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2021/04/01 Battery Systems, Inc. (3)
r -I '`'4- "1yCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/02/2021 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(iss) 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 endorsement(s). PRODUCER Aon Risk Services Central, Inc. Chicago IL office CONTACT NAME: (ArC. No. Ert): (866) 283-7122 F XX No,): (800) 363-0105 200 East Randolph Chicago IL 60601 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Zurich American Ins Co 16535 Battery Systems, Inc. 12400 Industry Street Garden Grove CA 92841 USA INSURER B: American Zurich Ins CO 40142 INSURER C: Travelers Property Cas Co of America 25674 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE DUMBER: 570086852149 REVISION NUMBER: 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. Limits shown are as requested INSH Tp TYPE OF INSURANCE D D WVO POLICY NUMBER FFJUUY EFr Y DAM+ DY EXP LIMITS X COMMERCIAL GENERALLIABILITYGLO EACH OCCURRENCE $ 2 , 000, 000 ��� CLAIMS -MADE I xrrrOCCUR �, PREMISES Ea occurrence $500,000 MED EXP (Any one person) $10, 000 PERSONAL & ADV INJURY $2,600,000 GEN'LAGGREOATELIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000 X POLICY ❑ PRO ❑ LOC JECT PRODUCTS - COMP/OPAGG $4,000,000 OTHER: A AUTOMOBILE LIABILITY BAP 3487041-15 04/01/2021 04/01/2022 COMBINED SINGLE LIMIT Eaaccident)$3,000,000 BODILY INJURY ( Per person) X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) C X UMBRELLA LIAB X OCCUR ZUP81N1276021NF 04 1 21 04 O1 02 EACH OCCURRENCE $8,000,000 EXCESS LIAR CLAIMS -MADE AGGREGATE 18,000,000 DED I X RETENTIONS10,000 B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ PARTNER/EXECU I I— OFFICER/MEMBER EXCLUDED? (MIf yandatory in NH) DESs, describe under CR PTION OF OPERATIONS below N / A WC348703915 1 0 0 X PER STATUTE I OTH- EA E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 E.L. DISEASE -POLICY LIMIT $1, 000 , 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional insured in accordance with the policy provisions of the General Liability policy. The General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional insured, but only in accordance with the policy's provisions. The General Liability policy evidenced herein includes a Severability of interest provision. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cityy of Menifee and its officers. AUTHORIZED REPRESENTATIVE employees, agents, and authorized volunteers Attn: Margarita Cornejo cam// iJ 29714 Haun Road Menifee CA 92586 USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD O Z N iu v 0 U