ADLERHORST INTERNATIONAL, INC. 5 - 2015

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(7 ADLERr-1 OP ID: RORO AC�^ t0 I DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1 08/25/2017 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 endorsement(s), PRODUCER CONTNAME; ACT Roberta R Rosas Loomis Insurance Services-PHONE FAX ' ... PO BOX 3128 A-2015-044 _[w,No, EXt)951 685-7478 (ac,No): 951-685-06565 Riverside, CA 92519 E-MAIL Michael J Runner ADDRESS: rrosas(n�loomis41nsurance com INSURERf SI,A FFORDING, COVERAGE NAIC_ # INSURER A: Northfield Insurance Company INSURED Adlerhorst International, LLC INSURERS: 3951 Vernon Avenue _ Riverside, CA 92509 INSURERc; INSURER D INSURER E: 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 ADDL SU S.; POLICY EFF -� POLICY EXP LIMITS LTR „,A—N _ INSR typ CY NUMBER I (MAAfODlVYYY� (MMlDDIYYYV) TYPE OF INSURANCE POLlmmmmm��. -� -- GENERAL LIABILITY DAMA 3 ESTIEa RENTED S 1,000,000 CLAIMS MADE X LIABILITY X WS322088 08/08/2017 08/08/2018 00,000 A X COMMERCIAL GENERAL LI OCCUR MED EXP (Any, one person) S 5,000 1 f PERSONAL B ADV INJURY S 1,000,000 I. G„ENERALAGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER j PRODUCTS COMPIOP AGG S EXCLUDE PRO R.C7C 3 11 S XJ POLICY „_..............�..,...�.,,.....—.,�.._ ._. �COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY(Ea„gdi;Aen,1) AANY AUT LL OWNED SCHEDULED �� )BODILY INJURY (Per person) S ' BODILY INJURY (Per acudeno S AUTOSAUTOS NON-OWNED i PROPERTY DAMAGE S HIREDAUI'OS )AUTOS (PE�RACCIDENT) ( _ S _ UMBRELLA UABOCCUR EACH OCCURRENCE 5 EXCESS LIAB CLAIMS-MADE AGGREGATES DED a i REIENT,fONS ,,. I - S WORKERS COMPENSATION C STATU- OTH- AND EMPLOYERS' LIABILITY YIN ! -TORW.Y !�14MT$ ER ANY PROPRIETORIPARTNERIEXECUTIVEE.L. EACH ACCIDENT S OFFICERIM EMBER EXCLUDED NIA (Mandatory in NH) E L DISEASE - EA EMPLOYEE S If yes. describe under ......... ......... ......... ..._.. _... DESCRIPTIONBelow I � E.L. DISEASE - POLICY LIMIT S OF OPERATIONS below a 1 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additionale W R marks Schedule, it 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The City of Santa Ana 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 marks of ACORD