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Home My WebLink AboutGRAVES & KING, LLPN O N r• N INSURANCE ON FILk WORK MAY PROCEED UNTIL INSURANCE EXPIRES CLERK OF COUNCIL DATE: A-2022-121I FIRST AMENDMENT TO LEGAL SERVICES AGREEMENT WITH GRAVES & KING LLP THIS FIRST AMENDMENT to the above -referenced agreement is entered into on this 2 1 " day of June, 2022 by and between Graves & King, LLP, a limited liability partnership ("Attorneys"), and the City of Santa Ana, a charter city and municipal corporation duly organized under the constitution and law of the State of California. 0 . r A6(QQ,,1,C1. q) (Ill)" RECITALS A. On March 22, 2022, the City and Attorneys entered into Agreement No. N-2022-102 ("Agreement") for Attorneys to provide legal services related to civil litigation matters and other related matters for services provided by a firm with their specialized experience. The term of the agreement continues until June 30, 2024, with an option to extend the term of the Agreement up to one (1) year. The Agreement is current and in -effect. B. In accordance with the terms and conditions of the Agreement, the Parties desire to amend the Agreement and increase the amount of compensation. No other changes are contemplated to this First Amendment. The Parties therefore agree: 1. Section 2.b., COMPENSATION FOR SERVICES RENDERED, is amended as follows: The total sum to be expended under this Agreement shall not exceed $500,000, unless otherwise authorized by the City Council. 2. Except as modified by this First Amendment, all other terms and conditions of the Agreement shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST // o�-DAISY GOMEZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO, City Attome By: dra M. Sch ann Senior Assistant City Attorney CITY OF SANTA ANA KRISTINE RIDGE City Manager VES & KING LLP Wimer, 1 Partner a KI-01 CERTIFICATE OF LIABILITY I C DI DATE MMIDD THIS CERTIFICATE IS ISSUED AS A MATTER OF pL 2022 BELOW.ATHISDOES CERTFCATEFOF INSURANCE DOES NOTMCON CELY OR NEGATIVELY ONSTITUTE EXTEND CONTATION ONLY AND CONF SER. THIS �EII U N ,VGIR;.I I ITSf�fiHORCEED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. r1,. to:-210-1 2 n 7 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL IN 3URED provisions or Me endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c policies may rpgi• re an endo'1s1nl40Q teJ &71(i this certificate does not confer rights to the certificate holder in lieu of such endorse ) PRODUCER License # 0122529 1 kfflACT Gallant Risk and Insurance Services, LLC PHONE o, E.e): (9S'I 366-0700 4160 Temescal Canyon Rd. Suite 214 () (ai No) (951) 668.0707 INSURED Graves & King, LLP P.O. Box 1548 Riverside, CA 92502 Cr1VFRARFS CFRTIPIr1ATF NI IMRFR- eesnern.. ur...-I-- 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 TYPE OF INSURANCE ADDLSUBR INSO p POLICY NUMBER POLICY EFF POLICY EXP M00 LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Contractual Liab X OH3A74081410 1013112021 10/3112022 EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED Elf Qc.wencei $ $ 5,000 X MED EXP An -no arson PERSONAL &ADV INJURY $ 2,000,000 GENL X AGGREGATE LIMIT APPLIES PER POLICY El Yea LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMPIOPAGG $ 4,000,000 II OTHER A AU_TOMOBILELTABILITY COMBINEEDSINGLELIMIT 00 $ 2,000,000 $ ANY AUTO AUUTEOE��S ONLY �AISTHOE.pp8y,,rLED X AlI/RTOS ONLY X AIr o ONLY OH3A14081410 10131/2021 1013112022 BODILY INJURY Par arson BODILY INJURY Per acddont $ PRe0accl0 y AMAGE $ A X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE OH3A74081410 10/3112021 EACH OCCURRENCE $ 3,000,000 1013112022 AGGREGATE $ DED X RETENTION$ 0 Aggregate 3,000,000 B WORKERS COMPENSATION ANpEMPL0YER5'LIABILITY 1,IN ANY PROPMETORIPARTNEIUEXECUTIVE pFFICERIMEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below NIA OWC1176015 10/31/2021 X PER OTH- AlUlIEL E 10131/2022 E.L EACH ACCIDENT $ €I 0O0 OOR n O E.L DISEASE -EA EMPLOYE 1,000,000 E.L. DISEASE -POLICY LIMIT 3 1,000,000 C Cyber Liability 660612202 1212112021 12121/2022 Per CIm 1MM/Agg 2,000,000 D Professional E&O LAW2048402 11I7/2021 111112022 Per Clm $2MM/Agg 4,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tilt, Additional Remarks Schedule, may be attached if more apace is required) The City of Santa Ana is listed as Additional Insured par the attached policy forms. City of Santa Ana 20 Civic Center Plaza, 7th Floor Santa Ana, CA 92701 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 ACORD 25 (2016103) 91988-2015 ACORD The ACORD name and logo are registered marks of ACORD RTeleMtougematLDivl'ly 10=vIEv,En6MpROVED BY: Ruk Management specialist 01 1 POLICY NUMBER: OH3-A140814-10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIABILITY SPECIAL BROADENING ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SUMMARY OF COVERAGES Limits Page 1. Additional Insured by Contract, Agreement or Permit Included 1 2. Additional Insured - Broad Form Vendors Included 2 3. Alienated Premises Included 3 4. Broad Form Property Damage - Borrowed Equipment, Customers Goods and Use of Elevators Included 3 5. Incidental Malpractice (Employed Nurses, EMT's and Paramedics) Included 3 6. Personal and Advertising Injury - Broad Form Included 4 7. Product Recall Expense Included 4 Product Recall Expense Each Occurrence Limit $25,000 Occurrence 5 Product Recall Expense Aggregate Limit $50,000 Aggregate 5 Product Recall Deductible $500 5 8. Unintentional Failure to Disclose Hazards Included 6 9. Unintentional Failure to Notify Included 6 This endorsement amends coverages provided under the Businessowners Coverage Form through new coverages and broader coverage grants. This coverage is subject to the provisions applicable to the Businessowners Coverage Form, except as provided below. The following changes are made to SECTION II - LIABILITY: 1. Additional Insured by Contract, Agreement or Permit The following is added to SECTION 11 - LIABILITY, C. Who Is An Insured: Additional Insured by Contract, Agreement or Permit a. Any person or organization with whom you agreed in a written contract, written agreement or permit to add such person or organization as an additional insured on your policy is an additional insured only with respect to liability for "bodily injury", "property damage", or "personal and advertising injury" caused, in whole or in part, by your acts or omissions, or the acts or omissions of those acting on your behalf, but only with respect to: (1) "Your work" for the additional insured(s) designated in the contract, agreement or permit; b. (2) Premises you own, rent, lease or occupy; or (3) Your maintenance, operation or use of equipment leased to you. The insurance afforded to such additional insured described above: (1) Only applies to the extent permitted by law; and (2) Will not be broader than the insurance which you are required by the contract, agreement or permit to provide for such additional insured. (3) Applies on a primary basis if that is required by the written contract, written agreement or permit. (4) Will not be broader than coverage provided to any other insured. (6) Does not apply if the "bodily injury", "property damage" or "personal and advertising injury"is otherwise excluded from coverage under this Coverage Part, including any endorsements thereto. 391-1006 0816 Includes copyrighted materials of Insurance Services Offices, Inc., with its perm! Risk Maugamd DiWsiot n REMEAE W &APPR®BY: a a,, A.-i Ae u44 Risk Management Spedrlist c. This provision does not apply: (1) Unless the written contract or written agreement was executed or permit was issued prior to the "bodily injury", "property damage", or "personal injury and advertising Injury". (2) To any person or organization included as an insured by another endorsement issued by us and made part of this Coverage Part. (3) To any lessor of equipment: (a) After the equipment lease expires; or (b) If the "bodily injury", "property 2. damage", "personal and advertising in arises out of sole negligence of the lessor. (4) To any: (a) Owners or other interests from whom land has been leased if the "occurrence" takes place or the offense is committed after the lease for the land expires; or (b) Managers or lessors of premises if: (i) The "occurrence" takes place or the offense is committed after you cease to be a tenant in that premises; or (ii) The "bodily injury", "property damage", personal Injury' or "advertising Injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor. (5) To "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of or the failure to render any professional services. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" or the offense which caused the "personal and advertising injury" involved the rendering of or failure to render any professional services by or for you. d. With respect to the insurance afforded to these additional insureds, the following is added to SECTION II - LIABILITY, D. Liability and Medical Expense Limits of Insurance: � me 4 Hanover Insurance Croup- OH3A140814 1001727 The most we will pay on behalf of the additional insured for a covered claim is the lesser of the amount of insurance: 1. Required by the contract, agreement or permit described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations e. All other insuring agreements, exclusions, and conditions of the policy apply. Additional Insured - Broad Form Vendors The following is added to SECTION II - LIABILITY, C. Who Is An Insured: Additional Insured - Broad Form Vendors a. Any person or organization that is a vendor with whom you agreed in a written contract or written agreement to include as an additional insured under this Coverage Part is an insured, but only with rect to liability for "bodily injury" or "propeesprty damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business. b. The insurance afforded to such vendor described above: (1) Only applies to the extent permitted by law; (2) Will not be broader than the insurance which you are required by the contract or agreement to provide for such vendor; (3) Will not be broader than coverage provided to any other insured; and (4) Does not apply if the "bodily injury", "property damage" or "personal and advertising injury" is otherwise excluded from coverage under this Coverage Part, including any endorsements thereto c. With respect to insurance afforded to such vendors, the following additional exclusions apply: The insurance afforded to the vendor does not apply to: (1) "Bodily injury" or "property damage" for which the vendor Is obligated to pay damages by reasons of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its pern ^�YL . i RleitMa¢gmnndDivislan -: REVIEWED&APPRav®BY: Ruk Management SpeaAist (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instruction from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspection, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business in connection with the sale of the product; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (a) The exceptions contained within the exclusion in subparagraphs (4) or (6) above; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. (9) "Bodily injury" or "property damage" arising out of an "occurrence" that took place before you have signed the contract or agreement with the vendor. (10)To any person or organization included as an insured by another endorsement issued by us and made part of this Coverage Part. (11)Any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. d. With respect to the insurance afforded to these vendors, the following is added to SECTION II - LIABILITY, D. Liability and Medical Expense Limits of Insurance: The most we will pay on behalf of the vendor for a covered claim is the lesser of the amount of insurance: 1. Required by the contract or agreement described in Paragraph a.; or 2. Available under the applicable Limits of Insurance shown in the Declarations; This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 3. Alienated Premises SECTION II - LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage It. Damage to Property, paragraph (2) is replaced by the following: (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises and occurred from hazards that were known by you, or should have reasonably been known by you, at the time the property was transferred or abandoned. 4. Broad Form Property Damage - Borrowed Equipment, Customers Goods, Use of Elevators a. The following is added to SECTION II - LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage, k. Damage to Property: Paragraph (4) does not apply to "property damage" to borrowed equipment while at a jobsite and not being used to perform operations. Paragraph (3), (4) and (6) do not apply to "property damage" to "customers goods" while on your premises nor to the use of elevators. b. For the purposes of this endorsement, the following definition is added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Customers goods" means property of your customer on your premises for the purpose of being: a. Worked on; or b. Used in your manufacturing process. c. The insurance afforded under this provision is excess over any other valid and collectible property insurance (including deductible) available to the insured whether primary, excess, contingent or on any other basis. 5. Incidental Malpractice - Employed Nurses, EMT's and Paramedics SECTION 11 - LIABILITY, C. Who Is An Insured, paragraph 2.a.(1)(d) does not apply to a nurse, 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permi ,a° -tee RiskMmugan°dDitvlort 9 e +'.. i.•..i ahVIEWED&APPR6V®BY: �� Ritk Management Spedaut Hanover Insurance Group.. 01-13A140814 1001727 emergency medical technician or paramedic o. Recall of Products, Work or Impaired employed by you if you are not engaged in the Property is replaced by the following: business or occupation of providing medical, paramedical, surgical, dental, x-ray or nursing o. Recall of Products, Work or Impaired services. Property 6. Personal Injury - Broad Form Damages claimed for any loss, cost or expense incurred by you or others for a. SECTION II - LIABILITY, B. Exclusions, 2. the loss of use, withdrawal, recall, Additional Exclusions Applicable only to inspection, repair, replacement, "Personal and Advertising Injury", paragraph adjustment, removal or disposal of: e. is deleted. (1) "Your product" b. SECTION II - LIABILITY, F. Liability and (2) "Your work"; or Medical Expenses Definitions, 14. "Personal and advertising injury", paragraph b. is (3) "Impaired property" replaced by the following: If such product, work or property is b. Malicious prosecution or abuse of withdrawn or recalled from the market or process. from use by any person or organization c. The following is added to SECTION II - because of a known or suspected defect, LIABILITY, F. Liability and Medical Expenses "Personal deficiency, inadequacy or dangerous condition in it, but this exclusion does Definitions, Definition 14. and advertising injury": not apply to 'product recall expenses" that you incur for the "covered recall" of "Discrimination" (unless insurance thereof is "your product". prohibited by law) that results in injury to the feelings or reputation of a natural person, However, the exception to the exclusion "product but only if such "discrimination" is: does not apply to recall expenses" resulting from: (1) Not done intentionally by or at the direction (4) Failure of any products to accomplish their intended purpose; (a) The insured; (6) Breach of warranties of fitness, (b) Any officer of the corporation, quality, durability or performance; director, stockholder, partner or member of the insured; and (6) Loss of customer approval, or any cost incurred to regain customer (2) Not directly or indirectly related to an approval; "employee", not to the employment, prospective employment or termination (7) Redistribution or replacement of "your of any person or persons by an insured. product" which has been recalled by like products or d. For purposes of this endorsement, the substitutes; following definition is added to SECTION II - LIABILITY, F. Liability and Medical Expenses (6) Caprice or whim of the insured; Definitions: (9) A condition likely to cause loss of 1. "Discrimination" means the unlawful which any insured knew or had reason to know at the inception of treatment of individuals based upon race, this insurance; color, ethnic origin, gender, religion, age, or sexual preference. "Discrimination" (10)Asbestos, including loss, damage or does not include the unlawful treatment clean up resulting from asbestos or of individuals based upon developmental, asbestos containing materials; or physical, cognitive, mental, sensory or (11)Recall of "your products" that have emotional impairment or any no known or suspected defect solely combination of these. because a known or suspected e. This coverage does not apply if liability defect in another of "your products" coverage for "personal and advertising has been found. injury" Is excluded either by the provisions of b. The following is added to SECTION II - the Coverage Form or any endorsement LIABILITY, C. Who Is An Insured, paragraph thereto. 3.b.: 7. Product Recall Expense "Product recall expense" arising out of any a. SECTION 11 - LIABILITY, B. Exclusions, 1. withdrawal or recall that occurred before you Applicable To Business Liability Coverage, acquired or formed the organization. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its pern ,. tttekM,ngr",",en�lnn REVIEWED&APPR By: Ruk Management 5pedalut c. The following is added to SECTION II - LIABILITY, D. Liability and Medical Expenses Limits of Insurance: Product Recall Expense Limits of Insurance a. The Limits of Insurance shown in the SUMMARY OF COVERAGES of this endorsement and the rules stated below fix the most that we will pay under this Product Recall Expense Coverage regardless of the number of: (1) Insureds; (2) "Covered Recalls" initiated; or (3) Number of "your products" withdrawn. b. The Product Recall Expense Aggregate d. Limit is the most that we will reimburse you for the sum of all "product recall expenses" incurred for all "covered recalls" initiated during the policy period. c. The Product Recall Each Occurrence Limit is the most we will pay in connection with any one defect or deficiency. d. All "product recall expenses" in connection with substantially the same general harmful condition will be deemed to arise out of the same defect or deficiency and considered one "occurrence". e. Any amount reimbursed for "product recall expenses" in connection with any one "occurrence" will reduce the amount of the Product Recall Expense Aggregate Limit available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. f. If the Product Recall Expense Aggregate Limit has been reduced by reimbursement of "product recall expenses" to an amount that is less than the Product Recall Expense Each Occurrence Limit, the remaining Aggregate Limit is the most that will be available for reimbursement of "product recall expenses" in connection with any other defect or deficiency. g. Product Recall Deductible We will only pay for the amount of "product recall exppenses" which are in excess of the $500 Product Recall Deductible. The Product Recall Deductible applies separately to each "covered recall". The limits of insurance will not be reduced by the amount of this deductible. We may, or will if required by law, pay all or any part of any deductible amount, if applicable. Upon notice of our payment of a deductible amount, you shall promptly reimburse us for the part of the deductible amount we paid. The Product Recall Expense Limits of Insurance apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown in the Declarations, unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for the purposes of determining the Limits of Insurance. The following is added to SECTION II - LIABILITY, E. Liability and Medical Expense General Conditions, 1 Duties in the Event of Occurrence, Offense, Claim or Suit: You must see to it that the following are done in the event of an actual or anticipated "covered recall" that may result in "product recall expense": (1) Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled. Include a description of "your product" and the reason for the withdrawal or recall; (2) Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under this insurance. e. For the purposs of this endorsement, the following definitions are added to SECTION II - LIABILITY, F. Liability and Medical Expenses Definitions: 1. "Covered recall" means a recall made necessary because you or a government body has determined that a known or suspected defect, deficiency, inadequacy, or dangerous condition in "your product" has resulted or will result in "bodily injury" or "property damage". 2. "Product recall expense(s)" means: a. Necessary and reasonable expenses for: (1) Communications, including radio or television announcements or printed advertisements including stationary, envelopes and postage; 391-1006 0816 Includes copyrighted materials of Insurance Services Offices, Inc., with Its permit §g RhiMnwEenterit Divisimt RENEWED 6 APPROVED BY: —9�qaml—. Risk Management Specl:Yist (2) Shipping the recalled products from any purchaser, distributor or user to the place or places designated by you; (3) Remuneration paid to your regular "employees" for necessary overtime; (4) Hiring additional persons, other than your. regular "employees"; (5) Expenses incurred by"employees" including transportation and accommodations; Hanover Insurance Croup.. OH3A140814 1001727 (1) If the "products - completed operations hazard" is excluded from coverage under this Coverage Part including any endorsement thereto; or (2) To "product recall expense" arising out of any of"your products" that are otherwise excluded from coverage under this Coverage Part including endorsements thereto. 8. Unintentional Failure to Disclose Hazards (6) Expenses to rent additional warehouse or storage space; (7) Disposal of "your product', but only to the extent that specific methods of destruction other than those employed for trash discarding or disposal are g, required to avoid "bodily injury" or "property damage" as a result of such disposal, you incur exclusively for the purpose of recalling "your product` and b. Your lost profit resulting from such "covered recall". f. This Product Recall Expense Coverage does not apply: The following is added to SECTION II - LIABILITY, E. Liability and Medical Expenses General Conditions: Representations We will not disclaim coverage under this Coverage Part if you fail to disclose all hazards existing as of the inception date of the policy provided such failure is not intentional. Unintentional Failure to Notify The following is added to SECTION II - LIABILITY, E. Liability and Medical Expenses General Conditions, 2. Duties in the Event of Occurrence, Offense, Claim or Suit: Your rights afforded under this Coverage Part shall not be prejudiced if you fail to give us notice of an 'occurrence", offense, claim or "suit', solely due to your reasonable and documented belief that the "bodily injury", "property damage" or "personal and advertising injury" is not covered under this Policy. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 391-1006 08 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its pear ltlakMn,.genrnt ixWafwt Rtviawm & APrrtov® Br: �� Ruk Management SpedAist GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 Hanover Insurance Croup_ OHM40814 1001637 s s' 's'� a '= RNk ManagemattDMelmt REVIEWED&ArrxoV®BY: MEMIM-0' MManagement5peci.Mt 4 F Hanover Insurance Croup- OH3A140614 1001637 Dear Policyholder: As your local independent agent and on behalf of the employees of The Hanover Insurance Group from coast to coast, thank you for placing your insurance coverage with us. Since 1852 Hanover has provided quality insurance protection for businesses large and small. Today, nearly a million people insure their automobiles, homes, boats, businesses and more with one of Hanover's fine companies. Hanover has a very simple corporate goal: To provide affordable insurance to responsible safety -minded customers - customers like you. We are proud of the excellent rating Hanover has earned within our industry and of their reputation for treating customers responsibly. Your renewal policy has been prepared with care your new Declarations Page which illustrates your tection. If you have any questions, please contact us. Sincerely, Please take time to review it, including coverage selections and limits of pro - M�Mm R1ekMUA9MientDMs[an REAejvED6APPRO MBY. Risk Management Speadist m: Hanover Insurance Group- OH3A140814 1001637 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TRADE OR ECONOMIC SANCTIONS ENDORSEMENT This insurance does not apply to the extent that trade or economic sanctions or other laws or regulations prohibit us from providing insurance, including, but not limited to, the payment of claims. ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED. 401-1337 02 16 Includes copyrighted materials of Insurance Services Offices, Inc., with its permit a' „e '.Ly`ea xielrMnaganmtpirwan :. HEVIPw &APPRovEDBr: Acwafe Risk Management Specialist" e ThHano4YGroup- ,%ber Insurance O H3A140814 1001637 IMPORTANT INFORMATION ABOUT YOUR INSURANCE COMPANY The Home Office address for the Insurance Company shown on the policy Declarations page is: Allmerica Financial Alliance Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 Allmerica Financial Benefit Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 Campmed Casualty & Indemnity Company, Inc. (A Stock Company) 440 Lincoln Street Worcester. MA 01653-0002 Citizens Insurance Company of America (A Stock Company) 808 North Highlander Way Howell, MI 48843-1070 Citizens Insurance Company of Illinois (A Stock Company) 333 West Pierce Road, Suite 300 Itasca, IL 60143-3114 Citizens Insurance Company of the Midwest (A Stock Company) 9229 Delegates Row, Suite 100 Indianapolis, IN 46240-3824 Citizens Insurance Company of Ohio (A Stock Company) 4400 Easton Commons Way, Suite 125 Columbus, OH 43219-6223 401-1377 06 20 The Hanover American Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 The Hanover Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 The Hanover Casualty Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 Massachusetts Bay Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 The Hanover New Jersey Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 Varian Fire Insurance Company (A Stock Company) 440 Lincoln Street Worcester, MA 01653-0002 Nova Casualty Company (A Stock Company) 440 Lincoln Street Worcester. MA 01653-0002 Risk MffWgonnaDi aIm s REVIEWED&APPR BY: ® Risk klanagenww Sped Vu[ 4The z,,, Hanover ]nsurance Group_ 01-13A140814 1001637 THIS NOTICE IS PROVIDED IN RESPONSE TO THE DISCLOSURE REQUIREMENTS OF THE TERRORISM RISK INSURANCE ACT. THIS NOTICE DOES NOT GRANT COVERAGE OR CHANGE THE TERMS AND CONDITIONS OF COVERAGE UNDER THE POLICY. IF THERE IS A CONFLICT BETWEEN THIS NOTICE AND THE POLICY, THE PROVISIONS OF THE POLICY SHALL APPLY. DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT SCHEDULE DISCLOSURE OF PREMIUM: Total Terrorism Premium $ 5 0.0 0 Fire Fallowing Premium $ 15.00 Other than Fire Following Premium $ 110.00 Disclosure of Terrorism Coverage Available You are hereby notified that under the Terrorism Risk Insurance Act, as amended, you have a right to purchase insurance coverage for losses resulting from "acts of terrorism" defined in Section 102(1) of the Act as follows: Any act or acts that are certified by the Secretary of the Treasury, in accordance with the provisions of the federal Terrorism Risk Insurance Act, to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals, as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. The premium charged for this coverage is provided in the SCHEDULE above and does not include any charges for the portion of loss that may be covered by the Federal Government as described below. This premium has been added to your policy and unless this form is signed and returned to us to reject terrorism coverage, coverage for Certified Acts of Terrorism is provided by your policy. Your policy may contain other exclusions which could affect your coverage, such as an exclusion for Nuclear Events or Pollution. Please read your policy carefully. Note for Commercial Property or Commercial Inland Marine Policyholders in Standard Fire States: In Standard Fire states, terrorism exclusions make an exception for (and therefore provide coverage for)fire losses resulting from an act of terrorism. Any policyholder with a location that we insure in a Standard Fire State that rejects our offer of terrorism coverage in this form will still have coverage with us for fire losses resulting from an act of terrorism. Explanation of Premium If a dollar amount is shown for Fire Following Premium in the SCHEDULE above that means we insure a location of yours in a Standard Fire State. Fire Following Premium is shown in the SCHEDULE above regardless of whether a policyholder with a location that we insure in a Standard Fire State accepts or rejects terrorism coverage with us. Fire Following Premium represents the charge for the coverage we provide for fire losses resulting from acts of terrorism. Fire Following Premium does not include Other Than Fire Following Premium. All Other Than Fire Following Premium is shown in the Other Than Fire Following Premium field in the SCHEDULE above. If a dollar amount is shown for Other Than Fire Following Premium in the SCHEDULE above that means you have accepted terrorism coverage with us. Other Than Fire Following Premium represents the charge for terrorism coverage. Other Than Fire Following Premium does not include Fire Following Premium. If applicable, all Fire Following Premium is shown in the Fire Following Premium field in the SCHEDULE above. 401-1374 12 20 Includes copyrighted material of Insurance Services Office, Inc., with its permiE Wak Mmegemmt D"rvlslm, REVIEWED &APPROVED BY: A4juAiw44 Ruk Management Speoaiist 01 The dollar amount shown for Total Terrorism Premium in the SCHEDULE above represents the sum of premium for Fire Following Premium and Other Than Fire Following Premium. Disclosure of Federal Participation in Payment of Terrorism Losses The United States Government, Department of the Treasury, will pay a share of terrorism losses insured under the federal program. The federal share equals 80% of that portion of the amount of such insured losses that exceeds the applicable insurer retention. However, if aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year, the Treasury shall not make any payment for any portion of the amount of such losses that exceeds $100 billion. Cap on Insurer Participation in Payment of Terrorism Losses If aggregate insured losses attributable to terrorist acts certified under the Terrorism Risk Insurance Act exceed $100 billion in a calendar year and we have met our insurer deductible under the Terrorism Risk Insurance Act, we shall not be liable for the payment of any portion of the amount of such losses that exceeds $100 billion, and in such case insured losses up to that amount are subject to pro rate allocation in accordance with procedures established by the Secretary of the Treasury. Rejection of Terrorism Insurance Coverage* I decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism. ApplicanVPolicyholder Signature Print Name Date 'If this policy is a renewal and: HANOVER INSURANCE COMPANY Insurance Company 0H3-A140814-10 Quote or Policy Number a. You have previously submitted a signed Rejection, you are not required to submit an additional Rejection at this time; or b. You have previously accepted coverage and now wish to reject, you are required to complete and sign the Rejection of Terrorism Insurance Coverage above. 401.1374 12 20 Includes copyrighted material of Insurance Services Office, Inc., wlth Its permis: nevi hideManagem Dhislun REVIEWED & APPROVED Br. `rygr,.'^:L �� Risk Management SpeciAht Hanover Insurance Croup_ OH3A140814 1001637 IDENTITY THEFT RESOLUTION SERVICES (POWERED BY IDENTITY THEFT 911) Are you or your resident family members at risk for identity theft? Do you need expert assistance with an identity -related concern? IDENTITY THEFT RESOLUTION SERVICES from Identity Theft 911 give you one-on-one assistance in the following situations: Access Phone Number: 800-628.0250 If you or a resident family member suffer the loss or theft of private personal data, contact Identity Theft 911 for proactive guidance that can include Fraud Alert service. If you wish, a fraud specialist can assist and place a free fraud alert on your credit file to reduce the risk of fraudulent accounts opened in your name.This service also includes additional preventative measures and one-on-one assistance, depending on the risk. If you or a resident family member suffer the loss or theft of private personal data, contact Identity Theft 911 for Identity Restoration Case Management services. A fraud specialist will guide you through the process of restoring your identity and handle all of the work, including completed documentation and notification assistance. Victims also receive one year of credit monitoring, as well as free fraud monitoring of over 1,000 public databases. Learn How to Protect Your Identity We recommend that you regularly visit The Hanover Insurance Group and Identity Theft 911 comprehensive resource and knowledge library - www.hanover-identitytheft9ll.com - for the latest media alerts, identity theft tips, in-depth newsletters and much more. Keep this access information handy in case you ever need help with an identity -related problem. Access Phone Number: 800-628-0250 The Hanover Insurance Group makes no guarantee of results and assumes no liability in connection with either the information or assistance provided by Identity Theft 911. Any and all external Websites or cnnrnec refarrwrl to horein are for informational purposes only. 391-15851211 Copyright 2009, The Hanover Insurance Group s w.kManagmw,tohrietan REVIEWED & APPRowo BY: �, - Risk Management Specialist The Hanover Insurance Croup_ 0H3 A140814 1001637 Customer Notice of Privacy Policy and Producer Compensation Practices Disclosures Privacy Policy Disclosure Collection of Information We collect personal information so that we may offer quality products and services. This information may include, but is not limited to, name, address, Social Security number, and consumer reports from consumer reporting agencies in connection with your application for insurance or any renewal of insurance. For example, we may access driving records, insurance scores or health information. Our information sources will differ depending on your state and/or the product or service we are providing to you. This information may be collected directly from you and/or from affiliated companies, non-affiliated third parties, consumer reporting agencies, medical providers and third parties such as the Medical Information Bureau. We, and the third parties we partner with, may track some of the web pages you visit through cookies, pixel tagging or other technologies. We currently do not process or comply with any web browser's "do not track" signals or similar mechanisms that request us to take steps to disable online tracking. For additional information regarding online privacy, please see our online privacy statement, located at www.hanover.com Disclosure of Information We may disclose non-public, personal information you provide, as required to conduct our business and as permitted or required by law. We may share information with our insurance company affiliates or with third parties that assist us in processing and servicing your account. We also may share your information with regulatory or law enforcement agencies, reinsurers and others, as permitted or required by law. Our insurance companies may share information with their affiliates, but will not share information with non-affiliated third parties who would use the information to market products or services to you. Our standards for disclosure apply to all of our current and former customers. Safeguards to Protect Your Personal Information We recognize the need to prevent unauthorized access to the information we collect, including information held in an electronic format on our computer systems. We maintain physical, electronic and procedural safeguards intended to protect the confidentiality and integrity of all non-public, personal information, including but not limited to social security numbers, driver's license numbers and other personally identifiable information. Internal Access to Information Access to personal, non-public information is limited to those people who need the information to provide our customers with products or services. These people are expected to protect this information from inappropriate access, disclosure and modification. Consumer Reports In some cases, we may obtain a consumer report in connection with an application for insurance. Depending on the type of policy, a consumer report may include information about you or your business, such as: • character, general reputation, personal characteristics, mode of living; • credit history, driving record (including records of any operators who will be insured under the policy); and/or • an appraisal of your dwelling or place of business that may include photos and comments on its general condition. Access to Information Upon written request, we will inform you if we have ordered an investigative consumer report. You have the right to make a written request within a reasonable period for information concerning the nature and scope of the report and to be interviewed as part of its preparation. You may obtain a copy of the report from the reporting agency and, under certain circumstances, you may be entitled to a copy at no cost. Risk Mumgm adDivisim 231-0862 12 14 q RM Wn]6APPe ft Risk Management Specialist 5e You also may review certain information we have about you or your business in our files. To review information we maintain in our files about you or your business, please write to us, providing your complete name, address and policy number(s), and indicating specifically what you would like to see. If you request actual copies of your file, there may be a nominal charge. We will tell you to whom we have disclosed the information within the two years prior to your request. If there is not a record indicating that the information was provided to another party, we will tell you to whom such information is normally disclosed. There is information that we cannot share with you. This may include information collected in order to evaluate a claim under an insurance policy, when the possibility of a lawsuit exists. It may also include medical information that we would have to forward to a licensed medical doctor of your choosing so that it may be properly explained. Correction of Information If after reviewing your file you believe information is incorrect, please write to the consumer reporting agency or to us, whichever is applicable, explaining your position. The information in question will be investigated. If appropriate, corrections will be made to your file and the parties to whom the incorrect information was disclosed, if any, will be notified. However, if the investigation substantiates the information in the file, you will be notified of the reasons why the file will not be changed. If you are not satisfied with the evaluation, you have the right to place a statement in the file explaining why you believe the information Is incorrect. We also will send a copy of your statement to the parties, if any, to whom we previously disclosed the information and include it in any future disclosures. Our Commitment to Privacy In the insurance and financial services business, lasting relationships are built upon mutual respect and trust. With that in mind, we will periodically review and revise our privacy policy and procedures to ensure that we remain compliant with all state and federal requirements. If any provision of our privacy policy is found to be non -compliant, then that provision will be modified to reflect the appropriate state or federal requirement. If any modifications are made, all remaining provisions of this privacy policy will remain in effect. For more detailed information about our customer privacy policy (including any applicable state -specific policies) and our online privacy statement, visit our Web site, located at www.hanover.com Further Information If you have questions about our customer privacy policy (including any applicable state -specific policies) or our online privacy statement, or if you would like to request information we have on file, please write to us at our Privacy Office, N435, The Hanover Insurance Group, Inc., 440 Lincoln Street, Worcester, MA 01653. Please provide your complete name, address and policy number(s). A copy of our Producer Compensation Disclosure is also available upon written request addressed to the attention of the Corporate Secretary, N435, The Hanover Insurance Group, 440 Lincoln Street, Worcester, MA 01653. Producer Compensation Disclosure Our products are sold through independent agents and brokers, often referred to as "Producers." We may pay Producers a fixed commission for placing and renewing business with our company. We may also pay additional commission and other forms of compensation and incentives to Producers who place and maintain their business with us. Details of our Producer compensation practices may be found at www.hanover.com This notice is being provided on behalf of the following Hanover Companies: The Hanover Insurance Group, Inc. - Allmerica Financial Alliance Insurance Company - Allmerica Financial Benefit Insurance Company - Allmerica Plus Insurance Agency, Inc. - Citizens Insurance Company of America - Citizens Insurance Company of Illinois - Citizens Insurance Company of the Midwest - Citizens Insurance Company of Ohio - Citizens Management, Inc. - AIX Ins. Services of California, Inc: Campania Insurance Agency Co. Inc. - Campmed Casualty & Indemnity Co. Inc. - Chaucer Syndicates Limited- Educators Insurance Agency, Inc. - Hanover Specialty Insurance Brokers, Inc. - The Hanover American Insurance Company - The Hanover Insurance Company - The Hanover New Jersey Insurance Company - The Hanover National Insurance Company - Hanover Lloyd's Insurance Company - Massachusetts Bay Insurance Company - Opus Investment Management, Inc. - Professionals Direct Insurance Services, Inc. -Professional Underwriters Agency, Inc. - Varian Fire Insurance Company - Nova Casualty Company - AIX Specialty Insurance Company. 231.08621214 tE4,E an g movEDBY. a - Rentwm ^6APPRO^V@9/Y: a R� ♦�GWUW Risk Management Speo gist OH3A140814 1001637 4Hanover 1nsurance Group_ Your Avenues Businessowners Insurance Policy � 0 REVIEWED&APPRo/®BY: A.., 4 AvW- Risk Management Specialist 33 BUSINESSOWNERS DECLARATION BUSINESSOWNERS RENEWAL DECLARATIONS RENEWAL OF OH3 A140814 Hanover Insurance Croup_ Policy Number Policy Period From To Coverage is Provided in the Agency Code OH3-A140814-10 10/31/2021 10/31/2022 HANOVER INSURANCE COMPANY 100163700 Named Insured and Address GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 Agent 951-36M700 GALLANT RISK & INSURANCE SERVICES INC. 4160 TEMESCAL CANYON RD CORONA, CA 92883 Policy Period: Beginning and Ending at 12:01 a.m. Standard Time at the Location of the Described Premises. Business Type: PARTNERSHIP. Mortgagee/Loss Payable: SEE ADDITIONAL INTEREST SCHEDULE Business of the Named Insured: OFFICE. In consideration of the premium, insurance is provided the Named Insured with respect to those premises described in the Schedule below and with respect to those coverages and kinds of property for which a specific Limit of Insurance is shown, subject to all of the terms of this policy including forms and endorsements made a part hereof: LOCATION SCHEDULE Described Premises: NO. 001 001 500 N BRAND BLVD STE 1850, GLENDALE, CA 91203 NO. 002001 3610 14TH ST 2ND FLOOR, RIVERSIDE, CA 92501 SECTION I - PROPERTY LIMITS OF INSURANCE Loc No 001 Bldg No 001 Loc No 002 1 Bldg No 001 Loc No Bldg No Deductible Amount $ 1,000 $ 1,000 $ Building Amount Valuation NOT COVERED NOT COVERED Business Personal Property Valuation $ 188, 604 RC $ 200,557 RC Business Income ACTUAL BUSINESS LOSS SUSTAINED NOT EXCEEDING 12 CONSECUTIVE MONTHS Business Income Waiting Period Excluded / None / 24 hours / 48 hours 172 hours 48 HOURS SECTION II - LIABILITY I LIMITS OF INSURANCE Liability and Medical Expenses Limits of Insurance: Except for Damage to Premises Rented to You, each paid claim for the following coverages reduce the Amount of Insurance we provide during the applicable annual period. Please refer to SECTION 11- LIABILITY, D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE, paragraphA. of the Businessowners Coverage Form. Liability and Medical Expenses Limit 1 $ 2, 000, 000 Per Occurrence $ 4,000,000 Aggregate Medical Expenses $ 5, 000 Each Person Damage to Premises Rented to You $ 300,000 All Perils Date Issued: 08/27/2021 ORIGINAL/INSURED Payment Type: DIRECT 391-1002 08 16 "Managmiml.Divitlon o' RMEWM&APPaovEDft 4 L ? A ju .