2020/04/01 L.N. Curtis and Sons, Inc. Certificate of Liability Insurance, L v� CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
04/01 /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 endorsementls).
PRODUCER
MARSH RISK & INSURANCE SERVICES
FOUR EMBARCADERO CENTER, SUITE 1100
CALIFORNIA LICENSE NO.0437153
SAN FRANCISCO, CA 94111
Attn: sanfrancisco.certs@marsh.com; Fax: 212-948-0398
C N 101797553-STND-GAWU-20-21
INSURED
L. N. Curtis and Sons, Inc
Attn: John Viboch, CFO
185 Lennon Lane, Suite 110
Walnut Creek, CA 94598
COVERAGES
CERTIFICATE NUMBER:
'P340Nr
(A10.11-91O —
E-MAIL
INSURERS AFFORDING COVERAGE I NAIC #
INSURER A: Federal Insurance Company 20281
rusnoaw n • Arpat Nnrthpm Insurance Cmmnanv 120301
INSURER C :
INSURER E:
INSURER F :
SEA-003643264-02
REVISION NUMBER: 2
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 ADDL S 16?F POLICY EFF POIJCY FXP LTR TYPE OF INSURANCE INSD wa POLICY NUMBER MM/DD/YYYV) I iMWDDfYYYYI. LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
36023726
04/01/2020
04/01/2021
EACH OCCURRENCE
$ 1,000,000
CLAIMS -MADE � OCCUR
DAMAGE TO RE NTEIF_
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000,000
GEN'LAGGREGATELIMIT APPLIES PER:
GENERAL AGGREGATE
$ 2,000,000
X POLICY I� JFCT LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
PER PROJECT AGG
$ 6,000,000
OTHER:
B
AUTOMOBILE LIABILITY
I73583643
04/01/2020
0410112021
7 E MBI� SINGLE LIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
X ANY AUTO
I
OWNED SCHEDULED
AUTOS ONLY AUTOS
f
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per ac
$
X HIRED X NON -OWNED
AUTOS ONLY AUTOS ONLY
COMPICOLL DEDS:
$ 1,000
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/N
ANYPROPRIETOR/PARTNER/EXECUTI .
OFFICER/MEMBER EXCLUDED? N
(Mandatory in NH)
N/A
71737666
0410172020
04101021
X PER TH-
STATUTE ER
E. L. EACH ACCIDENT
$ 1,000,000
E. L. DISEASE - EA EMPLOYE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Evidence of insurance.
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 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
of Marsh Risk & Insurance Services
Kirsten Thomson _
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD