Loading...
Insurance Certificates 2020/21 Rutan & Tucker, LLPClient#: 424243 RUTANTUCKEI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 12/20/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Nicole Fisher Marsh & McLennan Agency LLC PHONE 949 540-6921 Marsh & McLennan Ins. Agency LLC -MA Lv, Ext : A)C, No): 1 ADDRESS; Nicole. Fisher@marshmma.com 1 Polaris Way #300 Aliso Viejo, CA 92656 INSURER(S) AFFORDING COVERAGE NAIC # _ ; INSURER A: NOVA Casualty Company 142552 INSURED INSURER B • I Rutan & Tucker LLP 611 Anton Blvd., 14th Floor Costa Mesa, CA 92626 INSURER C : INSURER D : INSURER E ; INSURER F : COVERAGES CFRTIFICATF NIIMRFR- RFVICInN NIIMRIPP. 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. INSR LTR TYPE OF INSURANCE ADDLSUBK INSR WVD POLICY NUMBER_ POLICYEFF MM7DDIYYYY POLICY E.XP MMIDD LIMITS $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH�,OCCURRENCE _ REMISES F�Eocr irr ence S MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY. JECT LOC OTHER: GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY !V £OMBINEDSINGLE LIMIT E den $ BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE IPLw.accident S S UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ H.CLAIMS-MADE AGGREGATE S $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA BBWWK1000008103 1/01/2020 01/01/2021 X TA OTH- E.L.EACH ACCIDENT E.L DISEASE - EA EMPLOYEE S1,000,000 S1,000,000 EL. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies. City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 CANt;I=LLA1 PUN 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 �REPRESEeNTA,TI_VE ,Ali",-6 . ACORD 25 (2016/03) 1 of 1 #S4565261/M4565249 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WONSF INSURED: Rutan & Tucker LLP POLICY #: BBWWK1000008103 POLICY PERIOD: 01/0112020 TO 01/01/2021 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 our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent thal you perform work under a written contract that requires you to obtain this agreement from us.) You 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 WRITTEN CONTRACT THAT YOU HAVE AGREED TO PRIOR TO LOSS 'Phis endonctnent changes the policy to which it is attached effective on the date icsucd unless otherwise slated. (The information below is required only when this endorsement is issued subseq uent to preparation of the policy.) Countersigned by W C 04 03 06 (Ed. 4-84) /V page 2 of 7 3-9-zUza Client#: 1257796 305RUTANTUC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 2/27/2020 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 INSIJRED. the policy(iss) 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Lori McNay McGriff Insurance Services HQtVI f NQ, gj e , 714 941-281-5 I (AM, Na : 2400 E Katella Ave Suite 1100 a DD RtI.Gg_ lmcnay0mcgriffinsurance.com Anaheim, CA 92806 INSURER(S)AFFORDING COVERAGE NAIC 4 714 - INSURER A: Federal Insurance Company 120281 INSURED INSURER B Rutan & Tucker UP P.O. Box 1950 INSURER C IINSURER D: 611 Anton Blvd. 14th Floor INSURERE: Costa Mesa, CA 92626-1998 INSURER F., COVFRAGFS CFRTIFICATC IUi IaaCCM 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. INSA L.TR ADDLSUS TYPE OF INSURANCE M59 WVD POLICY NUMBER POLICY EFF IMWVWYYYYI POLICY FXP LIDIV.Y.YY) LIMITS A X COMMERCIAL GENERAL LIABILITY T CLAIMS -MADE 51 OCCUR I 36001486WCE 33/01/2020�03/01/2021 EACH OCCURRENCE ORA AA5F�7C7FiEN7ED P M 5�_occurrenca $1000O0D s1 000 vlao MED EXP (Any one person) $1-_0,000 PERSONAL & ADV INJURY S11,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECOT FILOC GENERAL AGGREGATE $2 000,000 PRODUCTS-COMPIOPAGG sincluded AUTOMOBILE S _q OTHER; LIABILITY A 73583261 33/01/2020 03/01/2021 rar DINED SINCL': LIMIT 1 000 000 n BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-OWNED O—OWNEDY AUTOS ONLY X BODILY INJURY (Per accident) S PROPERTYD'AMAGE PeracClden4 $ EACH OCCURRENCE S - $10 000 000 79890486 D3/01/2020 03/01/20211 A X UMBRELLA LIAB N OCCUR AGGREGATE $10 000 000 EXCESS LIAR CLAIMS -MADE DED RETENTION $ S D3/01/2020 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOMPARTN£RIEXECUTiVEY 1 N OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA _ _ - 36001486WCE 03/01/202146,600 T &L E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE S FE.L.EASE - POLICY LIMIT Limit - SA Blanket Personal Property SPC,RC/$5,000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If 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 tq 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) City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253 C;ANUELLA I ION 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 2 1976 #S25281603/M25275257 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD LXMCN M-11 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 Quinta and Its officials, officers, employees and agents. Notice of Cancellation to apply per policy endorsements. SAG ITTA 25.3 (2016/03) 2 Of 2 #S25281603/M25275257 1977 page 4 of 7 CH U B B• Liability Insurance Endorsement Policy Period MARCH 1, 2020 TO MARCH 1, 2021 Effective Date MARCH 1, 2020 Policy Number 3600-14-86 WCE Insured RUTAN & TUCKER LLP Name of Company FEDERAL INSURANCE COMPANY Date Issued DECEMBER 16, 2019 This Endorsement applies to the following forms: GENERAL LIABILITY •-_..z..=..:.]�=.a:,.x=-:_i—.�= .- --=.�- Z�aV -. N.- nur�iswo�+ar-••�•^��- - acr--ziErn 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 they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them 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 agreement 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 damage 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 agreement. Liability Insurance Additional Insured - scheduled Person Or Organization continued Form 00-02-2367 (Rev. 5-07) Endorsement Page i 1918 page 5 of 7 CHUBB° Liability 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 Liability Insurance Additional Insured - 9dwduled Person Or Organization Form 80-02-2367 (Rev. 5-07) Endorsement last page Page 2 1979 0 page 6 of 7 (continued) Transfer Or Waiver Of Rights Of Recovery Against Others Liability insurance Form 80-02-2000 (Rev. 4-01) We will waive the right of recovery we would otherwise have had against another person or organization, for loss to which this insurance applies, provided the insured has waived their rights of recovery against such person or organization in a contract or agrecmeat that is executed before such loss. To the extent that the insured'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 imwred will bring suit or transfer those rights to us and help us enforce them. This condition does not apply to medical expenses. Contract Page 24 of 32 1980 N page 7 of 7 POLICYNUMBER: (20) 7358-32-61 COMMERCIAL AUTO CA20481013 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 I 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 A.I. 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. CA20481013 1981 © Insurance Services Office, Inc., 2011 Page 1 of 1 CERTIFICATE OF INSURANCE Number 3657 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, 140' 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 terms, exclusions and conditions of such policy. The limit shown may have been reduced by paid claims. TYPE OF INSURANCE: Professional Liability POLICY NUMBER: IP-0000-13/2020 POLICY PERIOD: July 1, 2020 to July 1, 2021 (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, 2020 AUTHORIZED REPRESENTATIVE Amethyst Captive Insurance Solutions, Inc.