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2018/07/01 Inland Lighting Supplies, Inc. Certificate of Liability Insurancec� I N LAN-6 Q2 ID; SF ,4Co►eo CERTIFICATE OF LIABILITY INSURANCE EMM/DD/YYYY) 0 712019 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 909-793-4085 CONTACT Andrew R. Smith NAME: Andrew R. Smith Ins. Svs.,Inc. HONE 909--FAX 222 E Olive Ave Ste 3 City of Menii`ee PA/C. No, Ezt : 7934085 A/C, No):909-793-5316 Redlands, CA 92373 City Clerk i Andrew R. Smith MAY 1 2019 INSURER A: west American Insurance Co 44393 INSURED Inland Lighting Supplies, Inc. INSURER B : Ohio Security Insurance 24082 3393 Durahart St. Insurance Company of the West 27847 Riverside, CA 92507-3460 Received INSURER C: Pan Y INSURER D INSURER E: INSURER F : Y'fi11FOAr_•CC f'G Cl Tl C 1l ATC kll IAAMCn. 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 TYPE OF INSURANCE ADDL SUBS POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR I BKW56541767 05/30/2019 05/30/2020 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED 500,000 MED EXP [Any oneperson) $ 16,000 PERSONAL & ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY F7 PRO- �� LOC JECT El GENERALTE $ 2,000,000 - COMP/OP AGG 2,000,000 OTHER A AUTOMOBILE LIABILITY COMBINED SINGLE LIMB {E$.=del7i} 1,060,000 X ANY AUTO OWNED I SCHEDULED AUTOS ONLY AUTOS _ BAW56541767 05/30/2019 05/30/2020 BODILY INJURY (Per perwn)$ BODILY INJURY (Per accident Z� li]Y AMAGE $ AUTOS ONLY AUUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE j�j OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) '° yes, describe under DESCRIPTION OF OPERATIONS below N / A �W SD-5042169-00 07/01/2018 07/01/2019 X PER OTH- STATUTE FR E. L. EACH ACCIDENT 1,000,000 E.L DISEASE - EA EMPLOYEE 1,000,000 . DISEASE -POLICY LIMIT 1 000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) *10 Day notice for non-payment of premium. Verification of insurance. L;tK I IVIL;A I L HULlltK CANCELLATION MENIFE2 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd. Menifee, CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD