2008/07/28 Cornerstone Management, Inc. Certificate of Liability Insurance (3)ACORD,M CERTIFICATE OF LIABILITY INSURANCE P1DC 10-22 DATE
PRODUCER
'BB&T INS SVCS OF CA INC/PHS/ORANGE
180672 P:(866)467-8730 F:(877)905-0457
PO BOX 33015
SAN ANTONIO TX 78265
- 008
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURER A: Hartford CaSualt _Ins CO _.--------
INSURERS:
CORNERSTONE MANAGEMENT, MANAGEMENT, INC.
INSURER C:
PO BOX 1041
INSURERD:
PALO ALTO CA 94302
_
— - --
INSURER
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
/NSR
LTTYPE OF INSURANCE
_ POLICY NUMBER
POLICY EFFECTIVE
DATE MM/DD
POLICY EX�P/RAT/ON
DATE MM yy
LIMITS
GENERAL
A
_
��/ _� - ..
EACH OCCURRENCE $1 O O O, 000
[ABILITY
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE Fmil ,
72 SBA LE 5 4 81
0 7/ 2 8/ 0 8
0 7/ 2 8/ 0 9
FIRE DAMAGE (Any one fire) i s3 0 0, 000
IX
OCCUR
MED EXP (Any one person) 1 $1 O 0 0 0
General Llab
_
PERSONAL & ADV INJURY $1,000, O00
GENERAL AGGREGATE s2,000,000
GENT AGGREGATE LIMIT APPLIES PER:
PRO-
PRODUCTS -COMP/OP AG 52 O O O O O O
POLICY JECT 1XI LOC
, ,
- ____
AUTOMOB/LE LIABILITY
_
— —
-" '— --- ------
A
ANY AUTO
72 SBA LE5481
07/28/08
07/28/09
(EaacBcideDSINGLE LIMIT
$1, 000, 000
ALL OWNED AUTOS
-` ---
�- --- --
SCHEDULED AUTOS
BODILY INJURY S
(Per person)
X
HIRED AUTOS---
- -�--- --- - -- --
NON -OWNED AUTOS
BODILY INJURY
(Per accident) $
PGAR14GELIABRITY
PROPERTY DAMAGE
(Per accident) S
-
_
AUTO ONLY EA
ANY AUTO
- ACCIDENT $
--- _
OTHER THAN EA ACC $
AUTO ONLY: AG.: $
EXCESS LIABILITY
_
OCCUR CLAIMS MADE
EACH OCCURRENCE � $
AGGREGATE I$
I
S
DEDUCTIBLE ----- --
�j
I RETENTION S----- `------ - - - -
WORKERS COMPENSAT/ON AND -T WCSTATU- I IOTH-
EMPLOYERS' L/ABILTlY TI ORY LIMITS,
E.L. DISEASE - EA EMPLOYEE S
OTHER
E.L. DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERAT/ONS/LOCAT/ONS/VENICLES/EXCLUS/ONS ADDED BY ENDORSEMENT/SPEC/AL PROWSIONS _---, _- -- , -. -
Those usual to the Insured's Operations. Certificate Holder is named
Additional Insured per the Business Liability coverage form SS 00 08, attached
to the policy.
LETTER.
'CITY OF MENISEE
29714 HAUN RD
:MENIFEE,CA,92584
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
REPRESENTATIVE
AGUMU Z5-5 (7/97)
11 ACORD CORPORATION 1988
ACORDhs, CERTIFICATE OF LIABILITY INSURANCE DATE
05-14-2009
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
BB&T INS SVCS OF CA INC/PHS/ORANGE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
�180672 P: (8 6 6) 4 6 7- 8 7 3 0 F: (8 7 7) 9 0 5- 04 5 7 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
PO BOX 33015
SAN ANTONIO TX 78265 INSURERS AFFORDING COVERAGE
INSURED INSURER A: Hartford Casualty Ins Co
INSURER B:
CORNERSTONE MANAGEMENT, INC. INSURER C:
PO BOX 1041 INSURER D:
PALO ALTO CA 94302 INSURER E:
COVERAGES
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 I HL POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSH
LTR
I TYPE OF INSURANCE
I POLICY NUMBER
POLICY EFFECTIVE
DATE (MM/DONYI
PODCY EXPIRATION
I DATE (MMIDD Y LIMITS
GENERAL LIABILITY
I EACH OCCURRENCE I $1, 0 0 0, 0 0 0
A
COMMERCIAL GENERAL LIABILITY
72 SBA LE 54 81
0 7/ 2 8/ 0 9
0 7/ 2 8/ 10 FIRE DAMAGE (Any one fire) $ 3 0 0, 0 0 0
_J CLAIMS MADE U OCCUR
i-x
MED EXP (Any one person) 1 $1 0 , 000
i General Ll ab
PERSONAL & ADV INJURY $1 , 0 0 0 , 0 0 0
GENERAL AGGREGATE s2,000, 000 i
FGEN'L AGGREGATE LIMIT APPLIES PER:
I PRODUCTS - COMP/OP AGG I S2 ,
POLICY PECT RO X LOC
J
A
AUTOMOBILE
LIABILITY
ANY AUTO
72 SBA LE5481
07/28/09
COMBINED SINGLE LIMIT $1, 0 0 0, 0 0 0
07/28/10 (Ea accident)
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS
(Per person) $
X
HIRED AUTOS
BODILY INJURY
$
X
NON -OWNED AUTOS
(Per accident)
PROPERTY DAMAGE $
---
(Per accident)
Ij GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT $
4� ANY AUTO
I
OTHER THAN EA ACC $
�I
AUTO ONLY: AGG $
EXCESS LIABILITY _
EACH OCCURRENCE $
OCCUR u CLAIMS MADE
AGGREGATE $
$
DEDUCTIBLE
$
RETENTION $
$
WORKERS COMPENSATION AND
WC STATU- OTH-
ORY L I S
EMPLOYERS' LIABILITY
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
Those usual to the Insured's Operations. Certificate Holder is named
Additional Insured per the Business Liability coverage form SS 00 08, attached
to the policy.
mauncn Lc rLLMI IVIY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON-PAYMENT) TO THE CERTIFICATE
CITY OF MENISEE p1 HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO I
C E Itg'. OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
29714 HAUN RD REPRESENTATIVES.
MENIFEE, CA, 92584 NAM 2 ? 2009 h 4
1 w � AUTNORI D E ENTATIVE -11"7���
t+t,vnu co -a If/wl) OT: fl ACORD CORPORATION 1988