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Tori Pierson <br />A� �® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />08/09/20IYYYY) <br />B/09/2021 <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 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 endorsement(s). <br />PRODUCER 1-847-385-6800 <br />Edgewood Partners Insurance Center <br />Lemme, a division of EPIC <br />III West Campbell <br />CNAME:ONTACT Rob Herchert <br />PHONE 847-385-6800 PAX <br />AIC No: <br />AIL <br />ADDRESS: PSGCerts@lemore.com <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />4th Floor <br />Arlington Heights, IL 60005 <br />INSURER A: Scottsdale Ins Co and various insurers <br />INSURED <br />INSURER B : <br />INSURER C: <br />Atkinson, Andelson, Loya, Ruud & Rocco, PC <br />INSURER D: <br />12800 Centex Court Drive <br />INSURER E: <br />Suite 300 <br />Cerritos, CA 90703 <br />INSURER F <br />rnVERAGES CERTIFir`ATF NI IMRFR• 62885931 REVISION NUMBER: <br />v 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 />T. <br />TYPE OF INSURANCE <br />ADDL <br />SUeR <br />POLICYNUMBER <br />MOMLIC EYYY <br />MhIDDIYYYY <br />LIMBS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES Eacccunence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ <br />CLAIMS -MADE ❑ OCCUR <br />PERSONAL& ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GENT, AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS-COMPIOP AGO <br />$ <br />$ <br />POLICY <br />I PRo- LOC <br />JFCTMBINE <br />AUTOMOBILE LIABILITY <br />ECOaa itleD SINGLE LIMB <br />al <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Par awichod) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Perac.dm,t <br />$ <br />UMBRELLA LRB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />H <br />AGGREGATE <br />$ <br />EXCESS LIAR <br />CLAIMS -MADE <br />DEO I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />TATU- WCS2 <br />AND EMPLOYERS LIABILITY YIN <br />ANY PROPRIETOWPARTNERIEXECUTWE <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYE <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatary in NH) <br />NIA <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />Professional L a ility <br />LWS0000934 <br />O8 OB 2 <br />08 OB 22 <br />Hach Claim 2,000,000 <br />Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />Client No. 6085 <br />Agreement No. A-2021-139 for ATKINSON ANDELSON LOYA RUUD & ROMO <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />PO Box 1988 AUTHORIZED REPRESENTATIVE n Rok Manageneni Dilation <br />m <br />REHEW&Aon Or. <br />Santa Ana, CA 92702 <br />USA Ruk Mn a <br />©1988-2010 ACORD CC 9enmrCleialAiJe <br />ACORD 25 (2010105) ins AUUKO name anO 1090 are reylanorea morns Vr M+ W"U <br />Sue.Phillips@lemme.com_LEM <br />62885931 <br />