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' ,�0 <br />A ,. CERTIFICATE OF LIABILITY INSURANCE <br />ATE IMMIDD/YYYY) <br />P07/27/2016 <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 poliey(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 (847)385-6801 <br />Integro Insurance Brokers <br />111 West Campbell Street <br />4th Fleur <br />Arlington Heights, IL 60005 _ <br />CONTACT <br />NAME: Robert Herchert <br />NE <br />We, N Ext, 847- 385-6800 14rC,Nol {8471385- 6801 <br />� DRESS: Rob.Herchertlntegrogroup.com <br />�_.. INSURERIS) AFFORDING COVERAGE <br />MAIC # <br />_ __ <br />-INSURER A: Lloyd "s of London -(.8,. ACV) <br />15792 <br />INSURED <br />Haight Brown & Bonesteel LLP <br />555 South Flower Street <br />Forty -Fifth Floor <br />Las Angeles, California 90071 <br />q <br />INSURER .B:Crum . &. Forster SpecialtyA. XIII <br />011123 <br />INSURERC: Endurance American Ins. Co. !A XV <br />013131 <br />INSURER D <br />INSURERS Homeland Ins. Co. (OneBeacon) (A X <br />' 34452 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS I8 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 />____._ <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />POLICY EFP <br />MMIDDrMY <br />POLICY <br />MM/DOtyYYY <br />(LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE D OCCUR <br />EACH OCCURRENCE $ <br />DAMAGE TO RENT MT— <br />PREMISES EaiSCGWrfencs) $ <br />MED EXP (Any one person) S <br />PERSONAL & ADV INJURY $ <br />A11111 4` d'.;1) I'f <br />4` l <br />a' <br />'�" I M <br />GEN'L AGGREGATE LIMIT APPLIES PER, <br />GENERAL AGGREGATE $ <br />POLICY I____Y PRO- JECT U LOC <br />, <br />PRODUCTS - COMP/OP AGG $ <br />$ <br />COMBINED SINGLE LVMIT $ <br />Ea accidenRj_.. _. ......-.�J .._--... <br />OTHER: <br />I,y, N <br />I <br />+'. <br />+ <br />AUTOMOBILE LIABILITY <br />L ANY AUTO <br />" ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />'t) t ff f' SI H IJ I� <br />A ICi <br />n i <br />Attorney <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />NON -OWNED <br />'...... HIRED AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />Per accident. <br />$ <br />UMBRELLA LI'AB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE. <br />OFFICERIMEMBER EXCLUDED? <br />NIA <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT $ <br />.._._.�.._.__ <br />E.L. DISEASE - EA EMPLOYEE S <br />(Mandatory in NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L.. DISEASE - POLICY LIMIT $ <br />A <br />Professional Liability Ins. <br />LDUSA1600484, <br />07/01120116 <br />07141/2017 <br />$15,000,000 Ea. Claim/Annual <br />B <br />LOL-101684 <br />Agg, Incl, costs charges and <br />C <br />LPX10007210201 <br />exp <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) <br />E. Employment practices Liability EPL -01470-16 07/01/2010 - 07/01/2017 $3,000,000 Ea. Claim/Annual <br />Agg. Incl. Costs Charges and exp. <br />TE HOLDER CANCELLATION <br />To Whom it May Concern ( 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 />O 1988-2014 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />