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ACC)M90' CERTIFICATE <br />., A <br />1311 <br />ELM Insurance Brokers <br />1960 E. Grand Ave., 4370 <br />El Sound©, CA 90245 <br />(310) 322-1301 <br />Dontia Domand Associates <br />265 S. Beverly Glen <br />Los Angeles .CA 90024 <br />1T 1 INSURANCE DATE(MMIDONYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />COVERAGE AFFORDED BY THE POLICIES BELOW. <br />INSURERS AFFORDING COVERAGE NAIC <br />INSURER A. Gemini Insurance Company <br />NSURER B: <br />INSURER C: <br />INSURER D' <br />INSURER E: THE POLICIES OF INSURANCE LI&TED BELOW HAVE BEEN ISSUED TIS THE INSURED NAMED ABOVE FOR THE <br />ANY RE4UIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER pOCUMEN'T WITH RESPECT TO W <br />PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED HEREIN IS SUBJEC"f TO ALL THE TERM' <br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />ADD'Lr TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION <br />INSRp{ PdLICY NUMBER -- . - <br />r -y GENERAL LIABILITY <br />�J ® COMMERICAL GENERAL LIABILITY <br />®❑ CLAIMS MADE 0 OCCUR <br />GEN`LAGGREGATE LIMIT APPLIES PER: <br />POLICY L.._f PROJECT [:J LOC <br />® AUTOMOBILE LIABILITY NIA <br />❑ ANY AUTO <br />ALL OWNED AUTOS <br />SCHEDULED AUTOS <br />❑ HIRED AUTOS <br />NON.OWNEO AUTOS <br />12/4114 1 12AA5 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONSI VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS <br />CERTIFICATE HOLDER 13 NOT ADDED AS AN ADDITIONAL INSURED TC) THE. REFERENCED POLICY. C <br />LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE SHALL ALTER, AMEND OR EX'TE'NT) C OVERA( <br />POLICY. ALL OTHER TERMS AND CONDITIONS OF THE RFFERENCED POLICY REMAIN IN FULL FORCE <br />OF CANCELLATION IN THE EVENT OF CANCELLATION FOR NON-PAYMENT/// <br />w <br />City Of Santa Ana <br />20 Civic Center Plaza (IVt•37) <br />P.O, BOX 1958 <br />Santa Ana,CA 92702 <br />•`r <br />DONNA DESMOND ASSOCIATES <br />ICELLATION <br />SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />NOW" <br />,,limilllimimi. - <br />illillaillamii <br />INSU IIER, ITS AGENTS OR REP ,,. z _ k. - <br />S. <br />POLICY PERIOD INDICATED. NOTWITNSTANDlNG <br />ITCH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />GARAGE LIABILITY <br />LIMITS <br />0 <br />NIA <br />ANY AUTO <br />PREMISES Ea raccurrenca <br />$ <br />MED EXP (Any one person) <br />$ <br />EXCESWUMBRELLA LIABILITY <br />5 <br />GENERAL AGGREGATE <br />N/A. <br />❑ OCCUR [:]CLAIMS MADE <br />PRODUCTS • COMPIOP AGG <br />$ <br />® DEDUCTIBLE <br />COMBINED SINGLE LIMIT <br />Q RETENTION $ <br />(Each Occurrence) <br />$ <br />WORKERS COMPENSATION AND <br />(Per pe—) <br />EMPLOYERS' LIABILMY NIA <br />BODILYINJURY <br />ANY P RC PR IETORIPARTN E RJEXEC U- <br />$ <br />PROPERTYOAMAGE <br />TIVE OFFICERFMEMBER EXCLUOED7 <br />(Per accidern) <br />$ <br />If yes, describe under <br />S <br />OTHER THAN EA ACC <br />SPECIAL PROVISIONS below <br />AUTO ONLY: A G G, <br />$ <br />OTHER <br />VCPL0631 i4 <br />$ <br />AGGREGATE <br />PROFd S5IONAL LIABILITY <br />12/4114 1 12AA5 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONSI VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT ISPECIAL PROVISIONS <br />CERTIFICATE HOLDER 13 NOT ADDED AS AN ADDITIONAL INSURED TC) THE. REFERENCED POLICY. C <br />LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE SHALL ALTER, AMEND OR EX'TE'NT) C OVERA( <br />POLICY. ALL OTHER TERMS AND CONDITIONS OF THE RFFERENCED POLICY REMAIN IN FULL FORCE <br />OF CANCELLATION IN THE EVENT OF CANCELLATION FOR NON-PAYMENT/// <br />w <br />City Of Santa Ana <br />20 Civic Center Plaza (IVt•37) <br />P.O, BOX 1958 <br />Santa Ana,CA 92702 <br />•`r <br />DONNA DESMOND ASSOCIATES <br />ICELLATION <br />SHOULD ANYOF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />NOW" <br />,,limilllimimi. - <br />illillaillamii <br />INSU IIER, ITS AGENTS OR REP ,,. z _ k. - <br />S. <br />POLICY PERIOD INDICATED. NOTWITNSTANDlNG <br />ITCH THIS CERTIFICATE MAY BE ISSUED OR MAY <br />I, EXCLUSIONS AND CONDITIONS OF SUCH <br />LIMITS <br />EACH OCCURENCE $ <br />DAMAGE TO RENTED <br />PREMISES Ea raccurrenca <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL &ADV INJURY <br />5 <br />GENERAL AGGREGATE <br />S <br />PRODUCTS • COMPIOP AGG <br />$ <br />COMBINED SINGLE LIMIT <br />(Each Occurrence) <br />$ <br />BODILY INJURY <br />(Per pe—) <br />$ <br />BODILYINJURY <br />(Per aorldent) <br />$ <br />PROPERTYOAMAGE <br />(Per accidern) <br />$ <br />AUTO ONLY- EA ACCIDENT <br />S <br />OTHER THAN EA ACC <br />$ -- <br />AUTO ONLY: A G G, <br />$ <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />g <br />OTH- <br />® <br />TWOSTATU- <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE, <br />S <br />E.L, DISEASE -POLICY LIMIT $. <br />LIMITS: 1 [vt[I..11 M E1. <br />RETRO DATE: <br />1214/[997 <br />'sRTIFICATE IS FOR PROOF OF PROFESS IONA1, <br />E PROVIDED BY THE ABOVE MENT[ONED <br />AND EFFECT. *10 DAYS WRITTEN NOT[CF. <br />ID ACORD COF <br />�p0 <br />REVIEWED <br />-VILVEB/ � E <br />U M(E H._ A Wi p ( P( 5 of <br />p <br />) <br />mm <br />