2021/01/01 Air Exchange, Inc.L CERTIFICATE OF LIABILITY INSURANCE
y
DATE (MM/DD/YYYY)
01/19/2021
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 endorselrlent(s).
PRODUCER CONTACT
Marsh USA, Inc. NAME-
9830 Colonnade Blvd, Suite 400 PHONE FAX
Wr ft_ W; an- Hox
San Antonio, TX 78230 E-MAIL — —
A[[n: ROW. CertRequest0marsh,cont AonRFSS:—
INSUREM91 AFFORDING COVERAGE Half` IF
CN101480514-AirE-GU-21-22 f
INSURER A: HDI Global lINLItarKOCa.
41343
INSURED
Air Exchange Inc.
INSURER B : Travelers Property Casualty Co, of At
25674
INSURER C :
495 Edison CT Ste A
Fairfield, CA 94534-1683
INSURER D
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER; HOU-003535417-08 REVISION NUMBER: 3
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 ADDL UBR POLICY EFF POLICY IrXP
POUCY NUMBER fMWDDfYYYYI fMMfDoNYYY)LIMITS
A X COMMERCIAL GENERAL LIABILITY GLD1129212 01/0112021 01/01/2022 EACH OCCURRENCE $ 1.000,000
CLAIMS -MADE I OCCUR
I'REM1 oonrirrww $ 100,000
VIED EXP one person) $ 5,000
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY PRQ
HECT LOG PRODUCTS -COMP/OP AGG $ 2,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ecctfl0nt
ANY AUTO FA BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON -OWNED PROPERTYOAAAAp
AUTOS ONLY AUTOS ONLY aggon $
UMBRELLA LIAB X OCCUR ZUP-15S69429.21-NF 0110112021 01/01/2022 EACH OCCURRENCE S 5,000,000
X EXCESS LIAB CLAIMS -MADE Excess Auto & EL Only AGGREGATE $ 5,000,000
DIED RETEN'rION$ $
WORKERS COMPENSATION E OTH-
AND EMPLOYERS' LIABILITY YINS
T
ATUTE I IER
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFIGERIMF.MBEREXCLUDED? N I N/A E.LEACH ACCIDENT $
(Mandeloryin NH)
E,LDISEASE- EAEIYIPLO $
It yes, describe under
DESCRIPTION OFpPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Menifee is included as additional insured, where required by written contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising oil[ of [he operations of the
named insured subject [o policy terms and conditions -
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29714 Haun Road
Menifee, CA 92586
ACORD 25 (2016/03)
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
of Marsh USA Inc-
Manashi Mukherjee
01988-2016 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Clear certificate Holder:
As many companies have moved to a remote working environment, mailing certificates of
Insurance to a physical address can cause unnecessary delays in providing you proof o
insurance, To streamline delivery and in an effort to support our firm`scommitment to
sustainability, going forward, we would like to distribute your certificates of Insurance
elcctronicallyif possible.
We arc, kindly requesting Certificate Holders provide us an email address where we can deliver
your COI in the future.
Please send your response to; QSOI�erations.ernail@niarsh.com and provide the following
information so that we can expedite your C 01 delivery.
• Certificate # (Shown below Insured Name --e. ,: ABC:-12345i89.01)
• E-Mail for future delivery:
For undeliverable entail addresses, our system is configured to automatically redirect the
Certificate for deliveryvia LISPS.
Lastly, if you no Ion er need this COI please respond to US00Prations.ernail@marsh.com with
the Certificate number and we will inactive the record in our system to avoid future automatic:
delivery.
Thank you.
US Operations, Marsh USA, Inc.