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2020/05/17 Dollamur, LP Certificate of Liability Insurance (5)® �`� o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) DS/2D/2D2D 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 Aon Risk Services South, Inc. Franklin TN Office CITY OF MENIFEE CONTACT NAME. (AIC No 866) 283-7122 {yC. No.).-800-363-0105 E-MAIL ADDRESS: 501 corporate centre Drive FINANCE Suite 300 Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: The continental Insurance company 35289 Dollamur LP RECEIVED 1734 E. El Paso Street INSURERB: valley Forge Insurance co 20508 INSURERC: Fort worth TX 76102 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570081814609 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. Limits shown are as requested INSH LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MµDDIYYY POLICY EXP lNMlpOIYYYYEACH LIMITS A X COMMERCIAL GENERAL LIABILITY Uo U OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO PEN TED PREMISES JFg aMaance $1,000,000 IVIED EXP (Any one person) $15 , 000 PERSONAL& ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ❑ JECT PRO- 1-1LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 6046347823 05/17/2020 05/17/2021 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY ( Per person) X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident A X UMBRELLALIAB OCCUR 6046347854 05 17/2020 05/17/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB W CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED I X RETENTION $10,000 WORKERS COMPENSATION AND PER STATUTE I OTH- EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A R E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE (Mandatory in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT 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 included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. CERTIFICATE HOLDER r- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE - - POLICY PROVISIONS. city Of Meni fee AUTHORIZED REPRESENTATIVE Attn: Finance Department - Accounts Payable �. 29844 Haun Road �/, c%�r�ststccer0 mina Menifee CA 92586 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD CANCELLATION