Loading...
2019/09/30 Temecula Valley Transportation, Inc. Certificate of Liability InsuranceACaR�� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/01/2019 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 policy()es) 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 endorsoment(s). PRODUCER CONTNAMEACT Lawrence E Potter Strachota Insurance Agency, Inc. 27710 Jefferson Ave., Ste. 100 Ig1OC N, , (951) 676-2229 F� NQ0951y 676-7391 E-MAIL Temecula CA 92590 AbORE�t:aryngstrachota.com INSURED (951) 693-5755 Temecula Valley Transportation, Inc. Stryder Transportation, The Grapeline, Inc. 27286 Via Industria, Ste. A Temecula CA 92590 IIRERA: Philadelphia Indemnity Ina. Co. 18058 URER B : URER C : INSURER D : INSURER E: INSURER F : COVERAGES CFRTIFICOTF NIIMRFR• r„ t- Tn 11 IzS 0011i0lnul ki 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 ADDL SUER: LT TYPE OF INSURANCEINSID WVDPOLICY NUMBER POLICY ooYM MMIDD/YYYXYv LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE D OCCUR y PHPK2043087 09/30/2019 09/30/2020 EACH OCCURRENCE $ 1,000,000 PREMISES fEaoccurrenc $ 100 000 MEDEXP (Any one person) $ 5,000 _ PERSONAL & ADV INJURY $ 1,000,000 . GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: FxPOLICY � ECT Fl LOC PRODUCTS -COMP/OPAGG $ 2,000,000 $ OTHER A AUTOMOBILE LIABILITY ANY AUTO PHPK2043087 09/30/2019 09/30/2020 M9lNESINGLEL cEa accldsntDIMI $ 5,000,000 BODILY INJURY (Per person) .$ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY (Per accident) $ % HIRED NON -OWNED AUTOS ONLY X _ AUTOS ONLY I � JcleM)DAMAGE$ $ A ., UMBRELLAX OCCUR PHUB695301 09/30/2019 09/30/2020 EACHOCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 EXCECLAIMS-MADE DED 10,000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA PER H- STAT T ER E L. EACH ACCIDENT $ E L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E L. DISEASE - POLICY LW1T $ DESCRIPTION OF OPERATIONS below $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached it more space is required) City of Menifee and its officers, employees, agents, and authorized volunteers are an Additional Insured with respects to the General Liability per the attached CG20260413 endorsement. C;Mcy of menwFee VMI\VGLLM 1 1Vlm Finance City of Menifee OCT 18 2019 29714 Haun Road dJ Menifee CA 92586 I r 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 1 of 1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 26 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Blanket Additional insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement applicable Limits of Declarations. shall not increase the Insurance shown in the CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 4