HASSWIL-01 SWILSON
<br />ACaRO" CERTIFICATE OF LIABILITY INSURANCE DATE9/912 D/YYYY)
<br />/9/2019 �
<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(ies) 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 endorsements .
<br />PRODUCER CONTACT
<br />The Business Benefits Group a/c No Ext : (844 201-3612 I vc No: 703 76Benefits-0202
<br />4023 Chain Bridge Rd AI
<br />Fairfax, VA 22030 EL
<br />AAARIESs. Certificates§bbgbroker.com
<br />INSURED
<br />Hassett Willis & AssociatesLLC
<br />T/A Hassett Willis & Company
<br />1100 New York Ave NW #25OW
<br />Washington, DC 20005
<br />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 />T R TYPE OF INSURANCE DOD. $ POLICY NUMBER POLICY EFF POLJCY EXp LIMITS
<br />A X LcoMMERCIAL GENERAL LIABILITY I
<br />EACH OCCURRENCE $ 1,000,000
<br />CLAIMS -MADE OCCUR X Iiii42SBAIG6094 4/11/2019 4/11/2020 DAMAGETORENTED $ 300,000 PR 15r:=w
<br />L AGGREGATE LIMIT APPLIES PER:
<br />POLICY ❑ prCT LOC
<br />A AUTOMOBILE LIABILITY
<br />ANY AUTO X
<br />OWNED SCHEDULED
<br />AUTOS ONLY AUTOS
<br />p
<br />X AURTOS ONLY X AUTO ONLY
<br />A X UMBRELLA LIAB X OCCUR
<br />EXCESS LIAB CLAIMS -MADE
<br />DED I X I RETENTION $ 10,000
<br />B WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY Y / N
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑
<br />(MFandat0 y fn NH) EXCLUDED? N / A
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />D I Prof. Errors & Omiss
<br />4/11/2019 1 4/11/2020
<br />4/11/2019 1 4/11/2020
<br />ME EXP (Any one arson $ 10,000
<br />PERSONAL& ADV INJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />PRnnunTR-rnMPIOP Ara I a 2,000,000
<br />$
<br />1,000,000
<br />2,000,000
<br />WECCQ6606
<br />4/11/2019
<br />4/11/2020
<br />E.L. EACH ACCIDENT
<br />$ 1,000,000
<br />E,L. DISEASE - EA EMPLOYEE
<br />$ 1,000,000
<br />E,L.DISEASE- POLICY LIMIT
<br />$ 1,000,000
<br />BDDGP5459
<br />566D180501
<br />1/112018
<br />4/23/2019
<br />1l1/2021
<br />4/23/2020
<br />Limit
<br />Limit
<br />500,000
<br />1,000,000
<br />'111014 OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
<br />ate holder is additional insured.
<br />City of Santa Ana, officers, agents, employees and volunteers are named as addtional insured on this policy pursuant tot he written contract, agreeement, or
<br />memorandoum of understanding. Such insurance as is afforded by this policy shall be primary, and any insurance carried by City shall be excess and
<br />noncontributory Insurer shall provide thirty (30) day prior written notice of cancellation.
<br />City of Santa Ana
<br />Risk Management Division
<br />20 Civic Center Plaza 4th Floor
<br />Santa Ana, CA 97202
<br />.I.
<br />ACORD 25 (2016/03)
<br />g� Ri5 ANACIEMENT IVI510
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />13 201 ACCORDANCE WITH THE POLICY PROVISIONS.
<br />ZED REPRESENTATIVE
<br />MA IA M. l-A
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