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AC®R" CERTIFICATE OF LIABILITY INSURANCE DATE 18/20YYYY) 12//18/2020 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 (PAI HONE Ext): (949) 852-0909 A CC, No): (949) 852A131 C No 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 Master 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. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 CLAIMS-MADE � OCCUR PREMISES Ea occurrence $DAMAGE TO RENTEU� 300 ,000 X Contr, Pollution Liab. $ 1 M/$2M MED EXP (Any one person) $ 51000 A X Prof. Liab. Claims Made $1M/$2M EFlML00079201 12/31 /2020 12/31 /2021 PERSONAL & ADV INJURY $ 1 ,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 21000,000 POLICY ❑X PRO- ECT El LOC PRODUCTS - COMP/OP AGG g 21000,000 '... RX OTHER: XCU Silent Employee Benefits $ 1 ,000,000 MBINED AUTOMOBILE LIABILITY Ea accidentSINGLE LIMIT $ 1 ,000,000 X ANY AUTO BODILY INJURY (Per person) S B OWNED SCHEDULED EF1CA00044201 12/31 /2020 12/31 /2021 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 A X EXCESS LIAR CLAIMS-MADE EF1C000052201 12/31 /2020 12/31 /2021 AGGREGATE $ 10,000 ,000 DED RETENTION $ $ WORKERS COMPENSATION X STATUTE ETER H AND EMPLOYERS' LIABILITY Y i N 1 ,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ B OFFICER/MEMBEREXCLUDED? a N / A CA10003737201 12/31 /2020 12/31 /2021 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1 ,000,000 If yes, describe under 1 ,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Installation Floater C Rented/Leased Equipment BM02059216368 12/31 /2020 12/31 /2021 InstallationLimit/Ded $250K1 $23500 Rented/Leased Limit/Ded $ 150K / $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached if more space is required) RE: All Leased and Rented Equipment. All where required by written contract: Hawthorne Pacific Corp. , its Affiliated Companies, Directors & Officers, Agents and Employees are named as additional insured as respects to General Liability and loss payee as respects to rented/leased equipment. Coverage is primary and non-contributory. WC waiver of subrogation applies. CERTIFICATE HOLDER CANCELLATION Wayne Perry, Inc . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 8281 Commonwealth AVE . THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Buena Park, CA 9062I ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved . ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD