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2020/01/01 LexisNexis Copologic Solutions, Inc. Certificate of Liability InsuranceHolder Identifier : 7777777707070700077763616065553330773617546304557707553126763516201072650576046331130776041513067411207566015372234556075262731364323300750427313663231207504413532270130077727252025773110777777707000707007 6666666606060600062606466204446200602000406226000206222224260060022060220042622620220622002406204000206220204062040002062200240422600220600020406226202206222026062000402066646062240664440666666606000606006Certificate No :570081757912CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/13/2020 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). 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. PRODUCER Aon Risk Services Northeast, Inc. Boston MA Office 53 State Street Suite 2201 Boston MA 02109 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 16535Zurich American Ins CoINSURER A: 22667ACE American Insurance CompanyINSURER B: AA1121547XL Insurance Company SEINSURER C: AA1128623Lloyd's Syndicate No. 2623INSURER D: INSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: LexisNexis Coplogic Solutions Inc. 1000 Alderman Drive Alpharetta GA 30005 USA COVERAGES CERTIFICATE NUMBER:570081757912 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 $1,000,000 $5,000 $1,000,000 $2,000,000 $1,000,000 $1,000,000Host Liquor Liab B 01/01/2020 01/01/2021OGLG46663160 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X X BODILY INJURY (Per accident) $1,000,000A01/01/2020 01/01/2021 Collision Ded $1,000 COMBINED SINGLE LIMIT (Ea accident) 8376848 21 Comp Ded $1,000X EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTEA01/01/2020 01/01/2021 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 837684521 Aggregate LimitFSCE200001501/01/2020 12/31/2020 SIR applies per policy terms & conditions E&O-PL-PrimaryD $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Errors & Omissions/Professional Liability policy includes coverage for 3rd party liability arising out of Cyber-related events. RE: Reference Contract: LexisNexis Police Reports and Desk Officer Reporting System (DORS). City of Menifee, its officers, employees, agents and authorized volunteers, 29844 Haun Road, Menifee CA 92586 are included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Menifee 29844 Haun Road Menifee CA 92586 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AGENCY CUSTOMER ID: ADDITIONAL REMARKS SCHEDULE LOC #: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance EFFECTIVE DATE: CARRIER NAIC CODE POLICY NUMBER NAMED INSUREDAGENCY See Certificate Number: See Certificate Number: 570081757912 570081757912 Aon Risk Services Northeast, Inc. 570000055869 ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. INSURER INSURER INSURER INSURER INSURER(S) AFFORDING COVERAGE Page _ of _ NAIC # LexisNexis Coplogic Solutions Inc. TYPE OF INSURANCE POLICY NUMBER LIMITS GENERAL LIABILITY B OGLG46663160 01/01/2020 01/01/2021 OTHER C E&O-PL-XS FSCE2000059 01/01/2020 12/31/2020 Deductible $15,000 Aggregate $1,000,000 ADDL INSD INSR LTR SUBR WVD POLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS SCHEDULE AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS EFFECTIVE DATE: CARRIER NAIC CODE NAMED INSUREDAGENCY See Certificate Number: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:ACORD 25 FORM TITLE:Certificate of Liability Insurance 570000055869 Aon Risk Services Northeast, Inc. 570081757912 570081757912 See Certificate Number: POLICY NUMBER Companies Affording coverage COMPANYLINE OF BUSINESS DESCRIPTION POLICY NUMBER NAICPOLICY EFFECTIVE DATE (MM/DD/YYYY) POLICY EXPIRATION DATE (MM/DD/YYYY) PRIMARY (Y/N) FLAG PERCENTAGE OF RISK Page _ of _ LexisNexis Coplogic Solutions Inc. 837684521Workers Compensation Zurich American Ins Co 16535 8376848 21Business Auto Coverage Zurich American Ins Co 16535 100 FSCE2000015E&O - Professional Liability - Primary Lloyd's Syndicate No. 2623 AA1128623 82 FSCE2000015E&O - Professional Liability - Primary Lloyd's Syndicate No. 623 AA1126623 18 FSCE2000059E&O - Professional Liability - Excess XL Insurance Company SE AA1121547 100 OGLG46663160General Liability Coverage ACE American Insurance Company 22667 100 Y Y Y N Y Y 1/1/2020 1/1/2021 1/1/2020 1/1/2020 1/1/2020 1/1/2020 1/1/2020 1/1/2021 12/31/2020 12/31/2020 12/31/2020 1/1/2021 100 The Subscribing insurers' obligations under contracts of insurance to which they subscribe are several and not joint and are limited solely to the extent of their individual subscriptions. The subscribing insurers are not responsible for the subscription of any co-subscribing insurer who for any reason does not satisfy all or part of its obligations. ACORD 101 (2008/01)© 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD