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2020/10/01 Inland Valley Construction Company, Inc. Certificate of Liability Insurance (4)
INLANDVAL- RFINLAYSON CERTIFICATE OF LIABILITY INSURANCE FDATE(M1202YYY) C �-- �i�a2ozo 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 NAPHO ME: The Wooditch Company Insurance Services,Inc. lacC,No,Ext: 949 553-9800 FAX No: 949 553-0670 AIL 1 Park Plaza,Suite 400 E-MS Irvine,CA 92614 NSU S AFFORDING COVELWA S INSURERA:OId Republic General Insurance Corporation 24139 INSURED INSURER B: Inland Valley Construction Company,Inc. INSURER C: 18382 Slover Ave. INSURERD: Bloomington,CA 92316 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 j TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLIDCY EXP LIMITS LTR INSO INVO M/DD M _ A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR AIC696191811 10/1/2020 10/1/2021 DAMAGE TO RENTED $ 100,000 ,L�E119t5F.�(J�vccurreJJ�). MED EXPNA An one erson $ 5,000 PERSOL A ADV JNLIURY $ 1,000,000 GE-N'LAGGRIEWE LIMITAPPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY L_'�j�� 1-7 LOC PRODUCTS-C JOPAGG $ 2,000,000 o _ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 14AICA96191811 10/1/2020 10/1/2021 BODI YINJURY Per rson OWNED SCHEDULED ' AUTOS ONLY 1 AUTOS BODILY INJURY PeracRde D' X H X NON-OWNED RIPER GE AUT080NLV AUTOS ONLY ,eraes UMBRELLA LIAO OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED I I RETENTION$ $ A WORKERS COMPENSATION i X PER OTH- ANDEERSCO PENATION YIN �AICW96191811 10/1/2020 10/1/2021 I LITE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $_ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 1,000,000 u E.L.DISEASE-EA EMPLOYEE $ D 1000000_ _ yes,describe nder DESCRIPTION OF OPERATIONS below I I �E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:All operations performed by the Named Insured during the current policy)period. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN y ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd. Sun City,CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:INLAND"L- RFINLAYSON LOCACc #: 7 �wo ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED Inland Valley Construction Company,Inc. 18382 Slover Ave. POLICY NUMBER j Bloomington,CA 92316 SEE PAGE 1 _ I+ CARRIER NAIC CODE EE PAGE 1 SEE P 1 , EFFECTIVE DATE:SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD_25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Except 10 days notice of Cancellation for non-payment of premium. *Should this policy be cancelled before the expiration date,The Wooditch Company will mail 30(thirty)days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD