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RICHWAT-01 HRAMIF <br />ACORO CERTIFICATE OF LIABILITY INSURANCE FDATE (MMIDD/VYYY) <br />�� 09/21 /2018 <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(ies) 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 License # 0814758 CONTACT <br />NAME: - - - ---- — <br />Hoffman Brown Company PHONE 818 986-8200 FAX 818 986-8510 <br />5000 Van Nuys Blvd. 6th Floor (A/C, No, Ext): ( ) (A/C, No):( ) <br />Sherman Oaks, CA 91403 ADDRESS: <br />IINSURED <br />Richards, Watson & Gershon <br />355 South Grand Ave 40th Fir <br />Los Angeles, CA 90071-3101 <br />INSURER F : <br />Federal Insurance Co. <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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />POLICY EXPLTR <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE [X] OCCUR <br />X <br />X <br />35293250 <br />10/01/2018 <br />10/01/2019 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TORENTED ce <br />$ 1,000,000 <br />MED EXP (Any oneperson) <br />10,000 <br />$ <br />PERSONAL BADVINJURY <br />_ <br />$ 1,000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ ippeT Fx� LOC <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />$ _ _ Included <br />PRODUCTS - COMP/OPAGG <br />OTHER: <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />COMBINdEeD nijSINGLE LIMIT <br />$ 1 000,000 <br />BODILY INJURY Perperson) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />74967929 <br />10/01/2018 <br />10/01/2019 <br />BODILY INJURY Per accident <br />$ <br />X <br />PeOa�Rd�DAMAGE <br />$ <br />AUTED ONLY X AUTOS ONLD <br />B <br />X <br />UMBRELLA LIAR <br />X <br />OCCUR <br />EACH OCCURRENCE <br />$ 9,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />79611586 <br />10/01/2018 <br />10/01/2019 <br />AGGREGATE <br />$ 9,000,000 <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/P/EXECUTIVE Y❑ <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />NIA <br />71726476 <br />10/01/2018 <br />10/01/2019 <br />X PER OTH- <br />STATUTE ER- <br />E.L. EACH ACCIDENT <br />1,000,000 <br />$ <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />1,000,000 <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana, its employees, officers and agents are named as an Additional Insured as required by written con a t per Endorsement Form #80-02-2367 <br />attached. Coverage subject to policy terms, conditions and exclusions. APP �%E A ��U FOR1 <br />Sandra M. Schwarzmann <br />i r Assistant City Attorney <br />City of Santa Ana, Santa Ana City Attorney's Office <br />Attn: Tamara Bogosian <br />20 Civic Center Plazam M-29 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERE I <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />1 ,CY <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />