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A� ®® CERTIFICATE OF LIABILITY INSURANCE <br />4/22/2014 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 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 />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must he endorsed. If SUBROGATION 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 endorsements . <br />PRODUCER <br />Poms & Associates Insurance Brokers, Inc. <br />CA License #0814733 <br />5700 Canoga Ave. #400 <br />Woodland Hills CA 91367 <br />CONT <br />CT Wendy Delgado <br />PHONE <br />(800)578-8802 ,(818)449-9321 <br />AXdo@pomsassoo.com <br />I .wdelga <br />INSURERS AFFORDING COVERAGE NAIC9 <br />INSURER A:Fireman Is Fund Insurance Co. 21873 <br />INSURED <br />MCCUNE & FIARBER, LLP. <br />515 S Figueroa St, Ste 1150 <br />Los Angeles CA 90071 <br />INSURER B;Technoloqy Insurance_ Company <br />_ <br />INSURERc Axis Ins S&C <br />INSURER D: <br />INSURER E : <br />_ <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:CL1442225386 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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 BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSRft <br />TYPE OF INSURANCE <br />ADOLSUSR <br />POLICY NUMBER <br />POLICY EFF <br />P LI YEXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 57OCCUR <br />ZC80884450 <br />4/18/2014 <br />4/18/2015 <br />DAMAGE TO RENTED <br />PREMISES ao„r. S 100,000 <br />MED EXP(An one person) $ 10,000 <br />PERSONAL& ADV INJURY $ 2,000,000 <br />GENERAL AGGREGATE $ 4,000,000 <br />GENL AGGREGATE LIMIT APPLIES PER <br />PRODUCTS - COMP/OP AGG $ 4,000,000 <br />T POLICY PRO LOC <br />dFrIT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident 2,000,000 <br />BODILY INJURY (Per person) $ <br />AANY <br />H <br />AUTO <br />ALL OWNED F7 SCHEDULED <br />AUTOS AUTOS <br />X NON -OWNED <br />HIRED AUTOS AUTOS <br />X808844504/18/2014 <br />4/18/2015 <br />BODILY INJURY (Per accident) $ <br />PROPERTY DAMAGE $ <br />P c eni <br />UMBRELLA LIAROCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS UAB <br />CLAIMS -MADE <br />DED I I RETENTION <br />$ <br />B <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'UABILITY YIN <br />ANY PROPRIETOMPARTNETEXECUTIVE ❑ <br />OFFICERrMEMBER EXCLUDED? <br />(Mandatary In NH) <br />NIA <br />C-3415154 <br />/15/2014 <br />5/15/2015 <br />X WC STATU- OTH- <br />E EACH ACCIDENT $ 1,000,000 <br />E.L. DISEASE EA EMPLOYEE $ 1,000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE POLICY LIMIT $ 1,000,000 <br />C <br />Professional Lliability <br />MN753046012014 <br />6/4/2014 <br />6/4/2015 <br />Limn: Each Claim: 01,000,000 <br />A39re9ate: rn -11,000,000 <br />DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (Attach ADDED 101, Additional Remarks Schedule, if more space is required) <br />Evidence of Insurance Only. <br />APPROVED AS TO FORM; <br />1=5 <br />ti <br />Laura A. Rossini ) <br />:_ va <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />The City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. <br />City Attorney's Office <br />20 Civic Center Plaza AUTHORIZED REPRESENTATIVE <br />Mail Stop M-29 _ <br />Santa Ana, CA 92701 .r- G (/ <br />Wendy Delgado/WEND YD <br />25 <br />© 1988.2010 ACORD CORPORATION. All rights reserved. <br />INSO"on1nn81M Tho ArnPn e . anA Inrvn arw rorvi¢}¢rod mx4¢ of ArnPn <br />