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N- r;wls -0 y FERGU 2 OP ID' MH ,y -•�. ^ti T DATE(MMIDDIWW) l,_ /R" CEFi 1 Yr IGATE OF LIABILITY INSURrLNCE 10!3012015 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, if SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement. A statement on this Certificate does not confer rights to the PRODUCER rygp1EP4 Melissa Huson _ Varver Insurance _ PHONE 626.943 220D NP. Eye); FAX, 626 299.1010 (Arc, N,L 341 W. Las Tunas Drive _INC. ._ ___ E. ARIL _. __ PO Box 1509 goDP.ESS M11USOn(LI�DONBLCOm ---- _ - -- - -_- San Gabriel, CA 91778.1509 - _. RA INSURER($( AFFORDING COVERAGE NAIC R Nestey G. Hampton jI I PRODUCTS - COMPIOP AO G �. S ,. -. _ 39645 I$- INSURER A: W -nPOrt Insurance Corporation a w - COMBINED lU 1 IJKIVI II.OMBiNEU SINGLE LIMIT INSURED Law Offices of Ferguson, Praot INSURER a _. & Sherman, APC ANY AUTO ^ELIABILITY ,NON - ALLOWNFD SCHEDULED I .' r l r ---- -- I I`UOOILY INJURY (Pot accident) iS 1631 East 18th Street INSURER c OWNED HIREDADTOS AUTOS Santa Ana, CA 92705 INSURER D _ —. ._... UMBRELLA LIAB OCCUR _- INSURER E: ...._ {EXCESS LLAB CLAIMS MADE! INSURER F (AGGREGATE $ i I I RETENTION$ - 6a; MPENSAT$ON OC \ /11:Ir1M MIIMrTFR• ----I PER I I STATUTE I I Eft _ 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. ADOC3Ue — POLICY EFF POI CV E Y S INSR LIMITS - _ fMMlDOrrYYYIy�IMMIDOlYYVYI TYP F U I LTR COMMERCIAL GENERAL LIABILITY I l I $ 1 EACH OCCURRENCE CLAIMS -MADE I OCCUR _ I, j IYAMAGErbTtEN rFi5 PREMISES (Er eGCUrr¢I1CG} _' $ EU ExI (A y one penru n) $ ' I I PERSONAL AAOV INJURY I -S -- i IGENL AGGREGATE LIMIT APPLIES PER i GENERAL ACGRE.ATN $ -- { PRO. POLICY L, IRI J LOG jI I PRODUCTS - COMPIOP AO G �. S ,. I I$- OTHER : a w - COMBINED lU 1 IJKIVI II.OMBiNEU SINGLE LIMIT AUT OMtlBi (Faa - , BODILY INJURY (Por Prawn) $ ANY AUTO ^ELIABILITY ,NON - ALLOWNFD SCHEDULED I .' r l r ---- -- I I`UOOILY INJURY (Pot accident) iS AUTO, _ AUTOS j o PRbPERTP DAMAGh $ OWNED HIREDADTOS AUTOS LauraA.R sslni (Pay accident) Jim UMBRELLA LIAB OCCUR I- EACH _O RENCE UR _ 4 _.. -.. _ .. {EXCESS LLAB CLAIMS MADE! (AGGREGATE $ i I I RETENTION$ - 6a; MPENSAT$ON .!� ----I PER I I STATUTE I I Eft _ AND eMERS LIASIUTY Y f N ANY PROPRIETORPARTNEMEXECU DVE r 3 I I EL EACH ACCIDENT III S RMEMSER EXCLUDED? _OFFICE I In NHl E L DISEASE. EA Eh1PL0YF.Wl $ ) _ (Mandatori, CIF ¢a, d¢scyam under OF OPERATIONS in. E1. DISEASE - POLICY LIMIT I $ I'll P.SCSIR !ION A ,WLA97509115760G 11101120151 11101!2016 I11Par Claim 1,000,00 Liability, I j ;Aggregate 2,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORU 101, Additional R¢mArks Schedule, mqy aasened if more space is mqulr¢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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. P,O. Box 1988 20 Civic Center Plaza, M -29 AUTHORIZED REPRESENTATIVE Santa Ana„ CA 92702 n 1IQAA.2n14 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered (narks of ACORD