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Insurance Professional Liability - CBIZ Inc. - 2012-12-13
Client#: 2372 CBIZINC ACOR®TM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)12113/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ELOW.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: CBIZ Insurance Services, Inc. I PHONE 610.862.2249 FAX (AIC,No,Ext: (A/C,No): 401 Plymouth Rd.Suite 200 E-MAIL ADDRESS: Plymouth Meeting PA 19462 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Lexington Insurance Co 19437 INSURED INSURER B: CBIZ, Inc.and Subsidiaries INSURER C: 6050 Oak Tree Blvd.,South,Suite 500 INSURER D: Cleveland,OH 44131 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURAls& 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. INSR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LTR (MMIDDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ _1 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY p _ PREMISES(Ea occurrence) $ CLAIMS-MADE OCCUR RE C E Q V E® MED EXP(Any one person) $ R` PERSONAL&ADV INJURY $ DEC1 7 2012 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ _ 7 POLICY JEC LOC Walk IVILJA gailARYDI�1RICi $ COMBINED SINGLE LIMIT • AUTOMOBILE LIABILITY _(Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED - SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) _ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE _$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY I IMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS bolos: E.L.DISEASE--POLICY LIMIT--$ A Prof Liab-E&O 026030236 12/15/2012 12/15/2013 $20,000,000 Aggregate IA-Broker Dealer same same same $7,500,000 Sublimit DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Investment Banking-$1,000,000 Sublimit RE: Professional Services Agreement CERTIFICATE HOLDER CANCELLATION I Costa Mesa Sanitary District SHOULD ANY OF EXPIRATION THE DATE ABOVE THEREOF,DESCRIBED POLICIES BE CANCELLED BEFORE NOTICE W 628 W. 19th Street 7 \ THE ACCORDANCE WITH THE POLICY PROVISIONS. ILL BE DELIVERED IN Costa Mesa,CA 92627 AUTHORIZED REPRESENTATIVE CBIZ Insurance Services, Inc. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S676891/M676597 OCW