HALL AQUATIC LIFE SUPPORT DESIGN CONSULTANTS, LLC (2)

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i4C a� CERTIFICATE OF LIABILITY INSURANCE OATE(MMDD)YYYY) 02/24/2020 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 SUBROGATIONIS 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 endorsement(s). PRODUCER CONTACT BIZINSURE LLC/PHS 57102005 The Hartford Business Service Center NAME' PHONE (866)467-8730 (A/C, No, skill: FAX (888)443-6112 (AIC, No): 3600 Wiseman Blvd E-MAIL San Antonio, TX 78251 ADDRESS: INSURER(S) AFFORDING COVERAGE NAICN INSURED INSURER A: Twin City Fire Insurance Company 29459 Hall Aquatic Life Support Designs DBA Hall Aquatic Design LLC INSURER B : Hartford Accident and Indemnity Company 22357 347 GRANT ST SE INSURER C : ATLANTA GA 30312-2226 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEDMOTWITHSTANDING 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVO POLICY NUMBER POLICY EFF IDO POLICY EXP M/DD/Y YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $2,000,000 CLAIMS -MADE -OCCUR General Liability DAMAGE TO RENTED PREMISES Ea o rence $1,000,000 X MED EXP (Any one person) $10,000 A X 57 SBM BL2522 11/09/2019 11/09/2020 PERSONAL&ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; GENERAL AGGREGATE $4,000,000 POLICY PRO- ECT X LOG PRODUCTS - COMP/OP AGG $4,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY (Per person) ANY AUTO A ALL OWNED SCHEDULED AUTOS AUTOS 57 SBM BL2522 11/09/2019 11/09/2020 BODILY INJURY (Per accident) X HIRED NON -OWNED AUTOS X AUTOS PROPERTY DAMAGE (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS- MADE AGGREGATE DEO RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER STATUTE OTH- E F.L. EACH ACCIDENT $1.000,000 ANY YIN B PROPRIETORIPARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 57 WEC AC3MZN 11/09/2019 11/09/2020 F.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below A EMPLOYMENT PRACTICES LIABILITY 57 SBM BL2522 11/09/2019 I 11/09/2020 I Each Claim Limit Aggregate Limit $10,000 $10,000 DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Addifional Remarks Schedule, may be attached U more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER 01-VIEWED Qk CANCELLATION City of Santa Ana By R151( ANAgEM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 20 CIVIC Center Palaza, 4th Floor 1lD "frVl�'� IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE PORTLAND OR 97202 CI 1�r CCiO ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD