2021/02/01 Trenton Carniello Certificate of Liability InsuranceDATE(MMIDD/YYYY)
ACORD- CERT.-FICATE OF LIABILITY INSURANCE 2/2/2021
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
NUGEN & ASSOC INS SERV INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
10722 ARROW RTE #116 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
RANCHO CUCAMONGA CA 91730
909/941-0167 FX 909/941-9453
INSURED TRENTON CARNIELLO DBA:
CARNIELLO ENTERPRISES
PO BOX 1728
UPLAND, CA 91785
1909 981-2728
rr %IcM A rr0
INSURERS AFFORDING COVERAGE NAIC#
INSURER A: BENCHMARK INSURANCE CO (A, VIII) 41394
INSURERB: UNITED FINANCIAL CAS CO(A,XV) 11770
INSURERC: OHIO CASUALTY INSURANCE CO(A,XV) 24074
INSURER D:
INSURER E:
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 AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
INSR 1DD'L POLICY NUMBER DATE MNVDDmVE DATEYMWDDA/YYON LIMITS
LTR NSRO TYPE OF )INSURANCE
GENERAL LIABILITY
EACH OCCURRENCE
$1,000,000.00
PREMISES Ea occurence)
$ 50 000-00
MERCIAL GENERAL LIABILITY
MEDEXP(Anyoneperson)
$ 5000.00
CLAIMSMADE [E OCCUR
PERSONAL&ADVINJURY
$1,000,000.00
A
Y
k
'BIC5022381 02/01/21
02/01/22
GENERAL AGGREGATE
$2 r 000, 000. 00
GENT AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$2 r 000, 000.00
X POLICY PRO LOC
JECT
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$1 000 , 000 . 00
X
ANYAUTO
(Ea accident)
,
BODILY INJURY
(Per person) $
ALL OWNED AUTOS
SCHEDULED AUTOS
B
X
HIRED AUTOS
NON-OWNEDAUTOS
02854469-5 02/04/21
02/04/22
BODILYINJURY
(Peraccident)
$
X
PROPERTY DAMAGE
(Peraccident)
$
GARAGE LIABILITY
AUTOONLY- EAACCIDENT
$
OTHERTHAN EAACC
$
F I ANYAUTO
$
AUTOONLY: AGG
EXCESS/UMBRELLA LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
OCCUR CI CLAIMSMADE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
—'
W TA U- O H-
TORYLIMITS ER
E.L EACH ACCIDENT
$
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
E L DISEASE - EA EMPLOYE
$
Ifyes, describeunder
SPECIAL PROVISIONS below
E L DISEASE - POLICY LIMIT
$
CI OTHER INLAND
$50,000 LEASED/RENTED
MARINE/EQUIPMENT BMO(22)60842511
02/01/21
02/01/22
$306,000.SCHEDULE
$1000DED, ALL RISK
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
MENIFEE PLAZA 27599 NEWPORT RD AND 30012 TOWNE CENTER DR MENIFEE CA 92586
CITY OF MENIFEE IS BEING NAMED AS ADDITIONAL INSURED PER FORM G0103 09/18
I�COTlC 1/^ATC Urtl n=o /`6Mf CI I ❑TInKI �1
SHOULD ANY OF THE ABOVE DESCRI POLICIES BE CANC£LL BEFORE THE EXPIRATIO
CITY OF MENIFEE
DATE THEREOF, THE ISSUING I URER WILL ENDEAVOR TO MAIL'30 DAYS WRITTEN
29844 HAUN RD
NOTICE TO THE CERTIFIC H DER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
MENIFEE CA 92586
IMPOSE NO OBLIGATI O OR LI BILITY OF KIND UP N"IHE INSURER, ITS AGENTS OR
REPRESENTATIVES
AUTHORIZED REPRESEN ATIV
ACORD25(2001/08) VAGUKUI UKVUKAI IUN Iyaa
POLICY NUMBER: BIC5022381
COMMERCIAL GENERAL LIABILITY
G0103 09 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Section II - Who Is An Insured is amended to
include as an Additional Insured any person(s) or
organization(s) that the Named Insured has agreed in
an "insured contract" to name such person or
organization as an Additional Insured, but only with
respect to liability for "bodily injury" and "property
damage", and provided that: (i) the "bodily injury" or
"property damage" occurs subsequent to the
execution of the "insured contract", and (ii) the
"bodily injury" or "property damage" arises from "your
work" performed during the policy period.
With respect to the insurance provided to an
Additional Insured under this endorsement, the
following also applies:
1. The following subparagraph d. is added to
Section IV - Commercial General Liability
Conditions, paragraph 4. Other Insurance,
Deductibles and Self -Insured Retentions:
d. Notwithstanding anything to the contrary in
paragraphs 4.a., 4.b., or 4.c. hereof, the
indemnity provided by this insurance is
primary and non-contributory for any person or
organization who qualifies as an Additional
Insured under this policy and for whom you
have agreed, in an "insured contract", to
provide primary additional insured coverage.
We will pay sums on behalf of an Additional
Insured only to the extent of payment for
damages because of "bodily injury" or "property
damage" arising out of the negligence or strict
liability of the Named Insured. No coverage is
provided for damages because of "bodily injury"
or "property damage" arising out of acts, errors
or omissions of the Additional Insured.
3. We have the right but not the duty to defend an
Additional Insured in any "suit" seeking damages
covered by this policy. If, however, you are
obligated under an "insured contract" to defend
a person or organization who qualifies as an
Additional Insured in a "suit" brought by a third
party against that Additional Insured seeking
damages because of "bodily injury" or "property
damage" covered by this policy, then the
reasonable attorney's fees and litigation
expenses incurred to defend that Additional
Insured will be deemed to be damages for
"bodily injury" or "property damage". We will pay
the percentage of such sums as determined by
dividing (i) the amount of covered damages
arising out of "your work", by (ii) the total amount
of loss paid or payable to the plaintiff(s) by all
persons and organizations in connection with
the claim giving rise to the "suit".
4. The applicable limit of the company's liability
shall not be increased by the inclusion of any
number of person(s) or organization(s) who
qualify as Additional Insureds.
5. Other than as expressly modified herein,
coverage for the Additional Insured is governed by
the terms and conditions of this policy.
ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED.
G0103 09 18 C WESTCAP 2018 Page 1 of 1