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2013/03/25 Derrigo Demographic Studies Certficiate of Liability Insurance �1 DERRIG1 OP ID: BP CERTIFICATE OF LIABILITY INSURANCE Pt/26/1MM/DDNYYY) 3 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 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 endorsements. PRODUCER 858-452-2200 CONTACT Wateridge Insurance Services PHONE FAX 10717 Sorrento Valley Rd. 858-452-6004 AIc No ac Na: San Diego,CA 92121 E-MAIL James O.Rohm ADDRI s: INSURERS AFFORDING COVERAGE NAIC q INSURER A:Sentinel Ins.Com any Ltd 111000 INSURED Derrigo Demographic Studies INSURER B: 4633 Olive Hill Road - Fallbrook,CA 92028 INSURER C: 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- INS POLI TYPE OF INSURANCE 1b15R POLICYHUMSF-R MMIDDIYYYY FF M IMDDrYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE S 2,000,00 A X COMMERCIAL GENERAL LIABILITY X 72SBAIT2168 03/25/13 03/25/14 R A1i ES 4 Ea=wyancal s 1,000,00 CLAIMS-MADE 1.x i OCCUR MED EXP(ft one person) S 10,00 PERSONAL&ADV INJURY $ 2,000,00 GENERAL AGGREGATE S 4,000,00 GEN'L AGGREGATE LIMITAPPLIESPER, PRODUCTS-COMP/OPAGG S 4,000,00 POLICY JECT PRO- LOC S AUTOMOBILE LIABILITY comIN O Ift LE LIMIT Ea occidonl s ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY Per accident S AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED + A E S AUTOS III Par aceidont S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION WC STRTU• OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S If es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S { I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Rune=irks Schedule,If more space Is required) The City of Menifee,it's officials,employees and volunteers are listed as an additional Insured CERTIFICATE HOLDER CANCELLATION CITYMEN 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 Road Menifee,CA 92586 AUTHORIZED REPRESENTATIVE 0" rV.7&,t-- ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD