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2019/03/31 Valley Pipeline Services, Inc. Certicate of Liability Insurance (MM `oRo0 CERTIFICATE OF LIABILITY INSURANCE DATE v08//2020 Y) oosozo 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 CONTACT Cynthia Cadenhead NAME: Temecula Insurance Services PHONENoE%t (951)694-5200 I.C.No: (951)302-0470 AI 41923 Second Street E-MAIL cynthla@telneculainsuranceservices-corn ADORESM Suite 201 INSURER(S)AFFORDING COVERAGE NAIC# Temecula CA 92590 INSURERA: Kinsale Insurance Company 38920 INSURED INSURER B: West American Insurance Company 44393 Valley Pipeline Services,Inc. INSURER C: State Compensation Ins.Fund 35076 47-110 Washington St INSURER D: Ohio Security Insurance Company 24082 Ste.201 INSURER E: LaQuinta CA 92253 INSURERF: COVERAGES CERTIFICATE NUMBER: CL1911002254 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. LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Fx—]OCCUR PREMISES iEa occurrence $ 100,000 MED EXP JAny one person) $ Excluded A Y 0100D49221-2 03/31/2019 03/31/2020 PERSONAL&ADVINJURY $ 1,000,000 OEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PET LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Deductible $ 5,000 SI AUTOMOBILE LIABILITY ( M BIN EOEe aquApnil NGLE LIMIT $ 1,000,000 I ANYAUTO BODILY INJURY(Per person) $ BOWNED SCHEDULED BAW56619091 12/05/2019 12/05/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPEtiTY0AN1AGfi $ AUTOS ONLY AUTOS ONLY Per accident Deductible $ 1,000 UMBRELLA LAB X OCCUR EACH OCCURRENCE S 2,000,000 A X EXCESS LIAB CLAIMS-MADE 0100049292-2 03/31/2019 03/31/2020 AGGREGATE $ 2,000,000 DEC) RETENTION $ Deductible $ 0 TH WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY STATUTE ER v/N 1,000,000 C ANYCERIMEETOR/PARTNER/EXECUTIVE � NIA 9086042 01/16/2020 01/16/2021 EL.EACH ACCIDENT $ (Mandatory in BER EXCLUDED? 1,000,000 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ If yes,describe under 1.000,000 DESCRIPTION OF OPERATIONS below F-L.DJSEASE-POLICY LIMIT $ Scheduled Limit 1,111,353 Contractors Equipment/BPP D Deductible$1,000 BKS56619091 03/31/2019 03/31/2020 Rent/Leased Equipment $300,000 BPP Limit $28,136 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Project:North Canyon Drive Drainage Improvements CIP 17-06. City of Menifee and it's elected officials,officers,employees,agents,representatives,consultants,contract employees and volunteers are hereby added as additional insures but only as respects work done by,for,or on behalf of the named insured.The Umbrella Liability follows the General Liability and Auto Liability, CERTIFICATE HOLDER CANCELLAT(ON 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 Road AUTHORIZED REPRESENTATIVE n 'f Menifee CA 92586 p ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD