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2017/12/12 De Gange Consulting Certificate of Liability Insurance.,= 0 104-111IL- —PAK" �' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 11/30/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATF HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DDES 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 I NSU RED provisions or 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 CONTACT NAME: Crisma Padilla(9965P6J) PHONE FAX 27412 Enterprise Cir W Ste 202 (A/C, No, EXT): 951-972-3377 (A/c, No): g51-977-4109 E-MAIL Temecula CA 92590-4876 ADDRESS: cpadil!a@farmersagent.com INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Truck Insurance Exchange 21709 INSURER B: Farmers Insurance Exchange 21652 BLANCA A YANES AND JOHN I DE GANGE DBA "De Gange Consulting PO BOX 1494 wsuRERc: Mid Century Insurance Company 21687 INSURER D: INSURER E: TEMECULA CA 92593 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEABOVE FORTHE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDTL INSD SUBR WVD pOLICYNUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE OCCUR - DAMAGE TO RENTED PREMISES (Ea Occurrence) $ 75,000 MED EXP (Anyone person) S 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y N 604701461 12/12/2017 12/12/2018 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 S OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODI LY INJURY (Per person) $ ANYAUTO BODI LY I NJURY (Per accident) $ A OWNEDAUTOS SCHEDULED ONLY AUTOS 604701461 12/12/2017 12/12/2018 PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 43275 CALLE CAPISTRANO, TEMECULA, CA 92590 CERTIFICATE HOLDER CANCELLATION CITY OF MENI FEE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 29714 HAUN ROAD DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPkESENTATIVE CRISMA PADILLA ACORD 25 (2016/03) 31-1769 11-15 ©1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered marks of ACORD 11-#'L" 9 .oft " �I.,...-� CERTIFICATE OF LIABILITY INSURANCE DATE (MM / DD/YYYY) 11/30/2018 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 policy, certain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Crisma Padilla(9965P6J) PHONE FAX 27412 Enterprise Cir W Ste 202 (A/C, NO, EXT): 951-972-3377 (A/C, NO): 951-977-4109 E-MAIL Temecula CA 92590-4876 ADDRESS: cpa(iilla@farmersagent.com INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Trick Insurance Exchange 21709 INSURERB: Farmers Insurance Exchange 21652 BLANCA A YANES AND JOHN I DE GANGE DBA "De Gange Consulting PO BOX 1494 INSURERC: Mid Century Insurance Company 21687 -- INSURER D: INSURER E: TEMECULA CA 92593 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTH ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB)ECTTO ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDTL INSD SUBR WVD pOLICYNUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE /� OCCUR DAMAGE TO RENTED PREMISES (Ea Occurrence) $ 75,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 A Y N 604701461 12/12/2018 12/12/2019 GENT AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY ❑ PROJECT ❑ LOC PRODUCTS-COMP/OPAGG $ 1,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ANYAUTO BODILY INJURY (Per accident) $ A OWNEDAUTOS SCHEDULED ONLY AUTOS 604701461 12/12/2018 12/12/2019 PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER STATUTE OTHER $ E.L. EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/ Y/N EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE E.L. DISEASE -POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) 43275 CALLE CAPISTRANO, TEMECULA, CA 92590 CERTIFICATE HOLDER CANCELLATION CITY OF MENIFEE SHOULD ANY OFT,iFABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION 29714 HAUN ROAD DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE CRISMA PADILLA ACORD 25 (2016/03) 31-1769 11-15 �D1988-2015 ACORD CORPORATION. All Rights Reserved The ACORD name and logo are registered ma cs of ACORD