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ACORDI DAT CERTIFICATE OF LIABILITY INSURANCE JUN2907� TM. AND CONDITIONS OF SUCH PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION E.L.M. INSURANCE BROKERS, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O. BOX 2668 HOLDER. 71-115 CERTIFICATE DOES NOT AMEND, EXTEND OR 1990 E. GRAND AVE STE 210 CA LIC OD28706 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. EL SEGUNDO CA 90245.1768 PHONE: 310.322-1301 INSURERS AFFORDING COVERAGE NAIC # Agency Lic#: 8706 _ 002. _ __ INSURED INSURER A: Lbyds of London DONNA DESMOND MACCABEE DBA DONNA DESMOND MED. EXP (Any One Person) $ INSURER B: ASSOCIATES PERSONAL &ADV INJORV$ INSURERC: 265 S. BEVERLY GLEN - - -- - - --- - - LOS ANGELES CA 90024 GEN'L AGGREGATE LIMIT APPLIES PER: INSURER D: NOTINCLU — --- POLICY NSURER E: THE POLICIES OF NSURAMCE 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH CITY OF SANTA ANA POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 20 CIVIC CENTER PLAZA M-36 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE 1 � l EXmT INSURER, TS AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92702 INS TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE LT GATEE1MNIGOI GATE DATE M9NY Y)x LIMITS GENERAL IJABaITY 1039013509/006 DEC 4 06 DEC 4 07 EACH OCCURRENCE S 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO REMED $ PREMISESU rsl )— NGT INCLU X CLAIMS MADE J OCCUR MED. EXP (Any One Person) $ NOT INCLU AX PROFESSIONAL LIABILITY PERSONAL &ADV INJORV$ NOT INCLU RAL AGGREGATE $ 1,000,ODO GEN'L AGGREGATE LIMIT APPLIES PER: �PRODUCTS-COMP/OPAGG. $ NOTINCLU — --- POLICY AUTGMOBILELIABILITY NOTINCLUDED COMBINED SINGLE LIMIT Ea acdCent) $ ANYAUTO ALL OWNED AUTOS BODILY INJURY (Per person) $ SCHEDULED AUTOS HIREDAUTOS BODILY INJURY '$ III NON -OWNED AUTOS (Per acddent) PROPERTY DAMAGE $ ,GAR AGE LIABILRY NOTINCLUDED AUTO ONLY - EA ACCIDENTJ$ ANY AUTO BOTHER THAN EAACC S AUTO ONLY: AGG $ ,EXCESS I UMBERELLA LIABILITY NOT INCLUDED EACH OCCURRENCE $ OCCUR J CLAIMS MADE AGGREGATE._ $ $ DEDUCTIBLES RETENTION $ WORKERS COMPENSATION AND NOTINCLUDED Tw YTLIMIiS OTNEF EMPLOYERS' UABILITY E.L. EACH ACCIDENT S ♦XV PROPPoETOWPIIRTNEWESECUTIVE — - — W 0F.CENMeMBEPR%OLEDi E .LDISEASE-EAEMPLOYEE $ Il yea, L¢acelpB untlr SPECIAL PROVISIONS>elow E.L. DISEASE -POLICY LIMIT $ OTHER: NOTINCLUDED DESCRIPTION OF OPERATIONS/LOCATIONNEHICLES/EXCLUSIONS ADDED ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER IS NOT ADDED AS AN ADDITIONAL INSURED TO THE REFERENCED POLICY. CERTIFICATE IS FOR PROOF OF PROFESSIONAL LIABILITY COVERAGE. NOTHING IN THIS CERTIFICATE SHALL ALTER, AMEND OR EXTEND COVERAGE PROVIDED BY THE ABOVE MENTIONED POLICY. ALL OTHER TERMS AND CONDITIONS OF THE REFERENCED POLICY REMAIN IN FULL FORCE AND EFFECT, 1214/97 PRIOR ACTS DATE/// ACORD 25(2001/08) ut; icateu jna e-Vt�Jvl .. _..,-v ,#LLOI,1Gy ENGINEERING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PUBLIC WORKS AGENCY -DESIGN EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ID CITY OF SANTA ANA DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 20 CIVIC CENTER PLAZA M-36 FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE P.G. BOX 1966 INSURER, TS AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE Attention: MICHELLE WALKER ACORD 25(2001/08) ut; icateu jna e-Vt�Jvl .. _..,-v ,#LLOI,1Gy