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L:f�T,'>;�I <br />1 _ <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />s�►CORO" CERTIFICATE OF LIABILITY INSURANCE <br />DATE 101311/2018/2018 <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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER 703-385-7200 <br />Business Benefits Group <br />4023 Chain Bridge Rd <br />Fairfax, VA 22030 <br />Brock Reynolds <br />CONTACT Certificates Team <br />PHONE 703-385-7200 F^X 703-766-0202 <br />(AIC, No, Ext): A/C, No): <br />E-MAIE : cert' icates g ro er.com <br />INSURER(S) AFFORDING COVERAGE NAIC # <br />INSURER A: Hartford Casualty Insurance Co 29424 <br />INSURED Hassett Willis &AssociatesLLC <br />T/A Hassett Willis & Company <br />1100 New York Ave NW #2504 <br />INSURER B: Beazley Ins. CO <br />INSURER C Hartford Fire Insurance Co 19682 <br />D <br />Washington, DC 20005INSURER <br />INSURER E: <br />42SBAIG6094 <br />INSURER F; <br />04/11/2019 <br />rnvcowr-cc CPPTIGIreTF MIIMRFR- REVISION NUMBER: <br />V 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 />TYPE OF INSURANCE <br />DDL <br />Map- <br />UBR <br />M <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE 11000'000 <br />PREMISES (E, coyourto) <br />DAMAGE TO RENTEDnV210001000 <br />CLAIMS -MADE [X OCCUR <br />y <br />42SBAIG6094 <br />04/11/2018 <br />04/11/2019 <br />MED EXP (Any one arson <br />PERSONAL &ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />JELPT LOC <br />GENERAL AGGREGATEPOLICY <br />PRODUCTS-COMPIOP AGGOTHERACOMBINED <br />LIABILITY <br />SINGLE LIMITAUTOMOBILE <br />E id �en <br />BODILY INJURY Per erson <br />ANY AUTO <br />y <br />42SBAIG6094 <br />04111/2018 <br />04/11/2019 <br />BODILY INJURY Per accident $ <br />OWNED TOS ONLY AUTOSULED <br />E .OW <br />X AUTOS ONLY X AUOTOS ONL� <br />PeFacQtl m AMAGE $ <br />A <br />UMBRELLA LIABX <br />OCCUR <br />EACH OCCURRENCE $ 2'000'000 <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />42SBAIG6094 <br />04/11/2018 <br />04111/2019 <br />DED X RETENTION$ 10000 <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICEPoMEMBEREACTNER)E ECUTIVE V/R <br />(Mandatory in NH) � <br />NIA <br />42WECCQ6606 <br />04/11/2018 <br />0411112019 <br />X I PTgT OTH- <br />ER <br />1,000,000 <br />E.L. EACH ACCIDENT $ <br />E.L. DISEASE -EA EMPLOYE $ 1'000'000 <br />1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />0 yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />C <br />Crime <br />42BDDGP5459 <br />01/01/2018 <br />01/01/2021 <br />Limit 500,000 <br />B <br />Prof. Liability <br />V1566D170401 <br />04/23/2018 <br />04/23/2019 <br />E&O 1,0003000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Certificate Holder, its officers, agents, and em loyees are named as <br />Additional Insured in regards to General Liability per attached SS0008 04/05 <br />City of Santa Ana <br />ATTN: Purchasing Department <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <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 />ACORD 25 (2016103) (01988-200 AUUKU OVKrUIXA 1 IUN. AU ngnrs reserveo. <br />The ACORD name and logo are registered marks of ACORD <br />