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2019/12/01 CMB Structures, Inc. Certificate of Liability Insurance®Allstaf e. Yo 'm I.$*od hen&. CERTIFICATE OF INSURANCE Cl CW A02 10 11 This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits. Certificate Holder. Named Insured: CITY OF MENIFEE CMB STRUCTURES, INC 29714 HAUN RD 7211 HAVEN AVE # E287 MENIFEE, CA USA 925866540 CITY DF1FEE ALTA LOMA CA 91701-6064 f wv" GE Automobile Liabili!y Insurer Name: Allstate Insurance Company Polic Number: 048286011 X 1 --Any Auto 2 - Owned Autos Only 3 - Owned Priv. Pass. Autos Only 4 -- Owned Autos Other Than Priv. Pass. Autos Only 5 - Owned Autos Subject to No Fault 6 - Owned Autos Subject to a Compulsory UM Law 7 -- Svecifically Described Autos 8 - Hired Autos Only 9 - Nonowned Autos Only Policy Effective Date: 12 - 01- 2 019 1 Policy Expiration Date: 12 - 01- 2 0 2 0 Limits of $2, 000, 000 Combined Single Limit (each accident) Insurance: BI Per Person I BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions InterestedPartjype_ Additional Insured _ Municipalit THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES) MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer: DOUG MOORE AGENCY Authorized Representative: Date:09-17-19 Includes copyrighted material of Insurance Services Office, Inc., with its permission Cl CW A02 10 11 Allstate Insurance Company Additional Insured Copy Page 1 of 1 ®Allste. Vnurn In nds. POLICY NUMBER: 048286011 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM -With- respect to coverage provided by -this endorsement, the provisions of the Coverage -Form -apply -unless- modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: CMB STRUCTURES, INC Endorsement Effective Date: 12 - 01- 2 019 SCHEDULE Name Of Person(s) Or Organization(s): CITY OF MENIFEE 29714 HAUN RD MENIFEE, CA USA 925866540 N Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA20481013 ©insurance Services Office, Inc., 2011 Page 1 of 1 Additional Insured Copy ®Allstate. Yuri ro n good hands. MR, CUSTOMER NUMBER: 67875 DOUG MOORE AGENCY 7270 VICTORIA PK #3C RANCHO CUCAMONGA, CA 91739 CITY OF MENIFEE 29714 HAUN RD MENIFEE, CA 92586-6540 RUN DATE: 09-17-19 100001909170482860110115001350001004 Additional Insured Copy ®Allstate. YcVm inR ml hands. 0 POLINDEX 0100 Page 1 BU114-3 Additional Insured Copy