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A®®CERTIFICATE OF LIABILITY INSURANCE
<br />5/9/2016)
<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 />BOGART & BROWNELL OF MD.INC.
<br />7648 Standish Place
<br />Rockville bID 20855
<br />CONTACT VST inia SCORE
<br />NAME: 9
<br />PHONE (301)444-4500 1 FAx
<br />AIC Net: (301)444-4510
<br />pAIESS:9-nny@bogartandbrownell. com
<br />INSURERS AFFORDING COVERAGE NAIL #
<br />INSURER A:Sentinel Insurance Company LTD 11000
<br />INSURED WINBOURNE CONSULTING, LLC
<br />1611 N KENT ST STE 802
<br />ARLINGTON VA 22209
<br />INSURER B:Hartford Casualty Insurance Cc 29424
<br />INSURERCAXiS Insurance Company 37273
<br />INSURER D:Travelers 3609
<br />INSURER E :
<br />INSURER F:
<br />COVERAGES CERTIFICATE NUMBER:2016-2017 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 />A D
<br />BR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMIDDIYYYV
<br />POLICY EXP
<br />MMIDDIYYYY
<br />LIMITS
<br />John Seguin/RAD
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE $ 1,000,000
<br />A
<br />X COMMERCIAL GENERAL LIABILITY
<br />CLAIMSMADE®OCCUR
<br />423BAPB4058
<br />6/7/2016
<br />6/7/2017
<br />DAMAGE TO RE TED 1,000,000
<br />PREMISES Ea occurrence) $
<br />MED EXP (Any one person) $ 10,000
<br />PERSONAL &ADV INJURY $ 1,000,000
<br />X Deductible - $500
<br />Business Personal Prop:
<br />GENERAL AGGREGATE $ 2,000,000
<br />$62,500 - RC - $500 Ded
<br />GEHL AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS - COMP/OP AGG $ 2,000,000
<br />POLICY X PIFCT RO1-1 LOU
<br />$
<br />AUTOMOBILE
<br />LIABILITYCOMBINED
<br />OMBI dEDtSINGLE LIMIT $ 1,000,000
<br />BODILY INJURY (Per person) $
<br />A
<br />ANY AUTO
<br />ALL OWNED SCHEDULED
<br />AUTOS AUTOS
<br />42SBAPE4059
<br />6/7/2016
<br />6/7/2017
<br />BODILY INJURY (Per accident) $
<br />X
<br />HIRED AUTOS X NON -OWNED
<br />AUTOS
<br />PRPerOPERTY DAMAGE $
<br />accitlent
<br />IS
<br />X
<br />Ded-$500
<br />X
<br />UMBRELLA LAB
<br />X
<br />OCCUR
<br />EACH OCCURRENCE $ 3,000,000
<br />AGGREGATE $ 3,000,000
<br />A
<br />EXCESS LIAB
<br />CLAIMS -MADE
<br />DED I X I RETENTION$ 10,00
<br />$
<br />42SBAPB4059
<br />6/7/2016
<br />6/7/2017
<br />B
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />lr WC STATU- OTH-
<br />E.L. EACH ACCIDENT $ 1 000 000
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in Ni
<br />NIA
<br />g2WECCF5270
<br />6/7/2016
<br />6/7/2017
<br />E.L. DISEASE - EA EMPLOYE $ 1 000 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />D
<br />Employ Theft of Clent Pro
<br />105907770
<br />3/21/2016
<br />3/21/2017
<br />$1,000,000
<br />C
<br />Professional Liability
<br />42m0270197
<br />6/7/2016
<br />6/7/2017
<br />Retention -$10,000 OCC/AGG $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)
<br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701; its officers, employees,
<br />agents, volunteers and representatives are named as additional insureds with regard to liability and
<br />defense of suits arising from the operations and uses performed by or on behalf of the named insured.
<br />With respect to claims arising out of the operations and uses performed by or on behalf of the named
<br />insured, such insurance as is afforded by this policy is primary and is not additional to or contributing
<br />with any other insurance carried by or for the benefit of the additional insureds. This insurance applies
<br />separately to each insured against whom claim is made or suit is brought except with respect to the
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (2010/05)
<br />I NSn25 rom nn.ii
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />Thn Arni name and Innn am roniefnrarl ni of Anni
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />The City of Santa Ana
<br />X
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />20 Civic Center Plaza
<br />Santa Ana, CA 92701
<br />APPROVED AS
<br />To FORM
<br />AUTHORIZED REPRESENTATIVE
<br />�«23 �hc�P✓
<br />John Seguin/RAD
<br />ACORD 25 (2010/05)
<br />I NSn25 rom nn.ii
<br />©1988-2010 ACORD CORPORATION. All rights reserved.
<br />Thn Arni name and Innn am roniefnrarl ni of Anni
<br />
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