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Insurance Professional Liability - CBIZ Inc. - 2013-12-13
Client #: 2372 CBIZINC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE/DDIYYYY) 12/1133113 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 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 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(les) 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 CBIZ Insurance Services, Inc. 401 Plymouth Road., Suite 200 DEC 16 2013 Plymouth Meeting PA 19462 COSTA MESA SANIIANYU)S(K AME: NCNNOt:610- 662 -2249 A/C,NO: E -MAIL ADDRESS: onsu DLCBIZRisk &Clting@ cbiz.com INSURER(S) AFFORDING COVERAGE NAIL# USURER AA.. Lexington insurance Co 19437 INSURED CBIZ., Inc. & subsidiaries 6050 Oak Tree Blvd., South, Suite 500 Cleveland, OH 44131 INSURER B: EACH OCCURRENCE INSURER C INSURE RD: INSURER E INSURER F: PREMISES Ea occurrence COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE INSRL D POLICY NUMBER MM /DDYIYYYY MM/DDYIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1 OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY IPE OT LOG $ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlent BODILY I NJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPER AMASS Per acdtlent $. UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAWSWADE DIED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERWEMBER EXCLUDED? NIA TORY LIMIT E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ • Prof Liab -E &O 017112305 12/15/2013 12/15/2014 $20,000,000 Aggregate • IA- Broker Dealer 017112305 12/15/2013 12115/201 $7,500,000 Sublimit A Invest Banking 017112305 12115/2013,12115/2014 $1,000,000 Sublimit DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) RE: Professional Services Agreement Costa Mesa Sanitary District SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 628 W. 19th Street ///�� ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa, CA 92627 \\,� \ AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) 1 Of 1 #S834433/M834123 CBIZ Insurance Services, Inc. ©1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD OCW