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2017/10/01 Western Fire Company, Inc. Certificate of Liability Insurance.NCO' >R" CERTIFICATE OF LIABILITY INSURANCE n TE(MM/DD`iY`YYY) 8/31/18 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 ondorsoment(s). PRODUCER. AL MINICOLA GENERAL INSURANCE 16811 HALE AVENUE, SUITE A IRVINE , CA 9 2 6 0 6- 5 0 6 6 NAME: PHONE 949 336-4343FAX EXt: ac No :949 336-4347 E-MAIL ADDREss:certs@alminicola. COm INSURER(S) AFFORDING COVERAGE NAICC INSURER A:BERKLEY ASSURANCE COMPANY 39462 INSURED WESTERN FIRE COMPANY, INC. INSURER B : EVANSTON INSURANCE COMPANY 35378 1401 E. OAKLAND AVENUE INSURER C: PREVEIMD PROFESSIONAL INSURANCE 36234 INSURER D: HEMET, CA 92544 INSURER C: IN$UREP F : COVERAGES CERTIFICATE NUMBER: *UPDATED CERTIFICATE* 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 ADDL INSO SUBR WVD POLICY NUMBER P LI E MM/DD/YYYY P LI EX MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FRI OCCUR A Al 0-RENTE PREMISES Ea occurrence $ 100,000 X MED EXP (Any one person) $ 5,000 $ 2 , 000 DED . VUMD0000420 08/28/18 08/28/19 PERSONAL & ADV INJURY $ 1, 0 0 0 r .0 0 0 A Y GEN'L AGGREGATE LIMIT APPLIES PER: City/ Of Menlfee GENERAL AGGREGATE $ 2,000,000 POLICY I .1 I JECT LOC City Clerk PRODUCTS - COMPIOP AGG $ 2,000,000 1 $ OTHER: 1 AUTOMOBILE LIABILITY SEP TO 2018 COMBINED SINGCETIMIT Ea accident $ BODILY INJURY (Per person) $ ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) $ NON -OWNED R CCflr- ;'; E A A - $ HIRED AUTOS AUTOS Par aC Ideni $ UMBRELLA LIAR X OCCUR XOBW7806218 08/28/18 08/28/19 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 B X EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION PLR H_ K STATUTE ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y)" ONO 8 12 7 01 10/01/17 10/01/3.8 E.L. EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If es, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 I UESCRIP'rli'SNW tiATlbfJSyLdC11OTI6 /VEFI'If;LE& ('ACORD 1�(, A�illorialRpmarks Schedule, may be aRaafied if more spaco is requuad) P,.E: ALL CALIFORNIA OPERATIONS OF THE NAMED INSURED. CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED WITH RESPEC TO GENERAL LIABILITY. PRIMARY/NON-CONTRIBUTORY WORDING APPLIES TO GENERAL LIABILITY. WAIVER OF SUBROGATION APPLIES TO GENERAL LIABILITY AND WORKERS' COMPENSATION. *EXCEPT 10 DAY NOTICE OF CANCELLATION FOR NONPAYMENT OR NONREPORTING* CITY OF MENIFEE 29714 HAUN 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 01988-2014 ACORD CORPORATION. All rights reserved. ACORD25(2014/01) The ACORD name and loco are registered marks ofACORD POLICY NUMBER: VUMD0000420 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oraanization(s) I Location(s)_Of Covered Operations Blanket as required by written contract Olarlkol as required try witton Comma 11 Is agreed Thal such inanrnnce.n is afforded by the policy fog 1110hrnafil of lheaddldonnl Insured shovel shall he prho+ry insur.ulco, will ally olher hIsIJIMICe 1111111111111od toy ilia alllliliellal hlsurell()) shell be uxelss and uwlclnurlhnruly M Irspocls wiry [hint, loss or Ifahlfily allegedly arising oul of r !to opnr,111o1cc at Ilia nmmnd hisu"1d, plrlvidod however 111.11 Ihk hlsulaucaWill aof apply in any clalm fuss at lluhl111y Wild, h dollnmined to he 4olrly Ile resut of the additional hnured's negligence or solely the additional hlsured's respolwhility. Information required to complete this Schedule If not shown above will be shown in the Declarations. J A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ©insurance Services Office, Inc., 2012 CG 2010 04 13 POLICY NUMBER: VUMD0000420 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Blanket as required by written contract elalket as required by written contract. 1115 named illat 2"ch bls".anco,ls is offordod by this policy for the Ilenelit of the additional Insured showltshnll be prbnnry insruanco.and auy otlmr Insurance rllailltalllell by 1110 additional Imilled(s) shdt lie excess .Ind nnneorltllbetoty .h t,7octs airy clalut. lost. on Ilahfllty allegedly arkblg out of the oliewfloas of till: uanlcd it stied, provided however thud tills ilnurance wilt not apply to .ery claim loss or liabiliynhich Is determined to be solely the resuh ofthe addillonal Insured's negilgence or solely ale additional bteured's responsibility. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY# VUMD0000420 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing In a contract or agreement that this insuranco would be primary and would not seek contribution from any other insurance available to the additional Insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: VUMD0000420 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract. Information required to complete this Schedule if not shown above will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown In the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "Your work" done under a contract with that person or organization and included in the 'products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ® insurance Services Office, Inc., 2008 Page 1 of 1 ❑