DONNA DESMOND ASSOCIATES (2) - 2014

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ACORD TM. CERTIFICATE OF LIABILITY INSURANCE DATE (Mi I NOV 2613 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 19,60 E. GRAND AVE STE, 370 CA LIC OD28706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, EL SEGUNDO CA 90245-1768 POLICY EFFECTIVE POLICY EXPIRATION PHONE: 310-322.1301 Agency Lid : OD28706 INSURERS AFFORDING COVERAGE ... . ........ . NAIC # INSURED INSURER GEMINI INSURANCE COMPANY DATE (Mi INSURER. B: DONNA DESMOND ASSOCIATES__-- 265 S. BEVERLY GLEN LOS ANGELES CA 90024 INSURER C: . . ....... . INSURER D: $ INSURER E: COMMERCIAL GENERAL LIABILITY COV11i FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDIG THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE N 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 R TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DAMiMMI.-ly) DATE (Mi GENERAL LIABILITY NOT INCLUDED EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES L Ci III OCCUR l - MEXP �l, One Person) ili $ . . .... PERSONAL & ADV INJURY $ ............... GENERAL AGGREGATE GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG. $ 1-1 POLICY 1:1 121 Ll LOC, AUTOMOBILE LIABILITY NOT INCLUDED COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS . . . ...... .. HIRED AUTOS BODILY INJURY $ NON-OWNE0 AUTOS (Per accident) . . ...... PROPERTY DAMAGE $ GARAGE LIABILITY NOTINCLUDED AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY� AGG $ EXC ESS I UMBERELLA LIABILITY NOT INCLli EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE DEDUCTIBLE ax . ......... . .. .. $ - $ RETENTION KVa. $ WORKERS COMPENSATION AND NOTINCLUDED WCSTATU-a rHrR 1ORYLIMIT, EMPLOYERS" LIABILITY E.L. EACH ACCIDENT ANY PROPRIETORIPARTNERIEXECUTIVE . .. . ........... . OFFICERIMeMBER EXCLUDED? El DISEASE EA EMPLOYEE If yes, describe under . . . . .... ...... SPECIAL PROVISIONS b.1— E.L. DISEASE -POLICY LIMIT OTHER: PROFESSIONAL LIABILITY VCPL062409 DEC 4 13 DEC 414 $1,000,0001 $1,000,000 LIMITS A CLAIMS MADE FORM) RETRO DATE: 12/411997 DESCRIPTION OF OPERATIONSILOCATIONIVEHICLESIEXCLUSIONS ADDED ENDORSEMENTI 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/11 r-11EPTIFill"ATIP woi nii 8 ADDITIONAL INSURED; INSURER LETTER: r.AKI('Fl I ATi CITY OF SANTA ANA 20 CIVIC CENTER PLAZA (M-37) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BF CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30* 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 LIABli Or ANY KIND UPON THE SANTA ANA, CA 92702 INSURER, IT'S AGENTS OR REPRESENTATIVES. Attention, JASON GABRIEL AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) Certificate # 4717 Frederick J. Fisher 0607799