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.ACOR& CERTIFICATE ®F LIABILITY INSURANCE <br />DAT 415/20DYWY) <br />4/5/2018 <br />THIS CERTIFICATE 18 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(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 />ProQuest, a division of <br />Alliant Insurance Services, Inc. <br />200 S. Wacker Dr, Suite 3030 <br />Chicago IL 60606 <br />NAMEAC An ela Flee e <br />PHc°"no . 312/930-1967 FAX No: <br />nouaess: an elaf@proquestinsurance.com <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA: Underwriters At Lloyds London 15792 <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />INSURED TOLL&KN-01 <br />Holland & Knight LLP <br />INSURER B: <br />INSURER C: <br />315 South Calhoun Street <br />Suite 600 <br />Tallahassee FL 32301 <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES L;hR HFICATE NUMBER: 2142626077 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 />ILTR <br />TYPE OF INSURANCE <br />ADDL <br />man <br />SUBR <br />wyn <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE $ <br />DAMAGERENTED <br />PREMISES (Ea occurrence) $ <br />MED EXP (Any one person) $ <br />PERSONAL&ADV INJURY $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO ECT � LOC <br />GENERAL AGGREGATE $ <br />PRODUCTS - COMP/OP AGO $ <br />$ <br />OTHER' <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT $ <br />Ea accident <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />AOSCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY Per accident <br />$ ( 7 <br />HIREDAUTOS NON -OWNED <br />AUTOS <br />PROPERTY DAMAGE <br />Per aonident $ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />I <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOWPARTNER/EXECUTIVE <br />OFFICER/MEMBEF�R3. CIUDED? ❑ <br />(M ndatory lri <br />�ySCRIPTIONunder <br />NIA <br />PERT OTH- <br />STUTE ER <br />E. L. EACH ACCIDENT $ <br />E. L. DISEASE - EA EMPLOYEE $ <br />E, L. DISEASE -POLICY LIMIT $ - <br />DESCRIPTION OF OPERATION below <br />A <br />Professional Liability <br />LDUSA1600776 <br />B/6/2017 <br />9/6/2016 <br />See Description <br />of Operations <br />ES MIRTIB F OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) 13n l <br />Insurer B: Swiss Re International SE* AIIN #: AA1370020 Insurer C: Nautilus Insurance Company NAIC #: 17370 lY�' <br />Insurer D: Scottsdale Insurance Company NAIC#: 41297 ��, <br />A single claim limit in excess of $10,000,000 with an aggregate claims limit of twice the single claim limit tVrW/'./ - <br />Claims -made coverage afforded by Underwriters at Lloyd's*, scheduled Insurers B -D and various participating Insurers <br />*Coverage placement via: Paragon International Insurance Brokers, Ltd. 140 Leadenhall Street, London EC3V 4QT <br />City of Santa Ana <br />David Cavazos, City Manager <br />20 Civic Center Plaza <br />Santa Ana CA 92701 <br />ACORD 25 (2014101) <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 />AUTHORIZED REPRESENTATIVE <br />*- <br />n 19RR-2014 <br />The ACORD name and logo are registered marks of ACORD <br />TIr1M 411 rinl f..nen. —A <br />