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2018/09/24 Robert Merendino Certificate of Liability Insurance �coRv� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODA'YYY) 5/13/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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(les)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 CO C NAME' Canyon Crest Canyon Crest Insurance Service, Inc. PHONH (951)784-0311 Nc No. (951)7e4-5433 License # OD51775 q-MFUL ; 5051 Canyon Crest Dr. #104 INSURETRIs AFFORDING COVERAGE NAICA Riverside CA 92507 INSURFRA:Mercuzy Casualty Company INSURED ROBERT bWAUMINO INSURER B: DBA: BOB'S BLINDS INSURER C: 26816 CHERRY HILLS BLVD INSURERD: INSURERE: MENIFEE CA 92586 INSURER F. COVERAGES CERTIFICATE NUMBER:18-19 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L1R TYPE OF INSURANCE SUIIR POLICY NUMBER MOUCY EFF POLICY EXP L1tH'rS GENERAL I.tABILiTY EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea omffrmcid S 100,000 A CLAIMS-MADE a OCCUR CPOst318a2 /24/2019 121/2G39 MED EXP(AnY one pmwn) $ 51000 PERSONAL&ADV INJURY S 1,000,DOD GENERAL AGGREGATE S 2,000,000 GEN'LAGGRE GATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 2,000,000 X POLICY PRO L(X $ AUTOMOBILE LIABILITY COM8INED SINGLE LIMIT a dam ANYAUTO BODILY INJURY(Per person) L ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per acciderd) S HIREDAUTOS AUTOSWNED PPROPE DAMAGE $ S UMBREL LAUAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE S DER I I RETENTION S ; WORKERS COMPENSATION WC STATLy OTI4 AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIINEMBER EXCLUDED? ❑ NIA E.E.EACH ACCIDENT $ (Mandatory In NH) 11 yyeess describe ander EL DISEASE-FA EMPLOYEE S DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A BUSINESS PERSONAL /24/2016 124/2019 LIMIT $27,000 PROPERTY $5NDEDUCTMLE SPECIAL FORM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remaft Schedule,If more spats Is required) VERIFICATION OF GENERAL LIABILITY INSURANCE CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN CITY OF MENIFEE ACCORDANCE WITH THE POLICY PROVISIONS. 29844 HAUN RD, NENIFEE, CA 92586 AUTHORIZED REPRESENTATIVE I Laurie Barnett/LB yxt �f ACORD 25(2010105) d 1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD VEHICLE OR EQUfPMEIV THIS CERTIFICATE IS 1sSUEp AS A MATTER OF 1NFORMATlp o AI�>a o�IFir CERTIFICATE 4E f[1fSURANCE '°"'�`"'�°""'++"' a5iz�rxils CERTIFICATE DpEg NO-f AFFIRMATIVELY OR NEOATiVELY AMEND, EXTEND OR ALTER THE COVEIL4GE AFFORDED 6Y HOLDER. ER.POL THIS BELOW. THIS CERTIFICATE OF INSURANCE I70E5 NO7 CONSTITUTE A CONTRACT 8O RIG1fTS UPOI�I THI:GERTiF1CATE Hpf�>=R. TH15 REPRESENTATIVE OR PRODUCER,AN01 THE CERTIFICATE HOLDER BETWEEN THE ISSUING INSURERM AUTHORi�D This form is used to report COVeragas provided to a single specify yelti ar pmerrt I3a net use this lotto to provided to multiple vehicles under a sin+glta policy Use ACORD 23 far PRODUCER �pwptse. MOM liability coverage John Galee Insurance&Financial ServiGes Inc a John Gaiea LiC 40745866 AeL 714-526.3344 FAx 7t4 576 22fi2 1192 E Chapman Aire John afea.Corn Fullerton CA 92831 Pagfltrt so w8URED — — ---- AFFOKEWCaYEFLOar_ Robert Merendino 1NMER A: State Farm Mutual AWOMO Ile Insurance Company � NBC e 25816 Sandy Lodge Rd INSIIRkR B: P&nY 25178 Sun City,CA 92586-2352 ' C: INSURER D. DESCRIPTION OF VEHICLE OR EQUIPMENT E Yr K"'I M KWACTIIRER 2(07 FOrd MODEL Bear TYPE F75Q p� � >oED1TIFIC.ATtt1It Ir11A1B>:R DESCRIPTION 1FTPx12EE57FA61232 ��-E�NPifEHT VA41fH SERIhL NURbSER COVERAGES 3 CERTIFICATE NUMBER; THIS IS TO CERTIFY THAT THE POL1CY;iES)OF!NS[1RANCE USTED$ELOiNNASIIfAVE SEIEN ISSUE 1 I TO TtiE lHSfIRFJ�NAMEt3 AgQyE FOp T}1E POLICY PFRIOD(S)INDICATED,NOTVATHSTAf�NGANY REQuiREMENT,TERM REVISION NUMBER: VIII-!IC}i THIS CERTiFICA7 E MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE OF ANY CONTRACT OR DER DOCi1RlENT VYfTIi RESPECT TO AL L THE TERIu4S,EKCLtiSIONS AND CONDITIONS OF SUCH POLICYOES)-RANGE AFFORDED 8Y THE POI iG5'{fES�DESCRIBED HEREIN IWARE SUBJECT TO tLTRa TYPE aF INSURANCE POLICY NUI118trt POUCYEFFECTIVE P(LFCY e](p1RA71p}y VEHICLE LIAjnLrrY DATE YYYYr DATE{M 4)Dlmyl WMITS A Y COMWNF D SJNOLL UM,= 5 1018131-Ell-75B 05f11t2019 IVIII/Mg LILY RYIPernemW) S 1,OOO,UOC SMILY[tw,UWiperacdj" S 1 C()0 000 GENERAL LIABIIJrY PROPERTY DAWGE $ 1.DI]EI,0W OCCURRENCE EACH OCCLRFACE is CiAIMSMADE GENLRALA6GREGATE S INSR LM LTR A TYPE[IFINSURANC[ 8 Pbf-ICY NUMBER POUCY �CY�PitArlpN VIA COLLISION Loss eATE iRwnDlm`v1 oATe(MDwrm7 LU V I DEDUCIBLE ©ACV II AGREEDAMT S LIMIT i'E7f CAlaP VEH DTC II L STATED AMY BED 0 ACV 0 AGREEDkVT S tleRr EQUIPMENT II ©STATED AMY i BED F-ASfC BROAD Q ACV III ACGtEEDAMT SPECIAL II RC Q STATED ANT $ LJwr Q S BED REYIARK-P—J- Dwu sMCIAL CONDITIQNS I OTIj i CDYERA4ESJ[AencA ACOA!)lot,AAdiional ROalmka.Srl�edut4 it more ycaw ADDITIONAL INTEREST' Select one of the foAowing: CANCELLATION x Ilae adafgnal Mmst dc►ien m mapor cl(es}&s e a nr�an SHOULD ANY OF THE ABOVE DE A ie4-0 has been yA tiRep Iv odd tY tX4 rnm1 a Ia), BEFORE THE EI[ SCRIBER POLICIES 8E CANCELLED I herein I the aidatirw]rcAerest desavae 6egr 10 the pafiCy(les} PIRATIp►t DATE THEREOF,NOTICE MALL BIE VENICLEIPQUIPldE1V71NTEREgT: f LFJksL� i DELIVERED IN ACCMRANCE►OATH THE P(XICY PROVISIONS. FINANCED AND AD 'OF ADDITIONAL INTEREST DESCRwT1ON OFTWA 1G DDn10L wTOW'S'T G1AME DRESS -- CITY OF MENIFEE x ADtuTIMALR+s1IRee LOssPAYEE 29BU HAUN ROAD LENVE"Loss PAYEE MENIFEE,CA 92566 LOAN IL.EASED U&48ER AUTlsoi�lrm REPRM TWE ACORD 23(2916103) 7.201 ACORD CORPORATION.All tights reserved. The ACORD name and logo are registered maths of ACORD =4361 1429978 01-26.nle Binder of Insurance Pending issuance and delivery of a policy pursuant to the application of the insured and to all the terns and coedit-ons of the policy issued by the company the State Farm Mutual Automobile Insurance Company Does hereby insure. ROBERT MERENDINO 25816 SANDY DODGE RD SUN CITY, CA 92586---2352 Policy Number. ICI 81.31-El -75B Year Make Vehicle Identification Number (VIN) 2007 FORD F150 PICKUP IFTPX12557FA61232 Coverages Liability Comprehensive Collision Ded 1MI1M/1M $100 $250 Effective May 20, 2019, expiring not to exceed thirty (30) days hence and to become void immediately upon the issuance of a policy in place hereof. ANY PERSON WHO KNOWINGLY AND WITH INTENT TO DEFRAUD ANY INSURANCE COMPA.Nv OR OTHER PERSON FILES AN APPLICATION FOR INSURANCE OR STATEMENT OF CLAIM! CONTAINING ANY MATERIALLY FALSE INFORMATION OR CONCEALS FOR THE PURPOSE OF MISLEADING, INFORMATION CONCERNING ANY FACT MATERIAL THERETO COMMITS A FRAUDULENT INSURANCE ACT, WHICH IS A CRIME AND SUBJECTS SUCH PERSON TO CRIMINAL AND CIVIL PENALTIES. Date+ r �� Ofize Represe_ntat 7 ve JOHN SEA INSURANCE AI+O . ' FINAWCIAI.SERVICES.INC. 1102*E.Chapman Ave. rwedm,Ce.smi (714)528,Uo www,johNaJea.com