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Accwif CERTIFICATE OF LIABILITY INSURANCE DATE(MNIDDJYYYT) kr.. 05/10/17 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 MEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE ODES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE CR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate doss not confer rights to the certificate holder In lieu of such erdorsementis PRODUCER CONTACT AME uuarmFao._C__�� P N vq:_ai 541-94 .4 COMPLETE EQUITY MARKETS INC PHONE 847, 41 900 FAX T ( _7} _,______ E-MAIL 1190 Flex Court Aoess. T Lake Zurich,IL 60047 INSURER(S)AFFORDINGCOVERAOC• . ._,..NAIC dao Complete Equity Markets Insurance Agency,Inc. INSURER A: Underwriters at Lloyd's London INSURED INSURERS_ Stephen H.Solomon INSURER CI INSURER 0: 18861 Ridgewood Lane INSURER E: :,r e, I 86 INSURER P: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: t- 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 TI'IIS 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. IIJSSR TYPE OF INSURANCE ACM.SAAR_- -- POLICY EFF POLICY EXP -- LTR INSD 4WD POLICY NUMBER (MNIDDIYYYY) (MMIDIMYYYYI LIMITS COMMERCVRL GENERAL UASILRTY EACH OCCURRENCE _ S DAMNAG`EY(31RBNTED CtAIM&MADE OCCUR PREIAISE51F.a mows $__ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GE IL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE POLICY PEC RC ri LOC PRODUCTS-CCMPIOP AGG $ OTHER: _ 4 AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ ANY AUTO BODILY INJURY(Per omen) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Pet Mtle On) $ HIRED NON-OWNED pROPERTY DAMAGE - -_- AUTOS ONLY _...._ AUTOS ONLY (Per awIdey UMBRELLALIAS I OCCUR i EACH OCCURRENCE ENCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONWorS ANDD L PERS.lIATIONILIT PER ERI't- AND£L�LOYERS'LIA81LItt YlN STATUTE ER ELANYPRCPRIETORIPARTNEWEXECUOVEACCIDENT EACH AC $ OFFICER/MEMBER EXCLUDED? I^I NIA Mandatory in NH) .EL.DISEASE-EA EMPLOYEE $ tvyee,danute under - -- DLSCRIPnCHOFOPERATIONSbeloW i E.L.DISEASE-POLICY LIMIT $ Each Claim $1,000,000 X Professional Liability 856445 06(01117 06)01118 Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES IACORD 101,Additional Remm+a Sohodale,may he attached a more space is required) Subject to all policy terms,conditions, exclusions and endorsements. The City of Santa Ana is listed as an additional insured but only per the terms&conditions of the endorsement generated ad subject to all polo terms,conditions, exclusions, and endorsements. // I ar dt ' CERTIFICATE HOLDER CA VCELLATION The City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Civic Center THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE 4tard« 7-77/466(4.— IS, / 6 -- O 1988-2015ACOR1 CORPORATION. All rights reserved. AGGRO 25(2016(03) The ACORn name and logo are registered marks of ACORO 1'd 622V-126-kJ UCLUOIoS'HuoydelS