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A� CERTIFICATE OF LIABILITY INSURANCE O02103/N0I0 <br />Ov03r2oz0 <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(tes) must be endorsed. If SUBROGATION IS WANED, subject to the <br />terns and conditions of the policy, Certain policies may require an endorsement. A statement on this certificate doss not confer rights to the <br />Certificate holder In lieu of such endursement(s). <br />PRODUCER ICORTACT C....... Will- --- <br />CAMICO Insurance Services <br />1800 Gateway Drive, Suite 300 <br />San Mateo, CA 94404 <br />INSURED <br />White Nelson Diehl Evans LLP <br />2875 Michelle Drive, Suite 300 <br />Irvine, CA 9260B <br />CFOTIFIPATC <br />PHONE <br />EnJcaaeF.n .800-652-1772 <br />(gn.Nel800-227-2090 <br />ADDRESS: <br />PRODUCER - - - — <br />— <br />CUSTQMERllLP- <br />-. <br />INSURERS) WFORDINOCOyERAGE <br />NALC <br />RISURERA: Great Divide Insurance Company <br />_ <br />25224 <br />RISURERe: <br />_ _ <br />INSURER C: <br />IxsuREao: <br />-- <br />INSURER E:.- <br />' 1arV1'r nY1VE FOR <br />THIS IS TO CERTIFY THAT THE POLICIES INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE THE <br />POLICY PERIOD <br />UI <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT ES <br />RESPECT <br />CERTIFICATE MAY TO WHICH THIS <br />ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT <br />SUBJECT <br />O TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />N <br />INER OLTSDHFi�-- POLICY EFF r PODGY E%P <br />LTR TYPE OFINSURANCE POLICY NUMBER MMU MRID IINRS <br />two <br />GENERAL LIABILITY <br />! <br />-- <br />EACH OCCURRENCE <br />$ <br />_ COMMERCIAL GENERAL UABILTY <br />_ <br />PREMISES RENTEi enmJ <br />S <br />CLAIMSMAOE OCCUR <br />5--- - <br />_ <br />MED EXP(My one p....1 <br />PERSONAL S ADV INAIRY <br />-:- - - -- --- <br />§ <br />GENERAL AGGREGATE <br />GEMLAGGREOVrELIMrAPPLIESPER: <br />PRODUCTS-COMP/OP AEG <br />_§ <br />§ <br />7 POLICY JET LOC <br />- <br />-- <br />S <br />AIROMOBBE <br />LIABRIrY <br />COMBINEDSINGLEUMIT <br />ANY AUTOALL <br />(Eaacdtla,R) <br />_ <br />§ <br />AUTOS <br />I� <br />I BODILY INJURY (Par"Mon) <br />S <br />SCHEDULED <br />SCHEDUAUTOS <br />INJURY <br />BODILY INJU(Per acddenQ <br />S <br />HIRED AUTOS <br />PROPERTY DAMAGE <br />(PerflaMenl) <br />S <br />NOM�OWNED AUTOS <br />S <br />UNORELLALIRe OCCUR <br />ICLAIMS-MAnE <br />EACH OCCURRENCE <br />EXCESS LIAR <br />- — <br />�I <br />AGGREGATE § <br />DEDUCTIBLE <br />_._ _. § <br />RETENTION <br />§ <br />WORKERS COMPENSATIONTATU <br />WCYLIMIT : OTH- <br />ANDEMPLOYERS'UABII.TY <br />ANYPROPREETORIPARTNEE(F%ECUTIVE YIN <br />TQ[jY LIMITS F� _ <br />OFFlCERRAEMBER IXCLUOE09 I I NIA <br />I <br />1 <br />E.L EACH ACCIDENT § <br />rantlafaryln NH) <br />yes,tlesriheuntler <br />: E.LDISEASE-EAEMPLOyZ S <br />_ <br />E.LOMEASE-POLICYDMIT <br />X Professional Liability I� <br />r <br />I <br />S <br />CAB201217 1/01/2021 Per Claim: <br />Insurance <br />11101121120 <br />I <br />I Policy Aggregate: $10.000,000 <br />DESCRIPTIONOFOPERATIONSi LOCAnO IVEHICLES(Attach ACORD 101. Additional Remarks Schotlule, Iran o epaoa in naiad) <br />Cityof Santa Ana REVItwCu """ r r..� • - - <br />B RISK MANAGEMENT DIVISION SHOULD ANY OF THE ABOVE E RIBED/POLICIES as CANCELLED BEFORE THE <br />20 Civic Center Plaza Y EXPIRAnON DATE THEREOF, H TICE ILL I E d LIVERED IN ACCORDANCE WRH THE <br />Santa Ana, CA 92701 POUCYPROVICION! <br />yy , 11f AUTHORIZED REPRESENTATIVE <br />01988. 2009 ACORD CORPORATION. All richts reserved <br />nwl�Y Aa (cvunrDn) I ne ACUHU name and logo are registered marks of ACORD <br />Clear All <br />