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2019/01/01 Dynatest North America, Inc. Certificate of Liability Insurance (3)DATE(MM/DD/YYYY) AFRO® CERTIFICATE OF LIABILITY INSURANCE 1 01/OS/2019 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 poiicy(les) 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. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Southwest, Inc. Houston Tx office City of Menifee CONTACT NAME' AC N. Ext : (866) 283-7122 F (800) 363-0305 5555 San Felipe suite 1500 City Clerk R-MAIL ADDRESS: Houston TX 77056 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED- INSURERA: Philadelphia Indemnity Insurance Company 18058 DvnateSt North America, Inc. Dynatest Consulting, Inc. 11415 old Roswell Rd., suite 100 Received INSURERB: AXA Insurance Company 33022 INsuRERc: U.S. Specialty Insurance [0 29599 Alpharetta GA 30009-2084 USA INSURER D: Toki o Marine specialty Insurance Company 23850 INSURER E: INSURER F: 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 COND)TION 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. Lim Its shown are as requested tMR LTR TYPE OF INSURANCE S WV POLICY NUMBER M/DD LIMITS 13 X COMMERCIAL GENERAL LIABILITY PCS EACH OCCURRENCE $ 5 , 000 , 000 CLAIMS -MADE OCCUR PREMISES E =Vrfence $100,000 MED EXP (Anyone person) $10, 000 PERSONAL & ADV INJURY $ 5 , 000 , 000 GEN'LAGGREGATE LIMITAPPLIES PER: X POLICY ❑ PROJECT LOC GENERAL AGGREGATE $5,000,000 PRODUCTS - COMP/OP AGG $5,000,000 OTHER: A AUTOMOBILE LIABILITY PHPK1923243 01/01/2019 01/01/2020 COMBINED SINGLE LIMB / n $1,000,000 BODILY INJURY ( Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident HIREDAUTOS NON -OWNED ONLY AUTOS ONLY Comp./Coll. Deductible $1, 000 D UMBRELLALIAB H OCCUR PUB660662 01/01/2019 01/01/2020 EACH OCCURRENCE $1,000,000 X EXCESS LIAB CLAIMS -MADE AGGREGATE $1,000,000 IDED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ (Mandatory In NH) , describe under CRIPTION OF OPERATIONS below N / A OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE E.L. DISEASE -POLICY LIMB tE&O-PL-Primary USS1929336 Claims Made 01/0- 2019 Ol/Ol/2020 Per Claim/Aggregate Deductible $1,000,000 $35,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Add III onal Romarka SchoduIQ, maybe attached ff more space Is regWrad) city of Menifee, its council Members, officers, agents and employees are included as Additional insured in accordance with the policy provisions of the General Liability policy. aI M CERTIFICATE HOLDER CANCELLATIONS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - POLICY PROVISIONS. City of Meni fee AUTHORIZED REPRESENTATIVE - 29714 Haun Road Menifee CA 92586 USA L ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD