ADLERHORST INTERNATIONAL, INC. 2D - 2012

Home Browse Search

.ti ADLER -1 OP ID: PRTR CERTIFICATE OF LIABILITY INSURANCE r DATE 08 /10DIYYYYJ 08!10112 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in 11eu of such endorsement(s). PRODUCER Loomis Insurance Services 951.685 7478 PO BOX 3128 951- 685.0665 CONTACT NAME; Tracey L. Prieto PHC Ho Ex1 :951- 685 -7478 ac No): 951- 685 - 0_6_65 Riverside, CA 92519 Loomis Insurance Services _ _ E•MaIL ADDRESS: tprieto @loomis4lnsurance.com INSURER(S)AFFORDING COVERAGE NAIC fl _ INSURERA :Northfield Insurance Company S 1,000,00 A INSURED Adlerhorst International, Inc. 3961 Vernon Avenue Riverside, CA 92509 INSURER B: - IN IN SURERC: 08108/12 08108113 DAFT XG E TO RENT ED PREMISES iEa occurrence S 100,000 INSURER D: $ 5,00 INSURER E,. $ 1,000,00 INSURER F' 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 ADDL POLICY NUMBER POLICY FF MhVDDIYYYY POLICY EXP MMIDDIY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR X WS180801 08108/12 08108113 DAFT XG E TO RENT ED PREMISES iEa occurrence S 100,000 MED EXP (Any one person) $ 5,00 PERSONAL 8 ADV INJURY $ 1,000,00 _ GENERAL AGGREGATE $ 2,000,000 GEN•L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ X POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 5 BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED AUTOS AUTOS P id BODILY INJURY eracceni ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE P.r. cid.n, $ �. UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE ll �� EACH OCCURRENCE S AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? El NIA - IM R E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory In NH) If yes, desui be under — — E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I I (V .-r DESCRIPTION OF OPERMIONS I LOCATIONS I VEHICLES (AHach ACORD 101. Additional Remarks Schedule, it more space Is required) Santa Ana Poiice Department is named as an additional insured. C' LL' ix h; Santa Ana Police Department Fiscal Dept Division M -97 P O Box 1988 Santa Ana, CA 92702 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 � /J lt�1c /(7 , � ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/06) The ACORD name and logo are registered marks of ACORD