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CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DD/YYYY) <br />01/19/2022 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE <br />ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS WAIVED, <br />subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does <br />not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: <br />AUTOMATIC DATA PROCESSING INS AGCY <br />PHONE (800)524-7024 <br />(NC, No, Eat): <br />FAx (800)524-4013 <br />(A/C, No): <br />76250717 <br />71 HANOVER ROAD <br />E-MAILAOORESS: <br />FLORHAM PARK NJ 07932 <br />INSURER(S) AFFORDING COVERAGE NAICk <br />INSURER A: Hartford Fire and Its P&C Affiliates <br />00914 <br />INSURED <br />INSURER B : <br />SILVER & WRIGHT LLP <br />INSURER C: <br />3 CORPORATE PARK STE 100 <br />INSURER D: <br />IRVINE CA 92606-5159 <br />INSURER E : <br />INSURER F : <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 <br />TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSF <br />T <br />TYPE OF INSURANCE <br />ADDL <br />BUBB <br />POLICY NUMBER <br />POLICY EFF <br />POLICY UP <br />p <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />CLAIMS-MADE❑OCCUR <br />DAMAGE TO RENTED <br />PREMISES Ea cc <br />MED EXP (Any ono person) <br />PERSONAL & ADV INJURY <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />POLICY [:]�EC ❑ LOG <br />PRODUCTS - COMP/OP AGG <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea <br />BODILY INJURY (Per person) <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />HIRED NON -OWNED <br />PROPERTY DAMAGE <br />AUTOS AUTOS <br />(Par accident) <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS UAB <br />CLAIMS- MADE <br />AGGREGATE <br />ED <br />I RETENTION $ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />X <br />PER <br />STATUTE <br />OTH- <br />E.L. EACH ACCIDENT <br />$1,000,000 <br />A <br />ANY YIN <br />PROPRIETORIPARTNER/EXECUTIVE <br />OFFICEMMEMBER EXCLUDED? <br />NIA <br />76 WEG AE7FSP <br />01/01/2022 <br />01/01/2023 <br />E.L. DISEASE -EA EMPLOYEE <br />$1,000,000 <br />(Mandatory in NH) <br />H yes, descnbe under <br />EL.DISEASE - POLICY LIMIT <br />$1,000,000 <br />DESCRIPTION OF OPERATIONS helaw <br />I <br />I <br />Et <br />DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br />Those usual to the Insureds Operations. Notice of Cancellation will be provided in accordance with Form WC990394, attached to this policy. <br />Risk Management Division <br />20 CIVIC CENTER PLZ <br />SANTA ANA CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED <br />BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED <br />IN ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />01988-2015 ACORD CORI <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />y <br />x <br />Rbk Mmrgnwd Duos. <br />RE EwFD 6/wFFavto By <br />8 <br />%r! i2rc oa, <br />FeuM na,,,mml omtalAde <br />