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A� o CERTIFICATE OF LIABILITY INSURANCE <br />DATE(IMMIDDIYYYY) <br />05/05/2020 <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 INSUREII 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 />Marsh Risk & Insurance Services <br />CA License 90437153 <br />633 W. Fifth Street, Suite 1200 <br />l as Angeles, CA 90071 <br />CONTACT <br />NAME: <br />PHONE FAX <br />AIC No : <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Attn: LosAngeles.CertRequest@marsh.cvm <br />CN102325063 FINPR-E&O-19-20 <br />INSURER A: Endurance American Specialty Insurance Company <br />41718 <br />INSUREDRichaNs, Watson $Gershon <br />INSURER B : Evanston Insurance Company <br />35378 <br />INSURER C: Columbia Casualty Company <br />31127 <br />350 South Grand Avenue, 37th Floor <br />Los Angeles, CA 90071 <br />INSURER D : <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER- I ns-rin2ir E569-9G RF\n Clrakl kltlls!! D. <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />—BR,In <br />INTR <br />TYPE OF INSURANCE <br />ANHIus.a <br />S <br />POLICYNUMBER <br />POLICY EFF <br />MMIDOIYYYY <br />POLICY E%P <br />MMIDD Wi <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑OCCUR <br />EACH OCCURRENCE <br />$ <br />DA A ETO RENTED <br />PREMISES Es occurrence <br />$ <br />MED EXP (Anyone person) <br />$ <br />PERSONAL &ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />PO_ICV ❑ PRO- ❑ <br />ECT OC <br />GENERALAGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLELIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />OWNEDANYAUT <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />(Per accitlen) <br />-AGE <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROILY PERTY DAM <br />TOPE 1d.dt) AGE <br />Per accident <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />OEO RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER I OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />ONFICERPMEMB REXC UDED?RIETORIPARTNEREXECUTIVE <br />NIA <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If under <br />under <br />E.L. DISEASE -POLICY LIMIT <br />$ <br />DySCRIPcllbe <br />DESCRIPTION OPERATIONS below <br />A <br />Lawyers Professional Uabillty, <br />LPL10007942604 <br />HI0812019 <br />11N812020 <br />Each Claim <br />5,000,000 <br />B <br />MKLVIPL0003906 <br />11108/2019 <br />11/08/2020 <br />Self -Insured Retention <br />250,000 <br />DESCRIPTION DF OPERATIONS I LOCATIONS I VEHICLES (ACORD101,Additlooel Remarks Schedule,maybeattachedlfmorespaceisrequlradl <br />City of Santa Ana <br />Risk Management Division <br />20 Cidc Center Plaza, 4th floor <br />Santa Ana, CA 92701 <br />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 />of Marsh Risk & Insurance Services <br />Scott A. Broome <br />n 1ARR-201R <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />Risk Managnnent Division <br />rREMEWED&{AP'PIRIOeVVEDBY. <br />I <br />�LTT,%Tw /� r�df.4YNNQ Tom. V�RNMK <br />Risk Management Analyst <br />