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249359 AC R®F CERTIFICATE OF LIABILITY INSURANCE UATEIYYYY) 4/222/202 /2014 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(iss) 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 endorsement(s). PRODUCER Wells Fargo Insurance Services USA, Inc. CA DOI LID. #0008408 (916) 589- 8000 10940 White Rock Road, 2nd floor Rancho Cordova, CA 95670 -6076 Tracy Dolan PHONE 916 89 - -8153 AX No Ban. INC, IAIC. No);,,877 811.1971 E-MAIL ADD Es : tracy.dolan@wellsfargo.com INSURERIS) AFFORDING COVERAGE NAIC9 INSURERA; National Surety Corporation 21881 INSURED Macias Gin] & O'Connell LLP Macias Consulting Group & Intellibridge Partners LLC 3000 S St. Ste 300, Sacramento, CA 95816 A - INSURERS; Cypress Insurance Company 10855 INSURER C: A P INSURER D: $ 100000 INSURER E: _ I INSURER F: COVERAGES CERTIFICATE NUMBER: 7625816 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF 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. ILTR TYPE OF INSURANCE AR NUMBER POLICY DF MMIO��Y LIMITS • X COMMERCIAL GENERAL LIABILITY C1-A9ADE ® OCCUR _POLICY AZC80896307 04/30/2014 04!3012015 _ EACH OCCURRENCE S 2,000.000 A P I occuvenc¢ $ 100000 _ MED RXP An one person) $ 10,000 _ PERSONAL &ACV INJURY g 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ JEC � LOC OTHER: _ GENERAL AGGREGATE s 4,000,000 PRODUCTS COMPIOP AGO $ 4,000,000 $ • AUTOMOBILE X x LIABILITY ANY AUTO AUTOS AUTOS HIREDAUTOS X AUTOSEO No Owned Au AZC80896307 04/3012014 04/30/2015 COMBINED SINGLE LIMIT s 2000000 BODILY INJURY (Per person) S BODILY BODILY INJURY(Per accident) $ (Pe�atcitl PROPERTY $ $ A X UMBRELLA LIAB EXCESS LIPS X gCCUR CIAIMS.MADE AZC80896307 04/30/2014 04/3012015 EACH OCCURRENCE S 1.000,000 AGGREGATE g 1,000,000 DEC I X I RETENTION$ 0 If B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIBXECUTIVE YIN OFFICERIMEMBER EXCLUDED4 ❑N (Mandatory In NH) IIYas describe under DESCRIPTION OF OPERATIONS blow NIA 3300055235 -141 04/30/2014 04/30/2015 X srarurE or E.L. EACH ACCIDENT 3 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1,000000 E.L. DISEASE• POLICY LIMIT $ x,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IACORD 101, Additional R¢merka Schedule, may be attached If mere apace is required) RE:Audit work performed on behalf of the certificate holder- Certificate holder is named additional Insured per the attached AS 9189 08/07 tor>as '2C VOW A�YgO�� 8 �� CERTIFICATE HOLDER CANCELLATION "' -I-ok 1311.Y'- b1l,.✓''i City of Santa Ana SHOULD ANY OF THE A13OVEE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE fhe ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) ©1988.2014 ACORD CORPORATION. All rights reserved. J 0