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A� o,® CERTIFICATE OF LIABILITY INSURANCE <br />loDATE YYYY101101201712017r29n <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(hes) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />Marsh Risk & Insurance Services <br />CA License #0437153 <br />CONT CT <br />AM : <br />- .T—. <br />PHONE XU(AicNo' <br />E -M IL <br />777 South Figueroa Street <br />Los Angeles, CA 90017 <br />Remy Morons <br />INSURERS AFFORDING COVERAGE NAICft <br />INSURER A: Axis Surplus Insurance Company 26620 <br />502512-FINPR-E&0-17-18 <br />INSURED Richards, Watson &Gershon <br />INSURER B: Nautilus Insurance Company 17370 <br />INSURER C: <br />355 South Grand Avenue, 40th Floor <br />Los Angeles, CA 90071-3101 <br />,�.T�_.. ....� <br />INSURERD: <br />INSURER E: <br />INSURER F, <br />MED EXP (Any oneperson) $ <br />COVERAGES CERTIFICATE NUMBER: LOS -002185652-27 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDILSUBR <br />INSO <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDOIYYYYI <br />POLICY EXP <br />flMMIDDIYYYYILIMITS <br />of Marsh Risk & Insurance Services <br />COMMERCIAL GENERAL LI ABILITY <br />Remy Morons <br />EACH OCCURRENCE $ <br />CLAIMS -MADE ❑OCCUR <br />PREMISES Es occurrence Is <br />MED EXP (Any oneperson) $ <br />PERSONAL &ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ <br />POLICY ❑ PRO- <br />ECT f7LOC <br />PRODUCTS - COMP/OP AGE $ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />IE. m.dl <br />BODILY INJURY (Par person) $ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY(Peraccident) s <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE $ <br />(Par accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y I N <br />STATUT ER <br />E.L. EACH ACCIDENT $ <br />ANYPROPRIETOWPARTNERIEXECUTIVE ��ryq� <br />OFFICERIMEMBEREXCLUDEDY ,. <br />NIA <br />E.L. DISEASE - EA EMPLOYEE $ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL.DISEASE - POLICY LIMIT $ <br />A <br />Lawyers Professional Liability <br />ENN 72126110112017 <br />10/08/2017 <br />1110812010 <br />Each Claim 7,500,000 <br />B <br />PLP 1000238 P-7 <br />10108/2017 <br />1110812018 <br />SelfInsuredRetention 250,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana City Attorney's Office <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Attn: Tamara Bogocan <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, M-29 <br />RD Box 1980 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702-1900 <br />of Marsh Risk & Insurance Services <br />Remy Morons <br />©1988.2016 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />