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AC^ �® �VR CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 4/8/2013 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER Poms 6 Associates Insurance Brokers, Inc. CA License #0814733 5700 Canoga Ave. #400 Woodland Hills CA 91367 CONTACT Wend Delgado NAME: y g PHONE (BOO)578 -8802 FAX No: (818) 449 -9321 EMAIL .wdelgado @pomsassoc.com AbDRESS INSURERS AFFORDING COVERAGE NAICO INSURER A:American Auto Ins. Co. /FF 21849 INSURED McCUNE and HARBER, LLP 515 S Figueroa St Los Angeles CA 90071 INSURER B:Amerlcan Casualty Co of Reading Mail Stop M -29 INSURERC:Axls Insurance Co. INSURER D: INSURER E : $ 2,000,000 INSURER F: COMMERCIAL GENERAL LIABILITY CAVFRAnFS CFRTIFICATF NUMRFR-CL1261512750 REVISION NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY MM/DD/YYYY LIMITS GENERAL LIABILITY Mail Stop M -29 Santa Ana, CA 92701 EACH OCCURRENCE $ 2,000,000 Wendy Delgado /WENDYD COMMERCIAL GENERAL LIABILITY DAMAGE To RNTED PRE M SES f E. Eoccurrence $ 100,000 A CLAIMS -MADE a OCCUR kZC80826766 /18/2012 /18/2013 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 4,000,000 $ POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a.dent 2,000,000 BODILY INJURY (Per person) $ p' ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS ZC80826766 /18/2012 /18/2013 BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ X HIRED AUTOS X NON -OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER /EXECUTIVE X WC STATU- OTH- TORY I IMITS FR E.L. EACH ACCIDENT $ 11000,000 OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) NIA 4034634058 /15/2012 /15/2013 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ 1,000,000 C Professional Liability HLN 753046/01/2012 6/4/2012 6/4/2013 Limit $1,000,000 L SIR: $25,000 -L DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Certificate is a matter of proof. Lj_1s_/5 CERTIFICATE HOLDER CANCELLATION ACORD 25 (2010105) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD bbd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. City Attorney's Office AUTHORIZED REPRESENTATIVE 20 Civic Center Plaza Mail Stop M -29 Santa Ana, CA 92701 Wendy Delgado /WENDYD ACORD 25 (2010105) INS025 (201005).01 ©1988 -2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD bbd