CARPENTER ROTHANS & DUMONT LLP (2)

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DocuSign Envelope ID: D6485918-70034EDB-BFAE-1 F719E64FD92 �i ACC) " CERTIFICATE OF LIABILITY INSURANCE DAosizv2Dzzm THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NONE CT David Aguirre Egloff Insurance Agency, Inc. 20969 Ventura Boulevard Suite 225A PHONE (816)992-5744 ac No: nooaess: davidaguirre@egloff.com Woodland Hills, CA 91364 INSURERS AFFORDING COVERAGE NAIC M INSURER A: QBE Insurance Corporation INSURED INSURER B : Carpenter, Rothans & Dumont, LLP INSURER C: 500 S Grand Ave. 19th Floor INSURER D: Los Angeles CA 90071 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICYEFF MMIDDIYI'YY POLICY EXP MMIDD/YYYY LIMITS COMMERCIALGENERA-LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGE Tff TENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 1-1 JECOT LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALLSCHEDULED OS UT AUAOS J BODILY INJURY P (Per accident) $ NON -OWNED HIREDAUTOS AUTOS PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE I I ER E.L. EACH ACCIDENT $ ANYPROPRIETORJPARTNERIEXECUFIVE OFFICERIMEMBER EXCLUDED" NIA E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT 1 $ DESCRIPTION OF OPERATIONS below A Lawyers Professional Liability LAW-21318-01 04/01/2022 04/01/2023 $2,000,000/$2,000,000 Limits $15,000 Deductible DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATI` ocu gna Rhoi Ml Geld. David Aguirre �� QA o•,. 6ArraD+®Br. 6316F3CEBC8 ll �� II�d..))Sze 0. (J 198H-2U13 ACORD GI ACORD 25 (2013/04) The ACORD name and logo are registered marks of ACORD