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2016/07/09 Gary F. Hoyt Landscape Arch, Inc. Certificate of Liability Insurance07-05-2016 6:33 PM Fax Nino Abad 01 �_ AC ORLD� ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDIYYYY) 7/5/2016 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 endorsements . PRODUCER Cavignac & Associates 450 B Street, Suite 1800 San Diego CA 92101 CONTACT Certificate Department PHONE 619 744 0574 FAX 619 234 8601 A/C No EMAIL . certificates@cavignac.com cavi @ 9 INSURER(S) AFFORDING COVERAGE NAIC k INSURERA:Travelers Property & Casualty Compa 25674 INSURED GARYFHO-01 INSURER B : INSURER C : Gary F Hoyt Landscape Arch Inc Mr. Gary Hoyt 12888 Francine Terrace INSURER D INSURER E : Poway CA 92064 INSURER F COVERAGES CERTIFICATE NUMBER: 1666808959 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 INSD W VD POLICY NUMBER POLICY EFF MMIDDIYYYY) POLICY EXP IMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE �X OCCUR Contractual Liab Y 6802727L490 7/9/2016 7/9/2017 EACH OCCURRENCE $1.000.000 Ely PREMISES Ea.c'urrence $1:000,000 X MED EXP (Any one person) $10:000 X Separation of In PERSONAL & ADV INJURY $11000:000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PELT LOC OTHER: GENERAL AGGREGATE $2.000.000 PRODUCTS - COMPjOP AGG $2,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO AUTOWNED SCHEDULED AUTS NON -OWNED HIRED AUTOS X AUTOS INCL IN GL Y 6802727L490 7/9/2016 7/9/2017 Ea accident $ Included BODILY INJURY (Per person) $ BODILY INJURY (Peraccident) $ X Per accident $ X $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE F-1 OFFICER/IdEIABER EXCLUDED? (Mandatory in NH) Ifyes, describe under DESCRIPTION OF OPERATIONS below NIA UB673SY949 7/9/2016 7/9/2017 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1.000.000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Newport Road West Widening/CIP No. 15-04. Additional Insured coverage applies to General and Automobile Liability for City of Menifee per policy form. CERTIFICATE HOLDER CANCELLATION City of Menifee 29714 Haun Road Menifee CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. REPRESENTATIVE @ 1988-2014 ACORD CORPORATION. All rights reserved. Arnon oc 1'H14 Alr14l -rt.— Arnon ......,, --A I.......,....—-:.-.......i --A,— ,.a Arnon