RICHARDS, WATSON & GERSHON 3A - 2012

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RICHWAT -01 JCAMOMILE AC"RO9 CERTIFICATE OF LIABILITY INSURANCE `- �-�''� 10/29/2013 D10 /29/2 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS) NTar.(+ CONTR�Q,CTBGTWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDEf ) -- ' 7 ff "" i . // IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, 'A sltat" f ton this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - Peter C. Foy & Associates Insurance Services Inc. 21650 Oxnard St. Suite 1900 Woodland Hills, CA 91367 ' NTAUI NAME: BONN E :t:1818) 703.8057 ac No : (818) 703 -0935 E -MAIL ADDRESS: INSURERIS) AFFORDING COVERAGE NAIC k INSURER A: Vigilant Insurance Company 20397 INSURED INSURERS: Federal Insurance Company 20281 INSURER C: $ 1,000,000 Richards, Watson & Gershon INSURER D: X 355 S. Grand Avenue, 40th Floor Los Angeles, CA 90072 -3101 INSURER E: 10/112014 INSURER F: $ 1,000,000 MED EXP(Any one person) COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE AUTHORIZED A , REPRESENTATIVE Santa Ana, QA 92701 POLICY NUMBER MM/DDY EYFVY MMIDOIYYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I OCCUR X 35293250 1011/2013 10/112014 pREMSE$ Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGO $ Included POLICY IRI- IFCT X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,00 BODILY INJURY (Par person) $ B ANY AUTO 74967929 10/112013 10/1/2014 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPER DAMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Ya OFFICER /MEMBER EXCLUDED? IN andatory In NH) N/A /'IlL 4(o 'IU /1 /ZU1.1 `I UTT/204 X TORY OEH _ EL. EACHACCOENT $ 1,000,00 E, L. DISEASE - EA EMPLOYEEI $ 11000,000 If yes, describe under DESCRIPTION OF OPERATIONS bal, I EL .DISEASE - POLICY LIMIT $ 1,000,000 I 7 - DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate Holder is named as Additional Insured as their interest may appear. Subject It to onditions {�expl Coverage is considered primary & non - contributory. 10 days notice of cancellation applies for non - payment lJ Y"i. /RC -AVA �° L,a11Ie StitC 5IL Cay AssiStant City Attornev CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana Office of the City Attorney THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Twenty Civic Center Plaza AUTHORIZED A , REPRESENTATIVE Santa Ana, QA 92701 ACORD 25 (2010105) © 1988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD