DONNA DESMOND ASSOCIATES (3) -2011

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ACORD CERTIFICATE OF LIABILITY INSURANCE DAT TM. NOV26 E (MMI 3 PRODUCER E.L.M. INSURANCE BROKERS, INC. P.O. BOX 2668 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1960 E. GRAND AVE STE 370 CA LIC OD28706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EL SEGUNDO CA 90245.1768 POLICYNUMBER PHONE: 310.322.1301 Agency Lic#: OD28706 INSURERS AFFORDING COVERAGE NAIC # Int I Pr INSURED INSURER A: G f IIN-VR INC OM At DONNA DESMOND ASSOCIATES INSURER B: 265 S. BEVERLY GLEN LOSANGELES CA 90024 INSURER C: U,; y ;:y, ANA INSURER D: t INSURER E: COVERAGES 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, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS LTF TYPE OF INSURANCE POLICYNUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDDM LIMITS GENERAL LIABILITY NOTINCLUDED EACH OCCURRENCE $ COMMERCIAL GENERAL LI ABILITY CLAIMS MADE OCCUR DAMAGE TO RENTED PREMISES Eeoccurence $ MED. EXP (Any One Person) $ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG. $ 17 POLICY AUTOMOBILE LIABILITY ANYAUTO NOTINCLUDED COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS NON-OWNEDAUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ GARAGE LIABILITY NOTINCLUDED AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: qGG $ EXCESS I UMBERELLA LIABILITY NOT INCLUDED EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY NOTINCLUDED "77$ TORY umiTS °THeR E.L. EACH ACCIDENT $ ANY PR°PRIETORIPARTNERIEXECUTIVE E.L. DISEASE -EA EMPLOYEE $ OFFICE61MeMSER EXCLUDED? If yes, describe under E.L. DISEASE -POLICY LIMIT $ SPECIAL PROVISIONS below OTHER: PROFESSIONAL LIABILITY ( VCPL062409 DEC 413 DEC 414 $1,000,0001$1,000,000 LIMITS A CLAIMS MADE FORM) RETRO DATE: 121411997 DESCRIPTION OF OPERATIONS/LOCATIONfVEHICLES/EXCLUSIONS ADDED ENDORSEMENT/ SPECIAL PROVISIONS CERTIFICATE HOLDER IS NOT ADDED AS AN ADDITIONAL INSURED TO THE REFERENCED POLICY. CERTIFICATE IS FOR PROOF OF PROFESSIONAL LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE SHALL ALTER, AMEND OR EXTEND COVERAGE PROVIDED BY THE ABOVE MENTIONED POLICY. ALL OTHER TERMS AND CONDITIONS OF THE REFERENCED POLICY REMAIN IN FULL FORCE AND EFFECT. *10 DAYS WRITTEN NOTICE OF CANCELLATION IN THE EVENT OF CANCELLATION FOR NON-PAYMENT/// AUUI I IUNHL INJUKt U; INi UKtK Lt ILK: CITY OF SANTA ANA kap [D'f,\ O V LD AS 'rO FOR WOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 20 CIVIC CENTER PLAZA M-37 L E (RATION DATE THEREOF, THE ISSUING COMPANY WILLENDEAVORTO MAIL30' ( DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT P.O. BOX 1988 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITYOF ANY KIND UPON THE SANTA ANA, CA 927025x/ e� Pte, INSURER, IT'S AGENTS OR REPRESENTATIVES. Laur�--a S'�0`aAUTHORIZED REPRESENTATIVE iltt itt 9 • or Assistant City Attorney - Attention: JASON GABRIEL ACORD 25(2001/081 Certificate ft 4717 Frederick.(. Fisher 06077gA