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2018/12/17 Heartland Grading, Inc. Certificate of Liability Insurance (3)
HEART-4 A�ORO CERTIFICATE OF LIABILITY INSURANCE D 1 (MM/DD/YYYY) 12/13/2018 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 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 endorsements . PRODUCER 619-937-0164 Rancho Mesa Insurance Services 250 Riverview Parkway #401 Santee, CA 92071 Cliy of Menif ;�e City Clerk CONrN,Macr Rancho Mesa Insurance Services PHONE 619-937-0164 FAX 619-937-0168 A/c, No Ext : AC, No): E-MAIL INSURERS AFFORDING COVERAGE NAIC # INSURER A: United Specialty Insurance Co 12537 INSURED Heartland Grading, Inc. DEC172018 3142 Tiger Run Ct Ste., # 114 LJ 1, Carlsbad, CA 92010 INSURER B: Nationwide Mutual Ins Company 23787 Travelers Property Casualty Co INSURER C : P Y Y 25674 INSURER D : INSURERE: INSURER F : COVERAGES CERTIFICATE NUMBER: 1 REVISION NUMRFR: 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 TYpEOFINSURANCE ADDL SUB pOLICYNUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR BI/PD DED 10,000 ATN-SF1813429 12/17/2018 12/17/2019 EACH OCCURRENCE $ 1,000,000 DAMPREAGE TISESO R(EaENTED $ 50,000 X MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 B AUTOMOBILE X LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY Comp:$1000 X COII:$1000 ACPBA3028114686 12/17/2018 12/17/2019 COMBINED SINGLE LIMIT accident) 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ X $ A UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE BTN1815056 12/17/2018 12/17/2019 EACH OCCURRENCE $ 6,000,000 X AGGREGATE $ 6,000,000 DE D RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTATUTF ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ I E.L. DISEASE - POLICY LIMB C RentedLeasedEquip 11 QT-660-2G407267-TIL-18 12/17/2018 12/17/2019 Limit Ded. 500,000 1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: PROOF OF COVERAGE CITYMEN 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD