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COM. CERTIFICATE OF LIABILITY INSURANCE I DA7NOV2613Y) <br />E.L.M> INSURANCE BROKERS, INC. <br />P.O. BOX 2668 <br />1960 E. GRAND AVE STE 370 CA LIC 0028706 <br />EL SEGUNDO CA 90246.1768 <br />PHONE: 310.322.9301 <br />INSURED <br />DONNA DESMOND ASSOCIATES <br />266 S. BEVERLY GLEN <br />LOS ANGELES CA 90024 <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 />INSURERS AFFORDING COVERAGE. j NAIC# <br />C <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 DOCUMENTWITH RESPECT' TO WHICH THIS <br />CER IFICATE MAY BE ISSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />DAYSCER TOPTHE CERTE IFICATE NAMEMPANY <br />WRITTEN TO THE BUT <br />INs TYPEOPINSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br />LT DATENNUDDiNYT DATE(MMfODYS <br />INSURER.. ITS AGENTS OR REPRESENTAT IVES. <br />GENERAL LIABILITYNOT INCLUDED <br />I EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />_ <br />DAMAGEP <br />CLAIMS MADE OCCUR <br />ea—EO $ <br />PAEhI3E31Ex ocNlMrtel <br />MED, EXP IAny One PerC.D)-_,..._.m......-__ <br />_.. _... <br />PERSONAL &ADD INJURY $ <br />r <br />ON LAGGREGATE $ <br />IGEN'L AGGREGATE LIMIT APPLIES PER <br />(PRODUCTS COMp10P ACG. IT <br />l I <br />POLICY 1 I <br />.................._..� <br />AUTOMOBILE LIABILITY NOTINCLUDED <br />(COMBINED 6INGLEIIbIIT <br />_ ANY AUTO <br />;(ED accident) $ <br />ALLOWNEDAUTD6 + <br />BODILY INJURY <br />SCHEDULED AUTOS <br />(Per persOn) R <br />1 HIRED AUTOS 1I <br />77 <br />BODILY INJURY $ <br />_ NON -OWNED AUTOS I <br />(Per aaoldieD <br />_..__..._... __ I <br />- '_ <br />I PROPERTY DAMAGE is <br />GARAGE LIABILITY NOTINCLUDED <br />AUTOONLY EA ACCIDENT I$ <br />ANY AUTO <br />-_._._ .. __.._ <br />HAN FA ACG $ <br />- <br />AUTO ONLY AGG1$��� <br />AUTOO <br />- <br />EXCESS I UMBERELLA LIABILITY NOTINCLUDED } \i 1 yq.ry ,T t r)��lr <br />I <br />EACH OCCURRENCE is <br />r� OCCUR C CLAIMS MADE <br />F _ <br />AGGREGATE IS mm. <br />_. <br />DEDUCTIBLE ,�. H'%yr1�l. <br />RETENTION c <br />WORKERS COMPENSATION AND NOTINCLUDED 7(F1IN NIj <br />vtc sTA[U _OrrieRi <br />IT ITS <br />EMPLOYERS'LIABILITY <br />ANYPRDPRIETORIPARTNEREXECUTIVEE <br />L. EACH ACCIDENT ,. $ <br />-L <br />PFnG9RMeMBER EXCLUDED? <br />( Fi. DISEAS-E---E-A--E, M P 0 YEE $ <br />ICoreC IAL PROVISIONS below <br />- -- <br />FLDIBEA66POLICY LIMN i3 <br />OTHER: PROFESSIONAL LIABILITY ( VCPLOG2409 I DEC 4 13 DEC 41$ <br />$1,000,0001 $1,000,000 LIMITS <br />A CLAIMS MADE FORM) <br />RETRO DATE: 12(4/1997 <br />DESCRIPTION OF OPERATIONSILOCATIONIVEHICLES!EXCLUSIONS ADDED ENDORSEMENT) SPECIAL PROVISIONS <br />CERTIFICATE HOLDER IS NOT ADDED AS AN ADDITIONAL INSURED TO THE REFERENCED POLICY. <br />CERTIFICATE IS FOR PROOF OF <br />PROFESSIONAL LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE $HAL.L ALTER, AMEND <br />OR EXTEND COVERAGE PROVIDED BY <br />THE ABOVE MENTIONED POLICY. ALL OTHER TERMS AND CONDITIONS OF THE REFERENCED <br />POLICY REMAIN IN FALL FORCE AND <br />EFFECT, "D DAYS WRITTEN NOTICE OF CANCELLATION IN THE EVENT OF CANCELLATION FOR NON-PAYMENT/11 <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCEL I. ATION <br />CITY OF SANTA ANA <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE SANG -0 BEFORE THE <br />20 CIVIC CENTER PLAZA <br />�WILL DO <br />EDP TION THEEO, THE MAL 30' <br />ING COHOLDER <br />EAVOR LLEFT, <br />TNOT <br />(M-37) <br />DAYSCER TOPTHE CERTE IFICATE NAMEMPANY <br />WRITTEN TO THE BUT <br />P.O. BOX 1988 <br />FAILURE TO DO SO SHALL IMPOSE NO 01 OR LIABILITY OF ANY KIND UPON THE <br />SANTA ANA, CA 92792 <br />INSURER.. ITS AGENTS OR REPRESENTAT IVES. <br />Attention: JASON GABRIEL <br />AUTHORIZED REPRESENTATIVE <br />4�-5i� <br />ACORD 26 (2001108) Certificate tt 4717 - Frederick J. Fisher 0607795 <br />