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Insurance Certificates 2022/23 Rutan & Tucker, LLPINSR ADDL SUBR LTR INSR WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE INSURER(S) AFFORDING COVERAGE NAIC # Y / N N / A (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? EACH OCCURRENCE $ DAMAGE TO RENTED $PREMISES (Ea occurrence)CLAIMS-MADE OCCUR MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ $ PRO- OTHER: LOCJECT COMBINED SINGLE LIMIT $(Ea accident) BODILY INJURY (Per person)$ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS AUTOS ONLY HIRED PROPERTY DAMAGE $AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below POLICY NON-OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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 CONTRACT OR 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) ACORDTM CERTIFICATE OF LIABILITY INSURANCE Federal Insurance Company 3/01/2022 McGriff Insurance Services 130 Theory Ste 200 Irvine, CA 92617 714 941-2800 CertsCA@McGriff.com Rutan & Tucker LLP 18575 Jamboree Rd., 9th Floor Irvine, CA 92612-1998 20281 A X X 36001486WCE 03/01/2022 03/01/2023 1,000,000 1,000,000 10,000 1,000,000 2,000,000 Included A X X 73583261 03/01/2022 03/01/2023 1,000,000 A X X 79890486 03/01/2022 03/01/2023 10,000,000 10,000,000 A Blanket Personal Property 36001486WCE 03/01/2022 03/01/2023 $21,441,600 Limit SPC,RC/$5,000 Ded Certificate is subject to policy limits, conditions and exclusions. City of La Quinta and its officials, officers, employees and agents are included as Additional Insured with respects to General Liability as required by written contract. City of La Quinta 78-495 Calle Tampico La Quinta, CA 92253-0000 1 of 1 #S29557721/M29547153 305RUTANTUCClient#: 1257796 TOMOC 1 of 1 #S29557721/M29547153 Client#: 424243 RUTANTUCKEI D/YYYY) E (MM/D ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1 DATE(MM/D021 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 NpAN9E Nicole S Fisher Marsh & McLennan Agency LLC PHONE $00 540-6921 r'AX A/C, No, Ext : A/C, No): Marsh & McLennan Ins. Agency LLC F- Ross: Nicole.Fisher@marshmma.com 1 Polaris Way #3 INSURER(S) AFFORDING COVERAGE NAIC # Aliso Viejo, CA 92656 INSURER A: NOVA Casualty Company 142552 INSURED INSURER B : Rutan &Tucker LLP INSURER C : 18575 Jamboree Road, 9th Floor INSURER D : Irvine, CA 92612 INSURER E' INSURERF: COVERAGES CERTIFICATE N1IMHFR- RFVICIf1N 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 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDD� MM/DDY DCP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PAMAISES F.a ENcurrrence $ MED EXP JAny one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO - POLICY. JECT n LOC PRODUCTS - COMP/OPAGG $ $ OTHER: _ AUTOMOBILE LIABILITY COMBINED SIN GLE.UMIT acddun $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par accidenl $ EACH OCCURRENCE $ UMBRELLA LIAB HOCCUR AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 51 N / A BBWWK1000008105 1/01/2022 01/01/2023 X PER STATUTEOTH- IER E.L. EACH ACCIDENT $1 000,000 E.L. DISEASE- EA EMPLOYEE $1 00U 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies. I:LLLA City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S9079159/M9079143 WONSF INSURED: Rutan & Tucker LLP POLICY #: BBWWK1000008105 POLICY PERIOD: 01/01/2022 TO 01/01/2023 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 that 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 forthis 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 This endorsement ehangc-s the policy to which it is attached eticctive on the hate issued unless otherwise statcd. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Countersigned by VVG 04 03 OF (Ed. 4434) CERTIFICATE OF INSURANCE Number 3880 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 18575 Jamboree Road, 9th Floor Irvine, CA 92612 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-0000-13/2021 POLICY PERIOD: July 1, 2021 to July 1, 2022 (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. See attached schedule. 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, 2021 AUTHORIZED REPRESENTATIVE Amethyst Captive Insurance Solutions, Inc. # - $+-+)-)(&% 0,'-+%/ * 757:<:4<86 1 ' ,"-1 %$" +-"% *%!"1%/- /$&#1% )%- 9= 8:97 $ )%- 9= 8:96 )%- 98= 8:97 )%- 9= 8:97 (*'#1 "*/( $%!-%. @ ! $/( $% ''# - 3 " ! ! ,-%-"1' '*10*'* 3 # - ; * 1 * = += 2 # ! ; !2 2 = = = = ; 2 3 % ? >; * 1 * = ; ? = ; > = = to03/01/2022 03/01/2022 03/01/2023 36001486WCE Rutan & Tucker LLP # - $+-+)-)(&% 0,'-+%/ ) 0/ . = / = = * ; ! = $ * ; # = = ; 1 ; # Rutan & Tucker LLP 36001486WCE 03/01/2022 03/01/2022 03/01/2023 INSURED:Rutan & Tucker, LLP 18575 Jamboree Road, 9th Floor Irvine, CA 92612 INSURER:See attached list of Quota Share Insurers COVERAGE: TYPE OF INSURANCE:Lawyers Professional Liability POLICY NUMBER:IP-0000-13/2022 POLICY PERIOD:July 1, 2022 to July 1, 2023 (12:01 a.m.) LIMIT: CANCELLATION: 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 01, 2022 AUTHORIZED REPRESENTATIVE Amethyst Captive Insurance Solutions, Inc. 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 OF INSURANCE Number 4547 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. 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 subject to all terms, exclusions and conditions of such policy. The limit shown may have been reduced by paid claims. A minimum of $1,000,000 per claim and in the aggregate including defense costs excess of a self-insured retention. See attached schedule. Layer Primary AUTHORIZED REPRESENTATIVE Amethyst Captive Insurance Solutions, Inc. $1 million each claim and in the aggregate Scottsdale Insurance Co., Evanston Insurance Co., Aspen Specialty Insurance Co., Lloyd's Underwriter Syndicate No. 4000 ("Hamilton"), Liberty Mutual Insurance Europe Ltd. SE, Lloyd’s Insurance Co. S.A. BEA 4242 (“Munitus”), Attorneys Insurance Mutual Risk Retention Group, Inc., and Aon Client Treaty (ACT) each for their respective percentages. CERTIFICATE OF INSURANCE Attachment to Certificate No. 4547 Limit Insurer