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2012/11/21 Becker Construction Services, Inc. Certificate of Liability InsuranceCity of Menifee ACERTIFICATE OF LIABILITY INSUR P . F1/2020DATE /DD/ 1 /201212 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION State Farm Insurance ONLY AND CONFERS NORIGHTS, UPON THE CERTIFICATE 913 W. Menlo Ave. HOLDER. THIS CERTIFICAl j"CAMEND, EXTEND OR OHemet, Ca 92543 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW- �t INSURED BECKER CONSTRUCTION SERVICES INC PO BOX 890365 TEMECULA CA 92589-0365 COVERAGES INSURERS AFFORDING COVERAGE I NAIC # INSURER A: State Farm Mutual Automobile Insurance Company 25178 25178 INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD' INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY) POLICY EXPIRATION DATE MM/DD/YYYY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR EACH OCCURRENCE $ DAREMISES Ea occurrence MA E T RENTED P $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $ $ A X AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 308 6916-E21-75A 308 6918-E21-75A 308 6917-E21-75A 308 9867-E21-75 308 9869-E21-75 312 6453-A16-75 11/21/2012 11/21/2012 11/21/2012 05/21/2012 05/21/2012 05/21/2012 05/22/2013 05/22/2013 05/21/2013 05/21/2013 05/21/2013 05/21/2013 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000,000 X X BODILY INJURY (Per person) $ 1,000,000,000 X BODILY INJURY Per accident ( ) $ X PROPERTY DAMAGE (Per accident) $ 1,000,000,000 GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS / UMBRELLA LIABILITY —1 OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/N OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under .qPFr.IAI PROVISIONS below WC STATU- OTH TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS GtK 1 II-IGA I t HULL)tK GANGtLL.A I IUN ADDITIONAL INSURED: City of Menifee 29714 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2009101) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 1001486 132849.3 04-06-2009 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGURD 25 (2MIM)