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OP ID: HL-LU <br />/M.�V /\ "n <br />t ._.�•- CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDONYYY) <br />07/09/2014 <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(les) 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 <br />ISUfThe Olson Duncan Agency <br />25550 Hawthorne Blvd., Ste 203 <br />Torrance, CA 905050) <br />CONTACT <br />Leon <br />PHONE Tl <br />71 FAX <br />AID a t 714.541.101 D tAlc Nog, <br />% <br />_ <br />ADDRESS: Tleon@publiclawconter.org <br />LIMITS <br />CUSTOMER C PU13LI.1 <br />CUSTOMER ID #: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURED Public Law Center <br />(A Non- Profit Corp.) <br />Tish Leon <br />IN$URERA: <br />INSURER B: <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />601 Civic Center Drive West <br />INSURERC: <br />INSURER O: <br />Santa Ana, CA 92701 <br />INSURER E; Hartford Fire Insurance Co. <br />37478 <br />$ <br />INSURER Fi <br />CLAIMS -MADE 11 OCCUR <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 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF <br />ADDIL <br />S R <br />POLICY NUMBER <br />POC <br />DDNYYY <br />POLICY EXP <br />MM /OD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />KEN I SO <br />PREMISES Ea occurrence <br />S <br />MBD E %P (Any one parson <br />$ <br />CLAIMS -MADE 11 OCCUR <br />PERSONAL B ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS• COMPIOP AGO <br />$ <br />POLICY PRI- <br />JFQ LOC <br />IS <br />AUTOMOBILE <br />LIABILITY <br />ANYAUTO <br />i� r <br />COMBINED SINGLE LIMIT <br />(Ear acciden) <br />$ <br />BODILY INJURY (Per person) <br />�$W� <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />HIRED AUTOS <br />qy <br />r',' <br />.,¢}Y <br />apyq <br />ko <br />.JbP <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />(PER ACCIDENT) <br />$ <br />$ <br />NON-OWNED AUTOS <br />415A <br />r gTORGK <br />. attar <br />ey <br />$ <br />UMBRELLA LIAR <br />OCCURg <br />\51.2 <br />,r <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />7 <br />DEDUCTIBLE <br />$ <br />g <br />RETENTION S <br />E <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />OFFICEWMEMBER EXCLUDED? <br />NIA <br />72WECG0$935 <br />04101 12014 <br />0410112015 <br />X WC STATU. OTT. <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ 1,000,00D <br />EL, DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) <br />City of Santa Ana <br />20 Civic Cater Piz <br />Santa Ana, CA 92701.4058 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />UTHORIZED REPRESENTATIVE <br />I <br />V19UU -2000 AGORU CORPORATION. All rights reserved. <br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD <br />