2013/09/01 Law Offices of Dapeer, Rosenblit & Litvak, LLP Certificate of Liability InsuranceACOR" CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08-28-2013
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 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
Moraga, CA 94556
CONTACT
NAME: Lawrence D. Hilton
PHONE
• (925) 313-9977 ac No : (925) 313-9978
ADDRESS: larry.hilton(cr�dominioninsurance.com
INSURERS AFFORDING COVERAGE
NAIC #
INSURERA : Travelers Property Casualty Company of America
25674
INSURED
Law Offices of Dapeer, Rosenblit & Litvak, LLP
2770 East Slauson Avenue
INSURER B : Travelers Property Casualty Company of America
25674
INSURER C
INSURERD:
Huntington Park, CA 90255
INSURERE:
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 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.
I
LTR
TYPE OF INSURANCE
INSR ADDL
WVD SUER
POLICY NUMBER
MNWDDY�
POLICYEXP
LIMITS
A
GENERAL LIABILITY
I� COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
Y
I-680-6465C440-TM-13
09-01-2013
09-01-2014
EACH OCCURRENCE
$ 2,000,000
AMAGE To RENTED
PR M SES (E. occurrence)
ccurrence)$
300,000
MED EXP (Any one person)
$ 5,000
PERSONAL B ADV INJURY
$ 2,000,000
GENERAL AGGREGATE
$ 4,000,000
GGEN'LAGGREGATE LIMIT APPLIES PER:
A POLICY PRO- LOC
PRODUCTS - COMP/OP AGG
S 4,000,000
$
A
AUTOMOBILE
LIABILITY
ANY AUTO
AUTOS OS AUTOS SCHEDULED
AU
NON-OWNED
HIRED AUTOS LAUTOS
I-680-6465C440-TM-13
09-01-2013
09-01-2014
(CEO,a.,Ndan SINGLE LIMIT
$ 2,000,000
BODILY INJURY (Per person)
$
X
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
S
S
UMBRELLA LIAR
EXCESS LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
DED I I RETENTION S
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITYER
OFFICERIMEM ER EXCLUDED? ANY ECUTIVE
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N / A
IJUB-6465C96-2-13
09-01-2013
09-01-014
x WC STATU- OTH-
E.L.EACH ACCIDENT
$ 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, Additlonal Remarks Schedule, if more space Is required)
CERTIFICATE HOLDER CANCELLATION
City of Menifee
attn: Wend Welch, ACCOURtIn Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Y g g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
29714 Hain Road ACCORDANCE IT'
H THE POLICY PROVISIONS.
Menifee CA 92586
AUTHORIZED REPRES�Vt
A
�l\
' t988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered(r arks of ACORD