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2018/01/30 Central County United Way Certificate of Liability InsuranceA4C4C>R0r CERTIFICATE OF LIABILITY INSURANCE YY) [DATE10/2 21201 10/22/2018 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 DFI - DiGerolamo Family Insurance Services 2027 Hamner Ave Norco, CA 92860 NAMEACT Lucy Anderson PHONE qqX ,vc o Ell: (951)735-5335 A/C No: (951)735-3758 E -M A ADDRILESS: lucy@dfiinsurance.com License #: OD26889 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Guide One Mutual Insurance Company 15032 INSURED Central County United Way DBA United Communities Network INSURERB: GuldeOne Mutual Insurance Company 15032 INSURERC: State Compensation Insurance Fund 35076 INSURER D 418 E Florida Avenge INSURER E: Hemet, CA 92543 INSURER F : COVERAGES :ERTIFICATE NUMBER- 17CtrIOIn61 \11111110 Co. -_ __ as 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 ADDL SUBR vrvnPOLICY NUMBER MM/DDY/YYYY POLICY EXP MMIDDIIYYYY LIMITS A X I COMMERCIAL GENERAL LIABILITY Y 01446927 Cit llubm(allai (V01/2019 EACH OCCURRENCE -INA—MAGE S 1,000,000 EP CLAIMS -MADE � OCCUR City Clerk TO RENTED PREMISES (Ea occu ante S 100,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY S 1,000,000 NOV 0 7 2018 AGGREGATE LIMIT APPLIES PER: ❑ PRO- GENERAL AGGREGATE S 3,000,000 GEN'L X PRODUCTS -COMP/OP AGG S 2,000,000 POLICY JECT LOC OTHER: ,eceiVcd S B AUTOMOBILE LIABILITY Y 01788843 11/01/2018 11/01/2019 EOa accl d.n SINGLE LIMIT S 1.000OOO ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED X - X AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY _ X AUTOS ONLY BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S UMBRELLA LIAB OCCUR I EACH OCCURRENCE S L_ I EXCESS LiA6 CLAIMS -MADE __� AGGREGATE S _ $ DE RETENTIONS C AND EMPS YERS' LSA IONILIT AND EMPLOYERS' LIABILITY 1542921-18 01/30/2018 01/30/2019 X STATUTE EORH Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E. L. EACH ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYE S 1,000,000 (Mandatory in If yes, describe under and E.L. DISEASE - POLICY LIMIT I S 1 DESCRIPTION OF OPERATIONS below A I Building Coverage I I I 01446927 11/01/2018 11/01/2019 Building ,000,OOO 435,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named additional insured. City of Menifee 29714 Haun Road Menifee, 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. (9 1UUB-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Printed by LMA on October 22, 2018 at 11:39AM ADUTIOVI9 , L HISS RC o °o DESMATED PERSON OR ORGAHZATMH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Information required to compete this Schedule, if not shown above, will be shown in the Declarations. Section II -- Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. © ISO Properties, Inc., 2004 CG 20 26 07 04 Page 1 of 1