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Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.08.05 17:16:13 -0700' ADLER-1 OP ID: RORO ,�`coRn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/30/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Loomis Insurance Services PO BOX 3128 Riverside, CA 92519 CONTACT Roberta R Rosas HONE o EXc :951-685-7478 AIC No): 951-685-0665 E-MAIL ADDRESS: rrosas@loomis4insurance.com Michael J Runner INSURER(S) AFFORDING COVERAGE NAIC q INSURERA:Northfield Insurance Company 27987 INSURED Adlerhorst International, LLC 3951 Vernon Avenue Riverside, CA 92509 INSURERB: INSURERC: INSURER D INSURER E : NSURERF: r0VFRAGFS CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF DD POLICY EXP D Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X WS476289 08/08/2021 08/08/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Anyone person) $ 5,00 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ EXCLUDE $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PERACCIDENMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNE WCSTATU- OETH- TORY LIMITS R R E.L. EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory in NH) N I A E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) The City of Santa Ana, its officials, officers, employees, agents, volunteers & representatives are named as Additional Insured. Coverage is Primary & Non -Contributory, 30 day Notice of Cancellation applies except for 10 day Notice for Non-payment of Premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE } ` •- `� `7 '� RAMar,agzmertLD ision ,� oRaN�e © 1988-2010 ACORD CORP 3% r REvIEWED&APPROVED BY.- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD L' > V� Risk Management Analyst