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DONNA DESOMND ASSOCIATES
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Last modified
8/4/2022 5:27:14 PM
Creation date
8/4/2022 5:25:26 PM
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Contracts
Company Name
DONNA DESOMND ASSOCIATES
Contract #
A-2022-077-02
Agency
Public Works
Council Approval Date
5/17/2022
Expiration Date
5/16/2025
Insurance Exp Date
12/1/2022
Destruction Year
2030
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rib <br />A� b CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYWY) <br />12/04/2021 <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 p°licy(ies) must be 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 endorsement(s). <br />PRODUCER <br />Liability Risk Management &Insurance Services <br />6 Centerpointe Drive <br />Suite 700 <br />La Palma CA 90623 <br />NACONTAME:DT Andre DeGaZOn <br />PHONE EaS. 714-916-9140 Faalcc No a 714-367-8401 <br />noorsesS: andre@Liabilityriskmgmt.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: Hiscox Insurance Company <br />INSURED <br />Donna Desmond Associates <br />265 S. Beverly Glen Blvd <br />Los Angeles, CA 90024 <br />INSURER B <br />INSURER C : <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER- 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 />INSR <br />LTRINSD <br />TYPE OF INSURANCE <br />ADD <br />SUER <br />MD <br />pOLICV NUMBER <br />MWDDY'EFF <br />POLICY EXP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />✓ CLAIMS -MADE OCCUR <br />MPL1662140.21 <br />12/04/2021 <br />12/04/2022 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />✓ <br />MED EXP Any one person) <br />$ <br />Professional Liability <br />PERSONAL a ADV INJURY <br />$ <br />GENT. <br />AGGREGATE LIMIT APPLIES PER: <br />GENERALAGGREGATE <br />$ 2,000,000 <br />PRODUCTS- COMPIOP AGO <br />$ <br />✓ <br />POLICY JEC LOG <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY(Per person) <br />$ <br />ANYAUTO <br />BODILY INJURY (Per accident) <br />$ <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />NOWOWNED <br />HIREDAUTOS AUTOS <br />PROPERTYDAMAGE <br />ParacrAtlem <br />$ <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LL1B <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNEWEXECUTIVE <br />I STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ <br />EL. DISEASE - EAEMPLOY <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />N/A <br />E.L. DISEASE-POLICV LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />This certificate is for Professional Liability Insurance only. <br />Coverage applies solely for the insured's performance of professional services as a Business Appraisal. Nothing in this certificate shall alter, amend or extend <br />coverage provided by the carrier. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />ACORD 25 (2014/01) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />WdeMmMgnnentDMelon <br />REVIEWED&APPROVED Br <br />© 1988-2014 ACORD 9 45�4 &414io <br />The ACORD name and logo are registered marks of ACORD®' Risk Management specialist <br />
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