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A ®® CERTIFICATE OF LIABILITY INSURANCE <br />8/DATE(M 7D�) <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 />Hall &Company <br />19660 10th Ave NE <br />Poulsbo WA 98370 <br />NAMCO T EACT John Dewing <br />PHONE EaD. FAX .360-598-3703 <br />E'MA'L .jdewing@hallandcompany.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURER A: Beazley Insurance Company Inc 37540 <br />680005,742889 <br />INSURED SAGEPLA-01 <br />INSURERB:Travelers Casualty and Surety Co of 31194 <br />Sagecrest Planning+Environmental LLC <br />2400 E Katella Ave Suite 800 <br />INSURER C: <br />CLAIMS -MADE I X I OCCUR <br />Anaheim CA 92806 <br />INSURER D: <br />INSURER E: <br />INSURER F : <br />DAMAGE TO RENTED <br />PREMISES Ea ccu ... rorb $1,000,000 <br />COVERAGES CERTIFICATE NUMBER: 885707008 REVISION NIIMRFR- <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 />ILTR <br />TYPE OF INSURANCE <br />INED <br />MD <br />POLICYNUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />B <br />X COMMERCIAL GENERAL LI ABILITY <br />680005,742889 <br />6/1/2017 <br />6/1/2018 <br />EACH OCCURRENCE $1,000,000 <br />CLAIMS -MADE I X I OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea ccu ... rorb $1,000,000 <br />MED EXP (Any one person) $5,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY ,ECT F7 LOC <br />GENERAL AGGREGATE $2,000,000 <br />PRODUCTS-COMP/OPAGG $2,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />680005,1742889 <br />6/1/2017 <br />6/1/2018 <br />M8NE0 NNULE LIM11$ <br />Ea accident 1,000,000 <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALL AUTOS NED AUTOSULED <br />BODILY INJURY (Per accident) $ <br />X <br />HIRED AUTOS X NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per accident $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />U8005J743745 <br />6/1/2017 <br />6/1/2018PER <br />OTH- <br />X STATUTE ER <br />EL. EACH ACCIDENT $1,000,000 <br />ANY PROPRIETOWPARTNEWEXECUTIVEElNIA <br />OFFICER/MEMBER EXCLUDED? <br />E. L. DISEASE - EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />El. DISEASE -POLICY LIMIT $1,000,000 <br />A <br />Professional Liab;Claims Made <br />V1 EEB6170101 <br />6/1/2017 <br />6/1/2019 <br />$1,000,000 Per Claim <br />$2,000,000 Aggregate <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (AC ORD 101, AddItionai Remarks Schedule, may be attached if more space Is req ulred) <br />The certificate holder is an additional insured per the attached. <br />The City of Santa Ana, It's Officers, Employees, Agents and Representatives are named as Additional Insured on the Commercial General <br />Liability and Auto Liability when required by written contract or agreement regarding activities by or on behalf of the Named Insured. The <br />Commercial General Liability insurance is primary insurance and any other insurance maintainedhe ditional Insured shall be excess <br />only and non-contributing with this insurance. A waiver of subrogation ies to the Co mercial eneral Lability u Liability and Workers <br />Compensation / Employers Liability in favor of the Additional Insured. <br />CERTIFICATE HOLDER ANCELLATION <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City Of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana CA 92701 <br />7:7 ENTATIVS <br />@ 1988.2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />