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2020/01/30 Central County United Way Certificate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) ---" _ 10/27/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS , i 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. f IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(tes)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 ---- - DFI -DiOerolamo Family Insurance Services PHONE Luc Anderson AX 2027 Hamner Ave ,�g, �395I)73M3fi fiFhl%. _I,0517353758 Norco,CA 92860 ADORENo Are luf-y@dfiinsurance.com License#: OD26889 INSURERS AFFORDING COVERAGE NAIC# _ INSURERA: Gulde0ne Mutual Insurance Company INSURED INSURERB: Twin 1 Fire I Central County United Way DBA:United Communities Network nrzurance Co. Greater Diamond ValleUnited Way INSURERC: 414 S Palm Ave Ste.C2 INSURER D; Hemet,CA 92543 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 99009215-1755746 REVISION NUMBER: 69 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 VMICH THIS CERTIFICATE MAYBE 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 ADD SLIBR POLICY EFF POLICY EXP - -- LTRI TYPE OF INSURANCE lNin wvn POLICYNUMBER MIDONYYM-immmo= LIMITS A COMMERCIAL GENERAL LIABILITY Y 10022003 11/01/2020 11/01/2021 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Dx OCCUR DAMAGE TO RENTED P E ISES occ ru rence $ 1.000.1000 MED EXP(Any one person $ 15I000_ PERSONAL&ADV INJURY $ 1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 x POLICY❑JEST LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER' $ A AUTOMOBILELIABILITY Y 01788843 11/01/2020 11/01/2021 COMBINED SINGLE LIMIT $ 1 000 000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED L BODIY INJURY Per accident $ AUTOS ONLY AUTOS ( ) _ HIRED V NON-OWNED PROPERTY DAMAGE $ AUTOSONLY A AUTOSONLY 1Per_acciam) UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ _ DF_D RETENTIONS $ A WORKERS COMPENSATION 010007407 01/3U/2020 D1/30/2D21 X PER TE ECITH R AND EMPLOYERS'LIABILITY -. ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1 000,000 OFFICER/MEMBER EXCLUDED' NIA _ r (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT $ 1,000,000 A Building Coverage 10022003 11/01/2020 11/01/2021 Building 435,000 B �Directors&Officers NFP0121627-02 01/30/2020 01/30/2021 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) Certificate Holder is named additional insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Men ifee THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Y ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Menifee, CA 92586 AUTHORIZED REPRESENTATIVE L A ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of AGORD Printed by LMA on October 27,2020 at 05:11 PM ADDITIONAL INSURED -- DESIGNATED PERSON OR ORGANIZATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) r rgan¢ation s nformation required to complete this Schedule, it not s awn above, will e shown in the Declarations. Section II -- Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. ©ISO Properties,inc.,2004 CIS 20 26 07 04 Page 1 of 1