DONNA DESMOND ASSOCIATES (2) - 2014

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DESMO-1 OP ID: SG DATE (MM/DD/YYYY) CERTIFICATE LIABILITY 02/05/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT John J. Matsock & Assoc. Inc. NAME: _ Steven L. MonteithPHONE � 1750 N Washington Street A/C No.EXt :630-505-7888 �— jA"c, NOL _— Naperville, IL 60563 E-MAIL Steven L. Monteith ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Prop Cas Co _ 25674 _ INSURED Donna Desmond Associates — INSURER B: of America_ 265 South Beverly Glen Blvd. INSURER C : _ v Los Angeles, CA 90024 — — INSURER D: INSURER E: INSURER F : COVFRA(CFS CERTIFICATF NI IMRFRtil IRARI=P• THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVDSUB POLICY NUMBER EFF MM DD YYYY MPOLICY MLDDYYICY YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X 680-16716605 12/01/2014 12/01/2015 DAMAGE RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 A X Ind Contractors 680-1 B716605 GENERALAGGREGATE $ 2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,®®O,O®® Ea accident _i110001000 BODILY INJURY (Per person) $ A ANY AUTO 680-16716605 12/01/2014 12/01/2015 _ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ PER ACCIDENT UMBRELLA LIAB Id OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECuriVE OFFICER/MEMBER EXCLUDED? ❑ N / A TORY LIMITS ER E.L. EACH ACCIDENT $ — - E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Property Section 680-1B716605 12/01/2014 12/01/2015 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY: CITY OF SANTA ANNA,ITS OFFICERS, EMPLOYEES, AGENTS, VOLUTEERS AND REPRESENTATIVES//ADDITIONAL INSURED IS PRIMARY AND NON CONTRIBUTORY//AGREEMENT NUMBERS A°-201.1.-070 and A--2014-°038//AS REQUIRED BY WRITTEN CONTRACT, CERTIFICATES ARE SUBJECT TO ALL POLICY TERMS AND CONDITION DONNA A N) aMC I1D ASSOCIATES REVIEWED BY, / � EUN C. E I- EREDIA (PG, 1 of 6) iiiillRigW1li lel►` M•r +♦ ^-r w AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD