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CERTIFICATE OF LIABILITY INSURANCE DATE IMM160YYYY) <br />0612112022: <br />THIS CERTIFICATE M 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), <br />AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, - - <br />IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the p¢Ifcy(los) must have ADDITIONAL INSURED <br />provisions or be andomed. <br />if SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, cart In policies may require an endorsement. A statement on <br />this Cortificate. doss not confer rl his tothe certificate holder in [IOU of such sndorsoment(s), - <br />PRCOUCER - - - <br />NAME- Automatic Data Processing Insurance Agency, Inc. _ <br />Automatic Data Processing Insurance Agency, Inc; <br />PH <br />o t 1 Sp0.g24-7024 F <br />_AODREBS <br />1 Adp. Boulevard <br />INSURER S' OOYEMGB <br />RAID# <br />R43aIBnd NJ 0706E <br />27120 <br />INSURER A:Tiumbudlnauroncet;ampany <br />INSURED.. Adlethorst International LLC - <br />- <br />INSURER St <br />. <br />INSURBR:Cr -- <br />' <br />BRA: ADLERHORST INTERNATIONAL LLC <br />INSURER 0r <br />3991 Vernon Ave <br />- I - - - - - - <br />INSURER B: <br />JUrupa Valley CA 925092924. <br />nn.rcnn nr•c ,........,.......... ......... �.. ,. �,.,....._ <br />INSURER F: <br />_. <br />THIS is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO <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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />II,m BR <br />TYPE OE INSURANCE <br />N <br />I <br />POLICY NUMBER <br />M OIYYYY <br />M IOM/ <br />LIMITS. <br />COMMERCIAL GENERAL LIABILITY <br />CLAIMS•MACE 1 OCCUR <br />- <br />EACH OCCURRENCE <br />$ <br />PREMISES I:e oce� uperan <br />$ _ <br />MEO EXP one erwn <br />$ <br />PERSONAL BAgV INJURY <br />$ <br />GEN'LAGGREOATE LIMIT APPLIES PER: <br />POLICY ❑jER&T DLOG <br />GENERAL AGGREGATE: <br />PRODUCTS.COMPIOPAGG <br />_ <br />$ <br />S <br />OTHER: <br />AUTOMOBILE <br />LIABILITY <br />ANY AUTO <br />81NED L L <br />Ee l <br />BODILY INJURY (Par parson). <br />$ -... <br />$ <br />H <br />OWNED SOHEDOtJ'D <br />AUTOS ONLY -- AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOSONLY <br />BODILY INJURY (Per acddunt) <br />$ <br />ROPERTY DAM G;. <br />Pmnacidenn <br />$ <br />$ <br />UMOREI.LA I:ItIa <br />OCCUR <br />-.-. <br />EACH OCCURRENCE _. <br />S <br />EXCESS LIAR <br />CLAIMS•MAGE <br />AGGREGATE <br />$ <br />OE0 <br />RETENTIONS <br />S . <br />A <br />WORKERS. COMPENSATION <br />AND EMPLOYERS'LIAa1LRY <br />ANY PROPRIET4PIPARTNERIE%ECIfftVE YIN <br />OFFiCEWMEMBEREXCLUDED? - y. <br />(Mandatory In NH) <br />itYet desodba Under <br />O SCRIPTIONOFOPERATIONStrekw <br />NIA <br />N <br />76WEGAL4NDU <br />07/01/2022 <br />MPER <br />07/01/2023 <br />STATUTE R <br />EL. . EACH ACCIDENT .... <br />$ 1 popp00� <br />.,.. <br />S-1.DIaEASE--EAEMPLOYEE <br />$ 1,000,000 <br />E.L. DISEASE -POLICY LIMIT <br />•• ..«_._ <br />$ 1,000,000 <br />DESCRIPTION OR OPERATIONS I LOCATIONS!VEHICLES (ACORG IOI,AdUlaona(Remn,ke $Oadulo, mny ba a teahed Mmare *pace 1%required) <br />SHOULD ANY OF THE. ABOVE DESCRIBER POLICIES BE CANCELLED BEFORE' <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITYOF-SANTA ANA RISK MANAGEMENT DIVISION ACCORDANCE WrrH THE POLICY PROVISIONS, <br />20 CIVIC CENTER. P1.:7...„..._„__, <br />AUTHORIZED REPRESENTATIVE - <br />Santa Ana. CA 92701 <br />-0e 105-2015ACORDC <br />ACORID2s (20015/03) The ACORO name and logo are registered marks of ACORD �. 1slsFManaDmuaell(wmm� <br />REVIEWED& APPROVED SW <br />g l 04j," &4144 <br />�- J Risk Maaagement$peci lilt <br />