2018/08/20 Lexipol Holding Company Certificate of Liability Insurance (3) AIC ® IFGATE(MM1ODlYYYY)
`C CERTIFICATE OF LIABILITY INSURANCE vs12o1s
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 CONTACT
RBN Insurance Services PHONE FAx
303 E Wacker Dr Ste 650 {AIC,No,Eats: 312-856-9400 (Alc,Noy 312-856 9425
Chicago IL 60601 ADDRESS:
INSURERS)AFFORDING COVERAGE NAIC N
INSURER A;Continental Casualty Company 20443
INSURED LEXILLC01 INSURERS:Continental Insurance COmpanLf 35289
Lexipol Holding Company
Lexipol, LLC INSURERc:Hartford Ins Co of the Midwest 37478
The Praetorian Group INSURERD:Hiscox Insurance Co.Inc. 10200
16755 Von Karman Ave. #250 INSURERE:
Irvine CA 92606
INSURER F:
COVERAGES CERTIFICATE NUMBER:468737006 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 POLIO#ES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ,POOL SUBR 'OLICPOLICY NUMBER MM1DDYlYYYYEFF MMIDDlYYYY LIMITS
POLIC
LTR
A X COMMERCIAL GENERAL LIABILITY Y 6043284498 8/20/2018 8/2012019 EACH OCCURRENCE $1.000,000
CLAIMS-MADE X OCCUR P EM SES tEa occurrence)- $300,000
�MED EXP(Any one.person) _ S-15,000 _
PERSONAL B ADV INJURY $1,000,000
GEN'LAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE s2,000,000
POLICY[ JECT PRO•
X LOC PRODUCTS-COMPIOP AGG S Excluded
1
OTHER S
A AUTOMOBILE LIABILITY 6043284484 812012018 8I2012019 COMBINED SINGLE LIMIT S 1,000,000
(Ea ardent) ._.
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODkLY INJURY(Per accldent)•S
AUTOS ONLY AUTOS _
X HIRED X NON-OWNED PROPERTY DAMAGE 5
AUTOS ONLY _ AUTOS ONLY ,_LPer acadeni)
5
B X UMBRELLA LIAR X OCCUR 6043284520 8/2012018 8/20/2019 EACH OCCURRENCE _ 5 5,000,000
EXCESS LIAB i I C ' AGGREGATE_ $5,000,000
QED X RETENTIONS CLAIMS MADE 5
C WORKERS COMPENSATION 83WECBZ5648 812012018 1 8/20/2019 X PER OTH-
AND EMPLOYERS'LIABILITY YIN STATUTE ,_ ER
ANYPROPRIETORIPARTNERIEXECUTIVE E L EACH ACCIDENT S 12000,000
OFFICERIMEMBER EXCLUDED' ❑ NIA -
(MandatoryinNH) _ E L DISEASE-EAEMPLOYE_E $1,0_00__,000
If yes,descirbe under
DESCRIPTION OF OPERATIONS below S.L.DISEASE-POLICY LIMIT S 1,000,000
D Professional Liability! US UUA 2688184 18 8/20/2018 8/2012019 Each Claim 5,000,000
Multimedia Liability I Aggregate 5,000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Menifee,its officers,agents and employees are additional insured as respects the General Liability as required by written contract.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Menifee
297 Haun Road
Menifee CA 92586 AUTHORIZED REPRESENTATIVE
40 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD