The URL can be used to link to this page

2019/01/09 HE Hammer Construction Certficiate of Liability Insurance DATE(MMIDDIYYYY) R.J CERTIFICATE OF LIABILITY INSURANCE 01/09/2019 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: A the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endnrsed. 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 COWACT Tonia Gilliam NAME- RIDS INSURANCE BROKERS INC P"HON (909)305-1200 909}306-1205 AIG We Ex AIC No)' Lic#0606461 tonic rdsins corn ADDRE3e: P.O.Box 159 (IMRERIS)AFFORDING COVERAGE NAIC N San Dimas CA 91773 INSURER A: Landmark American Ins.Co. INSURED INSURER B: W.Brown&Associates HE Hammer Construction INSURER C: State Comp Insurance Fund 35076 32147 Dunlap Boulevard INSURER D: Ohio Security Ins 24082 Suite H INSURER E Yucaipa CA 02399 INSURERF: COVERAGES CERTIFICATE NUMBER: 19/20 GL UIv1B 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 CCRTIrICATC MAY DC 100 UCD OR MAY PCRTAI N,THE INSURANCC ArrORDCD OY TI IC POLICICS DC3CRIDCD I ICRCIN 10 SUDJCCT TO ALL Till:TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES-LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 'LTR TYPE OF INSURANCE INSD 1WD POLICY NUMBER (MMIDDIYW (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH Crr_CLIRRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea, $ 50,000 MED EXP(Any one person) $ 5,000 A LHA140348 01/09/2019 01/09/2020 PERSONAL&ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,000 POLICY �1-� �LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHEP City of Mpnifmp $ A UTOMO BILE LIABILITY City Clerk bc I11lanrl IN L $ cir ANY AUTO BODILY INJURY(Per pa son) $ OWNED SCHEDl1LED JAN 2 3 201 BODILY INJURY(Per accident) $ AIJTOS ONLY AUIOS HIRED NON-OWNED r $ AUTOS ONLY AUTOS ONLY r 6w-kr, T X UMBRELLA LIAR X OCCUR Received EACH OCCURRENCE $ 2,000,000 B EXCESS LIAB CLAIMS-fvIADE 75772W192ALI 01/09/2019 01/0912020 AGGREGATE $ 2.000,000 oFD X RFTEemoN s 10,000 WORKERS COMPENSATION 717 AND EMPLOYERS'LIABILITY YIN —1 STATLITE ER C .ANY FROFRETORrPARTNERCxECUTIVE ❑ NIA 9072420-2018 09/25/2018 09/25/2019 E L EACH ACCIDENT $ 1,000,000 OFFICE PAAEPAKR EXCLUDED? (MandatoryWn hk FL DISEASE-EA EMPLOYEE $ 1,000,000 d I yes,UpS Le u Uei IDESCRI PTIOPJ OF OPERATI ONS below E L DISEASE-POLICY LIMIT $ 1,000,000 D Business Pecs Property Rented Equipment BKS56524482 01/31/2019 01/31/2020 $500 Deductible $51,551 $500 Deductible $25,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd. AUTHORIZED REPRESENTATIVE Menifee CA 92586 f� ; "',L -.� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2010/03) The ACORD ndnle and Iogu are registered marks uFACORD