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2019/06/08 Cannon Corporation Certificate of Liability Insurance
accoREN 0CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) `� 6/10/2019 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 - NAME: Dealey, Renton & Associates PHONE FAX ING,J9a IW; 5104653090 IAlc.rlal; 510-452-2193 P. O. Box 12675 Oakland CA 94604-2675 'A"Dnooul. certlflcat deal aitton,corn INSURERS AFFORDING COVERAGE NAIC # • INSURER A: Beazley Insurance company, Inc. 37540 INSURED CANNOCORP INSURERS: Cannon Corporation 1050 Southwood Drive INSURERC: INSURER D: San Luis Obispo CA 93401 INSURER E' INSURER F : COVERAGES • CERTIFICATE NUMBER:1740842309 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 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 LTR TYPE OF INSURANCE D UB POLICYNUMBER POLICY EFF MMIODIYYYY POLICY EXP MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR PREMISESIEa oo¢uawde $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: JECT LOC POLICY PRO1:1- - COMP/OP AGG $ _PRODUCTS _ $ OTHER AUTOMOBILE LIABILITY .. I COMBINED SINGLE LIMf1 Ea ao KWI-_-- $ _ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY _ _ AUTOS BODILY INJURY (Per accident) $ PERTYDAWGE Per acddert j $ HIRED NON -OWNED AUTOS ONLY _.. AUTOS ONLY UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE PER OTH- I STATUTE ER - EL EACH ACCIDENT $ OFFICERIM EMBER EXCLUDED? NIA - (Mandatory In NH) E.L DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ A Professional Liability V27737190101 6/8i20i6 9tirzG2U - Limit 2;000,00C i Aggregate 2,000,000 I DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: FY2018/19 ON -CALL ENGINEERING SERVICES (RECOVERABLE). All operations of the Named Insured including the aforementioned project if any. rcosirirArC jnnrn nw uno c wv�r�u City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee I ! 6 6 29714 Haun Road �vi Sun City CA 92586 Al1THORIT_EOREPRESENTATiVE OeCE?1VE:d © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD AC DATE (MMIDD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 6/10/2019 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()es) 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 3 Associates P. O. Box 12675 Oakland CA 94604-2675 INSURED Cannon Corporation 1050 Southwood Drive San Luis Obispo CA 93401 CANNOCORP 5104653090 Insurance COVERAGE nv, Inc. COVERAGES CERTIFICATE NUMBE»R:633272788 REVISION NUMBER: 510-452-2193 NAIC # 37540 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 RDI7L SUER' ,, EFF POLICY E7(P LTn TYPE OF INSURANCE � POLICY NUMBER MMIDDIYYYY MMIDDIYI"I`Y LIMITS COMMERCIAL GENERAL LIABILITY � EACH OCCURRENCE_ $ .-UAbAAOETd FiEff1'Et] CLAIMS -MADE OCCUR - PREWSEg Ma pqu� $ MED EXP (AU one person $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: POLICY JECT C I--]LOC JE GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY E-MBINE-OSINGLE LIMIT 8 dent $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS tid Per accident) BODILY INJURY ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY prydPERTYDAIMGE (Per accident} $ $ UMBRELLA LIAB OCCUR HCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) NIA OTH- TATUTE ER E.L. EACH ACCIDENT $ E.L.DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE -POLICY LIMIT $ A i Professional Liability V27737190101 6/8/2019 9i1/2020 Limii 2,000,000 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. CERTIFICATE HOLDER City of Menifee 29714 Haun Road Sun City CA 92586 CANCELLATION 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26 (2016/03) The ACORD name and logo are registered marks of ACORD ® DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 6/10/2019 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 FAR P. O. Box 12675 W.C.-ft Ex*. 5104653090 Arc NG 5i0-4452 2193 Oakland CA 94604-2675 aooeEss. certiflcates0dealevrenton.com INSURED Cannon Corporation 1050 Southwood Drive San Luis Obispo CA 93401 INSURERA: Beazley Insurance INSURER B : INSURER C: INSURER D- INSURER E INSURER F: Inc. COVERAGES CERTIFICATE NUMRER_-A014SF4PF; RFVISInN 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. jI1BR r INSR POLICY EFF POLICYEXP LTR TYPE OF INSURANCE 1 c POLICY NUMBER MMIDDIYYYY MM/DD/YYYY I LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE �� OCCUR I PRJEMJSES Ea occurrence $ MED EXP Any oneperson) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY LOC PRODUCTS - COMP/OP AGG $ 1 $ OTHER:. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ BODILY INJURY (Per person) $er ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) () $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTYD4MAGE {Per_acrJ_ dams $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/M EMBER EXCLUDED? NIA 7ATUT� JER E.L. EACH ACCIDENT $ E.L.DISEASE - EA EMPLOYE $ (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A , Professional Liability V277371901ol 6/&i 19 9/` , 020--' Limit' 2,000,000 I jl Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All operations of the Named Insured including the aforementioned project if any. CERTIFICATE HOLDER CANCELt«ATION City of Menifee 29714 Haun Road Sun City CA 92586 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD