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2019/01/01 Rogers, Anderson, Malody & Scott, LLP Certificate of Liability Insurance
ROGEAND-01 LWE: '��aRo► CERTIFICATE OF LIABILITY INSURANCE DATE 1 3129/229/2019 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 C CT Orlon Business Insurance and Risk Management Services, Inc. ja/"c°°, No, EXL: (951 281-5353 FAX 1250 Corona Pointe COLIFt, Suite 302 ) AIC,No:(951) 737-5083 Corona, CA 928794°���. INSURERS AFF9RDING COVERAGE NAIC p INSURER A: Sentinel Insurance Company 11000 INSURED INSURER B : Insurance Company of the West :27847 Rogers, Anderson, Malody & Scott LLP INSURER C : Travelers Cas&Surety Co of Am 31194 735 E. Carnegie Drive Suite 100 INSURER D : San Bernardino, CA 92408 INSURER E : INSURER F : COVERAGES 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. INSR ADDL SUER 1 POLICY EFF POLICY EXP TYPE OF INSURANCE _INSR VP&? POLICY NUMBER 1 / LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,0 CLAIMS -MADE XI OCCUR X '72SBAAR7403 1/1/2019 1/1/2020 D 'AGERMI 70RENTED 1,000,0 I MED EXP /Anv one oersonl S 10,0 PERSONAL & ADV IN.IIIRY I A 1,000,0001 L AGGREGATE LIMIT APPLIES PER; POLICY 0 PRO- ❑ LOC JECT A AUTOMOBILE LIABILITY ANY AUTO 72SBAAR7403 1/112019 1/1/2020 OWNED SCHEDULED AUTOS ONLY AUTOS X pp AUTOS ONLY X AUTO��Y A UMBRELLA LIAB X OCCUR X EXCESS LIAB CLAIMS -MADE 72SBAAR7403 1/1/2019 1/1/2020 DED I X J RETENTION$ 10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AAQNN�Y PROPRIETOR/PARTNER/EXECUTIVE YIN (A nn= In NH) EXCLUDED? N / A 'WSD 5035483 02 1/1/2019 111/2020 If ves, describe under C Errors & Omissions 106850737 1/112019 1/1/2020 See IESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ``ACORD 101, Addtttonal Remarks Schedule, may W sttaehed if more space is required) rofessional Liability $4,000,000 Per Clalm;$4,000.000 Aggregate; $35,000 Per claim Deductible ity of Menifee, its officers, employees and agents are named as additional insured per attached policy form. City of Menifee 29844 Haun Road Menifee, CA 92586 LIMIT 1,000,00 1,000,00 1,000,00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD