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C 0 CERTIFICATEF LIABILITY INSURANCE DATE 23120YYYY) 12!/2312020 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(ies) 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 PHAfONE No Ext (949) 852-0909 FAX No): (949) 852-1131 License No. 0872766 E-MAIL cmontoya@milestonepromise.com ADDRESS: 8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NA1C # 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 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. TYPEOFINSURANCE DD ILTR INSD WVD POLICYNUMBER MMW YYYMMDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 110003000 CLAIMS-MA DE ® OCCUR - DAMAGE TO R PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 25,000 A EFIML00079201 12/31 /2020 12/31/2021 PERSONAL &ADV INJURY s 1 ,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 210001000 PET LOC PRODUCTS - COMPIOPAGG $ 21000,000 POLICY F] OTHER: Employee Benefits $ 1 ,0001000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 11000 ,000 (Ea accident X ANYAUTO BODILY INJURY (Per person) $ A OWNED F SCHEDULED EFICA00044201 12/31 /2020 1213112021 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Peraccident) Medical payments $ 51000 UMBRELLALIABOCCUR EACH OCCURRENCE $ 10,000,000 — H AEXCESS LIAB CLAIMS MADE EF1 C000052201 12/31 /2020 12/31/2021 AGGREGATE $ 10,000 ,0170 DED RETENTION $ $ WORKERSCOMPENSA71ON PER OTH- AND EMPLOYERS' LIABILITY STATUTE ER YIN N 1 ,00_0 ,000 ANY PROPRIETOR/PARTNER/IXECUTIVE ELEACH ACCIDENT $ BOFF(CERIMEMBER EXCLUDE NIA CA10003737211 12/31 /2020 12/31/2021 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 11000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ €kj 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) RE : All CA Operations. Certiflcate holder, its officers, agents and employees are named as additional insured per the attached EIL04543 & ECG24671 endorsements. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Stockton Risk Management Division ACCORDANCE WITH THE POLICY PROVISIONS . 425 N. El Dorado St, AUTHORIZED REPRESENTATIVE Stockton CA 95202 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD I t