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ADLERHORST INTERNATIONAL, INC.
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ADLERHORST INTERNATIONAL, INC.
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Last modified
8/27/2021 11:29:17 AM
Creation date
4/28/2021 2:34:01 PM
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Contracts
Company Name
ADLERHORST INTERNATIONAL, INC.
Contract #
N-2021-080
Agency
Police
Expiration Date
12/18/2022
Insurance Exp Date
7/1/2022
Destruction Year
2027
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nigitally vgned by Frannner- <br />Francine R. Villareal Vllamal „n orn <br />I>a�:mnvawlt�sv "OP ID: RORO <br />1 DATE(MM/DDIYYYY) <br />,acoRD' CERTIFICATE OF LIABILITY INSURANCE 08/11/2020 <br />IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />THIT�TIFICATE <br />DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />CERTIFICATE <br />CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />BELOW. THIS <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />A on this certificate does not confer rights to the <br />the terms and Conditions of the policy, certain policies may require an endorsement statement <br />certificate holder in lieu of such endorsement(s). <br />CONTACT Roberta R Rosas <br />NAME: <br />PRODUCER <br />Loomis Insurance Services PHON o 951-686-7478 F Ne: 951-685 0665 <br />AIC Ext: <br />BOX 3128 E-MAIL rrosas@loomis4insurance.com <br />Riverside, CA 92519 ADDREss: <br />Riverside, <br />Michael Runner INSURER(S) AFFORDING COVERAGE NAIL# <br />INSURER A:Northfield Insurance Compan 27987 <br />INSURED Adlerhorst International, LLC <br />INS URER B: <br />INSURER C: <br />3951 Vernon Avenue <br />INSURER 0: <br />Riverside, CA 92509 <br />INSURER E: <br />INSURER F : <br />REV!SInN NI IMRFR- <br />COVERAGES CERTIFICATt NUMBER:— --- ---_- <br />BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE <br />OF ANY CONTRACT OR OTHER DOCUMENT <br />WITH RESPECT TO WHICH THIS <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION <br />BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED <br />AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />EXCLUSIONS <br />POLICY EFF POLICY EXP <br />LIMITS <br />ADDL SUBR <br />LTR INSURANCE INSR TYPE OF POLICYNUMBER MMIDDN MMIDDIV <br />1,000,00 <br />GENERAL LIABILITY <br />X WS404241 08/08/2020 08/08/2021 <br />EACH OCCURRENCE $ <br />DA AGE PEN 100,00 <br />PREMISES Eaoceurrence $ <br />A X COMMERCIAL GENERAL LIABILITY <br />5,00 <br />MEO EXP (Any one person) $ <br />CLAIMS -MADE 1XI OCCUR <br />1,000,00 <br />PERSONALBADV INJURY $ <br />GENERALAGGREGATE $ 2,000,no <br />PRODUCTS - COMP/OP AGG S EXCLUDED <br />GENT AGGREGATE LIMIT APPLIES PER. <br />5 <br />i. POLICY PRO- <br />T Ll TOO <br />COMBINED SINGLE LIMIT <br />AUTOMOBILE LIABILITY <br />Ea accitlent $ <br />- <br />BODILY INJURY (Per person) $ <br />ANY AUTO <br />ALLOWNED SCHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS AUTOS <br />PROPERTY DAMAGE $ <br />NON -OWNED <br />PERACCIDENT <br />HIRED AUTOS AUTOS <br />$ <br />EACH OCCURRENCE <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />AGGREGATE <br />$ <br />EXCESS Li <br />CLAIMS -MADE <br />$ <br />DEC RETENTION$ <br />WC STATU- OTH- <br />WORKERS COMPENSATION <br />TORY LIMITS ER <br />E.L. EACH ACCIDENT <br />$ <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOWPARTNERIEENECUTNE <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />EL DISEASE -EA EMPLOYE <br />$ <br />EL DISEASE -POLICY LIMIT $ <br />(Maddatory in NH) <br />H yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schetlule, B more space is required) <br />City of Santa Ana Risk Management Division is named as Additional Insured <br />to rendered by the Named Insured as required by <br />with regards services <br />written contract. Coverage is Primary and Non -Contributory. Insurer shall <br />provide 30 written notice of cancellation. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th FI <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 />AUTHORIZED REPRESENTATIVE <br />i Ckv" lk <br />ACORD 25 (2010105) <br />© 1988-2010 ACORD <br />The ACORD name and logo are registered marks of ACORD <br />F it `.: _. <br />Riik. Management. Ana ySt <br />
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