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BURKE WILLIAMS SORENSON LLP (2)
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Last modified
4/17/2025 11:35:50 AM
Creation date
1/6/2022 4:06:55 PM
Metadata
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Contracts
Company Name
BURKE WILLIAMS SORENSON LLP
Contract #
A-2021-268
Agency
Human Resources
Council Approval Date
12/21/2021
Expiration Date
6/30/2025
Insurance Exp Date
8/1/2025
Destruction Year
2029
Notes
CTrax
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".,-�---� <br />,a izG' CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />01(12/2025 <br />I <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. If <br />SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this <br />certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Aon Risk Services Central, Inc. <br />Chicago IL office <br />CONTACT <br />NAME: <br />(A/CNNo. Ext): (312) 381-1000 (aC No.): (312) 381-7007 <br />E-MAIL <br />ADDRESS: <br />200 East Randolph <br />Chicago IL 60601 USA <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: MSIG Specialty insurance USA Inc. <br />34886 <br />Burke, Williams & Sorensen, LLP <br />444 South Flower St., 40th Floor <br />Los Angeles CA 90071 USA <br />INSURERB: ironshore Specialty Insurance Company <br />25445 <br />INSURERC: Endurance American Specialty Ins Co. <br />41718 <br />wsURERD: Evanston insurance Company <br />35378 <br />INSURERE: Westfield Specialty Insurance Comp <br />16992 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 570110461385 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE 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. Limits shown are as requested <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />WVD <br />POLICY NUMBER <br />MM/DD/YYYY <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS -MADE ❑ OCCUR <br />M N TE <br />PREMISES Ea occurrence <br />MED EXP (Any one person) <br />PERSONAL & ADV INJURY <br />GEML AGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />POLICY � PRO- JECT ❑ LOC <br />PRODUCTS - COMP/OP AGG <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY INJURY ( Per person) <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HI RED AUTOS NON -OWNED <br />ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA LAB <br />EACH OCCURRENCE <br />AGGREGATE <br />EXCESS LIAB <br />HOCCUR <br />CLAIMS -MADE <br />DED RETENTION <br />WORKERS COMPENSATION AND <br />PER STATUTE I OTH- <br />EMPLOYERS' LIABILITY Y / N <br />ER <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR / PARTNER / EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />E.L. DISEASE -EA EMPLOYEE <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT <br />A <br />Lawyers Professional <br />MSTLPL00259 <br />01/15/2025 <br />01/15/2026 <br />Per Occurrence <br />$5,000,000 <br />C <br />LPN30030693102 <br />01/15/2025 <br />01/15/2026 <br />Aggregate <br />$10,000,000 <br />D <br />MKLv7PL0006722 <br />01/15/2025 <br />01/15/2026 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Deductible: $350,000 Each Claim, $700,000 in the Aggregate and $50,000 Step -Down, including defense costs <br />-------------------- <br />APPROVED <br />By T u Tram Nguyen at 3:17 pm, Feb 27, 2025 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE <br />POLICY PROVISIONS. <br />City of Santa And AUTHORIZED REPRESENTATIVE <br />Rls Management Division <br />20 Ci vi c Center Plaza <br />Santa Ana, CA 92702 USA t �kXr�!S c1��:du�/G c..�s,L�kF�H E�iG9Z+4 *✓ 92tt <br />m <br />un <br />co <br />M <br />up <br />0 <br />0 <br />rh <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD <br />
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