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A� ©® CERTIFICATE OF LIABILITY INSURANCE ATE D4/7/IDD/Y3 4/7/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Certificate Department PHO CNo •619-234-6848 aC No:619-234-8601 Cavignac & Associates E-MAIL ADDRESS: certificates@cavignac.com 450 B Street, Suite 1800 San Diego, CA 92101-8005 License No. OA99520 PRODUCER CUSTOMER 1.:SOHAG-1 INSURERS AFFORDING COVERAGE NAIC # XDAGE INSURED INSURER A INSURER B: TRAVELERS CAS INS CO OF AMER 1 046 The Sohagi Law Group, PLC 11999 San Vicente Blvd., #150 Los Angeles, CA 90049-5136 United States INSURER C: NAVIGATORS INSURANCE CO 42307 CLAIMS -MADE Fx7 OCCUR INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 220109 REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR OF INSURANCE ADDLSUBRPOLICTYPE INSR WVD POLICY NUMBER MM/DDY EFF IPSY EXP p LIMITS B GENERAL LIABILITY Dorothy Amundson. 6805482N546 6/1/2012 6/1/2013 EACH OCCURRENCE $ 2,000,000 XDAGE ToCOMMERCIALGENERALLIABILITY PREMSES RENTED ence $ 300,000 CLAIMS -MADE Fx7 OCCUR MED EXP (Any one person) $ 5,000 PERSONAL B ADV INJURY $ 2,000,000 X Cross Liab/Sev of Int GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 4,000,000 Deductible $ 0 POLICY JECPROT 1XI LOC A- AUTOMOBILE LIABILITY BA5483N924 6/1/2012 6/1/2013 COMBINED SINGLE LIMIT. $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIRED AUTOS PROPERTY DAMAGE $ (Per accident) $ NON -OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEDUCTIBLE $ $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L. UB5483N820 6/1/2012 6/1/2013 X I WC STATU- I OTH- TORY LIMITS ER - EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N / A E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT 1 $ 1,000,000 C Professional Liability PH12BBP004187MV 6/1/2012 6/1/2013 Edch Claim $2,000,000 Aggregate $4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, I more space is required) 1 Prof. Liab. - Claims made, defense costs included within limit. CERTIFICATE HOLDER CANCELLATION ` City of Santa Ana 20 Civic Center Plaza c/o M-29 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana, CA 92701 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN United States ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Dorothy Amundson. ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD EXIGIS - CAVIGNAC 8 ASSOCIATES 220109 Page 2 of 2