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'`®II ®® CERTIFICATE OF LIABILITY INSURANCE DATE4/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Tina Cowie Cornerstone Specialty Insurance Services, Inc. 14252 Culver Drive, A299 PHONE x (719) 731-7700 aC Nob: ('!19)]31 -]]BO EMAIL tina@cornerstones ecialt com ADD ESB: P Y INSURERS AFFORDING COVERAGE NAIC # INSURER A:Travelers Property Casualty Cc 25674 Irvine CA 92604 INSURED INSURER B:Travelers Casualty & Surety Co. of 19046 INSURERC: HAYER CONSULTANTS, INC. 4067 Hardwick St. INSURER O: INBURERE: PNB 250 Lakewood CA 90712 INSURER F: COVERAGES CERTIFICATE NUMBER -16/17 COVERAGES REVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. HTR R rypE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF IMMl POLICY EXP fMMl LIMITS A X COMMERCIAL GENERAL LI ABILITY1,000,000 CLAIMS -MADE TOCCUR EACH OCCURRENCE $ DAMAGETO-RENTED 300,000 PREMISES Ea occurrence $ MED EXP (Any one person) $ 5,000 X ADDTL INSURED/PRIMARY X 680-22731,506 6/13/2016 6/13/2017 X BLNXT WVR OF SUBRO PERSONAL& ADV INJURY $ 1,000,000 AS REQUIRED BY WRITTEN GENLAGGREGATE LIMITAPPLIES PER: POLICY [X] JECT [_] LOC GENERAL AGGREGATE $ 2,000,000 CONTRACT CONTRACTUAL LIM INC1,D PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ INCLUDED Ea accident BODILY INJURY (Per person) $ AI AUTO AUTOS ALL OWNED AUTOS 680-2273L506 6/13/2016 6/13/2017 BODILY INJURY (Pereccldent) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident $ X UMBRELLA LIM X OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 21000,000 A EXCESS LIAB CLAIMS -MADE DED X RETENTION 0 $ CUP -6536Y635 6/13/2016 6/13/2017 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOWPARTNEWEXECUTIVEE.L. OFFICERNEMBER EXCLUDED? F-1 NIA IPER OTH- STATUTE ER EACH ACCIDENT $ E . DISEASE - EA EMPLOYE $ IMandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below B Professional Liability 106639088 12/1/2016 12/1/2017 Each Claim $2,000,000 Claims Made Annual Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, it's officers, employees, agents, and representative are Additional Insured for General Liability but only if required by written contract with the Named Insured prior to an occurrence and as per attached endorsement. Coverage is subject to all policy terms and conditions. *30 days notice of cancellation, except for 10 days notice for non-payment of premium. For Professional Liability coverage, the aggregate limit is the total insurance available for all covered claims reported within the policy period. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ina Cowie/SGL CORPORATION. All ritlhte reserved_ ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 on1 an1l