2018/07/07 Inland Empire Landscape, Inc. Certificate of Liability InsuranceG
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
7/6/2018
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
CONTACT
NAME: Kathy Tran
The Empire Company
PHONE 714-836-9945 x103 FAx - --- -- - -
_E No, Ext):_...--- -- -- -
550 North Park Center Drive
M - --
ADDRESS:KTran@empire-co.com
Suite 205
INSURERS AFFORDING COVERAGE NAICtt
Santa Ana CA 92705
INSURERA:Benchmark Insurance Company
141394
INSURED
INSURER B
Inland Empire Landscape Inc.
-
INSURER C :_
2456 Kern St.
-- ---� - --�
INSURER D :
INSURER E
-- - ---
San Bernardino CA 92407
INSURERF:
%,UVCKAGES CERTIFICATF- Nt1MRFP-2018/201q Ma�tar M=11 ernu .nr..r,�r,.
-- �wwn na.nnoGr�.
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 I IADDL SUBRI POLICY EFF POLICY EXP --- - - ----
LTR TYPE OF INSURANCE � POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE r—II OCCUR
Clty of Menifee
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES Ea occurrence
$
$
MED EXP (Any one person)
Clty Clerk
$
PERSONAL & ADV INJURY
-
$
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICYF_j PE0 LOC
IJUL 12 2018
j
GENERAL AGGREGATE
_
$
$
$
PRODUCTS -COMP/OP AGG
OTHER:
--
-
$
AUTOMOBILE
LIABILITY
Re�1Ved
_
COMBINED SINGLE LIMIT
(Ea accident)
$_
rBODILY INJURY (Per person)
$
-$ -- - --
f
1 - - =
$
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
AUTOS
BODILY INJURY (Per accident)
PROPERTY DAMAGE
{Per accident)
Is
11
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS -MADE
I
EACH OCCURRENCE is
AGGREGATE
$
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED) ❑
(Mandatory in NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
N/A
I
CST5013215
I
7/7/2018
7/7/2019
I
X STATUTE ER H_-j
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYE
$ 1, 000, 000
E.L. DISEASE - POLICY LIMIT
— _--
$ 1,000,000
i
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
RE: Landscape Maintenance/Installation
City of Menifee
29714 Haun Rd
Menifee, CA 92586
GLLH I lull
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 (2014/01)
INS025 (201401)
thy Tran/KATHY
c�
U 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD