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CERTIFICATE OF LIABILITY INSURANCE <br />DATE. (MM/DI) /YVYY) <br />8/5/2014 <br />THIS CERTIFICATES 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 SUBROGATIONIS WAIVED, subject to the <br />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 />0 <br />USI OF S CA INS SVCS INC /PHS <br />180982 P: (866) 467 -8730 F: (888) 443- 6112ae3S: <br />PO BOX 33015 <br />SAN ANTONIO TX 78265 <br />M' <br />Iwc,mcae: (866) 467 -8730 <br />FAX <br />Wc,Nap (888) 443 -6112 <br />ADO4.f011R <br />mrs <br />INSURERS) AFPOROING COVERAGE NMC# <br />wsURERA: Hartford Casualty Ins Co <br />29424 <br />INSURED <br />NOGALIS, INC <br />4590 MACARTHUR BLVD STE 500 <br />NEWPORT BEACH CA 92660 <br />INSURERS: <br />INSURER C: <br />COMMERCIAL GENERAL LIABILITY <br />INGURERDI <br />wsuRER E, <br />INSURERFI <br />EACH OCCURRENCE <br />COVERAGE$ CERTIFICATE NUMBER: 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 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 <br />TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN.yR <br />TYPE OF INSURANCE <br />ADO4.f011R <br />mrs <br />1. <br />WLICr NUAINER <br />FULICYEFF <br />D YYD <br />PoLICYE'YP <br />IAADT.S <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />p1, 000, 000 <br />CLAIMS MADE OCCUR <br />PREMSESOEeocaunease <br />s300, 000 <br />X <br />X <br />MED EXP(Any one person) <br />010, 000 <br />A <br />General Liab <br />72 SBA AC2497 <br />04/01/2014 <br />04/01/2015 <br />PERSONAL 6 ADV INJURY <br />$1,000, 000 <br />GEN'L <br />AGGREGATE LIM IT APPLIES PER: <br />POLICY PRO' X LOG <br />JECT <br />GENERAL AGGREGATE <br />s2,000,000 <br />PRODUCTS - COMPIGP AGO <br />s2,000,000 <br />OTHER: <br />$ <br />BIL ITY <br />WM 16)INGLE LIMIT <br />Ea acGtlenl <br />$1 000 <br />r , 0 Q 0 <br />BODILY INJURY (Per parson) <br />y <br />ANY AUTO <br />A <br />POMOBILELIA <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />72 SBA AC2497 <br />04/01/2019 <br />tl9 /Ol /2015 <br />— <br />d <br />BODILY INJURY (Per acdtlenl 1 <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />(Peracddcnl) <br />+ <br />5 <br />- <br />UMBRELLA UAB <br />OCCUR <br />w�y <br />'to <br />� <br />EACH OCCURRENCE <br />g <br />EXCESS LIAB <br />CLAIMS MADE <br />q' gpvt <br />FF 1j�4 <br />k P L V <br />.y C/ <br />D <br />AGGREGATE <br />5 <br />pEB <br />eVENTIaNS <br />S <br />I oG <br />�VERRERy CDAPPd'KPA]'f(5V <br />,Wb fiMFtll]'SftC'GARIGN'Y <br />ANY PROPRIETORIPARTNEWEXECUTIVE YIN <br />OFFICERIMEMBER EXCLUDED? <br />(Mantlaroryln NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS balm <br />NIA <br />30 <br />,L <br />�S916tS <br />i, mp <br />a is �tXl♦ <br />LMt <br />tclat <br />DT�t�� <br />ER OTK <br />STATUTE ER <br />E.L, EACH ACCIDENT <br />5 <br />ELF DISEASE. EA EMPLOYEE <br />S <br />E.L. DIEBAEE. POLICY LIMIT <br />s <br />OESCRIPTIONOFOPERAT)ONS I LOCATIONS /VEHICLES IACORD 101, Additional Remarks Schedule, may be atlachad If man space Is required) <br />Those usual to the Insured's Operations. City of Santa Ana is an Additional <br />Insured per the Business Liability Coverage Form SS0008 attached to this <br />policy. <br />CERTIFICATE HOLDER CANCELLATION <br />City Of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Attn: Bruce FTAChter <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN ACCORDANCE WITH THE POLICY P OVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />PO BOX 1988 <br />20 CIVIC CENTER PLZ $ M -30 <br />SANTA ANA, CA 92701 <br />© 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />