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1 0 DATE (MMIDD/YYYY) ACC)R o CERTIFICATE OF LIABILITY INSURANCE 12/23/2020 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 CONTACT Catherine Montoya NAME: Milestone Risk Management & Insurance Services PHONE (949) 852-0909 FAX No): (949) 852- 1131 A!C No Ext : License No, OB72766 E-MAIL cmontoya@milestonepromise.com ADDRESS: 8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NAIC # Irvine CA 92606 INSURERA : Everest Indemnity Insurance 10851 INSURED INSURER B : Everest National Ins. Co. 10120 Wayne Perry, Inc. INSURER C : Ohio Casualty Insurance Company 24074 8281 Commonwealth Ave . INSURER D : INSURER E : '.. Buena Park CA 90621 INSURER F ; COVERAGES CERTIFICATE NUMBER: 20-21 City 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 ADDLSUBK EFF POLICY EXP TR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDY/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 11000 , 000 DAMAGET RENTED 300 , 000 CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ MED EXP (Any one person) $ 25 , 000 '.. A EFlML00079201 12/31 /2020 12/31 /2021 PERSONAL & ADV INJURY $ 1 , 000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 , 000 , 000 '.. F] PRO- ❑ LOC PRODUCTS - COMP/OP AGG $ 2000 , 000 '... POLICY JECT Employee Benefits $ 11000 , 000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 , 000, 000 Ea accident X ANYAUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED EFICA00044201 12/31 /2020 12/31 /2021 BODILY INJURY (Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Medical payments $ 51000 UMBRELLA LIAREACH OCCURRENCE $ 103000, 000 OCCUR - A X EXCESS LIAB CLAIMS-MADE EF1C000052201 12/31 /2020 12/31 /2021 AGGREGATE $ 10,000,000 DED RETENTION $ $ WORKERS COMPENSATION PER EIR STATUTE_ ER AND EMPLOYERS' LIABILITY YIN 11000 , 000 ANY PROPRIETORIPARTNER/EXECUTIVE E. L. EACH ACCIDENT $ B OFFICER/MEMBEREXCLUDED? � NIA CA10003737211 12/31 /2020 12/31 /2021 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 If yes, describe under 1 , 0001000 DESCRIPTION OF OPERATIONS below E. L. DISEASE - POLICY LIMIT $ i C BM02059216368 12/31 /2020 12/31 /2021 DESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) L... 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 ,_11 © 1988-2015 ACORD CORPORATION . All rights reserved . ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD