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2019/05/19 ACC Construction, Inc. Certficiate of Liability InsuranceACCCO-2 OA ID:I DATE (MMIDDIYYYY) ��— CERTIFICATE OF LIABILITY INSURANCE 05117I2019 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 pollcy(les) 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 3�6-4-7�3 cT Dan Brock 9I Sierra Oak Insurance Services 61 QT ptnifee PHDNE 916�1'64-7380 816-364-7387 Lic# OC97528 City Clerk IAIC, Nn, Ext}: , No); 9700 Business Park Dr. Ste 105s ,Ce S einS4raRC@speCla cpm Sacramento, CA 95827 Daniel E. Brock MAY 2 9 2019 N fFOR G NA r INSURER A: Travelers Property Casualty 25674 INSURED ACC Construction Inc. INSURERB:Landmark American 33138 6461 Global Drive Cypress, CA 90630 Received INSURERc:RSUI Ind emnftyCompany 22314 Cypress, 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. ILTR _ TYPE OF INSURANCE ., us POLICY NUMBER POLICY EFF POLICY EXP I MM YYI (MMII3D)YY_M LIMITS B X COMMERCIAL GENERAL LIABILITY CLAIMS-MADEPfl OCCUR X LHR140563 05l1912019 05/19/2020 EACH OCCURRENCE $ 1,000,000 DAMAGETORENTM, $ 50,000 M EXP n o n S 5,006 PERSONAL & ADV INJURY $ 1,000,000 GEW'L AGGREGATE LIMIT APPLIES PER: POLICY JEL'T LOC GENERAL AGGREGATE S 2,000,000 PRO P 2,000,OOD Emp Ben. $OMBINac1dED SINGL£ LIMIT $ 1,000,000 1,000,000 A OTHER: AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOSONLY AUTOS pp AUTO ONLY AUTOSONNLY BAON479750TIL19 05MS/2019 05/19/2020 YINJUWYNr SCOLY INJURY Per accident S ereun AMAGE S C UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE NHA247218 05/19/2019 05/19/2020 DUR RREh10E = 5,000.000 X AGGREGATE $ 5,000.000 DED RETENTION$ GL-AUWC — -- A F�yynn S GGOINPFNsA}�,w AIW�i DYER8 LIABILITY X PER 07H. ANYI OR�LUDEDCUTIVE Y� I1�T an sa n If yyBBs, dascnbe under i:]ESCRiPTEON OF OPERATIONS be3ow NIA U8$IS54922919 I 05l19/2019 0511912020 EL EACH ACCIDENT $ 1,000000 E.L. DISEASE. EA EMPLOYEE $ 1,000,000 El. DISEASE • POLICY LIMIT T 11000,000 �� P more apace is required) oT {Ir[enj ee Is nam eCi aRQ i Tonal I StlreQ TO�6IIdIIgbil1 ans ng OIUt pF be the Opperations by or on behalf of the named insured if required y contract per attached endorsements. CITYME- 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 Men ifee, CA92586 Ate# REPRESENTATIVE -A&w4le �I a _J ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: LHA140563 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations ANY PERSON(S) OR ORGANIZATION(S) REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND AS PER PARAGRAPHS A. AND B. BELOW 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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 37 0413 © ISO Properties, Inc., 2004 Page 1 of 2 0 POLICY NUMBER: LHA140563 COMMERCIAL GENERAL LIABILITY CG20100413 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) I Location(s) Of Covered Operations ANY PERSON(S) OR ORGANIZATION(S) REQUIRED BY WRITTEN CONTRACT OR AGREEMENT AND AS PER PARAGRAPHS A., B., AND C. BELOW 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is 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. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 13