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2012/10/19 Connect Communications Certificate of Liability InsuranceSTATE FARM lam_ 7 0 INSURANCE C� State Farm Specialty Products Producer CERTIFICATE OF INSURANCE Philip Clark PHILIP J CLARK STATE FARM AGENCY 1015 Chestnut Avesuite G3 Carlsbad, CA 92008 Producer Code #: 553400 Producer Fax #.: (760) 730-9075 Named Insured CONNECT COMMUNICATIONS 3575 Rock Ridge Road Carlsbad, CA 92010 COVERAGES ISSUE DATE: November 30. 2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS AFFORDED BY THE POLICIES BELOW. I INSURER AFFORDING COVERAGE I State Farm Fire and Casualty Company BLOOMINGTON, IL 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 POLICY(IES) DESCRIBED HEREIN IS SUBJECT TO ALL THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE PS0000004446900 October 19, 2012 October 19, 2013 TYPE OF INSURANCE LIMIT OF LIABILITY Miscellaneous Errors and Omissions Liability Insurance Policy $1,000,000 - Limit of Liability Each Wrongful Act $1,000,000 - Total Limit of Liability City of Menifee is listed as an additional insured CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS City of Menifee WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED Media Outreach Services TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL 29714 Haun Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Menifee, CA 92586 FA't 1JIVE• CERT(Rev5) (08/11) UL1M Policy No.: 90 BRW023 5 SECTION II ADDITIONAL INSURED ENDORSEMENT Policy No.: 90 BRW023 5 Named Insured: SUAREZ, ANDREA DBA CONNECT COMMUNICATIONS Additional Insured (include address): CITY OF MENIFEE MEDIA OUTREACH SERVICES 29714 HAUN ROAD MENIFEE, CA 92586 FE-6609 WHO IS AN INSURED, under SECTION II DESIGNATION OF INSURED, is amended to include as an insured the Additional Insured shown above, but only to the extent that liability is imposed on that Additional Insured solely because of your work performed for that Additional Insured shown above. Any insurance provided to the Additional Insured shall only apply with respect to a claim made or a suit brought for damages for which you are provided coverage. The Primary Insurance coverage below applies only when there is an "X" in the box. ® Primary Insurance. The insurance provided to the Additional Insured shown above shall be primary insurance. Any insurance carried by the Additional Insured shall be noncontributory with respect to coverage provided to you. All other policy provisions apply. FE-6609 Printed in U.S.A. FE-6671 Page 1 of 1 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SCHEDULE Policy Number: 90 BRW023 5 Named Insured: SUAREZ, ANDREA DBA CONNECT COMMUNICATIONS Name and Address of Person or Organization: CITY OF MENIFEE MEDIA OUTREACH SERVICES 29714 HAUN ROAD MENIFEE, CA 92586 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. Your work done under contract with that person or organization and included in the products - completed operations hazard. This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. FE-6671 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. FE-6671 Printed in U.S.A. (04109) + 6SOL-MOZ6 tl0'0VGSlMV0 alylsoNVAIJO QVS 'd� f D 42130(11a X)MJ 9L5£ sS3aaay'JNnivvi 4.w> SNOIlt/OINf1WW00103NNOO 3VMSS3NIsna VAHO 'Z3iwns aWyN N011"OdUOO - aOMIda3NMO Z Wz/0£/ L 6 - 31VO NOI1Vi11dX3 saouuaS suollelad ollgnd £17L8 NOIldlHOS30 OIS ROOD ols Gi f 30418 >10021 9L96 NOI1VOOl SS3NISn8 Z WZ/9 UM a3nsslalya T!X.TJP ne5 W k F;owa� [P+/11+aa4 A!i+f 9 ��J W snf.