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2010/01/24 Graffiti Tracker, Inc. Certificate of Liability Insurance/%C7."M" CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DD/YYYY) `... - 09/30/10 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 pol)cy(ies) 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 endorsements . PRODUCER Rick Powell Insurance Agency, LLC 2382 Camino Vida Roble, Suite M Carlsbad, CA 92011 Phone (760) 804-9297 Fax (760) 804-9710 CONTACT NAME: Lod Lee PHONE (760) 8049297- FAX No: (760) 80 -9710 a DD Riess: Lori@lnsurance4CAcom PRODUCER CUSTOMER ID M INSURER(S)AFFORDING COVERAGE NAIC # INSURED INSURERA: SEQUOIA INSURANCE COMPANY 002281 Graffiti Tracker, Inc INSURER B : GENERAL INSURANCE COMPANY OF AMERICA 24732 INSURER C: SOUTHERN INS COMPANY 19216 3780 Kilroy Airport Way Ste 4200 Long Beach, CA 90806 INSURER D : AXIS SURPLUS INS CO 26620 INSURER E : INSURER F : 11UV CRHu Ca Cr-RI Iril A1r I1JUMt3EK: REVISION NLIMRFR- 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBF WVD POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES a occurrence $ 300,000 A ❑ ❑ CLAIMS -MADE a OCCUR ❑ Y N SBP207302-4 04/25/2010 04/25/2011 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 ❑ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ❑ POLICY ❑ PRO-- ❑ JECTLOC PRODUCTS - COMP/OP AGG $ 2,000,000 g AUTOMOBILE LIABILITY ❑ ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ B ❑� ALL OWNED AUTOS ❑ SCHEDULED AUTOS ❑� HIRED AUTOS NON -OWNED AUTOS Y N 24CC2760001 01/24/2010 01/24/2011 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ ❑ $ ❑ UMBRELLA LIAB ❑ OCCUR EACH OCCURRENCE $ C ❑ EXCESS LIAB ❑ CLAIMS -MADE AGGREGATE $ ❑ DEDUCTIBLE $ $ RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEM EREXCLU ED?ANY ECUTIVEYNN NIA WSI003824101 01/26/2010 01/26/2011 R1 WC STATU- OTH- TORY LIMITS OK E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 (Mandatory in NH) If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY ENN590140 09/29/2010 09/29/2011 $1,000,000/$1,000,000 Per Claim/Aggregate DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Menifee, its officers, employees, agents, and authorized volunteers are additional insured as respects operations performed by the named insured, per forms BP04500702 & CA71100307 attached. CrR t iFiCA t E HOLDER CANCELLATION City of Menifee Kathy Bennett, City Clerk 29714 Haun Rd. Menifee, CA 92586 ACORD 25 (2009/09) QF 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 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD