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2019/04/01 Liebert Cassidy Whitmore Certificate of Liability InsuranceOP ID: YC ACaRO 712/19/2019 (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 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 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). onnniircra CONTACT ,,,„„ c•,,„,,,,,,;„ Narver Associates Ins Agcy PHONE vM„y FA.% P.O. Boy. 1509 INC, No Exf : 626-943-2237 ACC NO), 686-299-1010 San Gabriel, CA 91778-1509 EMAIL WESLEY HAMPTON HOUSE ADDRESS: jsamarin@naryer.COm nll °�u�v n,.. LIEBE-1 INSURERS AFFORDING COVERAGE NAIC # INSURED Liebert Cassidy Whitmore INSURER A: Sentinel Insurance Company 11000 6033 W. Century Blvd. 5th Fir INSURER B : Federal Insurance Company 20281 Los Angeles, CA 90045 INSURER C : Aspen Specialty Insurance 10717 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMRFR- 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 TYPE OF INSURANCE A 7R POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR X '72SBAAK0318 12/14/2019 12/14/2020 EACH OCCURRENCE $ 2,000,0010 PREMISES Ea occurrence $ 1,000,00 MED EXP (Any one person) $ 10,00 PERSONAL & ADV INJURY $ 2,000,00111 GENERAL AGGREGATE $ 4,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP/OP AGG $ 4,000,00 $ A A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNEDAUTOS 72SBAAK0318 72SBAAK0318 12/14/2019 12/14/2019 12/14/2020 12/14/2020 COMBINED SINGLE LIMIT (Ea accident) $ 2'000'00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (PER ACCIDENT) $ X X $ A X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 72SBAAK0318 12/14/2019 12/14/2020 EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 DEDUCTIBLE RETENTION $ 10,000 $ X $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVEY/� OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 7175-05-95 04/01/2019 04/01/2020 X I WC STATU- OTH- E.LEACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 C Professional Liab. ILRA9AF818 12/10/2019 12/10/2020 Per Claim 5,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of Menifee, its officers, agents and employees is included as additional insured as respects attached General Liability form SS 00 08, as required by contract. This insurance is primary and non-contributory. CFRTIFICATF Hint nFR ��Jffty Of wav, t, r AtJr Fl I ❑TII)M CITYMEN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cityof Menifee Attn: Margarita Cornejo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 29844 Haun Road Menifee, CA 92586 Received AUTHORIZED REPRESENTATIVE � © 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD