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HomeMy WebLinkAboutBANNAN, GREEN, FRANK & TERZIAN 1A-2008maURANCE NT— ON FILE A- 2006 - 007 -01 WORK MAY NOT PROCEED CLERK OF COUNCIL DATE, la -I� —og �'. CAD(2� Ik. rc� ASSUMPTION OF BANNAN GREEN FRANK & TERZIAN AGREEMENT BY BURKE WILLIAMS & SORENSEN, LLP THIS ASSUMPTION OF AGREEMENT, is made and entered into this (date of merger), 2008 by and between the Barman, Green, Frank & Terzian, LLP (hereinafter "BGFT") and Burke Williams and Sorensen (hereinafter "BWS "). RECITALS A. BGFT contracted with the City of Santa Ana, a charter city and municipal corporation of the State of California ( "City "), through that certain Agreement dated January 3, 2006 whereby BGFT agreed to provide professional legal services to the city (hereinafter "said Agreement "). B. BWS desires to assume the rights and responsibilities of BGFT pursuant to said Agreement. NOW THEREFORE, in consideration of the mutual and respective promises, the parties agree as follows: 1. ASSUMPTION AND AMENDMENT TO AGREEMENT BGFT hereby assigns to BWS, all of BGFT's rights and responsibilities set forth in said Agreement, attached hereto as Exhibit A and incorporated by this reference. BWS hereby assumes the rights and responsibilities of BGFT pursuant to said Agreement. Any notices as required pursuant to paragraph 10 of said agreement shall be sent as follows: To BWS: Richard Terzian, Esq. BURKE, WILLIAMS & SORENSEN, LLP 444 South Flower Street Suite 2400 Los Angeles, CA 90071 Telefacsimile (213) 236 -2700 2. CITY ACKNOWLEDGEMENT City acknowledges that BGFT has assigned its rights and responsibilities to BWS and agrees that City will pay BWS for professional legal services provided to City pursuant to said Agreement. The responsibilities and obligations set forth in said Agreement shall be performed on behalf of, and at City's request. BGFT shall have no further responsibility to City pursuant to said Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Assumption of Agreement the date and year first above written. Page 1 of 2 C%Documents and Settings \Pelletier -K \Local Settingsgemporary Internet FileslOLKI DI lbws assumption of legal agreement (2).ducx BANNAN, GREEN, FRANK & TERZIAN Ric and R. Terzian Partner BURKE, WILLIAMS & SORENSEN, LLP Richard R. Terzian Partner ACKNOWLEDGED AND AGREED: CITY OF SANTA ANA Aehtt letcher ey Ur u ��In;i i ' David City Manager ATTESTAt PA CLERK OF THE COUNCIL Page 2 of 2 CADocuments and Settings\pelletier -K \Local Setlingsuemporary Internet Files\OLK IWbws assumption of legal agreement (2).docx COTC PROCESSING FORM i« AGREEMENTS AND AMENDMENTS TO: CLERK OF THE COUNCIL OFFICE MAIL STOP: FROM: DEPT.: - b 11, —� ` EXT.: ., ^ iorr RAAnlAr;FR' i t,Yi1�, AGREEMENT NUMBER (if amendment)o -- AN ,ST ❑ 2ND ❑ 3RD ❑ AMENDMENT NUMBER (if applicable): —� - -- NAME OF CONSULTANT! AMOUNT: ❑ OVER $25,000" (A) COUNCIL APPROVAL DATE: TERM OF AGREEMENT- EFFECTIVE DATE: SIGNATURES REQUIRED: INSURANCE REQUIRED: COMMENTS: ADDITIONAL REMARKS: VENDOR CITY ATTORNEY ❑ YES ❑ UNDER $25,000' (N) ITEM #: ❑ AUTO ❑ PROFESSIONAL LIABILITY ❑ PROCESS ❑ for TERMINATION DATE: AGENCY ❑ OTHER ❑ NO (Provide City Attorney Office approval) ❑ CGL (Commercial General Liability) ❑ WORKERS COMPENSATION DO NOT F MISS ❑ INF01 ❑ MISS ❑ NEE[ ❑ OTHE p ✓� >�ywl�2� DATE (MMIDDIYYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 12/24/2008 ODucER 805 "493.5401 THIS CERTIFICATE IS 15SUED AS A MATTER OF INFORMATION PRIMARY &EXCESS INS SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR EMAIL: BESSEYQPRIMARYINS.COM ,« Po BOX 2002 THOUSAND OAKS, CA 91358 -2002 INSURED BURKE, WILLIAMS & SORENSEN, LLP 444 S. FLOWER ST., SUITE 2400 LOS ANGELES, CA 90071 INSURERS AFFORDING COVERAGE I NAIC # INSURER A: INSURER B' INSURER.C: UNDERWRITERS AT LLOYDS, LONDON INSURFR 0' OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, FX(,LUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR DD' POLICYNUMBER (MMfDDIYYI POATmFlM mlDDTY$ LIMITS R ' EACH OCCURRENCE _ $ GENERAL LIABILITY cGMMERCIALGENERALLABILITY PREMISES Esa rence F--!, r CLAIMS MADE l ^• OGOUR MEO EXP(/wy one person) E PERSONALB ADV INJURY i5 ___ GE�NERALAG�G REGATE S GEN PRODU' CT9 oCO MPIOPAGG 'L AGGREGATE LIMIT APPLIES PER: PRO, IOc POLICY AUTOMOHIL.E LIABILITY COM RINED SINGLE LIMIT 15 (Ea aocideni} ANY AU 10 ALI "O WNED AUTOS - BODII INJURY (Per percun) k SCHEDULEDAUTOA RODILY dont HIRED AUTOS (Per ILY INJURY S NON.0 WN E D AUT O F PROPERTY DAMAGE i - (Peraacident) I I AU TO ONLY, PAACCIDENT S _ I GARAGE LIABILITY ANYAUTO OTHER THAN LAACC ;S AUTOONLY: AGG f i EACH OCCURRENCE S __ E %CESSlUMBRELLA LIADILITY OCCUR CLAIMSMADE AGGREGATE _ $ _ a ❑EOUGTHILE S RETENTION S TORYLAIU> �H WORKERS COMPENSATION AND RMPLOYERS'LIABILITY E.L.EAIi ACCIDENT S ANY PROPRIETCR/PARTNERIE%ELUTIVE E1. DISEASE r EA EMPLOYEE I-s OFFICF.RIME MEER EXCLUGED7 ifyas, d efu'ibeundet E.L. DISEASE ,POLICY LIMIT S SPEGIAt PROVISIONS bsl. _.. OTHER C LAWYERS PROFESSIONAL BD 595 EO 600990 2008 1115/2008 1/15/2009 LIMIT: $10,000,000 PER CLAIM AND LIABILITY INSURANCE I BO 595 EO 065670 2009 1/1512009 1/15/2010 ANNUAL AGGREGATE; SIR: $250,000 DLSCRIPTION OF OPERATIONS I LOCATIONS) VEHICLES) EXCLUSIONS ADDED aY ENDORSEMENT I SPECIAL PROVISIONS NOTE: RETROACTIVE DATE OF 9 -1 -2006 APPLIES TO PRIOR ACTS OF PRIOR FIRM OF BANNAN, FRANK AND TERZIAN" l=tK1Ir Wl11 C nv �ucn -- SHOULDANY OF THE ABOVC DESCRIBED POLICIES BE vCAyNCCLyLEO BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER VALLAADERMUYNYAyIL�/y3�f(Y) DYyDAYY�S[ WRITTEyNN CITY OF SANTA ANA NOTICE TO LHE CERTIFICATE HOLDER NAMED TO THE LEFY..UrQ 4fC+Jfc Wya* L2 ATTM INDHIRA GAGNON *Y'v�!y��YM1�&MyYjMXXXXXXXXX Safi d4 i d �c?� 20 CIVIC CENTER PLAZA, 7TH FLOOR �FtEpIiE`Skvp;m SANTA ANA, CA 92702 AUTHORRED REPRESENTATIVE A. BesseZ CPCU ACORD CORPORATION 1988 ACORD 25 (2801108) Jose Sandomal - Senior Assistant City Attorney From: Gagnon, Indhira Monday, December 29, 2008 9:28 AM Sent: Amici, Sandra To: COI A 2006- 007 -01 Subject: COI Bannan- Burke.pdf Attachments: Good morning. Here is the COI for A2006- 007 -01. changed thear name buBt s the lalme firm. and Sorenson youosave the same agreement and merged with them and they Burke ? Thanks, Indhira 1)-wo(o -oo-7 v l 4- O CERTIFICATE OF LIABILITY �� INSURANCE DATE 07 /302009 Y) 07/30/2009 PRODUCER 805.493.5401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRIMARY & EXCESS INS SERVICES, INC. CA LICENSE OD06518 PO BOX 2002 THOUSAND OAKS, CA 91358 -2002 - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COV G AFFORDED BY THE POLICIES BELOW. .,_ F .._ ;I 3 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: HARTFO jMSUALTYCOMPANY( LIMITS INSURER B: X BURKE, WILLIAMS & SORENSEN, LLP 444 S. FLOWER ST., SUITE 2400 INSURERC: UNDERWRITERS AT LLOYDS, LbftON INSURER D: EACH OCCURRENCE LOS ANGELES, CA 90071 INSURER E: S 300,000 MED EXP(An_y one person) COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE DATE MMIDDNYYYj P0UCYEXPIRATION DATE IMMIDDPPYYMI LIMITS A X GENERA- LIABILITY X COMMERCIALGENERALLIABILITY CLAIMS MADE OCCUR 72 UUN UR 4713 FORM HIS 00010605 8/1/2009 8/1/2010 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISESjEaoccurreoce ) S 300,000 MED EXP(An_y one person) $ 10,000 PERSONAL& ADV INJURY S 1,000,000 X AUTOMATIC ADD'L ! SEE REMARKS (1) GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER CX PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY 11 FIP X LOO • AUTOMO BI LE LIABI LITY ANY AUTO 72 UUN UR 4713 009 8/1/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $� ALL OWNED AUTOS SCHEDULED AUTOS APP 0,14 IVIED T f ,'I� BODILY INJURY (Per addid.nn —__ $ X HIREDAUTOS NON -OWNED AUTOS _. X JOSE W. FLE TT NE ER PROPERTY DAMAGE (Per addMant) $ _G_A_RAGELIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ ANY AUTO $ AUTO ONLY qGG • EXCESS I UMBRELLA LIABILITY X OCCUR F CLAIMS MADE 72 XHU UR 1585 6/1/2009 ! 8/1/2010 EACH OCCURRENCE $ 10,000,000 AGGREGATE I $ 10,000,000 $ DEDUCTIBLE $ RETENTION S WORKERS COMPENSATION �( AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEMMEMBER EXCLUDED? (Mandatory In NH) If yes, descrilue uner I SPECIAL PROVISIIONS below " SPECIFIC EMPLOYERS' CERTIFICATE IS ISSUED BY ISU I STANTON INS" 4/1/2009 4/1/2010 i WC STATU- 'OTH- — X'- jQgYLIMITS E.L. EACH ACCI DENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE$ 1,000,000 E.L. DISEASE POLICY LIMIT $ 1,000,000 OTHER C LAWYERS PROFESSIONAL BO 595 EO 065670 2009 111512009 1/15/2010 LIMIT: $10,000,000 PER CLAIM AND LIABILITY INSURANCE ANNUAL AGGREGATE; SIR: $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS NOTEW GENERAL LIABILITYPOLICYEXCLODES PROFESSIONAL SERVICES- REFER TO LAWYERS PROFESSIONAL LIABILITYPOLICY NOTWITHSTANDING THE EXCLUSION IN NOTE (1), PARTIES WITH WRITTEN CONTRACTS WITH INSURED ARE AUTOMATICALLY INCLUDED AS ADDITIONAL INSUREDS UNDER HARTFORD'S COMMERCIAL GENERAL LIABILITY POLICY FORM HG 0001 0605 INCLUDING PROVISIONS FOR PRIMARY /NON - CONTRIBUTORY INSURANCE, SEPARATION OF INTERESTS, AND WAIVER OF SUBROGATION TO THE EXTENT THAT COVERAGE MAYBE PROVIDED UNDER THAT POLICY POLICIES, ENDORSEMENTS, CLARIFICATIONS AND / OR ADDITIONAL DOCUMENTATION IS AVAILABLE UPON REQUEST CERTIFICATE HOLDER CANCELLATION ACORD 25 (2009101) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and Joao are realstered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, THE ISSUING INSURER WILL X9G )W)(XO MAIL 30 DAYS WRITTEN INDHIRA GAGNON I OFFICE OF THE CITY CLERK NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT )*X*X)(9pQJF}EX)%89XCC 200 CIVIC CENTER PLAZA, 7TH FLORR afii�2199iD�615ffi➢( dGd6)( k�O��> bCXdD6XAQd4X�klfkLlflYi €KXJIMkPf#i(D.�( SANTA ANA, CA 92702 Ax*x*xy&yMCxXXXXXXXXXXX AUTHORIZED REPRESENTATIVE IS/ John A. Bessey, CPCU ACORD 25 (2009101) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and Joao are realstered marks of ACORD ACORD CERTIFICATE OF LIABILITY INSURANCE F DATE(MM /DDIYYYY) PRODUCER (818)889 -2155 FAX (805)379 -4198 ISU Insurance Services License #01350569 Stanton & Associates 3625 Thousand Oaks Blvd #319 Westlake Village, CA 91362 INSURED Burke, Williams & Sorensen, LLP 444 S. Flower Street Suite 2400 Los Angeles, CA 90071 COVERAGES 04/07/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE I NAIC # INSURERA: Employers Compensation Ins Co INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LT DD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYYYY POLICY EXPIRATION DATE MM /DD /YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE 1:1 OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PRO- JECT LOC PRODUCTS - COMP /OP AGG $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per person) $ HIRED AUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ Cf Sm`_ ary o 1 �7 j$ / (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO Item has e / (J AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ $ AUTO ONLY: AGG EXCESS / UMBRELLA LIABILITY OCCUR ❑ CLAIMS MADE Approved: Date; / EACH OCCURRENCE $ AGGREGATE $ $ DEDUCTIBLE $ A RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE CUTIVE❑ OFFICER /MEMBER EXCLUDED? FN 0320961 -07 O4 /O1� 2J1U A r� O1 /2011 W STATU- OTH- X TO LIMITS ER $ E.L. EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 11000,000 SPECIAL PROVISIONS below OTHER E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS 0 -day NOC due to non - payment of premium aiver of Subrogation applies CFPTIFIrtATF LJrm r1C0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Indhi ra Gagnon IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20 Civic Center Plaza, 7th Flr REPRESENTATIVES. Santa Ana, CA 92702 %.�ORIAZEDJRV RESETATIVE L�""� ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All riahtc resPrvPr1 The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/Y0 01 /15/2010 PRODUCER 805.493.5401 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRIMARY & EXCESS INS SERVICES, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE EMAIL: BESSEY @PRIMARYINS.COM HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO BOX 2002 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THOUSAND OAKS, CA 91358 -2002 INSURERS AFFORDING COVERAGE INSURED NAIC # INSURERA: HARTFORD CASUALTY COMPANY BURKE, WILLIAMS & SORENSEN, LLP INSURERB: 444 S. FLOWER ST., SUITE 2400 INSURER C: UNDERWRITERS AT LLOYDS, LONDON LOS ANGELES, CA 90071 INSURER D: COVERAGES INSURER E: 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID SR DD' CLAIMS. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION D TE MM A M A X GENERAL LIABILITY LIMITS X COMMERCIAL GENERAL LIABILITY 72 UUN UR 4713 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 8/1/2009 8/1/2010 PREMISES 300,000 CLAIMS MADE F OCCUR FORM HIS 0001 0605 Ea occurrence $ X AUTOMATIC ADD'L MED EXP (Any one person) $ 10,000 X SEE NOTE (1) PERSONAL &ADV INJURY_ $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY PRO PRODUCTS - COMP /OP AGG $ 2,000,000 X LOG A AUTOMOBILE LIABILITY ANY AUTO 72 UUN UR 4713 COMBINED SINGLE LIMIT 1,000,000 8/1/2009 8/1/2010 (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) X HIREDAUTOS NON -OWNED AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY: A EXCESS 1 UMBRELLA LIABILITY AGG $ EACH OCCURRENCE $ 10,000,000 X OCCUR CLAIMS MADE 72 XHU UR 1585 8/1/2009 811/2010 AGGREGATE $ 10,000,000 DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY ANY PROPRI ETOR/PARTNER/EXECUTIVE YIN SPECIFIC EMPLOYERS' 4/1/2009 4/1/2010 X WCY TATUS OER E.L.E ACCIDENT $ 1,000,000 OFFICER/MEMSER EXCLUDED? (M NH) CERTIFICATE IS ISSUED SEASE - EA EMPLOYEE $ 1,000 000 es describe yes, describe under BY ISU / STANTON INS ' S SPECIAL PROVISIONS below OTHER ISEASE - POLICY LIMIT $ 1,000,000 C LAWYERS PROFESSIONAL LIABILITY INSURANCE BO 595 EO 070330 2010 1/15/2010 1/15/2012 LIMIT: $10,000,000 PER CLAIM AND ANNUAL AGGREGATE, SIR: $250,000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS i NOTE (1) GENERAL LIABILITY POL ICY EXCLUDES PROFESSIONAL SERVICES- REFER TO LAWYERS PROFESSIONAL L/ABILTI'YPOLICY NOTWI,THS ANDING°Fkfl1EXC SIO 1N NpTE WRITTEN CONTRACTS W77H INSURED ARE AUTOMATICALLY INCLUDED AS ADDITIONAL INSUREDS (1), PARTIES WITH ' a UNDER HARTFORD'S COMMERC / P 001 0605, INCLUDING PROVISIONS FOR PRIMARY /NON - CONTRIBUTORY INSURAN6E17$EPARA RON OF INTERESTS, AND WAIVER OF SUBROGA 7ION TO THE ' POLICIES, ENDORSEMENTS, CLARIFlCAI "IONS. AND /ORADDfT1OrV.4l DOCUMENTATION IS AVAILABLE EXT NT 7HAT C 'j'hyryl(i#�Fwa vaaa�QllVi UNDER THAT POLICY. UPON REQUEST. Q 'stant J s Cit /�ti ij,* CERTIFICATE HbLAER CANCELLATION _ II t SHOULD ANY OF THE ABOV DE I IE EC ED BEFORE THE EXPIRATION CITYtb� SANTO ANA �^ DATE THEREOF, THE ISS G E o AIL 30 DAYS WRITTEN ATTN: INDHIRA GAGNON NOTICE TO THE CERTIFIC T A T LEFT j(XM( 20 CIVIC CENTER PLAZA, 7TH FLOOR )w)( w)bU QDGx A€g+`;Dfkwx SANTA ANA, CA 92702 a w)*a li%xvj* CXXX X AUTHORIZED REPRESENTATI J FI isl John A. Besse ACORD 25 (2009!01) ,�PCU' ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and loao are reaistered marks of ACORD c OR T. CERTIFICATE OF LIABILITY INSURANCE D 07/30/2010Y) PRODUCER Serial # 100176 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRIMARY & EXCESS INSURANCE SERVICES, INC. BESSEY @PRIMARYINS.COM T: 805.493.5401 F: 805.492.0652 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 2002 THOUSAND OAKS, CA 91358 -2002 INSURERS AFFORDIN V NAIC# INSURED INSURER A: HARTFORD AS M BURKE, WILLIAMS & SORENSEN, LLP INSURER B: 444 S. FLOWER ST., SUITE 2400 INSURER C: UNDERW _t AT LLOYDS, LON LOS ANGELES, CA 90071 INSURER D: ULL =1 INSURER E: COVERAGES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE u OCCUR 72 UUN UR 4713 FORM HG 0001 0605 8/1/2010 8/1/2011 DAMAGEToRENTED $ 300,000 MED EXP (Anyone person ) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 X ADD'L INSD X SEE REMARKS (1) GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 PRO- X POLICY F1 JJE LOC XXXXXXXXXXXXXX A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS 72 UUN UR 4713 P`s ppp 8/1/2010 O FORM 8/1/2011 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 (Peril r INJURY person) $ X HIRED AUTOS X NON -OWNED AUTOS �- JOSEp Q_T T ETCHER RN' BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ R ANY AUTO $ AUTO ONLY: AGG A EXCESS /UMBRELLA LIABILITY X OCCUR 0 CLAIMS MADE 72XHU UR 1585 8/1/2010 8/1/2011 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DEDUCTIBLE RETENTION $ $ X WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ANY PR PIETv :;PARTNER /EXECLiTIwE OFFICER /MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below ' SPECIFIC EMPLOYERS' CERTIFICATE IS ISSUED BY ISU / STANTON INS *' 4/1/2010 4/1/2011 X I TORY LIMITS I OER L EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LIMIT $ 1,000,000 C OTHER BO 595 EO 070330 2010 1/15/2010 1/15/2012 LIMIT: $10,000,000 PER CLAIM AND LAWYERS PROFESSIONAL (2 YRS) ANNUAL AGGREGATE; SIR: $250,000 LIABILITY INSURANCE DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES /EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS NOTE (1) GENERAL LIABILITY POLICY EXCLUDES PROFESSIONAL SERVICES- REFER TO LAWYERS PROFESSIONAL LIABILITY POLICY. NOTWITHSTANDING THE EXCLUSION IN NOTE (1), PARTIES WITH WRITTEN CONTRACTS WITH INSURED ARE AUTOMATICALLY INCLUDED AS ADDITIONAL INSUREDS UNDER HARTFORD'S COMMERCIAL GENERAL LIABILITY POLICY FORM HG 0001 0605, INCLUDING PROVISIONS FOR PRIMARY/ NON - CONTRIBUTORY INSURANCE, SEPARATION OF INTERESTS, AND WAIVER OF SUBROGATION TO THE EXTENT THAT COVERAGE MAYBE PROVIDED UNDER THAT POLICY. POLICIES, ENDORSEMENTS, CLARIFICATIONS, AND /OR ADDITIONAL DOCUMENTATION IS AVAILABLE UPON REQUEST. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DE RI N ED EFORE THE EXPIRATION CITY OF SANTA ANA DATE THEREOF, THE ISSUING I S M L 30 DAYS WRITTEN ATTN: INDHIRA GAGNON NOTICE TO THE CERTIFICATE &vQy4xUX 20 CIVIC CENTER PLAZA, 7TH FLOOR Xa➢(d0£X CX�C SANTA ANA, CA 92702 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Nwar /S/ JOHN A BESSEY, CPCU ACORD 25 (2001108) @ ACORD CORPORATION 1988 = AC REmm CERTIFICATE OF LIABILITY INSURANCE D03/29/2013Y) PROD�cEa Serial # 100176 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ISU I NSURiANCE SERVICES /STANTON &ASSOCIATES CA LICENSE 01350569 T: 805.495.6999 F: 805.379.4196 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 3625 THOUSAND OAKS BLVD., SUITE 319 WESTLAKE VILLAGE, CA 91362 INSURERS AFFORDING COVERAGE NAIC# INSURED BURKE, WILLIAMS & SORENSEN, LLP �,O\ ATTN: ADMINISTRATIVE OFFICE , 9 W 444 S. FLOWER ST., SUITE 2400 INSURER A: HARTFORD CASUALTY COMPANY INSURERS: TRAVELERS PROPERTY &CASUALTY INSURER C: UNDERWRITERS AT LLOYDS LONDON INSURER D: LOS ANGELES, CA 90071 / INSURER E: COVERAGES 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 POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, I ADDV TYPE OF INSURANCE POLICY NUMBER P LCEY EFF CTIVE CDW POLICY EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE � OCCUR 72 LEN UR4713 FORM HG 0001 0605 8/112012 8/1/2013 DAEMISESOEaoCC�°ence $ 300,000 MEDEXP (Anyone person) $ 10,000 PERSONAL &ADVINJURY $ 1,000,000 X ADD'L INSUREDS X I WAIVER OF SUBRO GENERAL AGGREGATE $ 2,000,000 (SEE NOTE 1 BELOW) GENL AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 2,000,000 XXXXXXXXXXXXXX A AUTOMOBILE LIABILITY ANY AUTO 72 UUN UR 4713 ISO FORM CA 0001 8/1/2012 8/1/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1.000.000 BODILY person) (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -0WNED AUTOS APPROVE . AS TU 9 01°1Wi X BODILY (Per accitlenQ accident) $ X PROPERTY DAMAGE (Per accldeni) $ (NO OWNED AUTOS) ,/ ""='h' f -Q.,(! CL� GARAGE LIABILITY A.S51SC3 it C1I)' AIIDT. OV AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGE $ ANYAUTO $ A EXCESSIUMBRELLA LIABILITY 7 OCCUR ❑CLAIVSMADE 72XHUUR1585 8/1/2012 8/1/2013 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 DEDUCTIBLE X RETENTION $ 10,000 $ B WORKER'S COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER /EXECUTIVE OFFICERIMEMSER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below IJUB - 6627X65 -5 -13 INCLUDES BLANKET WAIVER OF SUBROGATION 4/1/2013 4/1/2014 X I WC STAT9 OFR EL EACH ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1000,000 EL DISEASE - POLICY LIMIT $ 1,000000 C OTHER 80595 EO 078360 2013 1/15/2013 1/15/2015 LIMIT: $10,000,000 PER CLAIM AND LAWYERS PROFESSIONAL (2 YRS) ANNUAL AGGREGATE, SIR: $250,000 LIABILITY INSURANCE PER CLAIM DESCRIPTION OF OPERATIONS /LOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS NOTE (1) GENERAL LIABILITY POLICY EXCLUDES PROFESSIONAL SERVICES - REFER TO LAWYERS PROFESSIONAL LIABILITY POLICY. NOTWITHSTANDING THE EXCLUSION NOTED, BURKE CLIENTS WITH WRITTEN CONTRACTS REQUIRING ADDITIONAL INSURED STATUS ARE AUTOMATICALLY RECOGNISED IN HARTFORD'S COMMERCIAL GENERAL LIABILITY POLICY FORM HIS 0001 0605, WHICH ALSO INCLUDES AUTOMATIC PROVISIONS FOR PRIMARY/ NON- CONTRIBUTORY INSURANCE, SEPARATION OF INTERESTS, AND WAIVER OF SUBROGATION, COPIES OF POLICIES, FORMS OR ADDITIONAL DOCUMENTATION IS AVAILABLE UPON REQUEST. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF SANTA ANA ATTN: CITY ATTORNEY'S OFFICE 20 CIVIC CENTER PLAZA, 7TH FLOOR SANTA ANA, CA 92702 DATE THEREOF, FHE'ISSUING INSURER WILLXXXX`iIX. AMAIL 30 DAYS WRITTEN NOTIC TO THE CER:11F1CATEHOLD NAMED TO THE LEFT , IXIX�GXIXJACiG),5.�%GCCNaiG�XXX d0X4X X IA�rQAQKNA' k?# Xd6�QA (XBF7WXQc>9iVPdQDBXX&(s'Cd(�XXX RE.RE ENTATIVES AUTfYORIZ#q+FETEISENTATIVE g A BESSEY, CPCU ACORD 25 (2001108) `" / " .." "ti r © ACORD CORPORATION 1988 E TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06183 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (IJUB- 6627X65 -5 -13) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 1 .0 % of the California workers' compensation pre- mium. Schedule Person or Organization ANY PERSON OR ORGANIZATION WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. Job Description This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No, Insured Premium Insurance Company Countersigned by ACC)1?0 CERTIFICATE OF LIABILITY INSURANCE �,,,,..• DAT1/28 /2014 Y) 0112 8/2 01 4 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 BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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 MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA INC 5605 Glenrldge Drive - Suite 300 Atlanta, GA 30342 CONTACT NAME' nicoNrea,�' 404 497 -7500 uc No MAIL -- ADDRESS: INSURERS) AFFORDING COVERAGE NAIC A _ INSURERA:SCOttsdale Insurance Company 41297_ INSURED Burke, Williams & Sorensen, LLP INSURER B:NantIWS Insurance Company 17370 — Attn: Administrative Office INSURER C:Ironshore Specialty Insurance Company 25445 444 S. Flower Street, Suite 2400 Los Angeles, CA 90071 INSURER D $ CLAIMS-MADE DOCCUR //�� Irr .r A- 20%40�� ® /° INSURER E: INSUReR.F: COVERAGES CERTIFICATE NUMBER:FQK2TPBH REVISION NUMBER: THIS IS TO GERT'I FY 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. I LTR TYPE OF INSURANCE LS BR WVD POLICYNUMBER POLICY EFF MMIDDIVYYV POLICY EXP MMIDDIYYYY - LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - G TO RENTED LEMISES(Ea occurrence $ CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL B ADV INJURY $ _ GENERAL AGGREGATE_ - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOP AGO $ - - -_ -- $ POLICY PRO- LOG AUTOMOBILE LIABILITY EDSINGLE IMI T a d0 �(','OM"ooall LY INJURY (Per person) $ ANY AUTO ODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS - PROPERTY DAMAGE Per accident)_ $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE _ _ _$____ EXCESS LIAB CLAIMS -MADE - DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE n WC STATU- OTH- TORY LIMITS R E.L_EACH ACCIDENT $ - E.L, DISEASE- EA EMPLOYEE $ OFFICER /MEMBER EXCLUDED? Ll (Mandatory In NH) NIA I E, L. DI SEAS E - POLICY LIMIT _ If ea, deecrlbe under No, DESCRIPTIONOF OPERATIONS below _ -- - _ A B C Lawyers Professional Liability Lawyers Professional Liability Lawyers Professional Liability LW50000189 PLP_1000462_P -1 OOi 899300. 01115/2014 01/15/2015 Per Claim Aggregate 15,000,000 $ 30,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rome rips Schadme, If more space is required) Self Insured Retentions - $250,000 Per Claim; $500,000 Aggregate; $50,000 Stop Down APPROVED AS TO Pt.IUVi . City of Santa Ana Attn; City Attorney's Office 20 Civic Center Plaza, 7th Floor Santa Ana, CA 92702 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Page 1 of 1 ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD January 28, 2014 RE: Burke Williams & Sorensen, LLP— Lawyers Professional Indemnity— Certificate Update Dear Certificate Holder, We were appointed the insurance broker for Burke, Williams & Sorensen, _LP in respect of the firm's Lawyers Professional Indemnity coverage. As of January 15, 2014, the firm's program changed. You are receiving an updated certificate to reflect the current Lawyers Professional Indemnity program, which is no longer on a two -year term. The program is now on an annual term and was placed with different insurers (please refer to the below for specifics and the AM Best carrier ratings). We have made every effort to re -issue a renewal certificate to replace the current certificate on file; however we ask that you please review the ACORD Certificate Holder name and contact information (names, mailing addresses) and let us know of any department information or internal references which can assist our delivery and routing of this documentation in the future. Should you have any questions regarding the enclosed certificate or need any changes made, please contact Sandra Lawrence at McGriff, Seibels & Williams. We have also included April Van Wye's contact information at the firm, should it be needed (please refer to contact information below). Insurance Carrier AM Best Rating Scottsdale Insurance Company A+ (Superior) XV Nautilus Insurance Company A+ (Superior) XV ironshore Specialty Insurance Company A (Excellent) XIV Contagt,„ Sandra Lawrence Account Manager McGriff, Seibels & Williams salawrence2mcgriff.com 404.497.7553 Best Regards, W�4'1r, Sandra Lawrence April Van Wye Chief Administrative Officer Burke, Williams & Sorensen, LLP avanwye@bwslaw.com 213.235.2827 One Premier Plaza / Suite 300 5605 Glenridge Drive / Atlanta, GA 30342 TEL —(404) 497 -7500 FAX —(404) 497 -7501 c" Acd�zc'e CERTIFICATE OF LIABILITY INSURANCE LIABILITY OATE(MMIDDIYYYY) 01/07/2015 T{�Q �R CERTIFICATE CDOES NOT AFFIRMATIVELY VELY OR NEGATIVE N X D 614 A EUE COVERAGE TAFF AFFORDED BYTHE POLICIES IS BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE E ... n IMPORTANT: If the certificate holder Is WAD I E pogll ('m,L�, 1u it, dndorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may��rroYOr�i4e,llxl,{:`. A $atement on this certificate does not confer rights to the certificate holder in (feu of such Endorsement(s). POLICY EXP MMIDDIVYYV PRODUCER MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA, INC. 5605 Glenridge Drive - Suite 300 Atlanta, GA 30342 CONTACT NAME: AIM Ext : 404 497 -7500 1qm No): _ EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC in EACH OCCURRENCE INSURER A:Scottsdale Insurance Company 41297 COMMERCIAL GENERAL LIABILITY INSURED Burke, Williams & Sorensen, LLP INSURER B:Nautllus Insurance Company 17370 OAMAGETO RE ED PREMISES IEa accurrencel $ Agm Administrative Office CLAIM&MAE r�OCCUR INSURER C:Ironshore Specialty Insurance Company 25445 444 S, Flower Street, Suite 2400 Los Angeles, CA 90071 INSURER D _ MED ERE (Any one one person) ) ____ $$ V c) (0 ' V v-1 o 1, R IINNSSUURREER F'. COVERAGES CERTIFICATE NUMBER:E3BJHFM5 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INBR SU R POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIVYYV LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY OAMAGETO RE ED PREMISES IEa accurrencel $ CLAIM&MAE r�OCCUR _ MED ERE (Any one one person) ) ____ $$ PERSONAL &AOVINJURV $ GENERAL AGGREGATE $ PRODUCTS - COMP /OP AGO $ $ GEHL AGGREGATE LIMIT APPLIES PER: POLICY PRO LOG JECT ,arc AUTOM061LE LIABILITY ANY AUTO / COMBINED SINGLE LIMIT I Ea accident on) BODILY INJURY (Per pets - -_- $ ALL OWNED SCHEDULED AUTOS AD'I'OS �� Ct s(�Y� BODILY INJURY (Par ,dent) $ Pe0accROenIUAMAGE $ b11RED AUT OS NON- -OWNED - o ..� ® {�G" P�tOrr Ood y - It - UMBRELLA UAB EXCESS LIAR OCCUR CLAIMS -MADE pSSts {and P EACH OCCURRENCE $ AGGREGATE _ $ OED RETENTION$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOWIRARTNER)EXECUTIVE WC STATU- OTH- TO V Ins I I ER E, L. EACH ACCIDENT $ OFFICER /MEMBER EXCLUDED? E (Mandatory inNH) NIA - - --' --"-'----------'---- EL. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If yes, dascribe under DESCRIPTION OF OPERATIONS below A B C Lawyers Professional Liability Lawyers Professional Liability Lawyers Professional Gabllity LWS0000287 PLP 1000462 P -2 001499301 01/15/2015 01115/2016 Per Claim (Aggregate 0,000,000 $ 20,000,000 $ $ i $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addifle al Remarks Schedule, if more space is required) Self Insured Retentions - $250,000 Per Claim; $500,000 Aggregate; $50,000 Step Down City of Santa Ana Attn: City Attorney's Office 20 Civic Center Plaza, 7th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Page 1 of I ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ?