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4 ACORD CERTIFICATE OF LIABILITY INSURANCE DATE DECo(MMs' TM 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. THIS 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#: OD28706 INSURED INSURER A: Lloyds Of London DONNA DESMOND ASSOCIATES INSURER B: 265 S. BEVERLY GLEN LOS ANGELES CA 90024 INSURER C: INSURER D: —/00 INSURER E: rnvPPAnPA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH P.O. BOX 1988 POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE Attention: INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MMIDDNY DATE MM/DD/YY GENERAL LIABILITY 1038013509/008 DEC 4 08 DEC 4 09 EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY. DAMAGE TO RENTED $ NOT INCLU PREMISES (Ea occurence) _ X CLAIMS MADE OCCUR '�, MED. EXP (Any One Person) $ NOT INCLU A X PROFESSIONAL LIABILITY PERSONAL & ADV INJURY $ NOT INCLU GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG. $ NOT INCLU POLICY AUTOMOBILE LIABILITY NOT INCLUDED COMBINED SINGLE LIMIT ANY AUTO, , (Ea accident) $ ALL OWNED AUTOS BODILY INJURY I� (Per person) $ SCHEDULED AUTOS HIRED AUTOS .. BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY NOT INCLUDED, AUTO ONLY - EA ACCIDENT $ ANY AUTO, ' !, OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBERELLA LIABILITY NOT INCLUDED i EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION ANDNOT INCLUDED We STATU- OTHER EMPLOYERS' LIABILITY TORY LIMITS E.L. EACII ACCIDENT $ ANY PROPRIETORIPARTNERIEXECUTIVE ' '. OFFICER/MeMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER: NOTINCLUDED DESCRIPTION OF OPERATIONS/LOCATION/VEHICLES/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. 12/4197 PRIOR ACTS DATEN/ rFRTIGIr ATF Wnl IIFR ADDITIONAL INSURED: INSURER LETTER: rAKIrCI I ATInA1 CITY ATTORNEY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SANTA ANA EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT 20 CIVIC CENTER PLAZA (M-29) FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE P.O. BOX 1988 INSURER, ITS AGENTS OR REPRESENTATIVES. SANTA ANA, CA 92702 AUTHORIZED REPRESENTATIVE Attention: ACORD 25 (2001/08) Certificate # 4022 Frederick J. Fisher 0607799