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ADLERHORST INTERNATIONAL, INC. 5 - 2015
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ADLERHORST INTERNATIONAL, INC. 5 - 2015
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Last modified
10/31/2017 1:25:20 PM
Creation date
6/15/2015 1:50:14 PM
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Contracts
Company Name
ADLERHORST INTERNATIONAL, INC.
Contract #
A-2015-044
Agency
POLICE
Council Approval Date
4/7/2015
Expiration Date
4/6/2018
Insurance Exp Date
8/29/2017
Destruction Year
0
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A� o® CERTIFICATE OF LIABILITY INSURANCE <br />DATE <br />6/29/2016 Y) <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 does not confer rights to the <br />certificate holder In Ileu 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 <br />NAME: Carole Nix <br />PRONE rn.(909)792-8950 FAC Nob (909)T92-2030 <br />nooaEss:carolen@arroyoins.com <br />INSURERS AFFORDING COVERAGE NAIC IN <br />INSURER Mercury Casualty Company 11908 <br />INSURED <br />Adlerhorst International, Inc. <br />3951 Vernon Avenue <br />Riverside CA 92509 <br />INSURERS: <br />INSURERC: <br />INSURER D: <br />INSURER E: <br />1 INSURER F: <br />COVERAGES CERTIFICATE NUMBER:CL158502995 REVISION NUMBER: <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 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 />INSR <br />LTR <br />OF INSURANCE <br />ADDLTYPE <br />JUE <br />VD <br />POLICY NUMBER <br />POLICY <br />YVYW <br />POLICY <br />YIYEYV <br />LIMITS <br />GENERAL LIABILITY <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702-1988 <br />Carole Nix/CAROLE `/✓� r <br />EACH OCCURRENCE $ <br />COMMERCIAL GENERAL LIABILITY <br />O RENTED <br />PREMISES Ee occurrence $ <br />CLAIMS -MADE [::] OCCUR <br />MED EXP (Any one person) $ <br />PERSONAL A ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />PRODUCTS - COMP/OP AGO 5 <br />$ <br />POLICY PRO-JECT LOC <br />AUTOMOBILE <br />LIABILITY <br />COe aac deD SINGLE LIMIT 11000,000 <br />BODILY INJURY (Per persn) o $ <br />A <br />X <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS <br />CCA0017177 <br />8/29/2015 <br />8/29/2016 <br />BODILY INJURY (Per accident) $ <br />(P TY DAMAGE $ <br />X <br />OWNED <br />NONNOSWNED <br />MREOD AUTOS x <br />Hiredi $ 1,000,000 <br />UMBRELLA UAB <br />E <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DEO I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />VJC STi TU OTH- <br />AND EMPLOYERS' LIABILITY Y I N <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />E.L. EACH ACCIDENT $ <br />OFFICERIMEMBER EXCLUDED? ❑NIA <br />(Mandatory In NH) <br />E.L. DISEASE-EAEMPLOYE 5 <br />Ifyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE POLICV LIMIT 5 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ABORT, 101, Additional Remarks Schedule, If more space is required) <br />Verification of Auto Coverage <br />CERTIFICATE HOLDER CANCELLATION <br />ACORD 25 (2010/05) <br />INS02S mmnnsl nt <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Th. ACrl Ari nom. and 1 -nn or. ronia....i -VP of AC01PT1 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE <br />DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of Santa Ana <br />P O Box 1988 <br />AUTHORIZED REPRESENTATIVE <br />Santa Ana, CA 92702-1988 <br />Carole Nix/CAROLE `/✓� r <br />ACORD 25 (2010/05) <br />INS02S mmnnsl nt <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />Th. ACrl Ari nom. and 1 -nn or. ronia....i -VP of AC01PT1 <br />
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