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OP ID' MR
<br />CERTIFICATE OF LIABILITY INSURANCE
<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 />DATE (Ni
<br />1 0/1 412 01 4
<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($), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 Phone: 813.226-1300
<br />Brown Brown of Florida, Inc. Fax: 813.226.1313
<br />P. O. Box 173086
<br />Tampa, FL 33672
<br />Joseph W. LoPresti
<br />COONNT CT Mia Bush
<br />PHONE 813-226-1337 FAX
<br />ac Na Ext : ac No : 813.226.1313
<br />E-MAIL
<br />ADDRESS, bbtampa.com
<br />CUSTOMER ID A: HOLILA-4
<br />INSURER(S) AFFORDING COVERAGE NAIC N
<br />GENERAL LIABILITY
<br />INSURED Holland & Knight LLP
<br />Holland & Knight Charitable
<br />Foundation Inc.
<br />100 North Tampa Street St 4100
<br />Tampa, FL 33602
<br />INSURERA:Federal Insurance Company 20281
<br />NsuRERB: Sentry Insurance 24988
<br />INSURERC: Fed.lns Co/Liberty Ins Und
<br />INSURER, .Great Northern Insurance 20303
<br />INSURER E :
<br />D
<br />INSURER F:
<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 />INSRJA
<br />LTR
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />POLICY EFF
<br />MMMD/YYYY
<br />POLICY E%P
<br />MMIDDAYYY
<br />LIMITS
<br />GENERAL LIABILITY
<br />EACH OCCURRENCE IS 1,000,000
<br />D
<br />TXCOA MERCIAL GENERAL LIABILITY
<br />CLAIMS -MADE ®OCCUR
<br />35798711
<br />08/01/2014
<br />08/01/2015
<br />pREMISes Eaoccurrence $ 1,000,000
<br />MED EXP(Any one person) S 10,000
<br />ured Contract
<br />PERSONAL&ADVINJURY $ 1,000,000
<br />GENERAL AGGREGATE $ 2,000,000
<br />GEN'LAGGREGATE LIMITAPPLIES PER:
<br />POLICY PRO JFCTX LOC
<br />PRODUCTS - COMP/OP AGG s Included
<br />g
<br />D
<br />AUTOMOBILE
<br />X
<br />LIABILITY
<br />ANY AUTO
<br />74986035
<br />08101/2014
<br />08/01/2015
<br />COMBINED SINGLE LIMIT $ 1,000,000
<br />(Ea accident)
<br />BODILY INJURY (Per person) $
<br />ALL OWNED AUTOS
<br />BODILY INJURY(Peramid.m) $
<br />X
<br />SCHEDULED AUTOS
<br />HIRED AUTOS
<br />PROPERTY DAMAGE $
<br />(Peraccident)
<br />X
<br />NON-OWNEDAUTOS
<br />§
<br />X
<br />NO Owned Autos
<br />$
<br />UMBRELLA LIAR
<br />X
<br />I OCCUR
<br />EACH OCCURRENCE $ 49,000,000
<br />C
<br />EXCESS LIAR
<br />CLAIMS -MADE
<br />7981835511000053016-03
<br />08/01/2014
<br />08/01/2015
<br />AGGREGATE g 49,000,000
<br />DeoucneLE
<br />S
<br />S
<br />RETENTION $
<br />B
<br />WORKERS COMPENSATIONWCSTATU-
<br />AND EMPLOYERS' LIABILITY YIN
<br />ANY PROPRIETOR/PARTNER/EXECUTIVE
<br />OFFICERMIEMSER EXCLUDED?
<br />N 1A
<br />90149230119014920302
<br />08/01/2014
<br />08/01/2015
<br />OTH-
<br />X Y LIMITS ER
<br />E.L. EACH ACCIDENT $ 1,000,000
<br />E.L. DISEASE - EA EMPLOYEE $ 1,000,000
<br />(Mandatory In NH)
<br />Ues, describe under
<br />E.L. DISEASE -POLICY LIMIT $ 1,000,000
<br />SCRIPTION OF OPERATIONS below
<br />D
<br />Personal Property
<br />13579871108/01/2014
<br />08/01/2015
<br />Spec.Form 115,892,000
<br />D
<br />Data Process.Equip
<br />35798711
<br />08/01/2014
<br />08/01/2015
<br />InclTheft Included
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is recut red)
<br />See "Certificate Attachment - Holland & Knight, LLP dated 8-1-14r1 attached.
<br />CITYSAN
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City Of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS.
<br />David Cavazos, City Manager REPRESENTATIVE
<br />20 Civic Center Plaza AUTHORIZED SRM,
<br />Santa Ana, CA 92701tiYtt,A. hw�,/� S 10 F
<br />�I� yt
<br />©1988-2009 AC pORATI p. All ri � .
<br />ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD E, S7O�cK
<br />LISA t city Attorney]
<br />Assistan /
<br />
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