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2018/01/16 Valley Pipeline Services, Inc. Certificate of Liability Insurance
ACOR" CERTIFICATE OF LIABILITY INSURANCE `� DATE(MMIDD/YYYY) 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 4' o City enirrfee CONTACT Cynthia Cadenhead NAME: Temecula Insurance Services �.��T PHONE PHONE (951) 694-5200 FAx (951) 302-0470 AIC No Exit: A/C, No): E-MAIL c nthia temeculainsuranceservices.com ADDRESS: y 41923 Second Street Suite 201 DEC U 42018 INSURER(S) AFFORDING COVERAGE NAIC # Temecula CA 92590 INSURERA: Kinsale Insurance Company 14027 INSURED Valley Pipeline Services, Inca Received INSURER B : California Automobile Ins CO 38342 INSURER C : State Compensation Ins. Fund 35076 47-110 Washington St. Ste. 201 INSURER D : Ohio Security Insurance Company 24082 INSURER E : La Quinta CA 92253 INSURER F : COVERAGES CERTIFICATE NUMBER: CL181501935 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 ADDLIbUt3K INSD WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY C CLAIMS -MADE OCCUR EACH OCCURRENCE S 1,000,000 A A PREMISES Ea occurrence S 100,000 MED EXP (Any one person) S Excluded PERSONAL &ADV INJURY 5 1,000,000 A Y 01000492211 03/31/2018 03/31/2019 GEN'LAGGREGATE LIMITAPPLIES PER: X POLICY PRO JECT LOC GENERAL AGGREGATE S 2,000,000 PRODUCTS-COMP/OPAGG S 2,000,000 Deductible s 5,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident S 1,000,000 X BODILY INJURY (Per person) S ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS BA040000011155 12/05/2018 12/05/2019 BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Deductible $ $1,000 X UMBRELLA LIAR X OCCUR EACH OCCURRENCE S 2,000,000 AGGREGATE 5 2,000,000 A EXCESS LIAB CLAIMS -MADE 01000492921 03/31/2018 03/31/2019 DED I I RETENTION S $ 0 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belcw NIA 9086042 01/16/2018 01/16/2019 �Deeductible SPER TATUTE EORH Deductible: N/A E.L. EACH ACCIDENT 1,000.000 S E.L. DISEASE- EA EMPLOYEE S 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 S D Contractors EquipmenUBPP Deductible $1,000 BKS56619091 03/31/2018 03/31/2019 SChetluleo Limit Rent/Leased Equipment $311,353 $300,000 BPP Limit $27,317 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re Project: Menifee Elementary School #14 Derby Hill Drive & Stagecoach Road Menifee, CA 92596. City of Menifee 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. I C I'IULLPrM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee CA 92586 /J LCGur ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD