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PALACIOS LAW OFFICE (3)
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PALACIOS LAW OFFICE (3)
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Last modified
4/4/2025 10:22:58 AM
Creation date
4/4/2025 10:22:37 AM
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Contracts
Company Name
PALACIOS LAW OFFICE
Contract #
A-2025-028-05
Agency
Finance & Management Services
Council Approval Date
3/18/2025
Expiration Date
3/17/2028
Insurance Exp Date
6/28/2025
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CERTIFICATE OF LIABILITY INSURANCE O 09/26/2024 I( 6/2 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, <br /> THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br /> POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br /> AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. <br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br /> subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not <br /> confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT <br /> MEDPRO INSURANCE SERVICES LLCIPHS <br /> 36214543 PHONE (866)467-8730 FAX <br /> The Hartford Business Service Center (AIC,No,Ext): (AIC,No): <br /> 3600 Wiseman Blvd E-MAIL <br /> San Antonio,TX 78251 ADDRESS: <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURED INSURER A: Sentinel Insurance Compan Ltd. 11000 <br /> PALACIOS LAW OFFICE INSURER B <br /> BOX 7282 RI A n g i ^ A <br /> RIVERSIDE CA 92513-7282 (�••+� evedo <br /> INSURER D: natpl r <br /> INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br /> I NDICATED.NOTWITHSTAND ING 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 <br /> TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS <br /> AMMIDD[YYYY) <br /> COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 <br /> CLAIMS-MADEEl OCCUR DAMAGE TO RENTED $1,000,000 <br /> General Liability PREMISESa occur <br /> ancel <br /> X y MED EXP(Anyone person) $10,000 <br /> A X X 36 SBM TH3424 06/28/2024 06/28/2025 PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY[:]PRO- �LOG PRODUCTS-COMPIOP AGG $2„000,000 <br /> JECT <br /> OTHER: <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 <br /> a accident) <br /> ANY AUTO BODILY INJURY(Per person) <br /> A ALL OWNED SCHEDULED 36 SBM TH3424 06/28/2024 06/28/2025 BODILY INJURY(Per accident) <br /> AUTOS AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE <br /> X AUTOS X AUTOS (Per accident) <br /> UMBRELLA LIAB H OCCUR EACH OCCURRENCE <br /> EXCESS LIAB CLAIMS- <br /> MADE AGGREGATE <br /> ED I RETENTION$ <br /> WORKERS COMPENSATION PER OTH- <br /> AND EMPLOYERS'LIABILITY STATUTE I E <br /> ANY YIN E.L.EACH ACCIDENT <br /> PROPRIETORIPARTNERIEXECUTIVE NIA <br /> OFFICEWMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE <br /> (Mandatory in NH) <br /> If yes,describe under E.L.DISEASE-POLICY LIMIT <br /> DESCRIPTION OF OPERATIONS below <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) <br /> Those usual to the Insured's Operations.Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this <br /> policy.Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008,attached to this policy. <br /> CERTIFICATE HOLDER CANCELLATION <br /> City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br /> Risk Management Division BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED <br /> 20 CIVIC CENTER PLZ IN ACCORDANCE WITH THE POLICY PROVISIONS. <br /> SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE <br /> �41e0L /Of REVIEWED&APPROVE Ejr <br /> C31988-2015 ACORD <br /> ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Ruk Management Specialist ' <br />
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