2021/06/16 SECC CorporationACCW" CERTIFICATE OF LIABILITY INSURANCE °AT�12'�oz"YYY'
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 endorsement(s).
g CONTACT
PRODUCER
GMGS Risk Management & Insurance Services NAME: Ch&rise Ferguson
6201 Oak Canyon, Suite 100 PHONE Exal 949)559.3367 IFAAIC,Nak (949)559-8703
Irvine, CA 92618 E-MAIL
www.gmgs.com
INSURED
SECC Corporation
14945 La Palma Drive
Chino CA 91710
OB84519
INSURER B : Travelers Indemnity Co Of
INSURER C :
INSURER F,.
Co of America
r•CDTICIf`ATC All IaADCD• — -.noan RFVIQIOKI NI IMRPR-
NAIC #
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,
PUL—icINSR TYPE OF INSURANCE VADOL St1BR POLICY NUMBER MMIDDY EPF MPOMLiCpYY LIMITS
LTR I
A
COMMERCIAL GENERAL LIABILITY
DT22-CO-5083C175-TIL-21
6/16/2021
6/16/2022
EACHOCCURRENCE
$1000000
CLAIMS -MADE I21 OCCUR
PREMISES IEa DCCtXrence
$ 300 000
MED EXP (Anyoneperson)
s5,000
rGEI'LGGREGATELIMITAPPLIESPER:
PERSONAL &ADV INJURY
$ 1 000 000
GENERAL AGGREGATE
$2,000,000
PRODUCTS - COMPIOP AGG
$2 OOO 000
ICY JPERa 1-1 LOC
$
ER
B
AUTOMOBILE LIABILITY
810-5P216031-21-26-G
6/16/2021
6/16/2022
Ea.:3bdd INED SINGLE$1
000 000
BODILY INJURY (Per person)
$
ANY AUTO
BODILY INJURY (Per accident)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
NON -OWNED
AUTOS ONLY f AUTOS ONLY
Physical DamageHIRED
Comp Ded $1,000
PROPER7YDANIAS3E
Pef d
$
$
Coll Ded $1.000
UMBRELLA LIAB
OCCUR
EACHOCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIVE YIN
UB-1L280770-21-26-G
6/16/2021
6/16/2022
,/1 STEATITE
E.L.EACH ACCIDENT
$ 1 000 000
E.L, DISEASE - EA EMPLOYEE
$
OFFICER/M EMBER EXCLUDED? ❑
(Mandatory in NH)
NIA
E.L. DISEASE - POLICY LIMIT
$ 1 OO 000
If yes, describe under
DESCRIPTION OF OPERATIONS below
I
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Permit
As respects General Liability coverage, City of Menifee is added as Additional Insured per CGD3160219 attached.
CFRTIFICATE HOLDER CANCELLATION
Permit
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Attm Project Mgr ACCORDANCE WITH THE POLICY PROVISIONS,
29844 Haun Road
Menifee CA 92586 AUTHORIZED REPRESENTATIVE
Steve Mosier
U 198ti-Z015 AGUKU GUKVUKA 1 IUrv. All rlgnis reserves.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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SECC Corporation
DT22-CO-5083C] 75-TIL-21
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR CONTRACTORS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any
injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or
limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to
the extent that coverage is excluded or limited by such an endorsement. The following listing is a general
coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to
determine lights, duties, and what is and is not covered.
A. Who Is An Insured —Unnamed Subsidiaries C. Incidental Medical Malpractice
B. Blanket Additional Insured — Govemmental D. Blanket Waiver Of Subrogation
Entities — Permits Or Authorizations Relating To
Operations E. Contractual Liability — Railroads
F. Damage To Premises Rented To You
PROVISIONS a. An organization other than a partnership, joint
A. WHO IS AN INSURED — UNNAMED venture or limited liability company; or
SUBSIDIARIES b. A trust;
The following is added to SECTION II — WHO IS as indicated in its name or the documents that
AN INSURED: govem its structure.
Any of your subsidiaries, other than a partnership, B. BLANKET ADDITIONAL INSURED —
joint venture or limited liability company, that is GOVERNMENTAL ENTITIES — PERMITS OR
not shown as a Named Insured in the AUTHORIZATIONS RELATING TO OPERATIONS
Declarations is a Named Insured if:
a. You are the sole owner of, or maintain an
ownership interest of more than 50% in, such
subsidiary on the first day of the policy period;
and
b. Such subsidiary is not an insured under
similar other insurance.
No such subsidiary Is an insured for "bodily injury"
or "property damage" that occurred, or "personal
and advertising injury" caused by an offense
committed:
a. Before you maintained an ownership interest
of more than 50% in such subsidiary; or
b. After the date, if any, during the policy period
that you no longer maintain an ownership
interest of more than 50% In such subsidiary.
For purposes of Paragraph 1. of Section II — Who
Is An Insured, each such subsidiary will be
deemed to be designated in the Declarations as:
The following is added to SECTION II — WHO IS
AN INSURED:
Any governmental entity that has issued a permit
or authorization with respect to operations
performed by you or on your behalf and that you
are required by any ordinance, law, building code
or written contract or agreement to include as an
additional insured on this Coverage Part Is an
insured, but only with respect to liability for "bodily
injury", "property damage" or "personal and
advertising injury" arising out of such operations.
The insurance provided to such govemmental
entity does not apply to:
a. Any "bodily injury", "property damage" or
"personal and advertising injury" arising out of
operations performed for the governmental
entity, or
b. Any "bodily injury" or "property damage"
included in the "products -completed
operations hazard".
CG D3 1$ 02 19 02017 The Tmveleia Indemnity Company. All rights reserved.
Includes copyrighted material of Insurance Services OMH24+ , Inc., with Its permission.
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