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'`� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (12012 YYVY) <br />,01,0120,2 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not cpnfer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Marsh Risk & Insurance Services <br />CA License #0437153 <br />777 South Figueroa SfPet <br />Los Angeles, CA 90017 <br />CONTACT <br />_NAME___ <br />PHONE <br />W.C. 149 • EX0 [A/C, No): <br />—_ - <br />ADDR <br />ADDRESS: "� <br />— -- -- - - - - -- - <br />- - - -- <br />1 COMMERCIAL GENERAL LIABILITY <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />_ <br />INSURER A_: Nautilus Insurance Company <br />_ <br />17370 <br />502512 - FINPR -F &012 -13 <br />_ _ <br />INSURED <br />Richards, Watson & Gershon <br />INSURER B: AXIS Surplus Insurance Company <br />-- — <br />26620 <br />-- - - -- <br />INSURER C : <br />-- <br />- -- <br />355 South Grand Avenue <br />40th Floor <br />Los Angeles, CA 90071 -3101 <br />- - - -- - -- -- <br />_INSURER D : <br />- - - -- - -- <br />- <br />PERSONAL & ADV INJURY <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: LOS - 001448649 -24 - REVISION NUMBER_ 1 <br />THIS IS TO CERTIFY 1HAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE HE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CON OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TH ICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN ViffrED B PAID CLAIMS. <br />INSR ADDL SUBR - D- -- -POLICY EXP <br />LTR TYPE OF INSURANCE POLICY NUMBER MM/ Y 'MM/ D/YYYY LIMITS <br />GENERAL LIABILITY <br />_ EACH OCCURRENCE <br />$ <br />1 COMMERCIAL GENERAL LIABILITY <br />1.� <br />C. ' <br />DAMAGE TO RENTED <br />PREMISES Llia occurrence <br />MED EXP (Anyone person) <br />$ <br />CLAIMS -MADE E] OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />_ <br />PRODUCTS - COMP/OP AGG <br />_ <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- LOC <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />BODILY' INJURY (Per person) <br />I $ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />HIRED AUTOS NON -OWNED <br />- AUTOS <br />_ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />- <br />$ - - - <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />L <br />$ <br />EXCESS LIAB - <br />CLAIMS -MADE <br />DED F71RETENTION $ <br />_AGGREGATE <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR /PART NEH /EXECUTIVE <br />OFFICER /MEMBER EXCLUDED? <br />N / A <br />__ Y ___ I ER <br />E.L. EACH ACCIDENT <br />-------- <br />$ <br />___ -__ <br />.L. DISEASE - EA EMPLOYEE <br />[E.LDESCRIPTION <br />$ <br />(Mandatary in NH) <br />If yes, describe under <br />. DISEASE -POLICY LIMIT <br />$ <br />OF OPERATIONS below <br />A <br />Lawyers Professional Liability <br />PLP 1600238 P -2 <br />t0i0812012 <br />10108/2013 <br />Limit of I lability 5,000,000 <br />B <br />Lawyers Professional Liahlil <br />EGN721261/01/2012 11010812012 <br />10108/2013 <br />$250,000 Retention Claims Made Policy <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is require PRU V Lll AS TO FORM <br />w <br />Laura Stitt Szt/Kdy <br />Assistant City Atlornev <br />• • •• •••• • •� • •........ -• • l.N1YL.CLLA I IUIV <br />CITY OF SAN FA ANA <br />OFFICE OF THE CITY ATTORNEY <br />TWENTY CIVIC CENIER PLAZA <br />SAN FA ANA, CA 92702 <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 />of Marsh Risk 8 Insurance Services <br />Pat Fritcher <br />©1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />