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DocuSign Envelope ID:5F7D644C-4F40-44B4-A535-1 E45695749C4 <br /> DATE(MM/DD/YYYY) <br /> CERTIFICATE OF LIABILITY INSURANCE 3/10/2020 <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 /> CONTACT <br /> PRODUCER Spectrum Risk Management NAME: Account Mana er <br /> 74 Discovery �,�"o Ext: 949-756-5730 ivc No): 949-756-5740 <br /> Irvine, CA 92618 E-MAIL <br /> ADDRESS: Office s ectrumrisk.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> www.spectrumrisk.com OC77485 INSURER A: Continental Casualty Company 20443 <br /> INSURED INSURER B: Berkshire Hathaway Homestate Ins Co 20044 <br /> Nan Mckay and Associates, Inc. INSURERC: The Hanover Insurance Company 22292 <br /> 1810 Gillespie Way#202 <br /> El Cajon CA 92020 INSURER D: Aspen American Insurance Company 43460 <br /> INSURER E: Valley Fore Insurance Company 20508 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: 54533655 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR IN SD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A COMMERCIAL GENERAL LIABILITY ✓ 5094620901 9/25/2019 9/25/2020 EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADE 7 OCCUR PREM SESOEa occurrDence $300,000 <br /> MED EXP(Any one person) $10,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY PRO JECT ❑ LOC PRODUCTS-COMP/OPAGG $2,000,000 <br /> OTHER: $ <br /> E AUTOMOBILE LIABILITY 6025383632 9/25/2019 9/25/2020 E° BINEDt SINGLE LIMIT $1,000,000 <br /> ✓ ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> A ✓ UMBRELLALIAB OCCUR 5094621188 9/25/2019 9/25/2020 EACH OCCURRENCE $3,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $3,000,000 <br /> DED ✓ RETENTION$10,000 $ <br /> B WORKERS COMPENSATION ✓ NAWC009748 9/25/2019 9/25/2020 �/ STATUTE ERH <br /> AND EMPLOYERS'LIABILITY Y/N <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBEREXCLUDED? N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> A Professional Liability 596375059 9/25/2019 9/25/2020 $5,000,000 Per claim/Agg.Retention$25K <br /> A Network Security/Privacy/Media Liab 652009897 9/25/2019 9/25/2020 $3,000,000 Per claim/Agg.-Retention$10K <br /> C Crime coverage-Client Property BD3 1007035 07 5/4/2019 5/4/2020 $1,000,000 limit/Retention$1 OK <br /> D Employment Practices Liab-3rd party DSUMLP00219720 1/15/2020 1/15/2021 $1,000,000 Each claim-Retention$75K <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Housing&Community Development Director Department of Housing&Community Development Orange County Government are additional insureds <br /> with respect to the general liability per the attached carrier form.Waiver of subrogation applies to the worker's compensation per the attached <br /> carrier form. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> Housing & Community Development Director THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> Department of Housing &Community Development ACCORDANCE WITH THE POLICY PROVISIONS. <br /> Orange County Government <br /> PO BOX 8181 <br /> 300 West T ron Street AUTHORIZED REPRESENTATIVE <br /> Hillsborough NC 27278 <br /> Jim Waterhouse <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 54533655 1 19-20 ALL LINES, 20-21 EPL I Ginnie Bustamante 1 3/10/2020 9:14:12 AM (PDT) I Page 1 of 9 <br />