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ADLER-1 OP ID: RORO <br />ACORO"` DATE (MMIDD/YYYY) <br />CERTIFICATE OF LIABILITY INSURANCE 1 08/07/2018 <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 lieu of such endorsement(s). <br />PRODUCER CONTACT <br />NAME: Roberta R Rosas <br />Loomis Insurance Services PHONE FAX <br />PO BOX 3128 AIc No Ezc , 961-685-7478 JAJC No): 951-685-0665 <br />Riverside, CA 92519 E-MAIL rrosas@loomis4insurance.com <br />Michael J Runner ADDRESS: <br />INSURERS AFFORDING COVERAGE NAIC If <br />INSURER A: Northfield Insurance Compaq 27987 <br />INSURED Adlerhorst International, LLC INSURER B: <br />3951 Vernon Avenue <br />Riverside, CA 92509 INSURERC: <br />INSURER D : <br />INSURER E: <br />INSURER F : <br />r r)%1PPAnP_q CFRTIFICATF NIIMRPR• RFV141t7N NHMRFR <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 />TYPE OF INSURANCE <br />ADDL <br />SUBR <br />POLICY NUMBER <br />MMIDDPOLICNYYY <br />MMI POLICYEFF <br />IYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />S 1,000,000 <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />Y <br />WS345380 <br />08/08/2018 <br />08/08/2019 <br />DAMAGE T RENTED <br />PREMISES (Ea occurrence) <br />$ 100,000 <br />CLAIMS -MADE Fx� OCCUR <br />MED EXP (Any one person) <br />$ 5,000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />PRODUCTS - COMP/OP AGG <br />$ EXCLUDED <br />G E N'L AGG R EGAT E LIMIT APPLIES PER <br />$ <br />X POLICY I— PRO- — -- LUC <br />AUTOMOBILE LIABILITY _ <br />COMBINED SINGLE LIMIT <br />Ea a:adent <br />$ <br />ANY AUTO <br />,ODI LY INJURY (Per person) <br />ALL OWNED r SCHEDULED <br />AUTOS AUTOS <br />I <br />j BODILY INJURY (Per accident) <br />$ <br />S <br />_ <br />NON -OWNED <br />HIRED AUTOS j _� AUTOS <br />PROPERTY DAMAGE <br />PER ACCIDENT <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LLIIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETOR/PARTNERIEXECUTIVE <br />WC STATU- OTH- <br />TORY LIMITS _,I ER <br />.— <br />E.L. EACH ACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA—""-----"-------- <br />(Mandatory in NH) <br />E.L. DISEASE - EA EMPLOYEE, S <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />! <br />_ _ <br />E.L. DISEASE - POLICY LIMIT 5 <br />� <br />� <br />II <br />II <br />I <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) <br />The City of Santa Ana, its officials, officers, employees, agents, <br />volunteers & representatives are named as Additional Insured. Coverage is <br />Primary & Non -Contributory, 30 day Notice of Cancellation applies except for <br />10 day Notice for Non-payment of Premium. <br />L;tK I It ILA I t MULUtK k AIAI,LLLA I IUN <br />The City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />©1988-2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD <br />