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2018/08/01 Cass Construction, Inc. Certificate of Liability InsuranceMlmnfHa 47azoRs anar•.®cgrnN ACORD. CERTIFICATE OF UABUTY �� U R A NNE- - DATE(MMMDNYYY) 7/2512018 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 pollcy(les) 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 an this Certificate does not confer any rights to the certificate holder In Ileu of such endorsement(s). PRODUCER BB&T-John Burnham Ins Services NAME;cT Carla Lintner HONE P-t:619 231-1010 1 FAX.0 No), 61923659134 750 B Street Suite 2400 San Diego, CA 92101 619 231-1010 E-MAIL ADDRESS: INSURE AFFORDING COVERAGE NAILS INSURER A: em-d-Rlsi[ind—nay rte 35181 INSURED Cass Construction, Inc. P.O. Box 309 El Cajon, CA 92022 INSURER B : INSURER C INSURER D INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMEDABOVE FORTHE 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 DOL SR UB WVD POLICY NUMBER POLICY EFF MID POLICY ERP MMID LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE I OCCUR BI/PD Ded:5,000 54303117 C9t yO��f M Ot Clark 8/01/2018 nifeF 08/01/201 EACH OCCURRENCE $1 GOO. 000 PREMISES ominOsn® $100 000 X MED EXP (Any ons arson) $5 000 PERSONAL & ADV INJURY S1000000 GEN'L AGGREGATE LIMITAPPLIES PER., PR POLICY a JECOT- LOG OTHER: GENERAL AGGREGATE 52000000 PRODUCTS -COMPIOPAGG s2,000,000 $ AUTOMOBLE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY a .A 3 Receiv 01 U p EO eW,n)tSINGLE UMIT BODILY INJURY (Per pomon)_ S BODILY INJURY (Par a=ldent) $ PROPERTY DAMAGE R P.E derd $ $ UMBRELLALIAB UI EXCESSLB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN OFFICERMEMSER EXCLUDED? (Mandatory In NH) If yas describe under DESCRIPTION OF OPERATIONS below NIA PER OTH- ATUTE PP E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, AddlUonal Rsmarb Schedule, may ha a@sched If more space to mqutrad) Certificate is subject to policy limits, conditions and exclusions. Re: Encroachment Permit. Certificate Holder Is named as an additional insured (GL) per the attached CG2012 endorsement. City of Menifee 29714 Haun Rd, Menifee, CA 92586-0000 ACORD 25 (2016103) 1 of 1 #S20690911IM20665400 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 V 1833-2015 ACOKU COKPOKATIUN. All ngnM reSerV80. The ACORD name and logo are registered marks of ACORD FJG POLICY NUMBER: 54303117 COMMERCIAL GENERAL LIABILITY CG 20 12 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURE® ® STATE -OR GOVERMHEM7ALA AGENCY OR SUBDIVISION OR POLITICAL SUBMMOM ® pE G MTS OR AUTHORIZA'TIOMS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Any State or Governmental Agency or Subdivision or Political Subdivision for whom during the policy period you and such State or Governmental Agency have agreed in writing in a contract or agreement that such State or Governmental Agency or Subdivision or Political Subdivision be added as an additional insured on your policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section Il — Who is An Insured is amended to in- clude as an insured any state or governmental agen- cy or subdivision or political subdivision shown in the Schedule, subject to the following provisions: 1. This insurance applies only with respect to opera- tions performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or autho- rization. 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products -completed operations ha- zard". CG 2012 05 09 0 Insurance Services Office, Inc., 2008 Page 1 of 1 ❑