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2018/08/05 Vizion's West, Inc. Certificate of Liability Insurance
q�-� DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06110/2019 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(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 CONTACT NAME: Karen OConnell _ Bonding & Insurance Specialists Agency, Inc. PHONE 708-598-5355 FAX o. 708-598-6686 In California, dba Bonds and Insurance Services, LIC #0795489 A E-MAIL koconnell i7isa-inc com 13841 Southwest Highway INSURERS AFFORDI NG COVERAGE NAIC# Orland Park IL 60462-1354 INSURERA: ARCH Specialty Insurance Company 21199 INSURED INSURER B : Vizion's West, Inc. INSURERC: 26025 Newport Road, Suite A, #220 INSURERD: INSURER E : I_ _ Menifee CA 92584 INSURER F : C0VFRAGFS C:FRTIFIC:ATF All )MRFR• RFVICInAI All IIUI 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 L7 TYPE OF INSURANCE DDL U8R POLICY NUMBER Fow . 1 POLICY EXP Dp/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR X X 12 EMP 43677 13 08/05/18 08/05/19 EACH OCCURRENCE $ 1,000,000 PREM7 IGSEes E ExaErD ce $ 100,000 MED EXP Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JE LOC GENERALAGGREGATE $ 2,000,000 PRODUCTS - COMP/OPAGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT acriden $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPE 1IAMAGE er aoCldenS $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A PER OTH- STAT TE FR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOY $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E_L DISEASE - POLICY LIMIT $ A Contractors Pollution Liability X X 12 EMP 43677 13 108/05/1 D8/05/1 $2,000,000 - Aggregate Includes Asbestos/Lead Ops Occurrence Form + I $1,000,000 - Pei- Claim DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ALL PROJECTS DONE DURING THE CAPTIONED POLICY TERM. City of Menifee, its officer, agents and employees are named as Additional Insured under the General Liability policy. CERTIFICATE HOLDER CANCELLATION City of Menifee 29844 Haun Road Menifee, CA 92586 kao 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) The ACORD name and logo are registered marks of ACORD VISIO-2 OP ID: SC A�JRO' CERTIFICATE OF LIABILITY INSURANCE D06/10ATE /2019Y) 06I10/2019 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(ies) must 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: Easterly Surety & Ins.Svcs.lnc PHONE FAX 56 Mayhew Way AIC No); Walnut Creek„ CA 94597 E-MAIL Kevin P. Easterly A RE S: INSURER(SI AFFORDING COVERAGE NAIC 9 INSURER A.. State Comp.Ins.Fund of Ca 35076 INSURED Vizion's West, Inc. INSURER B : National General Insurance 26025 Newport Rd Ste A #220 Menifee, CA 92584 INSURER C : INSURER D : WNSURER F ; INSURER F : r,nVFRAGYFS C`.FPTIFICATF NI IMAi=P, P FVV1 ICIN NI IMRFA- 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. 1NSR TYPE O POLICYNUMBER POLICY EFF OM POLICY ELP ( LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1-1 OCCUR EACH OCCURRENCE $ PRE Ea occurrence $ $ $ MED EXP (Anyone person) PERSONAL & ADV INJURY GENERALAGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 71PRO6JECTLOC PRODUCTS - COMP/OP AGG $ $ B AUTOMOBILE LIABILITY ANY AUTO ALLOWNED X SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS :2005776624-01 12/08/2018 12108/2019 COMBINED SINGLE LIMIT Es accident 1000,000 $ , BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR PERTY DAMAGE PER ACCIDEN7 $ UMBRELLA LIAR EXCESS LIAB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DED 1. 1 RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYTORY ANY PROPRIETOR/PARTNER/EXECUTIVEYIN OFFICER/MEMBER EXCLUDED? ❑ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 9147529-2018 12/01/2018 12/01/2019 X WC STATU- OTH- LIMITS ER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E1 DISEASE - POLICY LIMIT $ 1,000,00( DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) .Evidence of Coverage CFRTIFICATF HOLDER CANC'.FI 1 ATION CMENIFE 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. 29844 Haun Road AUTHORIZED REPRESENTATIVE Menifee 92686 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD