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2020/05/17 Dollamur, LP Certificate of Liability Insurance (4)ACORo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/20/2020 F 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 holdor in liou of cuoh ondoroomont(o). PRODUCER C Aon Risk Services south, Inc.ffy OF MENIFEE Franklin TN Office FINANCE 501 Corporate Centre Drive Suite 300 CONTACT PHONEFAX (AIC• Na. Ext): (866) 283-7122 (ArC. No.): 600-363-0105 E-MAIL ADDRESS: Franklin TN 37067 USA JUN O 2020 INSURER(S) AFFORDING COVERAGE NAIC # INSURED Doll1734 E. Ell Paso street RECEIVED 1734 E. INSURER A: The Continental insurance company 35289 INSURERB: valley Forge Insurance co 20508 INSURER C: Fort worth TX 76102 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570081814606 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 LTR TYPE OF INSURANCE NSSUBRI D WVD POLICY NUMBER µiNomYYYY MMr001YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000, 000 CLAIMS -MADE ❑X OCCUR PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $15 , 000 PERSONAL & ADV INJURY $1, 000 , 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2 , 000 , 000 X PRO- POLICY ❑ JECT LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 6046347823 05/17/2020 05/17/2021 COMBINED SINGLE LIMIT Ea accident) $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 UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS -MADE AGGREGATE IDED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N / A PER STATUTE I OTH- ER E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS 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 in accordance with the policy provisions of the General Liability policy. CERTIFICATE HOLDER a� h �33 �i �i i" SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE �- }Cs EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Menifee AUTHORIZED REPRESENTATIVE 29844 Haun Road 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