RICHARD WILSON & ASSOCIATES LLC - 2014

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A` °R °r CERTIFICATE OF LIABILITY INSURANCE 1 /28/20 9Y' 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 NAME: Marji Bostick Wheatman Insurance Services LLC PHONE (816) 681-6900 AIC No: (810) 881 -8922 ExIl ADDRESS: License No. OC36866 5950 Canoga Avenue, Ste 600 CdooucER B0.00017146 INSURER(S) AFFORDING COVERAGE NAIC It Woodland Hills CA 91367 INSURED INSURER A:Sentinel Insurance Co LTD 11000 INSURER 5: 728BAAE7854 RICHARD WILLSON & ASSOCIATES LLC INSURER C: PREMISES Eaoccurmece 4249 SEAVIEW LANE INSURER D: $ 10,000 INSURER E: $ 1,000,000 LOS ANGELES CA 90065 INSURER F: COVERAGES CERTIFICATE NUMBER:13 /14 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. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDI�NYYV MMIDDfYYYV LIMITS 20 Civic Center Plaza- I�12Y1 •11 GENERAL LIABILITY AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR 728BAAE7854 7/19/2013 7/19/2014 PREMISES Eaoccurmece IS 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 X POLICY JEC- LOC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT (Ea accident) $ 1,000,000 A ANY AUTO ALL OWNED AUTOS 72SBPAE7854 7/19/2013 7/19/2014 BODILY INJURY (Per pe rson) $ BODILY INJURY (Per eccldent) $ X SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE (Peraccident) $ X NON -OWNED AUTOS $ UMBRELLA ILIAD OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ r I 1 $ RETENTION $ I WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEW OFFICERIMEMBER EXCLUDED? NIA t C tEXECUTIVE y Alta Y WC STATUS OTH- --I LI TS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If Yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009109) ©1988.2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana 9Qp ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza- I�12Y1 •11 �9 ``{ �177 RZ NV 1401 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92702 I Mark Wheatman /MARJI ACORD 25 (2009109) ©1988.2009 ACORD CORPORATION. All rights reserved. INS025 (200909) The ACORD name and logo are registered marks of ACORD