2020/01/01 Barrett Business Services, Inc. Certificate of Liability Insurance DATE(MMIDD/YYYY)
kr..� � CERTIFICATE OF LIABILITY INSURANCE
Acct#: 2539373 12/19/2019
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
Willis of Greater Kansas City Inc. NAMPHONE FAX
5700 W 112th Street,Ste, 100 844-290-4908 Alc No,_
Overland Park,KS 66211 EOOARr
IL BBSlcerts@locktonaffinity,com
INSURERS AFFORDING COVERAGE NAIC#
INSURERA: Ace American Insurance Co. 22667
INSURED INSURER B
Barrett Business Services,Inc.
L/C/F LANIK ENTERPRISES.INC.DBA:LANK ENTERPRISES,INC. INSURER C:
28822 OLD TOWN FRONT STREET
TEMECULA,CA 92590 INSURER D:
INSURER E
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 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.
TNSR ADD SuBrt POLICY IW POLICY EXP
LTR TYPE OF INSURANCE POLICY NUMBER MMfDDlYYYY MWDD/YYYY LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
CLAIMS-MADE OCCUR A
PREMISES Ea occurrence $
MED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
JECT
POLICY PRO ❑ LOC PRODUCTS-COMP/OP AGG $
OTHER: $
AUTOMOBILE LIABILITY COM
BINE05lNGLE LIMIT $
Ea aoelden
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE $
HIREDAUTOS AUTOS Peraociden!
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LAB HCLAIMS-MADE AGGREGATE $
DED I I RETENTION$ $
WORKERS COMPENSATION PEA OTH-
AND EMPLOYERS'LIABILITY Y/N X STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT $ 2.000,000
A OFFICEMMEMBER EXCLUDED? N/A C66379826 1/1/2020 1/1/2021
(Mandatory.In NH) E L.DISEASE-EA EMPLOYEE $ 2.000,000
If yes,describe under 2,000,000
DESCRIPTION OF OPERATIONS below E,L DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Policy State=CA
CERTIFICATE HOLDER CityCANCELLATION
C i iy Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City Of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
29714 Haun Rd IN ACCORDANCE WITH THE POLICY PROVISIONS.
Menifee,CA 92586
AUTHOR REPRESENTATIVE
R CeIv«d
31,_ A
r,1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD