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ACC)1?0 CERTIFICATE OF LIABILITY INSURANCE <br />�,,,,..• <br />DAT1/28 /2014 Y) <br />0112 8/2 01 4 <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 BYTHE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s)! <br />PRODUCER <br />MCGRIFF, SEIBELS & WILLIAMS OF GEORGIA INC <br />5605 Glenrldge Drive - Suite 300 <br />Atlanta, GA 30342 <br />CONTACT <br />NAME' <br />nicoNrea,�' 404 497 -7500 uc No <br />MAIL -- <br />ADDRESS: <br />INSURERS) AFFORDING COVERAGE <br />NAIC A <br />_ <br />INSURERA:SCOttsdale Insurance Company <br />41297_ <br />INSURED <br />Burke, Williams & Sorensen, LLP <br />INSURER B:NantIWS Insurance Company <br />17370 <br />— <br />Attn: Administrative Office <br />INSURER C:Ironshore Specialty Insurance Company <br />25445 <br />444 S. Flower Street, Suite 2400 <br />Los Angeles, CA 90071 <br />INSURER D <br />$ <br />CLAIMS-MADE DOCCUR <br />//�� Irr .r <br />A- 20%40�� ® /° <br />INSURER E: <br />INSUReR.F: <br />COVERAGES CERTIFICATE NUMBER:FQK2TPBH REVISION NUMBER: <br />THIS IS TO GERT'I FY 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />I <br />LTR <br />TYPE OF INSURANCE <br />LS <br />BR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIVYYV <br />POLICY EXP <br />MMIDDIYYYY <br />- LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />- <br />G TO RENTED <br />LEMISES(Ea occurrence <br />$ <br />CLAIMS-MADE DOCCUR <br />MED EXP(Any one person) <br />$ <br />PERSONAL B ADV INJURY <br />$ _ <br />GENERAL AGGREGATE_ <br />- <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS -COMPIOP AGO <br />$ <br />- - -_ -- <br />$ <br />POLICY PRO- LOG <br />AUTOMOBILE LIABILITY <br />EDSINGLE IMI T <br />a d0 <br />�(','OM"ooall <br />LY INJURY (Per person) <br />$ <br />ANY AUTO <br />ODILY INJURY (Per accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS NON -OWNED <br />HIRED AUTOS AUTOS - <br />PROPERTY DAMAGE <br />Per accident)_ <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE _ <br />_ <br />_$____ <br />EXCESS LIAB <br />CLAIMS -MADE <br />- <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE n <br />WC STATU- OTH- <br />TORY LIMITS R <br />E.L_EACH ACCIDENT <br />$ <br />- <br />E.L, DISEASE- EA EMPLOYEE <br />$ <br />OFFICER /MEMBER EXCLUDED? Ll <br />(Mandatory In NH) <br />NIA <br />I E, L. DI SEAS E - POLICY LIMIT <br />_ <br />If ea, deecrlbe under <br />No, <br />DESCRIPTIONOF OPERATIONS below <br />_ -- <br />- _ <br />A <br />B <br />C <br />Lawyers Professional Liability <br />Lawyers Professional Liability <br />Lawyers Professional Liability <br />LW50000189 <br />PLP_1000462_P -1 <br />OOi 899300. <br />01115/2014 <br />01/15/2015 <br />Per Claim <br />Aggregate <br />15,000,000 <br />$ 30,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rome rips Schadme, If more space is required) <br />Self Insured Retentions - $250,000 Per Claim; $500,000 Aggregate; $50,000 Stop Down <br />APPROVED AS TO Pt.IUVi . <br />City of Santa Ana <br />Attn; City Attorney's Office <br />20 Civic Center Plaza, 7th Floor <br />Santa Ana, CA 92702 <br />SHOULD ANY OFTHE 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 />Page 1 of 1 <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />