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Tori Pierson <br />A`� a CERTIFICATE OF LIABILITY INSURANCEDATE <br />08/09/202YYY) <br />08/09/2021 <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 />CONM NATACT <br />E: Rob HerChert <br />PHOFAX <br />NE .847-385-fi800 AIC No: <br />Edgewood Partners Insurance Center <br />Letters, a division of EPIC <br />111 Neat Campbell <br />AIL <br />ADDRESS, PsGcerts®lemme.com <br />INSURERS AFFORDING <br />NAICk <br />4th Floor <br />Arlington Heights, IL 60005 <br />Coan <br />INSURERA: Scottsdale Ina Co and various insurers <br />INSURED <br />INSURER B: <br />INSURER C: <br />Atkinson, Andelson, Loya, Ruud & Rome, PC <br />INSURER D: <br />12800 Center Court Drive <br />INSURER E : <br />Suite 300 <br />Cerritos, CA 90703 <br />INSURER F <br />^MIC.A1.0 PCRTICICATR tdlllulRRR- 92AA9911 RFVISION 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 />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />MMID&CAEFF <br />MM/OCY EXP <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />MED EXP (Ary one person) <br />$ <br />CLAIMS-MADE1:1 OCCUR <br />PERSONAL a ADV INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GENT AGGREGATE <br />LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />POLICY <br />PRo- LOC <br />JECIT <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident, <br />BODILY INJURY(P., Person) <br />$ <br />ANY AUTO <br />BODILY INJURY (Par accident) <br />$ <br />ALL OWNED SCHEDULED <br />AUTOS OS <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident) <br />$ <br />UMBRELLA UAB <br />H <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />OED RETENTION$ <br />Is <br />WORKERS COMPENSATION <br />WC STATU- OTH <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORIPARTNER/EXECUTIVE� <br />E.L. EACH ACCIDENT <br />$ <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />NIA <br />E.L. DISEASE- EA EMPLOYE <br />$ <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />A <br />PY'ofessiona Liability <br />LWS0000934 <br />08 08 2 <br />OB OB 22 <br />Sac C aim 2,000,000 <br />Aggregate 2,000.000 <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Afmch ACORD 101, Additional Remarks Schedule, if more s,uce is required) <br />Client No. 6085 <br />Agreement No. A-2021-139 for ATKINSON ANDELSON LOYA RUDD & RONO <br />City of Santa Ana <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 />PO Box 1988 AUTHORIZED REPRESENTATIVE n ` - RhkMnrgenmt Dhidon <br />.��/,p^-�- RentvrmArrso.�m 8r. <br />Santa Ana, CA 92702 USA <br />© 1988.2010 ACORD C( <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Sue.Phillips®lemme.com LEM <br />62885931 <br />