2020/03/13 Disability Access Consultants, LLC Certificate of Liability InsuranceACVRH CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/18/2020
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
CANE:CON-TACT Ceil Provo
AssuredPartners of Minnesota LLC
PHONE Ext : (651) 644-7200 FAKAIC Nn : (651) 644-9137
2361 Hwy 36 W
ADDRESS: ceil.provo@assuredpartners com
INSURERS) AFFORDING COVERAGE
NAIC #
St Paul MN 55113
INSURERA: Continental Cas Co
20443
INSURED
INSURER B : American Casualty Co Reading
20427
Disability Access Consultants, LLC
INSURER C : Transportation Ins Cc
20494
2862 Olive Highway
INSURER D : The Hartford
00914
INSURER E: Philadelphia Insurance Company
251
Oroville CA 95965
INSURER F :
COVERAGES CERTIFICATE NUMBER: 21/22 Master 19/20 Prof 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
TR
TYPE OF INSURANCE
INSD
WVD
POLICY NUMBER
MMIDDIYYYY
MM/DD E P
LIMITS
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE X OCCUR
EACHOCCURRENCE
$ 2,000,000
PREMISES Ea occurrence
$ 1,000,000
MED EXP (Any one person)
$ 10,000
PERSONAL BADVINJURY
$ 2,000,000
A
Y
B6020052587
01/01/2021
01/01/2022
GEN'LAGGREGATE LIMITAPPLIES PER:
POLICY ECT LOC
GENERAL AGGREGATE
$ 4,000,000
PRODUCTS
$ 4,000,000
Employee Benefits
$ 1,000,000
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
Ea accident
$ 1,000,000
X
BODILY INJURY (Per person)
$
ANYAUTO
B
OWNED SCHEDULED
AUTOS ONLY AUTOS
Y
6020004782
01/01/2021
01/01/2022
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
Medical payments
$ 5,000
X
UMBRELLA LIAB
FCLAIMS-MADE
OCCUR
EACH OCCURRENCE
$ 5,000,000
AGGREGATE
$ 5,000,000
C
EXCESS LIAB
Y
B6020052637
01/01/2021
01/01/2022
_
DED I X1 RETENTION S 0
$
D
WORKERS COMPENSATION
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
If yes, describe under
DESCRIPTION OF OPERATIONS below
NIA
41WBAC5W3P
01/08/2021
01/08/2022
�/ PER CH_
/� STATUTE ER
EL EACH ACCIDENT
$ 1,000,000
E L DISEASE - EA EMPLOYEE
$ 1,000,000
E L DISEASE - POLICY LIMIT
$ 1,000,000
E
Professional Liability
PHSD1531446
03/13/2020
03/13/2021
Limit
Deductible
$5,000,000
$10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of Menifee ADA Self Evaluation and Transition Plan are listed as additional insured
%,cm I Irm,ml c r[VLLJcM GANt;LL-AI IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Menifee and its officers, employees, agents ACCORDANCE WITH THE POLICY PROVISIONS.
29714 Haun Road
AUTHORIZED REPRESENTATIVE
Menifee CA 92586
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD