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CUSTOMER NUMBER: 2450956 <br />g�mqmgg <br />MEW '5 <br />A <br />q, *r g -ISSUE DATE <br />.11M v. T <br />r1g, October 29, 2018 <br />PRODUCER <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 14576 <br />COMPANY AFFORDING COVERAGE <br />Des Moines, [A 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 />NINE 1`1111"Iffirl- IF 1K g, ir,� gi, 'A' N-SN"W"M <br />MO� M, IT-1110MIUMm <br />LEM FN <br />-�,Mp Imme . . ...... <br />-KM, EEL MANY, <br />THIS IS TO CERTIFY THAT THE CERTIFICATE LISTED BELOW HAS BEEN ISSUED 10 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 />TYPE OF INSURANCE <br />CERTIFICATE <br />NUMBER <br />EFFECTIVEEXPIRATIONLTR <br />DATE <br />DATE <br />(MM/DD/YY) <br />(MM/DD/YY) <br />GENERAL LIABILITY <br />GENERAL AGGREGATE $ <br />PRODUCTS-COMP/OPS AGGREGATE $ <br />OCCR, <br />PERSONAL & ADVERTISING INJURY $ <br />EACH OCCURANCE $ <br />FIRE DAMAGE (ANY ONE FIRE) $ <br />MEDICAL EXPENSE (ANY ONE PERSON) $ <br />AUTOMOBILE LIABILITY <br />COMBINED <br />i Mgmnj�y <br />SINGLE <br />$ <br />LIMIT <br />in, pn- <br />BODILY <br />INJURY <br />$ WARR; <br />Per Person) <br />NON-OWNEDAIJTOB <br />BODILY <br />INJURY <br />R i <br />$ M 1-MNM <br />(Per Accident) <br />PROPERTY <br />DAMAGE <br />$ <br />ACTUAL LIMITS BELOW <br />A <br />PROFESSIONAL <br />LIABILITY <br />National Court <br />CRE -118738001 <br />11107/2018 <br />11107/2019 <br />INCIDENT $500,000 <br />AGGREGATE $500,000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/COVERED PERSONS/SPECIAL ITEMS: EVIDENCE OF INSURANCE <br />Retroactive Date: 11107/2017 <br />MEMORANDUM HOLDER <br />SHOULD THE ABOVE DESCRIBED CERTIFICATE BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING <br />COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE <br />TO THE MEMORANDUM HOLDER NAMED TO THE LEFT, BUT <br />frN, <br />FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION <br />City of Santa Ana/City Attorney's Office D <br />Office <br />OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS <br />20 Civic Center Plaza, M-29 <br />TO REPRESENTATIVES. <br />Santa Ana, CA 92701 APPR E S OFORM <br />Timothy R. Weber <br />AUTHORIZED REPRESENTATIVE <br />10129/2018 <br />kV <br />andra . Schwarz ann <br />Y14 I <br />, imior ASSIStallit %-Illy ARorney <br />