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4COR0®CERTIFICATE OF LIABILITY INSURANCE `./ DATE (MMIDD 11/12/2014014 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(les) 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 Nickerson Insurance Services, Inc.PHONE LIC #0491589 2106 West Lomita Blvd. Lomita CA 90717 CONTACT Susan Hardy NAME: (310)326-6333 FIA AQ .(310)326-5416 E-MAIL ADDRESS, INSURERS AFFORDING COVERAGE NAIC# INSUReRA:Philadel hia Indemnity Ins Cc 18058 INSURED Thirdwave Corporation 11400 W Olympic Blvd #200 Los Angeles CA 90064-1584 INSURERBMercur r Casualty Company 11908 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:14-15 GL/Auto/E&O 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. IIR LTR TYPEOFINSURANCE City of Santa Ana BR POLICY NUMBER MMIDPOLDYEFF POLICY EXP MMIDDIYYYY LIMITS Santa Ana, CA 92701 GENERAL LIABILITY Sarah Kelly/DMP EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X HSD990530 10/24/2014 10/24/2015 DAVAGESEaoc ur ence $ 50,000 MED EXP (Any one person) $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY F7 PRO -LOC JECT $ AUTOMOBILE LIABILITY CEOMaBINdEEDtSINGLE LIMIT 1 000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS CCAOOO8363 3/5/2014 3/5/2015 BODILY INJURY (Per accident) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE $ Peraccid.ra Lmrg.vtv credit $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAS CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOMPARTNEWEXECUTIVE❑ E. L. EACHACCIDENT $ OFFICER/MEMBER EXCLUDEDP NIA E. L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liability PHSD990530 10/24/201410/24/2015 per Person $1,000,000 Errors & OmmissiOns Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Santa Ana, it officers, agents, and employees are hereby included as Additional Insureds on the liability as respects to claims arising from the insureds covered operations per Additional Insured Endorsement form PI-MANU-1 (01/00) and Businessowners Policy -Elite Enhancement form PI -PB -001 (9/05). 30 days notice of cancellation subject to 10 days notice for non payment of premium. CERTIFICATE HOLDER CANCELLATION rrArr1MISM MA ACORD 25 (2010/05) INS025 ronlnnsl n1 ©1988-2010 ACORD CORPORATION. All rights reserved. Thu ACrTRO name and Innn Firm rmniefmrmd markt of ARr1Rn SHOULD ANY OF THE ABOVE DESCRIBED P LICIES B CANCELLED EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: Purchasing Department AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Santa Ana, CA 92701 Sarah Kelly/DMP ACORD 25 (2010/05) INS025 ronlnnsl n1 ©1988-2010 ACORD CORPORATION. All rights reserved. Thu ACrTRO name and Innn Firm rmniefmrmd markt of ARr1Rn