RICHARDS, WATSON & GERSHON, APC. 4 - 2015

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RICHWAT-01 JHANKINS '4CERTIFICATE OF LIABILITY INSURANCE DA 101212014 ) 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Peter C. Foy & Associates Insurance Services Inc. 21650 Oxnard St. Suite 1999 Woodland Hills, CA 91367 CONTACT NAME: _ a oN o E 81$ 703-8057 a+c: 810) 703.0935 t ADEhDalt RESS, ""'""""""-""—'----'""' INSURERS) AFFORDING COVERAGE NAIC A INSURERA:`ri ilantInsuranceCompany 20397 INSURED INSURER B: Federal Insurance Compal 20281 INSURER C: Richards, Watson & Gershon INSURER D: 355 S. Grand Avenue, 49th Floor Los Angeles, CA 90072-3101 INSURER E: INSURER F : 35293250 COVERAGES 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. ILTR TYPE OF INSURANCE DL ADIN-RD BUSH POLICY NUMBER MMroD Y MMIDOYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,999,69 CLAIMS -MADE OCCUR X 35293250 1910112014 10/0112915 PREMISES Ea cccurrence $ 1,009,99 MEOEXP{Anyoneperaon $ 10,09 PERSONAL &ADV INJURY $ 1,000,09 GFN'L AGGREGATE LIM IT APPLIES PER: GENERAL AGG RELATE $ 2,000,000 POLICY O jR0 ®LOC PRODUCTS - COMPIDP ADD $ Included $ OTHER; AUTOMOBILE LIABILITY COMBINED BI GLE LIMIT Ea accident $ 1,009,090 BODILY INJURY (Per person) ..._ $ B ANY AUTO 74967929 10/0112014 10/01/2015 BODILY INJURY(Pelacadent) $ ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED X HIRED AUTOSX AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA UAe OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB . CLAIMS -MADE DEC RETENTION$ If B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPWETOR/PARTNERIEXECUTIVE YIN 71726476 10/0112014 10/01/2015 X OTH STATUTE I I Eft E.L. EACH ACCIDENT $ 1,000,09 OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) NIA E.L. DISEASE EA EMPLOYE $ 1,999,999 If yes, desnrib0 under'" DE SC RIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION Or OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Certificate Holder is named as Additional Insured as their Interest may appear. Subject to policy terms, conditions and exclusions. Coverage Is considered primary & non-contributory. 10 days notice of cancellation applies for non-payment of premium. APPROVEAS TO roizM J �- _Agandra Mi. Sch�varzmaYint Senior Accicrnr.r t"lr., a rrny.,.., CFRTIFICATE HOLDER CANCELLATION ACORD 25 (2014101) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE. ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit Of Santa Ana Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Office of the City Attorney Twenty Civic Center Plaza Santa Ana, CA 92701 — AUTHORIZED REPRESENTATIVE ACORD 25 (2014101) O 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD