describe under DESCRIPTION OF OPERATIONS below NIA SP4057079 $500,000 SIR 7/0112017107/01/201 X PER oTH- E.L EACH ACCIDENT $1000000 E.L. DISEASE -EA EMPLOYEE S E.L. DISEASE -POLICY LIMIT $1000000 ]-j— DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Effective Date: March 19, 2015 Description: Consultant Agreement- Institute of Museum and Library Services (IMES) Leadership Grant City of Santa Ana, its Officers, employees, agents and representatives are named as additional insured with respects to the General Liability, when required by written contract. City of Santa Ana 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. AUTHORIZED REPRESENTATIVE 01511111-2014 ACORD CORPORATION All rinhm raenmenri ACORD 25 (2014/01) 1 Oft The ACORD name and logo are registered marks of ACORD #$21509898/M21258453 BZLHA