RICHARD WATSON & GERSHON APC-2020-081

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RIGHWAT-01 HRAMIREZ ACo120' CERTIFICATE OF LIABILITY INSURANCE DAT913012020 30/2020 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(ies) 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 # 0814758 CONTACT NAME: PHONE FAX (A/C, No, Ext): (818) 986-8200 (A/C, No):(818) 986-8510 Hoffman Brown Company 5000 Van Nuys Blvd. 6th Floor Sherman Oaks, CA 91403 ADDRLSS: INSURER(S) AFFORDING COVERAGE NAIC# INSURERA:VI ilant Ins. Company 20397 INSURED INSURERS : Federal Insurance CO. 20281 INSURERC: Richards, Watson &Gershon INSURERD: 350 South Grand Ave., 37th Floor Los Angeles, CA 90071-3101 INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FORTH POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TOM ICH 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X 35293250 10/1/2020 10/1/2021 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENU AGGREGATE LIMITAPPLIES PER JECTPRO- POLICY PRO- X LOC OTHER'. GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG Included $ $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY X AUTOS ONE 74967929 10/1/2020 10/1/2021 COMBINED SINGLE LIMIT Ea accitlent 1,000,000 $ BODILY INJURY Per P.rsi $ BODILY INJURY (Per accident) $ X Parr accRtlent AMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ B WORKERS COMPENSATION AND EMPLOVERS'LIABILITY YIN ANY PROPRIETOR/ R/EXECUTIVE EXCLUDED? OFFICER/MEMBER EXCLUDED? (ManUatory in NH) f yes, describe under DESCRIPTION OF OPERATIONS below NIA 71726476 10/1/2020 10/1/2021 X PER OTH- STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L, DISEASE -POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its employees, officers and agents are named as an Additional Insured as required by written contract per Endorsement Form #80-02-2367 attached. Coverage subject to policy terms, conditions and exclusions. 30 day notice of cancellation applies to the certificate holder in event of cancellation except for non-payment of premium is 10 days. CERTIFICATE HOLDER CANCELLATION Approved: A R 9/30/2020 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division Laura Rossini, Acting Chief Assistant City Attorney �} 20 Civic Center Plaza, 4th floor �+--/ W. Santa Ana CA 92701 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD