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2012/09/01 Law Offices of Dapeer, Rosenblit & Litvak, LLP Certificate of Liability Insurance
ACORO® CERTIFICATE OF LIABIL''I�l'(4NSWRANCE DATE (MMIDD/YYYY) 08-03-2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND G(,�NFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND. 6C4fkteQj 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 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 Dominion Insurance Services 370 Park Street, Suite 8 CONTACT NAME: Lawrence D. Hilton a"MAIL • (925) 313-9977 FgAjC No: (925) 313-9978 ADDRESS: larry.hiltonpdominionirtcltran ce. com INSURERS AFFORDING COVERAGE NAIC # Moraga, CA 94556 INSURERA: Travelers Property Casualty Company of America 25674 INSURED INSURER B : Travelers Property Casualty Company of America 25674 Law Offices of Dapeer, Rosenblit & Litvak, LLP 2770 East Slauson Avenue INSURER C INSURERD: INSURER E : Huntington Park, CA 90255 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 VVITH 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MIUUDD EFF EXP MM/DDY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FXI OCCUR Y I-680-6465C440-TIL-12 09-01-2012 09-01-2013 EACH OCCURRENCE S 2,000,000 DA AGE To RENTED PREM SES (E. o..'rence) $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC JECT PRODUCTS - COMP/OP AGG S 4,000,000 S A AUTOMOBILE LIABILITY ANY AUTO ATOSCHEDULED AUTOS v AUTOS v NON -OWNED A HIREDAUTOS ^ AUTOS I-680-6465C440-TIL-12 09-01-2012 09-01-2013 COMBINED SINGLE LIMIT Ea accident 2,000,000 BODILY INJURY (Per person) S BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ S UMBRELLA LIAB EXCESS LIAB HOCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED I RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY FFICERIME BEER EXCLUDED? ECUTIVE (Mandatory in NH) If yes, desc4ibe under DESCRIPTION OF OPERATIONS below N / A IJUB-6465C96-2-12 09-01-2012 09-01-013 x WC STATU- OTH- E.L. ACCIDENT S 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE attn: Wendy Welch, Accounting Manager THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Road ACCORDANCE VETH THE POLICY PROVISIONS. Menifee, CA 92586 AUTHORIZED REPRES NATIVE 1 i ©1 )F 10 R)h CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered r arks of ACORD