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CERTIFICATE OF LIABILITY INSURANCE 1an7/zola 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 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 endomement(s). PRODUCER VIG, LLC., dba/The Vestavia Group 2090 Columbiana Road, Suite 4400 Birmingham, AL 35216 NTA T AME: PHONE I: 205-552-0244 TFa. Nu: 205-244-8072 EMAIL aDeRE INSURER(S) AFFORDING COVERAGE NAIC N INSURERA: Evanston Insurance Company INSURED NaphCare, Inc. 2090 Columbiana Road, Suite 4000 Birmingham AL 35216 INSURER B: Sentinel Insurance Company INSURERC: The Travelers Insurance Company 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 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. NSR LTR TYPE OF INSURANCE ADOLSUOR POUCY NUMBER MMIDOrfYYY MMIODI YYP LIMITS A X' COMMERCIAL GENERAL LIABILITY SM903153 09/30/14 09/30/15 EACH OCCURRENCE S 1,000,000 CLAIMS MADE ZOCCUR DWAGi, 10 PEN, ED PREMISE Eaoraoenre $ 50,000 MED EXP (Any one person) S 5,000 PERSONAL S AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 5,000,000 POLICY PRO - ECT a LOC OTHER-. r GL PRODUCTS-COMPIOP AGG S 1,000,000 / r Ya $ B AUTOMOBILE LIABILITY 34UUNA05386 09/30114 09/30/15 COMBINED SINGLE LasnR $ 1, 00,000 Ea axirbnl BODILY INJURY (Per Person) $ XXXXXX ANY AUTO ALL OPMEO SCHEDULED AUTOS AUTOS I BODILY INJURY (Per accident) $ xxxxxx PROPERTYDAMAGE $ XXXXXX Peraaidenl NON -OWNED HIRED AUTOS AUTOS S A UMBRELLALIAB HOCCUR N N UM800160 09/30/14 09/30/15 EACH OCCURRENCE S 5,000,000 AGGREGATE S 5,000,000 EXCESS LIAB CLAIMSWADE DED I I RETENTION$ $ C YA)RKERSCOMPENSATN)N AND EMPLOYERS LIABILITY RIYIN ANY PROPRIETORIPARTNEEXECUTIVE OFFICERNEMBER EXCLUDED? y (MsodMory in NH) N TC2NUB-4251B72314 TRKUB-4251 8760-14 09/30/14 09/30/15 SPER TATUTE OR" ET - EL EACH ACCIDENT $ 100,000 E L DISEASE - EA EMPLOYE S 100,000 II yes. describeulcerDESCRIPTION OF OPERATIONS below E L DISEASE- POLICY LIMIT 8 100,000 A Professional Liability EN SM903153 09/30/14 09/30/15 Each Claim $1M Annual Agg: $5M DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORO 101, AdEKlonal Remarks Schedule, may Ise attached if more space Is required) The City of Santa Ana, California, its officers, agents, employees and representatives are named as Additional Insured in regards to General Liability per attached CG 2015 11/88. Should any of the above described policies be cancelled before the expiration date, the City of Santa Ana will be mailed 30 days written notice of cancellation. City of Santa Ana Attn: Purchasing Department 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ®1988-2014 AC( 4CORD 25 (2014101) The ACORD name and logo are registered marks of ACORD Ur aa4.7✓ ION. All rights reserve