COLANTUONO, HIGHSMITH & WHATELY, PC

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AC"RDV CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 4/17/2015 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(tes) 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 CO gobin Paul Shaw Moses Mendenhall and Associates PHONE (fi26)799 -7513 F .(6267799 -8784 625 Fair Oaks Ab`U`gLESEU robinmsmmainsurance. com Suite 15S INSURERS AFFORDING COVERAGE NAICN South Pasadena CA 91030 INSURER A:CitizenS Insurance Co an of m 31534 INSURED INSURER B:Carolina Casualty Ina Co. COLANTUONO, HIGHSMITH & INSURER C- $ 2,000,000 WHATLEY, PC. INSURER D: 11364 PLEASANT VALLEY RD INSURER E: -MADE OCCUR PENN VALLEY CA 95946 INSURER F: COVERAGES CERTIFICATE NIIMRFR•CL154904 qP4 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. INSR LTR TYPE OF INSURANCE S eR POLIO NUMBER P LIOYEPP POLDDYEXP LIMITS X COMMERCIALGENERALUAEILITY CLAIMS ❑X EACHOCCURRENCE $ 2,000,000 A -MADE OCCUR a are' $ 300,000 $ 5,000 OB39898667 4 /1/2015 4/1/2016 MED EXP(An one person PERSONAL& AM INJURY $ 2,000,000 AGGREGATE LpIIMoII.T. APPLIES PER: GENERAL AGGREGATE $ 4,000,000 GEN'L X POLICY ❑jpOT LOG PRODUCTS- COMPIOPAGG $ 4,000,000 Employee Bents $ 1,000,000 OTHER; AUTOMOBILE LIABILITY COMONE ING LIMIT $ Eaawi n A ANY AUTO BODILY INJURY (Per person) $ AU OS SCHEDULED AUTOS AUTOS 0839898667 4 1/2015 / 4/1/2016 BODILYINJURV PeraccHeni $ HIRED AUTOS NONOWNE'D AUTOS R PE TY DAMAGE $ P r cden UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS.MADE DEC) RETENTION $ WORKERS COMPENSATION PT TUTS AND EMPLOYERS'LIABILITY YIN ERH E.L. EACH ACCIDENT $ 11000,000 ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERWEM8ER EXCLUDED? ❑NIA E.L. DISEASE -EA EMPLOYE $ 1 D00-0-,000 A (Mandatory in NH) tt yos, describe under w939898674 4/1/2015 4/1/2016 E.L. DISEASE • POLICY LIMIT 1 000 ODO DESCRIPTION OF OPERATIONS baop B 1360590 4/4/2015 4/4/2016 2,000,00014,000,000 PROFESSIONAL LIABILITY 25,000 DEDUCTIBLE DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES IACORD 101, Additional RV r cheduly, may be ansahotl i fmorespeceis required) CERTIFICATE HOLDER IS AN ADDITIONAL INSURED.M PECTS GENERAL LIABILITY FOR WORK PERFORMED BY NAMED INSURED 5, TO rORM P - ose Sandoval ttorney CITY OF SANTA ANA 20 CIVIC CENTER PLAZA 7TH FL SANTA ANA, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE Paul /RSP -; `b _ riahts AUL)KO LO t2U14 1UT) The ACORD name and logo are registered marks of ACORD INSD2512414e11