-99�RM—, R6k Management speamst 33 BUSINESSOWNERS DECLARATION BUSINESSOWNERS RENEWAL DECLARATIONS RENEWAL OF OH3 A140814 Hanover Insurance Group_ Policy Number Policy Period From To Coverage is Provided in the Agency Code OH3-A140814-10 10/31/2021 10/31/2022 1 HANOVER INSURANCE COMPANY 100163700 Named Insured and Address GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 Agent 951-368-0700 GALLANT RISK & INSURANCE SERVICES INC. 4160 TEMESCAL CANYON RD CORONA, CA 92883 Additional Property Coverages and Extensions: See attached Schedule for Additional Coverages provided for under this Policy. Additional Liability Coverages: General Liability Broadening Endorsement General Liability Class: 85097 Description: ATTORNEYS OFFICES Liability Exposure: 2,400 Sq.FT Policy Forms, Endorsements and Optional Coverages Attached: See Forms and Endorsements Schedule TOTAL BOP COVERAGE PREMIUM: $2,509.00 BOP TERRORISM COVG (INCLUDED IN TOTAL POLICY PREMIUM) $ 15.00 OTHER THAN FIRE FOLLOWING NOT COVERED FIRE FOLLOWING $ 15.00 TOTAL UMBRELLA COVERAGE PREMIUM: $1.275.00 UMB TERRORISM COVG (INCLUDED IN TOTAL POLICY PREMIUM) NOT COVERED TOTAL POLICY PREMIUM IS: $3,784.00 Countersigned this Day of Authorized Representative This Declarations Page with the Policy Contract, Forms and Endorsements. if anv. Complete the Policy. 11 Date Issued: 08/27/2021 391-1002 0816 ORIGINAUINSURED Payment Type: DIRECT BILL �ft Risk Muwg�nenEDi�irlmt REVIEWED&APPROVEDSY. Ruk Management Spea alist 33 2,-` 4 Hanover Insurance Group - ADDITIONAL INTEREST SCHEDULE BUSINESSOWNERS RENEWAL DECLARATIONS RENEWAL OF OH3 A140814 Named Insured and Address GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 CANON FINANCIAL SERVICES, INC., LEASE NO: 0010737411001 PO BOX 3547 BELLEVUE, WA 98009 CANON FINANCIAL SERVICES, INC., LEASE NO: 0010737411001 PO BOX 3547 BELLEVUE, WA 98009 T&C BUILDING 3610 14TH ST., #2 RIVERSIDE, CA 92501 Form 391-1014 (7-99) Date Issued: 08/27/2021 HANOVER INSURANCE COMPANY Agent 951-36M700 GALLANT RISK & INSURANCE SERVICES INC. 4160 TEMESCAL CANYON RD CORONA, CA 92883 Interest Type LOSS PAYEE LOSS PAYEE MORTGAGEE ORIGINALIINSURED Location Building 001 01 002 01 002 01 Rh'k Mmwgoneit DMstan BE,AEWED & APPROVED BY: Risk Management Spetl yisl Hanover Insurance Croup_ ADDITIONAL PROPERTY COVERAGES AND EXTENSIONS BUSINESSOWNERS RENEWAL DECLARATIONS 33 RENEWAL OF OH3 A140814 Policy Number Policy Period From To Coverage is Provided in the Agency Code OH3-Al,0814 10 10131/2021 10/31I2022 HANOVER INSURANCE COMPANY 100163700 Named Insured and Address GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 Additional Property Coverages & Extensions DEBRIS REMOVAL PRESERVATION OF PROPERTY FIRE DEPARTMENT SERVICE CHARGE POLLUTANT CLEAN-UP AND REMOVAL MONEY ORDERS AND COUNTERFEIT MONEY FORGERY OR ALTERATION GLASS EXPENSES REWARDS ARSON, THEFT AND VANDALISM TENANT SIGNS FIRE PROTECTION EQUIPMENT RECHARGE INSTALLATION FLOATER FINE ARTS FENCE AND WALLS SALES REPRESENTATIVE SAMPLES LEASEHOLD INTEREST (TENANTS ONLY) UNAUTHORIZED BUSINESS CREDIT CARD USE UTILITY SERVICES DIRECT DAMAGE BUSINESS INCOME DEFERRED PAYMENTS NEWLY ACQUIRED OR CONSTRUCTED PROPERTY BUILDINGS PERSONAL PROPERTY BUSINESS INCOME AND EXTRA EXPENSE OUTDOOR PROPERTY -TREES, SHRUBS AND PLANTS-$1,000 EACH ITEM Form 391-1018 (7-02) Date Issued: 08/27/2021 Agent 951-368-0700 GALLANT RISK & INSURANCE SERVICES INC. 4160 TEMESCAL CANYON RD CORONA, CA 92883 Deductible NONE NONE NONE NONE $500 $500 $250 NONE $500 NONE $1,000 $500 SEE BUILDING AND CONTENTS DEDUCTIBLE $1,000 NONE NONE $500 24 HOURS NONE $500 $500 SEE WAITING PERIOD $500 Amount Included $25, 000 90 DAYS $25,000 $25,000 $5,000 $25,000 INCLUDED $10,000 $5, 000 $25, 000 $5,000 $10,000 INCLUDED $5,000 $10,000 $5,000 $10, 000 $5,000 $5, 000 180 DAYS $1,000,000 $500,000 $250,000 $10,000 Additional Amount Increase N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Total Limit $25,000 90 DAYS $25,000 $25,000 $5,000 $25, 000 INCLUDED $10, 000 $5,000 $25,000 $5,000 $10,000 INCLUDED N/A $5, 000 N/A $10,000 N/A $5, 000 N/A N/A $10,000 N/A $5,000 N/A $5,000 N/A 180 DAYS N/A $1,000,000 N/A $500,000 N/A $250,000 N/A $10, 000 RIAREM qED A` UAmd. Risk Management Specialist = ORIGINALIINSURED Hanover Insurance Group_ ADDITIONAL PROPERTY COVERAGES AND EXTENSIONS BUSINESSOWNERS RENEWAL DECLARATIONS 33 RENEWAL OF OH3 A140814 Policy Number Policy Period From To Coverage is Provided in the Agency Code OH3-A140814-10 10/31/2021 10/31/2022 HANOVER INSURANCE COMPANY 100163700 Named Insured and Address GRAVES & KING, LLP P.O. BOX 1548 RIVERSIDE, CA 92502 Additional Property Coverages & Extensions PERSONAL EFFECTS INVENTORY AND LOSS APPRAISAL KEY REPLACEMENT AND LOCK REPAIR APPURTENANT STRUCTURE PERSONAL PROPERTY IN TRANSIT EXTENDED BUSINESS INCOME EMPLOYEE THEFT INCLUDING ERISA COMPLIANCE COMMERCIAL TOOLS AND SMALL EQUIP PERSONAL PROPERTY OFF PREMISES BUSINESS INCOME FROM DEPENDENT PROPERTIES TERRORISM INTERRUPTION OF COMPUTER OPERATIONS BUSINESS PERSONAL PROPERTY TEMPORARILY IN PORTABLE STORAGE UNITS CIVIL AUTHORITY COMPUTERAND FUNDS TRANSFER FRAUD LIMITED COVERAGE FOR FUNGI, WET ROT, OR DRY ROT PAVED SURFACES TENANT BUILDING COVERAGE - REQUIRED BY LEASE TENANT BUSINESS PERSONAL PROPERTY COVERAGE - REQUIRED BY LEASE Form 391-1018 (7-02) Date Issued: 08/27/2021 Agent I .:_I r, GALLANT RISK & INSURANCE SERVICES INC. 4160 TEMESCAL CANYON RD CORONA, CA 92883 Deductible $500 NONE NONE $500 $1,000 $1,000 $500 $1,000 72 HOURS SEE BUILDING AND CONTENTS DEDUCTIBLE SEE WAITING PERIOD $500 72 HOURS $500 $500 $500 $500 $500 ORIGINAUINSURED Amount Included $10,000 $10,000 $1,000 $50,000 $10,000 30 DAYS $10,000 $5,000 $50,000 $5, 000 SAME AS PROPERTY LIMITS OF INSURANCE IF COVERED $10, 000 $25,000 4 WEEKS $5,000 $50,000 $25, 000 $25,000 $25,000 Additional Amount Increase N/A N/A N/A N/A N/A N/A N/A Total Limit $10, 000 $10, 000 $1, 000 $50, 000 $10, 000 30 DAYS $10, 000 N/A $5,000 N/A $50,000 N/A $5,000 N/A SAME AS PROPERTY LIMITS OF INSURANCE IF COVERED N/A $10, 000 N/A .$25,000 N/A 9 WEEKS N/A $5,000 N/A $50,000 N/A $25,000 N/A $25, 000 N/A $25,000 . _ RJAMw4gMwdDhgs1vn Pt EweD&APPROVm Br. A-fe ActV44 ��' Risk Management Spetl list Rb&kMvAVwtmdDMdon - REVIEWED Risk Management SpedAist From:City of Santa Ana To:St Clair, Suzanne; Quintana, David; hwimer@gravesandking.com; pglever@gravesandking.com Subject:Internal Notice of Compliance Date:Wednesday, November 1, 2023 5:17:07 PM NOTICE OF COMPLIANCE CITY STAFF: PRINT THIS PAGE AND INCLUDE WITH AGREEMENT TO THE CLERK OF THE COUNCIL Contractor Graves & King, LLP Name: Project N-2022-102 Number: Project Legal Services Agreement With Graves & King LLP Name: The Certificate of Insurance (COI) submitted indicates that the coverages are in compliance with the insurance requirements. No further action is required at this time. The compliant coverage(s) are: POLICYEXPIRATION TYPE OF INSURANCECOI DATEFILE NAME NUMBERDATE City of Santa PROFESSIONAL LIABILITYLAW204840411/01/202410/17/2023 Ana.pdf Thank you, City of Santa Ana Risk Management Division in partnership with CTrax Plus Services Team 11/1/2023 8:16 PM