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A��D® CERTIFICATE OF LIABILITY INSURANCE DAT91(MM/D r YY)
<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 CONTACT
<br /> NAME: Morays G.iZaI gZ .
<br /> Higginbotham Insurance Agency, In PHONE �500 W. 13TH (A/C.No Ext). 81,-336 IMF'2 = \/� !it. rn ' 1 •\/
<br /> Fort Worth TX 76102 n_gi e E-MAIL
<br /> A DRESS: Mgor.'£lez. igg'•". am.ne �I }I
<br /> kiSU'ARIS)AFFORDWG COVE GE ^ NAIC#
<br /> INSURER A:Fede ‘'I ..-.- Iri,-r C 020281
<br /> INSURED PRE-LEG-01 INSURER B:Chit ib I, 'temnity I .ranee Company 12777
<br /> Pre-Paid Legal Services, Inc. dba LegalShield
<br /> complete list of named insureds be w IN RERC: �J 1 a - 2O
<br /> Way 1 Prepaid ; RER•• `J
<br /> Ada OK 74820
<br /> Way eie
<br /> 0n . 1 � ,2 _n 1 1
<br /> COVERAGES CERTIFICATE NUMBER:1278525106
<br /> 1 �• IZIWJMB6il:� 00
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE ',BEN 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.
<br /> INSR ADDL SUBR POLICY EFF POLICY EXP I
<br /> LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY)I LIMITS
<br /> A X COMMERCIAL GENERAL LIABILITY 36062864 6/1/2024 6/1/2025 ' EACH OCCURRENCE 51,000,000
<br /> CLAIMS-MADE X OCCUR DAMAGE TO RENTED
<br /> PREMISES(Ea occurrence) I S1,000,000
<br /> MED EXP(Any one person) S 10,000 _
<br /> PERSONAL&ADV INJURY 5 1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S2,000,000 _
<br /> POLICY PRO LOC PRODUCTS-COMP/OP AGG S2,000,000
<br /> X PRO-
<br /> OTHER: S
<br /> A AUTOMOBILE LIABILITY 73615376 6/1/2024 6/1/2025 COMBINED SINGLE LIMIT S 1,000,000
<br /> (Ea accident)
<br /> X ANY AUTO BODILY INJURY(Per person) S
<br /> OWNED SCHEDULED BODILY INJURY(Per accident)I S
<br /> AUTOS ONLY AUTOS
<br /> x HIRED X NON-OWNED PROPERTY DAMAGE
<br /> AUTOS ONLY AUTOS ONLY (Per accident) S
<br /> S
<br /> A UMBRELLA LIAB X OCCUR 78191675 6/1/2024 6/1/2025 EACH OCCURRENCE S 10,000,000
<br /> X EXCESS LIAB CLAIMS-MADEI AGGREGATE S 10,000,000 _
<br /> DED RETENTIONS ! S
<br /> B WORKERS COMPENSATION i 71827392 6/1/2024 6/1/2025 X STATUTE OTH-
<br /> ER
<br /> AND EMPLOYERS'LIABILITY YIN — - —
<br /> ANYPROPRIETOR/PARTNERJEXECUTIVE E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBEREXCLUDED? N N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE)$1,000,000
<br /> If yes,describe under -- —
<br /> DESCRIPTION OF OPERATIONS below j E.L.DISEASE-POLICY LIMIT S 1,000,000
<br /> DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> **Named Insureds:
<br /> LS Parent Corporation
<br /> LS, Inc.
<br /> PPL Holdings Corp
<br /> Pre-Paid Legal Casualty, Inc.
<br /> Pre-Paid Legal Access,Inc.
<br /> EAP, Inc.dba CLC
<br /> PPLSI Insurance Company, Inc.
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN
<br /> City of Santa Ana ACCORDANCE WITH THE POLICY PRC` /
<br /> Attention: Executive Director of Human Resources Risk Management Division
<br /> Resources Agency, 9'"9'
<br /> 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE I REVIEWED&APPROVED BY:
<br /> Santa Ana, CA 92701 I / 111� l` /14f4 A ,
<br /> Risk Management Specialist
<br /> ©1988-2015 ACORD / \
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
<br />
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