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JONECOV-02 DADACAYA ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)4/28/2021 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(les) 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 # OE67768 CNAWCT Almie Dadacay IDA Insurance Services ac NN, Ext): (949) 297-5530 52002 VC, Ne : (949 ) 297=5960 130 Vantis MAIL Suite 250 AEo Es • almie.dadacay@ioausa .com Aliso Viejo, CA 92656 INSURERS AFFORDING COVERAGE NAIC k INSURER A : Colony Insurance Company 39993 INSURED INSURER B : Everest National Insurance Company 10120 Jones Covey Group, Inc. INSURER C : StarStone National Insurance Company 25496 9595 Lucas Ranch Rd Ste 100 INSURER D : Rancho Cucamonga , CA 91730 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR D WVD MM DD DD S, 000,OOO A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS-MADE FX1 OCCUR PACE305426 7/1 /2020 7/1 /2021 DAMAGE TO RENTED 500, 000 PREMISES E MED EXP An one erscn 25' 000 PERSONAL & ADV INJURY 53000' 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 530005000 POLICY [X] jE 7 F LOC PRODUCTS - COMP/OP AGG 51000 ' 000 OTHER. PRODUCTS POLLUT Included B AUTOMOBILE LIABILITY EOMBINED SINGLE LIMIT 1 5000000 X ANY AUTO CF2CA00184201 7/1 /2020 7/1 /2021 BODILY INJURY Per person) OWNED SCHEDULED AUTOS ONLY AUUTNOSSyy Ep BODILY INJURY Per accident A8WS ONLY AUTOS ONNLY PROPERTY DAMAGE Per accident r r — $ AUMBRELLA LIAB X OCCUR EACH OCCURRENCE 6,000 ,000 X EXCESS LIAB CLAIMS-MADE EXC 305426 71112020 7/1 /2021 AGGREGATE 6'0001000 DED I X RETENTION $ O $ C WORKERS COMPENSATION X STERE OTH• AND EMPLOYERS' LIABILITY ATUTT10211051 511 /2021 51112022 19000 ,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ER YYN N / A E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? 1 ,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYE If yes, describe under 10006-0-0 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT ' ' A Professional Liab PACE305426 7/1 /2020 7/112021 5,000,000 A Pollution Liability PACE305426 7/1 /2020 711 /2021 51000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space Is required) UBI #603-041483 License #JONESCG9060H 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 . Department of Labor & Industries Contractor Registration AUTHORIZED REPRESENTATIVE Section � i PO Box 44450 '�'" f`i' r 'a z / G 101ympia WA 985044450 ACORD 25 (2016/03) © 1988=2015 ACORD CORPORATION . All rights reserved . i The ACORD name and logo are registered marks of ACORD I