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<br />CUnnai!• �R9ROR HFHOONSII
<br />ACORDTM CERTIFICATE OF LIABILITY INSURANCE
<br />DA ODIYYVY)
<br />6//24/224 /2014
<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(les) 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 />certificate holder in lieu of such endorsement(s).
<br />PRODUCER
<br />HUBInt'lInsuranceServ.Inc
<br />License #0757775
<br />CONTACT Tim McKinley
<br />PHONE 825415.1107 FAX 925 884-8028
<br />AIC, No, Exl : AIC, No
<br />E-MAIL Y@
<br />ADDRESS: tim.mckinley@hubinternational.com
<br />3000 Executive Parkway Suite 300
<br />San Ramon, CA 94583
<br />INSURER(S) AFFORDING COVERAGE
<br />NAICq
<br />Sentinel Insurance Company Ltd
<br />INSURER A: P Y
<br />11000
<br />INSURED
<br />HF &H Consultants, LLC
<br />201 North Civic Drive Ste 230
<br />INSURER B: Sequoia Insurance Company
<br />22985
<br />INSURERC: Houston Casualty Company
<br />42374
<br />Walnut Creek, CA 94596
<br />INSURER D:
<br />INSURER E
<br />$1,000,000
<br />INSURER F :
<br />CLAIMS -MADE 4 OCCUR
<br />COVFRAGFR CFRTIFICATF KIHMRFR- REVISION NUMBER-
<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 CONTRACTOR 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 />INSR
<br />TYPE OF INSURANCE
<br />AODLSUBR
<br />INSR
<br />MD
<br />POLICYNUMBER
<br />POLICY EFF
<br />MMIDDIYYYV
<br />POLICY UP
<br />MMIOONYYY
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />X
<br />57SBAGB6653
<br />1211512013
<br />12/15/2014
<br />EACH OCCURRENCE
<br />$2 006 000
<br />X COMMERCIAL GENERAL LIABILITY
<br />PREMISES Ea occurrence
<br />$1,000,000
<br />CLAIMS -MADE 4 OCCUR
<br />MED UP (Any one person)
<br />$10,000
<br />PERSONAL &ADV INJURY
<br />$2,000,000
<br />GENERAL AGGREGATE
<br />$4,000,000
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMPIOP AGG
<br />$4,000,000
<br />$
<br />POLICY PRO- LOC
<br />ECT
<br />A
<br />AUTOMOBILE LIABILITY
<br />57SBAGB6653
<br />12115/2013
<br />12/15/201
<br />(En COMBINED SINGLE SINGLE LIMIT
<br />2,000,000
<br />BODI LY INJ URY(Per person)
<br />$
<br />ANY AUTO
<br />BODILY INJURY (Per accident)
<br />$
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />IX
<br />PROPERTY DAMAGE
<br />Per accident
<br />$
<br />HIRED AUTOS X NON-OWNED
<br />AUTOS
<br />A
<br />UMBRELLA LIAB
<br />X
<br />OCCUR
<br />57SBAGB6653
<br />1211512013
<br />12115/201
<br />EACH OCCURRENCE
<br />s3,000,000
<br />AGGREGATE
<br />s3,000,000
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />OED X RETENTION $10,000
<br />$
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
<br />OFFICER/MEMBER EXCLUDED? �
<br />NIA
<br />SWP2136241
<br />09/06/2013
<br />09/06/2014
<br />X WC Syl^ U- OTH-
<br />E.L. EACH ACCIDENT
<br />$1 000 000
<br />E.L. DISEASE - EA EMPLOYEE
<br />$1,000,000
<br />(Mandatory in NH)
<br />If OF OPERATIONS below
<br />E.L. DISEASE - POLICY LIMIT
<br />$1,000,000
<br />C
<br />Professional Liab
<br />H713100735
<br />6/01/2014
<br />09106/201
<br />Occur /Agg:$2,000,000
<br />Retro Date:8 /1/89
<br />Retention: $10,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is require��P
<br />City of Santa Ana, its officers, agents, and employees are Additional Insured in re f V 'TO FORM
<br />Y
<br />Liability policy per attached endorsement form SS00080405. Y
<br />Jose Sandoval
<br />enior Assistant City Attorney
<br />`rr
<br />City f Santa Ana - - -- - _. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />y - - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />Attn: Purchasing Qepartment ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center PIRA `Z � I
<br />Santa Ana, CA 92701 { AUTHORIZED REPRESENTATIVE
<br />©1988 -2010 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD
<br />#S2931092/M2877023 AT41
<br />
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