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2018/10/01 Colonial Electric, Inc. Certificate of Liability Insurance
COLOELE-01 SGONZALEZ ACORO �� CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/26/2018 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 License # 0757776 International Insurance Services Inc. 4695 MacArthur Court, Suite 600 Newport Beach, CA 92660 City of Menifee city clerk CONTACT Stephanie Lanzas NAMHUB PHONN , Ezt): (951) 779-8562 FAX(AI, No):(951) 231-2572 E-MAIL ADDRESS: cal.cpu@hubinternational.com INSURERS AFFORDING COVERAGE I NAIL# INSURER A: Depositors Insurance Company 142587 INSURED OCT 092018 Colonial Electric, Inc. 14981 Telephone Avenue Chino, CA 91710 Received INSURER B : Nationwide Mutual Insurance Company 23787 C:AMCO Insurance Company 119100 -INSURER INSURER D :Insurance Company of the West 127847 INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 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. IN TRR TYPE OF INSURANCE AN DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX� OCCUR PD Ded: $2,000 ACP3018382168 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISE Ea occurrence 100,000 S X MED EXP An one person)S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE� LOC OTHER: GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 S B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUUTOS ONLY ACP3018382168 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT Ea accident 1 ,000,000 S BODILY INJURY Per erson S BODILY INJURY Per accident S PROPERTY DAMAGE Per accident S S C X UMBRELLA LIAB EXCESS X R OCCU-MADE CLAIMS ACP3018382168 10/01/2018 10/01/2019 EACH OCCURRENCE S 5,000,000 AGGREGATE $ 5,000,000 DED I RETENTIONS $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N AY OFFICEOPRIET ER EXCLUDED? ECUTIVE Y (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WSD503787801 10/01/2018 10/01/2019 X STATUTE ER E.L. EACH ACCIDENT 1,000,000 S E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 I S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Menifee Building of Site work, SWC Haun Road & Newport Road, Menifee, CA 92584. For Information Purposes Only. 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. AUTHORIZED REPRESENTATIVE Oae— ACOR25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD