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2020/10/08 Beaumont Electric, Inc. Certificate of Liability InsuranceBEAUELE-01 CMOUN A��RO DA CERTIFICATE OF LIABILITY INSURANCE TE(MM/DD/YYYY) 12/8/2020 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 # OC36861 rle,'REss: UT Christina M Mountz Ec Alliant Insurance Services, Inc. NE 909 88 685 Carnegie Dr Ste 265 , No, Ext); ( a 6-9861 AX No);(909j 886-2013 San Bernardino, CA 92408 cmountz@alliant.com INSURED Beaumont Electric Inc 877 W 4th St Ste A Beaumont, CA 92223 RER A: James River Insurance Cor HER Biers Mutual Casualt% RER c -Benchmark Insurance Corn RER D : RER E RER F : 12203 1394 OVERAGES 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, --- TYPE OF INSURANCE "` Bunn POLICY NUMBER PO1MM+ ICY EFF POLICY EXP A MMERCIAL GENERAL LIABILITY #xBJPD CLAIMS -MADE � OCCUR X 01105490 12/8/2020 10/8/2021 Ded $2,600 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO- ❑ JECT LOC OTHER' AUTOMOBILE LIABILITY X ANY AUTO 5X7-72-68 --- 21 10/8/2020 10/8/2021 OWNED SCHEDULED AUTOS ONLY AUTOS WNE� X AUTOS ONLY X AUTO0 ONLY X $1,000 Comp Ded X S1,D00 Coll Ded UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE +CST5020284 DED RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRiETORIPARTNER/EXECUTIVE Y / N 10/8/2020 10/8/2021 (NandI R1M n HH] EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS / LOCATIONS) VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Ro: Encroarhment Permit. Certificate holder is additional insured -permit as respect general liability per endorsements attached. City of Menifee 29714 Haun Road Menifee, CA 92586 LIMITS EACH OCCURRENCE 1,000,000 DAMAGE TO RENTEDPREMISES (Ea g=Wn$rr_eI S 50,000 MED EXP oneperson) 1,000 PERSONAL&ADVINJURY 1,000,000 GENERAL AGGREGATE 2,000,000 PRODUCTS - COMWOP AGG S 2,000,000 EBL EACH OCCURR COMBINED 51NGLE LIMIT s 1,000,000 S 1,000,000 BODILY INJURY Perbars") S BODILY INJURY Per accident PROPERTY AMAGE Per idenl S EACH CCCURRE E S S AGGREGATE S X IPER OTH- EL EACH ACCIDENT 11000,000 E. L DIS 8§g - EA EMPLio)�EE S 1,000,000 E.LDISEgSE - PO I YLIMIT 1,000,000 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 POLICY NUMBER: 001105490 NAMED INSURED: Beaumont Electric Inc COMMERCIAL GENERAL LIABILITY CG 20 28 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orcganizationls] Where required by written contract or written agreement Information required to complete this Schedule, if not shown above, will be shown in the Declarations. I 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 maintenance, operation or use of equipment leased to you by such person(s) or organization(s). B. With respect to the insurance afforded to these additional insureds, this insurance does not apply to any 'occurrence" which takes place after the equipment lease expires. CG 20 28 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 p