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2019/08/31 Inland Empire Stages, LTD Certificate of Liability Insurance
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) acoRlio 8/22/2019 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 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 Jessica Landeros TIB Transportation Ins Brokers F'HDNE g18-246-2800 FAX No:818-246-4690 425 West Broadway, Suite 300 Glendale CA 91204 '-MAIL • 'landeros tibinsurance.com INSURERS AFFORDING COVERAGE NAIC # INSuRFR A - Lancer Insurance Comoanv 26077 INSURED INLAN-1 INSURER B : Inland Empire Stages Ltd. 0567 Eighth Street INSURERC: Rancho Cucamonga CA 91730-4504 INSURER D : INSURER E : INSURER F : C(1\/FRArFS rPQTIFICATF NIIMRFR• 1QnA1A,Q1QR 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. POLICY EFF IY EXP LTR ! _ TYPE OF INSURANCE JNSD AUDL SUER POLICY NUMBER MMIDD/YYYY MMLDCDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y GL156100917 8/31/2019 8/31/2020 EACH OCCURRENCE $ 5.000,000 CLAIMS -MADE I -' 1 OCCUR PREPEa occurrence $100 000 MED EXP Any one person) $ 5,000 PERSONAL & ADV INJURY $ 5 0 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 FM q POLICY LOC PRODUCTS -COMP/OP AGG $ ER $ A AUTOMOBILE LIABILITY Y BA157040#17 8/31/2019 8/31/2020 C4 -1111 (SINGLE UM1T $ 5,000000 _BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ ALL OWNED SCHEDULED er PPROaPER ccida DAMAGE $ XHIJREDSAUTOS AUOTOSED rx UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ PDED XCESS LIAR CLAIMS -MADE II RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE R E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N / A (Mandato-i in NH) E.L DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ If yes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is included as additional insured but only to the extent that the certificate holder is held liable for the conduct of the named insured CERTIFICATE HOLDER U"Y OI Iienifee CANCELLATION y CleI h 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 r © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD