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Insurance Certificates 2019/20 CPSA� CERTIFICATE OF LIABILITY INSURANCE DA6/3/2011) 9 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER UUNIAUTVan Dan NAME: g Robert Harris Insurance Agency, Inc. A"e,N (714)619-4493 Fvc No: c714l619-44e1 Lic. #0216736 E-MAIL ADDRESS: van@reharris.com 3150 Bristol St., Suite 200 INSURER(S) AFFORDING COVERAGE NAIC # Costa Mesa CA 92626 INSURERA:Travelers Cas Ins Cc of America 19046 INSURED INSURER B: Hartford Casualty Ins. Co. 29424 Complete Paperless Solutions LLC INSURERC:Llo ds of London 4025 E. La Palma Ave #204 INSURERD: Anaheim CA 92807 1INSURERF: COVERAGES CERTIFICATE NUMBER-19/20 RFVISI()N NIIMRFR- 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 MAYBE 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. IY LTR TYPE OF INSURANCE INSD WVD .SUER POLICY NUMBER MM DDJYYYY EXP MMI ICDA/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE .X OCCUR EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED >=luIISES Ea occurronce $ 300,000 MED EXP (Any one person) S 5,000 X 6BOBB847614-19 6/23/2019 6/23/2020 PERSONAL & ADV INJURY $ 2,000,000 'LAGGREGATELIMITAPPLIESPER: POLICY PELT LOC .JtL::i M GENERAL AGGREGATE $ 4,000,000 PRODUCTS S 4,000,000 $ 1:77HER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) S A ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS 680BE847614-19 6/23/2019 6/23/2020 BODILY INJURY (Per accident) $ HIREDAUTOS X AUTOS NON-OWNED X PROPERTYDAMAGE MACE S S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION S $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under NIA 72WECZX9262 6/23/2019 6/23/2020 PER OTH- X ATUTE I I ER E.L. EACH ACCIDENT $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Professonial Liability ESHOS1163944 6/23/2019 6/23/2020 Each Claim: 1,000,000 Claims -Made Policy Each Claim DED: $10,000 Aggregate 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta is named as additional insured as respects to the general liability policy per endorsement attached. CERTIFICATE HOLDER CANCELLATION City of La Quinta 78495 Calle Tampico Suite #204 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 Steve Harris/VAND © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)