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Stephen H. Solomon <br />4-52'-488b <br />AC4[:)R[3 CERTIFICATE OF LIABILITY INSURANCE 6/15/2015 <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 POLICES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SI, AUTHORIZED <br />REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. <br />IMPORTANT: M the cerdfieete bonder is an ADDITIONAL INSURED, the pulleyltes) mutt be endomeo. If SUBROGATION 15 WAIVED, subject to <br />the Mme and ConLRtEone of the policy, carbin policies my require an endorsement. A statement on this certificate does net confer rights to the <br />cerllli holder in lieu of such endersament(si• <br />C0114PLETE EQUITY XMU0TS INC <br />1190 Flax Court <br />Lake Zurich, IL 60047 �r�1au <br />INSURED Stephen H. Solomon <br />18861 Ridgewood Lane <br />Villa Park CA 92861 <br />847) 541-0900 IQ P,(8471541-044 <br />r <br />+ INsJREF n Unl <br />mSJREF e <br />L INSJRFF__. <br />1 A 01%01111e COYERAOE <br />ters at Lloyd's <br />INSURER F _ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO -IF INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT ')R -)7-ER 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 Al, THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED EY PAID CLAIMS. <br />_Ta <br />TYPE OF INSURANCE <br />ADPL P <br />TAT <br />MYP <br />PCLICY NUMBER PoriMMAOnrr_ rFrr <br />LAWD <br />- <br />LIMPS <br />OOMa6nCMl YiFMmAL uab0.ITT <br />EACH OCCIiRRENCIF <br />S_ <br />CLAIMS -MADE FD OCCUR <br />PREMISES <br />5--- <br />_;Ea_¢c.rrorce,_ <br />� (� <br />LED PxP lAnr or,e va ecn; <br />s _ —_--. <br />PERSONALSADVINJURY_ <br />S <br />GERL AGGREGATE LIMIT APPLIES PER. <br />GENERAL AGGREGATE <br />E <br />T <br />POLICY J JECat ' LOC <br />PRODUCTS - CCMPIOP AGG <br />E <br />OTHER: <br />AUTOMORILF. LIABILT' <br />/Y/. S <br />W.J\ <br />II aW Ili - LIMITS <br />BODILY INJURY es Person) <br />S <br />AVYAVTO <br />ALI, OWNED --SCHEDULED <br />A',TOS AUTOS <br />I <br />BOOILYWJURYIRera,c,c l <br />$—_- <br />NON-OV/NEO <br />` HIRED AUTOS AUTOS <br />._UMBRELLA LRB OCCUR <br />EACH OCCJRRENCE <br />E <br />AGGREGATE <br />S <br />EXCESS LIPS CLAW MADE <br />RETENIONS <br />T <br />E <br />ANOCOMPENSATIONDED <br />COMPENSATION <br />AND EMPLOYERS <br />EMPIAYER3 lIABILITY YIN <br />ANY <br />OFFIW� E%C1u1 - I <br />N/A <br />_ <br />EL EACH ACCIDENT E <br />____ 1 <br />EL. DISEASE EA EMPLOYES <br />IN&IisW <br />Ilyredbsaibe urMer <br />DESCRIPTION OF OPERATIONS cab.E <br />-j' ---- <br />L USEASE ILIMI S <br />Professional <br />l —r.— $1,000,000 Each Claim <br />A <br />Liability <br />854505 o6loT;a 06/01/16 $1,000,000 Aggregate <br />:ESCRPTION OF OPERATIONS fLOCATIONS I VEHICLES (AGOiRD 101, AJd,lk l Remail. S,mmu,F:. n., aI altarad ! mole apace Is m4uNec) <br />'his is a four page certificate. <br />'ERTIFICATE HOLDER CANCELLATION <br />City of Santa Ana SHOULD ANY OF -HE ABOVE DESCRIBED POI. CIES BE CANCELLED BEFORE <br />Civic Center THE EXPIRA TON DATE THEREOF. NOTICE WILL BE DELIVERED iN � <br />20 Civic Center Plaza ACCORDANCL IN Te THE POLICY PROVISIONS <br />Santa Ana CA 92701 <br />AUTHORIZED RE'RESENTATIE <br />W1 <br />1 <br />1969-2013ACORD CORPORATION. Allrigntsmse"ed. <br />\CORD25(2013104) The ACORD name and logo are registered marcs of A(' ORD <br />