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ADLER -1 OP ID: PRTR <br />'`'�°RO CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDD /YYYY) <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />08/05/'11 <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 tloes not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />951- 685 -7478 <br />CONTACT <br />NAME Trac�.L Pneto <br />LOOmiS insurance Services <br />PO BOX 3128 951 - 685 -0665 <br />_.._ <br />iet°.`II+D ��q.951 685 - 7478..__ Cac, No! 685__ -0665 <br />Rivers ide, CA 92519 <br />-... ....._ _..r ._951 ____ <br />nooRess_tprieto�a lOOm1541nsu.rance com <br />Michael JRunner <br />. _ <br />- - - ... __�_ ___.._ ...........__ <br />� ._ __. _ e I <br />i <br />INSURER {S) - AFFORDING COVERAGE NAIC 1t <br />- ... _.. f <br />' � <br />1NSURER4 � NOrthfleld Insuran Ge Company <br />INSURED Adlerhorst International, Inc. <br />misuRERe: <br />395'1 Vernon Avenue <br />......_. . ____, _. _,_„ ._...... - <br />I E <br />Riverside, CA 92509 <br />INSURERC: <br />- - - - -- - - -- - — --- ���� - - -- .. _._ .. ....____ <br />ANV AUTO � <br />INSURER D ; <br />- <br />ALL OWNED C� l SCHEDULED � <br />-t I AUTOS € AUTOS E � <br />IN6URER E - <br />' - NON -OWNED i '. <br />C HIRED AUTOS I <br />INSURER F - <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 REQUIR EMEN "T, TERM OR CONDITION OF ANY CONTRACT OR OTF {ER <br />DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED <br />HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, <br />... .. __?_ _._....... ._.,.,, .. ... ____._______... -_. _.. f _._..__ -._..— I POLICY EFF POLICY EXP <br />INSRR AYS�DZ STIaRj <br />� <br />_ TYPE OF IN9 URANCE POLICY NUMBER � MM /OD /WW MM /ODIYYYY <br />LIMITS <br />GENERAL LIABILITY � � <br />EACH OCCURRENCE _(.E- 1.000.00 <br />-G -- �� <br />A X�COMMERCIAL GENERAL LIABILITY X � '':W 3104181 08/08/11 08/08/12 <br />�AFTA2�iE'P RENTED <br />` pR 5 1 00.000 <br />_ <br />I r - - +. <br />X <br />EMISE.� lEa occurren�Z _ ___ <br />L CLAIMS -MADE _ � OCCUR � I ( <br />`ED FXP (Any one pe son) E 5,000 <br />� ._ __. _ e I <br />i <br />__ _ �__ _.... <br />PERSONAL B ADV INJURY E 1 000 000 <br />- -- - - - -- <br />- ... _.. f <br />' � <br />GENERAL AGGREGATE S 2.000,000 <br />! I <br />GEN'L AGCRE(GAl'E LIMIT APPLIES PER: <br />_ <br />....... TT .- __.___.._.. <br />PRODUCTS COMP /OP AGG i5 <br />X� '._ PRO- <br />POLICY 1 LOC <br />......_. . ____, _. _,_„ ._...... - <br />I E <br />AUTOMOBILE LIABILITY <br />> COMBINED SINGLE LIMIT <br />ANV AUTO � <br />� (Ea acutle q ._ ____ -__ <br />BODILY INJURY (P r pa eon] E <br />ALL OWNED C� l SCHEDULED � <br />-t I AUTOS € AUTOS E � <br />I BODILY INJURY (Pere tl I)� E '- <br />' - NON -OWNED i '. <br />C HIRED AUTOS I <br />~PROPS RTT DAMAGE � - -� -- <br />E <br />� AUTOS I i <br />Per pcgtlenq _ _ - __.. <br />i r 1, <br />i <br />� S <br />t UMBRELLA LIAR i i � ",, <br />_ OCCUR 1 € <br />- <br />EACH OCCURRENCE S <br />� <br />I EXCESS LUIS �_ � CLAIMS�MA DE � ( I <br />� <br />AGGREGATE g <br />DED RETENTIONS <br />� E <br />i WORKERS COMPENSATION 1� ' <br />AND EMPLOYERS' LIABILITY I <br />WC STATU OTH- <br />TORY LIMIT$ ER�, <br />�. / N _- i <br />I ,- � _ _ __.._ <br />ANT PROPRIETORlPARTNER /EXEC UTNE <br />OFFIGER/MEMBER EXC LUOEO? � € N / A <br />E L EACH ACCIDENT I E <br />- - -- -- -- -- - <br />(Mantl story In NH) ! E i <br />If yes, tleswibe antler I <br />E L. DISEASE - EA EMPLOYEE E <br />- -- - <br />i DESCRIPTION OF OPERATIONS below ! <br />E.L. DISEASE - POUCY LIMIT E <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLES (Attach ACO RD 1D1, AtldlUenal Remarks Sc hs,l ulo, H more agape Ia roq alto D) <br />Santa Ana Police Department is named as an additional insured. <br />�O�rlS�l �S �� �M <br />L.CR I IrIVH 1 C IIVLU CR <br />LiA1VGCLLA 11(JN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana POIIGe <br />THE EXPIRATION GATE THEREOF, NOTICE WILL BE DELIVERED 1N <br />ACCORDANCE WITH THE POLICY PROVIS YO NS. <br />Department <br />FISCaI Dept DIV ISIOn M -97 <br />i P O Box 1988 <br />Santa Ana, CA 92702 <br />AUTHORIZED REPRESENTATIVE <br />\ �����_ <br />-��r� <br />© 1988 -2D10 ACORD CORPORATION_ All rights r�s�,rved. <br />ACORD 25 (2010!05) The ACORD Hama and logo are registered marks of ACORD <br />