ADLERHORST INTERNATIONAL LLC - 2017

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ADLER-1 OP ID: ROI CERTIFICATE OF LIABILITY INSURANCE °^ I'd i°°nvvYl 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 andoreemAnffel. PRODUCER Loomis Insurance $erVICBS PO BOX 3128 Riverside, CA 92619 Michael J Runner NAMEACT Roberta R PHONE ac No Xt:951-985- E-MAIL Aco ss: rroeas to o.a.,neR A; ,,,mu maularroe a umpan -L79S7 INSURED Adlerhorst International, LLC 3951 Vernon Avenue INSURER B: Riverside, CA 92509 INSURER C: INSURER D : INSURER E : INSURER F: COVERAGES CFRTIFICATE!gUM0Co. ___.______. --" "' '_"' —' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE REVISION NUMBER: INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED WITH RESPECT TO WHICH THIS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY HEREIN IS SUBJECT TO ALL THE TERMS, INSR PAID CLAIMS. A °B TR TYPE OF INSURANCE POLICY NUMBER POLICY LIMITS GENERAL LIABILITY A X URRENCE $ 1,000,00 COMMERCIAL GENERAL UABILITY X S368307 08108/2019 Ea omurrenca $ 100,00 CLAIMS -MADE OCCUR Any one person) wi $ 5,00 L BADV INJURY $ 1,000,00 AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X PRO- S-COMPft)PAGG $ EXCLUDE POLICY LOC $ AUTOMOBILELUIBIUTY COMBINED SINGLEIMIT Eaaccitl I ALLOWNENY AUTO AU ONAJED SCHEDULED BODILY INJURY (Per person) $ BODILY INJURY (Per ecddeM) $ AUTOS AUTOSNON-OWNED HIRED AUrOS AUTOS NED AUTOB PROPERTY DAMAGE $ PER ACCIDENT E UMBRELLA OCCUR EXCESS EXCESS LIAB EACH OCCURRENCE $ AGGREGATE CLAIMS -MADE DED RETENTIONS WORKERS COMPENSATION $ AND EMPLOYERS' LIABILITY YIN WC STATU. OTH- L ANYPROPRIETORIPARTNERMXECUTIVE OFFICERMIEMBER EXCLUDED? ❑ NIA E.L. EACH ACCIDENT $ (Mand'a"n"in NH) E.L. DISEASE - EAEMPLOYE $ Ifyea,tleavibeunder DESCRIPTION OF OPERATIONS below E.L. DISEASE -POUCV LIMIT E DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) City of Santa Ana Risk Management Division is named as Additional Insured with regards to services rendered by the Named Insured as required by written contract. Coverage is Primary and Non -Contributory. REVIEWED & APPROVED By RIS ANAGEMENT DIVISION CFRTIFIr.ATF Wni ncu N i t City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FI Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE XPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN M. LA RDANCE WITH THE POLICY PROVISIONS. AUTHORRED REPRESENTATIVE © 1988-2010 ACORD CORPORATION. All rinhte ro�or,.o.a I ne AcoHD name and logo are registered marks of ACORD