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2020/05/01 Haaker Equipment Company Certificate of Liability InsuranceHAAIER EQU DATE (MNYDDIYYYY) 4I3a2020 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 terns 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 endorsemei (s). PRODUCER NA COMTACT THE BROKERAGE CONIVIERCIAL INSURANCE SERVICES, Inc. PHONE FAX 20261 SW Acacia St, Suite 200 (A/C, No, Ext): (949) 287-5677 (AIC, No): Newport Beach, CA 92660 E-MAIL ADDRESS: INSURED CERTIFICATE OF LIABILITY INSURANCE Haaker Equipment Company-, Total Clean 2070 North White Avenue La Verney CA 91750 INSURER(S) AFFORDING COVERAGE NAIL # PISURER A: CompWest Insurance Company 121 T7 INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : 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. a it, TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLiCYEFF POLICY EXP LHdTB COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES (Ea occurrence) S MED EXP (Any one person) $ - PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- I LOC JECT PRODUCTS - COMP/OP AGG ; 1fER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ; ANY AUTO OWNED SCHEDULED BODILY INJURY (Per person) $ AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED y� Ep At° q5 PROPERTYDAMAGE _ ONLY ONNLV acatlent $ UMBRELLALIAB OCCUR EXCESS LIAR CLAIMS -MADE DIED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE PFIGERIMEnMBEXCLUDED? 1 !f es, describe under DIkSCRIPTION OF DPERATIONS hsTr EACH OCCURRENCE $ AGGREGATE $ S x PER STATUTEORH - WCV5504241-00 511/2020 5/1/2021 NIA E.L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT & DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 1Di, AddHional R Schedule, nmy ha atte�ed IfMora spaw is required) RE: All operations performed by the !darned Insured during the current policy period. CERTIFICATE HOLDER CANCELLATION OM FINANCE MEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 298" Haun Road MAY 0 7 ACCORDANCE wmi THE POLICY PROVISIONS. Menifeey CA 92586 1 1 L �'1 E� 1 `" AUT yR UDfD REPRESENTATIVE I—.�-�- s ACORD 25 (2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: HAAKER EQU LOC it 1 _ AC"R" ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED rHE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. �'`�` Egqwpnwnt Contp r, Total Clean —. ;2pT4 �:ar4h White Avenue POLICY NUMBER La Veme, CA 91750 5EE PAGE 1 CARRIER 1EE PAGE 1 NAIL COD! SEE P 1 EFFECTIVE DATE- SEEPAGE1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD Z'S FORM TITLE: Certificate of Liability Insurance Cancellation: *Except 10 Days Notice of Cancellation for Non -Payment of Premium Should this policy be cancelled before the expiration date, The Brokerage Commerl days written notice to those Certificate Holders which require such action per conk ACORD 101 (2008/01) JLOPEZ Page 1 of 1 © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD