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/"1 <br />,acoRO® CERTIFICATE OF LIABILITY INSURANCE <br />GATE <br />06/21//21/(MMIDRYYYY) <br />2018018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endomement(s). <br />PRODUCER <br />Bannister & Associates Insurance Agency <br />CA License #0691071 <br />CONTACT <br />Rich Higgins <br />PHONE FAX <br />(714) 536-6086('Ale, <br />AlC No:(714) 536-4054 <br />EMAIL <br />ADDRESS: rich@bai-ins.com <br />305 17th Street <br />Huntington Beach CA 92648-4209 <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Nationwide Mutual Insurance Cc <br />23787 <br />INSURED (949) 399-9050 <br />Townsend Pllblic A{{dire, Inc. <br />INSURER e: AXIS surplus Insurance Company <br />26620 <br />INSURER C <br />INSURER D: <br />CLAIMS -MADE OCCUR <br />1401 Dove Street, Suite 330 <br />INSURER E: <br />Newport Beach CA 92660 <br />INSURER F: <br />PREMISES Ea occurrence <br />$ <br />COVERAGES CERTIFICATE NUMBER: Cert ID 1635 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 />OF INSURANCE <br />ADOLTYPE <br />INSD <br />WVDSUE <br />POLICYNUMBER <br />MMIDDM/YV <br />EXPR <br />MMIODYIYM <br />LIMITS <br />COMMERCIAL GENERAL LI ABILITY <br />EACHOCCURRENCE <br />$ <br />DAMAGE TO RE <br />CLAIMS -MADE OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL ADV INJURY <br />5 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ <br />POLICY � PRO- ❑ <br />JECT LOC <br />PRODUCTS-COMP/OPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea awitlent <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />X <br />ANY AUTO <br />ACP 3008752757 <br />05/01/2018 <br />05/01/2019 <br />OWNED SCHOS EDULED <br />AUTOS ONLY AUT <br />BODILY INJURY (Per accident)$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />$ <br />UMSRELLALIAS <br />__ <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS <br />S LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />I PER I I OTH- <br />STATUTE I I ER <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />- <br />E.L. EACH ACCIDENT <br />$ <br />OFFICERIM EMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, deserts under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />B <br />Professional Liability <br />ECN000036191801 <br />07/31/2018 <br />07/31/2019 <br />Limit (each <br />act/total limit): <br />$ 1,000,000 <br />(claims -made form) <br />Retroactive date: 7/31/02 <br />Retention (each <br />wron ful act): <br />$ 5,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />City of Santa Ana <br />20 Civic Center Plaza (M-31) <br />PO Box 1988 <br />Santa Ana CA 92702 <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 />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />Page 1 of 1 <br />