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2017/08/15 Taber Drilling Certificate of Liability InsuranceTABECON-01 TGALART i ACORO" CERTIFICATE OF LIABILITY INSURANCE7/19/2018 FDATE(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(s). PRODUCER License # OB50501 Armstrong & Associates 239 W Court St, Bldg A Woodland, CA 95695 City of Menifee CONTACT Teresa Galart NAME, PHONE FAX (A/C, No, Ext): (530) 668-2777 (A/C, No):(530) 668-2779 Abm RIEss: tgalart@armstrongprofessional.com INSURERS AFFORDING COVERAGE NAIC # City Cleric INSURER A: Admiral Insurance Company 24856 INSURED INSURER B : Wesco Insurance Company Inc. 25011 INSURERC:State Compensation Insurance Fund 35076 Taber Drilling INSURER D : 536 Galveston St Received West Sacramento, CA 95691 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 LTRN TYPE OF INSURANCE ADDL D SUER WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP M /DD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 $ CLAIMS -MADE � OCCUR X FEIECC1719504 08/15/2017 08/15/2018 DAMAGE TO RENTED PREMISES Ea occurrence 50,000 $ Pollution X MED EXP An one person)$ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 Pollution $ 1,000,000 B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ ANY AUTO WPP115051302 08/15/2017 08/15/2018 BODILY INJURY (Per accident) $ OWNED X SCHEDULED AUTOS ONLY AUTOS P.OaccidenI AMAGE $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS -MADE FEIEXS1719604 08/15/2017 08/15/2018 AGGREGATE $ 5,000,000 DED RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 1972433 07/13/2018 07/13/2019 X STATUTE ER E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 1 $ If yes, describe under DESCRIPTION OF OPERATIONS below A Pollution FEIECC1719504 08/15/2017 08/15/2018 Agg/Occ: $2,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re Project #2014-0038 Bradley Road Bridge over Salt Creek. The City of Menifee is named as additionally insured as per the attached endorsement. Phis is a new certificate for coverage other than General Liability only. Please see previously issued certificate for the Additional Insured Endorsement referenced. City of Menifee Engineering Department 29714 Haun Road Sun City, CA 92586 IILei ►1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUT�HORIIZZED REPRESENTATIVE ■ ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ANIMA-1 ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 07/23/2018 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 endorsements . PRODUCER 951-290-5040 ISU Ins. Svc.-Cormarc Tasman License# OE63467 25220 Hancock Ave. #200 Murrieta, CA 92562 Robert A- Zentner coNTAAME:CT Robert A. Zentner N PHONE 951-290-5040 FAX 951-278-0664 (AIC, No, Ext): (A/C, No): ADDRESS: INSURER[Sl AFFORDING COVERAGE NAIC # INSURER A: Great American Ins Co.of NY 22136 INSURED Animal Friends of the Valleys 33751 Mission Trail Wildomar, CA 92595 INSURER B: Great American Insurance Co 16691 INSURER C : CompWest Insurance Co 12177 INSURER D :Great American Alliance Ins Co INSURER E : INSURER F : rnWM0AnCQ I MOTIEIf`ATM All RA0=O• RFVICICIM MIIMRFR- 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 ADDL SUER POLICY NUMBER POLICY EFF IDD POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR "Host Liquor Liab Y PAC0992750 04 PAC0992750 04 07/22/2018 07/22/2018 07/22/2019 07/22/2019 EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED Occurr ce 100,000 S X MED EXP An one erson 5 5,000 PERSONAL & ADV INJURY S 1,000,000 L AGGREGATE LIMIT APPLIES PER: POLICY JRO- LOC M'OTHER, GENERAL AGGREGATE S 2,000,000 PRODUCTS - COMP/OP AGG 5 2,000, "`Liquor S Included B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON-pWNEp AUTOS ONLY AUTOS ONLY CAP4215162 03 07/22/2018 07/22/2019 COMaBIc aEeD SINGLE LIMIT S 1,000,000 BODILY INJURY Per person)5 BODILY INJURY Per accident 5 PROPERTY DAMAGE Per accident S 5 D X UMBRELLA LIAB X EXCESS LIAB OCCUR CLAIMS -MADE UMB0992751 04 07/22/2018 07/22/2019 EACH OCCURRENCE 5 1,000,000 AGGREGATE S 1,000,000 DED I X I RETENTIONS 10,000 S C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICERIMEMBEREXCLUDED? (Mandatory in NH) If es, describe under DESCRIPTION OF OPERATIONS below NIA WCV5500114 09/01/2017 09/01/2018 X PER T FOR H E.L. EACH ACCIDENT 1,000,000 5 E.L. DISEASE - EA EMPLOYEE 1,000,000 S E.L. DISEASE - POLICY LIMIT S 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee named as additional insured with respects to general liability, endorsement to follow. CERTIFICATE HOLDER CANCELLATION MENIF01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee 29714 Haun Rd. Menifee, CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,4COR0` CERTIFICATE OF LIABILITY INSURANCE `,./ 12/15/2018 DATE (MMIDD/YYYY) 7/23/2018 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 Loddon Insurarloe Brokers,LLC NAME. PHONE I A/C, No, Ext : AIC, No): CA (JCBf1Se15767 725 S F Sheet 35th fl. LOS Argeles 90017 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC it 213-f 0065 of Menifee INSURER A: United Specialty Insurance Company 12537 INSURED HaitlxinkAsphalt Paving,lnc. C1ty INSURER B : Wesco Insurance Company 25011 INSURER C : Navigators Specialty Insurance Company 36056 1414521 PO BOX 2379 3 20�U Corona CA 92878 p,U G INSURER D : Insurance Company of the West 127847 INSURER E : INSURER F : COVEMI r_Es HATAS01 CFRTIFICATPNrIQi4WfV 154447RI REVISION NUMBER: XXXXXXX 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MMIDD POLICY EXP MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FOCCUR N N ATN-SF1721318 12/15/2017 12/15/2018 EACH OCCURRENCE S 1,000,000 PREMISES (E. occu D nce s 50,000 MED EXP (Anyoneperson) S 5,000 PERSONAL & ADV INJURY S 1,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PE LOC OTHER: GENERAL AGGREGATE s 2,000 000 PRODUCTS - COMP/OP AGG s 2,000,000 S B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY N N NVPP1494313-01 12/15/2017 12/15/2018 EOaaBcrLlden,SINGLELIMIT S 1,000,000 BODILY INJURY (Per person) S XXXX)'�'}{ BODILY INJURY (Per accident S XXXXX3CX I PROPRTY DAMAGE Per accident s XXXxX S XXXXXXX C UMBRELLALIAB EXCESS LIAB NOCCUR CLAIMS -MADE N N SE17EXC888206IC 12/15/2017 12/15/2018 EACH OCCURRENCE $ 11000,000 X AGGREGATE S 1,000 000 DED I I RETENTION $ $XXXXXXX D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PRETOR/PTNERIE OFFICEOPRI BR/MEER EXCLUD D7�CUTIVE (Mandatory In NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below N / A N WSD 5030914 03 8/1/2013 8/1/2019 X STATUTE ER E.L. EACH ACCIDENT $ I OOO OOO E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) UI=K I IHIUAI t HULUtK l./ Nk r_LL1AI IUIY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 15444781 AUTHORIZED REPRESENTATIVE Oty of Menifee &)glineering Depatrut 28714 Hate Road I'vinfee CA 92586 ArnRD 25 121711AIns1 @10'88-2016-ACQftD C RPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD Client#: 62001 CHANDAST ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 7/26/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Starkweather & Shepley PO Box 549 Providence, RI 02901-0549 City of Menifee 401 435-3600 City Clerk CONTACT NAME: Roussel PHONE 401 435-3600 FAx A/C, No, Ext : AIC, No 401 431-9657 E-MAIL croussel starshe com ADDRESS: p• INSURER(S) AFFORDING COVERAGE NAIC # INSURER A :Travelers Insurance Company 25674 INSURED AUG 032018 Chandler Asset Management Inc 6225 Lusk Boulevard San Diego, CA 92121 Received INSURER B : Hartford Ins Group 19682 INSURERC: Hartford Group INSURER D :pacific Insurance Company INSURERE: 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 LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 6802CO7960542 9/01/2018 09/01/2019 EACH OCCURRENCE $2,000,000 CLAIMS -MADE F OCCUR PREMISESOEaoccurence _ 51,000,000 MED EXP (Any one person) $5,000 PERSONAL BADVINJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 PRO- POLICY JECT LOC PRODUCTS - COMP/OP AGG $4 000,000 $ OTHER: A AUTOMOBILE LIABILITY BA2CO81883SEL 9/01/2018 09/01/2019COEa aBINED ccident Mcc"entl SINGLELIMIT $1,000,000 ANY AUTO BODILY INJURY (Per person) S BODILY INJURY (Per accident) S OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per. accident $ $ X rive Oth Car A X UMBRELLA LIAB X OCCUR CUP2CO8502242 9/01/2018 09/01/2019 EACH OCCURRENCE $5000000 AGGREGATE S5,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBER EXCLUDED? [:N:] (Mandatory in NH) N/A 02WECCR2756 9/01/2018 09/01/201 X SEA UT EORH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT I S1 ,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Professional OODCO21984518 8/02/2018 08/02/2019 10,000,000 D Cyber Liab 08MB028799018 8/02/2018 08/02/2019 4,000,000 C Crime OOFA024546718 8/02/2018 08/02/2019 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee 29714 Haun Road Sun City, CA 92586 ILLATION 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD #S1167148/M1166970 BHE