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2019/01/16 Valley Pipeline Services, Inc. Certificate of Liability Insurance
ACC>RbF CERTIFICATE OF LIABILITY INSURANCE ilk� DATE(MM/DD/YYYY) 01110/2019 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(les) 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 NAME T Cynthia Cadenhead Temecula Insurance Services FNCN c E t : (951) 694-5200 1 CPAM.Nn ; (951) 302-0470 41923 Second Street ADDRESS! cynthia@temeculainsuranceservices.com Suite 201 INSURER ] AFFORDING COVERAGE NAIL# Temecula CA 92590 INSURERA: State Compensation Ins. Fund 35076 INSURED INSURER B : Valley Pipeline Services, Inc. INSURER C : 47-110 Washington St INSURER D : Ste. 201 INSURER E La Quinta CA 92253 INSURER F : COVERAGES CERTIFICATE NUMBER- CL1911002254 OrWir-Ir1Al IJIIRAMED. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYW MM DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR CkY ofMenifee PREMISES fFtroccurrencg $ UY Clerk MED EXP Any one person $ Y PERSONAL &ADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ I A N n POLICY ❑ PRO- ❑ �J/-�tY 4 ) O19 JECT LOC PRODUCTS - COMP/OPAGG $ $ ❑THEYi: AUTOMOBILE LIABILITY ReC@iv d CONFINED SINGLE LIMIT Ea BCOid., $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY ) (Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE per acddenl $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION �/ _ X AND EMPLOYERS' LIABILITY Y / N STATUTE ER E.L.EACH ACCIDENT $ 1,000,000 A ANYPROPRIR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? N/A 9086042 01/16/2019 01/16/2020 E.L DISEASE - EA EMPLOYEE 1,000,000 $ (Mandatory in IF yes, describe under er EL. DISEASE -POLICY LIMIT $ 1,000.000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Re Project: Menifee Elementary School #14 Derby Hill Drive & Stagecoach Road Menifee, CA 92596. City OfMenifee and it's elected officials, officers, employees. agents, representatives, consultants, contract employees and volunteers are hereby added as additional insures but only as respects work done by, for, or on behalf of the named insured. The Umbrella Liability follows the General Liability and Auto Liability. City of Menifee 29714 Haun Road 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 Menifee CA 92586 I i, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD