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Insurance Certificates 2019/20 Rutan & Tucker, LLPpage 2 of 7 Client#: 1257796 305RUTANTUC ACORD. CERTIFICATE OF LIABILITY INSURANCE 1 D3101/2/01/20101 YrYV} 9 THIS CERTIFICATE 15 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: ft tha certificate holder Is an ADDITIONAL INSURED, the pofiey(les) must have ADDITIONAL INSURED provIslone or 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 any rights to the certificate holder In lieu of such endorsement(s). CONTACT PRODUCER NAME: LOrI MCNay _ BB&T Insurance Services tPHD1tlfc 714 941-2815 PAX I,o) of Orange County ADD E . L_McNayQbbandt com _ 2400 E Katella Ave Suite 1100 INSURES) AFFORDING COVERAGE NAIC # Anaheim, CA 92806 INSURER A:FeaeralInsurance Company 2O2$1 _ INSURED INSURER B: Rutan & Tucker LLP INSURERC: INSURER D: P.O. Box 1950 611 Anton Blvd. 14th Floor INSURER E: _ Costa Mesa, CA 92626-1998 INSURER F: _-- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT- TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR A 17SUER ILTR TYPE OF INSURANCE lry$R VYYD POLICY EFF i POLICY EXP LIMBS POLICY NUMBER _ (h1MfDOlYYYY] (MMIDDIMYNYj A X COMMERCIAL GENERAL LIABILITY 36001486WCE 3/01/2019 03/01/2620.pEAACCHS�OeC�CUURRENCE ^ 81,000,000 XI OCCUR FRE_N})9E5 (- EN rurcncet_ 81a000,Fi00_ CLAIMS -MADE MEOE%P[Aa one 0 S10,000 ,__ PERSONAL & ADV INJURY 61 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AOGREGATE $2 0mlow J PRO- POLICY JECT LOC PRODUCTS-COMP/OPAGG 3included $ OTHER: _ A AUTOMOBILE LIABILITY 73583261 3/01/2019 OW(M/2 tMBINESINGLELIMIT !— 1 DOO 000 _ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILYINJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED X X PROPERTY DAMAGE der acckienq $ AUTOS ONLY AUTOS ONLY A X UMBRELLA LVIB ]( OCCUR _FF79890486 01 /2019 03/01/202 EACH OCOURRENCE $10 000 O.00 E%CESSLUaO CIAIMB.MADE AGGREGATE _ S10000000 WOrgEBRB COMPENSATION [PER AND EMPLOYERS' LIABILITY El. EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A (Mandatory In NH) Ek_DISEASE - EA EMPLOYEE S If yyea, describe nntlm ❑Esenip'noN OF OPERATIONS below E-i. DISEASE -POLICY LIMIT S A jBlanket Personal 36001486WCE 3101/2019103/0112026 $10,068,600 Limit Property SPC,RC/$5,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached 11 more space Is required) Certificate Holder is named as Additional Insured with respect to General Liability as contained within Chubb's endorsement 80-02-2367 05/07, Who Is An Insured, Additional Insured -Scheduled Person or Organization, to be Issued by carrier, per written contract. Waiver of Subrogation applies to General Liability as contained within Chubbs form 80-02-2000 04/01, General Liability, Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, pg 24 of 32, (See Attached Descriptions) FICATE HOLDER CANC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78-495 Calls Tampico ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE _ Q 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD 2023 #S23036030/M22944381 LXMCN page 3 of 7 DESCRIPTIONS (Continued from Page 1) attached to policy, per written contract. Certificate Holder Is named as Additional Insured with respect to Auto Liability per Chubb's endorsement, CA20481013, Designated Insured for Covered Autos Liability Coverage, Issued by carrier. Additional Insured to Include per above specifications: City of La Qulnta and Its officials, officers, employees and agents. Notice of Cancellation to apply per policy endorsements. SAGITTA 25.3 (2016M3) 2 of 2 #S23036030/M22944381 2024 page 4 of 7 C H U B B• Liability Insurance Endorsement Policy Period MARCH 1, 2019 TO MARCH 1, 2020 Effective Date MARCH 1, 2019 Policy Number 3600-14-86 WCE Insured RUTAN & TUCKER LLP Name of Company FEDERAL INSURANCE COMPANY Date Issued DECEMBER 11, 2018 This Endorsement applies to, the following forms; GENERAL LIABILITY Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - Persons or organizations shown in the Schedule are insureds; but [hey are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide there with such insurance as is afforded by Or Organization this policy. However, the person or organization is an insured only: • if and then only to the extent the person or organization is described in the Schedule, • to the extent such contract or agmcniccnt requires the person or organization to be afforded status as an insured; • for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and • with respect to damages, loss, cost or expense for injury or 1image to which this insurance applies. No person or organization is an insured under this provision: • that is more specifically identified under any other provision of the Who Is An Insured section (regardless of any limitation applicable thereto). • with respect to any assumption of liability (of another person or organization) by them in a contract or agreement, This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or zsgice, ment. Liability Insurance Form s0.02.2367 (Rev. 5-07) Addltlonal Insured - scheduled PemM Or Organiratlon Endorsement contlnued Page 1 2025 page 5 of 7 CHUBB° Liabilliy Endorsement (continued) Under Conditions, the following provision is added to the condition titled Other Insurance, Conditions Other Insurance — If you are obligated, pursuant to a contract or agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy, then in such case Insurance — Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization. Schedule Persons or organizations that you are obligated, pursuant to a contract or agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged. Authorized Representative Q, "m\'_ ' `va, Liability Insurance Additional Insured - Scheduled Person Or Organization Form 80-02-2307 (Rev. 6-07) Endorsement last page Page 2 2026 M. page 6 of 7 Conditions (continued) Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organisation, for loss to which this insurance applies, provided the Insured has waived their rights Against Others of recovery against such person or organization in a contract or agreement that is executed Irefore such loss. To the extent that the iry ured's rights to recover all or part of any payment made under this insurance have not been waived, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medicsd expenses. Llabldfy fmuretw Form 60-022= (Rev. 4-01) conbnct Page 24 of 92 2027 page 7 of 7 POLICYNUMBER: (19) 7358-32-61 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following - AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name Of Person(s) Or Organization(s): CITY OF LA QUINTA AND ITS OFFICIALS,OFFICERS,EMPLOYEES AND AGENTS. 78-495 CALLE TAMPICO LA QUINTA,CA 92253 Information required to complete this Schedule if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form, CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 2028 CERTIFICATE OF INSURANCE Number 3199 This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend or alter the coverage afforded by the policy described below. INSURED: Rutan & Tucker, LLP 611 Anton Boulevard, 14`h Floor Costa Mesa, California 92626 INSURER: Attorneys Insurance Mutual Risk Retention Group, Inc. COVERAGE: This is to certify that the policy of insurance listed below has been issued to the Insured named above for the 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 policy described herein is issued on a claims -made basis and is subject to all terns, exclusions and conditions of such policy. The limit shown may have been reduced by paid claims. TYPE OF INSURANCE: Professional Liability POLICY NUMBER: IP-0000-13/2019 POLICY PERIOD: July 1, 2019 to July 1, 2020 (12:01 a.m.) LIMIT: A minimum of $1,000,000 per claim and in the aggregate including defense costs excess of a self -insured retention. CANCELLATION: Should the above described policy be canceled before the expiration date thereof, the issuing company will mail 30 days written notice to the certificate holder named below. Failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives. CERTIFICATE HOLDER: City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 ISSUED BY: Attorneys Insurance Mutual Risk Retention Group, Inc. DATE ISSUED: July 1, 2019 AUTHORIZED REPRESENTATIVE Amethyst Captive Insurance Solutions, Inc. iF- Client#: 424243 RUTANTUCKE1 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 1 /02/2019 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(ies) must have ADDITIONAL INSURED provisions or 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 any I fights to the certificate holder in lieu of such endorsement(s�. PRODUCER NAME: ONTACT Nicole Fisher Marsh & McLennan Agency LLC PHONE Marsh & McLennan Ins. Agency LLC AMAL ; 949 540-6921 �v? 92 ADDRESS, Nicole.Fisher@marshmma.com 1 Polaris Way INSURERIS) AFFORDING COVERAGE NAIC # Aliso Viejo, CA 656 INSURER A: NOVA Casualty Company 142552 INSURED Rutan & Tucker LLP 611 Anton Blvd., 14th Floor Costa Mesa, CA 92626 INSURER B : INSURER C INSURER D : INSURER E: COVERAGES CFRTIFICOTF NIIMRFR• oovrclnur KI""Moo. 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 CONTRACTOR 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 LTRR TYPE OF INSURANCE 'A00 UB INSR POLICY EFF POLICY EXP POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE 11 OCCUR PREMGLSES Ea ncTcuEr ence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I PRO - POLICY JECT LOC PRODUCTS - COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY 00""BINED SINGLE LIMIT Ea accldenl BODILY INJURY (Per person) $ ANY AUTO _ 1 OWNED SCHEDULED BODILY INJURY (Per accident) $ _ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROM'ZDAMAGE Paraoddlint $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED - RETENTIONS $ A WORKERS COMPENSATION BBWWK1000008102 01/01/2019 01/01/202 X STEARTUTE OTH- AND EMPLOYERS' LIABILITY Y / N E.L. EACH ACCIDENT $1 OOO 000 ANY PROPRIETRRIPARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? � N/A E.L. DISEASE - EA EMPLOYEE $1 000 000 (Mandatory in NH) If yes, describe under E-L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies. VLR I IFI4 M 1 C 11ULLMK UANULLLAtIUN City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 1 of 1 #S3894465/M3886156 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WOMAH INSURED: Rutan & Tucker LLP POLICY #: BBWWK1000008102 POLICY PERIOD: 01/01/2019 TO 01/01/2020 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA We have the right to recover cur payments from anyone liable for an injury covered by this-oohcy. We will not enforce our right against the person or organlzatlon named In the Schedule. (This agreement npplles only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) wau must maintain payroll records accurately segregating the remuneration of your employees while engaged In the work described in the Schedule. The additional premium for this endorsement shall be _2_% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION WHEN SUCH WAIVER IS REQUIRED BY A WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO LOSS This endorsement changer• the policy to which it is attached effcetive on the date issued unless otherwise."Toted. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Countersigned by WC 04 03 06 (Ed. 4.84)