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2020/03/31 Valley Pipeline Services, Inc. Certificate of Liability Insurance (3)
CERTIFICATE OF LIP THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN[ CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A L REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poll If SUBROGATION IS WAIVED, subject to the terms and conditions of the p, this certificate does not confer rights to the certificate holder in lieu of suc PRODUCER Temecula Insurance Services 41923 Second Street Suite 201 Temecula INSURED Valley Pipeline Services, Inc. 47-110 Washington St Ste. 201 La Quinta CA 92590 CA 92253 BILITY INSURANCE DATE(MMIDDIYYYY) 01 /06/2021 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS NO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED :y(ies) must have ADDITIONAL INSURED provisions or be endorsed. Ilicy, certain policies may require an endorsement. A statement on T endorsement(s). NAME T Cynthia Cadenhead PHONE, oE (951) 694-5200 (,AAIC 951) 302.0470 No E-MAIL c nthia temeculainsuranceservices.com ADDRESS: y iNSURER(S)AFFORDING COVERAGE NAIC 0 INSURER A : Kinsale Insurance Company 14027 INSURER B: WestAmerican Insurance Company 44393 INSURER C : State Compensation Ins. Fund 35076 INSURER D : Ohio Security Insurance Company 24082 INSURER E INSURER F IV ... U'm- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IAIO1LTRU5,1TYPE OF INSURANCE RI IN IN POLICY NUNISPR MM/DO/YYYY MMIDDNYYY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR A Y 0100049221-3 03/31/2020 03/31/2021 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY JECT LOG OTHER: AUTOMOBILE LIABILITY X ANYAUTO B OWNED SCHEDULED AUTOSONLY AUTOS BAW56619091 12/05/2020 12/05/2021 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB X OCCUR A x EXCEssLIAS CLAIMS -MADE 0100049292-3 03/31/2020 03/31/2021 ]C — e�,�.,_ ., , None WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N C ANY PROPRIETOR/PARTNER/EXECUTIVE NIA 9086042 OFFICER/MEMBER EXCLUDED? 01/16/2021 01/16/2022 (Mandatory in NH) If yes, dascrlbe under DESCRIPTION RFOPERATION$ below D Contractors Equipment/BPP Deductible $1,000 BKS50619091 03/31/2020 03/31/2021 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Certificate holder is hereby named as additional insured TE ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS SUBJECT TO ALL THE TERMS, LIMITS EACH OCCURRENCE S 1,000,000 PREMISES fEn dcc rrance S 100,000 MED EXP IAny one rson S Excluded PERSONAL& ADV INJURY S 1,000,000 GENERALAGGREGATE 3 2,000,000 PRODUCTS • COMPIOPAGG g 2,000,000 Deductible $ 5,000 COMBINED SINGLE IMIT $ 1,000,000 Ea accldart BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTYI7AMAGE $ Per alxldenl EACH OCCURRENCE S 4,000,000 AGGREGATE S 4,000,000 Deductible 5 None STATUTE ERH E.LEACH ACCIDENT- S 1,000.000 E.L DISEASE- EA EMPLOYEE S 1,000,000 EL. DISEASE. POLICY LIMIT S 1,000,000 Scheduled Limit $1,164,000 Rent/Leased Equipment $300,000 BPP Limit 28,980 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 'L/�!!%r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 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 'L/�!!%r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD