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2017/07/22 Animal Friends of the Valleys Certificate of Liability Insurance
ANIMA-1 OP ID: JE ,44C:O1?O" CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/05/2017 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 endorsement(s). PRODUCER 951-290-5040 ISU Ins. Svc.-Cormarc Tasman License# OE63467 CONTACT Robert A. Zentner PHONE 951-290-5040 FAx (A/C, No, Ext): (A/c. No):951-278-0664 25220 Hancock Ave. #200 Murrieta, CA 92562 E-MAIL ADDRESS, INSURERS AFFORDING COVERAGE NAIC # Robert A. Zentner INSURER A: Great American Ins Co.of NY 22136 INSURED Animal Friends of the Valleys 33751 Mission Trail Wildomar, CA 92595 INSURER B : Great American Insurance Co 16691 INSURER C: CompWest Insurance Co 12177 INSURER D : Great American Alliance Ins Co INSURER E : INSURER F COVERAGES CFRTIFIr`ATF fJ11MRFR• - -' ' ' " ' -' ' ' - - -- •-•--• `• 1 \L Y IJ I V 1\ 1\ V IYIOCR. 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. NTR SR IL LT TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X PAC0992750 03 07/22/2017 07/22/2018 EACH OCCURRENCE S 1,000,000 DAMAGETo R occur ante PREMISES(MED $ 100,000 EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICY JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON PV6 ED AUTOS ONLY AUTOS ONLY(per. CAP4215162 02 07/22/2017 07/22/2018 Ea sBIN EDISINGLE LIMIT $ 1,000,000 X BODILY INJURY Perperson) $ BODILY INJURY Per accident $ PROPERTY DAMAGE ccident $ D X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE UMB0992751 03 07/22/2017 07/22/2018 EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 DED X I RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? ANY ECUTIVE Y❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WCV5500114 09/01/2017 09/01/2018 X PER OTH- TAT TE ER 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 / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) City of Menifee named as additional insured with respects to general liability per CG2026 04113. MENIF01 City of Menifee 29714 Haun Rd. 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 Li co (Au Io/w) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0253566 GREAT AMERICAN INS CO OF NY CG 20 26 (Ed.04/13 Policy: PAC 099-27-50 0: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART cheduIe ame of Additional Insured Persons) or Organization(s): CITY OF MENIFEE 29714 HAUN RD VIENIFEE, CA 92586 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; or 2. in connection with your premises owned by or rented to you. 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. Copyright, ISO Properties, Inc., 2012 CG 20 26 04/13 (Page 1 of 2 ) 0253566 GREAT AMERICAN INS CO OF NY CG 20 26 (Ed.04/13 Policy: PAC 099-27-50 O: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION B. With respect to the insurance afforded to these Additional Insureds, the following is added to SECTION III - LIMITS OF INSURANCE: If coverage provided to the Additional Insured is required by a contract or agreement, the most we will pay on behalf of the Additional Insured is the amount of insurance: 1. required by the contract or agreement; or 2. available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Copyright, ISO Properties, Inc., 2012 CG 20 26 04/13 (Page 2 of 2)