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ACo/2LP CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />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 <br />08110/2017 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT <br />AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES <br />NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS <br />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 <br />certificate holder In lieu of such endorsement e . <br />PRODUCER <br />CONTACT <br />CS&SIEDGEWOOD PARTNERS INS CENTER <br />NAME: <br />PHONE FAX <br />(AIC, No, E#): (AIC, No): <br />PO BOX 946580 <br />MAITLAND, FL 32794-6580 <br />E-MAIL <br />Phone -877.724.2669 <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE NAIC # <br />Fax - 877-763.5122 <br />INSURER A: Valley Forge Insurance Company 20508 <br />INSURED <br />TOWNSEND PUBLIC AFFAIRS, INC. <br />INSURER B: <br />1401 DOVE ST STE 330 <br />INSURER C: <br />INSURER D: <br />NEWPORT BEACH, CA 92660 <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REviginm NLIMRFR. <br />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 <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE <br />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 <br />CLAIMS. <br />INSR <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />ADDL <br />SUBR <br />POLICY EFF <br />POLICYEXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MMIDDIYYYY <br />MMIDDIYYYY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />CLAIMS -MADE R OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurrence) 300,000 <br />A <br />Y <br />N <br />6021178995 <br />08/31/2017 <br />08/311201$ MEDEXP(An one arson) $ 10,000 <br />PERSONAL&ADV INJURY $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE 2,000,000 <br />POLICY [:]PRO-® LOC <br />JECT <br />PRODUCTS -COMP/OP AGG 2,000,000 <br />OTHER <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT 1,000,000 <br />(Ea accident) <br />ANY AUTO <br />BODILY INJURY (Per person) <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />N <br />N <br />6021178995 <br />08/31/2017 <br />0813112018 BODILY INJURY (Per accment) <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accldent) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE 5,000,000 <br />D <br />EXCESS LIAB <br />CLAIMS -MADE <br />N <br />N <br />6021179581 <br />08/31/2016 <br />0813112017 AGGREGATE 5,000,000 <br />DED RETENTION $ <br />WORKERS COMPENSATION <br />PEROTH- <br />AND EMPLOYERS' LIABILITY <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />E.L.EACH ACCIDENT _ <br />(Mandatory In NH) <br />$ <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City, its officers, officials, and employees and volunteers are added as an additional insured as provided in the blanket additional <br />insured endorsement as pertains to work being performed by named insured under contract. Coverage is Primary and Non - <br />Contributory. Waiver of Subrogation applies. Cancellation per policy provisions <br />CERTIFICATE HOLDER CANCELLATION <br />City of Chino Hills <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />14000 City Center Drive <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Chino Hills, California 91709 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />�j <br />9 t1 w,f -M,q0 ..q Ll(#LP.r <br />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />