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2019/02/01 Crew, Inc. Certificate of Liability Insurance (3)CREWINC-01 BMA Rf_N A�oRo CERTIFICATE OF LIABILITY INSURANCE DATE 01123 /2019Y) _ — 01/23/201 s 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 pollcy, certain policies may require an endorsement. A statement on this certificate does not confer rl hts to the certificate holder in lieu of such endorsement s). PRODUCER License # 0757776 CONTACT _NA - Newport Beach, CA - HUB International Insurance Services Inc. PHONE FAX 4695 MacArthur Court, Suite 600 City of Menifee N-c,L °' EM: (949) 623-3980 i A/c, No):949) 891-0407 Newport Beach, CA 92660 City Clerk ADDRESS-. - - _-- - - rr- INSURED YT 0 1 Crew, Inc. INSURER C: 19618 S. Susana Road Received INSURER D : Rancho Dominguez, CA 90221 INSURER F : UVERAGES CERTIFICATE UMBER: 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. _ R TYPE OF INSURANCE AODL V VD POLICY NUMBER +pICCYY ErrY [-POLICY EXP l LMM1QDf0YYY3 ' LIMITS A X I COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X 1 OCCUR AGGREGATE LIMIT APPLIES PER: POLICYJX PRO- JEC7 ❑ LOC Mot: I_ AlCG94241810 02/01/2019 02/01/2020 EACH OCCURR DAMAGEs[Ift MEDEXP y55 GEN'L -1 PERSONALA AI GENERAL Acid PRODUCTS-q A 1 AUTOMOBILE LIABILITY X ANY AUTO _ OWNED SCHEDULED AUTOS ONLY AUTOS i HIREDyy D ONLY A�TOS ON� A 1 CA94241810 02/01 /2019 02/01/2020 COMBINED SIN( -(Ea�4orlq.— BODILY INJURY -- BODILY INJURY eQ �R DAh UMBRELLA LIAB 1::[0ZCCw,EXCESS LIAB IMS-MADE + I 1{ I RGGREGATE DED I I RETENTION $ A j WORKERS COMPENSATION i i I ' X I PER AND EMPLOYERS' LIABILITY Yr _ ATUIE •ANYPROPRIETORrPARTNEWEXECUTI'VE A1CW94241810 02l01/2019 02/01/2020 pFFICERIMEMgER EXCLUDED? N / A E.L. EACH ACC [Mandatory In NH} IFyes, describe under E.L. DISEASE - . DESCRIPTION OF OPERATIONS below E.L. DISEASE - ESCRiPTIOH OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) E: Alt operations performed by the Named Insured during the current policy period. City of Menifee 29714 Haun Road Menifee, CA 92586 LIMIT 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 ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ARf> � AGENCY CUSTOMER ID: CREWINC-01 LOC M 1 ADDITIONAL REMARKS SCHEDULE (AGENCY License # 0757776 NAMED INSURED INewport Beach, CA - HUB International Insurance Services Inc. Crew IncS. _ 1961� S. usana Road POLICY NUMBER Rancho Dominguez, CA 90221 SEE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance BMARIN Page 1 of 1 Cancellation: Should the policy(ies) be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HUB INTERNATIONAL INSURANCE SERVICES INC 4695 MACARTHUR COURT STE 600 NEWPORT BEACH, CA 92660-1661 CITY OF MENIFEE 29714 HAUN RD MENIFEE CA 92566-6540