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7. PROVIDER'S PROFESSIONAL LIABILITY INSURANCE 87 <br /> AC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD YYYY) <br /> 4/16/2024 <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 CONTACT <br /> NAME: Chris Romano <br /> AssuredPartners Design Professionals Insurance Services, LLC PHONE FAX <br /> 3697 Mt. Diablo Blvd Suite 230 ('C, <br /> A/c No Ext:714-427-3489 A/c No: <br /> Lafayette CA 94549 AOURLEss: DesignProCerts@AssuredPartners.com <br /> INSURER(S)AFFORDING COVERAGE NAIC# <br /> License#:6003745 INSURER A:Valley Forge Insurance Company 20508 <br /> INSURED CPLARCH-01 INSURER B:Continental Insurance Company 35289 <br /> CPL Architects, Engineers,and Landscape Architect,DPC <br /> dba:CPL INSURER C:XL Specialty Insurance Company 37885 <br /> 255 Woodcliff Dr. INSURER D, <br /> Fairport NY 14450 INSURER E: <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:534483125 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS <br /> LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY <br /> A X COMMERCIALGENERALLIABILITY Y Y 7037093451 4/22/2024 4/22/2025 EACH OCCURRENCE $1,000,000 <br /> DAMAGE To RENTED <br /> CLAIMS-MADE X OCCUR PREMISES Ea occurrence $1,000,000 <br /> X Contractual Liab MED EXP(Anyone person) $15,000 <br /> PERSONAL&ADV INJURY $1,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 <br /> POLICY PELT LOC PRODUCTS-COMP/OP AGG $2,000,000 <br /> OTHER: $ <br /> B AUTOMOBILE LIABILITY Y Y 7037093448 4/22/2024 4/22/2025 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> X ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident <br /> B X UMBRELLA LIAB X OCCUR Y Y 7037095216 4/22/2024 4/22/2025 EACH OCCURRENCE $10,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 <br /> DED X RETENTION$1 n nnn $ <br /> B WORKERS COMPENSATION Y 7037102875 4/22/2024 4/22/2025 X PER OTH- <br /> AND EMPLOYERS'LIABILITY Y/N STATUTE ER <br /> ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 <br /> OFFICER/MEMBEREXCLUDED? ❑ N/A <br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 <br /> If yes,describe under <br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 <br /> C Professional Liab&Poll.Liab DPR5027357 4/22/2024 4/22/2025 Per Claim 5,000,000 <br /> Retro Date:01/01/1975 Annual Aggregate 7,000,000 <br /> Claims Made Form <br /> DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) <br /> Umbrella policy is follow-form to its underlying Policies:General Liability/Auto Liability/Employers Liability. <br /> CERTIFICATE HOLDER CANCELLATION 30 day notice of cancellation <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 /> Proof of Insurance AUTHORIZED REPRESENTATIVE <br /> ©1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br /> 34 1 CPL <br />