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AC"IdY CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/812015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE, OF INSURANCE DOES NOT CONSTITUTE A. CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 10A Insurance Services 130 Vantis, Suite 250 A61s0 Viejo, CA 92656 CONTACT NAME: Betty PHONE FAX 049- 297 -5962 (A /C, No): 949- 297 -5960 -LQ mN ADDRESS: bett .trait ioa Usa..com INSURERS AFFORDING COVERAGE NAIL IN INSURER A: RLI Insurance Company 13056 www.ioausa.com CA License #0E67768 INSURED Josepph C. TrUxaw and Associates,. Inc. 265 South Anita, Suite 111 INSURER E: $ INSURER C DAMAGE TO RENTED PREMISES Ea occurrence) INSURER D Orange CA 92868 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER; 25506,504 REVISION NtIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT'„ TERM OR CONDITION OF ANY CONTRACT' OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, ILTRR TYPE OF INSURANCE ADDL SUBR POLICY' NUMBER MMIDDIYY'YY dMMlaa,IYYYY. LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Fl OCCUR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES Ea occurrence) MED EXP IAny one person) $ PERSONAL & ADV INJURY $ GEN "L AGGREGATE. LIMIT APPLIES PER: PRO- POUCY F JECT LOC GENERAL AGGREGATE $... PRODUCTS - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea aectldert $ BODILY INJURY (Per person) $... ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) '$ NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE '.. Per accident $...... $ UMBRELLA LAB OCCUR '.... EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERPMEMBER. EXCLUDED' ❑ NIA E,L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, dosordbe under DESCRIPTIONun OPERA71pNSbeNow j E,L. DISEASE - POLICY LIMIT $ A Proifesslonal Liability RDP0020855 7/6/2015 716/2016 $2,000,000 Each Claim Claims-Made $2,000,000 Aggregate DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additionat Remarks Schoduie, may be attached if more space is required) Coverage subject to all policy terms, conditions, limitations and exclusions. 30 Day Notice of CanceU1 0 Days for Nan - Payment in accordance With policy provisions. JOSEPH C. TRUXAVV AND ASSOCIATES, INC A-2014-100 REVIEWED BY: � ° EUNICE k ERFCt9it (PC 1 OF 'I a.crc. I rr4'L.r,. I r_ r %JL_[.rerc t_ANt„ t=LL/A I I'.V1N City of Santa Ana Pik Box 1988 20 Civic Center Plaza (M -30) Santa Ana CA 92742 -1988 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE (AVC) Alicia K. Igrarn 1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD 2950CS04 I 7'11ti 16 PL I tPaCty trt.ka I !/9/2015 lli20s12 AM (pnT) I Page t, jt II