2018/09/24 Bob's Blinds Certificate of Liability InsuranceA R� CERTIFICATE OF LIABILITY INSURANCE
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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 polig(les) must 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
NAME; Canyon Crest
Canyon Crest Insurance Service, Inc.
License # OD51775
PNONI - (951)784-0311 FAX 4951I784-5433
►J Nc
ADDRESS;
5051 Canyon Crest Dr. #104
INSURERS AFFORDING COVERAGE
NAICA
Riverside CA 92SO7
INSURFRA:UerCUrY Casualty Company
INSURED ROBERT MERENDINO
INSURERS:
INSURER C:
DBA: BOB'S BLINDS
26816 CHERRY HILLS BLVD
INSURERD:
INSURER E
INSURER F.-
NENIFEE CA 92586
COVERAGES CERTIFICATE NUMBER:18-19 REVISION NUMBER:
THIS IS TO CERTIFY THATTHE 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 1S SUBJECTTO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IINSR
LTR
TYPE OF INSURANCE
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SUBR
POLICY NUMBER
POLICY EFF
MIDDNYYYI
POLICY EXP
[MMIDOMM
LNBTS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1,000,000
A
X COMMERCIAL GENERAL LIABILITY
{�
o] CLAIMS -MADE OCCUR
CP0031802
9/24/2018
9/24/2019
DAMAGE TO RE D
PREMISES Ea
S 100,000
MED EXP (Any one person)
S 5,000
PERSONAL S ADV INJURY
S 1,000,000
GENERAL AGGREGATE
$ 2,000,000
GEN'LAGGREGATE LIMITAPPLIES PER
PRODUCTS- COMPIOPAGG
$ 2,000,000
XC POLICY PRO- LOC
$
AUTOMOBILE LIABILITY
CQM8INED SINGLE LIMIT
E acudont
BODILY INJURY (Per person)
S
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per ardent )
S
NON -OWNED
HIREDAUTOS AUTOS
PROPERTY DAMAGE
Psr 0"ka"ll$
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
EXCESSIIAB
CLAIMS -MADE
S 4
DIED I I RETENTION S
$
WORKERS COMPENSATION
WC STATU- I OTI+
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? ❑
NIA
—
S
El. EACH ACCIDENT
EJ_ DISEASE - EA EMPLOYEE
S
(Mandatory in NH)
I1 yes, describe under
F.L. DISEASE - POLICY LIMIT
-
$
DESCRIPTION OF OPERATIONS below
A
BOSXNESS PERSONAL
;CP0031802
1/24/2019
9/24/2019
LIMIT $27,000
PROPERTY
S5D0 DEDUCTIBLE SPECIAL FORA)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Rama rks Schedula, If mote space is required
VERIFICATION OF GENERAL LIABILITY INSURANCE
CERTIFICATE HOLDER CANCELLATION
CITY OF MLNIFEE
29844 HAQN RD,
MENIFEE, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF NOTICE WILL BE DELIVERED IN
ACCORDANCE %TrH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Barnett/LB
At;VMU 'LO (2010iUS)
INS025 (201005).01
0 1988-2010 ACORD CORPORATION. All rights reserved.
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