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PYKALEN -01 ILENG <br />.A�C"RL' <br />CERTIFICATE OF LIABILITY INSURANCE, <br />DATE (MNAIDD1YYYwy <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CON'FE'RS 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 CONSTI"T"UTE A CONTRACT BETWEEN' 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 License # 0757776 <br />HUB International Insurance Services Inc, <br />P. O. Box 5345 <br />Riverside, CA 92517 <br />CONTACT <br />NAME: Stephanie Lanzas <br />PHONE FAX <br />(A)C No E> t : (951) 779 -8562 <br />E-MAIL <br />ADDRESS: Cal.CP'U@Hubinternational,com <br />INSURERIS) AFFORDING COVERAGE -.d. <br />NAIL # <br />INSURER A: Travelers Casualty & Surety Company of America <br />'31194 <br />1010112015 <br />INSURED <br />INSURER B : Travelers Property Casualty Company of America <br />'25674 <br />INSURER C : New York Marine & General Insurance <br />16608 <br />Pyka Lenhardt Schnaider & Zell', <br />_ <br />INSURER D:__ <br />MED EXP lAny one person) <br />837 N. Ross 'Street <br />Santa Ana, CA 92701 <br />INSURER E <br />_ <br />INSURER F: _ <br />COVERAGES CERTIFICATE NUMBER: R1= VISII7N NI1MRRP. <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 />..�..� ­_JADM <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INSD <br />SUER <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MMIDDIYYYY. <br />LIMITS <br />A <br />X <br />COMMERCIAL.. GENERAL LIABILITY <br />CLAIMS-MADE Al OCCUR <br />680313998588 <br />1010112015 <br />10/0112016 <br />EACH OCCURRENCE. <br />S 1,000,000 <br />R MiSFS I�Ea �cclU nee <br />s 300,000 <br />MED EXP lAny one person) <br />$ 5,000 <br />_ <br />PERSONAL& ADV INJURY <br />'..... S 1,000,000 <br />GEN "L AGGREGATE LIMIT APPLIES PER <br />JECT LOG <br />(POLICY �� PRO- 1:1 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMPIOP AGO <br />$ 2 „000,000 <br />S <br />- <br />OTHER: <br />- <br />AUTOMOBILE <br />LIABILITY <br />- <br />COMBINED SINGLE LIMIT' <br />$ <br />ANY AUTO <br />BODILY INJURY (Per person) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON - OWNED <br />HIRED AUTOS AUTOS <br />PROPERTYDAMAGC. <br />Per accidenl} <br />$ <br />UMBRELLA LIAB X. <br />OCCUR <br />EACH OCCURRENCE. <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000 „000 <br />B <br />EXCESS LIAi6 <br />CLAIMS -MADE <br />CUP3C999536 <br />1010112015 <br />10101/2016 <br />DED �+ RETENTION $ 0 <br />-� <br />-- <br />WORKERS COMPENSATION <br />AND EMPLOYERS” LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE � <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />...., <br />PER T"- <br />STATUTE OR <br />E. L. EACH ACCIDENT <br />$ <br />E.. L„ DISEASE - EA EMPLOYEE <br />-- <br />$ <br />(Mandatory In NH) <br />If yes, describe under <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ <br />DESCRIPTION OF OPERATIONS below <br />C <br />'Lawyers PROF LAIR <br />PL201500001212 <br />0912812015 <br />0912812016 <br />DED:$25,000 1 Occr. 3,000,000 <br />C <br />PL201600001212 <br />0912812015 <br />09/2812016 <br />Aggregate 4,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 141, Additional Remarks Schedule, may be attached if more space is required) <br />Revised 08117116 - This certificate supersedes any and all prior certificates issued on behalf of the named insured. <br />For Information Purposes Only. <br />Al"j'HO°d' D AS TO F III( <br />I-aura A. Rossini <br />CERTIFICATE HOLDER CANCELLATION' .-3c Yltbr 1- 1NIwaalit 1-,I"y mI®tfflm .•* f <br />ACORD 25 (2014101) <br />@ 1988 -2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />20 Civic Center Plaza M,29 <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Post Office Box 1988 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702 <br />ACORD 25 (2014101) <br />@ 1988 -2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />