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.� � CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER . T / 17 / 2018 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 POlicAles ) 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 CO NAME: CT Catherine Montoya Milestone Risk Management & Insurance Services PnHONE Ext . ( 949 ) 852 - 0909 FAx I9a41652 -1131 License No . OB72766 E-MAIL Alc No : nppREss: cmontoya@miles tonepromise . com 8 Corporate Park , Suite 130 Irvine INSURERS AFFORDING COVERAGE NAIC N CA 92606 INSURER A : Everest Indemnity Insurance INSURED 10851 Wayne Perry , Inc . INSURERB : West American Insurance Company 44393 INSURER c : Everest National Insurance Com an 10120 8281 Commonwealth Ave . INSURERD : Ohio Casualty Insurance Company 24074 Buena ParkCA 90621 INSURER E : COVERAGESINSURER F : CERTIFICATE NUMBER : 18 - 19 All Other Master ....... ... 11111 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW E BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 ADPL SUER LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP M17MIDWYYYY Mh110D/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EFIML00079 - 181 EACH OCCURRENCEg 1 , 000 , 000 A CLAIMS-MADE X OCCUR DAMA E 0 RENT D X Contr . Pollution Lia - PREMISES Ea occurrence 5 300 , 000 o , $ 1 , 000 , 000 Each Occurrence 12 /31 /2018 12 / 31 / 2019 MED EXP (Any one person) S 25 , 000 X Prof . Liao - Claims Made $ 1 , 000 , 000 Each Claim GEN'LAGGREGATELIMITAPPLIESPER Each subject to $2 , 000 , 000 PERSONAL S ADV INJURY S 11000 , 000 POLICY [EX PRO- GENERAL AGGREGATE S 21000 , 000 JECT LOC Policy Aggregate OTHER PRODUCTS - COMP/OPAGG S 2 , 000 , 000 AUTOMOBILE LIABILITY S COMBINED SINGLE LIMIT X ANY AUTO Ea accident) $ 110000000 B ALL OWNED BODILY INJURY Per person) 5 SCHEDULED ( P ) AUTOS AUTOS RAA ( 19 ) 59235968 12 /31 /2016 12 /31 /2019 BODILY INJURY (Per accident) S HIRED AUTOS NON OWNED AUTOS PROPERTY DAMAGE 5 Per accident UMBRELLA LIAR X OCCUR 5 A X EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE 5 10 , 000 , 000 AGGREGATE 5 10 , 0000000 DED X RETENTION S 0 EFlC000052 -181 12 /31 / 2018 12 /31 /2019 WORKERS COMPENSATION 5 AND EMPLOYERS' LIABILITY PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN X TATUT€ ER C (Mandatory in NH)OFFICERIMEMBER EXCLUDED? FN / A E.L. EACH ACCIDENT S _ 1 , 000 , 000 I;A10003737 - 181 12 /31 /2018 12 / 31 /2019 I( yes, describe under E. L. DISEASE - EA EMPLOYEE 5 11000 , 000 DESCRIPTION OF OPERATIONS below Installation Floater E . DISEASE - POLICY LIMIT S I 000 , 000 Installation Floater UmBI $ 250 , 000 D Rented/ Leased Equipment BM059216366 12 /31 /2018 12 /31 /2019 Rented Leased Equip, Limit: $ 150 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION " PROOF ONLY * * 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 Teresa Shen / ECAP ` © 1988-2014 ACORD CORPORATION . All rights reserved. ACORD 25 (2014/01 ) The ACORD name and logo are registered marks of ACORD INS026 (201401) 0 I