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2018/09/01 Animal Friends of the Valleys Certificate of Liability Insurance
:a CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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 CONTACT ISU Insurance Services Cormarc Tasman NAME. SUnitha Jana PHONE 25220 Hancock Ave, Suite 200 951 290-SOd0 FAx 961 278-0664 Murrieta, CA 92562 msunitha isucormarc.com License #: OE63467 INSURERS AFFORDING COVERAGE NAIL # INSURED ANIMAL FRIENDS OF THE VALLEYS 33751 MISSION TRAIL WiLDOMAR, CA 92595 [1r7VFR1ftraFC nownrinATRout imp;:R• nn(mnnR 77A91S7A RFVI-ilf)N NIIMRFR" 3 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. I LTR TYPE OF INSURANCE POLICYNUMBER PF MOOMYFY P (MMIOoryyyyl LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I A I OCCUR Liquor Liab Y PAC099275005 07/22/2019 07/22/2020 EACH OCCURRENCE $ 1.000000 PREM Ea occu $ 160000 X MED EXP (Any one person) $ 6,000 _*Host PERSONAL& ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: ](! POLICY EDT 0 LOC OTHERi GENERAL AGGREGATE $ 2 000 000 PRODUCTS-COMP/OPAGG $ 000 000 *Li uor $ Included B AUTOMOBILE JAUTOS LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED ONLY AUTOS ONLY CAP421516204 07/22/2019 07/22/2020 COMBINED SINGLE 1.10 $ 1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ P PERTY DAMAGE r accident) $ $ `` UMBRELLA UAB �( OCCUR x_ EXCESS LIAR CLAIMS -MADE UMB099276106 07/22/2019 07/22/2020 EACH OCCURRENCE - S 2,000,000 AGGREGATE $ 2,000,000 DED X _RETENTIONS 10,000 $ D WORKERS COMPENSATION YIN AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ O FBI E EMBER EXCLUDED? if yES, desate i.Mdar DESCRIPTION W OPERATIONS below N/A WCV5500114 09/01/2018 09/01/2019 X STATUTE ER E. L. EACH P.CCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 I ' I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is requlred) City of Menifee named as additional insured with respects to general liability per CG2026 0413. t,tK I IPIL:A I t 11ULLJrM -" - "1 — - "" — - - - - ` — UANUt:LLA I IUI4 City of Menifee 29714 Haun Rd. Menifee, CA 92586 i V SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MENIF01 ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE 36-* A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by SUN on July 31, 2019 at 11:52AM S1 * 07/18/2019 *PAC 0992750 05 GREAT AMERICAN INS CO OF NY *D/B* 837494144 0253566 CG 20 26 (Ed. 04/13) 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 Schedule Name of Additional Insured Person(s) or Organization(s): CITY OF MENIFEE 29714 HAUN RD MENIFEE 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: 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. 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. © Insurance Services Office, Inc., 2012 CG 20 26 (Ed. 04/13) (Page 1 of 2) S1 * 07/18/2019 * PAC 0992750 05 GREAT AMERICAN INS CO OF NY *DB* 837494144 0253566 This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. © Insurance Services Office, Inc., 2012 CG 20 26 (Ed. 04/13) (Page 2 of 2)