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Ic"-R& CERTIFICATE OF LIABILITY INSURANCE
<br />05/02/201
<br />THIS CERTIFICATE iS ISSUED —ASA MATTER OF NNFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />UPORTANT If—the �of—fiflcateholder Is an ADDITIONAL INSURED, the po#ioy(es) must he endorsed, tf
<br />TION IS WAIVED, subject to
<br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
<br />certificate holder In lieu of such ondorsomentis).
<br />PRODUCER CONTACT
<br />Dauid Aguirre
<br />NAME
<br />Egloff Insurance Agency, Ino PHONE(818j 992 5734 FAX
<br />niul
<br />20631 Ventura Boulevard Suite 302 C MAIL
<br />-david'ag,u,ir,rrrre@,rorg,lo,ff.r,o,m,,,-"
<br />Woodland Hills, CA 91364
<br />. . ... ........ –.. ..... .. ... . LNEV"R A Westport Insurance Corporation
<br />INSURED
<br />INSURER B
<br />Carpenter, Rothans & Dumont
<br />686 South Figueroa Street, Suite 1960 INSURERO:
<br />Los Angeles CA 90017
<br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEF' I—SSUEDTO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAY BF ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TFIE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
<br />POLIC Y r rF POLICY 1Ek-0
<br />.__TYPE (IF INSURANCF_
<br />w LIMITS
<br />I COMMERCIAL GENERAL LIABILITY
<br />EACHOCCURRENrE
<br />. . . . .. .. .. ........ ... .
<br />CLAVNIS-VADF
<br />MED FXP (Any onb
<br />t^ A9 & ADY hINJURY S
<br />ATE LIMIT APPLIES PEF�:
<br />AGGRE'9?--. --- ] I I � �;ENFRAL AGGM-,GAIE
<br />I I,ko� "
<br />E] JC -C"' IOC AGO
<br />PRODUCTS COMPM)F'
<br />AUTOMOBILE LIABILITY
<br />ANY AUTO BODILY INJURY IPer parson)
<br />ALL OWNED SCPr!DU:LED
<br />AUTOS AUTOS
<br />NON -OWNED: BO DI Y INJURY (Par accid - ant -
<br />HIRED AUTOS i r 1P �OPE'
<br />ALTOS
<br />.. . ... ... ...
<br />UMBRELLA LIAB OCCUR
<br />EXCESS LIAB
<br />AGG
<br />15 7I,�
<br />NORKERS COMPIE
<br />ONO EMPLOYERS � LIABILITY
<br />YIN L51A! U, If. R, . . .. .....
<br />INV PRQPI;ff-� f0RFPARTI`4ERr.XFCVTWj,'
<br />Manrintory Irl Nk) .3NJA I- lA 10 E T.
<br />fgs�,, El 018, "A7F , PA UMPI.o)'r��L"
<br />E.L. DISEASLf-011131UNIT
<br />Lawyers Professional Liability $1,000,000/$2,000,000 Limits
<br />WLA335011000301 04101/2016 0410112017 E
<br />$15,000 Deductible
<br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AcIdiflunal Remark, Slhodula, may be attached it more p.- Iq requlrod�
<br />APVROVED AS'r0 FORM R
<br />La if ra A. li-tt;S'71111
<br />Assjs�n --Ltt
<br />CERTIFICATE HOLDER
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS,
<br />20 Civic Center Plaza David Aguirre — -----
<br />Santa Ana, CA 92701 AUTHORIZED RMIRESUFFM �TIVU
<br />1988-2013 ACORD LRPO—RA N, All rights reserved.
<br />ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD
<br />
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