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2012/07/01 Accela, Inc. Certficiate of Liability Insurance
AC40R "® CERTIFICATE OF LIABILITY INSURANCE page 1 of 1FD�ATE 1,2013 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 endorsement(s). ti PRODUCER {`v' 0 ' ' Willis of New York, Inc. d.1�L 4J c/o 26 Century Blvd. Nashville,3TN1937230-5191 AUG 19 201 CONTACT NAME: FAX a"�No EXT: 877-945-7378 (,VC,No: 888-467-2378 E-MAI SS: certificatesQwillis.COm INSURER(S)AFFORDING COVERAGE NAIC # NSURERA:Hartford Casualty Insurance Company 29424-076 INSURED i Accela, Inc. INSURERB: Hartford Fire Insurance Company 19682-005 INSURERC:Twin City Fire Insurance Company 29459-001 Attn: Jeffrey Tung 2633 Camino Ramon Suite 120 INSURERD:National union Fire Insurance Co. of Pitt 19445-001 INSURERE: San Ramon, CA 94583 INSURER R COVERAGES CERTIFICATE NUMBER: 20227895 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 LTR TYPEOFINSURANCE DD' NSR SUB WVD POLICYNUMBER MM1DD EFF MMlDD YY POLICY EXP MM/DD/YYYY LIMITS p, GENERAL LIABILITY Y 10=AT1107 7/l/2012 9/1/2013 EACHOCCURRENCE S 11000,000 DAMAGE TO RENTED PREMISES Eaoccurence $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR MED EXP (Any one person) S 10,000 PERSONAL &ADV INJURY S 11000,000 GENERAL AGGREGATE S 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG S 2,000,000 POLICY PE LOC $ A AUTOMOBILE LIABILITY IODUNAT1107 7/1/2012 9/1/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY(Per person) S X ANYAUTO ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peraccident) $ HIREDAUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ S $ X I UMBRELLALIAB X OCCUR IORHUPC6184 7/1/2012 9/1/2013 EACHOCCURRENCE S 10, 000, 000 AGGREGATE S 10, 000, 000 EXCESS LIAR CLAIMS -MADE DED I RETENTIONS S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEYO N/A 57WEZX9448 7/1/2012 9/1/2013 X TORY IMITS ER E.L. EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? fMandatory in NH) yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS below D Errors & omissions - 061856116 7/1/2013 9/1/2014 $5,000,000 Limit Claims Made $75,000 Retention Retro Date: 1/7/2005 L_ L _L DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) Certificate Holder is included as an Additional Insured with respects to General Liability. Coverage is Primary with respect to the City, its officers, officials, employees, and volunteers and that no insurance or self-insurance maintained by the City shall be called upon to contribute to a loss under the coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee AUTHORI D REkES7, Contract No. 2013-0021 29714. Haun Road Menifee, CA 92586 Coll:4181179 Tpl:1672180 Cert:20227895 © 88-201 0 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered mark of ACORD