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Last modified
3/26/2024 9:00:08 AM
Creation date
1/20/2022 11:06:58 AM
Metadata
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Template:
Contracts
Company Name
EVERETT DOREY LLP
Contract #
N-2022-013
Agency
City Attorney's Office
Expiration Date
6/30/2025
Destruction Year
2030
Notes
For Insurance Exp. Date see Notice of Compliance
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Francine R. R.V asignedb Francine <br />R. Villareal <br />EVERE-4Villareal Date:z°zz.°z.zz, ID: BG <br />ACOR©"" CERTIFICATE OF LIABILITY INSURANCE <br />DATE 02/17/2022Y) <br />02/17/2022 <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(ies) 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 endorsements . <br />PRODUCER 858-571-9030 <br />Ahern Insurance Brokerage <br />9655 Granite Ridge Dr., #500 <br />San Diego, CA 92123 <br />CONTACT Randy T. Gust <br />NAME <br />PHONE 858-571-9030 FAX 858-571-9010 <br />(A/C, No, EXt): (A/C, No): <br />E-MAILss: rgust@aherninsurance.com <br />Randy T. Gust <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURERA: New York Marine & Gen Ins. Co. <br />INSURED <br />Everett Dorey LLP <br />18300 Von Karman Ave Ste 900 <br />INSURER B : <br />INSURER 7 <br />Irvine, CA 92612 <br />INSURER D <br />INSURER E : <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <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 />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />CLAIMS -MADE ❑ OCCUR <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any oneperson) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER : <br />GENERAL AGGREGATE <br />$ <br />POLICYEl PRO- <br />JECT LOC <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY Per accident <br />$ <br />PROPERTY DAMAGE <br />ccident <br />Per accident) <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />PER OTH- <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ <br />OFFICER/M EMBER EXCLUDED? <br />N/A <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Lawyers Prof. <br />PL202100003051 <br />08/08/2021 <br />08/08/2022 <br />Per Claim <br />5,000,000 <br />Liability <br />Aggregate <br />5,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Deductible: $10,000 <br />Retroactive Date: 8/2/2017 <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza Dr. <br />Santa Ana, CA 92702 <br />ACORD 25 (2016/03) <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 />AUTHORIZED REPRESENTATIVE <br />© 1988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />µow NCF Risk Manag merdUlMsi0n <br />ke/ 1°x REVIEWED & APPROVED BY.- <br />.v <br />--� R45k MManagement Analyst <br />
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