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Last modified
2/14/2018 2:35:52 PM
Creation date
2/3/2015 7:18:05 AM
Metadata
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Template:
Contracts
Company Name
COTA COLE LLP
Contract #
N-2015-010
Agency
City Attorney's Office
Expiration Date
2/27/2015
Insurance Exp Date
6/1/2018
Destruction Year
2020
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ACii CERTIFICATE OF LIABILITY INSURANCE <br />DAT(MMID 16 <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 policy(les) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Edgewood Partners Insurance Center <br />License No. OB29370 <br />P.O. Box 13847 <br />CONTACT <br />Heather Crane <br />PHFAX <br />cONE : Es 916-974-4617 ac No: <br />AIL <br />nnoaess: heather.crane@epicbrokers.com <br />INSURERSAFFORDING COVERAGE NAICM <br />Sacramento CA 95853 <br />INSURER A: Lloyds of London 85202 <br />6044290 <br />INSURED COTAD-1 <br />Cote Cole & Huber LLP <br />INSURER B: Federal Insurance Company 20281 <br />EACH OCCURRENCE $1,000000 <br />2261 Lava Ridge Court <br />INSURER C: <br />INSURER D: <br />Roseville CA 95661 <br />INSURER E <br />INSURER F: <br />DAMAGE TO RENTED <br />COVERAGES CERTIFICATE NUMBER: 2012825147 REVISION NUMBER: <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXP <br />LIMITS <br />B <br />X COMMERCIALGENERAL LIABILITY <br />6044290 <br />1/15/2018 <br />1/15/2019 <br />EACH OCCURRENCE $1,000000 <br />DAMAGE TO RENTED <br />CLAIMS -MADE %t OCCUR <br />PREMISES Ea occurtence $1,000,000 <br />MED EXP (Any one person) $10,000 <br />PERSONAL &ADV INJURY $1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER <br />GENERALAGGREGATE $2,000,000 <br />POLICY 7 PR T LOC. <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />_ <br />LIABILITY <br />73596574 <br />1/15/2018 <br />1/152019 <br />COMBINED SINGLE LIMIT $ <br />Ea acad.1)1000000 _ <br />ANY AUTO <br />BODILY INJURY (POT person) $ <br />OWNED X SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Par accident) $ <br />PROPERTY DAMAGE $ <br />Per accident <br />X <br />HIRED X NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />B <br />X <br />UMBRELLA LIAB <br />OCCUR <br />78184076 <br />1/152018 <br />1/15/2019 <br />EACH OCCURRENCE $4,000,000 <br />AGGREGATE $4,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED X J RETENTION$. <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />71756163 <br />1/15/2018 <br />1/15/2019 <br />X I STATUTE ETH <br />ANYPROPRIETOWPARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT $1,000,000 <br />OFFICERIMEMBEREXCLUDED7 <br />N/A <br />E.L. DISEASE - EA EMPLOYEE $1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $1000,000 <br />A <br />Professional Liability <br />BN3008901 <br />6/1/2017 <br />6/12018 <br />Each Claim $5,000,000 <br />Claims -Made <br />Aggregate $5,000,000 <br />Deductible $50000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Re: All ContraclsMritten Agreements between the Certificate Holder and the Insured. When required by written contract, additional insured status with primary <br />coverage and waiver of subrogation apply to General Liability and Automobile Liability, all per t7mz <br />M�Qann <br />/�f ` <br />Attorney <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Sandra Marie Flores Schwarzmann, Esq. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Senior Assistant City Attorney ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana, _ <br />P.O. BOX 1988 AUTHORIZED REPRESENTATIVE <br />Civic Center Plaza, :7th Floor <br />Santa Ana CA 92702 <br />All HrlhtrPCp NPrl <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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