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A " CERTIFICATE OF LIABILITY INSURANCE
<br />DATE(MMIDDfYYYY)
<br />9/8/2017
<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 />BOGART & BR.OWNELL OF MD.INC.
<br />Standish Place A-2016-132E
<br />Rockville ND 20855
<br />CONTACT Virginia Stone
<br />NAME:
<br />PHn (341)444-4500 AX No: (301)444-4510
<br />(Ai7648
<br />DRlEss:certificates@bogartandbrownell.cam
<br />INSURER S AFFORDING COVERAGE NAIL tt
<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 :Hartf ord Casualty Insurance Co 29424
<br />INSURERCAxi,s Insurance Company 37273
<br />INSURERD:Travelers 8609
<br />INSURER E :
<br />INSURER F.
<br />COVERAGES CERTIFICATE NUMBER:2017-2018 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 />ADDL
<br />SUBR
<br />POLICY NUMBER
<br />POLICY EFF
<br />MM/DDfYYYY
<br />POLICY EXP
<br />MMIDDlYYYY
<br />LIMITS
<br />GENERAL..L.IAMLITY
<br />EACH OCCURRENCE $ 1,000,000
<br />X COMMERCIAL GENERAL LIABILITY
<br />DAMAGE TO RENTED
<br />PREMISES IlEa occurrence $ 1,0041000
<br />A
<br />CLAIMS -MADE OCCUR
<br />42SBAPB4058
<br />6/7/2017
<br />6✓7/2018
<br />MED EXP (Any one person) $ 14,040
<br />PERSONAL &ADV INJURY $. 11000,000
<br />X Deductible - $500
<br />'Business Personal Prop:
<br />GENERAL AGGREGATE $ 2,,400,000
<br />$62,500 - RC
<br />GEN't. AGGREGATE LIMIT APPLIES PER:
<br />PRODUCTS COMPIOP AGO $ 2,000,000
<br />POLICY ,X PRO- JECT F-1 LOC
<br />AUTOMOBILE, LIABILITYCOMBINED
<br />SINGLE. LIMIT
<br />Eaaccident $ 1 040 000
<br />BODILY INJURY (Per person) $
<br />A
<br />ANY AUTO
<br />BODILY INJURY (Per accident) $
<br />ALL OWNEDSCHEDULED
<br />AUTOS AUTOS
<br />12SBAPB4058
<br />6/7/2017
<br />6/7/2018
<br />X HIRED AUTOS X AUTOS NON -OWNED
<br />PeF ac rdentPERTY DAMAGE $
<br />_...
<br />$
<br />X Ded - $500
<br />X
<br />UMBRELLA LIAB
<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 X RETENTION$ 10,006
<br />$
<br />4,2SBAP64058
<br />6/7/2017
<br />6/7/2018
<br />B
<br />WORKERS COMPENSATION
<br />� WC STATU- DTH -
<br />Y T
<br />AND EMPLOYERS"LIABILITY YIN
<br />E.L. EACH ACCIDENT $ 11 000 r 400
<br />ANY PROPRIETORlPARTNERIEXEGUTIVE
<br />OFFICERIMEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />N' I A
<br />42WECCF5270
<br />6/7/2017'
<br />6/7/2018
<br />E.L. DISEASE - EA EMPLOYE $ 11 000 , 000
<br />If yes, describe under
<br />DESCRIPTION OF OPERATIONS below
<br />E DISEASE - POLICY LIMIT $ 11000,000
<br />D
<br />Emp1Oy Theft of C1ent Pro
<br />1,05907770
<br />3/21/2017
<br />3/21/2.018
<br />$1,000,000'
<br />C
<br />Professional Liability
<br />CW000213331501
<br />6/7/2017
<br />6/7/2018
<br />Retention -$10,000 OCCIAGG $2,000,000
<br />DESCRIPTION OF OPERATIONS 1 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 52701; 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 />L;I=K I II-IL;A I t H VI,.Li GANGELLAT ON
<br />The City of Santa Ana
<br />20 Civic Center plaza
<br />Santa Ana, CA 92701
<br />AGOR'D 25 (2010105)
<br />INS026 (201005) 01
<br />SHOULD ANY OF THE, ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS.
<br />AUTHORIZED REPRESENTATIVE
<br />John Seguin/RAD
<br />J 1988-2010 ACORD CORPORATION. All rights reserved..
<br />The ACORD name and logo are registered marks of ACORD
<br />
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