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FERGU -2 OP ID: MH ,4�Ra CERTIFICATE OF LIABILITY INSURANCE DATE(/12116 02112115 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(les) must be endorsed. M SUBROGATION IS WANED, 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 PRODUCER Narver Insurance 541 W. Las Tunas Drive PO Box 1509 San Gabriel, CA 91776 INSUaeo Law Offices of Ferguson, Praet & Sherman, APC 1631 East 16th Street Santa Ana, CA 92705 FA% ... _ ..... .. _LLUVCN�:. 626588.3735 ,. -._ _,___INSURE�AFPORDING COVERAGE R A: kanehore Indemnay Ina I nAVFaen FR CFDTIGICATC U11"McD. eFtnRtnu wuaD Ce. 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. INSR__ LTR - - -- -- of TYPE OF INSURANCE —_� POLICY EFF POLICY NUMBER MM O POLICY EX MMlOD -� — - _- LIMITS GENERAL LIABILITY EACH OCCURRENCE $ ��_.. . COMMERCIAL GENERAL LIABILITY LPREN119E$ (Ea_aau n I $ CLAIMSMADE .00CUR _ MED EXP AnY.n. Pers n) $ .. T..._ PERSONAL &ADV INJURY I$ _ I GENERAL AGGREGATE $ GENLAGGREGAT E LIMIT APPLIES PER. .. PRO - APPROVED ♦ L� terry �a H APPRO PRODUCTS COMPIOP AGG_S POLICY LOG EV Fl kl I Fl /'1� ■z ,$ AUTOMOBILELIABILITY- EMBINEDISINGLE LIMIT BODILY INJURY UTO � �ALLOWNED (Par Pereon) $ _ —: BODILY INJURY (Per accident) § SCHEDULED AUTOS � _-,-- Laura A. Rossini _ J A�tOSWNED j PROPERTY OAMAF,E _ . HIREDAUTOS Senior Assistant it ._Id t > }$ s Atto ne UMBRELLA LIAR' I` ' OCCUR !_EXCESS LB CLAIMS -MADE! - - -- _1_ L _ EACH OCCURRENCE $ AGGREGATE $ -- -- DED RETENTION$ g WORKERS COMPENSATION ! WC BTATU- OTH- ,AND EMPLOYERS' LIABILITY Y/N -�- - --- -- ANY PROPRIETORrPARTNEWPXECUTIVE OFFICER/MEMSER EXCLUDED? � NIA E.L. EACH ACCIDENT $ - -- — - - -r --- - - - - -- (Mandatory In NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under _$ - — -- t,4 DISEASE LIMIT 1 $ DESCRIPTION OF OPERATIONS bebw A ,Professional JLI0439601 11/01114 11/01/15 PerClaim 1,000,000 (Liability I (Aggregate 2,000,00 DESCRIPTION OF OPERATIONS /LOCATIONS 1 VEHICLES (Allmh ACORD 101, Additional Remmka Schedule, if more apace is r,.I,.d) CLAIMS MADE POLICY - RETROACTIVE DATE: 11/01/1987 Subject to all policy terms, conditions and exclusions. 30 days NOC except 10 for non - payment of premium. CITYSAA City of Santa Ana P.O. Box 1988 20 Civic Center Plaza, M -29 Santa Ana„ CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988 -2010 ACORD CORPORATION. AN rlahts reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD