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CUSTOMER NUMBER: 2450956 <br />AT�,��All <br />ISSUE DATE <br />...I)t, <br />Y -.; October 17, 2018 <br />PRODUCER <br />.. ___._. ....,«,. <br />THIS MEMORANDUM IS ISSUED AS A MATTER OF INFORMATION ONLY <br />Mercer Consumer, a service of <br />AND CONFERS NO RIGHT UPON THE MEMORANDUM HOLDER. THIS <br />Mercer Health & Benefits Administration LLC <br />MEMORANDUM DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW <br />P.O. Box <br />COMPANY AFFORDING COVERAGE <br />A <br />Des Moinees,s, IA 503063576 <br />COMPANY <br />LETTER <br />A LIU International Underwriters <br />INSURED <br />OC Courthouse Reporting Connection <br />Suite 305 <br />615 West Civic Center Drive <br />Santa Ana, CA 92701 <br />REFLECTS COVERAGE IN EFFECT ON ABOVE "ISSUE DATE" <br />_ yy yyf <br />Ln t x{frY S��Y :.,3tW tkF(r.t. YIM t <br />{. .., i I4� {� �l„ iYp It ... �H l t t� �tF.t,... L.:e_t l.s I <br />,.. ....«.. S...I''—rva�1 t <br />THIS IS TO CERTIFY THAT THE CERTIFICATE LISTED BELOW HAS BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MEMORANDUM <br />MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE CERTIFICATE DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS <br />AND CONDITIONS OF SUCH CERTIFICATE. THE LIMITS SHOWN BELOW MAY HAVE BEEN REDUCTED BY PAID CLAIMS. <br />CO <br />LTR <br />TYPE OF INSURANCE <br />CERTIFICATE <br />NUMBER <br />EFFECTIVE <br />DATE <br />EXPIRATION <br />(MM/DD/YY) <br />DATE (MM/DDNY) <br />GENERAL LIABILITY <br />GENERAL AGGREGATE <br />$ <br />PRODUCTS-COMP/OPS AGGREGATE <br />$ <br />OCCR. <br />PERSONAL & ADVERTISING INJURY <br />$ <br />EACH OCCURANCE <br />$ <br />FIRE DAMAGE (ANY ONE FIRE) <br />$ <br />MEDICAL EXPENSE (ANY ONE PERSON <br />$ <br />AUTOMOBILE LIABILITY <br />COMBINED <br />snip - <br />SINGLE <br />$ <br />LIMIT <br />BODILY <br />T• <br />INJURY <br />$ <br />'+.t <br />FY <br />(Per Person). <br />=k=.,:SC+.i <br />BODILY <br />t e`kd "• <br />NON -OWNED AUTOS <br />INJURY <br />$ <br />3:}l':!9:".M_? <br />(Per Accident)Wait"�i&l„j <br />PROPERTY <br />DAMAGE <br />$ <br />° ” �' <br />gii"ir Jh:�"N' <br />ACTUAL LIMITS BELOW <br />A <br />PROFESSIONAL <br />LIABILITY <br />National Court <br />CRE -117020001 <br />11/07/201711/07/2018 <br />INCIDENT $500,000 <br />AGGREGATE $500,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/COVERED PERSONS/SPECIAL ITEMS: EVIDENCE OF INSURANCE <br />Retroactive Date: 11/07/2017 APPRO D AS 'O FORM <br />MEMORANDUM HOLDER <br />SHOULD THE ABOVE DESCRIBED CERTIFICATE BE CANCELLED <br />.---- <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING <br />S n ra M. Schwarzmann <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE <br />' r Assistant City Attorney <br />TO THE MEMORANDUM HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />OC Courthouse Reporting Connection <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS <br />TO REPRESENTATIVES. <br />Suite 305 <br />615 West Civic Center Drive <br />Timothy R. Weber <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />J r A— 10/17/2018 <br />