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A V1 O.:. '' Digitg�,%F,- nedo In. ono, CERTIFICATE OF LIABILITY"I�I�S�iJWAN C4 Angie ' D Y; 07/22/2022 07/22/202- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONF Q� N "T CATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENDIli6� AORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TiE Il Im6e:RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. , 2022.0U2 IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) u be endgesP:J. If SU7�,GIOj�IS 1y{I subject to the terms and conditions of the policy, certain policies may require an endorsement. A stateme, it, -fn this certilicAIS iioe's`(iot nrights to the certificate holder in lieu of such endorsements . PRODUCER Loomis Insurance Services PO BOX 3128 Riverside, CA 92519 Michael J Runner , CONTACT NAME: Roberta R Rosas PHONE t;g51-685.7478 Fa No: 951-685.0665 6AMAL ss: rrosas@loomis4insurance.com INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Northfield Insurance Company 27987 INSURED Adlerhorst International, LLC 3951 Vernon Avenue INSURER B: Riverside, CA 92509 INSURER C: INSURER D: INSURER E : INSURE COVERAGES 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 I TYPE OF INSURANCE ADD-SUBR POLICYNUMBER POLICY EFF ODIY POLICY EXP IMMIDI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ®OCCUR X WS5505395 08/08/2022 08108/2023 PREMISES Eaeccurrenee $ 100,00 MED EXP(Anyoneperson) $ 5,00 PERSONAL &ADV INJURY $ 2,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ EXCLUDE X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED ISINGLE LIMITIEa.cdld $ BODILY INJURY (Per person) $ ANYAUTO ALLOW NED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIRED AUTOS AUTOS PROPERTY OHMAGE PER ACCIDENT $ $ r' UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUOED4 N I A WC STATU, OTH- TCRY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE $ (Mandatory in NH) If yyes, describe under E.L. DISEASEPOLICYLIMIT $ DE SCRIPTION 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. _ x The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Pto�� (a . 4,MQry © 1988-2010 ACORD CO ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ""'Pea. RiskMabea mentDivii[ort 1 l REVIEWED& APPROVED Bx I r.4" *�. Rick Management SpecialisS