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ADLER-1 OP ID: RORO <br /> CERTIFICATE OF LIABILITY INSURANCE D0 8/0 81 2 02 5 YJ <br /> as�os�zaz5 <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 endorsements. <br /> PRODUCER CONTACT Roberta R Rosas <br /> Loomis Insurance Services <br /> PO BOX 3128 PHONC .951 665-7478 FPAJXC No): 951-685-0665 <br /> Riverside, CA <br /> Runner <br /> er ADDRESS:rrosas@loomis41nsurance.com <br /> Michael J Runner <br /> INSURERS AFFORDING COVERAGE NAIC$ <br /> INSURER A:Northfield Insurance.Company 27987 <br /> INSURED Adlerhorst International, LLC INSURERB: <br /> 3951 Vernon Avenue INSURERC: <br /> Riverside,CA 92509 <br /> INSURER D: <br /> INSURER i <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURl=D 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 TYPE OF INSURANCE ADDLSUBR POLICY POLICY EXP <br /> POLICYNUMBER (MM/DDM= LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 2,000,00 <br /> OE ToA X COMMERCIAL GENERAL LIAB ILFY X X WS664586 08/08/2025 08108/2026 pFtEMISEs Ea occurrence $ 100,00 <br /> CLAIMS-MADE DO OCCUR MED EXP(Any one person) $ 5,00 <br /> PERSONAL SADVINJURY $ 2,001 <br /> GENERAL AGGREGATE $ 2,001 <br /> GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS,COMPIOP AGG $ EXCLUDE <br /> X POLICY PRO- LOC $ <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT <br /> Fa accident <br /> ANY AUTO BODILY INJURY{Per person) $ <br /> ALLOWNED SCHEDULED BODILY INJURY(Per $ <br /> AUTOS AUTOS { ) <br /> NON-OWNED PROPERTY DAMAGE <br /> HIRED AUTOS AUTOS fPERACCIDEN $ <br /> UMBRELLA LIARHO <br /> CCUR EACH OCCURRENCE $ <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $ <br /> DED I R I $ <br /> WORKERS COMPENSATION WCSTATU- OTH- <br /> AND EMPLOYERS'LIABILITY Y 1 N ORYlIMITS ER <br /> ANY PROPRiETOR7PARTNEWrXECUTIVE E.L,EACH ACCIDENT $ <br /> OFF ICERIMEMBEREXCLUDED? NIA <br /> (Mandatory in NH) E,L,DISEASE-EA EMPLOYE $ <br /> If es,describe under <br /> DESCRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ <br /> DESCRIPTION OF OPERATIONS!LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,ifmore space is required) T 7ran yruT ti ned <br /> U City of Santa Ana, its officials, officers, employees, agents, volunteers & bN9`FYe. <br /> representatives are named as Additional insured. Coverage is Primary & Non- Nguyen WW20s'oioo <br /> Contributory, Waiver of Subrogation applies 30 day Notice of Cancelation <br /> applies except for 10 day Notice for Non-payment of Premium as required by <br /> written contract. <br /> APPROVED <br /> _By-_Ttr Tran-Ngruyen-at 2.23-pm,-OcLO.6,:.2025, <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 60 Civic Center Plaza, M-97 <br /> Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE <br /> �� <br /> OO 1988-2010 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD <br />