LARRY-HERRERA-CABRERA, LKHC CONSULTING (3)

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AE� H CERTIFICATE OF LIABILITY INSURANCE GATE 412011YYYV) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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(ies) must be endorsed. If SUBROGATION IS 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 certificate holder In lieu of such endorsemenk(s). PRODUCER C ONAR HIScox Inc. d/b/a/ HISCOX Insurance Agency In CA 520 Madison Avenue $end Floor PHONE (888) 202-3007 AIC No: EMAIL ADDREss: contact@hiscox.com INSURER ($) AFFORDING COVER AGE _. NAIC# NEW York, NY 10022 _ INSURER A: HISCOX Insurance Company Inc T10200 INSURED LKHC Consulting 28D86 Via Del Cerro INSURER B 1 INSURER C : INSURER O i San Juan Capistrano CA 92675 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES Or INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR 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 REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDLSUBR POLICYNUMBER POLICY EFF MMMdDIYyYYI POLICYEXP (MMiDDNYYY)LIMIT9 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACHOCCURRENCE S 2000,000 t" PREMISES Es occurs ce I_$ 100,004 MED EXP (Any one arson $ 5,000 X Primary & Non Contributory PERSONAL &ADV INJURY $ 2000000 A Y Y UDC-2086768-OGL-18 10120/2018 10120/2019 AGGREGATE LIMIT APPLIES PER: POLICY ❑ jECT LOC GENERAL AGGREGATE $ 2.000,000 r GENL X PRODUCTS - COMPIOPAGG $ S/TGen. Agg, $ OTHER AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT ccde t $ _ BODILY INJURY (Per person) $ ANY AUTO ALL OWNED -I SCHEDULED AUTOS AUTOS BODILY INJURY (Per accldent ) $ NON -OWNED H IRED AUTOS _� AUTOS PROPERTYDAMAGE Per acnldant $ $ UMBRELLA LIAOOCCUR EACH OCCURRENCE S AGGREGATE $ EXCESS LIAB _J CLAIMSTgAOE OED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN ANVPROPRIETORIPARTNERIEXEOUTIVE EXCLUDED? NIA OTH• ER EACH T $OFFICERIMEMBER =ACCIDENT MPLOYEE $If (Mandatory in NH) yea, deacrlbe antler— DESCRIPTIONOFOPERATIONSbDIow ICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS (VEHICLES (ACORD fill, Additional Remade, Schedule, maybe attached If more apace Is required) City of Santa Ana is listed as an Additional Insured. The Hlscox General Llability policy Is primary and any other Insurance maintained by the additional insured is excess and Non. Contributory sabiect to the poiicy terms and condlhans, y7 r'-^ 6^�-f 24R., F City of Santa Ana 20 Civlo Center Plaza (Ni P.O. Box 1088 Santa Ana, CA 92702-19$8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 9eAA-9ndd Aral Rrl rfOVM IDA-Finhl All .Ld,a.. ............I ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD