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NORTSTA-01 SBRASWELL
<br />`---� CERTIFICATE OF LIABILITY INSURANCE
<br />DAODIVVYV)
<br />7/25/
<br />rz5raol s
<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 />Nashville (WE) / AssuredPartners NL
<br />3000 Meridian Boulevard, Suite 100
<br />Franklin, TN 37067
<br />CONTACT
<br />NAME:
<br />PHONE FAX
<br />N No Ext: (515) 301-2500 A/c No: (615) 301.2597
<br />E-MAIL
<br />ADDRESS:
<br />INSURER(S) AFFORDING COVERAGE
<br />NAIC#
<br />INSURER A: Cincinnati Insurance Company
<br />10677
<br />INSURED
<br />INSURERS: CINClnnati Indemnity Company
<br />23280
<br />North Star Destination Strategies, Inc
<br />INSURER c: AXIS Insurance Company
<br />37273
<br />INSURER D:
<br />11/12/2016
<br />209 Danyacrest Drive
<br />Nashville, TN 37214
<br />.c�(l, 'r , r'' •:"
<br />INSURER E:
<br />INSURER F:
<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 MAYBE 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 />I
<br />LTR
<br />TYPE OF
<br />0
<br />INSD
<br />SUER
<br />WVD
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMaDDIVYYY
<br />POLICY EXP
<br />MIWDDNYV
<br />LIMITS
<br />A
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />TCOMMERCIAL
<br />CLAIMS -MADE ® OCCUR
<br />ECP 0289555
<br />11/122015
<br />11/12/2016
<br />DAMAGE TO RENTED
<br />PREMISES He occurrence $ 1,000,000
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ADV INJURY $
<br />GEN'L AGGREGATE LIMITAPPLIES PER
<br />__
<br />GENERAL AGGREGATE $ 2,006,000
<br />X POLICY JECT
<br />1:1 1:1 LOC
<br />PRODUCTS-COMP/DPAGG $ 2,000,000
<br />$
<br />OTHER:
<br />AUTOMOBILE LIABILITY
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />Ea codes t
<br />BODILY INJURY (Per person) $
<br />AANYAUTO
<br />ECP 0289555
<br />11/12/2015
<br />11/12/2016
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />BODILY INJURY(Per accident) $
<br />X HIREDAUT08 X NON -OWNED
<br />AUTOS
<br />PROPERTYDAMAGE $
<br />Per accldentl
<br />X
<br />UMBRELLA UAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 1,000,900
<br />AGGREGATE $ 1,000,660
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />ECP 0269555
<br />11/12/2015
<br />11/12/2016
<br />DED J I RETENTIONS
<br />$
<br />B
<br />WORKERS COMPENSATIONPER
<br />AND EMPLOYERS' LIABILITY
<br />ANY PROPRIETORIPARTNERIEXECUTIVE YIN
<br />OFFICERIMEMBER EXCLUDED?
<br />Mandatory In NH)
<br />EWC 0290922
<br />11/12/2015
<br />11/122016
<br />OTH-
<br />X STATUTE ER
<br />__
<br />E. L. EACH ACCIDENT $ 1,000,005
<br />E. L. DISEASE - EA EMPLOYE5 1,000,000
<br />II
<br />If yes, tlescrlba under
<br />DESCRIPTION OF OPERATIONS below
<br />E1. DISEASE -POLICY LIMIT $ 1,000,000
<br />C
<br />Professional Liab.
<br />MCN000036991601
<br />07/242016
<br />07/242017
<br />Each Wrongful Act 1,000,000
<br />C
<br />Professional Liabili
<br />MCN000036991601
<br />07/242016
<br />07/24/2017
<br />Aggregate 2,000,000
<br />DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached R more space Is required)
<br />"Developing a community -wide brand for Santa Ana, CA"
<br />�1,�(/•��f
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2014/01)
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />City of Santa Ana
<br />20 Civic Center Plaza
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />Santa Ana, CA 92701
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2014/01)
<br />© 1988-2014 ACORD CORPORATION. All rights reserved.
<br />The ACORD name and logo are registered marks of ACORD
<br />
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