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2019/07/01 STB Consulting, Inc. Certficiate of Liability Insurance (3)
ACC)Ro' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDYYYY) �� O6/03/2019 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 poilcy(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 endorsement(s). PRODUCER CONTACT NAME: Hiscox Inc. d/b/a/ Hiscox Insurance Agency in CA PHONE (888) 202-3007 � FAx 520 Madison Avenue Ef AtL9 A� No 32nd Floor AODR cDntact@iliscbx.com New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC N INSURER A: Hiscox Insurance Company Inc 10200 INSURED INSURER B : STB Consulting, Inc. 14515 Crestwood Ave. INSURER C : Poway, CA 92064 INSURER D: INSURER E : 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. tNSR . POLICY w— O CY FX-- — — LTR TYPE OF INSURANCE POLICY NUMBER &"VD"Y D!Y I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ I L PREMISES Eaocwrrence CLAIMS -MADE _ OCCUR $ MED EXP (Any one person) $ PERSONAL &ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY JECT LOC GENERAL AGGREGATE S PRODUCTS - COMP/OP AGG $ $ OTHER: 1 ] AUTOMOBILE LIABILITY BfEn�EINEQ SINGLLIA[ eno $ BODILY INJURY (Per person) § ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS Per accident BODILY INJURY ( ) $ PRppERTY DAMAGE 1per aaiderd $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A PC" E OTH- STATUTE ER E-L, EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S (Mandelory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Professional Liability Y UDC-2005370-EO-19 07/01/2019 07/01/2020 Each Claim: $ 1,000,000 Aggregate: $ 1,000.000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 11 more space is required) The City of Menifee and its officers, employees, agents and authorized volunteers are included additional insured's as there interest may appear subject to policy terms and conditio ns. CERTIFICATE HOLDER CANCELLATION City of Menifee 29844 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD