RICHARDS, WATSON & GERSHON, APC. 4 - 2015

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RICHWAT 01 HRAMIREZ ,4c CERTIFICATE OF LIABILITY INSURANCE D09128ATE /2017 ) osnanon 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 have ADDITIONAL INSURED provisions or 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 endomement(s). PRODUCER License # 0814758 Hoffman Brown Com an pan 5000 Van Nuys Blvd. Floor Sherman Oaks, CA 91403 CONTAC NAME•T PHONE (A/r„ No, Eat):818 986-8200 FAX No):(818) 986-8510 ( ) ADDIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: Vigilant Ins. Company 20397 INSURED Richards, Watson & Gershon 355 South Grand Ave 40th Fir Los Angeles, CA 90071-3101 INSURER B: Federal Insurance Co. 20281 INSURERC: INSURERD: INSURER E: INSURER F : RFVi-glnN NIINI GUVCKAGCD c.cniirn..a,cn�.,.+,— 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF 10/01/2017 POLICY UP 10/01/2018 LIMITS LTR - A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I -XI OCCUR X X 35293250 1,000,000 EACH OCCURRENCE PREMISESDAMAGE T ERENT1ED $ 1,000,000 MED EXP (Any oneperson) $ 10'000 PERSONAL &ADV INJURY $ 1'000'000 GENT AGGREGATE LIMIT APPLIES PER: POLICY jE X LOC GENERAL AGGREGATE $ 2'000'000 PRODUCTS - COMP/OP AGG $ Included B OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea ent d $ BODILY INJURY Perperson) $ ANY AUTO 74967929 10/01/2017 10/01/2018 BODILY INJURY Per accident $ OWNEDONLV SCHEDUUiL.�EDp A )TOS X AUTOS ONLY X AUTOS ObILV PROPERTY DAMAGE $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 79611586 10/01/2017 10/01/2018 EACH OCCURRENCE $ 9'000'000 AGGREGATE $ 9'000'000 DED RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE WFICER/MEMBER E%CLUOED? antlatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A 71726476 10/01/2017 10/01/20181,000,000 X STAT ETH E.L. EACH ACCIDENT $ 1,999,909 E.L. DISEASE -EA EMPLOYE E.L. DISEASE -POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101Additional Remarks Schedule, may be attached If s ace Is required) , City of Santa Ana, Its employees, officers and agents are named as an Additional Insured as required gy written contract per Endorsement Form #80-02-2367 attached. Coverage subject to policy terms, conditions and exclusions. APPR ED AS TO FORM Sandra M. Schwarzmann Spn4or Assistant City Attorney SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana, Santa Ana City Attorney's Office AUTHORIZED REPRESENTATIVE Tamara an 20 C 20 Civic Centerr Plaz Plazam M-29 ACORD 25 (2016/03) lJ lWid-LUID AwUmu wVmrwr r n.re. nn rryrr The ACORD name and logo are registered marks of ACORD