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HomeMy WebLinkAboutADLERHORST INTERNATIONAL, INC.INSURANCE ON FILE WORK MAY PROCEED N'2029 -080 UNTIL INSURANCE EXPIRES ^� CLERKOFCOUNCIL cc DATE: AGREEMENT TO PROVIDE K-9 TRAINING SERVICES BETWEEN ADLERHORST INTERNATIONAL, LLC. (SAr ekve (OWAY}) L% AND THE CITY OF SANTA ANA THIS AGREEMENT, made and entered into this 19th day of December, 2020 by and between Adlerhorst International, Inc., a California Limited Liability Company, (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the field of providing police K-9 training for both police dogs and police K-9 handlers; and selecting appropriate dogs for use as a K-9 police dog. B. Consultant represents that Consultant is able and willing to provide such services to the City. C. In undertaking the performance of this Agreement, Consultant represents that it is knowledgeable in its field and that any services performed by Consultant under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional consulting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform during the term of this Agreement, the tasks and obligations including all labor, materials, tools, equipment, and incidental customary work required to fully and adequately complete the services to provide monthly training for police K-9s and their handlers, basic handler training as required for new K-9 handlers, new K-9 selection (Belgian Malinois or German Shepherd), training of new K-9s, Narcotic detection training for K-9s and handlers as needed, and miscellaneous equipment. 2. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, the rates and charges set forth below. The total sum to be expended under this Agreement shall not exceed $47,200 during the two-year term of this Agreement as follows: Description of Services Costs Monthly Training per Year $12,600 per year x 2=$25,200 New K-9 and Training Academy xl (Approximate Replacement dates: January 2021) $15,000 each year x I year = $15,000 DOTAL: $47,,200 T b. Payment by City shall be made within 45 days (forty-five) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of performance set forth in the Recitals which may reasonably be expected by City. RJIMMMNYAl:iul This Agreement shall cormnence on the date fast written above and terminate on December 18, 2022, unless terminated earlier in accordance with Section 13, below. 4. INDEPENDENT CONTRACTOR Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not untended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter of this Agreement; however, the services to be provided by Consultant shall be provided in a manner consistent with all applicable standards and regulations governing such services. Consultant shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 5. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, with $2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, and representatives as additional insured(s); (b) be primary and not contributory with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the provisions of Section 3700 of the Labor Code, Consultant, if Consultant has any employees, is required to be insured against liability for worker's compensation or to undertake self- insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Consultant is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim with $2,000,000 in the aggregate. C. The following requirements apply to the insurance to be provided by Consultant pursuant to this section; i. Consultant shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. ii. Certificates of insurance shall be famished to the City upon execution of this Agreement and shall be approved by the City. iii. Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days prior written notice to the City. iv. Where the amounts or coverage provided by the certificates of insurance provides coverage greater than those listed by this Agreement, the amounts provided by the certificates of insurance shall be incorporated by reference into the Agreement. V. Consultant shall supply City with a fully executed additional insured endorsement. f. If Consultant fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Consultant's right to be paid for its time and materials expended prior to notification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 6. INDEMNIFICATION Consultant agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Consultant, its subcontractors, agents, employees, or other persons acting on its behalf which relates to the services described in section l of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of, or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Consultant's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise out of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Consultant. 7. RECORDS Consultant shall keep records and invoices in connection with the work to be performed under this Agreement. Consultant shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Consultant under this Agreement. All such records and invoices shall be clearly identifiable. Consultant shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Consultant under this Agreement. S. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by the City. 9. CONFLICT OF INTEREST CLAUSE Consultant covenants that it presently has no interests and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 10. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 11. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms ofthis Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Consultant. The parties agree that any terns or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which is not embodied herein. 12. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 13. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Consultant shall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product(s) completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Consultant consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 14. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 15. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. 16. PROFESSIONAL LICENSES Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 17. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. 18. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax: 714- 647-6956 With courtesy copies to: Chief of Police City of Santa Ana 60 Civic Center Plaza (M-97) P.O. Box 1988 Santa Ana, California 92702 Fax:714-245-8007 To Consultant: David Reaver Adlerhorst International, LLC. 3951 Vernon Avenue Jurupa Valley, California 92509 Sonia R. Carvalho City Attorney City of Santa Ana 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, California 92702 Fax; 714- 647-6515 A party may change its address by giving notice in writing to the other party, Thereafter, any communication shall be addressed and transmitted to the new address. if sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. [signature page to follow] N-2021-080 IN WITNESS WI [EREOF, the parties hereto ha%C executed this Agreement the date and year first above written. ATTEST:. Daisy Gomez Clerk of the Council APPROVED AS TO FORM: SONIA R. CARVALI IO City Attorney By: 1 Tamara Bogosian Senior Assistant City Attorney RECOMMENDED FOR APPROVAL: ENTN Chief of Police CITY OF SANTA ANA Kristine Ridge City Manager CONS TA: David Rca 'or N - IOU -AD _ COTC PROCESSING FORM Agreements / Amendments / Deeds Project Manager is responsible to ensure agreement has been reviewed and approved by City Attorney, all exhibits attached, Certificate of Insurance meets mandatory coverage, complies with CMO contract authority as defined in NS-2963, and ultimately, agreement is ready for City Manager execution. COTC will o>lv be responsible for attestation of CMO signature. TO: CLERK OF THE COUNCIL OFFICE FROM: DEPT.: POLICE PROJECT MANAGER: CMDR. VIR OWES, Please f.. Me.e.t dAGMT t. J.n.e C..ad Clty of Santa Ana APR 2 0 2021 clerk 01 the Council MAIL STOP: FISCAL M-97 EXT.: 8700 The following information must be provided in requesting processing of agreements / amendments / deeds for the City: AGREEMENT NUMBER (if amendment): A / N AMENDMENT NUMBER (if applicable): ❑ 1ST ❑ 2ND ❑ 3RD ❑ An amendment/extension requires a copy of a RFCA / initial agreement IN Agreement) to be included. NAME OF CONSULTANT / PARTY: ADLERHORST INTERNATIONAL, INC. AMOUNT: ❑ * OVER ❑ *UP TO *Note: Council approval is required if an agreement with a $50,000 — (A) $50,000 - (A/N) vendor exceeds $50,000 within a Fiscal Year for non- public works agreements. Bid for contracts exceeding $25,000, will continue to require a formal Invitation for Bid. ❑ 1) Approved by council. 0 2) NOT approved by council. COUNCIL APPROVAL DATE: TERM OF AGREEMENT EFFECTIVEDATE: 12/19/2020 ITEM #: TERMINATION DATE: 12/18/2022 SIGNATURES REQUIRED: H VENDOR ❑ DIRECTOR N CITY MANAGER X COTC M CITY ATTORNEY ❑ STATE/ GOV. AGENCY ❑ OTHER (INSURANCE APPROVAL REVIEWED BY RISK MGMIT. PRIIOR TO SUBMITTING TO COTC) INSURANCE REQUIRED: ❑ YES ALL INSURANCE INCLUDED: 0 YES NOTARIZATION REQUIRED: ❑ YES COMMENTS: FOR CLERK OFFICE USE ONLY: ❑ PROCESS ADDITIONAL REMARKS: * Effective April 18, 2019, City Managers contract ❑ NO (Provide City Attorney Office approval) ❑ NO ❑ NO DO NOT PROCESS ❑ Missing Signatures ❑Needs Council Approval ❑ Other I: IAgreementffwri -AGREEMENT PROCESSING FORM_canary_REVISED.doc Revised: 5/1512020 oPually 9gnea by Rzncme R. Francine R. Villareal Mlamal tiare:JVfH4FR.M:l0or0cOP ID: RORO ACOROe DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 08/11/2020 INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIS CERTIFICATE IS ISSUED AS A MATTER OF EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE 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 A on this certificate does not confer rights to the the terms and conditions of the policy, certain policies may require an endorsement statement certificate holder in lieu of such endorsement(s). CONTACT Roberta R Rosas NAME: PRODUCER Loomis Insurance Services No" o E .951-685-7478 FAX No: 951�85-0665 PO BOX 3128 E-MAIL rrosas loomis4insurance.com Riverside, CA 92519 ADDRESS: Michael Runner INSURERIS) AFFORDING COVERAGE NAIC# INSURER A: Northfield Insurance Company 27987 INSURED Adlerhorst International, LLC INSURERS: INSURER C: 3951 Vernon Avenue INSURER D: Riverside, CA 92509 INSURER E INSURER F : REVISION NHMRER: COVERAGES - CERTIFICATE NUMbl=K: • BEEN ISSUED TO THE INSURED --•- - NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONSAND ADOL SUER POLICY EFF POLICY EXP LIMITS INSR TYPEOFINSURANCE POLICYNUMBER MMIDOL MM DDI LTR 1,000,00 GENERAL LIABILITY X WS404241 08/08/2020 08/08/2021 EACH OCCURRENCE $ PREMISES Eeoccu ence $ 100,00 A X COMMERCIAL GENERAL LIABILTfV 5,00 PE(Anyone person) $ CLAIMS -MADE IA OCCUR PERSONONAL&ADV INJURY $ 11,000,100 GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMP/OP AGG $ EXCLUDED GEN'L AGGREGATE LIMIT APPLIES PER $ PR X POLICY E O- T L LOG COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ - BODILY INJURY (Per person) $ ANY AUTO AUTO NED SBUTCHOEDULEDAUTOS BODILY INJURY (Per accident)$ PROPERTY DAMAGE $ NON-0WNED PER ACCIDENT HIRED AUTOS AUTOS EACH OCCURRENCE $ UMBRELLA LIAB OCCUR AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED RETENTION $ WC STATU- OTH- WORKERSCOMPENSATIONTORY LIMITS ER E. L. EACH ACCIDENT $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ NIA E.L. DISEASE -EA EMPLOYE $ E.L. DISEASE -POLICY LIMIT $ (Mandatory in NH) Ryes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS [VEHICLES (Attach ACORD 101, Additional Remarks Schedule, Hmme space 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. Insurer shall a provide 30 written notice of cancellation. 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2010105) © 1988-2010 ACORD CC The ACORD name and logo are registered marks of ACORD Rusk Nfanageme€itAn*V nigitally vgned by Frannner- Francine R. Villareal Vllamal „n orn I>a�:mnvawlt�sv "OP ID: RORO 1 DATE(MM/DDIYYYY) ,acoRD' CERTIFICATE OF LIABILITY INSURANCE 08/11/2020 IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS THIT�TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES CERTIFICATE CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED BELOW. THIS 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 A on this certificate does not confer rights to the the terms and Conditions of the policy, certain policies may require an endorsement statement certificate holder in lieu of such endorsement(s). CONTACT Roberta R Rosas NAME: PRODUCER Loomis Insurance Services PHON o 951-686-7478 F Ne: 951-685 0665 AIC Ext: BOX 3128 E-MAIL rrosas@loomis4insurance.com Riverside, CA 92519 ADDREss: Riverside, Michael Runner INSURER(S) AFFORDING COVERAGE NAIL# INSURER A:Northfield Insurance Compan 27987 INSURED Adlerhorst International, LLC INS URER B: INSURER C: 3951 Vernon Avenue INSURER 0: Riverside, CA 92509 INSURER E: INSURER F : REV!SInN NI IMRFR- COVERAGES CERTIFICATt NUMBER:— --- ---_- BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS POLICY EFF POLICY EXP LIMITS ADDL SUBR LTR INSURANCE INSR TYPE OF POLICYNUMBER MMIDDN MMIDDIV 1,000,00 GENERAL LIABILITY X WS404241 08/08/2020 08/08/2021 EACH OCCURRENCE $ DA AGE PEN 100,00 PREMISES Eaoceurrence $ A X COMMERCIAL GENERAL LIABILITY 5,00 MEO EXP (Any one person) $ CLAIMS -MADE 1XI OCCUR 1,000,00 PERSONALBADV INJURY $ GENERALAGGREGATE $ 2,000,no PRODUCTS - COMP/OP AGG S EXCLUDED GENT AGGREGATE LIMIT APPLIES PER. 5 i. POLICY PRO- T Ll TOO COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accitlent $ - BODILY INJURY (Per person) $ ANY AUTO ALLOWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON -OWNED PERACCIDENT HIRED AUTOS AUTOS $ EACH OCCURRENCE $ UMBRELLA LIAR OCCUR AGGREGATE $ EXCESS Li CLAIMS -MADE $ DEC RETENTION$ WC STATU- OTH- WORKERS COMPENSATION TORY LIMITS ER E.L. EACH ACCIDENT $ AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOWPARTNERIEENECUTNE OFFICER/MEMBER EXCLUDED? ❑ NIA EL DISEASE -EA EMPLOYE $ EL DISEASE -POLICY LIMIT $ (Maddatory in NH) H yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schetlule, B more space is required) City of Santa Ana Risk Management Division is named as Additional Insured to rendered by the Named Insured as required by with regards services written contract. Coverage is Primary and Non -Contributory. Insurer shall provide 30 written notice of cancellation. 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i Ckv" lk ACORD 25 (2010105) © 1988-2010 ACORD The ACORD name and logo are registered marks of ACORD F it `.: _. Riik. Management. Ana ySt AC"R a CERTIFICATE OF LIABILITY INSURANCE OAT/(27/2020Y) F 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 t0 the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Patricia Detwiler NAME: Kellogg & Moreland Agency, Inc. DHA PHONE Ex 1909)792-8950 AIC IAX NO: (e09)792-2030 Arroyo Insurance Services E-MAIL ADDRESS: PgtYlclad@arr0 O1nS. COm y 1654 Plum Lane INSURERS AFFORDING COVERAGE NAIC 9 INSURER A: AmGUARD Insurance Company 42390 Redlands CA 92374-4532 INSURED INSURER a: INSURER C: Adlerhorst International, LLC 3951 Vernon Avenue INSURERD: INSURER E : Riverside CA 92509 INSURERF: GUVtKAbtJ UCKIII-ICAlt NUMI5hH'ZU-21 Auto RFVISION NIIMRFR- 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 (MMI POLICY EXP MMIDOIYYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DAMAGET —RENTED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ POLICY PROT. ❑ LOC JEC PRODUCTS - COMPIOPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accitlent $ 1,000,000 BODILY INJURV (Per person) $ A ANV AUTO ALL OWNED X SCHEDULED AUTOS AUTOS /� MAU107529 8/29/2020 3/29/2021 BODILY INJURV (Per accitlent j $ 'Y HIRED AUTOS X NONOWNED AUTOS PROPERTY OAMAGE Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DIED RETENTION I $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER E.L. EACH ACCIDENT $ ANY PROPRIETOMPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe Under E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached H more space Is required) City of Santa Ana Risk Management Division is named as Additional Insured as regards services rendered by the Named Insured as required by written contract: Coverage is Primary and Non -Contributory. - - 30 days written notice of cancelledtion. CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th FL Santa Ana. CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Detwiler/PAT ©1988-2014 ACI ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) ,� � ftfekManegc'rltm{Datslort — o < REEVIEWED&PA�PPROVEDBV P �I RISX Management Analyst ADLERHORST INTERNATIONAL, LLC. 3951 Vernon Avenue * Jurupa Valley, CA 92609 Tel: (951) 686-2430, Fax: 051) 686-MO * Email: Adlerhomt@Adlerhorsl-Com www.Adlrjrhomt.com City of Santa Ana Risk Management Division 20 Civic: Center Plaza 41h Floor Santa Aria, Ca, 92701 Reference your insurance requirements roncerning Adlerhorst International LLC we offer the following information, While conducting training either on our facility or off site, all our inst, uctors use their own vehicles, insured by them personally, In the COLAZO of all Instruction or training provided Adlerhorst [Wernabonal LLC, we do not use any subcontractors, If you have questions, please call. Adlerhorst International PLC aw' I Risk ManAgzmeM:oMslan. non-N Ren D & APFRovEUDD BY: F04 -444 Z MaAd POLICYHOLDER COPY P.O. BOX 8192, PLEASANTON, CA 94588 GROUP: POLICY NUMBEFt, 9017252-2020 CERTIFICATE 10: 90 CERTIFICATE EXPIRES: 07-01-2021 07-01-2020/07-01-2021 CITY OF SANTA ANA RISK MANAGEMENT DIVISI1 20 CIVIC CENTER PLZ SANTA ANA CA 92701-4068 This Is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commosionar to pro employer named below for the policy period Indicated. This policy is not subject to cancellation by the Fund except upon So days advance written notice to the employer. We vvili also give you 30days advance notice should this policy be cancelled prior to Its normal expiration. The, certificate of Insurance is not an Insurance policy mid does not amend, extend or after the coverage afforded by the policy listed herein, Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be Issued or to which it may pertain, the insursooe afforded by the poI14 described herein is subject 114 all the terms, exclusions, and conditions, of Such policy, Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDINO DEFENSE COSTS: $1,000,000 PER OCCURRENCE, 1 11171 s. ENDORSEMENT 01901 - OOHN DAVID REAVER, MEIRMOR - EXOLUDEO ENDORSEMENT #1951 - MICHAEL JAMES BEAVER, MORMBIR - EXCLUDED. ENDORSEMENT #1951 - VERONIQUE REAVER, MGRMBR - EXCLUDED. ENDORSEMENT #1951 - PHILIPPA JANE REAVER, MIGIRMISA - EXCLUDED. ADLERHORST INTERNATIONAL LLC SP 3951 VERNON AVE JURUPA VALLEY CA 92509 -M (FWV,7-2c14) REVIEWED & APPROVE) BY. PRINTED 0 Digitally signed by Francine R. Francine R. Villareal Villareal Date: 2021.08.05 17:16:13 -0700' ADLER-1 OP ID: RORO ,�`coRn CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/30/2021 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 Loomis Insurance Services PO BOX 3128 Riverside, CA 92519 CONTACT Roberta R Rosas HONE o EXc :951-685-7478 AIC No): 951-685-0665 E-MAIL ADDRESS: rrosas@loomis4insurance.com Michael J Runner INSURER(S) AFFORDING COVERAGE NAIC q INSURERA:Northfield Insurance Company 27987 INSURED Adlerhorst International, LLC 3951 Vernon Avenue Riverside, CA 92509 INSURERB: INSURERC: INSURER D INSURER E : NSURERF: r0VFRAGFS CERTIFICATE NUMBER: 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. INSR LTR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF DD POLICY EXP D Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X WS476289 08/08/2021 08/08/2022 DAMAGE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP (Anyone person) $ 5,00 CLAIMS -MADE OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ EXCLUDE $ X POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALLOWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS PERACCIDENMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTNE WCSTATU- OETH- TORY LIMITS R R E.L. EACH ACCIDENT $ OFFICERWEMBER EXCLUDED? (Mandatory in NH) N I A E.L. DISEASE- EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT I $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / 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. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE } ` •- `� `7 '� RAMar,agzmertLD ision ,� oRaN�e © 1988-2010 ACORD CORP 3% r REvIEWED&APPROVED BY.- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD L' > V� Risk Management Analyst WS476289 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (NON -CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS 1. The following is added to SECTION 11 -WHO IS AN INSURED. - Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; b. If, and only to the extent that, the injury or damage is caused by your acts or omissions in the performance of your ongoing operations to which that written contract or agreement applies or by the acts or omissions of any person or organization performing such ongoing operations on your behalf; and c. Subject to the following limitations and conditions on the insurance provided to such additional insured: (1) If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimurn limits required by the written contract or agreement, the insurance provided to the additional Insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of Insurance described In SECTION ill - LIMITS OF INSURANCE. (2) The insurance provided to such additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if the written contract or agreement requires that the insurance provided under this Coverage Part apply on a primary basis or a primary and noncontributory basis, then this insurance is primary to other insurance available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But, the insurance provided to the additional insured still is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under such other insurance. (3) The insurance provided to such additional Insured does not apply to: (a) Any person or organization for which coverage as an additional insured specifically is scheduled by attachment of an endorsement under this Coverage Part, or for whom you have purchased an Owners And Contractors Protective Liability policy; (b) Any person or organization who distributes or sells "your products" in the regular course of that person's or organization's business with respect to liability arising out of "your products"; (c) Any person or organization from whom you have acquired "your products", or any ingredient, part or container entering into, accompanying or containing such product with respect to liability arising out of "your products"; (d) Any premises owner, manager or lessor with respect to liability arising out of the ownership, maintenance, or use of that part of any premises leased to you; S2853-CG (3/20) 0 2020 The Travelers Indemnity Company. All rights reserved. �oRaN Risk MwwgzmentDMsian REVIEWED & APPROVED BY. - Risk Management Analyst WS476289 (e) Any equipment lessor with respect to liability arising out of the maintenance, operation or use of equipment leased to you by such equipment lessor; (f) The independent acts or omissions of such additional Insured; or (g) 'Bodily injury" or "property damage" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (li) Supervisory, inspection, architectural or engineering activities. (4) The additional insured must comply with the following duties: (a) Give us written notice as soon as practicable of an "occurrence" which may result in a claim. To the extent possible, such notice should include: (i) How, when and where the "occurrence" took place; (li) The names and addresses of any Injured persons and witnesses; and (iii) The nature and location of any injury or damage arising out of the "occurrence". (b) If a claim is made or "suit" is brought against the additional Insured: (1) Immediately record the specifics of the claim or "suit" and the date received; and (11) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (c) immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (d) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to the additional insured is primary to other insurance available to the additional insured which covers that person or organization as a named insured. S2853-CG (3120) 0 2020 The Travelers Indemnity Company. All rights reserved, oRaN RiskMwaganerdDivisian REVIEWED & APPROVED BY.- 4 4' Risk Management Analyst A� " CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYW)$i27i2020 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 NAME: Patricia Detwiler PHONEFAX o Ext: (909) 792-8950 A/C NO: (909)792-2030 No, Kellogg & Moreland Agency, Inc. DBA E-MAIL patriciad@arroyoins.com ADDRESS: Arroyo Insurance Services INSURER(S) AFFORDING COVERAGE NAIC # 1654 Plum Lane INSURER A:AmGUARD Insurance Company 42390 Redlands CA 92374-4532 INSURED INSURER B INSURER C: Adlerhorst International, LLC INSURER D: 3951 Vernon Avenue INSURER E : INSURER F: Riverside CA 92509 COVERAGES CERTIFICATE NUMBER:20-21 Auto 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 SUER POLICY NUMBER POLICY EFF MM/DD/YYW POLICY EXP MM/DD/YYW LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ED CLAIMS -MADE ❑ OCCUR PREMIDAMASES (E. Occurrence) PREMISES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PECT ❑ LOC PRODUCTS-COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 BODILY INJURY (Per person) $ A ANYAUTO ALL OWNED SCHEDULED AUTOS X AUTOS X - ADAU107529 8/29/2020 8/29/2021 BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ X NON -OWNED HIRED AUTOS AUTOS UMBRELLA LAB OCCUR EACH OCCURRENCE $ RXCESS HCLAIMS-MADE AGGREGATE $ LAB ED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N /A (Mandatory in NH) E.L. DISEASE- EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana Risk Management Division is named as Additional Insured as regards services rendered by the Named Insured as required by written contract. Coverage is Primary and Non -Contributory. 30 days written notice of cancellation. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza, 4th FL Santa Aria, CA 92701 AUTHORIZED REPRESENTATIVE Patricia Detwiler/PAT worzati Ride Managzment Division REVIEWED & APPROVED BY.- © 1988-2014 ACORD C °i G` ,�; y,e (/� ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD ' Risk Management Analyst INS025 (201401) �l(XN4 ADLERHORST INTERNATIONAL, LLC. 3951 Vernon Avenue " Jurupa Valley, CA 92509 Tel (951) 685-2430 " Fax (951) 685-3630 ' Email: Adlerhorst Adlerhorst, Com www.Adlerhorst.com `IF 'CO X City of Santa Ana Risk Management Division 20 Civic Center Plaza 4` Floor Santa Ana, Ca. 92701 Reference your insurance requirements concerning Adlerhorst International LLC we offer the following information, While conducting training either on our facility or off site, all our instructors use their own vehicles, insured by them personally. In the course of all instruction or training provided Adlerhorst International LLC, we do not use any subcontractors. If you have questions, please call, Adlerhorst International LLC V4 d eaver oRaN 3 RAMmWmedDiAsian REVIEWED & APPROVED BY.- z a F R. V Risk Management Analyst AC(JRa' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 06/03/2021 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 have ADDITIONAL INSURED provisions or 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 NONE Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. AHJ E : 1-800-524-7024 FAX Nn; E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE _ NAIC # 1 Adp Boulevard Roseland NJ 07068 INSURERA: Trumbull Insurance Company 27120 INSURED ADLERHOR$T INTERNATIONAL LLC INSURERS: INSURER C : INSURER D 3951 Vernon Ave INSURER E : INSURER F : Jurupa Valley CA 925092924 COVERAGES CERTIFICATE NUMBER: 1989503 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. Ir�sR TYPE OF INSURANCE ADDLSU6 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER I MM/OD!'/YYY MMIDDIYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE r7l OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL d ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO- JECT LQC PRODUCTS • COMPIOP AGG $ OTHER: _ AUTOMOBILE LIABILITY COMBINED SINGLE TMIT Me accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PRDPERTYDAMAGE JPer accident $ HARED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ H AGGREGATE $ EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBEREXCLUDED? �N (Mandatory In NH) NIA N 76WEGAL4NDU 0710112021 07/01/2022 STA UTE ER E.L.FACHACCIDENT $ 1,000,000 EL DISEASE- EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLICY LIMIT $ 1,000,000 If es, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS i LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is (equired) CERTIFICATE HOLDER CANCELLATION CITY OF SANTA ANA RISK MANAGEMENT DIVISION 20 CIVIC CENTER PI 7 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 I [015P171; ,1I1R11c[eie1:7111 ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Risk Ma ugm ent DMston - o''AN'f'6A REVIEWED & APPROVED BY. o' 'I� Risk Management Analyst