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2019/05/12 Interwest Consulting Group Certificate of Liability InsuranceAC EP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 12/27/2019 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 C N ACT RBN Insurance Services NAME' 303 E Wacker Dr Ste 650 yC"N. • 312-656-9400 A1C Rai! 312-856-9425 Chicago IL 60601 E-MDRESS: rdelichl@rbninsurance.com INSURED Interwest Consulting Group P.O. Box 18330 Boulder CO 80308 iNSU AFFORDING COVERAGE NAIC # INSURER A: Hartford Fire Insurance Co. 19682 SAFELLC-01 INSURER B : Hartford Casualty Insurance Co 29424 INSURER C: Navigators Insurance Company 42307 INSURER D : Twin City Fire Insurance Co. 29459 INSURER E: Great American E&S Ins. Co. 37532 INSURER F : Axis Insurance Company 37273 COVERAGES CERTIFICATE Nt1MRFR' 131AQR1Q7R RPVICIr m NII IMRFI7- 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, INSIR LTR F TYPE OF INSURANCE A SUER— POLICY EFF POLICY EXP POLICYNUMBER MM D MM1DI]!Y LIMITS A X COMMERCIAL GENERAL LIABILITY 83UENZV3951 10/3/2019 10/3/2020 EACH OCCURRENCE $ 1,000,000 f occurrence) $ 300,000 CLAIMS -MADE l - - l OCCUR -PPZMISES MED EXP Any oneperson) $ 10,0o0 PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: )( POLICY PRO- JECT LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $2,000000 $ OTHER: B AUTOMOBILE LIABILITY 83UENPY9100 10/3/2019 10/3/2020 SCCM INEDtSINGLELIMIT $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO _ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) B $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY X PROPERTYDAMAGE Per d nt $ C UMBRELLA LIAB X OCCUR CH19EXC8856001V 10/3/2019 10/3/2020 EACH OCCURRENCE $ 10,000,000 X AGGREGATE $10,000,000 EXCESS LIAB CLAIMS -MADE DED I X I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA 83WECE0623 5/12/2019 5/12/2020 X sTA U FR - E.L EACH ACCIDENT $ 1,000,000 E.L DISEASE - EA EMPLOYEEI $ 1 000,0o0 (Mandatory in NH) It yes, describe under $ 1.000,000 DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT E F Professional Liability Cyber Liability TER285-99-95 P-001-000012730-03 10/3/2019 10/3/2019 10/3/2020 10/3/2020 Each Claim/Aggregate Each Claim/Aggregate 9,000,000 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (A ONO'10}, Addi(lonal Remarks Schedule, may be attached if more space is required) Certificate Holder Continuous: and its officers, OffiCIMS;'employees, and volunteers. k B C IV i van r rr P .M r � ny"uCM LANI�CLLA I IUN 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 Menifee 29714 Haun Road Menifee CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD