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aco orr CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br />7/5/2017 <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(les) 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 _ NAM <br />Kellogg Stephani Clark <br />N...__ __— ...._ ._.... <br />xellogg &Moreland Agency, Inc, DBA (AIC.Nda E%I) (909)792 8950 n/c No (909)792 2030 <br />Arroyo Insurance Services ADDRESS: Stephani c@arroyoins. com <br />1654 Plum Lane INSURER(Sf AFFORDING COVERAGE. _ NAIC# <br />Redlands CA 92374-4532 wsuRERA Mercury Casual_ty._Company 11908 <br />INSURED INSURER B: <br />I. _..._.. ...._.. ._._____..__ ..._ ................. <br />Adlerhorst International, Inc. NSURERc: <br />3951 Vernon Avenue fidello c,,. <br />Riverside CA 92509 _ (INSURER F: <br />COVERAGES CERTIFICATE NUMBER:CL177503877 REVISION NIIMRFR• <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 />_ <br />INSR ...... -.. 0.DDL'9U BR".-. _.._._... ,...._....... ._...�_.� ... <br />PG ICV'IT' f%OLIVY E%f' <br />TYPE GF INSURANCE <br />LT I INSD WVD. POLICY NUMBER (MMIDOIYYWI MMIDDIYVVY LIMITS <br />COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE 5 <br />DAMAGE TO RENTED <br />CLAIMS MADE _OCCUR I <br />I <br />.PR,J;fY hSE$(E31tcc to e) S,_ -.__ <br />.....m.m. m W <br />MEO EX.. (Anyone pars ) 5 _ <br />PERSONAL& AOVINJURY 5 <br />- GE N'L AGGREGATE LIMIT APPLIES PER <br />GENERAL AGGREGATE 5 <br />POLICY L. HOC <br />III <br />_ <br />PRODUCTS <br />OTHR <br />l <br />5 <br />AUTOMOBILE LEO LIABILITY <br />_�,..,..... <br />CONBaG(LEI 0 s 1 000,000, <br />NY <br />INJURY Par wood) <br />ALL OWNED SCHEDULED <br />AUTOG1 AUTOS <br />CCA0019199 <br />e/29/2017 <br />8/29/2018 <br />.. � <br />BODILY INJURY (Pe wdenq 5 <br />-" NON OWNED <br />A FIRED _- <br />HIRED AUT09 X <br />_ - <br />PROPERTY DAMAGE <br />I <br />AUTOS I <br />.der aScl,tle911,_.„ <br />PL.ANOA HS 1,000,000 <br />UMBRELLA LIAR OCCUR <br />EACH OCCURRENCE 6 <br />EXCESS LIAB ;I AIMSMADE, <br />AGGREGATES <br />- DED RET EN110N5 _ <br />R <br />WORKERS COMPENSATION <br />.Y <br />AND EMPLOYERS' LIABILITY YIN. <br />TATUTER�`-� <br />_ SPER <br />� <br />F " <br />ANY PROPRIETORIPARTNERIE%ECUTIVE--'" -II <br />E L EACH ACCIDENT 5 <br />OFFICERIMEMBER EXCLUDED? (NIA <br />-...CCID.ENT <br />--1 - -..-- <br />(Mantlatory In NH) <br />E L DISEASE " EA EMPLOYEE S <br />II yes, drSenbe antler...... <br />........ .I - _- <br />DESCRIPTION OF OPERA LIONS below <br />E.L. DISEASE -POLICY LIMIT I S <br />I <br />..� <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remerka Schedule, may be attached It more space Is required) <br />Verification of Coverage <br />CERTIFICATE HOI DER CANCFI I ATION <br />jrose@sana-ana.org <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Santa Ana Police Department <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />60 Civic Center Plaza <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Santa Ana, CA 92701 <br />AUTHORIZED REPRESENTATIVE <br />3t ephana Clark/STEPH <br />©1988.2014 ACORD CORPORATION. Ali rights reserved. <br />ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD <br />INS029n6mAu <br />� q e: <br />