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ALORd30 CERTIFICATE iFC�PA1 tl iw OF LIABILITY INSURANCE <br />narE(mMaam n <br />03130!2016 <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 ofthe policy, certain policies may require an endorsement. A statement on this cartfIcate does not confer rights to the <br />certificate holder In [leu of such endorsemant s . <br />PRODUCER <br />1gRrA David Agulne <br />E910%Insurance Agency, Inc, <br />20631 Venture Boulevard Suite 302 <br />P"oNB (6113) 902.5744 pa"c Nn' <br />a ,Alfas, davideguine@ogloff.com <br />INSURER& AFFORDINGCOVERAGE r NAIC <br />Woodland Hills, CA 91364 <br />INSURER A: Westport Insurance Corporation <br />EACH OCCURRENCB 5 <br />INSURED <br />INSURERS: <br />Carpenter, Fathers & Dumont <br />INSURan C: J <br />666 South Figueroa Street, Suite 1060 <br />IUSURERD; <br />Los Angeles CA 90017 <br />SV Eft E t <br />INSURER P: <br />PRODUCTS-COMpfOPAGG $ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ASOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITICN OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY SE 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 />LTµ <br />7Ypa OF INSURANCE <br />SB <br />POLICY NUM9ER <br />POUp� <br />M <br />OGYEXP <br />µIDD <br />LIMR9 <br />COMMERCIAL GENERAL LIAaILITY <br />OLAIMS-MADE ❑ OOCUR <br />EACH OCCURRENCB 5 <br />PREMISES ,¢T�rtan e 6 <br />MED IXP An ono parson $ <br />PERSONAL&ADV INJURY 5 <br />GEN'L AGGREGATE LIMIT APPLIES PER; <br />POLICY ❑ PRO. ❑ <br />JECT LOC <br />OTHER: <br />DENERALAGGREGATE S <br />PRODUCTS-COMpfOPAGG $ <br />S <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />AUTOS NCO. ALTULEp <br />O6 <br />NON -OWNED <br />HIPEp AUTOG _ AUTOS <br />0 DOING E /MIT $ <br />e &,tide t <br />BODILY INJURY (Per paman) S <br />p0o1LY INJURY (Per apcldanq S <br />R p p G $ <br />Per acddanl <br />5 <br />UMBRELLA LIAaOCCUR <br />EXCESS U.Ae <br />CIAIMS�MADE <br />EACROCCURRENCE <br />AGGREGATE $ <br />DEO <br />I I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />OFFICERIMEMeANYOER EXCLUDED? ECUTIVE YIN <br />IMyanAtl&tory In NH) <br />pE6CR IPTION OF OPERATIONS haicw <br />N/A <br />TA TE ER <br />E,L. FACH AOCIDERT 5 <br />F.L. DISEASE - CA EMPLOYE 5 <br />E.L. DISEASE -POLICY LIMIT 5 <br />Lawyers Professional Liability <br />WLA335011000300 <br />04/01/2015 <br />04(01/2016 <br />$1,000,000!$2,000,000 Limits <br />$15,000 Deductible <br />DESCRIPTION OFOPHSATIONSILOCATIONSIVEHICLEE ACORG 109, Adtllllanal Remarks 9oavdole, mop be &Il&ghod lrmom npacn is r&qulmtl) <br />Ct:HHHIGAfe HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORM50 REPRESENTATNE <br />David Aguirre kw <br />01908.2013 ACORD CORPORATION. All rights rasorvod. <br />ACORU 25 (2131=4) The AGORD name and logo are registered marks of ACORD <br />APPROVED AS TO FORM <br />A <br />Laura A. Rosin <br />Senior- Assistant City Attorney <br />