BLUM, LAWRENCE D. 1-2005 - Laserfiche WebLink

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MEMORANDUM OF INSURANCE Date Issued: 05/09/2005 Insured: This memorandum is issued as a matter of information only and confers no rights upon the LAWRENCE N BLUM PHD INC holder. This memorandum does not amend, 5182 Katella Ave extend or alter the coverages afforded by the Ste 205 policy and/or certificate listed below. Los Alamitos, CA 90720-2857 Company Affording Coverage Producer Trust Risk Management Services, Inc. Ace American Insurance Company 181 W Madison St Ste 2900 Chicago, IL 60602-4643 Covered Person (Status) Owner X LAWRENCE N BLUM PHD INC Employee This is to certify that the policy and/or certificate listed below has been issued to the insured named above for the policy and/or certificate period indicated, notwithstanding any requirement, term or condition of any contract or other document with respect to which this memorandum may be issued or may pertain. The insurance afforded by the policy and/or certificate described herein is subject to ail terms, exc lusions and conditions of such policy and/or certificate. The limits shown may have been reduced by paid claims. Policy and/or Type of Insurance Certificate Effective Date Expiration Date Limits Number Professional Liability Each incident $ 1,000,000 Claims Made 78822356288 06/01/2005 06/01/2006 Annual aggregate $ 3,000,000 Retro Date: 02/01/1992 Memorandum Holder SHOULD ANY OF THE ABOVE DESCRIBED POLICIES AND/OR CERTIFICATES BE CANCELLED BEFORE THE EXPIRATION DATE The City of Santa Ana THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 20 Civic Center Plaza TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL Santa Ana, CA 92702 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. APPROVED /\:'\ 10 !'UR~vj _ . 1, . .j ., .~ , 'l;iu~a' Sl,i.tt - ~ icedy ----..." M PW