2019/07/01 Habitat for Humanity Inland Valley Certificate of Liability Insurance.4CORD` CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY)
8/15/2019
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 policy(ies) 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 CONTACT
NAME:
Arthur J. Ga.,agher & Co. PHONE F
Insurance Brokers of CA, Inc. LIC #0726293 A c.N
1255 Battery Street, Suite 450 E-IMAIL
San Francisco GA 94111 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: NonProflts' U
INSURED INSURER B
Habitat for Humnaity Inland Valley (2170)
41615 Winchester Road, Suite 214 INSURER C :
Temecula, CA 92590 INSURERD:
F:
ns Pool
COVERAGES CFRTIFICATF NIIIIARFR• 17):07MAz-�G OC11101r%kr uLl■.ere.
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 — ADDI SI16R44 POLICYEFF
LTR TYPE OF INSURANCE IINSO WVD! POLICY Ku MM.'DDIYY
POLlCYE7(P - -
rMM+FJDIYY UMn'S
COM MERCIAL GEN ERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
O D
S
15
PREMISES Eaoeagren
S
MED EXP (Arty oneperson)
$
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
—
GENtcIAiAGGREGATE
�- 'PRO-
POLICY �J JECT LOC
PRODUCTS -COMP"OP AGG
$
1 $
OTHER:
A
AUTOMOBILELIABILITY Y
NPU1000-19 7/1/2019
7/1/2020 COMBINED SINGLE LIMIT
Fa acpd�nl
1 $2,000,000
X ANY AUTO
BODILY INJURY (Per person)
$
_
OWNED SCHEDULED
$
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
-(Peraeraderr }
$
UMBRELLA LIAB OCCUR
EACHOCCURRENCE
$
EXCESS LIAR CLAIMS -MADE
AGGREGATE
S
DEL, RETENTION SWORKERSC
$
AND EMPLOYERS'
H
I I
L ABILITY Y /❑N
STA TE ER
S
ANYPROPRIETOWPARTNERIEXECXITIVE
OPFICERIMEMEI E R EXCLUDE07 NIA E.L. EACH ACCMENT
If yes. d ory in under
If yes. describe under
E.L. DISEASE - EA EMPLOYEE
$
DESCRIPTION OF OPERATIONS below
EL. DISEASE - POLICY LIMIT I
S
I
i
DESCRIPTION OF OPERATIONS ' LOCATIONS / VEHICLES (ACORD 1D1, Additional RemarKs Schedule, may be attached if more
space is required)
Any Auto means any covered auto under the NPU Vehicle Insurance Program
ADDITIONAL INSURED(S): City of Menifee. its officers, agents and employees
v.+ nvw1n UANCELLATIO N
CITY OF
FINANCE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Meniee AUG 2 2 2019 ACCORDANCE WITH THE POLICY PROVISIONS.
29844 Haun Road
Menifee CA 92586 RECEIVED 47 FaM REPRESENTATIVE
fa,
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2' of 3 4278
NONPROFn
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NonProfits" United Vehicle Insurance Pool
Automobile Liability Coverage
ADDITIONAL COVERED PARTY ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
The "Who is an Insured" section of your Automobile Liability Insurance is changed by adding the
following:
Who is covered includes any person or organization from whom you have leased an auto, from
which you have received funding for your operations, or for who you provide services. These
persons or organization are protected, if they require to be named, and you agree to name them,
as an additional insured, if indicated on the attached Certificate of Coverage, but only with respect
to liability arising out of the ownership, use, maintenance, loading or unloading of a covered auto.
Cancellation:
Should any of the above described policies be cancelled before the expiration date thereof, the issuing
insurer will endeavor to mail 30 days written notice to the certificate holder named on the certificate, but
failure to do so shall impose no obligation or liability of any kind upon the insurer, its agents or
representatives.
Premium Payments:
Those persons or organizations are not responsible for paying premiums for your coverage.
Insured:
Policy Number:
Effective Date:
Authorized Representative:
NPU-VIP
As shown on the Certificate of Insurance attached.
N PU 1000-19
July 1, 2019 to July 1, 2020 (or otherwise indicated)
2019-2020
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