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2019/07/01 Blackmore CO, LLC Certificate of Liability InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/21 /2019 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 Carrie Stubblefield CISR NAME: James G Parker Insurance Associates PHONE (559 222-7722 FAx A E . AIC, NU. [ 5:i91 222-1724 License #0554959 ADDRESS: CaryieStubblefield@jgparker.com O Box 3947 INSURER(S) AFFORDING COVERAGE NAIC # Fresno CA 93650 INSURER A: Financial Pacific Ins Co 31453 INSURED INSURER B : Blackmore Cc LLC INSURER C: 27840 Del Rio Rd INSURER D: INSURER E - Temecula CA 92590 INSURER F COVERAGES CERTIFICATE NUMBER: 19-20 GLBAIM UM REVISION Nt1MRFR- 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. INSR LTR TYPE OF INSURANCE IN D M D POLICY NUMBER MM/DD/YYYY (MMIDD/YYYY) LIMITS x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX1 OCCUR EACH OCCURRENCE $ 1,000,000 PREMISES Ea occurrence $ 100,000 MED EXP Any one person) $ 5,000 &ADV INJURY $ 1,000,000 A 60430694 07/01/2019 07/01/2020 GENLAGGREGATE LIMITAPPLIES PER: POLICY PRO JECT LOC —PERSONAL GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OPAGG 2,000,000 $ Pollution Liability $ 100,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 X ANYAUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED AUTOS ONLY AUTOS 60430694 07/01/2019 07/01/2020 BODILY INJURY (Per accident) $ x HIRED MNON-OWNED AUTOS ONLY AUTOS ONLY pry{7pER pAMAGE Per aaci(3oni $ UMBRELLA LAB X1 OCCUR EACH OCCURRENCE $ 2,000,000 x AGGREGATE $ 2,000,000 A EXCESS LAB CLAIMS -MADE 60430694 07/01/2019 07/01/2020 DEp I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A Rented/Leased Equipment Scheduled Equipment 60430694 07/01/2019 07/01/2020 $1,000 Deductible $1,000 Deductible $300,000 Per Schedule DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City Clerk City of Menifee 29714 Haun Rd Menifee R e e e i ve2586 LL.AI IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD