Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2018/10/01 Inland Valley Construction Company, Inc. Certificate of Liability Insurance
INLANDVAL- CPALMER '4�oRo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 09 9127/2018 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 endorsement(s). PRODUCER City of Menifee The Wooditch Company Insurance Services, Inc. City 1 Park Plaza, Suite 400 y Clerk Irvine, CA 92614 CONTACT NAME: PHONE X No, Ext): (949) 553-9800 1 (A/C, No):(949 553-0670 ) E-MAIL ADDRESS: — "- � 20 � � OCT� 042018 U INSURERS AFFORDING COVERAGE NAIC # INSURER A:Old Republic General Insurance Corporation 124139 INSURED INSURER B : INSURER C : Inland Valley Construction Company, Inc. Received INSURER D : 18382 SloVer Ave. Bloomington, CA 9231E INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER: RFVISION NI IMIRFP: 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. ILNSR TR TYPE OF INSURANCE !ADDLISUBR IN D ! WVD POLICY NUMBER POLICY EFF POLICY EXP MM DD MM DD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE '- OCCUR A1CG96191809 10/01/2018 10/01/2019 EACH OCCURRENCE I $ 1,000,000 DAMAGE TO RENTED 100,000 PREMISES (Ea occurrence)$ MED EXP (Any one person $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY FX] JECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 I $ A AUTOMOBILE X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY r AUTOS ONLY AlCA96191809 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT 1,000,000 Eaaccident $ BODILY INJURY Perperson) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE !$ AGGREGATE DED RETENTION $ $ A !WORKERS AND EMPLOY MSA II COMPENSATION Y/ N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A A1CW96191809 10/01/2018 10/01/2019 X STATUTE ER IPER E.L. EACH ACCIDENT 1,000 000 1,000,000 $ E.L. DISEASE - EA EMPLOYEE! $ 1,000,000 E.L. DISEASE - POLICY LIMIT I $ 1,000,000 I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: 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. 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- LOC #: CPALMER ACORN` ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Inland Valley Construction Company, Inc. 18382 Slover Ave. Bloomington, CA 92316 POLICY NUMBER EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 HLJLJI I IUINML THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability 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.* AGUKU 'I U1 (LUU81M) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD