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2019/09/01 Inland Heavy Haul and Transport, LLC Certificate of Liability Insurance PEEDEQU-01 TIRAACYD '�►�'vrzo CERTIFICATE OF LIABILITY INSURANCE DATE(M 1/21/202YY() 2020 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 endorsement(s). PRODUCER NAMTACT Tracy Davis Westlake Risk&Insurance Services PHONE FAX 2659 Townsgate Road,#103 JAM.No,Ext):(805)413-0252 A/C,No): Westlake Village,CA 91361 E#IAIL gE,,,tdavis@wastiakerisk.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Crum&Forster Specialty Insurance Company .44520 INSURED INSURERS:Twin City Fire Insurance Company 29459 Inland Heavy Haul and Transport,LLC INSURER C:Midwest Employers Casualty Company 23612 1480 Nandina Ave INSURER D:Travelers Property Casualty Insurance Company 36161 Perris,CA 92571 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. _ INSR LTRTYPE OF INSURANCE ADDL I3UBR POLICY NUMBER POLICY EFF PO0- 1 LICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE TX OCCUR IEPX-129265 12/10/2019 12110/2020 ❑AMAGE TO RENTED 50,000 MED EXP JAny one arson $ 5,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEST LOC PRODUCTS-COMP/OP AGG 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY MBINED SINGLE LIMIT $ 1,000,000 CO X ANY AUTO 72UENUS7210 9/1/2019 9/1/2020 O I YINJURY Per person) OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraccidenl X AUTOS ONLY X AUUTOS ONLYY I er°a�ide^l'�'M'�`GE A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE EFX-114140 12/10/2019 12/10/2020 AGGREGATE $ 5,000,000 DIED RETENTION$ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE YIN IBNUWC0150337 1/25l2020 1/2512021 1,000,000 OFFICER/MEMBER EXCLUDED? u N/A E.L-EACH ACCIDENT $ (Mandatory In NH) -EA EMPLOYEE 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ D Equipment Floater QT-660-9N298967-TIL-19 9/112019 9/112020 Specific L/R/B 1,500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) 10 day notice of cancellation applies for non-payment of premium. CERTIFICATE HOLDER ritAF Qt Mandela CANCELLATION City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Rd. A,1N Z �O�fo ACCORDANCE WITH THE POLICY PROVISIONS. Menifee,CA 92586 h' L AUTHORIZED REPRESENTATIVE Received ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD