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2020/03/31 Valley Pipeline Services, Inc. Certificate of Liability Insurance'`SIC o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/.DNYYY) i6-.� 01/06/2021 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 poiicy(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 curtilicate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00NT T Cynthia Cadenhead NAMETemecula Insurance Services PHONE (951) 694-5200 _No,: (951) 302-0470 41923 Second Street E-MAPL s: cynthia@temeculainsuranceservices.com ADDRE Suite 201 INSURERS AFFORDING COVERAGE NAIC # Temecula CA 92590 Kinsale Insurance Company 14027 INSURER A : P y INSURED INSURERB: West American Insurance Company 44393 Valley Pipeline Services, Inc. INSURER C: State Compensation Ins. Fund 35076 47-110 Washington St INSURER D : Ohio Security Insurance Company 24082 Ste 201 INSURER E : La Quinta CA 92253 INSURER F CAVFR nr;FS r COTICIr ATE urraeceO. ni 7n'17rifl7AOA THIS I TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDIC I ED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTJ ICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLLlStONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE I NOSDIL I SX1R I POLICY NUMBER MM/DD/YYYY MM/DDY/YYri LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I —XI CLAIMS -MADE OCCUR PREMISES Ea occurrence $ '00,000 MED EXP (Any one erson $ Excluded A _ Y 0100049221-3 03/31/2020 03/31/2021 PERSONAL& ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 :I AGGREGATE LIMITAPPLIES PER: _I OLICY ❑X J El LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Deductible $ 5,000 OTHER: All IOMOBILE LIABILITY COMalNED SINGLE LIMIT Ea accldenl $ 1,000,000 } ANYAUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED " "OS ONLY AUTOS BAW56619091 12/05/2020 12/05/2021 BODILY INJURY (Per accident) $ IIRED NON -OWNED 1 JTOS ONLY AUTOS ONLY PROPERTY DAMAGE Paracciden $ $ J I UMBRELLA LIAB N�C CUR EACH OCCURRENCE $ 4.000,000 A X LXCESS LIAB AIMS -MADE 0100049292-3 03/31/2020 03/31/2021 AGGREGATE $ 4,000,000 - nrD X RETENTION S None Deductible $ None Yr-' SUERS COMPENSATION PER OTH- A. - I -M PLOYERS' LIABILITY YIN STAT TE ER E.L. EACH ACCIDENT $ 1,000,000 C Ar:' i'I.OPRIETOR/PARTNER/EXECUTIVE (M i it/MEMBER EXCLUDED? NIA 9086042 01/16/2021 01/16/2022 E-L. DISEASE - EA EMPLOYEE $ 1,000,000 IIL••-- : gory in NH)and II . hscribe under tL, DISEASE -POLICY LIMIT $ 1,000,000 PT;ON OF OPERATIONSbalow Cc 'ractors EquipmenUBPP Scheduled Limit $1.164,000 D I/ Bible $1,000 BKS56619091 03/31/2020 03/31/2021 Rent/Leased Equipment $300,000 BPP Limit 28,980 DESCIk u,l OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Certill, holder is hereby named as additional insured. I C nuwtr< _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee CA 92586 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 15 (2016/03) The ACORD name and logo are registered marks of ACORD