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Client #: 11413 <br />LEXOLHOLDI <br />ACORDn. CERTIFICATE OF LIABILITY INSURANCE <br />DATE IMMIDDNYYY) <br />7/16/2014 <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(ies) 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 />Marsh & McLennan Agency LLC <br />521 Fifth Avenue <br />New York, 10175 <br />212 867.0070 70 <br />CONTACT <br />NAME: <br />PA"ICCONNO E :t:201 845.6600 AX :NO): <br />E -MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAICp <br />INSURER A: Zurich American Insurance Compa <br />16535 <br />INSURED <br />INSURER B: American Guarantee and Liabilit <br />26247 <br />LLC <br />INSURER c: Travelers Property Casualty Co <br />25674 <br />295 Ms <br />295 M adis on Avenue, Suite 310 di <br />New York, NY 10017 <br />INSURER D: <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />INSURER E: <br />MED EXP(Anyone person) <br />INSURER F: <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />COVERAGES 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 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 />ILTR <br />TYPE OF INSURANCE <br />NSRL <br />MD <br />POLICYNUMBER <br />MMIDIDNYYV <br />MMIDIDIYYVY <br />LIMITS <br />• <br />GENERAL LIABILITY <br />PRA590813801 <br />01/26/2014 <br />01/26/201E <br />EACH OCCURRENCE <br />$1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE rj� OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$100,000 <br />MED EXP(Anyone person) <br />$10,000 <br />PERSONAL &ADV INJURY <br />$1,000,000 <br />X <br />GENERALAGGREGATE <br />$2,000,000 <br />GEWL AGGREGATE <br />LIMIT APPLIESPER: <br />PRODUCTS - COMPIOP AGG <br />$2,000,000 <br />POLICY <br />PEO LOC <br />$ <br />• <br />LIABILITY <br />PRA590813801 <br />01/26/201401/26 <br />/201 <br />Eaevd EDtSINGLE LIMIT <br />$1,000,000 <br />BODILVI NJURY(Perpersnu <br />$ <br />ANY AUTO <br />POMOBILE <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILVINJURV(Per eccltlent) <br />$ <br />HIRED AUTOS X NON-OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Peraccldent <br />$ <br />B <br />(UMBRELLA <br />LIAB <br />X <br />OCCUR <br />UMB549932801 <br />01/26/201401/26 <br />/201 <br />EACH OCCURRENCE <br />$5000000 <br />AGGREGATE <br />$5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />OED X RETENTION$10000 <br />$ <br />WORKERS COMPENSATION <br />WC STATU. OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? F <br />NIA <br />E.L. EACH ACC ID ENT <br />$ <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />• <br />Professional <br />PRA590813801 <br />01126/2014 <br />01/26/201 <br />$1,000,000 per claim <br />Liability <br />$2,000,000 aggregate <br />• <br />Crime <br />PRA590813801 <br />011261201141011261201 <br />$1,000,000 limit <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Evidence of insurance - <br />AP V AS RM <br />ndra Sc Warzmann <br />City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />P.O. BOX 1988, 20 Civic Center ACCORDANCE WITH THE POLICY PROVISIONS. <br />Plaza, M -29 <br />Santa Ana, CA 92702 AUTHORIZED REPRESENTATIVE <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD <br />#S983420/M602082 NNCQM <br />