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2019/10/16 Roger K. Kobata Associates, Inc. Certificate of Liability InsuranceDATE (MMIDDM'VY) CERTIFICATE OF LIABILITY INSURANCE 10114/2019 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 Risk StrateCONTACT gies Company NAME: Risk Strategies CompA 2040 Main Street, Suite 450 PHONE FAX Irvine, CA 92614 -MAIL Ng. Exti, 949-242_924D I W.140 www.risk-strategies.com CA DOI License No. OF06675 INSURED Roger K. Kobata Associates Inc. 11700 South Street, Suite 260 Artesia CA 90701 INSURERS) AFFORDING C INSURERA: Great American Assurance INSURER B : INSURER C : COVERAGES CERTIFICATE NUMBER: 51775149 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. INSR AUDLSUBR TYPE OF INSURANCE POLICY NUMBER POLICY L7 YlYY Y MFF MLDD� . LIMITS COMMERCIALGENERAL LIABILITY EACH OCCURRENCE I $ CLAIMS -MADE OCCUR ENTED PA M E EROccurrence)$ MED EXP (Any one perso S PERSONAL & ADV INJURY $ GEN'L, AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT POLICY D PRO ❑ LOC PRODUCTS - COMPIOP AGG $ $ OTHER: AUTOMOBILE LIABILITY MINED SINGLE LIMIT accident $ BODILY INJURY (Per person) ANY AUTO $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROP RTYDRiiAAGE Per acr.Idan $ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ h AGGREGATE EXCESS LIAB CLAIMS -MADE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER $ EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, descn'De under DESCRIPTION OF OPERATIONS below _ $ E.L. DISEASE -POLICY LIMIT A Professional Liability 10/1612019 10/16/2020 Per Claim: $1,000,000 IDPP4204024 Aggregate: $2,000,000 I 1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Projects as on file with the insured including but not limited to Professional Services Agreement. CERTIFICATE HOLDER CANCELLATION City of Menifee Community Development Department Attn: Lisa Gordon, Planning Manager 29844 Haun Rd. 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 Michael Chrislian ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 51775149 1 19-20 PL I Sherry Young 1 10/14/2019 9:48:36 AM (PDT) I Page 1 of 1