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ACORD CERTIFICATE OF LIABILITY INSURANCE F DATE(MM /DDIYYYY) <br />PRODUCER (818)889 -2155 FAX (805)379 -4198 <br />ISU Insurance Services License #01350569 <br />Stanton & Associates <br />3625 Thousand Oaks Blvd #319 <br />Westlake Village, CA 91362 <br />INSURED Burke, Williams & Sorensen, LLP <br />444 S. Flower Street Suite 2400 <br />Los Angeles, CA 90071 <br />COVERAGES <br />04/07/2010 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE I NAIC # <br />INSURERA: Employers Compensation Ins Co <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E: <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LT <br />DD'L <br />NSR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYYYY <br />POLICY EXPIRATION <br />DATE MM /DD /YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS MADE 1:1 OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY PRO- <br />JECT LOC <br />PRODUCTS - COMP /OP AGG <br />$ <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />COMBINED SINGLE LIMIT <br />(Ea accident) <br />$ <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />BODILY INJURY <br />(Per person) <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />BODILY INJURY <br />(Per accident) <br />$ <br />Cf Sm`_ <br />ary o 1 �7 j$ <br />/ <br />(Per accident) PROPERTY DAMAGE <br />$ <br />GARAGE LIABILITY <br />ANY AUTO <br />Item has <br />e <br />/ <br />(J <br />AUTO ONLY - EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />$ <br />AUTO ONLY: AGG <br />EXCESS / UMBRELLA LIABILITY <br />OCCUR ❑ CLAIMS MADE <br />Approved: <br />Date; <br />/ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />$ <br />DEDUCTIBLE <br />$ <br />A <br />RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE CUTIVE❑ <br />OFFICER /MEMBER EXCLUDED? <br />FN 0320961 -07 <br />O4 /O1� 2J1U <br />A <br />r� O1 /2011 <br />W STATU- OTH- <br />X TO LIMITS ER <br />$ <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />(Mandatory in NH) <br />If yes, describe under <br />E.L. DISEASE - EA EMPLOYEE <br />$ 11000,000 <br />SPECIAL PROVISIONS below <br />OTHER <br />E.L. DISEASE - POLICY LIMIT $ 1,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS <br />0 -day NOC due to non - payment of premium <br />aiver of Subrogation applies <br />CFPTIFIrtATF LJrm r1C0 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />City of Santa Ana NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Indhi ra Gagnon IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />20 Civic Center Plaza, 7th Flr REPRESENTATIVES. <br />Santa Ana, CA 92702 %.�ORIAZEDJRV RESETATIVE <br />L�""� <br />ACORD 25 (2009/01) © 1988 -2009 ACORD CORPORATION. All riahtc resPrvPr1 <br />The ACORD name and logo are registered marks of ACORD <br />