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�o CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIWYY) ./ 12/28/2022 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 endorse 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 Milestone Risk Management & Insurance Services License No. OB72766 8 Corporate Park, Suite 130 Irvine CA 92606 INSURED Wayne Perry, Inc. 8281 Commonwealth Ave. 852-0909 (949) 852-1131 INSURER E Buena Park CA 90621 � COVERAGES CERTIFICATE NUMBER: 22-23 City Master INSURER F 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 LTR INSURERS) ALJUL INSD AFFORDING COVERAGE POLICY NUMBER NAIC # INSURERA: LIMITS Everest Indemnity Insurance X 10851 INSURER B: Everest National Ins, Co. 12/31/2022 10120 EACH OCCURRENCE $ 1,0001000 DAMAGE TO RENTED PREMISES Eoccurrence)$ a 300,000 INSURER C: $ 253000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY X PRO- JECT LOC OTHER: GENERAL AGGREGATE INSURER D: $ 2,000,000 $ INSURER E Buena Park CA 90621 � COVERAGES CERTIFICATE NUMBER: 22-23 City Master INSURER F 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 LTR TYPE OF INSURANCE ALJUL INSD 5UUR WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F OCCUR Contr, Pollution Liab. $1M/$2M EFlML00079221 12/31/2022 12/31/2023 EACH OCCURRENCE $ 1,0001000 DAMAGE TO RENTED PREMISES Eoccurrence)$ a 300,000 X MED EXP (Any one person) $ 253000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY X PRO- JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCT - COMP/OP AGG $ 2,000,000 $ A AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY EF1CA00044221 12/31/2022 12/31/2023 COMBINED SINGLE LIMIT Ea accident $ 11000,000 X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ AEXCESSLIAB UMBRELLA LIAB X OCCUR CLAIMS -MADE EF1C000052221 12/31/2022 12/31/2023 EACH OCCURRENCE $ 103000,000 MDED AGGREGATE $ 103000,000 RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE FTI OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A CA10003737221 12/31/2022 12/31/2023 X1 PER STATUTE EORH E.L. EACH ACCIDENT $ 130000000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER reNrl=r r errnnl Evidence of Insurance ©1988-2015 ACORD CORPORATION. All rights reserv SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE V A- ed. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD