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2018/04/29 Sundance Trading Co., Inc. Certificate of Liability Insurance
SIGNRRL-(11 Sl1GONF ,a►. o CERTIFICATE OF LIABILITY INSURANCE �� DATE 11127(MM/2018Y) 11/27/2018 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 The Provant Group C( Of Me!�ir'e 35 E. Wacker Dr., Suite 3800 a Chicago, IL 60601 City Clerk CONTACT Sydney Ugone PHONE FAX (A/C, No, Ext): (312) 888-4507 (A/C, No):(312) 888-4501 ADDRIES : sugone@provantgroup.com INSURERS AFFORDING COVERAGE NAIC # EC INSURER A:Libe Mutual Insurance 24066 (J O 4 .� INSURED INSURER B : INSURER C : Sundance Trading Co., Inc. dba Si al 88 Security of Temecula Wef Ved 41819 Borealis Drive INSURER D : INSURER E : Temecula, CA 92592 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 IN DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F_X] OCCUR TB2-641-444766-878 4/29/2018 4/29/2019 EACH OCCURRENCE $ 1,000,000 DAMAGET En cel $RENTED100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL BADVINJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY � JECT LOC OTHER: GENERAL AGGREGATE 3,000,000 PRODUCTS-COMP/OPAGG 3,000,000 $ A AUTOMOBILE LIABILITY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY AUTOS ONLY S2-641-444766-018 4/29/2018 4/29/2019 IEOMBI idSINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ IANY BODILY INJURY Per accident $ Perr aciden DAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ $ A WORKERS COMPENSATIONPER AND EMPLOYERS' LIABILITY Y / N ' )R/PARTNER/EXECUTIVE 1rrll,Ct4R1CMt5CFC EXCL,U—ur Ar (Mandatory in NH) LJ If yes, describe under DESCRIPTION OF OPERATIONS below "!:.1 C2-641-444766-938 1211 /2018 4/2912019 OT X TATUTE ERH E.L. EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) It is agreed that the following are listed as additional insured: -Menifee City Menifee City 29714 Haun Road Menifee, CA 92587 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD