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2020/05/17 Dollamur, LP Certificate of Liability Insurance�1 ® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 05/20/2020 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 CONTACT NAME: (A1C. ONE No. F�q ; (866) 283-7122 FAX 800-363-0105 E-MAIL ADDRESS: 501 Corporate Centre Drive CITY OF MENIFEE suite 300 FINANCE Franklin TN 37067 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED JUNINSURER A: The Continental Insurance Company 35289 D011amur LP 1734 E. El Paso street Fort RECEIVED Fort worth TX 76102 USA INSURERB: Valley Forge Insurance Co 20508 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 5700811314604 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 INSR L TYPE OF INSURANCE DDI. WVp POLICY NUMBER POL$ yYp fPOLICYEXP YY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1, 000 , 000 CLAIMS -MADE X OCCUR DAVArE TO RENTED PREWSES fEa 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 POLICY ❑ PRO JECT LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 6046347823 05/17/2020 05/17/2021 COMBINED SINGLE LIMIT accident) $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accidenn A X UMBRELLALIAB OCCUR 6046347854 OS 17/2020 05/17 2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB X 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, ❑ OFFICER/MEMBER EXCLUDED? N / A EA 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. m a ro N 0 O Z CERTIFICATE HOLDER CANCELLATION �•i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE s + EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ki City of Menifee AUTHORIZED REPRESENTATIVE In.J Z Attn: Finance Department Accounts Payable 29844 Haun Road Menifee CA 92586 USA e�j�y cJGI�LiC6Y.D cfk.Grfd, e�72Q ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD