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A� H CERTIFICATE OF LIABILITY INSURANCE <br />ATE <br />D4/28/201Y6 ) <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 />Daly Merritt Insurance <br />3099 Biddle Avenue <br />Wyandotte MI 48192 <br />CONTACT Cathy Stennis <br />PHONED EXU. (734)283-1400 AIC No: (734)203-1197 <br />ADDRESS:Cathy. Stannis@dalymerritt. corn <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A:Phoenix Insurance Co. <br />25623 <br />INSURED <br />FAAC Inc. <br />1229 Oak Valley Drive <br />Ann Arbor MI 48108-9675 <br />INSURER B:Travelers Property Casualty Co. of <br />25674 <br />INSURERC:The Standard Fire Ins. Co. <br />19070 <br />INSURERD:Gemini Insurance Co. <br />10633 <br />INSURERS: ' <br />EACH OCCURRENCE $ 1,000,000 <br />INSURER F: <br />CLAIMS -MADE � OCCUR <br />COVERAGES CERTIFICATE NUMBER:CL1642811122 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 TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO, X <br />POLICY NUMBER <br />POLICY EFF <br />MM/DDIYYYY) <br />POLICY EXP <br />IMM/DDffYYY1 <br />LIMITS <br />Attn: <br />Police <br />COMMERCIAL GENERAL LIABILITY <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. <br />Box 1981 <br />EACH OCCURRENCE $ 1,000,000 <br />A <br />CLAIMS -MADE � OCCUR <br />Kyle O'Malley/STANNI ®"'._a�.--„✓"- J� <br />- <br />ETORENTED 1,000,000 <br />PREMISES <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 10,000 <br />630-7F27694A <br />5/1/2016 <br />5/1/2017 <br />PERSONAL &ADV INJURY $ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE IS 2,000,000 <br />POLICY JPECT [:] LOC <br />PRODUCTS - COMP/OP AGO $ 2,000,000 <br />Employee Benefls $ 1,000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />X <br />_j. <br />BODI LY I NJURY(Per person) $ <br />B <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BA7F27694A <br />5/1/2016 <br />5/1/2017 <br />BODILY INJURY(Peraccident) IS <br />PROPERTY DAMAGE $ <br />Peraccidenl <br />NON-ONMEO <br />HIRED AUTOS AUTOS <br />Property damage Buyback $ <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />EACH OCCURRENCE $ 8 000 000 <br />AGGREGATE $ 6 000 000 <br />B <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X ION Is 10,000 <br />$ <br />CUP7F27694A <br />5/1/2016 <br />5/1/2017 <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />X PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ 500,000 <br />C <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? FIN] <br />(Mandatory In NdS) <br />N/A <br />BCU83D699970 <br />5/1/2016 <br />5/1/2017 <br />E.L. DISEASE - EA EMPLOYE $ 500,000 <br />If yes, describe under <br />--'— <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ 500,000 <br />D <br />Professional Liability <br />BPM -DP -00303-00 <br />1/28/2016 <br />5/1/2017 <br />Limit 3,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more sp is require <br />The certificate holder is listed as additional insured with respec o the eneral Li di ity as required <br />by written contract. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS02519W40n <br />psemelsberger@santa-ana.or <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFO, X <br />City <br />of Santa <br />Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: <br />Police <br />Dept <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />P.O. <br />Box 1981 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />Kyle O'Malley/STANNI ®"'._a�.--„✓"- J� <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />INS02519W40n <br />