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,arC,c R a► CERTIFICATE OF LIABILITY INSURANCEF9,/9/2MMIDDIYYYY) <br />D015 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACTBETWEEN THE ISSUING INSURER,(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS 'WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such end'orsement(s). <br />PRODUCER <br />Leavitt Southern California Insurance Services <br />#OF'13098 <br />1820 E . First Street, Ste 500 <br />Santa Ana CA 92705 <br />CONTACT <br />NAME: Dept. <br />PHONE (714)569-2773 fFAX No: (714)569-3i799 <br />E-MA1L lists-anClrade@7ecavltt.Coitd <br />ADD <br />INSURERS AFFORDING COVERAGE <br />NAIL # <br />TNSURERA:Technology Insurance Company <br />42376 <br />INSURED <br />Desmond, Marcello & Amster, LLC <br />6060 Center Drive, Suite #825 <br />Los Angeles CA 90045 <br />INSURER B : <br />INSURER C: <br />INSURERD. <br />INSURER E: <br />1 INSURERF: <br />COVERAGES CERTIFICATE NUMBER: 15-16 WC CALIF REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH', POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFF <br />M'...4NIDDIYYYY <br />POLICY EXP <br />MMIDDdYYYY <br />LIMITS <br />GENERAL LIABILITY' <br />EACH OCCURRENCE <br />$ <br />CE <br />OMIMERCIAL GENERIABILITY <br />TO <br />PREMIDAMASES Fa oNccu TFD r nce) <br />$ <br />MED EXP Any oneperson,) <br />$ <br />CLAIMS -MADE OCCUR <br />'...... PERSONAL &. ADV INJURY <br />_ <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE: LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ <br />17 POLICY PRO- LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident) <br />BODILY INJURY (Per Person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />'.. <br />AUTOS AUTOS <br />113ODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per acci,denl <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />HCLAIMS-MADE <br />AGGREGATE. <br />$ <br />EXCESS LIAR <br />'.... DED RETENTION $ <br />S <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS* LIABILITY YIN <br />**California** <br />s"{ WC STATU-.... OTH- <br />T Y I I <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />ANY PROPRIETORlPARTNERlEXECUTIVE <br />OFFICI_RYMEMBER IEXCLiUDED? <br />(Mandatory in NH) <br />If yes„ describe under <br />NIA <br />C3467381 <br />4/29/2015 <br />4/29/2016 <br />E.L. DISEASE - EA, EMPLOYE <br />$ 11000,000 <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POUCY LIMIT <br />$ 1,000,000 <br />as required by wriiten <br />contract <br />DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (Attach ACQRD 101, Additional Remarks Schedule„ if more space is required) <br />RE: Contract # A-2011--069, A.-2015--157 and A-2015-160 <br />(This supersedes and replaces Certificate dated 4,/21/2015). <br />REVIEWED BY E.U�l>1PC _r (P 0 O � <br />City of Santa Ana <br />20 Civic Center Plaza <br />M-36 <br />Santa Ana, CA 92701 <br />In, <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Welll.s/MATURN <br />ACQRD 25 (201 O]/05) <br />INS025 (2011005).01 <br />@ 1988-2010 ACQRD CORPORATION, All rights reserved. <br />The ACQRD name and logo are registered marks of ACQRD <br />