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A� " CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MM/DD/YYW)$i27i2020 <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 be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />CONTACT NAME: Patricia Detwiler <br />PHONEFAX <br />o Ext: (909) 792-8950 A/C NO: (909)792-2030 <br />No, <br />Kellogg & Moreland Agency, Inc. DBA <br />E-MAIL patriciad@arroyoins.com <br />ADDRESS: <br />Arroyo Insurance Services <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />1654 Plum Lane <br />INSURER A:AmGUARD Insurance Company <br />42390 <br />Redlands CA 92374-4532 <br />INSURED <br />INSURER B <br />INSURER C: <br />Adlerhorst International, LLC <br />INSURER D: <br />3951 Vernon Avenue <br />INSURER E : <br />INSURER F: <br />Riverside CA 92509 <br />COVERAGES CERTIFICATE NUMBER:20-21 Auto 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE 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 />SUER <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYW <br />POLICY EXP <br />MM/DD/YYW <br />LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />ED <br />CLAIMS -MADE ❑ OCCUR <br />PREMIDAMASES (E. Occurrence) <br />PREMISES Ea occurrence) <br />$ <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />POLICY ❑ PECT ❑ LOC <br />PRODUCTS-COMP/OPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 1,000,000 <br />BODILY INJURY (Per person) <br />$ <br />A <br />ANYAUTO <br />ALL OWNED SCHEDULED <br />AUTOS X AUTOS <br />X <br />- <br />ADAU107529 <br />8/29/2020 <br />8/29/2021 <br />BODILY INJURY (Per accident) <br />$ <br />X <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />X NON -OWNED <br />HIRED AUTOS AUTOS <br />UMBRELLA LAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />RXCESS <br />HCLAIMS-MADE <br />AGGREGATE <br />$ <br />LAB <br />ED I I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />PER OTH- <br />AND EMPLOYERS' LIABILITY Y / N <br />STATUTE ER <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ <br />OFFICER/MEMBER EXCLUDED? <br />❑ <br />N /A <br />(Mandatory in NH) <br />E.L. DISEASE- EA EMPLOYEE <br />$ <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE- POLICY LIMIT <br />$ <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />City of Santa Ana Risk Management Division is named as Additional Insured as regards services rendered by <br />the Named Insured as required by written contract. Coverage is Primary and Non -Contributory. <br />30 days written notice of cancellation. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br />20 Civic Center Plaza, 4th FL <br />Santa Aria, CA 92701 AUTHORIZED REPRESENTATIVE <br />Patricia Detwiler/PAT worzati Ride Managzment Division <br />REVIEWED & APPROVED BY.- <br />© 1988-2014 ACORD C °i G` ,�; y,e (/� <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ' Risk Management Analyst <br />INS025 (201401) <br />