2019/10/01 Temecula Valley Pipe & Supply Certificate of Liability InsuranceAC IDP° CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
10/04/2019
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 pollcy(les) 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 endorsements .
PRODUCER
NAMEA Caesar De La Torre
Orion Risk Management Insurance Services, An Alera Group Insurance Agenc
PHONE Exn; 9492638850 roc. No3:
License Number # OM70471
E-MAILCdelatorre@Drionrisk.cam
1800 QUAIL ST STE 110
INSURERS AFFORDING COVERAGE
NAIOB
INSURER A: AMCO INSURANCE COMPANY
19100
NEWPORT BEACH CA 02660-2340
INSURED
INSURER B : NATIONWIDE MUTUAL INSURANCE COMPANY
23787
INSURERC: AMGUARD INSURANCE COMPANY
42390
Temecula Valley Pipe & Supply
INSURER D :
28074 DEL RIO RD
INSURER E :
INSURERF:
TEMECULA CA 92590-2620
COVERAGES CERTIFICATE NUMBER: 1599BA 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,
ILT R TYPE OF INSURANCE .RODE POLICY NUMBER POLICY P LILY EXP
YYY M D YYY LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE ❑X OCCUR
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENI ED
s 300,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 1,000,000
A
ACPBPW7855795985
10/01/2019
10/01/2020
GEWL AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY ElJE C ❑ LOC
GENERAL AGGREGATE
$ 2,000 000
PRODUCTS - COMP/OP AGG
$ 2,000,000
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
COMBiNFU SIN E LIMIT
JEa accident)BODILY
$ 1,000,000
M
INJURY (Per person)
$
B
OWNED
AUTOS ONLYAUTOSULED
HIRED V NON -OWNED
AUTOS ONLY !� AUTOS ONLY
ACPBA7855795985
10/01/2019
10/01/2020
BODILY INJURY (Per accldenl)
$
PROPERTY DAMAG
P
$
A
X
UMBRELLA LIAB
EXCESS LIAB
X
OCCUR
CLAIMS -MADE
ACPCAA7855795985
10/01/2019
10/01/2020
EACH OCCURRENCE
$ 3,000,000
AGGREGATE
$ 3,000,000
DED I I RETENTION
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y r N
OFFICER/MEMBER EXCLUDEANYPROPRIETOR/PARTNER/D? ECUTIVE El
(Mandatory In NH)
H yes, describe under
DESCRIPTION OF OPERATIONS helpw
N / A
TEWC018658
10/01/2019
10/01/2020
PER OTH-
TA ER
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1 ,ODO 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
Re: Evidence of Insurance
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FIFICATE
City of Menifee
29714 HAUN RD
SUN CITY, CA 92586-6540
CITY OF MENIFEE
FINANCE
OCT 16 2019
RECEIVED
LATION
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
0yV-11t
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