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2020/04/06 DMC Certificate of Liability InsuranceA !•!10 A® AV VAL! CERTIFICATE OF LIABILITY DATE(MM/DD/YYYY) L� INSURANCE 08/06/2020 THIS CERTIFICATE IS ISSUEDAS A MATTEROF INFORMATION ONLYANDCONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOTAFFIRMATIVELYOR NEGATIVELY AMEND, EXTENDORALTERTHE COVERAGEAFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTEA CONTRACTBETWEENTHE ISSUING INSURER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: IfthecertiRcate holder is" ADDITIONAL INSURED, the policy(les) musthave ADDITIONAL INSURED provislonsor be endorsed. NSUBROGATION IS WAIVED, subjecttothe termsand conditions ofthe policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu ofsuch endursement(s). PRODUCER CONTACr NAME: MATTHEW WELTY CLIENT BENEFIT INSURANCE SERVICES 10769 WOODSIDE AVE, STE 103 PHONE (A/C, NO, EXT): 858-569.1000 FAX (A/C, NO): 888-795-2247 SANTEE, CA 92071 E-MAIL ADDRESS: MATT@WELTYINSURANCEGROUP.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: The Hartford Accident & Indemnity Ins Co 22357 DEBI MCCLUSKEY COMPANIES INC INSURERS: The Hartford Undelwdters Insurance Company 30104 INSURERC: DBA DMC INSURERD: 1499 POMONA RD STE C INSURERE: CORONA, CA 92882 INSURER F. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME 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 TH E TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPEOFINSURANCE ADDTL INSD SUBR W VD POLICY NUMBER POLICYEFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS -MADE OCCUR DAMAGETORENTED PREMISES (Ea Omurrence) $ 1,000,00 MED EXP(Any one person) $ 10,0 PERSONAL&ADV INJURY $ 1,000,00 A Y 72SBWBB6458 08/O1/2020 08/01/2021 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT ❑ LOC GENERALAGGREGATE $ 2,000,00 PRODUCTS-COMP/OPAGG $ 2,000,00 OTHER: $ AUTOMOBILELIABIUTY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 ANYAUTO BODI LY I NJURY(Per person) $ A OWNEDAUTOS SCHEDULED ONLY AUTOS 72UEGHC2851 08/01/2020 08/01/2021 BODILYINIURY(Per accident) E PROPERTY DAMAGE (Per accident) $ HIREDAUTOS X NON -OWNED ONLY AUTOSONLY E UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,00 AGGREGATE $ 1,000,00 A EXCESS LIAB CLAIMS -MADE 72SBWBB6458 08/01/2020 08/01/2021 DED RETENTION$ 10,000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X PER STATUTE OTHER $ B ANY PROPRIETOR/PARTNER/ YIN EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) Y N/A 72WEGAD3KHU 04/06/2020 04/06/2021 E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE -EA EMPLOYEE 1,000,ODO Ifyes describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached Ifmore apace is required) CITY OF MENIFEE: FY18/19 AS -NEEDED DOCUMENT SCANNING, INDEXING, AND QUALITY CONTROL SERVICES (BUILDING & SAFETY DEPARTMENT). THE FOLLOWING ARE LISTED AS ADDITIONAL INSURED WITH RESPECT TO THE GENERAL LIABILITY; CITY OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS, AND AUTHORIZED VOLUNTEERS. COVERAGE IS PRIMARY AND NON-CONTRIBUTORY. CERTIFICATE HOLDER CANCELLATION Y OFM SHOULDANYOFTHE ABOVE DESCRIBED POLICIES BECANCELLED BEFORETHE EXPIRATION 29844 HAUN RAOD DATE THEREOF NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MENIFEE, CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All tIReserved 31-1769 11-15 The ACORD name and logo are registered marks of ACORD