2008/07/28 Cornerstone Management, Inc. Certificate of Liability InsurancePRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BB&T INS SVCS OF CA INC/PHS/ORANGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
180672 P: (866)467-8730 F: (877)905-0457 _ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015 -- -
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
'"s°RE° INSuRERA:Hartford Casualt Ins Co
INSURER B:
CORNERSTONE MANAGEMENT, INC. I INSURER C:
PO BOX 1041 INSURER D: _
PALO ALTO CA 94302 INSURERE:
COVERAGES
ANY REQUIREMENT, TERM OR CONDITION
MAY PERTAIN, THE INSURANCE AFFORDED
POLICIES. AGGREGATE LIMITS SHOWN
OF ANY CONTRACT OR OTHER DOCUMENT
BY THE POLICIES DESCRIBED HEREIN
MAY HAVE BEEN REDUCED BY PAID
WITH RESPECT
IS SUBJECT
CLAIMS.
TO WHICH
TO ALL THE TERMS,
u, rvv vI HIV UINI]
THIS CERTIFICATE MAY BE ISSUED OR
EXCLUSIONS AND CONDITIONS OF SUCH
--.—----------' ---
LIMITS
i EACH OCCURRENCE _ $1 000, 000 _
FIRE DAMAGE (Any one fire) i $3 U U , 0 0 0
INSR-
LTR TYPE OF INSURANCE
..__ POLICY NUMBER
POLICY EFFECTNE
_ DATE MM/DD YY
POLICY EXPIRATION
DATE MMOD YY
GENERAL L/A8/C?Y
A COMMERCIAL GENERAL LIABILITY
` CLAIMS MADE OCCUR
X General Liab
GEN'L AGGREGATE LIMIT APPLIES PER:
P
I� POLICY nRO-
JECT LOC
72 SBA LE 54 81
I
10 7/ 2 8/ 0 8
i
0 7/ 2 8/ 0 9
M DE EXP (Any one Derson) $1 0 , 000
- - -
PER(-_ SONAL & ADV INJURY $1 L 0 0 0, 0 00
GENERAL AGGREGATE_ 52 , 000,000
PRODUCTS - COMP/OP AGG 52 , 000, 000
-- -- ----------
AUTOMOB/LE LIABILITY
A I �ANYAUTO
72 SBA LE5481
---
07/28/08
07/28/09
COMBINED SINGLE LIMIT ! $1 0 0 0
COMBINED r ,000
ALL OWNED AUTOS-,,
SCHEDULED AUTOS
--
BODILY INJURY (Per (Per person)
j X i HIRED AUTOS
1 X NON -OWNED AUTOS
BODILY INJURY I (Per accident) $
I
GARAGEL/ABILITY
ANY AUTO
EXCESS LIABILITY
OCCUR CLAIMS MADE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' UAB/LNY
OTHER
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY - EA ACCIDENT S _
OTHER THAN _ EA ACC I $
AUTO ONLY: AGG $
EACH OCCURRENCE $
TE
E.L. EACH AC(
E.L. DISEASE -
E.L. DISEASE -
;S
S
MTH-I
NT $
EMPLOYEE iF$
-ICY LIMIT j S
DESCRIPTION OF OPERA TIONS/LOCAT/ONSIVEH/CLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPEC/AL PRO VISIONS - — — ---- - --
Those usual to the Insured's Operations. Certificate Holder is named
Additional Insured per the Business Liability coverage form SS 00 08, attached
to the policy.
ADDITIONAL INSURED; INSURER LETTER:
CITY OF MENISEE
29714 HAUN RD
MENIFEE,CA,92584
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 (10 DAYS FOR NON-PAYMENT) 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.
REPRESENTATIVE
ACORD 25-S (7/97)
m ACORD CORPORATION 1988