2010/11/08 Dennis Janda, Inc. (3) XAN
A CERTIFICATE OF LIABILITY INSURANCE R054 07nO5-oil
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 INSURERS),AUTHORIZED
REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pOlicyliesl must be endorsed. If SUBROGATIO NIS 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 .
MDWCER NAME:
ONTA
WELLS FARGO INS INC/PAC NEP AP.
715725 P: O - F: O - .MIUL
PO BOX 33015 ADDRESS:
PRODUCE
SAN ANTONIO TX 78265
INSURFRIaI AFFORDING COVERAGE NAICE
SMURAI INSURERA: Hartford Casualty Ins CO
DENNIS JANDA, INC INSURES:
42164 REMINGTON AVE INSURER C:
TEMECULA CA 92590 InsugER D:
IXSUREq E
INSURER F
COVERAGES CERTIFICATE NUMBER: 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.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
lJe TYIE DF N'bIIRARCE ansePoLa1Y N1/MBER (MMAOryYYY/ aEMADryvYYI LMGTS
GIMIRMLYAaRIFV EACH OCCURRENCE s
COMMERCIAL GENERAL LIABILITY pgFMISEe IEe occulmm s
LWMSMADE ❑me. MEDEv`Uv1opeR.M B
PERSONALBADVINLIRV 9
OWERAL AGGREGATE 9'
'L AGGR LIMIT AQ$ S,7 PRODUCTS-COMPIOP AGO '<
POHCV _a a WC f
AUNBUXU E,llAaIfITY COMBINED SINGLE LIMIT r
ANVAUTO IFn aadenG
BODILY INJURY r*P—ri If
ALL OWNED ALTOS BODILY INJURY IPo,xUwmq B
SCHEDULED AUTOS pgOpEPTV OHMAGE
HIRED AUTOS F.eeNeml t
NON OWNED ROTAS 8
8
IMfI�t(A ON OCCUR EACH OCCURRENCE t
E6ESSLlAB CWMaMADE AGGREGATE J
DEDUCTIBLE 9
RETEMION 4
wDwrRs Lms"Lemarr X wcs,aT�- oTH-
xDavnovE,uJueanv
ANY PROPRIRORNARTNEUCECUTIVET/N A,JA EL EACH ACCIDENT f1, 000,000
A OFFlCENMEMBEREXCLUDEW ❑ 41 WEG JI6051 11j08/201011/0e/2011 E.L.DISEASE-EA EMPLOY sI1000, 000
OEBCRIPTION OFOPFAATONS Bakw EL OIBEASE.P000T OMIT Bl, COO,OOO
OESCRPTION GF OPEM.'LeeA.IL4,X .MRS.ALORD sef.AtlGbFYRwnvha SF A,I—pnY, .Q
Those usual to the Insuredls Operations.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
City Of Menifee DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
29714 RAUN RD " °RE°"EaE"T`nvE
SUN CITY, CA 92586
m1988-2009 ACORD CORPORATION. All rights reserved.
ACORD 25 (2009/09) The ACORD name and logo are registered marks of ADDED