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2019/09/01 Commercial Transportation Serv Certificate of Liability InsuranceCOMM-35 ACaRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 0812812019 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 endorsements . PRODUCER 626-795-9921 C NTACT Jessica Munoz Supple -Merrill & Driscoll Inc. PHONE 626-795-9921 FAX 626-577-6656 Insurance Agents and Brokers A/C No, Ext : 1 aC No P. O. Box 2408 - asw Pasadena, CA 91102 Supple -Merrill & Driscoll Inc. IN, SUREMS1 AFFORDING E Nalc INSURERA:Arch Specialty Insurance Co .21199 INSURED INSURER B.State Compensation Ins. Fund Commercial Transportation Sery Evanston Insurance Company Dino Perugino INSURERC: P y 702 S. Treanor Avenue San Dimas, CA 91773 INSURER D: INSURER E : INSURER F : (:ll�IF17Al:FC r`9zQTIClr'AT97 All IRAS7FD• DCIIteinkl kit IAaP1=D• 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 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR PLI0000133-00 09/01/2019 09/01/2020 EACH OCCURRENCE $ 1,000,000 TORT NrI r 100,000 MED EXP JAny oneperson) 10,000 PERSONAL & ADV INJURY 1,000,000 N L AGGREGATE LIMIT APPLIES PER: X POLICY ❑ jpo LOC OTHEW GENERAL AGGREGATE 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUUTOOSw p AU1 R ONLY AIJTOS ONLY COMBINED SINGLE LIMIT BODILY INJURY Perperson) B DILY INJURY Per accident PROPERTY DAMAGE Par. ccident C UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE iEZXS3013009 09/1812019 09/01/2020 EACH OCCURRENCE 2,000,000 X A00REGATE 21000,000 DED I I RETENTION$ Follow form GL B 'WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/M4MBER EXCLUDED? (Mandatory In NH) it yes, aescribe unaer i DESCRIPTIONF P b low N / A 1650779-19 09/01/2019 09/01/2020 X PER O7H- E.L. EACH ACCIDENT 1,000,000 E.L. DISEASE - EA EMPLOYEE 1,000,000 A Y 1,000,$00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Proof of insurance. City of Menifee Finance J 7CITYOME SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF, City Of Menifee ACCORDANCE WITH THE POLICY PROVISIONS.NOTICE WILL BE DELIVERED IN Ms. Wendy Welch ReC:ived 29714 Huan Rd. AUTHORIZED REPRESENTATIVE Menifee, CA 92586 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD