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2019/12/31 United Storm Water, Inc. Certicate of Liability Insurance A<7"ROB CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 1222712019 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 Bolton &Conipati CONTACT NAME., 3475 E. Foothill B vd., Suite 100 PHONE FAx Pasadena, CA 91107 (ate Ha.Exn: _�ti26]799-7000 G Nok {F2S 583-2117 E�AAIL kDDRES$ INSURER 8 AFFORDING COVERAGE HAIL# www.boltonco.com 0008309 INSURERA: Greenwich Insurance Company 22322 INSURED _INSURER B: XL Insurance America, Inc. 24554 United St Water, Inc„ 14000 Eastst Vail Blvd. INSURERC: XL SpecialtyInsurance Company 37885 eyy City of Industry CA 91746 INSURERD: Indian Harbor Insurance Company 36940 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 53252053 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.. ILFR TYPE OF INSURANCE L SUBR POLICY NUMBER MMlD MM7DlNYYY I LIMITS A / COMMERCIAL GENERAL LIABILITY GEC3001234 12/31/2019 12/31/2020 EACH OCCURRENCE $1000000 CLAIMS-MADE v OCCUR PREMISES £a a 5100 t}00 MED EXPWy one person) $5000 PERSONAL&ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $2,000,000 POLICY�JE0 LOC PRODUCTS-COMP/OP AGG S2,000,000 OTHER: $ B AUTOMOBILE LIABILITY AEC0048938/AEC0048939 12/31/2019 12/31/2020 COeMaccide SINGLE LIMIT $1 000 000 ANY AUTO _ BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED pROPPRTYDAAkAGE AUTOS ONLY ✓ AUTOS ONLY F*asclden $ C UMBRELLA LIAB ,� OCCUR UECO048940 12/31/2019 12/31/2020 EACH OCCURRENCE $15 000 000 / EXCESS LIAB CLAIMS-MADE AGGREGATE $15 000,000 DED ✓ RETENTIONS10.000 $ C WORKERS COMPENSATION WEC3001235 12/31/2019 12/31/2020 PER TH- AND EMPLOYERS'LIABILITY YIN f STATUTE ER ANYPRO PR I ETC)RIPARTN E RIEXECUTI VE OFF IC ERIM EMBER EXCLUDED? FN] N/A E.L.EACH ACCIDENT $1 000 000 (Mandatary in NH) E.L DISEASE-E4 EMPLOYEE I[ 5 L�000-OQ0 yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $1 p00 000 D Pollution Liability PECO048963 12/31/2019 12/31/2020 $15,000,000 Each Claim 1$25.000 Ded. D Professional Liab-Claims Made PECO048963 12/31/2019 12/31/2020 $15,000,000 Each Claim/$25,000 Ded. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Operations of the Named Insured CERTIFICATE HOLDER CANCELLATION C `+� Clerk Cityy of Menifee � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 29714 MeniHuan Rd THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Menifee CA 92586 AUTHORIZED REPRESENTATIVE Cassandra Rosales ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD S3252053 I UNITPUM-01 119-20 All Lines Cory Hospedales 1 12/27/2019 4:52:45 PM (PST) I Page 1 of 1