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�°� a CERTIFICATE OF LIABILITY INSURANCE <br />B/13/2014 <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(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 Agency/ Inc. DBA <br />Arroyo Insurance Services <br />1654 Plum Lane <br />Redlands CA 92374-4532. <br />CONTACT Carole Nix <br />PNONE , (909)792-8950 AAS 0,(909)792-2030 <br />E-MAIL ,carolen@arroyoins. com <br />INSURERIS) AFFORDING COVERAGE <br />NAICN <br />INSURERAMercury Casualty CoMany <br />11908 <br />INSURED <br />Adlerhorst International, Inc, <br />3951 Vernon Avenue <br />Riverside CA 92509 <br />INSURER 6: <br />INSURER C: <br />EACH OCCURRENCE $ <br />INSURER D: <br />MED EXPAn one if <br />INSURER E: <br />INSURER Pi <br />GENERAL AGGREGATE $ <br />COVERAGES CERTIFICATE NUMBER:CL1481902559 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREb NAMED ABOVE FOR THE POLICY PERIOD <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 MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN.TR <br />TYPE OF INSURANCE <br />ADDL <br />SUER <br />POLICY NUMBER <br />MMIDDIYYYVV <br />POLICY YYP <br />LIMITS <br />r <br />GENERAL LIABILITY <br />COMMERCIAL GENERAL LIABILITYA <br />CLAIMS -MADE ❑ OCCUR <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />Carole Nix/CAROLS <br />EACH OCCURRENCE $ <br />E T RENTED <br />PREMISESEa occ ce $ <br />MED EXPAn one if <br />PERSONAL&ADVYINJURY $ <br />GENERAL AGGREGATE $ <br />GEN1 AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOCIECT <br />PRODUCTS - COMP/OP AGO $ <br />$ <br />A <br />AUTOMOBILE <br />RA <br />LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS AUTOS <br />HIRED AUTOS NON -OWNED <br />AUTOS?Per <br />CA00171'77 <br />8/29/2014 <br />8/29/2015 <br />Ee eocldern Sl LIMIT 11000,000 <br />BODILY INJURY(Per person)ALL <br />BODILY INJURY(Per accident)$ <br />PR PERTYDAMAGE $ <br />cod nt <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />OED RETENTION $$ <br />WORKERS COMPENSATION <br />ANDEMPLOYERS'LIABILITY YIN <br />ANY PROPRIETOR/EARTNER/EXECUTIVE ❑ <br />OFFICEOPRIETEREXCLUDRIE <br />(Mandatory in NH)T� <br />If yes, oeearlbe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />l-.X%^�"l-i <br />4.l tt'tira <br />_ <br />[('�1 <br />4 <br />" <br />/ <br />1. <br />WC S'rFlTll- OTH- <br />YIIMITS ' <br />E.L. EACH ACCIDENT $ <br />_ <br />E,L. DISEASE - EA EMPLOYE $ <br />Roslin <br />E.L. DISEASE - POLICY LIMIT $ <br />SSAStSIA <br />Itj' S p�l <br />ttC�' <br />..� _ <br />DESCRIPTION OP OPERATIONS / LOCATIONS / VEHICLES (Attach AC ORD 101, Additional Remarks Schedule, If more space IF required) <br />71;4 <br />11 <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) <br />INS025 (2oiooE).0I <br />Q 99082010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL <br />BE DELIVERED IN <br />Santa Ana Police Department <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />60 Civic Center Plaza <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92701 <br />Carole Nix/CAROLS <br />ACORD 25 (2010/05) <br />INS025 (2oiooE).0I <br />Q 99082010 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />