ADLERHORST INTERNATIONAL, INC. 5 - 2015

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ACORO`0 DATE (MM/DD/YYYY) C:" CERTIFICATE OF LIABILITY INSURANCE 7/5/2017 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 CONTACT Ste hani Clark NAME: P Kellogg & Moreland Agency, Inc. DBA (ql/ N� Ext) (909) 792 8950 FAX No: (9139) 792-2133C Arroyo Insurance Services E-MAILADDRESS: Stephanic@arroyoins. ComA-2015-044 .. 1654 Plum Lane INSURER(S) AFFORDING COVERAGE NAIC p Redlands CA 92374-4532 INSURERS Mercury Casualty Cowan 11908 ___.. INSURED INSURER B: Adlerhorst International, Inc. INSURER C: ........ 3951 Vernon Avenue NCI 1-r - Riverside CA 92509 INSURER F: COVERAGES CERTIFICATE NUMBER;CL177503877 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. ..ADDL SUBR' ......... ...'_".'-.-....,... ....... �ILTR TYPE OF INSURANCE I FGLIi:Y EF'F PMIDDI OLICY EXP LIMITS LTR � (NSD WVD ; POLICY NUMBER (MM/DDIYYW MMIDD/YYYY � COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 5 j _ DAMAGE TO RENTED CLAIMS -MADE OCCUR ( _ -- S PR,FM„1,$EwS (Eaoccurrence), _ MED EXP (Any one person) 5 PERSONAL 8 ADV INJURY S _ GFN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE 5 I PRO - POLICY ... __. ECT LOC '... PRODUCTSCOMP/OP AGG..4, S ........ OTHER i S AUTOMOBILE LIABILITY COMBINED SINGLE ANIff '$ 1,000,000 (Ea acudent) - % ANY AUTO BODILY INJURY (Per person) S A I ;ALL OWNED SCHEDULED CCA0017177 8/29/2017 8/29/2018 BODILY INJURY (Per ac dent) S (AUTOS AUTOS . NON -OWNED I % HIRED AUTOS %.f 9 PROPERTY DAMAGE t AUTOS Peracadentj i Hired)NOA S 1,000,000 r UMBRELLA LIAB i OCCUR EACH OCCURRENCE �S EXCESS LIAR CLAIMS-MADF:� AGGREGATE 5 DED RETENI IONS W WORKERS COMPENSATION _J PER OTH- AND EMPLOYERS' LIABILITY Y1 N '..... ;,,,STATUTEF:R _ ANY PR OPRIETORrPARTNERIEXECUTIVE E L EACH ACCIDENT S OFFICERWEMBER EXCLUDED? iI N / A •............. (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE S If yes, describe under -POLICY DESCRIPTION OF OPERATIONS below E.L. DISEASE LIMIT j S DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) Verification of Coverage CERTIFICATE HOLDER CANCELLATION jrose@sana-ana.org SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Santa Ana Police Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 60 Civic Center Plaza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE Stephani Clark/STEPH ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD IN5025r9oi4 iI