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2014/04/08 Dekra-Lite Industries, Inc. Certificate of Liability InsuranceDATE (MMIDDIYYYY) ACORO® CERTIFICATE OF LIABILITY INSURANCE 4/15/2014 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). CONTPRODUCER Spectrum Risk Management NAME: Account Manager 74 Discoveryry PHONE FAX Irvine, CA 92618 A! IC, No Ext): 949-756-5730 _(Aro, No): 949-756-5740 _ E-MAIL ,- _ INSURER(S) AFFORDING COVERAGE NAIC # www.spectrumrisk_com _ OC77485_ _ INSURER A: Golden Eagle Insurance Coporation _ _1_0_8.36_ INSURED INSURER B Dekra-Lite Industries, Inc. — -- 3102 W. Alton Ave. INSURER C : Santa Ana CA 92704 INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: 19R3dnn1 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. INSR LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDDIYCY YYY FF MMIDDIIYYYY LIMITS A `/ COMMERCIAL GENERAL LIABILITY ✓ CBP8903147 4/8/2014 4/8/2015 EACH OCCURRENCE 5 1,000,000 -MADE a OCCUR DAMAGE "CLAIMS PREMISES OEa occurrence) 5 500,000 ✓ MED EXP (Any one person) S 10,000 No Deductibles PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL_ AGGREGATE S 2,000,000 POLICY FVJ PRO-- LOC PRODUCTS - COMP/OP AGG' 2,000,000 2,000,000 !S I OTHER: A AUTOMOBILE LIABILITY i BA8903247 4/8/2014 4/8/2015 (Ea accident SINGLE LIMIT 1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) $ S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS Iv PROPERTYDAMAGE Per accident S — NON -OWNED HIRED AUTOS ✓-I AUTOS No Llability Deductible $ A UMBRELLA LIAB �/ OCCUR CU8903347 4/8/2014 4/8/2015 EACH OCCURRENCE $ 2,000,000 AGGREGATE 5 2.000.000 ✓ EXCESS LIAB CLAIMS -MADE _ DED ✓ RETENTIONSNIL _ Prod/Comp Ops Aggreg _ to 2,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N �NIA PER OTH- STATUTE ER ________ ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? ❑ E.L. DISEASE - EA EMPLOYEO S (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT 5 A Hired Auto Physical Damaoe-ACV - BA8903247 4/1/2014 4/812,119 ACV Less $1,000 Deductible $80,000 Maximum Value DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Menifee and its officers, employees, agents, and authorized volunteers shall be covered as additionalinsureds per forms attached to the policy when required by written contract, agreement or permit. CERTIFICATE HOLDER CANCELLATION Clt Of Menifee City Manager SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE yy Y 9 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS. Menifee CA 92586 AUTHORIZED REPRESENTATIVE Alfonso Galvez ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 19834001 CLIENT CODE: DEKRIND-01 JoAne Meyer 4/15/2014 10:14:37 AM Page 1 of 2 Policy Number: CBP8903147 j Coverage 15 Provided in PEERLESS INSURANCE COMPANY • A STOCK COMPANY I i Named Insured, Acgen(: SPI=GTRUM RISK MANAGEMENT U 11,4S Dekra-Lite Industries, Inc. Agent Cade: 429595.9 Agent Phone., (949.)-756-5730 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This indorsement rredifies insurance providod under the fallowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART Section 11 — Who Is An Insured is amended to inciude as an addiliorra) insured the persons) or organizationfsl shou/n in the Schedule, bur, unly witti respect to (lability for 'bo4ily injury' or "properly damage' Caused, in whole or in part, by `your work" at the location designated and described in the schedule of this endorsement performed for that additional in, sired and included in the "products -completed operations hazard'. SCHEDULE Name Of Additional Insured Persons) Or Organization(s): ANY PERSON OR ORGANIZATION WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT, AGREEMENT OR PERMIT TI-tAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADD'L INSURED ON YOUR POLICY TO PROVIDE INSURANCE SUCH AS IS AFFORDED UNDER THIS COVERAGE PART Location And Description Of Completed Operations: ANY LOCATION AT WHICH Y01.1 PCRFOMED WORK DESCRIBED IN WRITING IN THE CONTRACT, AGREEMENT OP. PERMIT FOR A PERSON OR ORGANIZATION THAT Ht\S BEEN aUALIFIL"D AS AN ADDITIONAL INSURED IN THIS ENDORSEMENT. Information required to complete this Schedule, if not shown abovo, will he shown in the Declarations 1D ISO Pre)periies, Inr,., 200A CG 20 37 (07104) CERT NO.: 19834001 CLIENT CODE: DEKRIND-01 JoAnn Meyer 4/15/2014 10:14:37 AM Page 2 of 2