Loading...
2019/06/08 Cannon Corporation Certificate of Liability Insurance (3)DATE (MMIDDIYYYY) AcoR" CERTIFICATE OF LIABILITY INSURANCE li6k� 1 9/3/2019 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 Dealey, Renton & Associates PHONE_ xAx P. O. Box 12675 510-065-3D90 510-0522t93 Oakland CA 94604-2675 ADDRESS: cert'litcates@dealeyrenton.com INSURER A: Transportation Insurance Company 20494 INSURED CANNOCORP INSURERS. Continental Insurance Company 35289 Cannon Corporation PENCO a Cannon Corporation INSURERC: Hartford Fire Ins. Co. 19682 1050 Southwood Drive INSURERD: Beazley Insurance Company, Inc. 37540 San Luis Obispo CA 93401 INSURER E: Valley Fore Insurance Company 20508 INSURER F rnVFROrFS CFRTIFICOTF NIIMRFR- 19RQ53RA19 RFVISION NIIMRFR- 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 UBR POLICYEFF POLICY EXP LIMITS LTR POLICY NUMBER M/ afYYYY MM/DDJYYYY E X COMMERCIAL GENERAL LIABILITY Y Y 6079204724 9/1/2019 9/1/2020 EACH OCCURRENCE $1.000,000 IMAGE_) CLAIMS -MADE X OCCUR A P ❑ urrence $1,000,000 MED EXP (Any oneperson) $15,000 PERSONAL & ADV INJURY $ 1.000 000 GEN'L AGGRE�GATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO - POLICY {_LJ ECT Ex LOC ROTHER.: PRODUCTS - COMP/OP AGG $ 2,000,000 $ I A AUTOMOBILE LIABILITY Y Y 6079209373 9/1/2019 9/1/2020 COMBINEDSINGLELIMIT Ea aceldenl $1,000,0D0 BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY B UMBRELLALIAB X IOCCUR Y Y 6079210751 9/1/2019 9/1/2020 EACH OCCURRENCE $9,000.000 X AGGREGATE $ 9,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN Y 51 WEAA1OF4 9/1/2019 1/1/2020 PER OTH- STATUTE ER ANYPROPRIETOR/PARTNER/EXECU I — F-L EACH ACCIDENT $ 1.000,000 OFFICER/MEMBEREXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 D Professional V27737190101 6/8/2019 9/1/2020 Limit 2.000,000 Liability Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) "All operations of the Named Insured. City of Menifee, ITS COUNCIL MEMBERS, OFFICERS, AGENTS, AND EMPLOYEES are named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. General Liability and Auto Liability are Primary/Non-Contributory per policy form wording. Insurance coverage includes waiver of subrogation per the attached. Umbrella (or Excess) Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. City of Mlanlfee Finance 1�1a:\I1�1f1G\I�a�J\��a: A ." 11C��151►[tSRM��\�IB7► SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee Received ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Sun City CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE(MM/DDNM) CERTIFICATE OF LIABILITY INSURANCE 9/3/2019 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 Dealey, Renton & Associates P. O. Box 12675 Oakland CA 94604-2675 INSURED Cannon Corporation 1050 Southwood Drive San Luis Obispo CA 93401 f1n111=0A1__FC CFRTIFICOTF N(1MRFR-1439294773 PHONE . 5104653090 (a/c, No): 510-452-2193 A .ss. certificates deale renton.coln INSURERS AFFORDING COVERAGE NAIC # INSURER A: Beazley Insurance Company, Inc. 37540 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 'NDICATED. 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 ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER MM/DPOLIDFDIYYYY POLICY EFF LTR M/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE u OCCUR PREMISES Ea occurrence $ MED EXP (Any oneperson) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ POLICY PRO LOC JECT $ OTHER: AUTOMOBILE LIABILITY COMSINEi7 SINGLE LIMIT Ea aCcldinl $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per a ddent $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y❑ OFFICER/MEMBEREXCLUDED7 (Mandatory In NH) N / A STATUTE ER E.L, EACH ACCIDENT $ E.L, DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ If_y_es, describe -under DE, RIPT10N OF OPERATIONS below A Professional Liability V27737190101 6/8/2019 9/1/2020 Limit Aggregate 2,000,OD0 2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: FY2018/19 ON -CALL ENGINEERING SERVICES (RECOVERABLE). City of Menifee is named as Additional Insured as respects General and Auto Liability as required per written contract or agreement. General Liability and Auto Liability are Primary/Non-Contributory per policy form wording. Insurance coverage Includes waiver of subrogation per the attached. Umbrella (or Excess) Liability policy is a follow -form to underlying General Liability/Auto Liability/Employers Liability. City of Menifee Finance L;LKIIt- II:AIt IYULUtK fain ,, n )(iiu %,Mpj4CLLMI1l 14 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee Received ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road AUTHORaED REPRESENTATIVE Sun City CA 92586 r U 79SS-205 AGUKU GUKVUKAI IUN. All rlgnis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD