2019/07/01 STB Consulting, Inc. Certficiate of Liability Insurance ACC)Ro' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY)
�� O6/03/2019
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 poilcy(ies)must 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
NAME:
Hiscox Inc.d/b/a/Hiscox Insurance Agency in CA PHONE (888)202-3007 FAX
520 Madison Avenue Ef AIL9 A�No
32nd Floor AODR cDntact@iliscbx.com
New York,NY 10022 INSURERS AFFORDING COVERAGE NAIC N
INSURER A: Hiscox Insurance Company Inc 10200
INSURED INSURER B:
STB Consulting,Inc.
14515 Crestwood Ave. INSURER C:
Poway,CA 92064 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
POLICY w—O CY FX-- — —
LTR TYPE OF INSURANCE POLICY NUMBER 1&"W"Yn MQDrYYLIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE _ OCCUR I
L PREMISES Eaocwrrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S
PRO
POLICY JECT LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COMBINEQ SINGLrCW $
ANY AUTO BODILY INJURY(Per person) §
ALL OWNED SCHEDULED Per accident $
AUTOS AUTOS BODILY INJURY( )
NON-OWNED PRppERTY DAMAGE
HIRED AUTOS AUTOS 1per a0.iderti $
UMBRELLA LIAR OCCUR EACH OCCURRENCE $
EXCESS LIAR CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION PC"
E OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE R
ANYPROPRIETOR/PARTNER/EXECUTIVE E-L,EACH ACCIDENT $
OFFICER/MEMBEREXCLUDED? N/A
(Mandelory in NH) E.L.DISEASE-EA EMPLOYE S
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
A Professional Liability Y UDC-2005370-EO-19 07/01/2019 07/01/2020 Each Claim:$1,000,000
Aggregate:$1,000.000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
The City of Menifee and its officers,employees,agents and authorized volunteers are included additional insured's as there interest may appear subject to policy terms and conditio
ns.
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 Haun Road Menifee,CA 92586 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
C 1988-2014 ACORD CORPORATION. All rights reserved.
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