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0 CERTIFICATE <br /> ' FIC � LIABILITY <br /> ' L ' DATE (MM/ Y) <br /> OF <br /> 12123!20202020 <br /> THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <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(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). <br /> PRODUCER CONTACT Catherine Montoya <br /> NAME: <br /> Milestone Risk Management & Insurance Services PHONE (949) 852-0909 FAX (949) 852-1131 <br /> A/ No Ext): <br /> A/C No <br /> License No. OB72766 E-MAIL cmontoyaCmilestonepromise.com <br /> ADDRESS: <br /> 8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NAIC # <br /> Irvine CA 92606 INSURERA • Everest Indemnity Insurance 10851 <br /> INSURED INSURER B : Everest National Ins. Co. 10120 <br /> Wayne Perry, Inc. INSURER C : Ohio Casualty Insurance Company 24074 <br /> 8281 Commonwealth Ave. INSURER D : <br /> INSURER E : <br /> Buena Park CA 90621 INSURER F : <br /> COVERAGES CERTIFICATE NUMBER: 20-21 City REVISION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE 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 /> iLTR TYPE OF INSURANCE IVSD WVD POLICYNUMBER MM/DCDYYYY MMIDD� LIMITS <br /> X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 13000,000 <br /> DAMAGE TO R 300 ,000 <br /> CLAIMS-MADE ^I OCCUR PREMISES (Ea occurrence) $ <br /> MED EXP (Any one person) $ 25,000 <br /> A EFlML00079201 12/31 /2020 12/31/2021 PERSONAL & ADV INJURY $ 1 ,0001000 <br /> GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 21000,000 <br /> F1POLICY ❑ JET LOC PRODUCTS - COMP/OPAGG $ 21000,000 <br /> OTHER: Employee Benefits $ 1 ,000,000 <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,000 ,000 <br /> (Ea accident _ <br /> X ANYAUTO BODILY INJURY (Perperson) $ <br /> A OWNED SCHEDULED EF1CA00044201 12/31 /2020 12/31/2021 BODILY INJURY (Per accident) $ <br /> AUTOS ONLY AUTOS <br /> HIRED NON-OWNED PROPERTY DAMAGE $ <br /> AUTOS ONLY AUTOS ONLY Per accident) <br /> Medical payments $ 51000 <br /> UMBRELLALIAB OCCUR EACH OCCURRENCE $ 10,000 ,000 <br /> A X EXCESSLIAB CLAIMS-MADE EFlC000052201 12/31 /2020 12/31/2021 AGGREGATE $ 10,000,000 <br /> DED I I RETENTION $ $ <br /> WORKERS COMPENSATION <br /> AND EMPLOYERS' LIABILITYSTATUTE ER <br /> Y / N 1 ,D00,000 <br /> B ANY PROPRIETOR/PARTNER/EXECUTIVE F'Y] NIA CA10003737211 12/31 /2020 12/31/2021 E.L. EACH ACCIDENT $ <br /> OFFICERIMEMBER EXCLUDED? <br /> (Mandatory In NH) E.L. DISEASE - FA EMPLOYEE $ 1 ,000,000 <br /> If yes, describe under 11000,000 <br /> DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ <br /> C BM02059216368 12/31 /2020 12/31/2021 <br /> DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedufe, may be attached if more space is required) <br /> RE: All CA Operations. <br /> Certificate holder, its officers, agents and employees are named as additional insured per the attached EIL04543 & ECG24671 endorsements. <br /> CERTIFICATE HOLDER CANCELLATION <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> City of Stockton Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 425 N. EI Dorado St. <br /> AUTHORIZED REPRESENTATIVE <br /> Stockton CA 95202 <br /> © 19884015 ACORD CORPORATION . All rights reserved. <br /> ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />