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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DATEn <br />E/222O2n1 <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 & Company <br />CONTACT <br />NAME: <br />PHONE 626 799-7000 uc No), 626 583-2117 <br />3475 E. Foothill Blvd., Suite 100 <br />Pasadena, CA 91107 <br />E-MAIL <br />ADDRESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />INSURER A: VI ilant Insurance Company <br />20397 <br />www.boltanco.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 />INSURER C: <br />INSURERD: <br />Cerritos CA 90703 <br />INSURER E : <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: R24354Q4 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 />ILtTR <br />TYPE OF INSURANCE <br />J=ADDL <br />SUBR <br />POUCYNUMBER <br />MM%DDY/YYFYY <br />MMIDDYEXP <br />LIMITS <br />A <br />r/ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ✓ OCCUR <br />35344557 <br />4H/2021 <br />4/1/2022 <br />EACH OCCURRENCE <br />$1000000 <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$1 000 000 <br />MED EXP (Any one Person) <br />$10 000 <br />GEN'L <br />PERSONAL& ADV INJURY <br />$1000000 <br />AGGREGATE LIMIT APPLIES PER: <br />RO- <br />POLICY 0 JECTPRO- P] LOG <br />OTHER: <br />GENERALAGGREGATE <br />$2,000,000 <br />PRODUCTS-COMPIOP AGG <br />$Included <br />S <br />B <br />AUTOMOBILE <br />✓ <br />LIABILITY <br />ANV AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY q AUTOS ONLY <br />73508514 <br />4/1/2021 <br />4/1/2022 <br />Ee aBINEDiSINGLE LIMIT <br />$1 000 000 <br />BODILY INJURY (Par Person) <br />$ <br />BODILY INJURY (Par accident) <br />$ <br />PROPERTYDAMAGE <br />Per accident <br />$ <br />B <br />�/ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />✓ <br />OCCUR <br />CLAIMS -MADE <br />79757104 <br />4/1/2021 <br />4/1/2022 <br />EACH OCCURRENCE <br />$15000000 <br />AGGREGATE <br />$15 00O 000 <br />DEO RETENTION$ <br />$ <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />OFFICE PRIET EREXCLUDEDPECUTIVE FN] <br />IMandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />NIA <br />71732870 <br />4/1/2021 <br />4/1/2022 <br />✓ STATUTE ERµ <br />E.L. EACH ACCIDENT <br />$1 000000 <br />E.L. DISEASE -EA EMPLOYE <br />$1000,000 <br />E.L. DISEASE -POLICY LIMIT <br />$1 00()000 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I 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 />©1988-2015 ACORD C( - """"'9emern <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />62435494 1 AALRR 121-22 Master Certificate I Bo1Con Certificate Processing 16/22/2e21 11:31:31 AM (PMT) I Page 1 of 1 <br />