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2019/10/10 Blackhawk Protection, Inc. Certificate of Liability InsuranceDATE (MM/DD/YYYY) , L CERTIFICATE OF LIABILITY INSURANCE 1011712019 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 Venture Pacific Insurance Services, Inc. NAMEA°T Tracy Mullins 111 Corporate Drive Suite 200 PHONE FAx Ladera Ranch, CA 92694 [AMR-90L949.421-354Q A1C Nn: 949 297 4911 Ladera Ranch, CA 92694 www.venturepacificinsurance.com Lic# OD10299 INSURED Blaclthawk Protection, Inc. 30141 Antelope Rd. Ste D #786 Menifee CA 92584 INSURERS AFFORDING COVERAGE I NAIC # INSURER A: Acceptance Casualty Insurance Company 10349 INSURER B : Hartford Insurance Companv of MidW 37478 INSURER D : F: COVERAGES rF:PTIFIrATF Idl IMRIFI?- r.4 oc^�4 c 0C%1101^L1 K11 IRA93=M. 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. J R TYPE OF INSURANCE ADDL :SUER POLICY EFF POLICY EXP POLICY NUMBER MWDD/YYYY MM/DD/Y LIMITS A �/ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR CL00960995 10/10/2019 10/10/2020 EACH OCCURRENCE $1 000 000 PRE I ES Esouw renace $100 000 MED EXP (Any one person) $ 5 000 PERSONAL & AD V INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO ❑ JECT LOC GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGG $ 3 000 000 $1 OOO 000 OTHER: Errors & Omissions AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT F��ccident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY _ AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY _ AUTOS ONLY ++I PROPENE (Peragnfderll $ $ I A UMBRELLA LIAB OCCUR XL00450785 10/10/2019 10/10/2020 EACH OCCURRENCE $2 000 000 CESS LIAB CLAIMS -MADE �DXD AGGREGATE $ 2 000 000 $ RETENTION $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A 16WEQY5B28 10/10/2019 10/10/2020 PTA7 TE OTH E.L. EACH ACCIDENT $ 1 00O 000 E.L DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certificate holder is additional insured as per written contract per attached policy endorsement. [:tit I IFIL;A It HOLDER CANCELLATION City of Menifee 29y14 Haun Road Menifee CA 92563 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 James Barton ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 51859715 1 BLACK-6 1 19-20 GL, WC XS W/AI WOS I Tracy Mullins 1 10/17/2019 2:41:12 PM (PDT) I Page 1 of 1