2018/04/04 JPW Communications, LLC Certficiate of Liability InsurancePolicy Number: Date Entered:8/8/2018
CERTIFICATE OF LIABILITY INSURANCE
DATE JMMIDD1YYYY)
r 8/8/2018
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 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
H. Linwood Insurance
CONTACT
NAME: Hadley Wood
PHONE FAX
A,., No, E,,;(760)720-4632 (A/c , o,: (760) 720-0574
4021 Layang Layang Circle
E-MAIL hadley@hlinwood-insurance. com
ADDRESS:
Ste H
INSURER(S) AFFORDING COVERAGE
NAIC 9
Carlsbad, CA 92008
INSURER A, Hiscox Insurance Company
INSURED JPW Communications LLC
INSURER B:
INSURER C:
2710 Loker Avenue W
INSURER D:
#210
Carlsbad, CA 92010
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION MUMMER -
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
I TYPE OF INSURANCE
ADDL
INSD
SUBRI
WVD
POLICY NUMBER
POLICY EFF
(MMIDDNYYY)
POLICY EXP
(MMIDDIYYYY)
LIMITS
A
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE Ix OCCUR
X
UDC-2220435-13OP-18
111/.4/2�1.
.4/04/2019
EACH OCCURRENCE
$ 1,000,000
AGE TO RENTED
101R' M E ..... nc.)
.IS ,r
$100,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 0
AGGREGATE LIMIT APPLIES PER,
POLICYF PRO- F-]
1 JECT LOC
GENERAL AGGREGATE
s 2,000,000
GEN'L
PRODUCTS - COMPIOP AGG
s 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
(E, cc�deq
$ Included
A
ANYAUTO
UDC-2220435-BOP-18
04/04/2018
04/04/2019
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$
P
FROPE.RZDAMAGE
"I I
$
$
UMBRELLA LIAB
F I
Im"s,
EACH OCCURRENCE
$
EXCESS LIAB
-MADE
AGGREGATE
$
DED I I RETENTION S
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUINE
OFFICERtMEMBER EXCLUDED?
NIA
SPTERTU OTH-
A TE ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
S
(Mandatory In NH)
Ifyes, describe under
E.L. DISEASE - POLICY LIMIT
S
I
DESCRIPTION OF OPERATIONS bebw
A
Professional
UDC-2220435-EO-18
04/04/2018
04/04/2019
Each Claim
1,000,000
Liability (E&O)
Aggregate
1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Marketing & Communications
The City of Menifee, its elected officials, officers, employees, agents and volunteers are included as
Additional Insured but only insofar as the operations under this contract are concerned.
30 Days written Notice of Cancellation to Certificate Holders; 10 Days notice of Cancellation for
non-payment.
I - I
I [WIN
City of Menifee
29714 Haun Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Menifee, CA 92586 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
I ACCORDANCE WITH THE POLICY PROVISIONS. I
AUTHORIZED REPRESENTATIVE
Wood
C 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Produced using Forms Boss Plus software. www.FormsBoss.com; Impressive Publishing 800-208-1977
CERTIFICATE OF LIABILITY INSURANCE
ATE (..'.Dfyyyy)
[�0810612018
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 be endorsed. If SUBROGATIONIS 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:
PAYCHEX INSURANCE AGENCY INC/PAC
PHONE (877) 287-1312
FAX (888) 443-6112
76250881
(A/C, No, Ext):
(A/C, No):
E-MAIL
150 SAWGRASS DRIVE
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
ROCHESTER NY14620
INSURERA: The Hartford Casualty Insurance Company
29424
INSURED
INSURERB:
JPW COMMUNICATIONS LLC
INSURERC:
2710 LOKER AVE W STE 210
INSURER D:
CARLSBAD CA 92010-6646
INSURER E :
I
INSURER F:
I
COVERAGES CERTIFICATE NUMI3FR! PEV!Qlr)Pd Kill"BEF)a
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
ADDLISUB
INSR
WVD
POLICY NUMBER
POLICY EFF
(MMIDDIYYYY)
POLICY EXP
imm/nnnn,"i
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
DAMAGE TO RENTED
PRFMI';F' (FA nccurrm
GEN'L
MED EXP (Any one person)
PERSONAL & ADV INJURY
AGGREGATE LIMIT APPLIES PER:
POLICY PRO-
F JECT F] LOC
OTHER:
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
HIRED AUTOS NON -OWNED
[ AUTOS
COMBINED SINGLE LIMIT
(F, —irl—n
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
EXCESS LIAB
H
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
AGGREGATE
DED I I RETENTION S
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? F
(Mandatory in NH)
If yes, describe under
N/A
76 WEG AB3NSL
05/16/2018
05/16/2019
X ISTEARTUTE I JER
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE -EA EMPLOYEE
$1,000,000
E.L. DISEASE - POLICY LIMIT
$1,000,000
rH
DESCRIPTION OF OPERATIONS ILOCATIONSI VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations.
CERTIFICATE HOLDER rANrFl I ATION
CITY OF MENIFEE AND ITS OFFICERS,
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EMPLOYEES, AGENTS AND AUTHORIZED
VOLUNTEERS
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH
THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
29714 HAUN RD
MENIFEE CA 92586-6540
1
0f
1
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
THE HARTFORD
BUSINESS SERVICE CENTER
THE 3600 WISEMAN BLVD
HARTFORD SAN ANTONIO TX 78251
JPW COMMUNICATIONS LLC
2710 LOKER AVE W STE 210
CARLSBAD CA 92010
Policy Information:
I Policy Number: 1 76 WEG AB3NSL -1
August 6, 2018
%P Contact Us
Business Service Center
Business Hours: Monday - Friday
(7AM - 7PM Central Standard Time)
Phone: (800) 390-7661
Fax: (888) 443-6112
Email: agency. services(o)thehartford. com
Website: hftps://business.thehartford.com
Enclosed please find information pertaining to your policy. Please contact us if you have any questions or concerns.
Thank you for selecting The Hartford for your business insurance needs.
Sincerely,
Your Hartford Service Team
WLTR001
G,
HISCOX
Policy Number:
Named Insured:
Endorsement Number:
Endorsement Effective
UDC-2220435-BOP-1 8
JPW Communications LLC
3
April 04, 2018
Hiscox Insurance Company Inc.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED —LESSORS OF PREMISES,
CLIENTS
BUSINESSOWNERS COVERAGE FORM
A. The following is added to Paragraph C. Who Is An Insured in Section 11 — Liability:
3. If you have agreed in a written contract or agreement to add them as an additional insured
to a policy providing the type of coverage afforded by this insurance, the following persons
or organizations are added to this policy as additional insureds:
a. Any person or organization from whom you lease any premises, but only with respect
to liability arising out the ownership, maintenance, or use of that part of the premises
leased to you.
However, this insurance does not apply to any structural alterations, new construction,
or demolition operations performed by or on behalf of the additional insured.
A person or organization's status as an additional insured under this subsection a.
ends when you cease to be a tenant in the premises.
b. Any person or organization for whom you are performing operations, but only with
respect to liability arising out of:
(1) Your acts or omissions or of those acting on your behalf; and
(2) The performance of your ongoing operations for the additional insured.
A person or organization's status as an additional insured under this subsection b.
ends when your operations for that additional insured are completed.
BOP E5422 CW (02/15) Includes copyrighted material of Insurance Services Office, Inc., with its Page 1 of 1
permission.