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ACOORa0 CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/17/2021 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 AIR% Ext): (949) 852-0909 Alc NO): (949) 852-1131 License No. OB72766 E-MAIL cmontoya@milestonepromise.com ADDRESS: 8 Corporate Park, Suite 130 INSURER(S) AFFORDING COVERAGE NAIC # Irvine CA 92606 INSURER A : Everest Indemnity Insurance 10851 INSURED INSURER B : Everest Premier Insurance Co. 16045 Wayne Perry, Inc. INSURER C 8281 Commonwealth Ave. INSURER D : INSURER E : Buena Park CA 90621 INSURER F : COVERAGES CERTIFICATE NUMBER: 21 -22 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 AUUL bUtJK POLICY EFF P LICY EXP LTR TYPE OF INSURANCE IND WVD POLICYNUMBER MMIDDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000, 000 DAMAGE TO RENTED CLAIMS-MADE F OCCUR PREMISES Ea occurrence $ 300 , 000 MED EXP (Any one person) $ 251000 A EFlML00079211 12/31 /2021 12/31 /2022 PERSONAL & ADV INJURY $ 11000, 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 21000, 000 POLICY ❑ JET LOC PRODUCTS - COMP/OPAGG $ 2 ,000,000 OTHER: Employee Benefits $ 1 ,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 ,000,000 Ea accident X ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED EFlCA00044211 12/31 /2021 12/31 /2022 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 1010001000 A X EXCESS LIAB CLAIMS-MADE EFlC000062211 12/31 /2021 12/31 /2022 AGGREGATE $ 1010001000 DED RETENTION $ $ WORKERS COMPENSATION /� STATUTE ETH AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N E.L. EACH ACCIDENT $ 1 ,0001000 B OFFICER/MEMBER EXCLUDED? N / A CA10003737221 12/31 /2021 12/31 /2022 (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 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101 , Additional Remarks Schedule, may be attached If more space is required) *Evidence of Coverage* CERTIFICATE HOLDER CANCELLATION SH:EXPIRATION NY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THDATE THEREOF, NOTICE WILL BE DELIVERED IN *Evidence of Coverage* ACNCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATNE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD