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NORTSTA-01 KBARNITT <br />CERTIFICATE OF LIABILITY INSURANCE <br />DATE111M <br />1 1114 412 0 1 12016 ) <br />6 <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 pollcy(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) I AssuredPartners NL <br />3000 Meridian Boulevard, Suite 100 <br />Franklin, TN 37067 <br />CONTACT <br />NAME: <br />PHONE 615 301.2500 FAx <br />AIC No EM:( ) Arc No: 615) 301-2597 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE NAIC p <br />11/1212016 <br />INSURER A: Cincinnati Insurance Company 10677 <br />EACH OCCURRENCE $ 1,000,000 <br />_UAMCLAIMS-MADE <br />INSURED <br />INSURERS: Cincinnati Indemnity Company 23260 <br />INSURER C: AXIS Insurance Company 37273 <br />North Star Destination Strategies, Inc <br />INSURER D: <br />209 Danyacrest Drive <br />Nashville, TN 37214 <br />A-ao'Io•o-►s <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 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 />AOOL <br />INSO <br />SUB <br />VIVO <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIVIYY <br />POLICY EXP <br />MMIDDM'YY <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />� OCCUR <br />ECP 0289555 <br />11/1212016 <br />11112/2017 <br />EACH OCCURRENCE $ 1,000,000 <br />_UAMCLAIMS-MADE <br />RENTE 1,000,000 <br />PREMISES Ea occurrence $ <br />MED EXP (Any one person) $ 10,000 <br />PERSONAL &ADV INJURY $ <br />GENT AGGREGATE LIMIT APPLIES PER: <br />X PES LOC <br />POLICY <br />OTHER: <br />GENERALAGGREGATE $ 2,000,000 <br />2,000,000 <br />$ <br />AANY <br />AUTOMOBILE <br />X <br />LIABILITY <br />AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />ECP 0289555 <br />11112/2016 <br />11112/2017 <br />COMBINED SINGLE LIMIT $ 1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) $ <br />BODILY INJURY Per adent $ <br />cci <br />( ) <br />PROPERTY DAMAGE $ <br />Peraccident <br />A <br />X <br />UMBRELLA LIABX <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />ECP 0289555... ....11/1212016 <br />..1111212017 . <br />EACHOCCURRENCE $ 1,000,000 <br />_ <br />AGGREGATE $ 1,000,000 <br />DED RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIVE YI❑N <br />OFFICEMMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTIONOFOPERATIONS belaw <br />NIA <br />EWC 0290922 <br />1111212015 <br />11/12/2016 <br />X STATUTE <br />STATUTE ER <br />_ <br />E.L. EACH ACCIDENT $ 1,000,000 <br />EL DISEASE - EA EMPLOYEE $ 1,000,000 <br />- <br />E1 DISEASE -POLICY LIMIT $ 1,000,000 <br />C <br />C <br />Professional Liab. <br />Professional Liabili <br />MCN000036991601 <br />MCN000036991601 <br />07/24/2016 <br />0712412016 <br />07/24/2017 <br />07/24/2017 <br />Each Wrongful Act 1,000,000 <br />Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) a <br />"Developing a community -wide brand for Santa Ana, CA" <br />J <br />All <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2014101) <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 (2014101) <br />©1988.2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />