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1J' 2Q 12 ` �-' 22 Ya Gros�N <br />CERTIFICATE OF INSURANCE <br />Issued By: 20111 FT1 12 PM 1: 114 <br />LAWYERS' MUTUAL,.. <br />INSURANCE COMPANY.-.;.,�. <br />This is to certify that the Professional Liability policy designated below has been issued to the insured <br />attorney or attorney firm named below and is in force at this time. Should the described policy be canceled <br />before the expiration date thereof, the issuing company will endeavor to mail 30 days written notice to the <br />below named certification holder, but failure to mail such notice shall impose no obligation or liability of <br />any kind upon the company. <br />1. Name and address of party to whom this certificate is issued <br />2. Name and address of insured attorney or attorney firm <br />City Of Santa Ana <br />Peggy No <br />20 Civic Center Plaza, M29 <br />Attorney At Law <br />Santa Ana, CA. 92702 <br />2011 W. Katella Ave., #21 <br />Anaheim, CA. 92804 <br />4. Limits of Liability <br />5. Policy Number <br />6. Policy Period <br />Lawyers <br />$ 100,000 each claim <br />SSPA03531 <br />01/13/14 to 01/13/15 <br />Professional Liability <br />$ 300,000 aggregate <br />$ 1,000 deductible <br />*Policy is effective and expires at 12:01 a.m., standard time at the address of the named insured as stated herein. <br />This is a "Claims- Made" policy. The coverage afforded by this policy is limited to Claims arising from the <br />performance of Professional Services which are first made against the Insured and reported in writing to the Company <br />while the policy is in force. <br />This certificate of insurance neither amends, extends nor alters the insurance afforded by the policy <br />designated above. <br />The insurance afforded is subject to all of the terms of the policy, including endorsements, applicable <br />thereto. <br />IPROVRD) AS TO FO t <br />J i <br />Laura A. Rossini <br />Assistant City Attorney <br />AV 01/05/12 <br />LAWYERS' MUTUAL <br />INSURANCE COMPANY <br />3110 West Empire Avenue . Burbank, CA 91504 <br />