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2021/06/01 A.C. Spraggins Engineering & UndergroundACSPRAG-01 PATTERS( '4 o CERTIFICATE OF LIABILITY INSURANCE DATE61/2 D/YYYY) 6/1 /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 rights to the certificate holder in lieu of such endorsements . PRODUCER License # 0757776 CONTACT NAME: _ Culver City, CA -HUB International Insurance Services Inc. HICONno, Ext): (310 568-5900 FAX 600 Corporate Pointe ). (A/C, Noy(310) 568-9098 Suite 600 Culver City, CA 90230 1N AFF RD1NG COVERAGE NAIC q INSURED A.C. Spraggins Engineering & Underground, Inc. 1424 W. Philadelphia Street Ontario, CA 91762 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- INSR TYPE OF INSURANCE .ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADEI7XOCCUR '72UEACD3032 6/1/2021 6/1/2022 DAM�AGEToRENTED $ 300,000 MED EXP (Any oneperson) $ 10,000 1.000.000 L AGGREGATE LIMIT APPLIES PER: POLICY � ma LOC B AUTOMOBILE LIABILITY AUTO OWNED SCHEDULEDAUTOS ONLY AaaU{T��OSt�AUTOS ONLY X AUTOQ ONLOY I72 UEA CD3033 IANY C X UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE 72 RHA CD3110 [I DED X RETENTION $ 10,000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY FICPERIMEMBOER EXCLUDED? ECUTIVE � (Mandatory in NH) N / A I'72 WEA AG3NC8 -COMP/OPAGG S 2' S 31NGLE LIMIT 1 u 6/1/2021 I 6/1/2022 BODILY INJURY 'Perperson) $ BODILY INJURY IPeraccidentl S EACH OCCURRENCE S 5,000, 6/1/2021 6/1/2022 AGGREGATE 5,000, General Agg. 6/1/2021 6/1/2022 E.L. EACH ACCIDENT 1 EL DISEASE - EA EMPLOY $ 1 E L DISEASE - POLICY LIMIT I S 1 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee 29714 Haun Road Sun City, CA 92586 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. AUTHORIZED REPRESENTATIVE L, ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD