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Last modified
6/11/2024 4:01:10 PM
Creation date
6/27/2022 2:02:26 PM
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Contracts
Company Name
GRAVES & KING, LLP
Contract #
A-2022-124
Agency
City Attorney's Office
Council Approval Date
6/21/2022
Expiration Date
6/30/2024
Insurance Exp Date
10/17/2023
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a KI-01 <br />CERTIFICATE OF LIABILITY I C DI DATE MMIDD <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF pL 2022 <br />BELOW.ATHISDOES <br />CERTFCATEFOF INSURANCE DOES NOTMCON CELY OR NEGATIVELY ONSTITUTE EXTEND CONTATION ONLY AND CONF SER. THIS <br />�EII U N ,VGIR;.I I ITSf�fiHORCEED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. r1,. to:-210-1 2 n 7 <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must have ADDITIONAL IN 3URED provisions or Me endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, c policies may rpgi• re an endo'1s1nl40Q teJ &71(i <br />this certificate does not confer rights to the certificate holder in lieu of such endorse ) <br />PRODUCER License # 0122529 1 kfflACT <br />Gallant Risk and Insurance Services, LLC PHONE o, E.e): (9S'I 366-0700 <br />4160 Temescal Canyon Rd. Suite 214 () (ai No) (951) 668.0707 <br />INSURED <br />Graves & King, LLP <br />P.O. Box 1548 <br />Riverside, CA 92502 <br />Cr1VFRARFS CFRTIPIr1ATF NI IMRFR- eesnern.. ur...-I-- <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 />LTR <br />TYPE OF INSURANCE <br />ADDLSUBR <br />INSO <br />p <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />M00 <br />LIMITS <br />A <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE X OCCUR <br />Contractual Liab <br />X <br />OH3A74081410 <br />1013112021 <br />10/3112022 <br />EACH OCCURRENCE <br />$ 2,000,000 <br />DAMAGE TO RENTED <br />Elf Qc.wencei <br />$ <br />$ 5,000 <br />X <br />MED EXP An -no arson <br />PERSONAL &ADV INJURY <br />$ 2,000,000 <br />GENL <br />X <br />AGGREGATE LIMIT APPLIES PER <br />POLICY El Yea LOC <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />PRODUCTS-COMPIOPAGG <br />$ 4,000,000 <br />II <br />OTHER <br />A <br />AU_TOMOBILELTABILITY <br />COMBINEEDSINGLELIMIT 00 <br />$ 2,000,000 <br />$ <br />ANY AUTO <br />AUUTEOE��S ONLY �AISTHOE.pp8y,,rLED <br />X AlI/RTOS ONLY X AIr o ONLY <br />OH3A14081410 <br />10131/2021 <br />1013112022 <br />BODILY INJURY Par arson <br />BODILY INJURY Per acddont <br />$ <br />PRe0accl0 y AMAGE <br />$ <br />A <br />X <br />UMBRELLA LIAR <br />EXCESS LIAB <br />X <br />OCCUR <br />CLAIMS -MADE <br />OH3A74081410 <br />10/3112021 <br />EACH OCCURRENCE <br />$ 3,000,000 <br />1013112022 <br />AGGREGATE <br />$ <br />DED X RETENTION$ 0 <br />Aggregate <br />3,000,000 <br />B <br />WORKERS COMPENSATION <br />ANpEMPL0YER5'LIABILITY 1,IN <br />ANY PROPMETORIPARTNEIUEXECUTIVE <br />pFFICERIMEMBER EXCLUDED? <br />(Mandatory in NH) <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />OWC1176015 <br />10/31/2021 <br />X PER OTH- <br />AlUlIEL E <br />10131/2022 <br />E.L EACH ACCIDENT <br />$ €I 0O0 OOR n O <br />E.L DISEASE -EA EMPLOYE <br />1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />3 1,000,000 <br />C <br />Cyber Liability <br />660612202 <br />1212112021 <br />12121/2022 <br />Per CIm 1MM/Agg <br />2,000,000 <br />D <br />Professional E&O <br />LAW2048402 <br />11I7/2021 <br />111112022 <br />Per Clm $2MM/Agg <br />4,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD tilt, Additional Remarks Schedule, may be attached if more apace is required) <br />The City of Santa Ana is listed as Additional Insured par the attached policy forms. <br />City of Santa Ana <br />20 Civic Center Plaza, 7th 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 />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016103) 91988-2015 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />RTeleMtougematLDivl'ly <br />10=vIEv,En6MpROVED BY: <br />Ruk Management specialist <br />01 <br />1 <br />
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