Loading...
2018/10/01 Valley Christian Fellowship Certificate of Liability Insurance'— 1 0 Ate`©Ro CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDIYYYY) 09/18/2018 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 CONTACT NAME: Caleb Sorola DFI - DiGerolamo Family Insurance Services PHg51 735-5335 FAX, -3758 Ell, ( ) (ACNo : 951)735 2027 Hamner Ave E-MAONEIL ADDRESS: caleb@dfiinsurance.com Norco, CA 92860 City of Menifee License #: OD26889 City Clerk INSURERS AFFORDING COVERAGE NAIC# INSURERA: Guide One Mutual Insurance Company 15032 INSURED INSURERB: Guide One Mutual Insurance Company INSURER C Valley Christian Fellowship OCT Y 2 201$ Sharon Sivak P O Box 984 INSURER D �- Sun City, CA 92586 Received INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-418106 REVISION NUMBER: 20 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 OF INSURANCE ADDLTYPE INSD SUER POLICY NUMBER MM DIDYEFF ., MMIDO YIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y 01258414 10/01/2018 10/01/2019 EACHOCCURRENCE S 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence S 1 000 000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY S 1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY D jECT [7 LOC OTHER: GENERAL AGGREGATE S 3 000 000 PRODUCTS - COMP/OP AGG $ 3,000,000 S AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S S A X UMBRELLA LIAB EXCESS LIAB Hx OCCUR CLAIMS -MADE 1258415 10/01/2018 10/01/2019 EACH OCCURRENCE Is 1,000,000 AGGREGATE S i DED RETENTIONS S CRNERSCCIAPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNEMf ECUTIVE Y / N OFFICER(MEMBER EXCLUDED? N (Mandatory in NH) If yes, desuibe under DESCRIPTION OF OPERATIONS below I N / A 0124, l L5��-F i TU/01/2U'I$ 10/01120i9 I STATUTE ERH- -�— E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE S 1,000,000 E.L. DISEASE -POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder named as Additional Insured. Location: Peterson Park CERTIFICATE City of Menifee Attn: Margarita Cornejo 29714 Hahn 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 �i�'�i U 19BB-2015 AGUKLJ L:UKI'UKA I IUN. AU rignis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Printed by CMS on September 18, 2018 at 10:43AM