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2019/10/01 Colonial Electric, Inc. Certificate of Liability Insurance
COLOELE-01 SGONZALEZ ACOROm CERTIFICATE OF LIABILITY INSURANCE DATE (MYYY) 9/2712012019 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 endorsements . PRODUCER License # 0757776 NON,nCT Stephanie Lanzas HUB International Insurance Services Inc. PHONE Ext 951 779-8562 FAX 4695 MacArthur Court, Suite 600 _L_.._ ....)-�_ � (vc, Nel:(951) 231-2572 Newport Beach, CA 92660 AEss: cal.cpu@hubinternational.com INSURED Colonial Electric, Inc. 14981 Telephone Avenue Chino, CA 91710 Insu INSURERc.AMCO Insurance Company .19101 INSURER D: Insurance COm Danv of the West 1271147 INSURER E : INSURER F : 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 A�LJUSD j''�R POLICY NUMBER POLICY EFF PaRIGYpfP LIMITS A X COMMERCIAL GENERAL LIABILITY _EACH,QCCl1RRENCE _$_ 1,000,000 CLAIMS -MADE Fx-1 OCCUR ACP3028382168 10/1/2019 10/1/2020 DAMA43E TO RENTED 100,000 X PD Ded: $2,000 EREMLSESIEanocclmence) $ 5,000 MELT FXP (Anv nne �ersoJ $ PERSONAL&ADVINJURY 1,000,000 �-AEWPOLICY LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 �X] PEC ❑ LOC PRODUCTS-COBaP/OP AGG $ 2,000,000 B AUTOMOBILE LIABILITY X ANY AUTO ACP3028382168 OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY C X UMBRELLA LIAB X OCCUR EXCESS LIAB CLAIMS -MADE ACP3028382168 DED I I RETENTION $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WSD503787802 OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) If ves. describe under LIMIT I.$ 1,000, 10/1/2019 1 10/1/2020 10/1/2019 I 10/1/2020 I AGGREGATE 10/1/2019 10/1/2020 E.L EACH ACCIDENT 1,000, E.LDISEASE-EAEMPLOYE $ 11000, E.LDISEASE-POLICYLIMIT $ 1,000, DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Menifee Building of Site work, SWC Haun Road 8r Newport Road, Menifee, CA 92584. For Information Purposes Only. CERTIFICATE HOLDER CANCELLATION CITY OF MENI E FINANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee OCT 0 7 2019 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Menifee, CA 92586 RECEIVED AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Safeco Insurance Company of America Mailing Address: �} I �7P.O. Box515097 I I s U U n e1 MLos Angeles, CA 90051-5097 ; A i.lbCrty Mutual (,onip nv Phone: (509) 892-3364 elly HA WFEE Fax: (888) 268-8840 October 2, 2019 OCT 0 7 2019 RECEIVED City Of Menifee 29714 Haun Road Menifee, CA 92586 Claim Number: 202244186033 Insured Name: Christian Malit Date of Loss: February 8, 2018 Policy Number: X5959300 Underwriting Company: Safeco Insurance Company of America RE: Claim status Dear City Of Menifee: Our commitment to you was to handle your claim quickly and efficiently, therefore, we wanted to inform you of the status of your claim. The circumstances of this occurrence are still under active investigation. The fact gathering of the details for your claim requires additional time and consideration before we can complete the final determination on your claim. We are still working to resolve your claim, here's why: • We are still waiting for Southern Edison to send their demand Thank you for your continued patience. Christina Boggess christina.boggess@safeco.com (509) 892-3364 Fax: (888) 268-8840 CA1505 /EF 10/14