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CERTIFICATE OF LIABILITY IN.S'UR.ANCE DATE.(MM /DDIYYYY) <br />07/22/2014 <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 AFTER 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 847.385.6800 <br />Lemme Insurance Group, Inc. <br />111 West Campbell <br />-NAOMNE 7 Robert Herchert <br />A]C No Ext1:.. 847.385.6800 .._...... MP <br />E -MAIL <br />ADDRES& rherchert@lemme.com <br />4th Floor <br />INSURER(S) AFFORDING COVERAGE <br />NAIL a <br />INSURER A: Nautilus Insurance Company <br />17370 <br />Arlin ton Hei hts IL 60005 <br />INSURED 562,653.3200 <br />._..._ ._ <br />INSURER B : <br />EACH OCCURRENCE <br />Atkinson, Andelson, LOya, Ruud & Romo <br />INSURER C: <br />INSURER D: <br />12800 Center Court Drive, Suite 300 <br />INSURER E: <br />Cerritos, CA 90703 <br />INSURER F <br />S <br />MED EXP (Any one person) <br />COVERAGES CERTIFICATE NUMBER: 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 />ILTR <br />TYPE OF INSURANCE <br />AD DL <br />R,: <br />POLICYNUMBER <br />POLICY EFF <br />MMIDDIYYYY <br />POLICY EXP <br />MWDD1V'YYY I <br />LIMITS <br />GENERAL <br />LIABILITY <br />EACH OCCURRENCE <br />S <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE 1-1 OCCUR <br />DAMAGE T <br />PREMISES Ea occurrence <br />S <br />MED EXP (Any one person) <br />$ <br />PERSONAL 8 ADV INJURY <br />$ <br />.___.. <br />GENERAL AGGREGATE <br />$ <br />CEN "L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY PRO- LO, <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Fa accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTO S AUTOS <br />BODILY INJURY (Peraccident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per acc6d'ent <br />$ <br />UMBRELLA. LIAR <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAR I <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS" LIABILITY YIN <br />WC STATU- OTH- <br />CQ.Y- I EP <br />E.L. EACH ACCIDENT <br />ANY PROPRIETOR /PARTNERJEXECUTIVE `j <br />OFFICER /MEMBER EXCLUDED' u <br />NIA <br />E.L.. DISEASE - EA EMPLOYE <br />$ <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />$2,000,000 Each Claim <br />A <br />Professional Liability <br />PLP_1000434_P -2 <br />0810812014 <br />08108/2015 <br />$2,000,000 Aggregate <br />Incl. costs charges and expenses <br />DESCRIPTION OF OPERATIONS I' LOCATIONS t VEHICLES (Attach ACORD 10g1�, Additional Remarks Schedule, If more space Is required) <br />Q5 I <br /># 60'85 <br />LM=1:41120111Iai10111 NJ a a <br />City Of Santa Ana <br />20 Civic Center Plaza (M -29) <br />P.O. SOX 1988 <br />Santa Ana, California 92702 -1988 <br />SHOULD ANY OF TH,E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS, <br />AUTHORIZED REPRESENTATIVE <br />Q 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />