ADLERHORST INTERNATIONAL, INC. 5 - 2015

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ADLER-1 OF ID: RORO ,4coRL7" CERTIFICATE OF LIABILITY INSURANCE `r►� 0 612912 01 6 006ATE 129/2016 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(les) 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 lieu of such endorsement(s). PRODUCER Loomis Insurance Services PO BOX 3128 Riverside, CA 92519 Michael J Runner CONTACT NAME: Roberta R Rosas PHONE 951-685-7478 FAX951-685-0665 IC No San, EMAIL ADDRESS: rrosas loomis4insurance.com GENERAL LIABILITY INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Northfield Insurance Company INSURED Adlerhorst International, Inc. 3951 Vernon Avenue Riverside, CA 92509 INSURER B: INSURER C: X COMMERCIAL GENERAL LIABILITY X INSURER D: INSURER E, 08/0812015 INSURER F: AMDA ET R 100,000 PREMISES Ee occurrence $ 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 LTRWAD rypE OF INSURANCE ADDL S BR POLICY NUMBER MMIflDM'YY MMIODIYYVI' LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X WS239169 08/0812015 08/08/2016 AMDA ET R 100,000 PREMISES Ee occurrence $ CLAIMS -MADE I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL& ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,000 GL AGGREGATE LIMITJLCI APPLIES PER, EN'POLICY PRODUCTS - COMP/OP AGG $ EXCLUDE $ X PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED AUTOS PROPERTY DAMAGE $ PER ACCIDENT NON -OWNED HIREDAUTOS AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB F_ICLAIMS-MADE DED RETENTION$ $ WORKERS COMPENSATIONT AND EMPLOYERS' LIABILITY Y / N RSLAMITS OER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ E. L, DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Alteon ACORD 101, Additional Remarks Schedule, If more space is required) The City of Santa Ana, its officials, officers, employees, agents, volunteers & representatives are named as Additional Insured. Coverage is Primary & Non -Contributory, 30 day Notice of Cancellation applies except for 10 day Notice for Non-payment of Premium. CERTIFICATE HOLDER CANCELLATION ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark f ACD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Cit of Santa Ana Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark f ACD