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MJKCONS-01 DADACAYA .d►��izo CERTIFICATE OAF LIABILITY INSURANCE DATE(M 9!26!201/201YYY) 3 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 License#OE67768 CONTACT NAME: Celeste Garcia IOA Insurance Services-ORG PHONE 949 297-5962 FAX 130 Vantis,Suite 250 Arc Ne ( ) AIC No:(949 297-5960 Aliso Viejo,CA 92656 E-MAIL ADDRESS:celeste.garcia ioausa.com INSURER(S)AFFORDING COVERAGE NAIC N INSURER A:Everest Indemnity Insurance Company 10851 INSURED INSURER S:American States Insurance Company 19704 Sunwest Engineering Constructors,Inc. INSURER C:Companion Commercial Insurance Company 10794 4780 Cheyenne Way INSURER D: Chino,CA 91710 INSURER E INSURER.F, COVERAGES 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. ! POLICY EXP LTR TYPE OF INSURANCE INSR D Wy POLICY NUMBER MSUBR M/DDrYEYYY MMIDDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X X EF4ML05074131 9/2712013 9/27/2014 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE FXI OCCUR MED ExP(Any one person) s 5,000 X $5000Ded. PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COM PIOP AGG $ 2,000,000 POLICY X PRO- LOC CONTRACTORS POL $ 1,000,000 AUTOMOBILE LIABILITY Ea BINEd.ntSINGLE LIMIT $ 1,000,000 B X ANY AUTO OICI6419242 9127/2013 9/27/2014 HODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS NON-OWNED PER AC IC DENMAGE $ IIIREDAUT05 AUTOS $ UMBRELLA LIAII X OCCUR EACH OCCURRENCE $ 4,000,000 A X EXCESS LIAB CLAIMS-MADE EF4CU00534131 9/27/2013 9127/2014 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 g WORKERS COMPENSATION X WC STATU- OTH- ANO EMPLOYERS'LIABILITY YIN T RY LIMIT C ANY PROPRIETORIPARTNERIEXECUTIVE CPCA17434 7/1/2013 7/1/2014 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N 1 A (Mandatary in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ir yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,0003000 A Professional Liab EF4ML05074131 9/27/2013 9/27/2014 Per Claim 1,000,000 A Claims-Madel$5K Ded EF4ML05074131 9/27/2013 9127/2014 Aggregate Limit: 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) RE:Evidence of Insurance '30 Days Notice of Cancellation with 10 Days Notice for Non-Payment of Premium in accordance with the policy provisions' CERTIFICATE HOLDER CANCELLATION 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 Evidence of Insurance ©1988-2010 ACORD CORPORATION- All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD