2020/03/01 Hemet Fence Corp Certificate of Liability Insurance_ Phone: (951)723-3716 Direct Line
® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
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.
i 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 Ithis certificate does not confer rights to the certificate holder in lieu of such endorsementlsl.
PRODUCER
Speake Insurance Services, Inc.
1791 Third Street
Norco, CA 92860
License #: OD08463
INSURED
HEMET FENCE CORP
P.O. Box 619
HOMELAND, CA 92548
Amanda
X-6&i Ss: amanda@speakeinsurance.com
A:
F:
COVERAGES CERTIFICATE NUMBER: 00000290-1484359 REVISION NUMBER: 221
NAIC #
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.
XP
TR TYPE OF INSURANCE ' N SD DLSU n POLICY NUMBER ±M N/DDrYYYPICYF MWDDNPOLICY YY LIMITS
A
X COMMERCIAL GENERAL LIABILITY
Y Y VCGP025851 09/01/2020
09/01/2021
EACH OCCURRENCE $
1 000000
CLAIMS -MADE X OCCUR
DAMAGE TOITENiED
100,000
..
PREMISES (Ea occurrencej $
_
MED EXP (Any one person) $
5,000
PERSONAL & ADV INJURY
$
1 000 000
GENERAL AGGREGATE
$
2,000,000
GEN'LAGGREGATELIMIT APPLIES PER,
POLICY JECOT LOC
$
2,000,000
PRODUCTS - COMP/OP AGG
$
OTHER:
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
Ea accident)
$
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
PROPERTY DAMAGE
$
AUTOS ONLY AUTOS ONLY
Per acciden
$
B
LIAB X OCCUR
BE080742357 09/01/2020
09/01/2021
EACH OCCURRENCE
$
2,000,000
AGGREGATE
$
2,000,000
XSS
*UM.ERELLA
LIAB CLAIMS -MADE
$
RETENTION $
C WORKERS COMPENSATION Y
WPL 5046493 01 03/01/2020 03/0112021 X STATUTE EPER R
AND EMPLOYERS' LIABILITY Y/N
ANY PROPRIETOR/PARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED? N / A
E.L. EACH ACCIDENT
$
1,000,000
(Mandatory in NH)
E.L. DISEASE - EA EMPLOYE
$
1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
1,000,000
D Commercial Property WS428573 09/01/2020 09/0112021 Total Limit
$250,000
D Installation Floater WS428573 09101/2020 09/01/2021 Total Value
$15,970
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
30 Day cancellation provision reverts to 10 days notice in the event of non-payment of Premium.
City of Menifee, its elected and appointed officers, employees, agents, and authorized volunteers are included as Additional
Insured, on a Primary/Non-Contributory basis, including Waiver of Subrogation for Ongoing and Completed Operations
General Liability per form(s) attached.
Waiver of Subrogation applies to Workers' Compenstion per form attached.
City of Menifee
Attn: Margarita Cornejo, Contract & Procurement Administrator
29714 Haun Road
MENIFEE, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
<7 1989—.ATrT-nrri9n CARPnRATIAN All rl.ht. racnr,rnel
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
Printed by ART on August 27, 2020 at 11:54AM