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A� ® CERTIFICATE OF LIABILITY INSURANCE <br />GATE3/17MI7/20I'N <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 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(les) 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 />Kellogg & Moreland Agencyr Inc. DBA <br />AIIOyO InSUYdRCe BeYV1CeS <br />Patricia Detwiler <br />NAME:ACT <br />PHONE 909 792-8950 FA'Y (9091'l92-2030 <br />ac oe ( ) aC. No: <br />E+MAIL atriciad@arroyoins. corn <br />ADDRESS:P <br />INSURERS AFFORDING COVERAGE <br />NAIC % <br />1654 Plum Lane <br />Redlands CA 92374-4532 <br />INSURER A: AmGUARD Insurance Company <br />42390 <br />INSURER B <br />INSURED <br />INSURERC: <br />Adlerhorst International, LLC <br />INSURER U:__� <br />3951 Vernon Avenue <br />INSURER E: - <br />INSURER F: Cc\/ICIC%M MI IMRPR' <br />Riverside CA 92509 -- <br />COVERAGES 1,erenrn.enlm rvuuoa�r� ­ « •- <br />VE FOR <br />CE LISTED B'75:�� HAVE BEEN ISSUED TOTH INSURED NAMED <br />INDICATED. NOTWITHSTANDING ANY REQUIREMNN TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WIDTH POLICYTHE RE PECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTFIE 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 />COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE OCCUR <br />ADOL <br />§UBR <br />POLICY NUMBER <br />POLICYEFF <br />MMIDDIYY)`Y <br />POLICY EXP <br />MWODIYYYY <br />LIMITS <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTED <br />PREMISES Ea occurrence <br />$ <br />BED EXP (Any one parser) <br />$ <br />PERSONAL &A0V INJURY <br />$ <br />GENERALAGGREGATE <br />$ <br />GEN'LAGGREGATE LIMIT APPLIES PER: <br />POLICY ❑ JECT PRO- ❑ LOU <br />PRODUCTS-COMPIOPAGG <br />$ <br />$ <br />OTHER: <br />AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident)$ <br />1,000,000 <br />BODILY INJURY (Per parson) <br />$ <br />A <br />ANYAUTO <br />ALL OWNED X SCHEDULED <br />AUTOS AUTMONMONOS <br />X HIREDAUTOS X AUTOS <br />X <br />AnAU256776 <br />8/29/2021 <br />9/29/2022 <br />BODILY INJURY (Par accident) <br />$ <br />PROPERTYBAMAGE <br />Par acoldenl <br />$ <br />UMBRELLALIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />EXCESS LIAR <br />CLAIMSMADEAGGREGATE <br />$ <br />BED RETENTION $ <br />WORKERS COMPENSATION <br />PER BETH- <br />STATUE ER <br />E.L. EACH ACCIDENT <br />$ <br />AND EMPLOYERS'LIABILITY YIN <br />ANY PROPRIETORJPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? ❑ <br />NIA <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />(Mandatory in NH) <br />Ryes, descri N antler <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE -POLICY LIMIT $ <br />DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD un, Additional Remarks Schedule, maybe attached if more apace 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 />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza, 4th FL <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 />REPRESENTATIVE <br />Detwiler/PAT <br />© 1988.2014 AG' <br />ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD <br />I S025 (201401) <br />eiN wekManagkrntOLDlydan. <br />iiEVIEWm &.APlN2oVm �'ib. <br />AIB <br />:49.. '[tizk rylapagomertg.pecrDlib; <br />u 4, <br />