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HomeMy WebLinkAboutA4125 -RUTAN & TUCKER LLP INS. ONLYI page 2 Of 5 Client#: 1257796 305RUTANTUC ACORD. CERTIFICATE OF LIABILITY INSURANCE DAT 1612OD/YVVV) 2/1 HO23 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: It the certificate holder IS an AUDIT IUNAL INSURCU, LM Pohl it SUBROGATION IS WAIVED, subject to the terms and conditions of the p this certificate does not confer any rights to the certificate holder In lieu of PRODUCER I McGriff Insurance Services 130 Theory Ste 200 i Irvine, CA 92617 714 941 II - must have ADDITIONAL INSURED provisions or be endorsed. certain policies may require an endorsement. A statement on INSURER A: Federal Insurance Company INSURED INSURER 8: Rutan & Tucker LLP 18575 Jamboree Rd., 9th Floor Irvine, CA 92612-1998 INSURER C INSURER D: INSURER E: - --- INSURER F COVFRAn FS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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 LTq TYPE OF INSURANCE ODL Inn UBii Wye PDLICYNUMBER POLICY EFF MMIDWYYY POLICY EXP MsoevvyYYj_ A X COMMEnCIALGENERALLIAINLRY CLAIMS -MADE �]X OCCUR -a — 36001486WUC 0112023 D3101/2t124 EACH OCCURRENCE p AGE TO RENTED i. PRPHO'ER Pecunence f1 oD0000 f 1 OlX1000 MED EXP (Any one pemon) f 10 000 PERSONAL B A)V IN.AIRY f1000000 GEN'L AGGREGATE LIMIT APPLIES PER PER: X POLICY J COT LOC OTHER: GENERAL AGGREGATE f2000000 PRODUCTS - COMPIOP AGO It f A AUTOMOBILELIABLRY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS MIRED NONOWNED X AUTOS ONLY X AUTOS ONLY 73SO261 -� 03MM023 MM/2024 COOMBIiNED1SINGLELMIT 0 1r000000 BODILY INJURY tow Person) It BODILY INJURY (Pa" a¢iINI f PROPERTY DAMAGE Per 0 f s A X. umsAELLA LUIS . X OCCUR EXCESS UAB CLANS -MADE �DED RETENTIONS 79890486 /2023 03/01/2024 EACH OCCURRENCE 610 060 000 AGGREGATE f10 o00 D00 WORKERS COMPENSATION AND EMPLOYERS' LUIBILRY ANY PROPRIETOWPARTNEWEXECUTIVE YIN OFFICEWMEMSER EXCLUDED, (1111aMMorr In NN) nyyS� de ft.unler DESCRIPTION OF OPERATIONS below NIA PER OTH- El. EACH ACCIDENT f E.L. DISEASE - EA EMPLOYEE 3 _ E1. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1ACORD 101, AWMonal Remark$ Schedule, may be attached It more space N mqulrarp Certificate is subject to policy limits, conditions and exclusions. RECEIVED The City of Palm Springs is included as Ac"EcjNtr" with respects to General Liability as required by written contract. FEB 2 7 2023 -B 2 i 2023 C ty Hail ('tV HAII Re ID, UCH I IrIUA I C MULUCM UAIYUCLLA I IUM City of Palm Springs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 3200 E. Tahqutta Canyon Way ACCORDANCE WITH THE POLICY PROVISIONS. P.O. Box 2743 AUTHORIZED REPRESENTATIVE Palm Springs, CA 92263-0000 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) 1 off The ACORD name and logo are registered marks of ACORD 450( #S31586034IM31584506 TOMOC page 4 oT b Liability Insurance Endorsement Policy Period 03/012023 to 03/012024 Effective Date ON012023 Policy Number 36001486WUC Insured Rutan&Tucker LLP This Endorsement applies to the following forms: GENERAL LIABILITY Under Who Ls An Insured, the following provision is. added Who Is An Insured Additional Insured- Persons or orgarti zatiorn shown in the Schedule are insured s; but they am insureds only i f 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 organizationis 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 he 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 ororganizationisan insuredunderthis provision: - - --- ------ -_ - _ . _ ,• -, ,. that -is morespecifica6yidendfiedamder-anyotherprovisionof-the-Who-Is-An-Insured section (regardlessofany limitationapplicablethereto). • with respectin any assumption of liability(of another person or oiganizadon)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. uabilitylnsuranoe Add'tionatlnsured- Schcdo%fMr��,RrioWFation contFnuod Form 80-02-2367 (Rev. "7) Endorsement Page 1 4509 page 5 of 5 Liability Endorsement (continued) Under Conditions,the following provision is added to the condition titled Other Insurance. Conditions Olherinsurance- If you am obligated,purs. uantto a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurancesuch as is afforded by this policy, then in such case Insurance —Scheduled this insuranceis primary and we will not seek contribution finm insurance availableto such person Person Or Organ¢ation or organization. — -- - --- persons or organizations that you are obligated, pursuant -to a con ra or agreement, to promdewth-- such insurance as is afforded by this policy. All other terms and conditions remain unchanged Authorized Representative Uabilitylnsurance Addtional Insured- Sched�r !aUrn lastpage Form 80-02-2367(Rev 5-07) Endorsement �} Page 2 4510 page 2 of 5 A14(R5 Client#: 1257796 305RUTANTUC ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE02l7/227/2 /V024 4 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 CNAME ONTACT Kimberly Elfring McGriff Insurance Services LLC Pn"Jc°Nl o Ext : 714 941-2822 ,roc, N, 130 Theory Ste 200 E-MAIL r @ elfrin mc lff.com ADDRESS: k9 g Irvine, CA 92617 INSURER(S) AFFORDING COVERAGE NAIL 714 941-2800 INSURER A: Federal Insurance Company 20281 INSURED INSURER s : Rutan & Tucker LLP 18575 Jamboree Rd., 9th Floor Irvine, CA 92612-1998 INSURER C : INSURER D : INSURER E: rVl\/COA!_C¢ r`FRTIFICATF MI IIURFR• RFVISION NtJMRFR[ 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 ADDL INSR UBR WVD POLICY NUMBER POLICY EFF MM/DD/YYY POLICY EXP MMIDO/YYYY _ LIMBS A X COMMERCIAL GENERAL LIABILITY 36001486WUC 3/01/2024 03/01/2025 $1 000000 pEAACHOECCURRENCE PREMISES EaEoNcaTurronce CLAIMS -MADE � OCCUR $1 1 0001000 MED EXP (Any one person) $10 DD0 PERSONAL & ADV INJU RY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY � ECOT- 7 LOC $INCLUDED PRODUCTS - COMP/OPAGG OTHER: $ A AUTOMOBILE LIABILITY _ 73583261 _ 3/01/2024 03/01/2025 COMBINED ad.,t1NGLELIMIT 1,000.000 BODILY INJURY (Per person) ANY AUTO $ BODILY INJURY (Per accident) X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY $ —- $ _ PROPERTY DAMAGE Per accident S A X UMBRELLA LIAB )( OCCUR 79890486 01/2024 OW01/2025 EACH OCCURRENCE $15 000,000 AGGREGATE EXCESS LIAB CLAIMS -MADE $15,000,000 DIEDRETENTION$ $ -_ WORKERS COMPENSATION J.PTERT, OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? NIA E.L. EACH ACCIDENT $ - (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ -- - If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Palm Springs is included as Additional Insured with respects to General Liability as required by written contract. RECEIVED MAR C 5 2024 City Hall CEH 1 lI-ICA I E HOLUEH t AINGtLLA 1 IUN City of Palm Springs 3200 E. Tahquita Canyon Way P.O. Box 2743 Palm Springs, CA 92263-0000 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 AUN © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD 188 #S33835336/M33835288 KSELF page 3 of 5 This page has been left blank intentionally. m page 4 of 5 Liability Insurance Endorsement Policy Period 03✓01 i2024 to 03/01 /2025 Effective Date 03/01/2024 Policy Number 36001486WUC Insured Rutan & Tucker LLP 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 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 organizationto 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 organizationis 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 contractor agreement. Ibis 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. c�we..�,�t:xc°,:sus.^.t.;�x.:r�x..ca�sr�sesa....,.�r.�xx�:�a:zrexs^•R.r;c.;a�^x��:�.�,.s;.�^�z...:..�.c.��...�.,..��::say.szav�,F:�..r,^��:c�>"ars�.a=:crae: x�.-�,..M.aac,:e2.� �.: er+x.,. ze�:.�;�..�+ Liability Insurance Addition! Insured - Sdredileiigf ii n upgation continued Form 80-02-2367 (Rev. 5-07) Endorsement Page i 190 page 5 of 5 Liability Endorsement (continued) Under Conditions, the following provision is added to the condition titled (hher 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 affordedby this policy, then in such case Insurance — Scheduled this insuranceis primary and we will not seek contribution from insurance availableto such person Person Or Organization or organization. ,..F.._z,z,..:_: us_aTM, Schedule Persons or organizations that you are obligated, pursuant to a contractor agreement, to provide with such insurance as is afforded by this policy. All other terms and conditions remain unchanged Authorized Representative Liability Insurance AddilionalInsured -SdreVegP ration lastPage Form 80-02-2367 (Rev 5-07) Endorsement Page 2 191