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2018/06/30 WTD Holding, Inc. Certificate of Liability Insurance
Client#: 43659 WTDHOLDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 7/05/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Marla Courtney Edgewood Partners Ins. Center PHONE 678 475-5757 2405 Satellite Blvd., Ste. 200 A/C No Ext : A/C, No): E-MAILmaria-courtney@epicbrokers.com GA 30096 77U 232-0202 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: National Fire Insurance Co of Hartford 20478 INSURED Holdings, Inc.; Sunbelt Material INSURER B : The Continental Insumnce Company 35289 INSURER C Columbia Insurance Company 20478 Han Handling 2255 Justin Trail INSURER D : INSURER E: Alpharetta, GA 30004 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 CONTRACTOR 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 ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE DX OCCUR 4029071600 City of Menifee City Clerk JUL 2,2018 6/30/2018 06/3012019 EACH OCCURRENCE $1 ,000,000 PREMISES Eaoccc?u RENTED S1 000 000 MED EXP (Any one person) S15,000 PERSONAL & ADV INJURY $1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY 7 ECT LOC OTHER: GENERAL AGGREGATE 52,000,000 PRODUCTS -COMP/OPAGG 52,000,000 $ A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY 1000D Comp X $1000D Coll 402907 eived 6/30/2018 06/30/2019 COMBINED SINGLE LIMIT Ea accident S1,000,OOO X X X BODILY INJURY (Per person) S BODILY INJURY Per accident ( ) S PROPERTY DAMAGE Par. er accident S S B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 6049776200 6/30/2018 06/30/2019 EACH OCCURRENCE $1 O' 00O 000 AGGREGATE S1 O 00O 000 DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NuTE ANY PRpPRIE?OR/PARTNERrEXECLITIVE�. OFFICER/MEMBER EXCLUDED-, U (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N f A' 4029071578 6/30/2018 06/30/2019 X PER OTH- E.L. EACH ACCIDENT S1,000 000 E.L. DISEASE - EA EMPLOYEE S1 ,000,000 E.L. DISEASE - POLICY LIMIT 1 $1 ,000,000 C Professional Liability C5099665880 6/30/2018 06/30/2019 $5,000,000 per Claim $5,000,000 Aggregate Retention $25,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) %,r—m I Irl%,A 1 C rIVLUtK CANCELLATION City of Menifee 29714 Haun Road Sun City, 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 !W, VIf.r _ ACORD 25 (2016/03) 1 of 1 #S1120237/M1116713 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TSTE2 Client#: 43659 WTDHOLDI ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 7/05/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Maria Courtney Edgewood Partners Ins. Center PHONE 678 475-5757 FAX 2405 Satellite Blvd., Ste. 200 A/C, No, Ext : A/C, No): ADDRE SS: maria.courtney@epicbrokers.com Duluth, GA 30096 77U 232-0202 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : National Fire Insurance Co of Hartford 20478 INSURED Holdings, Inc.; Sunbelt Material INSURER B : The Continental Insurance Company 35289 INSURER C ColumblaInsurance Company 20478 Han Handling 2255 Justin Trail INSURER D : INSURERE: Alpharetta, GA 30004 INSURER F : L,UVI=KAGtb CERTIFICATE NUMBER: RFvlglnnl niltnnaGa- 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 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 ADDL INSR SUBR WVD POLICY NUMBER POMLICY EFF MIDD/YYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR 4029071600 6/30/2018 06/3012019 EACH OCCURRENCE $1,000,000 PREMISES EaEocccTu D nce $1 000,000 MED EXP (Any one person) $15 000 PERSONAL & ADV INJURY $1 ,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECTPRO. LOC GENERAL AGGREGATE 52,000,000 PRODUCTS -COMP/OPAGG S2,000,000 S OTHER: A AUTOMOBILE LIABILITY 4029071581 6/30/2018 06/30/2019 COMBINED SINGLE LIMIT Ea accident S1,000,000 X BODILY INJURY (Per person) S ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY (Per accident) S PROPERTY DAMAGE Per accident S X 1000D Comp X $1000D Coll S B X UMBRELLA LIAB I X OCCUR 6049776200 6/30/2018 06/30/2019 EACH OCCURRENCE S10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE S10,000,000 DED I I RETENTIONS S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? � N/A 4029071578 6/30/2018 06/30/201 X PER OTH- E.L. EACH ACCIDENT $1 OOO OOO E.L. DISEASE- EA EMPLOYEE $1 000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1 ,000,000 DESCRIPTION OF OPERATIONS below C Professional C5099665880 6/30/2018 06/30/201 $5,000,000 per Claim Liability $5,000,000 Aggregate Retention $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) � nv City of Menifee Building & Safety Department 29714 Haun Rd Sun City, 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 U. C%iwr1_ ACORD 25 (2016/03) 1 of 1 #S1120238/M1116713 @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD TSTE2