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2018/05/08 Dennis Janda, Inc. Certficiate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 10/29/2018 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()es) 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 Strachota Insurance Agency, Inc. - Temec NAME: 27710 Jefferson Ave., Ste. 100 PHONE (951) 676-2229 FAX A!C No:(951) 676-7391 CI of Menifee -MAIL Temecula CA 92590 City ADORES City Clerk tHSURER S AFFORDING COVERAGE NAIC a _ iNSURERA:Coloa Ina Co 39993 Dennis Janda Inc. NOVINSURED N 072018 INSURER B:Am ward Insurance Company 42390 _INSURERC:Ohio SecurityInsurance Co an 24082 42164 Remington Avenue INSURER D:Admiral Insurance Co 24856 Temecula CA 92590 Received INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:Cert ID 8729 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. INSR ADOg LTR TYPE OF INSURANCE WVOPOLICY NUMOER MMWDC EFF MWDD� I LIMITS A X COMMERCIAL GENERAL LIABILITY i EACH OCCURRENCE I S 1,000,000 CLAIMS-MADE . •� I OCCUR Y 103GLOO2584400 09/28/2018 09/28/2019 p A5 8 aoocurrence S 100,000 M EO EXP LAnX one perw) S exdluded PERSONAL&AOV INJURY IS 1,000,000 GEN•L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 21000,000 POLICY JEC LOC PRODUCTS-COMPIOPAGG I S included OTHER' 5 AUTOMOBILE LIABILITY I COMBINED aaBI dEe�DSIN LE LIMIT S 1,000,000 -flil BNANY AUTO Y DEAU936781 11/08/20181 11/08/2019 BODILYINJURY(Per person) S ALL OWNED SCHEDULED AUTOS X AUTOS BODILYINJURY(Peracddenl) S HIRED AUTOS X (NON-OWNED PROPERTY DAMAGE AUTOS Per ac n S I fs UMBRELLA LIAB OCCUR IEACHQCCURRENCE S EXCESS LIAB CLAIMS-MADE (AGGREGATE S DED I RETENTIONS 5 C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN, XWS56173896 07/03/2018 07/03/2019 PER E TH- ANYPROPRIETORIPARTNERIEkECUTNE ❑ E. EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED? N!A (Mandatory InNH) rIda �E.LDISEASE-EA EMPLOYS 5 1,000,000 D I kWPTION OF OPERATIONS bWw E.L.DISEASE-POLICY LIMIT S 1,000,000 D E&O - Architects & Engine LHR834663 05/08/201B 05/08/2019 Per Claim S 1,000,000 Ded: 5,000 Per Claim (Aggregate $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate Holder is an Additional Insured with respects to the General Liability per the attached CG20100413 endorsement. Also an Additional Insured with respects to the Commercial Automobile per the attached BA99040618 endorsement. 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. AUTHORIZED REPRESENTATIVE 29714 Haun Rd. Menifee CA 92586 �` ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of 1 COMMERCIAL AUTO BA 99 04 06 18 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED WHEN REQUIRED BY CONTRACT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This provision does not apply in regard to any ownership, maintenance or use of the additional insured's"autos." Additional Insured When Required by Contract (a) The limits of insurance specified in (1) Paragraph A.1. — WHO IS AN INSURED — the written contract or written of Section II — Liability Coverage is agreement; or amended to add: (b) The Limits of Insurance shown in d. When you have agreed, in a written the Declarations. contract or written agreement, that a Such amount shall be a part of and not person or organization be added as an in addition to Limits of Insurance shown additional insured on your business auto in the Declarations and described in this policy, such person or organization is an Section. "insured", but only to the extent such (3) Additional Insureds Other Insurance person or organization is liable for "bodily injury" or "property damage" If we cover a claim or "suit" under this caused by the conduct of an "insured" Coverage Part that may also be covered under paragraphs a. or b. of Who Is An by other insurance available to an Insured with regard to the ownership, additional insured, such additional maintenance or use of a covered "auto." insured must submit such claim or"suit" The insurance afforded to any such to the other insurer for defense and additional insured applies only if the indemnity. "bodily injury" or "property damage" However, this provision does not apply occurs: to the extent that you have agreed in a (1) During the policy period, and written contract or written agreement that the insurance is primary and non- (2) Subsequent to the execution of such contributory with the additional insured's written contract, and own insurance. (3) Prior to the expiration of the period (4) Duties in The Event Of Accident, Claim, of time that the written contract Suit or Loss requires such insurance be provided If another person or organization is to the additional insured. added as an additional insured on your (2) How Limits Apply policy, the additional insured shall be If you have agreed in a written contract required to comply with the provisions in or written agreement that another A. Loss Conditions 2.— Duties In The person or organization be added as an Event Of Accident, Claim, Suit Or additional insured on your policy, the Loss — of SECTION IV — BUSINESS most we will pay on behalf of such AUTO CONDITIONS, in the same additional insured is the lesser of: manner as the Named Insured. BA 99 04 06 18 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 1 of 1