ADLERHORST INTERNATIONAL, INC. 5 - 2015

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ADLER-1 OP ID: KORO CERTIFICATE OF LIABILITY INSURANCE DATE 6 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE, INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 11/18120 11 /1$12016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER Loomis Insurance Services CONTACT NAME: Roberta R Rosas PHONE„, ,, Ext : 951- 685 74788 qA c, Na)s 951 685-0665 PO BOX 312$ Riverside, CAner Michael JRunner ADDRESS: rrosasc@ioomis4insurance.com - -..... ..w... INSURERISI AFFORDING COVERAGE N'�AIC # INSURERA ..Northfield Insurance COdmpany X. COMMERCIAL GENERAL LIABILITY INSURED AdlerhorSt International, Inc. INSURERS: - .._.......-._......._ 3951 Vernon Avenue _._........ _....... Riverside, CA 92509 A-2015-044 INSURERcmi .. ............._. CLAIMS -MADE [XI OCCUR INSURER D: _..... _..... ... ... INSURER E INSURER F , COVEKAUES CERTIFICATE NUMBER: Pr-WlclnNl fJl otlnl2li 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 TYPE OF INSURANCE Aii LtIBR WVDPOLICY "'......._.. NUMBER POLICY EFF MMfDDYYYYY PM2 Y EXP MMIDD/Y't'YY _.. LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 A X. COMMERCIAL GENERAL LIABILITY X ''.. WS276609 08/08/2016 08/08/2017 DAMA F' urN`I' p.. PREMISES Fa Occurrence $ 100,000 CLAIMS -MADE [XI OCCUR ..5,000 MED EXP (Any one person) $........._.. PERSCNVAL&_kDVINJURY $ .-...._.. 1,000,00 .e.._.._.... GENERAL AGGREGATE $ �........... 2,000,000 _.._....w.. PRODUCTS-CCiMPiOPAGG $� EXCLUDED GENT AC.,GREGATELIMIT APPLIES PER : X POLICY PRC LOC $. AUTOMOBILE LIABILITY '.... COMBINED SINGLE LIMVT Ea accede tj $ ANY AUTO ._. BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acc6dent) S NON -OWNED HIRED AUTOS AUTOS PROPEf2TY DAMAGE $ '.... PERAQ_C_ T S UMBRELLALIAB OCCUR '�'. EACH OCCURRENCE 5 EXCESS LIAB� -T CLAIMS -MADE __-'----.._...... AGGREGATE $ DED $ WORKERS COMPENSATION WC STATLE DTH - AND EMPLOYERS' LIABILITY YIN TORY MITA_.ER __.. ANY PROPRIETORIPARTNERIEXECUTIVE L. EACH ACCIDENT $ OFFNCERIMIEMBER EXCLUOED^� W ! A F.L. DISEASE - EA. EMPLOYEE $ ._........._ _.. (Mandatory in NH) It yes, describe under _...._. E.L.. DISEASE -POLICY LIMIT' $ DESCRIPTION OF OPERATONS bebw DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Sch�etlule, If more space is required) The City of Santa Ana, its officials, officers, employees, agent's, volunteers & representatives are named as Additional Insured. Coverage is Primary & Nan -Contributory, 30 day Notice of Cancellation applies except for 10 day Notice for Non-payment of Premium, The City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92701 17 ►1-J.4ml 17-,w I L*J ►. 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 Q 1988-2010 ACORD CORPORATION. All rights reserved, ACORD 25 (2010/05) The ACORD name and logo are registered marcs of ACORD Y d A., & "7r ( x I / �f4 , ”