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Last modified
9/28/2018 4:09:26 PM
Creation date
9/28/2018 4:09:02 PM
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Contracts
Company Name
MCCUNE & HARBER, LLP
Contract #
N-2018-174
Agency
CITY ATTORNEY'S OFFICE
Expiration Date
8/16/2019
Insurance Exp Date
6/4/2019
Destruction Year
2024
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ACORbr CERTIFICATE OF LIABILITY INSURANCE <br />`„++" <br />BATE (MMIODNYYY) <br />03/20/2018 <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 AMEN D, 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(les) 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 endorsement(s). <br />PRODUCER <br />CONTACT Anna Andonlan <br />NAME: <br />Poms &Associates Insurance Brokers <br />PHO Et (800) 578-8802 Tq C No : (8-` 18) 449-9321 <br />CA License #0814733 <br />q DRESS: aandonian@Pomsassoc.com <br />5700 Canoga Ave. #400 <br />INSURERIS) AFFORDING COVERAGE NAIC all <br />Woodland Hills CA 91367 <br />INSURER A. American Auto Ins. Co./FF 21849 <br />INSURED <br />INSURER B: Technology Insurance Co., Inc, <br />MCCUNE & HARBER, LLP. <br />INSURER C: Aspen Specialty Insurance ......_._.� <br />515 S Figueroa St, Ste 1100 <br />1 INSURER D: <br />INSURER E, <br />. <br />Los Angeles CA 90071 <br />............. r <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER: 18-19 PKGIWC/E&O REVISION NUMBER: <br />THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE POLICY PERIOD <br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />ICY <br />LTR <br />TYPE OF INSURANCE <br />INS <br />0 <br />POLICY NUMBER <br />MM/010 F MM <br />EXP <br />OD/9YYY <br />LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 0 OCCUR <br />EACHOCCURRENCE 2,000,000 <br />PREMISES 1 100,000 <br />MED EXP Anyone error 10,000 <br />PERSONAL &ADV INJURY $ 2,000,000 <br />A <br />AZC80921232 <br />04/18/2018 <br />04/18/2019 <br />GEN'L AGGREGATE LI MIT APPLIES PER: <br />X POLICY JJECT M LOC <br />GENERAL AGGREGATE $ 4,000,000 <br />PRODUCTS - COMP/OP AGG $ Included <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />CD BI DSINGLE IMIT $ Included <br />Ea ccld0 <br />BODILY INJURY (Per person) $_ <br />ANYAUTO <br />A <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />AZC80921232 <br />04/18/2018 <br />04/18/2019 <br />BODILY INJURY Per accident) $ <br />HIRED NON -OWNED <br />X AUTOS ONLY /�. AUTOS ONLY <br />'PROPERTYO AGE $ <br />Peraccitl n <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS UAB <br />CLAIM -MADE <br />AGGREGATE $ <br />OED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OT - <br />X <br />B <br />AND EMPLOYERS' LIABILITY 1'/N <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? © <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />TWC3706030 <br />05/15/2018 <br />05/15/2019 <br />STATUTE E <br />E.L. EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT $ 1,000,000 <br />C <br />Professional Liability <br />LR0061 M18 <br />06/04/2018 <br />06/04/2019 <br />Limit of Liability 1,000,000 <br />Aggregate Limit 1,000,000 <br />Retention 35,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached If more space Is required) <br />BO AS TO (1ORM <br />Evidence of Insurance <br />Attorney I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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