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2018/09/11 Allied Traffic and Equipment Rentals, Inc. Certificate of Liability Insurance (3)ACa CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 04/19/2019 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(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 NAME: CONTACT Carol Knox, Debbie S. Taylor or Debbie Waller KGIB, INC. PHo^iE , (714) 744-3300 A (714) 744-6537 KNOX GENERAL INSURANCE BROKERS ADDRESS: carol@kglblnc.com,debbie@kgibinc.comordwaller@kgibinc.com 226 SOUTH GLASSELL STREET INSURERIS) AFFORDING COVERAGE NAIC tl ORANGE CA 92866 INSURER A CM VANTAGE SPECIALTY INSURANCE CO.. 15872 INSURED INSURER B : EMPLOYERS MUTUAL CASUALTY COMPANY 21415 ALLIED TRAFFIC AND EQUIPMENT RENTALS, INC. INSURER C : STATE COMPENSATION INSURANCE FUND 35076 41806 IVY ST INSURER D: CERTAIN UNDERWRITERS AT LLOYD'S INSURER E : "" THIS CERTIFICATE IS UPDATING THE MURRIETA CA 92562-8842 INSURER F : WORKERS' COMPENSATION POLICY ONLY. CQVFRAAFS r:FRTIFIr1AT9: Aft iM1IIFlGR. oe11101e%ki M Iaae Cb. 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MM1 DIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREK41SE Ea occurrence $ 300,000 CLAIMS -MADE a OCCUR MED EXP (Any one person) $ EXCLUDED PERSONAL BADVINJURY $ 1,000,000 A X CMVPLI001002701 09/11/2018 09/11/2019 �GEEML AGGREGATE LIMIT APPLIES PER: POLICY 0 JECOT- LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER- AUTOMOBILE LIABILITY M I 1N L LIMIT$ Me accedonl 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BIx OWNED SCHEDULED AUTOS ONLY AUTOS 4E13309 02/05/2019 02/05/2020 BODILY INJURY (Per accident) $ HIRED V NON -OWNED AUTOS ONLY /� AUTOS ONLY $ PRDPERTV DAMAGE Paracckdenl UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 X AGGREGATE A EXCESS LIAB CLAIMS -MADE CMVEXL001 1741 -01 02/05/2019 09/11/2019 $ 1,000,000 DIED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN OFFICER/MEMBER ER EXCLUDED? ANY ECUTIVE Q (Mandatory In NH) If yes, describe under NIA 9230779-19 05/01 /2019 05/01 /2020 �/ X STATUTE RH E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE -EA EMPLOYEE $ 1,000.000 E L DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS helow PROFESSIONAL LIABILITY $1,000,000 PER ANY ONE CLAIM D S-BW0268618 02/05/2019 02/05/2020 INCLDS ALL COST EXPENSES DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CITY PERMIT THE CITY OF MENIFEE IS NAMED AS ADDITIONAL INSURED PER FORM PLI 51 10 06/16 AS RESPECTS TO GENERAL LIABILITY. City of Menifee City Clerk MAY I q 7019 rw-m UAIMt r_LLAI IVIY Received 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. ENGINEERING DEPARTMENT AUTHORIZED REPRESENTATIVE 29714 HAUN ROAD MENIFEE CA 92586 - --- _r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD