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2020/03/13 Two Rivers Strategies Certicate of Liability Insurance DATE(MM/DDIYYYY) ,4co►e�' CERTIFICATE OF LIABILITY INSURANCE `� 1 02/06/2020 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 EIELOW. 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 CONTACT NAME. Hiscox Inc.d/b/a/Hiscox Insurance Agency in CA PHONE fAic,No.Et): ( )202-3007 888 Fox -N.).. 520 Madison Avenue ADDRE 32nd Floor S . conlact®hiscox.com New York,NY 10022 INSURE S AFFORDING COVERAGE NAIC# INSURERA: Hiscox Insurance Company Inc 10200 INSURED INSURER a: Two Rivers Strategies 9820 Alto Drive INSURER C: La Mesa,CA 91941 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. SR TYPE OF INSURANCE POLICY EFF POLICY E%P POLICY NUMBER MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X1 OCCUR PREMISES re ES Esoccuman $ 1D�� MED EXP(AnX oneperson) $ 5,000 A Y UDC-4090636-CGL-20 03/13/2020 03/13/2021 PERSONAL 8,ADV INJURY $ 0 GEMLAGGR28GATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 )C POLICY D PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ S/T Gen.A OTHER $ AUTOMOBILE LIABILITY Ea saJdeni M N ! LELIMIT— $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Pe _ AUTOS ONLY AUTOS (Per accident) $ HIRED NON-OWNED PRQPERTY DAMAGE AUTOS ONLY AUTOS ONLY p�acgd, $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ RE DED TENTION$ f $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STAT TE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E-L DISEASE-POLICY LIMIT $ i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space-Is required) City of Menifee,its officers,agents and employees is listed as an additional insured CERTIFICATE HOLDER CANCELLATION City of Menifee,its officers,agents and employees 29844 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD IDS Property Casualty Insurance Company RENEWAL DECLARATION 3500 Packerland Drive De Pere,WI 54115-9070 CALIFORNIA POLICY NUMBER: BX10355779 POLICY PERIOD: 02/19/2020-08/19/2020 12:01 AM Standard Time LAPSE IN COVERAGE: NONE Antonio D Boccia Reema M Boccia FOR CLAIMS SERVICE CALL: 9820 ALTO DR 1-888-404-5365 LA MESA CA 91941-4450 FOR CLIENT SERVICE CALL: 1-888-404-5365 COVERAGE/LIMIT 1 2018 LEXS 3 2019 BMW RX 350/RX 3 I3 ELECTRIC BODILY INJURY LIABILITY $171.00 $203.00 $250,000 EACH PERSON $500,000 EACH ACCIDENT PROPERTY DAMAGE LIABILITY INCL INCL $100,000 EACH ACCIDENT MEDICAL EXPENSE-EXCESS COVERAGE INCL INCL $5,000 EACH PERSON UNINSURED MOTORIST BODILY INJURY $50.00 $66.00 $250,000 EACH PERSON $500,000 EACH ACCIDENT UNINSURED MOTORIST PROPERTY DAMAGE $1.00 $2.00 CAR 1-WAIVER OF COLLISION DEDUCTIBLE CAR 3-WAIVER OF COLLISION DEDUCTIBLE COLLISION $127.00 $235.00 DEDUCTIBLES CAR 1-$500 3-$500 COMPREHENSIVE $42.00 $46.00 DEDUCTIBLES CAR 1-$100 3-$100 TOWING AND LABOR COSTS $5.00 $5.00 $75 PER DISABLEMENT RENTAL EXPENSE $4.00 $7.00 $20 PER DAY/$600 PER OCCURRENCE CONSOLIDATED VEHICLE ASSESSMENT FEE $0.87 $0.87 TOTAL SEMIANNUAL PREMIUM PER VEHICLE $400.87 $564.87 ' TOTAL SEMIANNUAL PREMIUM ALL VEHICLES- $965.74 Coverage is provided only when both a premium and limit are shown. adca0la(001) 01/07/2020 DRIVER INFORMATION 1.Antonio D Boccia 4, 2.Reema M Boccia 5, 3. 6. CAR INFORMATION CARS KEPT AT LOCATION OTHER THAN RESIDENCE 2018 LEXS 2T2ZZMCA1JC115427 2019 BMW WBY8P2C54K7D01979 YOUR POLICY HAS THE FOLLOWING DISCOUNTS: MULTI-CAR,PREMIER SAFETY,FULL COVERAGE,COSTCO 2018 LEXS-GOOD DRIVER,ANTI-THEFT DEVICE,DUAL AND SIDE AIRBAGS 2019 BMW-GOOD DRIVER,ANTI-THEFT DEVICE,DUAL AND SIDE AIRBAGS YOUR POLICY HAS THE FOLLOWING ENDORSEMENTS: AMENDATORY ENDORSEMENT SPECIAL EQUIPMENT/CUSTOMIZATION:NONE LIENHOLDER INFORMATION ADDITIONAL INTEREST/LIENHOLDER-2018 LEXS RX 350/RX 350 F SPORT Lexus Financial Services,PO Box 105386,Atlanta,GA 30348-5386 ADDITIONAL INTEREST/LIENHOLDER-2019 BMW I3 ELECTRIC BMW Financial Services NA,LLC,PO Box 8002,Hilliard,OH 43026-8002 cdec09-CA IDS Property Casualty Insurance Company 3500 Packerland Drive Policy Number: BX10355779 De Pere,WI 54115-9070 California Rating Mileage Disclosure Statement We are required by California State Law Section 381.1 to inform you of information that we use to rate your policy. Please refer to your policy and declarations for specific information regarding your coverage and limits. Information related to traffic convictions or at-fault accidents is available upon request. Your Driver Information Antonio D Boccia Years of Driving Experience 27 Applicable Driver Discounts GOOD DRIVER ri Reema M Boccia Years of Driving Experience 21 Applicable Driver Discounts GOOD DRIVER Your Vehicle Information Please contact us to update the estimated annual miles you expect each vehicle will be driven during the 12-month period following your policy renewal date. If you do not contact us,we will continue to use the mileage estimate shown below for the renewal policy. 2018 LEXS RX 350/RX 3 Annual Miles Driven-Current Policy 7,500 Annual Miles Driven-Renewal Policy 7,500 Vehicle Usage Business ZIP Code of Vehicle Garaging Location 91941 Applicable Vehicle Discounts ANTI-THEFT DEVICE DUAL AND SIDE AIRBAGS = MULTI-CAR 2019 BMW I3 ELECTRIC Annual Miles Driven-Current Policy 12,000 Annual Miles Driven-Renewal Policy 12,000 _ Vehicle Usage Work/Regular ZIP Code of Vehicle Garaging Location 91941 Applicable Vehicle Discounts ANTI-THEFT DEVICE DUAL AND SIDE AIRBAGS MULTI-CAR a is aica05(003)