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2019/07/01 Sandals Church Certificate of Liability InsuranceSANDCHU-01 JESSIC, A�Ro CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 5)2712020 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 License # 860285 CDNTACT Carol Bush ChurchWest Insurance Services (ACG) aHc" 201 Cajon Street No, Ext ; 178 A1c, Ho:(909) 307-1245 Redlands, CA 92373 E Alt . carot@churchwest.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Brotherhood Mutual Insurance 13528 INSURED 1-11DOD D . Sandals Church 150 Palmyrita Riverside, CA 92507 F: 90VERAGnES CERTIFICATE NUMBER: 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 RDDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE 1OCCUR X 04MSA0426258 7/1/2020 7/11202, EACH OCCURRENCE 2,000,000 DAMAGE TO RENTED $ 1,000,000 MED EXP iAny oneperson) 10,000 PERSONAL &ADVJN RY $ 2,000,000 G£N'LAGGR LIMIT APPLIES PER: X POLICY�PRO- ❑ LOC JECT OTHER: GENERAL AGGREGATE 10,000,000 PRODUCTS - COMPIOP AGG 10,000,000 A AUTOMOBILE LIABILITY ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON JV(,VE❑ AUTOS ONLY AUTOS ONLY 04A5AO426253 7/1/2019 7/1/2020 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ BODILY INJURY Per accident $ PROPERTY AMAGE era 'de I $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN FILER/MEMBER EXCLUDED? ❑ andatory in NH) If yes, describe under DESCRIPTION OF QPERATIONS below N / A 104W5A0436803 I 7/1/2020 7/1/2021 OTH- PER IF EL EACH ACCIDENT 1,000,000 $ E.L. DISEASE - EA EMPLOYEE $ 1,000,000 EL. DISEASE - POLL Y LIMIT $ 1,000,004 A Non Owned Hired Auto D4M5A0426258 7/1/2020 7/1/2021 JNon Owned Hired Auto 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEi-HCLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Lease of location at 29995 Evans Rd., Menifee, CA 92586. Certificate holder is named as additional insured. City of Menifee 29844 Haun Rd Sun City, 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD This Liability Coverage Endorsement is subject to the terms of the applicable Commercial Liability Coverage Form (GL-100) and the Liability and Medical Coverage Form (BGL-11). Only one liability coverage will apply to an occurrence and any related loss. This endorsement is attached to and made part of the policy. THIS INSURANCE ENDORSEMENT FORMS PART OF YOUR POLICY CONTRACT. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENDORSEMENT ADDITIONAL CONDITION ADDITIONA L CONDITION OTHER PROVISIONS The following additional condition is added to the Conditions section of the Liability and Medical Coverage Form (BGL-11): Additional Insureds: With respect to any person or entity shown on the declarations as an Additional Insured or who is otherwise designated by the Named Insured and recognized by us as an Additional Insured, we will provide Principal Coverage L of the Commercial Liability Coverage Form (GL- 100) to such Additional Insured (they will be considered an insured for Principal Coverage L), but only to the extent that such person or entity is legally liable for the acts of you, your leader, your employee, or your appointed person. Such coverage will be limited to that which is specifically provided by Principal Coverage L, and will be strictly subject to the terms of this policy. No coverage will apply to any independent acts, errors, or omissions of an Additional Insured. All other provisions of the applicable Commercial Liability Coverage Form (GL-100) and the Liability and Medical Coverage Form (BGL-11) remain unchanged GL-152 (1.0) Copyright, 2013 Brotherhood Mutual Insurance Co Page 1 of 1 All Rights Reserved