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2012/04/08 Dekra-Lite Industries, Inc. Certificate of Liability InsuranceACORDM DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/12/2012 PRODUCER 949.756.5730 FAX 949.756.5740 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Spectrum Risk M mt. & Insurance Ser•vi.ces r r ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE p g I f i y '� /�� ' f HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA Li c . #OC77485 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 74 Discovery/a f Irvine, CA 92618 -°' - INSURERS AFFORDING COVERAGE NAIC # INSURED Dekra-Lite Industries Inc. IIIUIERA: Golden Eagle Ins Corp 10836 3102 W. Alton Ave. Received INSURERB: Santa Ana, CA 92704 INSURERC: INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L LTR INSRD, TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM/DD/YYYY POLICY EXPIRATION I DATE MM/DD/YYYY LIMITS GENERAL LIABILITY CBP8903147 04/08/2012 04/08/2013 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE FXI OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ SOD, OOO MED EXP (Any one person) i $ 10,000 A PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 17 POLICY n PE� n LOC AUTOMOBILE LIABILITY ANY AUTO BA8903247 04/08/2012 04/08/2013 COMBINED SINGLE LIMIT (Ea accident) I $ 1,000,000 X BODILY INJURY (Per person) $ A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X T BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) I $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC AUTO ONLY: AGG j $ $ EXCESS / UMBRELLA LIABILITY CU8903347 04/08/2012 04/08/2013 EACH OCCURRENCE Is 2,000,000 OCCUR CLAIMS MADE AGGREGATE Is 2,000,000 A $ $ DEDUCTIBLE X RETENTION $ 0 $ • WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ OFFICER/MEMBER EXCLUDED? I I W TATU- OTH-I TORY LIMITS ES E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT 1 $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS A ty of Menifee and its officers, employees, agents, and authorized volunteers shall be :overed as additionalinsureds per forms attached to the policy when required by written contract, agreement or permit. 'Except 10 day notice for non-payment of premium CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Meni fee IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City Manager REPRESENTATIVES. 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee, CA 92586 Alfonso Galvez/PATH ACORD 25 (2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 25 (2009/01)