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ADLER-1 OP ID: RORO CERTIFICATE OF LIABILITY INSURANCE 1 D0807/201YY) ;o7i2o18 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). CONTACT PRODUCER NAME: Roberta R Rosas Loomis Insurance Services PHONE FAX PO BOX 3128 A/c No Ext:951-685-7478 ac Ne: 951-685-0665 Riverside, CA 92519 ADDRESS: Michael J Runner rrosas@loomis4insurance.com INSURER 5 AFFORDING COVERAGE NAIC # INSURER A:Northfield Insurance Compaq _ 27987 INSURED Adlerhorst International, LLC INSURER B: 3951 Vernon Avenue Riverside, CA 92509 INSURERC: INSURER D : INSURER E INSURER F COVFRAr;FS CFRTIFICATF NIIMBF_R- REVISION Nt1MRF_R- 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 ADDL SUBR POLICY NUMBER POLICY EFF MMIDDNYYY POLICY EXP LIMITS MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR Y WS345380 08/08/2018 08/08/2019 I DAMAGE TO RENTED PREMISES_ Ea occurrence MED EXP (Any one person) $ 100,000 $ 5,000 $ 1,000,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER $ EXCLUDED PRODUCTS - COMP/OPAGG X POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _Eaaccidenl___________ $ $ ANY AUTO I BODILY INJURY (Per person) ALL OWNED - ! SCHEDULED AUTOS ;- AUTOS BODILY INJURY (Per accident) S I PROPERTY DAMAGE PER ACCIDENT $ NON -OWNED HIRED AUTOS �i AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE WC STATU- OTH- T RY LIMITS I I ER E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) NIA! j -------- E.L. DISEASE - EA EMPLOYEES -"----- If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach 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. CFRTIFICATF HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City 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 marks of ACORD