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A ® CERTIFICATE OF LIABILITY INSURANCE DATE (MM1D01YYYY) <br /> 12 / 17 /2018 <br /> THIS CERTIFICATE IS ISSUED ASA 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 NAME: Catherine Montoya '... <br /> Milestone Risk Management & Insurance Services (A/C, Ext : ( 949 ) 852 - 0909 FAX No : (949) 852-1131 <br /> License No . OB72766 E-MAIL omontoya@milestonepromise . com <br /> ADDRESS: <br /> 8 Corporate Park , Suite 130 INSURERS AFFORDING COVERAGE NAIC # <br /> Irvine CA 92606 INSURER A : Everest Indemnity Insurance 10851 <br /> INSURED wBURERB : West American Insurance Company 44393 <br /> Wayne Perry , Inc . INSURER C : Everest National Insurance Company 10120 <br /> 8281 Commonwealth Ave . INSURERD : Ohio Casualty Insurance Company 24074 <br /> INSURER E <br /> Buena Park CA 90621 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 18 - 19 All Other Master REVISION NUMBER: <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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAYBE 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 DL SUER POLICY EFF POLICY EXP LIMITS <br /> LTR TYPE OF INSURANCE POLICYNUMBER MMIDD MMIDD <br /> X COMMERCIAL GENERAL LIABILITY EF110M00079-181 EACH OCCURRENCE $ 11000 , 000 <br /> DAMAGE TO RENTED 300 , 000 <br /> A CLAIMS-MADE OCCUR PREMISES Ea occurrence $ <br /> X Contr . Pollution Liab . $1 , 000 , 000 Each Occurrence 12 /31/2018 12/31/2019 MED EXP (Any one person) $ 25 , 000 <br /> X Prof . Liab - Claims Made $ 1 , 000 , 000 Each Claim PERSONAL BADV INJURY $ 1 , 0001000 <br /> GENIAGGREGATELIMIT APPLIES PER: Each Subject to $2 , 000 , 000 GENERALAGGREGATE $ 21000 , 000 <br /> POLICY ] PRI ❑ LOC Policy Aggregate PRODUCTS - COMPIOPAGG $ 21000 , 000 <br /> JECT <br /> 5 <br /> OTHER: <br /> AUTOMOBILE LIABILITY (Ea acccidenntSINGLE LIMIT $ 11000 , 000 <br /> X ANY AUTO BODILY INJURY (Per person) $ <br /> B ALL OWNED SCHEDULED <br /> AUTOS AUTOS BAA ( 19 ) 59235968 12/31/2018 12 /31/2019 BODILY INJURY (Per accident) $ <br /> NON-OWNED PROPERTY DAMAGE $ <br /> HIRED AUTOS AUTOS <br /> r - I Per accident <br /> $ <br /> UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 101000 , 000 <br /> A X EXCESS UAB CLAIMS-MADE AGGREGATE $ 10 , 000 , 000 <br /> DED X RETENTION $ 0 EFICU00052-181 12/31/2018 12 /31/2019 $ <br /> WORKERS COMPENSATION X PER OTN- <br /> STATUTE ER <br /> AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1 , 000 , 000 <br /> ANY PROPRIETOWPARTNERIEXECUTNE <br /> OFFICERWEMBER EXCLUDED? F NIA CA10003737-181 12 /31/2018 12 /31/2019 E.L DISEASE , EA EMPLOYEE $ 1 , 0001000 <br /> C (Mandatory In NH) <br /> If yes, describe under <br /> DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT S 1 000 000 <br /> Installation Floater Installation Floater Limit: $ 250 , 000 <br /> D Rented/Leased Equipment EM59216368 12/31/2018 12/31/2019 Rented Leased Equip. Umit $ 150 , 000 <br /> DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> * * PROOF ONLY * * THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANCE WITH THE POLICY PROVISIONS. <br /> AUTHORIZED REPRESENTATIVE <br /> Teresa Shen / ECAP _. <br /> © 1988-2014 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2014101 ) The ACORD name and logo are registered marks of ACORD <br /> INS025 (2o14D1 ) <br />