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2018/12/01 Santa Ana Creek Development Co Certificate of Liability InsuranceMARKCOM-03 BMARIN ,a►��fzo CERTIFICATE OF LIABILITY INSURANCE DATE 11/29/2018Y) 11/29/2018 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 License # 0757776 it Qf Y Menifee Newport Beach, CA - HUB International Insurance c�Q- 4695 MacArthur Court, Suite 600 ft Newport Beach, CA 92660 DEC 0 42018 CONTACT NAME: PHONE FAx (a/c, No, Ext): (949) 623-3980 i (Alc, No):(949) 891-0407 E-MAIL — ADDRESS: INSURER(S) AFFORDING COVERAGE I NAIC # INSURER A: Executive Risk Indemnity 35181 INSURED p :ark om an Santa Ana Creek Develo ment Co. db�a: e1v t p y 2288 & 2290 North Batavia St Orange, CA 92865 INSURER B: Federal Insurance Company 720281 INSURER C INSURER D : - INSURER E INSURER F : CUVFKOriFG e I=DTICI!`ATC A11 IRADCo. -- — r%FV10IVI14 IYUIVIDCR: 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 i LTR TYPE OF INSURANCE iADDL'SUBRI, INSD ' UB ' POLICY NUMBER POLICY EFF POLICY EXP MM DD MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,060 CLAIMS -MADE ::X] OCCUR X 154309583 EACH OCCURRENCE S 12/01/2018 12/01/2019 DAMAGE TO RENTED 1000�� PREMISESAEa occurrence $ J MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY liS 1,000,000 PEWLAGGREGATE LIMIT APPLIES PER: X POLICY ! X PRO- LOC GENERAL AGGREGATE $ 2,000,000 2,000,000 per Pro, Gen A�er contract X 'OTH PRODUCTS - COMPlOP AGG S ER: ` S B AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT 1,000,000 ,� Ea acci$dent)' I� ANYAUTO OWNED SCHEDULED AUTOS ONLY �I�, AUTOS HIRED 54309582 12/01/2018 12/01/2019 BODILY INJURY Per erson $ I_ BODILY INJURY (Per accident) S NON -OWNED AUTOS ONLY AUTOS ONLY'I PROPERTY DAMAGE (Per accident) 5 S —' UMBRELLA LIAB OCCUR EXCESS LIABCLAIMS-MADE EACH OCCURRENCE $ AGGREGATE S DED j RETENTIONSi B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY $ X pER OTH- 1 STATUTE ER ANY PROPRIETOR/PARTNER/FxECUTIVE Y/N 54309584 OFFICER/MEMBER EXCLUDED? N / A 12/01/2018' 12/01/2019 1,000,000 E.L. EACH ACCIDENT $ (Mandatory in NH) - E.L. DISEASE - EA EMPLOYEE$ 1,000,000 If yes, describe under 1 DESCRIPTION OF OPERATIONS below - E.L. DISEASE - POLICY LIMIT S 1,000,000 i I i i i I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) RE: All operations performed by the Named Insured during the current policy period. glai City of Menifee is included as Additional Insured as respects General Liability per attached endorsement. 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 ED tcu Io/uo, ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ACOR" AGENCY CUSTOMER ID: MARKCOM-03 LOC #: 1 ADDITIONAL REMARKS SCHEDULE AGENCY License # 0757 Newport Beach, CA - HUB International Insurance Services Inc. POLICY NUMBER SEE PAGE 1 CARRIER NAIC CODE SEE PAGE 1 SEE P 1 MIJU1 I IVIVFiL Kt1VIAKr%b THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance NAMED BMARIN Page 1 of 1 kna Creek Development Co. dba: Mark Company 2290 North Batavia St . CA 92865 EFFECTIVE DATE: Cancellation Should the policy(ies) be cancelled before the expiration date, Hub International Insurance Services Inc. (Hub), independent of any rights which may be afforded within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificate holder notice of such cancellation within ten (10) days of the cancellation date. ywRu IV I tcuuoivl f © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 54309583 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 WHERE REQUIRED BY WRITTEN CONTRACT. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 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 2. 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. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: 54309583 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations WHERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WHERE THE CONTRACT SPECIFIES COVERAGE FOR COMPLETED OPERATIONS. ALL LOCATIONS WHERE REQUIRED BY WRITTEN CONTRACT. 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 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 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 2. 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. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 HUB INTERNATIONAL INSURANCE SERVICES INC 4695 MACARTHUR COURT STE 600 NEWPORT BEACH, CA 92660-1861 CITY OF MENIFEE 29714 HAUN RD MENIFEE CA 92586-6540