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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 />INSURER(S) AFFORDING COVERAGE
<br />INSURER F :
<br />INSURER E :
<br />INSURER D :
<br />INSURER C :
<br />INSURER B :
<br />INSURER A :
<br />NAIC #
<br />NAME:CONTACT
<br />(A/C, No):FAX
<br />E-MAILADDRESS:
<br />PRODUCER
<br />(A/C, No, Ext):PHONE
<br />INSURED
<br />REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
<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 />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 />OTHER:
<br />(Per accident)
<br />(Ea accident)
<br />$
<br />$
<br />N / A
<br />SUBR
<br />WVD
<br />ADDL
<br />INSD
<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 />$
<br />$
<br />$
<br />$PROPERTY DAMAGE
<br />BODILY INJURY (Per accident)
<br />BODILY INJURY (Per person)
<br />COMBINED SINGLE LIMIT
<br />AUTOS ONLY
<br />AUTOSAUTOS ONLY NON-OWNED
<br />SCHEDULEDOWNED
<br />ANY AUTO
<br />AUTOMOBILE LIABILITY
<br />Y / N
<br />WORKERS COMPENSATION
<br />AND EMPLOYERS' LIABILITY
<br />OFFICER/MEMBER EXCLUDED?
<br />(Mandatory in NH)
<br />DESCRIPTION OF OPERATIONS below
<br />If yes, describe under
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />$
<br />$
<br />$
<br />E.L. DISEASE - POLICY LIMIT
<br />E.L. DISEASE - EA EMPLOYEE
<br />E.L. EACH ACCIDENT
<br />EROTH-STATUTEPER
<br />LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR
<br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
<br />EXCESS LIAB
<br />UMBRELLA LIAB $EACH OCCURRENCE
<br />$AGGREGATE
<br />$
<br />OCCUR
<br />CLAIMS-MADE
<br />DED RETENTION $
<br />$PRODUCTS - COMP/OP AGG
<br />$GENERAL AGGREGATE
<br />$PERSONAL & ADV INJURY
<br />$MED EXP (Any one person)
<br />$EACH OCCURRENCE
<br />DAMAGE TO RENTED $PREMISES (Ea occurrence)
<br />COMMERCIAL GENERAL LIABILITY
<br />CLAIMS-MADE OCCUR
<br />GEN'L AGGREGATE LIMIT APPLIES PER:
<br />POLICY PRO-JECT LOC
<br />CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
<br />CANCELLATION
<br />AUTHORIZED REPRESENTATIVE
<br />ACORD 25 (2016/03)
<br />© 1988-2015 ACORD CORPORATION. All rights reserved.
<br />CERTIFICATE HOLDER
<br />The ACORD name and logo are registered marks of ACORD
<br />HIRED
<br />AUTOS ONLY
<br />3/27/2023
<br />Spectrum Risk Management
<br />74 Discovery
<br />Irvine, CA 92618 949-756-5730 949-756-5740
<br />www.spectrumrisk.com 0C77485 Continental Casualty Company 20443
<br />Transportation Insurance Company 20494
<br />Federal Insurance Company 20281
<br />The Hanover Insurance Company 22292
<br />Republic-Vanguard Insurance Company 40479
<br />A 1,000,00050946209019/25/2022 9/25/2023
<br />1,000,000
<br />3
<br />10,000
<br />3
<br />1,000,000
<br />2,000,000
<br />2,000,000
<br />B 6025383632 9/25/2022 9/25/2023 1,000,000
<br />3 3
<br />A 5094621188 9/25/2022 9/25/2023 3,000,0003
<br />3,000,000
<br />3 10,000
<br />C 7183-27-75 9/25/2022 9/25/2023 3
<br />1,000,000
<br />1,000,000
<br />1,000,000
<br />A Professional Liability 596375059 9/25/2022 9/25/2023 $5,000,000 Per claim/Agg. Retention $50K
<br />A Network Security/Privacy/Media Liab 652339992 5/19/2022 5/19/2023 $5,000,000 Per claim/Agg.- Retention $50K
<br />D Crime coverage- Client Property BD3 1007035 10 5/4/2022 5/4/2023 $1,000,000 limit/ Retention $10K
<br />Jim Waterhouse
<br />Account Manager
<br />office@spectrumrisk.com
<br />3
<br />E Employment Practices Liab-3rd party DVA106257400 1/15/2023 1/15/2024 $1,000,000 Each claim- Retention $175K
<br />Nan Mckay and Associates, Inc.
<br />1810 Gillespie Way #202
<br />El Cajon CA 92020
<br />73594336
<br />3
<br />3
<br />Waiver of subrogation applies to the worker's compensation per the attached carrier form.
<br />Orange County
<br />Attention: Risk Management
<br />200 South Cameron Street
<br />Hillsborough NC 27278
<br />Orange County, its officers, official agents and employees are additional insured with respect to the general liability per the attached carrier form.
<br />73594336 | 22-23 PKG, E/O, WC + 23-24 EPL | Ginnie Bustamante | 3/27/2023 3:42:58 PM (PST) | Page 1 of 9
<br />DocuSign Envelope ID: 4B4F1847-3E9E-4EB7-86DF-20427FE372B2
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