��[y�K+f Wl"u9aaaaynaV'+IY aR1-mP�+Y a�aPaw w9�:+�WP�^A "�TiGNl+ni�'A` a WiG �nFd £8L6ZZ 4 2133 N0IlVHlSlS3H SS3NIsn8 800Z6 tlO Peej gsl�eO 'any Aepe�SE96 2f39WnN 'sne ldSn0n3WSN00NI1S0d 4tleS-l2iyO c!0 A110 318V83dSNV81ION DD/YYY ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY) 10,19 i PRODUCER Philip J. Clark Insurance Agency, Inc. 1015 Chestnut Avenue, Ste. G3 Carlsbad, CA 92008 INSURED SUAREZ, ANDREA DBA CONNECT COMMUNICATIONS 3575 ROCK RIDGE ROAD CARLSBAD, CA 92010 COVE THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE I NAIC # INSURERA:State Farm General Insurance Company 25151 25151 INSURER B: INSURER C: INSURER D: INSURER E: 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DDNY) LIMITS A Y GENERAL LIABILITY 90—BR—WO23-5 03-23-2012 03-23-2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ MEDEXP (Any oneperson) $ 5, 000 CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENLAGGREGATE UMITAPPLIES PEP, PRODUCTS -COMP/OPAGG $ 2,000,000 X PRO- LOC POLICY JECT AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY — EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR a CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS' LIABILITY TORY LIMITS ER E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS t_cm 1 Lrm A 1 C nuLur-m CITY OF MENIFEE MEDIA OUTREACH SERVICES 29714 HUAN RD MENIFEE, CA 92586 I:ANUtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Cynthia Clark License #OD83172 e mars by their respective owners @ACORD CORPORATION T-nW77W, 132849 03-13-2007 All rights IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) STATE FARM n INSURANCES State Farm Specialty Products CERTIFICATE OF INSURANCE ISSUE DATE: October 25. 2012 Producer Philip Clark THIS CERTIFICATE IS ISSUED AS A MATTER OF PHILIP J CLARK STATE FARM AGENCY INFORMATION ONLYAND CONFERS NO RIGHTS UPON 1015 Chestnut Avesuite G3 THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES Carlsbad, CA 92008 NOT AMEND, EXTEND OR ALTER THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS AFFORDED Producer Code #: 553400 BY THE POLICIES BELOW. Producer Fax #.: (760) 730-9075 INSURER AFFORDING COVERAGE State Farm Fire and Casualty Company Named Insured CONNECT COMMUNICATIONS BLOOMINGTON, IL 3575 Rock Ridge Road Carlsbad, CA 92010 COVERAGES 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 POLICY(IES) DESCRIBED HEREIN IS SUBJECT TO ALL THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE PS0000004446900 October 19, 2012 October 19, 2013 TYPE OF INSURANCE LIMIT OF LIABILITY Miscellaneous Errors and Omissions Liability Insurance Policy $1,000,000 - Limit of Liability Each Wrongful Act $1,000,000 - Total Limit of Liability City of Menifee is listed as an additional insured CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS City of Menifee WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED Media Outreach Services TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL 29714 Haun Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Menifee, CA 92586 AUTHORIZ D EPRESE TIVE CERT(Rev5) (08/11) l..d3LV V[ QvC6!7:ree L-5TATEIARM OCT 2 9 2012 CERTIFICATE OF INSURANCE State Farm Specialty Products ISSUE DATE: October 24. 2012 Producer Philip Clark THIS CERTIFICATE IS ISSUED AS A MATTER OF PHILIP J CLARK STATE FARM AGENCY INFORMATION ONLY AND CONFERS NO RIGHTS UPON 1015 Chestnut Avesuite G3 THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES Carlsbad, CA 92008 NOT AMEND, EXTEND OR ALTER THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS AFFORDED Producer Code #: 553400 BY THE POLICIES BELOW. Producer Fax #.: (760) 730-9075 INSURER AFFORDING COVERAGE State Farm Fire and Casualty Company Named Insured CONNECT COMMUNICATIONS BLOOMINGTON, IL 3575 Rock Ridge Road Carlsbad, CA 92010 COVERAGES 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 POLICY(IES) DESCRIBED HEREIN IS SUBJECT TO ALL THE COVERAGE, TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE PS0000004446900 October 19, 2012 October 19, 2013 TYPE OF INSURANCE LIMIT OF LIABILITY Miscellaneous Errors and Omissions Liability Insurance Policy $1,000,000 - Limit of Liability Each Wrongful Act $1,000,000 - Total Limit of Liability City of Menifee is listed as additional insured CANCELLATION CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS City of Menifee WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 29714 Haun Road TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL Menifee, CA 92586 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. F0 AUTHORIZ D EPRESE TIVE CERT(Rev5) (08/11)