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A,CORD DESMO-1 11 166/07 07 CERTIFICATE OF LIABILITY INSURANCE S DATE (MMI) MO PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JOHN J. MATSOCK 5 ASSOC. INC. 1750 N WASHINGTON ST HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# NAPERVILLE IL 60563 Phone:630-505-7888 lOo INSURED INSURER A: CNA Ins. Co. 20443 INSURER B'. LIMITS INSURER C: Donna Desmond Associates 265 South Beverly Glen Blvd. Los Angeles CA 90024 INSURER D: I DRE PRESENTATIVE INSURER E. COVERAGES THE POLICIES OF INSURANCE 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 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS. IN�mPOLICY LTR NSR TYPE OF INSURANCE NUMBER P LI V EFFE DATE MMIDDIVY 1 Y EXPIRATION DATE MMIDD/ LIMITS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 20 CIVIC CENTER PLAZA M-36 GENERAL LIABILITY I DRE PRESENTATIVE I EACH OCCURRENCE 51 000,000 PREMISES (E. occunence) $300,000 A X COMMERCIAL GENERAL LIABILITY 1072777855 12/01/07 12/01/08 MED EXP (Any one person) $ 10,000 CLAIMS MADE FX] OCCUR PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMPIOP AGO $2,000,000 POLICY 1-1 PRCT O- LOC E AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $1000000 (Ea accident) BODILY INJURY (Per Person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) S A A X X HIRED AUTOS NON -OWNED AUTOS 1072777855 1072777855 12/01/07 12/01/07 12/01/08 12/01/08 PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTOONLV EAACCIDENT $ OTHER THAN EAACC $ ANY AUTO AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND 70RY LIMBS ER EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below EL DISEASE -POLICY LIMIT $ OTHER A Property Section 1072777855 12/01/07 12/01/08 $500 Ded $5,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS ADDITIONAL INSURED WITH RESPECTS TO GENERAL LIABILITY: CITY OF SANTA ANNA, ITS OFFICERS, EMPLOYEES, AGENTS, VOLUTEERS AND REPRESENTATIVES//AS REQUIRED BY WRITTEN CONTRACT, CERTIFICATES ARE SUBJECT TO ALL POLICY TERMS AND CONDITIONS. CERTIFICATE HOLDER CANCELLATION ACORD 25 (2001108) V � 7 © ACORD CORPORATION 1988 SANTAAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN CITY OF SANTA ANNA NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL PUBLIC WORKS AGENCY ATTN: KENT JORGENSEN IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR 20 CIVIC CENTER PLAZA M-36 REPRESENTATIVES. DRE PRESENTATIVE SANTA ANNA CA 92701AUTHOR s' ACORD 25 (2001108) V � 7 © ACORD CORPORATION 1988