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2021/05/01 Haaker Equipment Company Certificate of Liability InsuranceHAAKER EQU JLOP _ A�ORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIY) YY) 4/27/2021 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 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 endorsement(s). PRODUCER (CONTACT NAME: THE BROKERAGE COMMERCIAL INSURANCE SERVICESInc. PHONE FAX , 20261 SW Acacia St., Suite 200 (A/C, No, Ext): (,949) 287-5677 (A/C. No): Newport Beach, CA 92660 E MAIL Ess: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A:CompWest Insurance Company 12177 INSURED INSURER 8 Haaker Equipment Company; Total Clean INSURER C : 2070 North White Avenue INSURER D : La Verne, CA 91750 INSURER E : INSURER F : 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. R DL EFF POLICY EXP SUER POLICY. g _ TYPE OF INSURANCE _ ADlNSD Wy0 POLICY NUMBER j LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE OCCUR DAMAGE TO RENTED GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ' M. I I_OC AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOSSyy HIRED S ONLY Ep AUTO ❑NLY UMBRELLA LIAR OCCUR EXCESS LIAB CLAIMS -MADE DED RETENTION $ A 'WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WCV5504241 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N (iFFiCER/MEMBER EXCLUDED? N / A 6n,story in NH) If vos. describe under PREMISES (Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG 9 (Ea acckfent) .. - -- - ---- S BODILY INJURY (Per person) S BODILY INJURY (Per accident) S PROPERTY DAMAGE (Per accident) S EACH OCCURRENCE 5 AGGREGATE S S X PER OTH• STATUTE ER 5/1/2021 5/1/2022 E.L. EACH ACCIDENT $ 1,000, E.L. DISEASE - EA EMPLOYEE $ 1,000, , .. 1-1 . , .......Y . 1.000. DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: All operations performed by the Named Insured during the current policy period. City of Menifee 29844 Haun Road Menifee, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f � ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: HAAKER EQU LOC #: 1 AC"QRD ��- ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 2{}70 Haaker NortFl Whitt=qu t et Company; Total Clean _ e Avenue POLICY NUMBER La Verne, CA 91750 SEE PAGE 1 CARRIER NAIC CODE 'SEE PAGE 1 SEEP 1 EFFECTIVE Dnre: SEE PAGE 1 _ ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACQR❑ 25 FORM TITLE: Certificate of Liability Insurance JLOPEZ Page 1 of 1 Cancellation: Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement. *Except 10 Days Notice of Cancellation for Non -Payment of Premium. L _ ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD