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Akaaz�a CERTIFICATE OF LI _ <br /> A ILIT ( INSURANCE DATE (MM17/DDIYYYY) <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER . THIS17 / 2018 <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 <br /> NAME:CO CT Catherine Montoya <br /> Milestone Risk Management & Insurance Services PHONE <br /> A c Ext , ( 949 ) 852 - 0909 FAx 19astesz -1171 <br /> License NO . OB72766 E-MAIL AIC No : <br /> ADDRESS: cmontoya@milestonepromise . com <br /> 8 Corporate Park , Suite 130 <br /> IrvineCA 92606 MEINSURER(S) AFFORDING COVERAGE NAIC # <br /> INSURED INSURERA : Everest Indemnity Insurance 10851 <br /> Wayne Perry , Inc . <br /> INSURERB : West American Insurance Com an 44393 <br /> 8281 commonwealth Ave . INSURER c : Everest National Insurance Com an 10120 <br /> INSURERo : Ohio Casualty Insurance Com an P4074 <br /> Buena ParkCA 90621 INSURER E : <br /> COVERAGESNSURER F : <br /> 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 /> INSR7S-MADE <br /> ADOL SUBR <br /> LTR ANCE g POLICY NUMBER POLICY EFF POLICY EXP <br /> X COML LIABILITY MMlDDNYYY hi MIODIYYYY LIh1IT5 <br /> EPIML00079 - 181 <br /> A pCCUR F1�CH OCCURRENCE $ 1 , 000 , 000 <br /> OA A E TO RENT D <br /> X Coon Liab PREMISES Ea occurrence 5 300 , 000 <br /> $ 1 , 000 , 000 Each Occurrence 12 /31 /2018 12 /31 / 2019 MED EXP (Any one person) 5 25 , 000 <br /> X Proaims Made $ 1 , 000 , 000 Each Claim <br /> GENIAGGREGATE LIMITAPPLIES PER Each Subject to $2 , 000 , 000 PERSONAL BADV INJURY S 11000 , 000 <br /> POLICY � PRO' a GENERAL AGGREGATE S 2 , 0001000 <br /> JECT LOC Policy Aggregate <br /> OTHER: <br /> PRODUCTS - COMP/OPAGG S 21000 , 000 <br /> AUTOMOBILE LIABILITY 5 <br /> SINGLE <br /> B X ANYAUTO CEOa h181NED accident IT S 11000 , 000 <br /> ALL OWNED SCHEDULED BODILY INJURY (Per person) 5 <br /> AUTOS AUTOS eAA ( 19 ) 59235968 12 /31 /2018 12 /31 /2019 BODILY INJURY (Per accident) $ <br /> HIREDAUTOS NON-OWNED <br /> AUTOS PROPERTY DAMAGE $ <br /> Per accident <br /> UMBRELLA LIAR X OCCUR 5 <br /> A X EXCESS LIAR CLAIMS•MADE EACH OCCURRENCE 5 10 , 000 , 000 <br /> DED X RETENTION $ 0 EFIC000052 - 181 12 /31 /2018 12 /31/2019 AGGREGATE S 10 , 0000000 <br /> WORKERS COMPENSATION S <br /> AND EMPLOYERS' LIABILITYX PER OTH- <br /> ANYPROPRIETOR/PARTNERIF�( ECUTIVE YIN TATUTE ER <br /> OFFICER/C (Mandatory In H) EXCLUDED? I N / A E.L. EACH ACCIDENT S 1 000 , 000 <br /> If(Mandatory b un CA10003737 - 181 12 /31 /2018 12 /31 /2019 <br /> Dyes, describe under E. L. DISEASE - EA EMPLOYEE 5 11000 , 000 <br /> DESCRIPTION OF OPERATIONS below <br /> Installation Floater E.L. 015 EASE - POLICY LIMIT S 1 , 000 , 000 <br /> D Rented/ Leased E Installation FloaterUmB; $ 250 , 000 <br /> quipment BM059216368 12 /31 /2018 12 /31 /2019 Rented Leased Equlp, Limit: <br /> $ 1so , 000 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS [ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) <br /> CERTIFICATE HOLDER CANCELLATION <br /> F* *PROOF ONLY * * SHOULD AN:OF HE A :POLICY <br /> DESCRIBED POLICIES BE CANCELLEDBEFORE <br /> THE EXPIRAATE EOF, NOTICE WILL BE DELIVERED IN <br /> ACCORDANH THPROVISIONS, <br /> AUTHORIZED REPRESENTATIVE <br /> Teresa Shen / ECAP <br /> (V 191158m20114 <br /> ACORD 25 (2014/01 ) The ACORD name and logo are registered marks of ACORDORD CORPORATION . All rights reserved. <br /> INS026 (201401 ) <br />