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2019/01/01 Rudy's Landscape and Tree Service, Inc. Certificate of Liability InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 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($). PRODUCER CONTACT Gillespie Insurance Services NAME: Ivah C. Zapp 222 East Olive Ave, Suite 6_jjPHONE 909 7934846 J NC No: 909 793 s58fi E-MAIL ivah is Redlands, CA 92373 Afl.�; cove e.com License #: OH45052 INSURENSJ AFFORDING COVERAGE NAIC10 INSURERA: Nationwide Mutual Insurance Co7 INSURED INSURERB: InsuranCP- Cninnainv of tha WPCt i7Rd7 Rudy's Landscape and Tree Service, Inc. PO Box 150 Sun City, CA 92584-9047 COVERAGES CERTIFICATE NUMBER: 00000000-112284 REV!';$0Nl NUMBER: 7s 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 TYPE OF INSURANCE App�,JSUBR POLICY EFF POLICY EXP N" vim POLICY NUMBER JMM0D1YYM IMMMDIYM, LIMITS A X COMMERCIAL GENERAL LIABILITY Y ACPGL07880696597 05/30/2019 05/30/2020 EACH OCCURRENCE $ 1000,000 77 PR MI $ 100,000 CLAIMS -MADE F—xl OCCUR MED EXP(Any one person S 6,000 PERSONAL & ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ � 000 000 GEN'L Lk HPOLICY LOC PRODUCTS-COMP/OPAGG S 2,000,000 $ aTHM. AUTOMOBILE LIABILITY CAMBIN -0 SINGLE LIMIT a ecKM $ ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Pe, I $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I RETENTION 5 S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WPL5045722 00 01/01/2019 X PERORIi- ANY PROPRIETORIPARTNERIEXECUTiVE YIN OFFICERIMEMBER EXCLUDED? n N / A 101/01/2020 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,00�0 (Mandatary In NH) - 11 y85 describe under E. L. DISEASE • POLICY LIMIT $ 1,000 000 DESCRIPTION OFOPERATIONS below i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Parking Permit Certificate Holder is Named as an Additional Insured 30 Day Notice of Cancellation with 10 Days for Non -Payment of Premium iiriGAIr- n City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Sun City, CA 92586-6540 , j AUTHORtZE REPRESENTATIVE Recei Ved ICZ ©1988-2015 AC R RATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by ICZ on May 26, 2019 at 07:15PM