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JONEMA4 OP ID: TC CERTIFICATE OF LIABILITY INSURANCE OA`YM °A'O(M°u° ov2sr113 13 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 CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 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 statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 415-883-2525 5AMNE CT Mitchell & Mltchelf-Uc0620650 415 883 7752 PHONE FAX - - 250 Be[ Marin Keys Blvd, Bid E . Exth A/ No : ft , Novato, CA 94949 D i J M K r an el . c enna INSURER(S) AFFORDING COVERAGE NAIC b INSURERA: CNA Insurance Co INSURED Richard D Jones, APLC dba INSURER B : Jones & Mayer Richard D Jones E INSURER C: . , sq. 3777 North Harbor Blvd. INSURER D : Fullerton, CA 92835 INSURER E : INSURER F : UV V tKAUtS 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. IN LTR SR TYPE OF INSURANCE POLICY NUMBER PO CY FF 1MM1DD)YYYn POLICY EXP IMMMONYro LIMITS GENERALLWBILJTY _ EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - PREMISES E $ CLAIMS-MADE F 1 OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG S POLICY PRO- LOC g AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT (En aWdept) ANY AUTO ALL OWNED BODILY INJURY (Por person) $ AUTOS SCHEDULED ALTOS BODILY INJURY (Per acddem) $ HIRED AUTOS _ NON OWNED AUTOS pR-OPEJ? DAMAGE S S UMBRELLA LJAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ OED RETENTION S S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILrY Y / H TORY LIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBEREXCLUDED? NIA E.L. EACH ACCIDENT S (Mandatory lnNN) a describe under .LDISEASE -EAEMPLOYEE S DESCRIPTION OF 0 ERATIO S below E.L. DISEASE -POLICY LINT S A Lawyers Prof Liab 67951336 01122113 0112214 EachCiaim 2,000,00 Aggregate 4,000,000 DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Anach ACORD 101, a Schedule, U more space is requlred) Prior Acts Date: Full Deductible: $25,000 ED AS TO FO RM Laura A. Rossini Assistant City Attorne y CFRTIFIC6TF Ianl nFQ --- -" VI?I? V GLL/i i 1 V n City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Santa Ana, CA 92701 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I I Daniel J. McKenna - ? ?)' J V 1985-2010 ACORD-CORPORATION. All rights reserved. ACORD 26 (2010105) The ACORD name and logo are registered marks of ACORD