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DATE1MMIDDWYYI <br />ACC►R" INSURANCE BINDER 3/28/2014 <br />L --- <br />THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS FORM. <br />AGENCY COMPANY : BINDERY <br />CHATSWORTH INSURANCE SERVICES 1 BCS Insurance Company IRIS007493 <br />EFFECTIVE EXPIRATION <br />21601 Devonshire St #207 DATe nme ogre nmE <br />Chatsworth, CA 91311-8410 X!I AM X,1201AM <br />4/1/14 12:01;_ PM 7/1/14 NOON <br />(OnlONE <br />rva'em)l (818) 998 FAX o.( )-6162 aN818700-1679 <br />THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY <br />CODE: 1 BUB CODE: I PER EXPIRING POLICY #: <br />AGENCY DESCRIPTION OF OPERA9ONSABUDCLESIPROPERTY (IndUdIng Locelioni <br />CUSTOMER ID: <br />INSURED Carpenter, ROthans & Dumont Lawyers Professional Liability <br />9e6 S. Figueroa Street, Suite 1960 Policy Period: 4/1/2014-4/1/2015 <br />Los Angeles, CA 90017 Limits: $1,000,000/$2,000,000 <br />(213)228-0400 Deductible: $15,000 <br />Retroactive Date: 3/1/1994 <br />-- <br />' TYPE GF INSURANCE COVEPAGEIFORMB DEDUC9BLE ' COINBN AMOUNT <br />PROPERTY CAUSES OF LOSS <br />�. <br />_l BASIC ' I BROAD i � SPEC <br />cervenwL uwna:i. <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMSMADE OCCUR' <br />:—ANYAUTO <br />ALL OWNED AUTOS <br />_ SCHEDULED AUTOS <br />.I HIRED AUTOS <br />'. NON-OWNEO AUTOS <br />PROVED AS TO FORM <br />Laura A. Rossini <br />Assistant City Attorney <br />BODILY INJURY (Per BcCdent) <br />$ <br />:PR EPO RTY DAMAGE <br />I$ <br />MEDICAL PAYMENTS''. <br />$ <br />INJURY PROT <br />--. <br />S <br />rPERS_ONAL <br />UNINSURED MOTORIST <br />$.. <br />VEHICLE PHYSICAL DAMAGE GED <br />ALL VEHICLES -_I SCHEDULED VEHICLES <br />ACTUALCASHVALUE <br />COLLISION' <br />STATEOA, MOUNT <br />Ih <br />5 <br />OTHER THAN COL <br />AUTO ONLY -EA ACCIDENT <br />'�$ <br />GARAGE LIABILITY <br />ANYAUTO <br />OTHER THAN AUTO ONLY'. <br />EACHACCIDENT <br />'... $ <br />f—'.. <br />AGGREGATE'.8 <br />Excess LIAEILRY <br />EACH OCCURRENCE <br />$ <br />UMBRELLA FORM! <br />AGGREGATE <br />''. $ <br />OTHER THAN UMBRELLA FORM <br />RETRO DATE FOR CLAIMS MADE: <br />SELF-INSURED RETENTION <br />$ <br />'.,.. <br />IWC STATUTORY LIMITS <br />WORKERS COMPENSATION., <br />E.L. EACH ACCIDENT <br />$ <br />AND <br />EMPLOYER'S uaelurr <br />'�, <br />'. E.L. DISEASE - En EMPLOYEE, 8 ' <br />'. <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />FEEs_.._ <br />$ <br />SPECIAL This is <br />a claims made and reported policy. <br />_ <br />-. CONDITIONS, <br />TAXES <br />$ <br />OTHER <br />COVERAGES <br />ESTIMATED TOTAL PREMIUM <br />$ <br />: MORTGAGEE <br />~ILOSS PAYEE <br />LOANd <br />AUTHORIZED RP.PRE <br />ADDITIONAL INSURED <br />Page t of 2 (DACORD CORPORATION 1993.2007. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />