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PALACIOS LAW OFFICE (2)
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PALACIOS LAW OFFICE (2)
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Last modified
5/20/2025 4:32:56 PM
Creation date
11/4/2024 2:11:49 PM
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Contracts
Company Name
PALACIOS LAW OFFICE
Contract #
N-2022-334A
Agency
Planning & Building
Expiration Date
10/31/2025
Insurance Exp Date
6/28/2025
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,e.c Rci° CERTIFICATE OF LIABILITY INSURANCE <br />DA07/08/2024 Y) <br />07/08/2024 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. <br />THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE <br />POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), <br />AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not <br />confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />MEDPRO INSURANCE SERVICES LLC/PHS <br />NAME, <br />36214543 <br />The Hartford Business Service Center <br />PHONE (866)467-8730 <br />(A/C, No, Ear\ <br />FAX <br />(AIC, No): <br />3600 Wiseman Blvd • <br />San Antonio, TX 78251 <br />E-MAIL <br />ADDRESS: <br />, <br />IN J CO G NAIC# <br />INSURED <br />INSURER A: entinelI urance Company <br />11000 <br />PALACIOS LAW OFFICE <br />PO BOX 7282 <br />INSURER Brl <br />— <br />INSURER <br />RIVERSIDE CA 92513-7282 <br />N Rr.D: e: <br />Acpve( <br />1 <br />F: <br />• <br />t <br />COVERAGES CERTIFICATE NUMBER: <br />• R.—AUNU <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEF BEI _;W HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR C:,,NDITION 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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INS <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSR <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD(MMIDDNYYn <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$1,000,000 <br />CLAIMS -MADE OCCUR <br />DAMAGETO RENTED <br />PREMISES Ea onto <br />$1,000,000 <br />X <br />General Liability <br />ty <br />MED EXP (Any one person) <br />$10,000 <br />A <br />X <br />X <br />36 SBM TH3424 <br />06/28/2024 <br />06/28/2025 <br />PERSONAL B AOV INJURY <br />$1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$2,000,000 <br />POLICY❑PRO- JECT Lac <br />PRODUCTS-COMP/OP AGO <br />$2.000,000 <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />$1,000,000 <br />Ea accident <br />BODILY INJURY (Per person) <br />ANY AUTO <br />A <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />36 SEIM TH3424 <br />06/28/2024 <br />06/28/2025 <br />BODILY INJURY (Per accident) <br />X <br />HIRED NONOWNED <br />AUTOS rx AUTOS <br />PROPERTY DAMAGE <br />(Per accident) <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIAB <br />CLAIMS- <br />MADE <br />AGGREGATE <br />ED <br />RETENTION $ <br />WORKERS COMPENSATION <br />IPER <br />OTH- <br />AND EMPLOYERS' LIABILITY <br />IsTATUTE <br />ER <br />E.L. EACH ACCIDENT <br />ANY YIN <br />PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />IMandatory In NH) <br />If yes, describe under <br />E.L. DISEASE- POLICY LIMIT <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Addldonal Remarks Schedule, may be aaaehed if more space is required) <br />Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this <br />policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy. <br />Clty of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />Risk Management Division BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />20 CIVIC CENTER PLZ IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />SANTA ANA CA 92701-4058 AUTHORIZED REPRESENTATIVE <br />GJ uectn dim Cgp it.i�2 7; REVIEWED&APPROv®B <br />©1988.2015 ACORD COF ,ol®i' -, A� A,444 <br />ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Risk Management Specidist <br />
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