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Last modified
4/23/2021 3:45:00 PM
Creation date
5/26/2020 9:47:54 AM
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Contracts
Company Name
JONES & MAYER ATTORNEYS AT LAW
Contract #
A-2017-140-01
Agency
PLANNING & BUILDING
Council Approval Date
6/6/2017
Expiration Date
5/18/2021
Insurance Exp Date
1/22/2022
Destruction Year
0
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Digitally signed by Francine R. <br />Francine R. Villareal Villareal <br />Date: 2021.02.02 10:38:56 -08'00 <br />DATE (M/2021Y) <br />01/25/021 <br />ACCO " CERTIFICATE OF LIABILITY INSURANCE <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 />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 />PRODUCER <br />CONTACT Anthony Oertel <br />NAME: <br />Mitchell and Mitchell Insurance Agency <br />A//CC' Ext : (415) 883-2525 q/c, No : (415) 883-7752 <br />250 Bel Marin Keys Blvd, E-1 <br />E-MAIL aoertel@mitchellandmitchell.com <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />Novato CA 94949 <br />INSURERA: Continental Casualty Company <br />20443 <br />INSURED <br />INSURER B <br />Richard D. Jones, APLC dba Jones & Mayer <br />INSURER C : <br />3777 North Harbor Blvd <br />INSURER D : <br />INSURER E : <br />Fullerton CA 92835 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: CL2112583109 REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />INSR <br />POLICY EFF <br />POLICY EXP <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/DDIYYYY <br />MM/DDIYYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE OCCUR <br />Ea occurrence) <br />$ <br />-PREMISES <br />MED EXP (Any one person) <br />$ <br />&ADV INJURY <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />-PERSONAL <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑ PECT ❑ LOC <br />PRODUCTS- COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANYAUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY YIN <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE El <br />OFFICER/MEMBER EXCLUDED? <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />A <br />Lawyers Professional Liability <br />267951336 <br />01/22/2021 <br />01/22/2022 <br />Each Claim <br />$2,000,000 <br />Aggregate <br />$4,000.000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Prior Acts Date:FULL Deductible:$50,000 <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th FI <br />Santa Ana <br />ACORD 25 (2016/03) <br />CA 92701 <br />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 />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 <br />The ACORD name and logo are registered marks of ACORD <br />�" 9""" Risk Managanerd Division <br />z <br />REVIEWED & APPROVED BY.- <br />Risk Management Analyst <br />
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