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JONEMA4 OP ID: SS <br />Z`° CERTIFICATE OF LIABILITY INSURANCE <br />D <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />0112310 <br />09/23/20115 5 <br />TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />S. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED <br />.1i13[R ,�ENTA7IVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />AN <br />'AN7: If the certificate holder Is an ADDITIONAL INSURED, the policy(ios) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />cr ':tatdis and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />M` ek�titiCate holder in lieu of such endorsement(s). <br />P#i Phone:415-S83 -2525 <br />CONIAcT <br />NAM <br />flelf &:Mitchel!- LIC0620650 <br />6 Sel'Madn Keys Blvd, Bid E Fax: 415.883 -7752. <br />a &fie ,.RxO.___ _J we uor <br />E.ikN <br />ate, CA 54949 <br />anlei J. McKenna <br />ADDRESS' <br />EACH OCCURRENCE <br />_ INSURER(S) AFFORDING CGVERAME <br />NAIC# <br />COMMERCIAL GENERAL LIABILITY <br />II!SURERA:CNA Insurance Cc <br />�uwURED Richard Jones dbaJone$ & Mayor <br />INSURER e: <br />e _ <br />Richard D. Jones, Esq. <br />— "RERC: <br />�— <br />8777 North Harbor Blvd. <br />INSUsac; <br />CLIMa -1,1ADE F7 OCCUR <br />INSURER Dom_, <br />Fullerton, CA 92835 <br />RlUURER E: <br />a AOV INJURY <br />6 <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS; IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INTR <br />TYPE OFINSURANCE <br />A <br />AUTHORIZED REPRESENTATIVE -.. <br />POLICY NUMBER <br />M,MIDDNYYY <br />MMIDONYYY <br />_ <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S <br />COMMERCIAL GENERAL LIABILITY <br />157+FAGE"ID7+ENTEti <br />PREMISSE(9Aawrtonc0f <br />S <br />LIED EXP O ono Parson) <br />S <br />CLIMa -1,1ADE F7 OCCUR <br />a AOV INJURY <br />6 <br />_PERSONAL <br />GENERAL AGGREGATE <br />_ <br />S ^� <br />061,'L AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMPIOPAGG <br />S <br />POLICY <br />7J MEJ LOG <br />S <br />AUTOMOBILE LIABILITY <br />GOIA INEO SINGLE LIMIT <br />OMITIN <br />L._.. <br />.S��.. . <br />ANY AUTO <br />BODILY INJURY (Per potion) <br />5 <br />I <br />AUTOS NEO SCHEDULED <br />NON-OWNEO <br />HIRED AUTOS _ AUTOS <br />i <br />I <br />e001lY INJURY(Per aatidani) <br />I'IiOPERTY DAMAE'y' —�g <br />fPPr argidOB!1.� <br />5 <br />—"^ <br />I <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />5 <br />AGGREGATE <br />3 <br />EXCESS UA6 <br />CLAMIS-MADE <br />BED I I RETENTIONS <br />_ <br />Is <br />WORKERSCOMPENSATIDII <br />AND EMPLOYERS LIABILITY <br />O rF lrF ICEtOUPMLMBHB tXCI OEOp ECIInVE Y� <br />OVF45RUMEM <br />NIA <br />W =WC YATU- OTWI <br />E.L. EACH ACCIDENT <br />E.L OIEGSE-EA EMPLOYEE <br />$ <br />NH) <br />t a dosaco and <br />! E.L. DISEASE -POLICY LIMIT <br />S <br />CRIPTI N OF OPERATIONS 1,01. <br />A <br />Lawyers Prof Llab <br />267961336 <br />01122/2016 <br />Ea Claim 2,000,00 <br />L2212016 <br />Aggregate 4,000,00 <br />DESCRIPnONOFDPERATIONSILOCATIONSIVEHICLeS 1AItaen ACORD iD{, pddlpannl Rem0rks 8chadula ,If +noroarh e 1 1 LV AN FO FORM <br />Prior Aats Date ;FULL Deductl.ble:$25,000 <br />Laura A. Rossini <br />Senior Assistant City Attorney <br />CERTIFICATE HOLDER CANCELLATION <br />©198B -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (209 BIOS) The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of Santa Ana <br />ACCORDANCE WITH THE POLICY PROV <br />20 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE -.. <br />Santa Ana, CA 92701 <br />Daniel J. McKenna <br />I <br />©198B -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (209 BIOS) The ACORD name and logo are registered marks of ACORD <br />