TRIPEPI SMITH AND ASSOCIATES INC.

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A -Z d L`6 k V1 TRIPSMI.01 MSALMORIN , l%. R CERTIFICATE OF LIABILITY INSURANCE `-�'� D05/23/201ATE YV) 05/23/2018 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 have ADDITIONAL INSURED provisions or 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 License # OG19762 kANTACT Frank Rodriguez Momentous Insurance Brokerage Inc 5990 Sepulveda Blvd., #550 Van Nuys, CA 91411 PHONE FAX ac, No, Ext: 818 933.2727 vc, No):(818) 574-0875 E-MAIL . frank. rodriguez@mmibi.com INSURERS AFFORDING COVERAGE NAICN INSURER A: Lloyd's of London Underwriters INSURED INSURER B: INSURER C: Tripepi Smith & Associates INSURER D: P.O. Box 52152 Irvine, CA 92619 -MADE INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- 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 MAYBE 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 LTRCOMM TYPEOFINSURANCE AN Op SUBR D POLICY NUMBER POLICY EFF POLICY EXP LIMITS MERCIAL GENERAL LIABILITY CLAIMS [:] OCCUR EACH OCCURRENCE DAMAGE TO RENTED -MADE REMISES Ea occurr $ MED EXP (Anyno erson $ PERSONAL &ADV INJURY GEHL AGGREGATE LIMIT APPLIES PER. POLICY D PRO- JECT LOC GENERAL AGGREGATE $ PRODUCTS-COMPIOPAGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea acc' t $ BODILY INJURY Per orson ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peracciden[ $ RO.E de 1DAMAGE AUTO ONLY AUTOS ONEY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE DED RETENTION$ _AGGREGATE AND EMPLOYERS' L ABILWORKERS ON VIN =JITV �T =L ORH ANY PROPRIETORIPARTNERIEXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA E.L. EACH ACCI DENT $ E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS bd. E.L. DISEASE - POLICY LIMIT A Professional Liability (E&O) W226EE180101 04/01/2018 04/01/2019 Each Loss Limit 1,000,000 Each Aggregate 2,000,000 Retention/Deductible 2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The certificate holder is included as an additional insured, but only as respects to claims arising out of the negligence of the named insured. This is a claims -made and reported policy. Defense costs and claims expenses are paid from the policy limit and subject to the retention amount. 4,P rutw\'CL n fa t CERTIFICATE HOLDER CANCFI I ATION ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 Civil Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD V