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ACCOR" CERTIFICATE OF LIABILITY INSURANCE <br />111 <br />DATE(MMIDDIYYYY) <br />08/04/2015 <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(le's) 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 Ileu of such endorsement(s). <br />PRODUCER 847.385.6800 <br />Lemme, a division of Integ'ro USA Inc. <br />111 West Campbell <br />4th Floor <br />Arlington Heights, IL 60005 _... <br />NAMEACT Robert Herchert.. <br />PHONE <br />A19. ExtI: 847.385.6800 <br />E -MAIL -'- -° <br />ADDRESS: rherchert@IeTme.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC M <br />_ <br />INSURERA: Nautilus Insurance Company <br />17370 <br />INSURED 562.653.3200 <br />Atkinson, Andelson, Loya, Ruud & Romo <br />12800 Center Court Drive, Suite 300 <br />Cerritos, CA 90703 <br />INSURER B : <br />INSURERC: <br />INSURERD: <br />INSURER E: <br />$ <br />INSURER F: <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE O OCCUR <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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MMPDDfYYYY <br />POLICY EXP <br />MM1DDfYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCUR_ R_ENCE <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE O OCCUR <br />... <br />� <br />( TED <br />PREMISEES S Ea ocourxenca ) <br />$ <br />''.. MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMPIOP AGG <br />$ <br />POLICY PRO- LOG <br />$ <br />AUTOMOBILE <br />LIABILITY ' <br />MBINED SINGLE LIMIT <br />_(Ea accident ) <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />AUTOS MED <br />HIRED AUTOS AUTOS <br />Peaacc d Y DAMAGE <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS - MADE.... <br />DED I I RETENTION$ <br />$ <br />tihiORKERS COMPENSATION <br />' STATU- 0TH - <br />I, I <br />AND EMPLOYERS" LIABILITY YIN <br />ANY PRCPRIETORIPARTNERIEXECUTIVE El <br />OFFICERIMEMBER EXCLUDED? <br />N 1 A <br />..E'.. <br />E.L. EACH ACCIDENT <br />$ <br />E.L. DISEASE - EA EMPLOYEE <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 -3 <br />08/08/2015 <br />08/08/2016 <br />$2,000,000 Aggregate <br />Incl. costs charges and expenses <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES {AtWtob ACORD 101, Additional Remarks Schedule, If more space Is required) <br />-U - �wd `.-,. H.. 'y "D <br />6085 <br />City of Santa Ana <br />20 Civic Center Plaza (M -29) <br />RID. BOX 1988 <br />Santa Ana, California 92702 -1988 <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 />AUTHORIZED REPRESENTATIVE, <br />0)1'988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />