Loading...
2018/09/11 Allied Traffic and Equipment Rentals, Inc. Certificate of Liability InsuranceACORD 25 (2016/03) AC R" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 01 /31 /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(ies) 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 endorsements). PRODUCER NAME. cr Carol Knox, Debbie Taylor or Debbie Waller KGIB, INC. KNOX GENERAL INSURANCE BROKERS 226 SOUTH GLASSELL STREET ORANGE _ _ _ CA 92866 INSURED ALLIED TRAFFIC AND EQUIPMENT RENTALS INC 41806 IVY ST 714) 744-3300 JAC.FAx N 714 744-6537 Carol@kgibinc.com, Debbie@kgibine.com, Dwaller@kgibinc.ccr CM VANTAGE SPECIALTY INSURANCE CO. 15872 EMPLOYERS MUTUAL CASUALTY COMPANY 21415 STATE COMPENSATION INS FUND 35076 CERTAIN UNDERWRITERS AT LLOYD'S MURRIETA CA 92562-8842 1 INSURERF: I COVERAGES CFRTIFICATF Nl limpFr7• 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP wVD POLICY NUMBER fumloRmn A GNYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000.000 CLAIMS -MADE ❑X OCCURDAMAGETO 2BFMIES Es occurrence F 300,000 MED EXP (Afty one person) S EXCLUDED PERSONAL & ADV INJURY $ 1,000,000 A X CMVPLI001002701 09/11/2016 09/11/20191 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- X GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPIoPAGG $ 2,000,000 POLICY ❑ JECT LOC $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT aa•i $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO B OWNED X AUTOS AUTOS ONLY 4E1 33 09 02/05/2019 02/05/2020 BODILY INJURY Per accident ( ) $ X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROP$RTY Per DAMAGE a $ $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 A X EXCESS LIAB CLAIMS -MADE CMVEXL0011741-01 1 02/05/2019 09/11/2019 AGGREGATE S 1.000,000 DED RETENTIONS S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N X 1. SEA7UTE ERN E.L,EACHACC€DENT $ 1,000,000 C ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH)and NIA 9230779-2018 05/01/2018 05/01/2019 E.L. DISEASE - EA EMPLOY $ 1,000,000 II yS , describe under E.L. DISEASE • POLICY LIMIT I DESCRIPTION OF OPERATIONS below S 1,000,000 PROFESSIONAL LIABILITY $1,000,000 PER ANY ONE CLAIM D S-BW0268618 02/05/2019 02/05/2020 • INCLUDES ALL COST/EXP. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be aftached 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 aeri< i; 0 4.2015 GANUELLATION CITY OF MENIFEE ENGINEERING DEPARTMENT AUTHORIZED REPRESENTATIVE 29714 HAUN ROAD MENIFEE CA 92586 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Received SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER: CMV-PLI-0010027-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT - ADDITIONAL INSURED - DESIGNATED ENTITY SCHEDULE Additional Insured: Any person or organization who you are required to add as an additional Insured on this policy under a written contract or written agreement in effect prior to any loss or damage, but only to the extent required in the written contract or written agreement, including any amounts or limits specified. A. Information to complete the Schedule, If not shown above, will be shown in the Declarations. The following is added to the Who Is An Insured Section of the Coverage Form: B. The person(s) or organization(s) shown In the Schedule above is (are) an Insured but only as respects claims or "suits" for damages caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf. C. The insurance afforded to such Additional Insured only applies to the extent permitted by law. D. If Insurance provided to the Additional Insured is required by a contract or agreement, the insurance afforded to them will not be broader than, nor the limits of Insurance greater than, that which you are required by the contract or agreement to provide for such Additional Insured. All other terms and conditions of the policy remain unchanged. PLI 51 10 06 16 Page 1 of 1 Copyright 2016, CM Vantage Specialty Insurance Company