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/ <br />A� " CERTIFICATE OF LIABILITY INSURANCE <br />FDATE (MM/DD/YYYY) <br />6/22/2021 <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 CONTRACT BETWEEN 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 have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />Bolton & Companyy <br />CONTACT <br />NAME: <br />3475 E. Foothill Bivd., Suite 100 <br />Pasadena, CA 91107 <br />A/C, N Ext : 626 799-7000 A/�C, No): 626 583-2117 <br />E-MAIL <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA: Vigilant Insurance Company <br />20397 <br />www.boltonco.com 0008309 <br />INSURED <br />Atkinson, Andelson, Loya, Ruud & Romo <br />12800 Center Court Drive #300 <br />INSURER B: Federal Insurance Company <br />20281 <br />INSURERC: <br />INSURER D <br />Cerritos CA 90703 <br />INSURER E <br />INSURER F : <br />COVERAGES CERTIFICATE NUMBER: 624254A4 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 />INSD <br />SUBR <br />WVD <br />POLICYNUMBER <br />POLICY EFF <br />MM/DD <br />POLICY EXP <br />MM/DD <br />LIMITS <br />A <br />�/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE Iv] OCCUR <br />35344557 <br />I <br />4/1/2021 <br />4/1/2022 <br />EACH OCCURRENCE <br />$1,000,000 <br />PREM SESOEa occurrDence <br />$1,000,000 <br />MED EXP (Any one person) <br />$ 10,000 <br />PERSONAL & ADV INJURY <br />$1,000,000 <br />GEN'L <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ECT LOC <br />OTHER: <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS - COMP/OPAGG <br />$Included <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY ✓ AUTOS ONLY <br />73508514 <br />4/1/2021 <br />4/1/2022 <br />EOaaBINEDtSINGLELIMIT <br />$1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />BODILY INJURY (Per accident) <br />$ <br />✓ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />B <br />�/ <br />UMBRELLA LAB <br />EXCESS LAB <br />�/ <br />OCCUR <br />CLAIMS -MADE <br />79757104 <br />4/1/2021 <br />4/1/2022 <br />EACH OCCURRENCE <br />$15,000,000 <br />AGGREGATE <br />$ 15,000,000 <br />DED RETENTION $ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />OFFICER/MEMBER EXCLUDED? ECUTIVE ❑N <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N /A <br />71732870 <br />4/1/2021 <br />4/1/2022 <br />�/ STATUTE OERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />E.L. DISEASE - EA EMPLOYEE <br />$1,000,000 <br />E.L. DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) <br />Re: Client #0302, AALRR-Cerritos.000302.10086, Reference #N-2021-066. <br />CERTIFICATE HOLDER CANCELLATION <br />Client #0302 <br />© 1988-2015 ACORD C( v Risk Management �l encal /ode <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />62435494 1 AALRR 121-22 Master Certificate I Bolton Certificate Processing 16/22/2021 11:31:31 AM (PDT) I Page 1 of 1 <br />