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® DATE(MMIDDNYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 09l27124 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: COMPLETE EQUITY MARKETS INC PHONNo Extl E 847 541-0900 FAX Nu: 847 541-0444 E-MAIL 1190 Flex Court ADDRESS: Lake Zurich, IL 60047 INSURERS AFFORDING COVERAGE NAIC ik Complete Equity Markets Insurance Agency Inc(CASL#OD"077) INSURER A: National Specia4 Insurance Company INSURED INSURER B: Elio Palacios,Jr. INSURER C: 7121 Magnolia Avenue INSURERD: Riverside, CA 92504 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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. ADDL SUBR POLICY EFF POLICY EXP ILTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MIWDDrfYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ CLAIMS-MADE1-1 OCCUR PREMISES Ea occurrence MED EXP IAny one person) $ PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S RPROJECT El LOG PRODUCTS-COMP/OP AGG S POLICY� S OTHER. AUTOMOBILE LIABILITY Ea agc depISINGLE LIMIT S ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB .00CUR EACH OCCURRENCE S EXCESS LIAB CLAkMS-MADE AGGREGATE S S DECER RETENTIONS _ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS'LIABILITY Y i N ANY PROPRIETORIPARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability JQF 1804285 02101/24 02/01/25 Each Claim $1,000,000 Aggregate $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Subject to all policy terms,conditions,exclusions and endorsements.The City of Santa Ana is listed as an additional insured but only per the terms and conditions of the endorsement generated and subject to all policy terms,conditions,exclusions,and endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NnTIrF wrll FIE nFIIVFRFn IN ACCORDANCE WITH THE POLICY PRC City of Santa Ana RiskMawVmadDMffbn IREEwmRisk Management Division AUTHORIZED REPRESENTATIVE i9 s � �� ® 20 Civic Center Plaza °I ' i +s u Aetvcda Santa Ana CA 92702 a w4 II Management Specialist ©1988-2015 ACORD ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD