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IDDNY ACV 12tia120192o1a CERTIFICATE OF LIABILITY INSURANCE DATE (MMYY, THIS CERTIFICATE IS ISSUED ASA 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 SUPIROGAT(ON 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 (leu of such endorsement(s). PRODUCER CONTACT Catherine Montoya NAME: Milestone Risk Management & Insurance Services PHONE (949) 852-0909 (949) 852-1131 rC o Ext • rC No): License No, OB72766 E-MAIL SSM cmontoya®milestonepromise.com ADDRE 8 Corporate Park, Suite 130 INSURERS AFFORDING COVERAGE NAIC p Irvine CA 92608INsuRERA : Everest Indemnity Insurance 10851 INSURED INSURER B : Everest National Ins, Co. 10120 I Wayne Perry, Inc. INSURER C : Ohio Casualty insurance Company 24074 8281 Commonwealth Ave, INSURERD : INSURER E Buena Park CA 90521 INSURER 1 COVERAGES CERTIFICATE NUMBER: 19-20 Master REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSR AWLINUUMI POLICY EFF POLICY EXP Lm TYPE OF INSURANCE INSID WVD POLICY NUMBER MMIDDIY`rYY MMIODNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1 ,000,000 DAMAGE TO RENTED CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ 300,000 X Contra Pollution Llab, $ 1M/$2M MED EXP (Any oneperson) $ 26,000 A X Prof. Liab. Claims Made $1 M1$2M EFIMLOOD79191 12/3112019 12131/2020 PERSONAL &ADV INJURY $ 1 ,000,000 GEMLAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 2,0001000 POLICY ❑X JECT PR4 El LOC PRODUCTS - COMP/OPAGG g 21000,000 j R0* Hx OTHER: XCU Silent S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 10000,000 Ea accident X ANYAUTO BODILY INJURY (Per person) S B OWNED SCHEDULED EF1CA00044191 12/31 /2019 12/31 /2020 BODILY INJURY (per eccldent) S AUTOSONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLALIAB X OCCUR EACH OCCURRENCE $ 100000,000 A X EXCESS LIAB CLAIMS-MADE EF1CU00052191 12/31 /2019 12/31/2020 AGGREGATE S 10,000,000 OED I XI RETENTION $ 0 $ WORKERS COMPENSATION X1 STATUTE I I EftTH _ AND EMPLOYERS' LIABILITY YIN 1 ,000,OOD ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT $ _ B OFFICERIMEMBEREXCLUDED? NIA CA70003737191 12131 /2019 12!31!2020 (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yas, describe under 18000100D DESCRIPTION OF OPERATIONS below EL. DISEASE - POLICY LIMIT $ Installation Llml/Ded $260K / $2,600 C Installation Floater BM02059216368 12/3112019 12/31 /2020 Rented/Leased Limt/Ded $160k 1 $2,500 Rented/Leased Equipment DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101 , AddHlonal Remarks Schedule, maybe allached If more space Is required) i RE: Evidence of Coverage, i i , i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN "PROOF ONLY" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i Q 19884016 ACORD CORPORATION. All rights reserved. j ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD E r E � 4