2018/06/30 Rightway Site Services, Inc. Certificate of Liability InsuranceacoRo� CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
6/19/2018
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
(OR) Heffernan Insurance Brokers
5100 SW Macadam, Suite 440 CR
Portland OR 97239 Of Menifee
Clty Clerk
CONTACT
PHONE FAX
A/c No Ext: 503-226-1320 qIC No:503-226-1478
ADDRIESS:
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: Redwood Fire & Casual Insurance Company
11673
INSURED RIGH
Rightway Site Services, Inc.
INSURER B
530 Central Ave
INSURERC:
Lake Elsinore CA 92530 ReCelVeC)
INSURERD:
INSURER E :
INSURER F :
I1UVLKAGt5 CERTIFICATE NUME3ERt539A9n715 RF'ViClnM KIIIM1=0
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
ADDLISUBR
POLICY NUMBER
POLIC
MMIDDY EFF
POLICY EXP
MMIDD
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$
DAMAGE TO RENTED
PREMISES Ea occurrence
$
MED EXP (Any one person)
S
PERSONAL & ADV INJURY
$
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO -
POLICY JECT LOC
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AGG
$
$
OTHER:
AUTOMOBILE
LIABRJTY
COMBINED SINGLE LIMIT
Ea accident
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident
( )
$
HIRED L NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
1
$
-
I
1
UMBRELLALIAB
OCCUR
EACH OCCURRENCE
S
AGGREGATE
S
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTIONS
Is
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? ❑
NIA
RIWC914323
6/30/2018
6/30/2019
X STATUTE ERH
E.L. EACH ACCIDENT
$1,000,000
E.L. DISEASE - EA EMPLOYEE
$1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Re: As Per Contract or Agreement on File with Insured.
_ 1 l,H1Y l.GLLH I IVIY
City of Menifee
29714 Haun Road
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
19)1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
HEFFERNAN INSURANCE BROKERS
5100 SW MACADAM AVE. SUITE 440
PORTLAND OR 97239-3830
CITY OF MENIFEE
29714 HAUN RD
MENIFEE CA 92586-6540