2018/07/22 Animal Friends of the Valleys Certificate of Liability InsuranceIzO^ ANIMA-1 OP ID -
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
AS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOL E/RO HIS
18
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 INSURERS), 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
this certificate does not confer ri hts to the certificate holder in lieu of such e d
PRODUCER
ISU Ins. Svc.-Cormarc Tasman
90
951-2-5040
n orsement s .
CONTACT
NAME: Robert A. Zentner
License# OE63467
25220 Hancock Ave. #200
Murrieta,
City of Menifee
PHONE 951-290-5040
(A/C, No, Ext):
E-MAIL
Fax
ac, No):951-278-066
CA 92562
Robert A. Zentner
City Clerk
ADDRES
INSURERS AFFORDING COVERAGE
NA
INSURED Animal Friends of the Valleys
American Ins CO.Of NY
22136
Mission Trail
merican Insurance Co33751
#INSURERP
16691
Wildomar, CA 92595
est Insurance Co
ReoeiVed
merican Alliance Ins CO
12177
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDSNAMED ABOVEFORTHE 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.
rCLAIMS-MADE
OF INSURANCE ADDL SUB POLICY EFF POLICY EXP
POLICY NUMBER
GENERAL LIABILITY LIMITS
MADE � OCCUR Y PAC0992750 04 EACH OCCURRENCE $ 1,000,000
or Liab 07/22/2018 07/22/2019 DAMAGE TO RENTEDSEE (Ea Qccurrence) $100,000
PAC0992750 04 07/22/2018 07/22/2019 5,000
MED EXP An one erson $ LIMIT APPLIES PER: PERSONAL & ADV INJURY $ 1,0JECT LOC GENERAL AGGREGATE $ 2,000,000
B AUTOMOBILE LIABILITY
*Liquor
Include)
X ANY AUTO CAP4215162 03
COMBINED SINGLE LIMIT $
1,000,001
OWNED SCHEDULED
AUTOS ONLY ASUTOppSy/
07/22/2018 07/22/2019
BODILY INJURY Per erson $
AUTOS ONLY NONOS ONLD
BODILY INJURY Per accident $
PROPERTY DAMAGE
Per accident $
D X UMBRELLA LIAB X OCCUR
EXCESS LIAB CLAIMS -MADE UMB0992751 04
07/22/2018 07/22/2019
EACH OCCURRENCE $
1,000100C
DED X RETENTION $ 10,000
AGGREGATE $
1,000,OUC
C WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
PER
X OTH-
ANY PROPRIETOR/PARTNER/EXECUTIVE WCV5500114
EXCLUDED? N / A
09/01/2018 09/01/2019
(Mandatory in NH)
(Mandatory in H)
E.L. EACH ACCIDENT $
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE $
1,000,000
E.L. DISEASE -POLICY LIMIT A
11000,000
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 0413.
MENIF01
LAUTHORIZED
OULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
E EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City Of Menifee CORDANCE WITH THE POLICY PROVISIONS.
29714 Haun Rd.
Menifee, CA 92586 REPRESENTAIVE
ACORD 25 (2016/03)
988-2015 The ACORD name and logo are registered marks o fCORD CORPORATION. All rights reserved.
ACORD
P S 1' n 7/ 7 4 1 4 o P
P
0253566 GREAT AMERICAN INS CO OF NY
CG 20 26 (Ed.04/13 )
Pollcy: PAC 099-27-50 04
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
cnedule
ame of Additional Insured Person(s) or Organization(s):
ITY OF MENIFEE
9714 HAUN RD
ENIFEE CA 92586-6540
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:
I. 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 )
51-U//Z3/1B'PAGO99275, -04 837494144 'D/B ORIG IMAGE COPY
0253566 GREAT AMERICAN INS CO OF NY
CG 20 26 (Ed.04/13 )
Policy: PAC 099-27-50 04
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 04/1 3 (Page 2 of 2 )