PROOF OF INSURANCE (2005) CLOSEDARCH INSURANCE CoMpANy
(A STOCK COAVANP, HERM CALLED THE COMPAM)
Lawyers Professional Liability Insurance Policy
THIS IS A CLAIMS -MADE AND REPORTED POLICY. PLEASE REVIEW YOUR POLICY CAREFULLY.
THE POLICY IS LIMITED TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AND REPORTED AGAINST
THE INSURED DURING THE POLICY PERIOD.
DECLARATIONS
Policy Number: IILPL3240000
ITEM 1. NAMED INSURED AND ADDRESS ITEM 2.
(NUMBEa, STRM, TOWN OR Crry, COUNCY, STATE, ZIP CODE)
Jenkins & Hogin, LLP
1230 Rosecraus Avenue
Suite 110
Manhattan Beach, CA 90266
ITEM 3. POLICY PERIOD
FROM (Mo.- DAY -Ya) To (Mo - DAY -YR.) 1201 A.M. Standard Tune et the
3/1/2004 3/1/2005 addmi orthe Named lmareda
Stated herein.
ITEM 4. LIMIT LIABILITY
$ 1,000,000 EACH CLAIM
$ 3,000,000 AGGREGATE
CLAIM EXPENSES
a. Claims expenses are included within the Limit of Liability.
ITEM 5. DEDUCTIBLE
$ 10,000 PER CLAIM
Renewal of:
PRODUCER NAME
Marsh Affinity Group Services,
a service of Seabury & Smith
PO Box 9277
West Des Moines, IA 50398
The deductible amount specified above applies to both damages and claim expenses.
ITEM 6. PREMIUM
$ 21,243.00 AMOUNT NO. OF LAWYERS 3
ITEM 7. FORMS ATTACHED AT ISSUE
LPL 00034 00 0902 Prior Acts
LPL 00036 00 0902 Program ERP Endorsement
LPL 00002 05 0902 Policy Form
LPL 0116 00 0303 Terrorism
By acceptance of this policy the Insured agrees
Insured's agre that the statements in the Declarations and the Application and any attachments hereto are the
ements and representations and that this policy embodies all the agreements existing between the Insured and the Company or
any of its representatives relating to this insurance.
Do Not Write Remarks Countersigned at Issue Date
In This Box West Des Moines 3/l/2004
Authorized Representative
01 LPL 0000100 09 02
FAIC - LPLP -D (8/02)
3/1/2004
Countersign Date
11/18/2004 14:53 FAX 515 2B2 8324 MARSH AFFINITY GPOUP I0002/002
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13SUE DATE RAMMDnm
•
n S/04
PRODUCER
TW CERTIFKATE 5 ISSUED AS A MATTEL OF 1NPORNIAT10N ONLY AND CONFRMRS tt0
RIGHTS UPON TTY CEtTMCAlE HOLDU. THUS CERTIFICATE DOES NOT AbaND. EXTEND
OR ALTER THE COVERAGE AFFORDED BY T= rOL=E3 BELOW.
Marsh Affinity Group Services
1776 West Lakes Parkway
West Des Moines, Iowa 50398
COMPANIES AFFORDING COVERAGE
COMPANY A Arcb Insurance Group
LETTER
INSURED
COMPANY B
Jenkins & Hogin, LLP
LETTER
COMPANY C
LETTER
1230 Rosecrans Avenue
Suite 110
Manhattan Beach, CA 90266
COMPANY D
LETTER
COMPANY E
LETTER
THIS IS TO CERTIFY THAT 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 wmcH 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.
ca
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TYPE OF INSURANCE
POLICY NUMBER
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GENERAL LIABILITY
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EXCESS LIAJI)LITY
EACH
OCCURRENCE
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S
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STATUTORY
WORKERS' COMPENSATION
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AND
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A
OTHER
LIMITS:
Lawycts' Professional Liability
I ILPI3240000
D3101/04
03/01105
$ 1,000.000 Ew %Claim
$ 3,000,000 AWjmft
S 10 ON Each Claim Doductibic
DESCRIPTION OF OPER ATIONS /LOCATIONSNEMCLES/RESTRiCTIONS /SPECIAL ITEMS
SHOULD ANY M TM ABOVE DESCRIED POLICIES BE CANCaLRD 61000 THE
City of El Segundo
Ie DAYS WRrTTs NOTME TO THE C MQC ATE HOLM N�Ah= TO TIE LM. BUT
350 Main SttT:et
RS TO ML SUCH NOTICE SHML WONS NO Ota.WA'"ON OR LIAMMY OF ANY
PAaU AI
MIND LEON THE COWANY. 1T3 AGENTS OR MEMISBNPAIMS.
El Segtndo, CA 90245
AUTHORIZED REPRESENTATIVE 010 �4ff
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