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MJKCONS-01 DADACAYA ACORO CERTIFICATE OF LIABILITY INSURANCE DAT12712wr sz7r2a18 8 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 License#OES7768 NAMEACT Stacy Ownbey i0A Insurance Services PHONE FAX 130 Vantis {AIC,No,Ext}: {AIC,No:(949)297-5960 Suite 250 E-MDA'L .Stacy.Ownbey@ioausa.com Aliso Viejo,CA 92656 INSURERS I AFFORDING COVERAGE NAIC it INSURER A:Everest Indemnity Insurance Company 10851 INSURED INSURER B:Everest National Insurance Company 10120 Sunwest Engineering Constructors,Inc. INSURER :Midwest Employers Casual Company 23612 4780 Cheyenne Way INSURER D:Allianz Global Risks US Insurance Company 35300 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. INSR I TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTIR MM D M O A X COMMERCIAL GENERAL LIAE31UTY EACH OCCURRENCE S 2,000,000 CLAIMS-MADE 7X OCCUR EF4ML05074-171 0912712017 12/0112018 DAMAGE TO RENTEDPREMISESo=rre $ 50,000 X Pollution: $2MIL Occ 5,000 MED EXP An one person) S X Pollution: $4MiL Agg PERSONAL&APV INJURY $ 2,0011 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 5 4'000,000 POLICY[X]JECT F__1 LOG PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER Deductible: $5,000 $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO CF1CA00066-171 09/2712017 12101/2018 BODILY INJURY Per person) $ AUTOS ONLY WNED AU70ppSULEDpp BODfLY INJURY Peracdclant 5 AUTOS ONLY AO70SOLY PeOseud 1 AMAGE $ S A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 6,000,000 X EXCESSLIAB CLAIMS-MADE EF'4CU00534-171 09/27/2017 12101/2018AGGREGATE g 6,000,000 DEO X RETENTEON$ 10,000 $ C WORKERS COMPENSATION X PER QTH- AND EMPLOYERS'LIABILITY T YIN SNUWC0140939 07101/2018 07101112019 1,000,000 ANY PROPRIETQRJPARTNERJEXECUTIVE E.L.EACH ACCIDENT b QP FICER/MEMgER EXCLUDED? Y N I A a atory in NHI E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A PL-Per Claim$1 MIL EF4ML05074-171 09/2712017 12/01/2018 Per Aggregate 2,000,000 D Leased/Rented-ACV SMLS3001210 09/27/2017 09/27/2018 Deductible: $1,000 250,000 DESCRIPTION OF OPERATIONSI LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Proof of Coverage 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 linsured's Verification ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD