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2021/02/24 Ruiz, Angel and Oscar Ochoa, DBA The Alley04/06/2021 Bulen & Associates Insurance Services 40750 Symphony Park Ln. Suite 101 Murrieta CA 92562 Nicole Doverspike (951)674-0675 (951)674-2375 nicole@bulen.com Ruiz, Angel and Oscar Ochoa, DBA: The Alley 29171 Gooseneck Trail Menifee CA 92584 Hanover Insurance Group, The 00039548 CL2122437070 A OD3H518383 02/24/2021 02/24/2022 1 130,000 1 130,000 A Y Y OD3H518383 02/24/2021 02/24/2022 1,000,000 300,000 5,000 1,000,000 2,000,000 2,000,000 City of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional Insured with regards to the General Liability per the attached 391-1006 endorsement. Coverage is Primary and non-contributory. Waiver of Subrogation applies per the attached 391-1006 endorsement. Workers Compensation does not apply to owner only business. City of Menifee and its officers, employees agents, and authorized volunteers29844 Haun Road Menifee CA 92586 PROD / CUSTOMER ID: OTHER: EROTH-STATUTEPER LOC LOC LOC OTC LOC $ $ AUTO ONLY (Ea accident) $AGGREGATE ONLYHIRED AUTOS AUTOS ONLY IN GARAGE AUTOS USED JECT COLLISION EXCESS PERILSSPECIFIED PRIMARY COMP / DIRECT BASIS LEGAL LIABILITY GARAGE KEEPERS LIABILITY $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-LOC N / A SUBR WVD ADDL INSD 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. $ $ Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) REMARKS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $ OTHER THAN AUTO ONLY $EA ACCIDENT GARAGE LIABILITY OWNED SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION #:CERTIFICATE #:COVERAGES The ACORD name and logo are registered marks of ACORD 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. CERTIFICATE OF GARAGE INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 30 (2016/03) © 2010-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER NON-OWNED BUSINESS ANY AUTO 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). DocuSign Envelope ID: 618FE9AD-00FF-4E94-AD29-1CDF02909610