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Tori Pierson Daed2022304d60933: 0e=0��00 <br />'`` "® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />08/09/2021 /Y) <br />8/092021 <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 />111 West Campbell <br />CONTACT Rob Herchert <br />NAME: <br />PHONE FAX <br />A/C No Ext: 847-385-6800 A/C No: <br />E-MAADDRESS: PSGCerts@lemme.com <br />4th Floor <br />Arlington Heights, IL 60005 <br />INSURER(S) AFFORDING COVERAGE <br />NAIC# <br />INSURERA: Scottsdale Ins Co and various insurers <br />INSURED <br />INSURER B <br />Atkinson, Andelson, Loya, Ruud & Romo, PC <br />INSURER C <br />INSURER D7 <br />12800 Center Court Drive <br />Suite 300 <br />Cerritos, CA 90703 <br />INSURERS: <br />INSURER F <br />COVERAGES CERTIFICATE NUMBER: 62885931 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 />INSR <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES Ea occurrence <br />$ <br />CLAIMS-MADE1:1 OCCUR <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OPAGG <br />$ <br />POLICY PRO- LOC <br />JECT <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />WC STATU- OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />TORY LIMITS ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />N / A <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />A <br />Professional Liability <br />LWS0000934 <br />08 08 2 <br />08 08 22 <br />Each Claim 2,000,000 <br />Aggregate 2,000,000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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 />CERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana <br />PO Box 1988 <br />Santa Ana, CA 92702 <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 />© 1988-2010 ACORD CC°s'cnt�nagemenzc°� �I�""e <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />Sue.Phillips@lemme.com LEM <br />62885931 <br />