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BEST BEST & KRIEGER LLP (SONIA R. CARVALHO)-2012
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BEST BEST & KRIEGER LLP (SONIA R. CARVALHO)-2012
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Last modified
10/15/2015 10:57:34 AM
Creation date
5/31/2012 10:31:10 AM
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Contracts
Company Name
BEST, BEST & KRIEGER LLP (SONIA R. CARVALHO)
Contract #
A-2012-076
Agency
PERSONNEL SERVICES
Council Approval Date
4/2/2012
Insurance Exp Date
4/30/2016
Destruction Year
0
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AC"_ CERTIFICATE'OF LIABILITY INSURANCE <br />`�' 4/1/2013 <br />OATE119/2012 <br />11/19/2012 <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 pollcy(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 Lockton Insurance Brokers, LLC <br />725 S. Figueroa Street, 35th Fl. <br />CA License WOF15767 <br />Los Angeles CA 90017 <br />(213) 689 -0065 <br />CONTACT <br />NAME: <br />FAX <br />o Exl : Arc No): <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDINO COVERAGE <br />HAIL# <br />INSURERA r Vi ilant Insurance Company <br />20397 <br />INSURED Best Best & Meger LLP <br />1312669 3750 University Ave., 3rd Floor <br />Riverside CA 92502 <br />INSURER B: Federal Insurance Company <br />20281 <br />INSURER c: Hartford Accident and Indemnity Company <br />22357 <br />INSURER D, <br />4/30/2013 <br />INSURER E : <br />s 1,000,000 <br />INSURER F : <br />COMMERCIALGFNFRALLIARILITY <br />COVERAGES BESBE01 W2 CERTIFICATE NUMBER: 11767171 REVISION NUMBER: XXXXXXX <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 />I SR <br />TYPE OF INSURANCE <br />ADDL <br />IHSR <br />SUBR <br />WvD <br />POLICY NUMBER <br />POLICY EFF <br />fMWDDNYYY <br />POLICY EXP <br />(MMIDDDMM <br />LIMITS <br />A <br />GENERAL LIABILITY <br />Y <br />N <br />35694252 <br />11/22/2011 <br />4/30/2013 <br />EACH OCCURRENCE <br />s 1,000,000 <br />COMMERCIALGFNFRALLIARILITY <br />PME°aoX <br />PREMISES Ilia <br />1,000,000 <br />CLAIMS -MADE OCCUR <br />MEDEXP one person) <br />S 10,000 <br />PERSONAL & ADV INJURY <br />S 1,000,000 <br />X Deductible: $0 <br />GENERAL AGGREGATE <br />S 2,000,000 <br />G EN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOPAGG <br />$ Included <br />T, <br />POLICY JERCOT LOC <br />$ <br />B <br />AUTOMOBILE LIABILITY <br />N <br />N <br />73555244 <br />11/22/2011 <br />4/30/2013 <br />to aB.Id.DISIN LE LIMIT <br />$ 1000 000 <br />BODILY INJURY (Per person) <br />S XXXXXXX <br />ANYAUTO <br />AA�OWNED A�EDULED <br />003S <br />Ix <br />BOMLY INJURY tPeraccident <br />$ XXXXX�CX <br />NON- OWNED <br />HIREDAUTOS X AUTOS <br />PROAERTY DAMAGE <br />Peracadenl <br />$ XXXXX��}� <br />$ XXXXXXX <br />UMBRELLA LIAB <br />OCCUR <br />EACHOCCURRENCE <br />S XXXXXXX <br />EXCESS LIAB <br />CLAIMS -MADE <br />NOT APPLICABLE <br />$ XXXXXXX <br />OED I I RETENTION$ <br />$ <br />C <br />WORKERSCOMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY MUoREXnCLUeO E ECUTNE <br />(Myaendaloryln NH) <br />DESCRIPTION OF OPERATIONS below <br />MIA <br />N <br />72 WGAQ2237 <br />4/1/2012 <br />41112013 <br />VJCSTATU OTH <br />X TORY! I S ER <br />EL EACH ACCIDENT <br />$ 1,000,000 <br />LL DISEASE - LA EMPLOYEE <br />$1,000,000 <br />EL DISEASE - POLICY LIMIT <br />s 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IlAliach ACORD 101, Additional Remarks Schedule, If more space Is requlredt <br />The City of Santa Ana, its officers, employees and agents are Addilional Insured to the extent provided by the policy language or endorsement issued or <br />approved by the insurance carrier. Coverage provided is primary and non - contributory. Waiver of Subrogation applies per attached endorserllenf(s). <br />•alp <br />OyED AS FO <br />VCKIIf IVNIG r7VLUCR / A- _ — %run lei JGG fillal%1111WILLS <br />11767171 <br />City of Santa Ana <br />Attention: Cily Manager <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />IIII PT-31141Ti1I1I11il <br />Cfll� `4ffotney I TSHOULOANY OF THE ABOVE DESCRIBED <br />EXPIRATION DATE HEREOF NOTICE WILL EBE DELIVERED IONBEFORE <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1 <br />The ACORD name and logo are registered marks of ACORD <br />N. All rinhts reserved <br />
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