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2018/01/01 Goldfarb & Lipman LLP Certificate of Liability InsuranceGOLDF-1 OP ID: C4 ,�.�Ku CERTIFICATE OF LIABILITY INSURANCE DATE 01102/2018Y) 01/02/2018 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 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 Brown & Brown Ins Svcs of CA CA License #OD04053 3697 Mt. Diablo Blvd #100 Lafayette, CA 94549 CONT CT Cathy L. Cardas ,CNN El,415-884-7400 we No, 415-884-7470 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # Cathy L. Cardas INSURER A: Sentinel Insurance Company 11000 INSURED Goldfarb 8, Lipman LLP Susan Buechel INSURER B : INSURER C : 1300 Clay Street, 11th Floor Oakland, CA 94612-1425 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE N1IMRER• Dolncrnkr uu,k.o M 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. I�iR TYPE OF INSURANCE ANDDL UB POLICY NUMBER MMIDDY� MMIDDIYYrr LIMITS S X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE rK OCCUR X 57SBABH3097 01/01/2018 01/01/2019 EACH OCCURRENCE S 1,000,000 PREMISES Ea occurrence S 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO POLICY 7JECT LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS -COMP/OPAGG S 2,000,000 $ OTHER: A AUTOMOBILE LIABILITY ANY AUTO 57SBABH3097 01/01/2018 01/01/2019 EOMaBIINdEeD SINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident S S X UMBRELLALIAB X OCCUR EACH OCCURRENCE S 10,000,000 AGGREGATE S 10,000,000 A EXCESS LIAB CLAIMS -MADE 57XHUXQ3233 01/01/2018 01/01/2019 DED I X I RETENTIONS 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A I PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE S (Mandatory in If yes, describe under und E.L. DISEASE - POLICY LIMIT I S DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee, its officers, employees, agents, volunteers are named Additional Insured if required by written contract and per form SS0008 (04/05) attached to the General Liability policy with respect to the operations of the Named Insured. MENIFEE City of Menifee Jeff Wyman 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. AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD