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AC �® DATE (MM/DD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 01/31/2018 <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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 />CorRisk Solutions <br />225 W. Washington St. Suite 1560 <br />Chicago, IL 60606 <br />MDG Associates, Inc. <br />10722 Arrow Route <br />Suite 822 <br />Rancho Cucamonga, CA 91730 <br />COVERAGES <br />,Tome"" Karen Bronson <br />Pua�Ho, EN"312-637-8755 iN�, <br />EDDRES kbronson@corrisksolutions.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURERA: New Hampshire Insurance Company 23841 <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />INSURER F: <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 />INSft <br />LTR <br />TYPE OF INSURANCE <br />ADD1 <br />INSRD <br />SUER <br />MID <br />POLICY NUMBER <br />POLICY EFP <br />(MMIDDIYYYY) <br />POLICY EXP <br />(MMIDDIYYYY) <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURANCE <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE OCCUR <br />DAMAGE TO RENTED <br />PREMISES (Ea occurance) <br />MED EXP (Any one person) <br />DOES NOT APPLY <br />PERSONAL 8 AND INJURY <br />GENERAL AGGREGATE <br />' <br />PRODUCTS - COMP/OP AGO <br />GEML AGGREGATE LIMIT APPLIES PER: <br />POLICY PROJECT LOC <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT (Ea <br />Ealaert) <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />DOESNOTAPPLY <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE(Par <br />accltlenll <br />HIRED AUTOS NONAWNED <br />AI IT(1R <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURANCE <br />AGGREGATE <br />EXCESS LIAB <br />CLAIMS MADE <br />DOES NOT APPLY <br />DED <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />WC STATU- <br />TORV LIMITS <br />OTHER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICE/MEMBER (Mandatory <br />in NH) EXCLUDED? Y/N <br />(Mandatory in NH) ❑ <br />OPERATIObe antler DESCRIPTION OF <br />It yes, OPERATIONS below <br />N/A <br />DOES NOT APPLY <br />E.L. EACH ACCIDENT <br />ILL. UItlESAE- EA <br />EMPLOYEE <br />E.L. DISEASE - POLICY LIMIT <br />A <br />Professional Liability <br />064991891- <br />01 <br />07/O1/17 <br />07/O1/18 <br />Per Occurrence: $1, 000, 000 <br />Annual Aggregate: $1 000 000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space is required) <br />CEK I IHICA I E HULUEK CANCELLATIUN <br />City of Santa Ana, Community Development <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE <br />Agency <br />THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, <br />Attn.: Terri Eggers, Sr. Mgmt. Analyst <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />ACORD 25 (2010/05) 61988-2010 ACORD CORPORATION. Allrlghts reserved. .p k, <br />The ACORD name and logo are registered marks of ACORD <br />„0 <br />