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2018/05/08 Dennis Janda, Inc. Certficiate of Liability Insurance (7)14 CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY) 05/08/2019 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ios) must be nndorsed, If SUBROGATION 15 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 andorsomont(s). PRODUCER CONTACT Strachota Insurance Agency, Inc. NAME:_ LawKence E Patter 27710 Jefferson Avenue, Suite 100 cityof Menifee PHONE F]� {RICIll. S); I951) 676-2229 �( dl_(951) 67G-7391 City Clerk E MRIL Temecula CA 92590 Y ADDRESS: L'ary"BtL'aCl7[3taa. Ca1R r� (�4 INSURERS} AFFORAINq COYE5 E _ NAiC tl —-MAY-1 _Lli.l9._ tNSVRERA�Co� Insurance C—,PAn _ 39993 INSURED INSURER B : Ad QU"D Islausanae Dennis Janda Inc. 2LwWany 42390 _iNSURERG:Ohio SecurityInsurance "y 24082 42164 Remington Avenue Received INSURERD:Landmark American Tneurallmos Co. 33136 Temecula CA 92590 INSURERE: ► UVCKA17t7 CERTIFICATE NUMBER; Cart ID 9622 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE AFEN 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, TSlt R TYPE OF INSURANCE A60L SI1BR Ppi,ICYEFF F'GLICY E1tP' POLICY NUMBER MMIODIYYri MMa11DlYy LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ S 11000,000 CLAIMS -MADE [ X i 1 OCCUR y 103GL002584400 09/28/2018 09/28/2019� EMA13 'yM S 100�ISES.(io-�t}_. � t}00._ - - MED F,?(p �Alty one (Ierll/1 1 S ax43uded GEN'LAGGREGATE LIMIT APPLIES PER: POLICY I '-.J PRO jE I {� LOG OTHER: TOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED IAUTOS T y DEAU936781 11/08/2018 11/08/2 F_��'.AUTONON-OWNED HIRED AUTOS AUTOS UMBRE LA OCCUR I E%CESSLLIAB AB 1­1 CLAIMS-MADE C ANDEMPLOYERS'LIABILITY YIN XWS56173896 07/03/2018 07/03/2 ANY PROP RIETORIPARTNEWE%ECt1TtvE CFFICERIMEMDER EXCLUDED? ❑Y NIA (Mondstcry in NH) If lyoss, 11"nobc under DESCRIPTIONOF OPERATIONSlv;c,v D Professional Liability LHR837440 05/08/2019 05/08/2 PERSONAL & ADV INJURY S 1t900. 000 GENERAL AGGREGATE S_ 2,000,000 $ COMBINED SINGLE LIMIT ieA_V' M0 $ 1,000.000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PRO Ric T $ $ EACH OCCURRENCE ---I S AGGREGATE j X I.�VT_WTE. L EL EACHACCIDENT E.L DISEASE - EA FM TEASE • POLICY Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it 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 $ 1,000.000 6 1,000,000 S 1,000,000 S 1,000,000 i 2,000,000 + 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 1 103 GL 0025844-00 POLICY NUMBER: 103 GL 0025844-00 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations All persons or organizations as required by written As designated in written contract with the Named contract with the Named Insured Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the persons) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property damage" or "personal' and advertising injury" This insurance does not apply to "bodily injury" or caused, in whole or in part, by: "property damage" occurring after: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the IhP additional insureds) at the Inc;ilion(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured CG 20 10 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 103 GL 0025844-00 C. With respect to the insurance afforded to these additional insureds, the following Is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is roquired by ra contraot or agreemont, the most wo will pay on behalf of the additional insured is the amount of insurance: I. Required by the contractor agreement; or 2. Available un[lei the applicable Limits of Insurance shown in the Declarations; whichever is less, This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 10 0413 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 (1) Paragraph A.1. — WHO IS AN INSURED — of Section II — Liability Coverage is amended to add: d. When you have agreed, in a written contract or written agreement, that a person or organization be added as an additional insured on your business auto policy, such person or organization is an "insured", but only to the extent such person or organization is liable for "bodily injury" or "property damage" caused by the conduct of an "insured" under paragraphs a. or b. of Who Is An Insured with regard to the ownership, maintenance or use of a covered "auto." The insurance afforded to any such additional insured applies only if the "bodily injury" or "property damage" occurs: (1) During the policy period, and (2) Subsequent to the execution of such written contract, and (3) Prior to the expiration of the period of time that the written contract requires such insurance be provided to the additional insured. (2) How Limits Apply If you have agreed in a written contract or written agreement that another person or organization be added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: (a) The limits of insurance specified in the written contract or written agreement; or (b) The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. (3) Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that the insurance is primary and non- contributory with the additional insured's own insurance. (4) Duties in The Event Of Accident, Claim, Suit or Loss If another person or organization is added as an additional insured on your policy, the additional insured shall be required to comply with the provisions in A. Loss Conditions 2. — Duties In The Event Of Accident, Claim, Suit Or Loss — of SECTION IV — BUSINESS AUTO CONDITIONS, in the same 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