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2019/10/01 Inland Valley Construction Company, Inc. Certificate of Liability InsuranceINLANDVAL- R.FINLAYS( CERTIFICATE OF LIABILITY INSURANCE FDATE(M _ 91261201YYY) 209 9 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: CITY IN MENIFEE PHONE AC No, EXt): (949) 553-9800 FAX Noa:(949) 553-0670 The Wooditch Company Insurance Services, Inc. FFIPAIIICE - 1 Park Plaza, Suite 400 W&S; _ Irvine, CA 92614 aE P 3 20 f 9 INSURER S AFFORDING COVERAGE NAIC # - ct�lJ INSURER A:Old Republic General Insurance Corporation 24139 INSURED R�� INSURERB: Inland Valley Construction Company, n INSURERC: 18382 Slover Ave. INSURER D. Bloomington, CA 92316 INSURER E INSURER F : OVERAGES CERTIFICATE NUMBER: 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. ,T R. TYPE OF INSURANCE ADt]L SUBR POLICY NUMBER POLICY Er I PaLICY EXP TR INSOp „ !�+-.10o7YYj'1�)_��)_ LIMITS A X COMMERCIAL GENERAL LIABILITY II EACH OCCURRENCE $ 1,000,0 CLAIMS -MADE N OCCUR A1CG96191810 10/1/2019 10/1/2020 DAMAGE TO RENTED 100,0 P_RF°�)b5t S 4E�as�ucrsj $ MED EXP (Any one person 5'0 PERSONAL & ADV INJURY 1,000,0 G@N'LAGGREGATE LIMIT APPLIES PER: GENERAL AG REGATE 2,000,0 POLICYF%r jE LOG 2,000,0 PRODUCTS -COMP/OP AGG OTHER: A l AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X AUUTOS ONLY ,A1CA96191810 10/1/2019 10/1/2020 COMBINED SINGLE LIMIT !Ea aceldentl BODILY INJURY P c INJURY (Per accid pBODILY r&w.- G UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB + CLAIMS -MADE AGGREGATE DED RETENTION $ $ A WORKERS COMPENSATION X PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN A1CW96191810 10/1/2019 1011/2020 1,000,000 OFFICER/MEMBER EXCLUDED? � N / A E.L- EAGH AGClDENT $ (Mandatory in NH) I 1,000,000 E.L. DISEASE - EA EMPLOY es, describe under nPIf F rR PTION r1W r)PPQATIrIAIC i..1—, r i nirrncr nni inv i ,ir a « 1.000.ODU DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) tE: All operations performed by the Named Insured during the Current policy period. City of Menifee 29714 Haun Rd. Sun City, 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 AGENCY CUSTOMER ID: INLANDVAL- RFINLAYSON LOC #: 1 A�aRO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Inland Valley Construction Company, Inc. 18382 Slover Ave. POLICY NUMBER Bloomington, CA 92316 SEE PAGE 1 CARRIER NAIC CODE EE PAGE 1 ]SEE P 1 EFFECTIVE DATE: SEE PAGE 1 DDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabili Insurance Cancellation: *Except 10 days notice of Cancellation for non-payment of premium. *Should this policy be cancelled before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD