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ACC)R" CERTIFICATE OF LIABILITY INSURANCE <br />11`.� <br />DATE (MM DD YYYY) <br />1 11/11/2024 <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT <br />NAME: <br />Pearl Insurance Group, LLC <br />1200 East Glen Avenue <br />PHONE FAX <br />AIC No EXI : (AIC, No): <br />ADD <br />RESS: <br />INSURERS AFFORDING COVERAGE <br />NAIC# <br />Peoria, Heights, It. 61616-5348 <br />INSURERA: Ascot Insurance Company <br />45055 <br />INSURED <br />Nathan & Kamionski LLP <br />INSURER B <br />INSURERC: <br />206 S Jefferson St <br />INSURER D: <br />Chicago IL 60661-5639 <br />INSURER E: <br />INSURER P: <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 />SUBR <br />POLICYNUMBER <br />MMID��YY <br />MWDO YYXYP <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE ❑ OCCUR <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES Eaoccurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL&ADV INJURY <br />$ <br />AGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT PRO- ❑ LOC <br />GENERALAGGREGATE <br />$ <br />GEN'L <br />PRODUCTS - COMP/OP AGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ee..[denl <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident <br />$ <br />HIRED I NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />PROPERTY DAMAGE <br />Par accident <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />PER OTH- <br />STATUTE ER <br />E.L. EACH ACCIDENT <br />$ <br />OFFCEWMEM ER XC UDED4 ECUTIVE ❑ <br />N/A <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 />$2,000,0001 each claim <br />A <br />Other Professional Liability <br />LPPL2310000767-03 <br />11/8/2024 <br />11/8/2025 <br />$2,000,000 aggregate <br />$3500( deductible <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />APPROVED <br />By Cynthia Mora at 12:37 pm, Dec 10, 2024 <br />City of Santa Ana, <br />its Officers, Officials, and Employees <br />Attention: Risk Management <br />20 Civic Center Plaza M-29 <br />Santa Ana, CA 92701 <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 />© 1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD <br />