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2018/05/01 Lee & Stires, Inc. Certificate of Liability Insurance (3)A4CCWU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� 1 12128/2018 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). ONTACT PRODUCER Patriot Risk & Insurance Services H,AME: 2415 Campus Drive, Suite #200 ptaid"EA Ext3; 1949) 486.7900 F Q Nul; (949) 486-7950 Irvine, CA 92612 CITY Of MenefeerADDRESS, City Clerk INSURERJ$) AFFORDING COVERAGE NAIC a www.patrisk.com OK07568 INSURED Lee & Stires Inc. PO Box 2124 Montclair CA 91763 INSURER A : Ironshore �019 INSURERS: Wesco Inl INSURER C : First Mer( Received INSURER D : Insurance INSURER E : Hartford F of The West COVERAGES CERTIFICATE NUMBER: 41`12279An REVISION NUMBER: 25011 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. I T. TYPE OF INSURANCE ADDL �SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A f COMMERCIAL GENERAL LIABILITY AGS0024706 5/1/2018 5/1/2019 EACH OCCURRENCE $ 1 000 000 CLAIMS -MADE L. i OCCUR DAVA—dE10 RIEIIITIED Wag occurrence $50 000 MED EXP (Any one person $rJ 000 PERSONAL &ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 ✓� LOC POLICY JE0 PRODUCTS - COMPIOP AGG $ 2 000 000 $ OTHER: B AUTOMOBILE LIABILITY WPP161951800 5/1/2018 5/1/2019 COMBINED SINGLE LIMIT _.(Ea accide,�r $ 1 000 000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS PRO $ HIRED NON -OWNED +� AUTOS ONLY f AUTOS ONLY(Par C UMBRELLA LIAB ,/ OCCUR CAEX000005378804 5/1/2018 5/1/2019 EACH OCCURRENCE $5000000 AGGREGATE $ 5 000 000 EXCESS LIAB CLAIMS -MADE pEp I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N OFFICER/MEMBER EXCLU EXCLUDED? ECUTIVE � N / A WSD502254906 11112019 1/112020 PER OTH- E.L. EACH ACCIDENT 81 0R0 000 E.L. DISEASE - EA EMPLOYE $ Q0,Q00 (Mandatory In NH) UIf yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 E Inland Marine 72UUMZD0480 5/112018 5/112019 LeasedlRented $300,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Transportation Permit *30-day notice of cancellation / 10-days for non-payment of premium. CERTIFICATE HOLDER Cityy of Menifee 29714 Huan Rd. 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 Dave Jacobson ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 6227290 1 18/19 - GL/AU/UMB/IM - 19/20 WC I Annette Romero 1 12/28/2018 6:49:15 AM (PST) I Paqe 1 of 3 Lee & Stires Inc. POLICY NUMBER: AGS0024706 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations As required by written contract. If required by your agreement with such Additional Insured. Additional Insureds shown in a written contract, or written agreement that includes primary and non- contributory wording where required. If anyone, other than the Additional Insured, provides similar insurance for the Additional Insured, then this insurance will apply as outlined in SECTION IV — COMMERICAL LIABILITY CONDITIONS, paragraph 4. Other Insurance, subparagraph c. Method of Sharing. The inclusion of one or more Insured(s) under the terms of this endorsement does not increase our limits of liability. All other terms and conditions remain unchanged. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to 2. The acts or omissions of those acting on your include as an additional insured the person(s) or behalf; organization(s) shown in the Schedule, but only in the performance of our ongoing operations for with respect to liability for "bodily injury", "property p y g g p the additional insured(s) at the location(s) damage" or "personal and advertising injury" caused, in whole or in part, by: designated above. However: 1. Your acts or omissions; or CG 2n 1n nA 13 t7 Inciiranra Sarviras Offira Inr. 2(112 Pane 1 of 2 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Pane 2 of 2 n Incuranr.P SP.n/IRP.R Offir.P Mr.. gn17 Cr. 20 10 04 13