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2020/12/17 Heartland Grading, Inc. Certificate of Liability Insurance-om:Vicki Painter FaxID:619-937-0168 Date:12/10/2020 1:51:49 PM Paae:2 of 2 HEARGRA-02 VIPAINTER ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) `� 1 12/10/2020 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 ri hts to the certificate holder in lieu of such endorsements . PRODUCER License # OC32169 CONTACT Rancho Mesa Insurance Services, Inc. PHONE FAx 250 Riverview Parkway (Arc, No, Ext): (619) 937-0164 A/C, No ; 619 937-0168 I Santee, CA 92071 a ,S96s8_ . . INSURED Heartland Grading, Inc. 3142 Tiger Run Ct Ste., # 114 Carlsbad, CA 92010 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. iR TYPE OF INSURANCE ,ADDL U9R POLICY NUMBER POLICY EFF POLICY EXP LIMITS .............................._......_.._.-_._.,.,_-:...... aT.� ,,.- - u�au �xxxx NMJ2 _Y X COMMERCIAL GENERAL LIABILITY 1 �OOO,O YYL Mqd P�CURRENCE $ ,.....,1 CLAIMS -MADE ; - - A OCCUR ATN2037212 12/1712020 12/17/2021 DAMAGE TO RENTED 50,0 � "7 LSF,nt(�1..pLGkll.WC3G�,L S L AGGREGt TE LIMIT APPLIES PER: POLICY j LOC B I AUTOMOBILE LIABILITY A ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NAUTOS N-OWNED AUTOS ONLY ONLY ....................................W._.......-._...._....UMBRELLA LIABOCCUR X EXCESS LIABCLAIMS-MADE DED X RETEN_TION $ _ 0 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICEWMEMBER EXCLUDED? N / A (Mandatory in NH) If Yes, describe under 161216001 11211712020 1112/17/2021 I soDiLY �Bnnnu Y 12117120201 12/17/2021 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: PROOF OF COVERAGE ...... .. ........... _.............. CERTIFICATE HOLDER CITY OF MENIFEE 29714 HAUN ROAD MENIFEE, CA 92686 ACORD 25 (2016/03) 1,000,000 2,000,000 2.000,000 5.00 S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 1 AUTHORIZED REPRESENTATIVE �. c ..................................... ... ._-............ ....._........_..._..... ............... .......... . © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -om:Vicki Painter FaxID:619-937-0169 Date:12/10/2020 1:53:53 PM Paae:1 of 4 Fax To: CITY OF MENIFEE ENGINEERING DEPARTMENT Fax: (951) 679-3843 RE: (619) 937-0164 (619) 937-0168 From: Vicki Painter Pages: 4 (including this cover) Date: Thursdav, December 10, 2020 -om:Vicki Painter FaxID:619-937-0168 Date-12/10/2020 1.53:53 PM Paae:2 of 4 HEARGRA-02 V.PAINTE ACORN" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1 Z 10l2020 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. ..... .................... .........................w..W..».........�_.._..,» ............................................................................................................................................... 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 endorsements . PRODUCER License # OC32169 �rFAcr y RancI)o Mesa Insurance Services, Inc. PNNEFAX 250 Riverview Parkway A.�I,C, �No, Ext): (619) 937-0164 Afc, No : 619) 937-0168 Santee, CA 92071 lrST�LFi�pair- INSURED Heartland Grading, Inc. 3142 Tiger Run Ct Ste., # 114 Carlsbad, CA 92010 F: United S ..eci..Alty Insu Middlesex Insurance 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. �ADDL SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE »POLICY NUMBER LIMITS B...-».._........»«............»»»...»....-..........._,....._........... .1.If1 �.:..,_..:.. i, X COMMERCIAL GENERAL LIABILITY 1,000,0 I V, QK_d OGCkI�REN, E S T-D CLAIMS -MADE l� OCCUR X ATN2037212 12/17/2020 12/17/2021 t)AMAG6TQRENTED S 50,0 PREMISR�Fn,g�ULt�q� nncn rYc rm­,,,,a.,.,.­I c 5,0 _.._._........... ._.... _..._ _. ... _.. ............ GENL ACiGRE , 7E LIMIT APPLIES PER: GENERAL A��RGA7E 2,000,000 POLICY JE� [ -1 LOG PR DUCT C, MP OPAGG S 2,000,000 �Tt? ...........: ..._.... « .. _ _......_,........... ._.._ ........«............_....................... ._ ... t...... .._... W.« B AUTOMOBILE LIABILITY »»..... COMSINED SINGLE LIMIT 1,000,000 AftA &olla$:L.........«................ X ANY AUTO A0161216OD1 12/17/2020 12/17/2021 OWNED SCHEDULED BOOJI,Y INJURY (Perprsan e$ AUTOS ONLY AUTOS EE��jj �OD1LY INJURY (Per accideni F Ty X ALiR1E05 ONLY X rAOUT65hLLY L.p�.4V!tl!AMAGE........_.... .................._........._..._.....W......_....._........,.._ _.. A UMBRELLA LIAB X OCCUR EACH OCC RE $ 5,000,000 X EXCESS LIAB CLAIMS -MADE BTN2036988 12/1712020 12/17/2021 AGGREGATE $ 5,000,000 _��_.._.. .. ... M,.. �..._ DE D X RETENTION $ 0 _ S 5'000,000 .......«»...................._.«._.._._..................._..... ...... .............. ..._....__..._.................................._,....... ........ �.._..._...,.._ .�.. WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN "" T ' LA"...... "" ANY PROPRIIETORIPARTNERfEXECUTIVE MinMBER NH) EXCLUDED? N I A E.L. Oa F(AC1 7 „ S W. E.L. DISEASE • EMPLOYE $ If ves. describe under F.A DESCRIPTION OF OPERATIONS I LOCATIONS! VEHICLES (ACORD 101, Additlonal Ramarks Schedule, may baratt0ahed If more space is r"%)iri:d) RE: OPERATIONS OF THE NAMED INSURED AS CERTIFICATE HOLDERS INTEREST MAY APPEAR SUBJECT TO POLICY TER AND EXCLUSIONS. THE CITY OF MENIFEE, ITS OFFICERS, EMPLOYEES AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED PER FORM CG2010 4TTACHED, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF MENIFEE ENGINEERING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 HAUN ROAD ACCORDANCE WITH THE POLICY PROVISIONS. MENIFEE, CA 92586»...�..�,,....,-,,,........,...........»......,,.».... .�-,,,,,,,,,,,,,,,,.....,:,,.....�.,,,......,,... .._....:........�__.... _ r....-...... AUTHORIZED .REPRESENTATIVE ...._.............c� __ ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD -om:Vicki Painter Fax[D:619-937-0168 Date:12/1012020 1:53:53 PM Paoe:3 of 4 POLICY NUMBER:ATN2037212 COMMERCIAL GENERAL LIABILITY CG20100413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS -- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Ornanization(s) I Location(s) Of Covered Operations as required by written contract, fully executed prior to the named insured's work - ongoing 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 _ B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. 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. CG 20 10 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 -om:Vicki Painter FaxID:619-937-0168 Date:12/102020 1:53:53 PM Paae:4 of 4 C. 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 shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 0413