2017/09/30 Degrave Communications Certificate of Liability Insurance (3)A4CC)R ,r CERTIFICATE OF LIABILITY INSURANCE
rA(MM/DD/YYYY)
31 /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
Diamond Valley Insurance Services, Inc.
41856 Ivy Street, Suite 108
Murrieta, CA 92562
CONTACT
NAME: Katie Baker
PHONE FAX
EMA�o xt: (951)553-7400 A/c No: (951)296-6808
ADDRESS: katie@diamondvalleyins.com
INSURERS AFFORDING COVERAGE
NAIC#
License #: OH94716
INSURERA: Hartford Casual Ins Co
INSURED
LIBELEE REGUEIRO
INSURERB: Security National Insurance Company
INSURER C:
DBA: DEGRAVE COMMUNICATIONS
INSURER D:
23899 NUTWOOD WAY
INSURER E:
MURRIETA, CA 92562
INSURER F
COVERAGES CERTIFICATE NUMBER: onnonnon-n RFVICIn AI All IMI3CD• 9A
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
LTR
TYPE OF INSURANCE
ADDLSUBR
POLICY NUMBER
MM/DDNYYY
POLICY
MM/DD/YEYYYl XP
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE � OCCUR
57 SBA ID4078
1913112117
01130/2018
EACH OCCURRENCE
S 2,000,000
PREMISES EaEoccurrrence
S 50 000
MED EXP (Any one person)
S 10,000
PERSONAL &ADV INJURY
S 2,000,000
LIMITAPPLIES PER:
POLICY JET
GENERAL AGGREGATE
$ 4,000,000
GEN'LAGGREGATE
PRODUCTS PRODUCTS - COMP/OP AGG
S 4,000,000
S
OTHER:
I
B
AUTOMOBILE
LIABILITY
SPP1334884-00
04/21/2018
04/21/2019
EOaaEll ccideDtSINGLELIMIT
S 1 000 000
ANY AUTO
BODILY INJURY (Per person)
S
OWNED SCHEDULED
AUTOS ONLY x AUTOS
BODILY INJURY (Per accident)
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per acrJdent
S
S
UMBRELLA LIAB
HCLAIMS-MADE
OCCUR
EACH OCCURRENCE
S
EXCESS LIAB
AGGREGATE
S
DED RETENTIONS
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
N / A
PERERH
E.L EACH ACCIDENT
$
E.L.DISEASE - EA EMPLOYE
S
(Mandatory in NH)
If yes, describe under
E.L. DISEASE- POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Project: Public relations services
City of Menifee and its officers, employees, agents, and authorized volunteers are named as additional insured.
City of Menifee
29714 Haun Road
MENIFEE, CA 92586
VMI\ V GLEN
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
n 1gAR-2n95 ACnPn CnRPnRATInAI nil ri..t,r� .e�e.sa
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD v
Printed by KNB on July 31, 2018 at 09:OOAM
POLICYNUMBER:57 SBA ID4078
F"�
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNER, LESSEES OR CONTRACTOR
Form IH 12 00 11 85 T SEQ. NO. 001 Printed in U.SA. Page 001
Process Date: 07/19/17 Expiration Date: 09/30/18
/ s!
Margarita Cornejo
From: Melching, Jeffrey <jmelching@rutan.com>
Sent: Monday, August 13, 2018 9:44 PM
To: Margarita Cornejo
Subject: Re: Agreement Review Request: Degrave Communications
Margarita:
This agreement is good to go from my standpoint
Best,
Jeffrey T. Melchin#;
Rutan & Tucker, LLP
611 Anton Boulevard, 14th Floor
Costa Mesa, CA 92626
(714) 641-3422 (direct)
imelching@rutan.com
www.rutan.com
RUTAN
Privileged And Confidential Communication.
This electronic transmission, and any documents attached hereto, (a) are protected by the Electronic Communications
Privacy Act (18 USC §§ 2510-2521), (b) may contain confidential and/or legally privileged information, and (c) are for the
sole use of the intended recipient named above. If you have received this electronic message in error, please notify the
sender and delete the electronic message. Any disclosure, copying, distribution, or use of the contents of the
information received in error is strictly prohibited.
On Aug 13, 2018, at 5:55 PM, Margarita Cornejo <mcorneio@cityofinenifee.us> wrote:
Good Afternoon Jeff,
Attached for your review is the proposed Professional Services Agreement with Degrave
Communications for Menifee Moving Development/Publication Services.
This agreement request is from the City's Office of Economic Development.
Can you please review and advise if this is ok to start routing for signatures or will require any changes?
Thank you!
Margarita Cornejo ! Contract & Procurement Administrator
Finance Department
City of Menifee i 29714 Haun Road j Menifee, CA 92586
Direct: (951) 723-3716 ! City Hall: (951) 672-6777 Fax: (951) 679-3843
mcorneio@citvofinenifee.us cityofinenifee.us
Connect with us on social media.<image001.jpg> I <image002Jpg>!<image003.jpg>I<im:,gcOO4.il),,>
<image005.png>
<image006.jpg><image007.jpg><image008.jpg>
*Please note that email correspondence with the City of Menifee, along with attachments, may be subject to the California
Public Records Act, and therefore may be subject to disclosure unless otherwise exempt. The City of Menifee shall not be
responsible for any claims, losses or damages resulting from the use of digital data that may be contained in this email.
<ED- Degrave (Menifee Moving) PSA Final.docx>
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