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e city p r o <br />PLEASE NOTE NEW PAYMENT DETAILS <br />Invoice For: <br />Donna Desmond Associates <br />265 South Beverly Glen Blvd. <br />Los Angeles <br />California 90024 <br />United States <br />U.S. Surplus Lines Broker: <br />ELM Insurance Brokers <br />Broker ID: <br />1990 East Grand Avenue <br />Period: <br />Suite 210 <br />Coverage: <br />El Segundo <br />State: <br />California 90245, United States <br />Lloyds Broker Name: <br />Miller North America <br />Date: <br />30th November 2009 <br />All Amounts in USD <br />Name of Assured: <br />Donna Desmond Associates <br />265 South Beverly Glen Blvd. <br />Los Angeles <br />California 90024 <br />United States <br />Policy Number: <br />1038013509/009 <br />Broker ID: <br />eib003 <br />Period: <br />12 months commencing 4 December 2009 <br />Coverage: <br />Errors & Omissions Liability <br />State: <br />California <br />Premium: USD 2,750.00 <br />Please note that because the security under the above captioned policy(ies) is 100% Lloyd's underwriters it is <br />entirely your responsibility to collect any premium taxes and/or filing fees (or equivalent) that are due and remit <br />the same to the correct departmental and/or government bodies - if you have any problems with this whatsoever <br />you must immediately contact the website manager accordingly: <br />The above stated Due amount must be settled, no later than 30 days from the bind date by transfer in U.S. <br />Dollars to the following Bank and Account #: <br />A/C Name E..yP— <br />A/C Number 10143847 <br />Curr. racy USD <br />Svi£t Code CIT -2L <br />sort code 18 -so -os <br />Bank C111—k, <br />Cil l.—k House, <br />336 Strand, <br />London, <br />NC2R 1HB. <br />Please reference your EazyPro.com login ID on all wire transfers. <br />FAILURE TO COMPLY WITH THE ABOVE PAYMENT TERMS WILL INVOKE IMMEDIATE NOTICE OF <br />CANCELLATION AND POSSIBLY VOID COVERAGE IN THE EVENT OF A LOSS <br />