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CERTIFICATE OF LIABILITY INSURANCE
<br />qA /018
<br />08/8 /0303 122015
<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 0093 N07 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 poliay(les) must be sntlorsed. If SUBROGATION 18 WAIVED, Subject to
<br />the terms and conditions of the polls,, curtain pollots$ may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In Ilan of such andorsamank A ,
<br />PRODUCER -
<br />BrownBrawn S Brown of Florida, ins.�10
<br />& 173088
<br />Tampa, W. 33672
<br />Joseph W. LuPrsa41
<br />N TACT MIa Bush
<br />P. Na e n $13.22$ °d337 ���
<br />Nn). 512.225 ^1513
<br />n mbusW10tampa,corn
<br />P o ._
<br />CURTOMER D s, H13LLA4
<br />INaaa2fta RPFORDWa COVERAaB �
<br />INSURERA:. Federal lnaurance:Cam an
<br />NAIeM
<br />20251
<br />_
<br />INSURED -Holland &. Knight LLP
<br />Holland& Knight Charitable
<br />100 North Foundation Inc.
<br />108 pa, F Tampa Street 514100
<br />Tampa, FL 22502
<br />IsuRexB,Ilent Insurance
<br />24585
<br />NSURERC: Fed.lna Co /Libert Ina Und -
<br />_
<br />1 Grant Northern Inaumnca
<br />20302
<br />:
<br />[NSWRIR
<br />S 10,000
<br />PERSONAL &ADVINJURY
<br />s 1,000,000
<br />COVERAGE& UENT 1HUATE NUMSEN! RRVI4V4l., EU rnnRRn.
<br />THIS 18 TO CERTIPY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BaEN ISSUED TO THE INSURED NAMED ABGYP FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RRBFECT TO WHICH THIS
<br />CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIOIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER 0,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN RROVOED SY PAID CLAIMS,
<br />TYPE OF INSURANCE
<br />q MaaR
<br />ig W,
<br />LIMITS -
<br />D
<br />eaNRRAL LIABYLITY
<br />X COMMERCIAL GENERAL LIASILIfl
<br />CLAIMS -MADE L^ J OCCUR
<br />X Insured Contract
<br />85708711
<br />08101/2010
<br />011/0112018
<br />EAGHOCCURRENCM
<br />$ 1000,00
<br />as a uD
<br />6 - - 1,000;00.
<br />MEP E %P Anyano orsan
<br />S 10,000
<br />PERSONAL &ADVINJURY
<br />s 1,000,000
<br />GENERALAGGREGATE
<br />S 2,000,00
<br />GEN'L AGGREGATE
<br />POLICY
<br />LIMIT APPLIES PER:
<br />El P R X LOO.
<br />PRODUCTS- COMPIOPAGG
<br />$ Included
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<br />R
<br />AUTOMOBILE
<br />X
<br />X.
<br />LIAERnY
<br />ANYAurc
<br />ALLOWNEDAUTPS
<br />SCHRRULEOAUI'Oa
<br />HIftROAUTOB
<br />74888036
<br />08/01/2019
<br />08/01/2016
<br />COMEINED&NOLE LIMIT
<br />En WdaN)
<br />8 1,000,00
<br />CODILYINJURY(PWparaen)
<br />9
<br />UODILYINJURYIPwamIdenq
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<br />PROPERttNT)
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<br />X
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<br />$
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<br />No Owned Autos
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<br />UMBRELLA LIAa. X OCCUR
<br />af(gaSa WAR CLAIM$ =MADE
<br />-
<br />WDUDTIRLE
<br />7081838811050003018.03
<br />05101/2044
<br />0810112010
<br />€AGHCCCURRENOE
<br />S 45,005,000
<br />AGGii3�fagT z�
<br />$_45,000005
<br />RUTRNINON
<br />fi
<br />ANQ I MFLOYERV LM OILITY
<br />ANYPRpppp%I @ E RIPARTNEwAM RCUTIVII
<br />REriCLUgED7
<br />NIA
<br />00140220110014020302
<br />001OV2016
<br />0010112015
<br />-
<br />RL,EACHAC®IORNr
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<br />��QFMIFRRrrMFNYGM L��
<br />IiM ®ed4t ®Mqd P.. I
<br />ELDISaABR•BAaMPhOh'a
<br />@ 7,005,00
<br />P , EASE -FCLI LIMIT
<br />8 '1,000,00.
<br />D
<br />p
<br />Personal Property
<br />DataProinnstaqulp
<br />30 00719
<br />36708711
<br />0 01(2013
<br />08/0112015
<br />001( 10
<br />0010112010
<br />6peo,PorlR _
<br />Speo.Form rd` 11,110,000
<br />DESCRIPTION OF OPa14ATIgNB /LOCATIONSIV11HIOLEa IAnppHAGCRq 141 Addlflofin RamarNO aahatlUla, if meele aPeap la rapulfaA1 -
<br />Sae "04rta.f o;%to Attaohl4ant - Rolland s Snlght, LLF dated 0 -1-1311 AbkagkTod.
<br />GITYSAN
<br />City of Santa Ana
<br />David Cavazos, City Manager
<br />20 Civic Center Plaza
<br />Santa Ana, CA 02701
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THSREOF, NOTICE WILL SE DELIVERED IN
<br />ACCORDANCE WITH THE POLICY PROVISIONS,
<br />1YIw_ U4)
<br />ACORN 8o IiauarVVj T no AUUKU name and logo are registered marks ofACORD
<br />
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