2019/06/01 Assistance League of Temecula Valley Certificate of Liability Insurance (3)ACC)R" CERTIFICATE OF LIABILITY INSURANCE
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DATE WDOIYYYYI
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 endorsemert(s).
PRooLKMR Stromsoe Insurance Agency
24910 Las Brisas Road, Ste 117
Murrieta, CA 92562
License #: OD06577
Assistance League of Temecula Valley
28720 Via Montezuma
Temecula, CA 92590
Rachel Hindle
(951)60"751
racWtWsiaonline.com
COVERAGES CERTIFICATE NUMBER: tfa0nnnnn_A82s&3 RFVICIn!4 N"URg;G- 7e
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 CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE ADDL SUSR POLICY EFF POLICY Elm
POLICY NLMB62 LIMITS
A
X
COMMERCIAL GENERAL UABIU[Y
y
MHH010307
06/012019
06/01/2020
EACH OCCURRENCE
$ 1000.000
51
-PREMA SES jEa o[
$ rjQQ 000
CLAIMS -MADE OCCUR
MED EXP (Any one person)
$ 20,000
PERSONAL & ADV INJURY
$ 1.000.000
GENT AGGREGATE LIMIT APPLIES PER:
❑
GENERAL AGGREGATE
$ 3,000,000
PRODUCTS - COMPIOP AGG
$ 3,000,000
x POLICY JPER4 LOC
Liquor LiabiliNGL
$ 100,000
OTHER
A
AUTOMOBILEUABILrrY
Y
2019-18787-NPO
06/012019
061/01202000N
uraT
$ 1,000,000
ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
BODILY INJURY (Per accident)
$
AUTOS ONLY AUTOS
x
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
PROPERTY DAMAGE
$
LMBRELLA UAB
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
AGGREGATE
$
DIED I I RETENTION $
$
WORKERS COMPENSATION
PER OTH-
AND EMPLOYERS' LIABILITY Y I N
EL EACH ACCIDENT
$
ANY PROPR ETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
NIA
EL DISEASE - EA EMPLOYE
$
(Mandatory InlHl
If yes, describe under
EL. DISEASE- POLICY HMIT
$
DESCRIPTION OF OPERATIONS belt.
A ' Directors & Officers
2019-18787-00-NPO
06/012019
06f012020
annual Aggregate 1,000,000
B I Bus Personal Proper
2019-18787-PROP
06/012019
061012020
RC 190,000
I
DESCRIPnON OF OP92A710N3I LOG4TION,4 i VEH CLI;S (AWRI 7rT�,A onnal Ronnarks Schedela, may be aftwhed if more space is mqurso
Certificate holder and the foii6ftg'"6ie-Q—Med as�additional Insureds as covered bythe general liability policy as per the
attached endorsement CG2010 (g of Menifee, Its officers, employees and agents are named as additional
Insured.
I
City of Menifee
Attn: frfarganta Comejo, Contract & Procurement Administrator
29714 Haun Road
Menifee, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VOLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTMRQED REPRESENTATIVE
RAH
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Printed by RAH on September 09, 2019 at 09-38AM