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2015/09/01 Accela, Inc. Certficiate of Liability Insurance
ACOR" `�. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 08/21/2015 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). PRODUCER Marsh Risk & Insurance Services 1732 North First Street, Suite 400 CONTACT NAME: PHONE A/C No): E-MAIL ADDRESS: San Jose, CA 95112 Attn: 408467-5600, F 408467-5699, CA Lic 0437153 102298337-STND GAWUE-15-16 INSURERS AFFORDING COVERAGE NAIC # INSURER A: National Fire Insurance of Hartford 20478 INSURED Accela, Inc. 2633 Camino Ramon, Suite 120 AUG 3 1205 INSURER B : Transportation Insurance Co 20494 INSURER C : Continental Insurance Co 35289 INSURER D : Continental Casualty Company 20443 San Ramon, CA 94583 :"='- INSURER E : National Union Fire Insurance Co. Of Pittsburgh, PA 19445 INSURER F : COVERAGES CERTIFICATE NUMBER: SEA-002701897-10 REVISION NUMBER:O 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/DD/YYYY) POLICY EXP (MM/DDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY 4034953606 09/01/2015 09/01/2016 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE M OCCUR DAMAGES ( RENTED PREMISES Ea occurrence) $ 1,000,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: B AUTOMOBILE LIABILITY 6013899017 09/01/2015 09/01/2016 COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X BODILY INJURY (Per person) $ ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED AUTOS X NON -OWNED AUTOS $ D X UMBRELLA LIAB X OCCUR 4034954156 09/01/2015 09/01/2016 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ r $ C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE N/N ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 6013899003 6013898997 09/01/2015 09/01/2015 09/01/2016 09/0112016 X I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 E Errors & Omissions 01-637-25-35 09/01/2015 09/01/2016 Limits 5,000,000 SIR 75,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is additional insured with respects to General Liability where required by written contract. Coverage is Primary and Non -Contributory with respects to General Liability where required by written contract. City of Menifee Contract No. 2013-0021 29714 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 of Marsh Risk & Insurance Services ACORD 25 (2014/01) Daniel Yim ©1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD