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2020/06/01 Language Line Services, Inc. W16490417 (3) DocuSign Envelope ID:42048F6E-18EE-4924-B750-AE413F1 BFA44 Page I of 1 "' CERTIFICATE OF LIABILITY INSURANCE DATEIMMID ��• 05/19/2020 ) 020 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). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE 1-877-945-7318 FAX 1-BBB-467-2378 c/o 26 Century Blvd - AIC,.No): P.O. Box 305191 EMMAlL certificates@willis.Com DbRE8 . Nashville, TN 372305191 USA INSURE $AFFORDING COVERAGE NAICU C1TYf HA CEIFEE INSURER A: Great Northern Insurance Company 20303 INSURED INSURER B• Federal Insurance Company 20281 Language Line Services, Inc. One Lower Ragsdale Drive �UN U 2 2020 INSURERC: Vigilant Insurance Company 20397 Building 2 INSURER D Monterey, CA 93940 RECEIVED _INSURERE.- INSURER COVERAGES CERTIFICATE NUMBER:W16490417 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 ILTR TYPE OF INSURANCE AnDL SUeR POLICY EFF POLICY EXP POLIOYNI]MBER MPo!6EYYYY) IMMf0Q:Vyyy1 LIMITS X I COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISEtte_gCplrrgncuV $ 1,000,000 A MED EXP(Any one person) $ 10,000 Y 3595-61-78 06/01/2020 06/01/2021 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY Lam' PRO U LOC PRODUCTS-COMP/OP AGG . $ 2,000,000 JECT OTHrrt is AUTOMOBILE LIABILITY COMBINED SIN E LIMI r (Ea accidornll $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED , 73576109 06/01/2020 06/01/2021 BODILY INJURY(Peraocldonl)' $ X, AUTOS ONLY AUTOS $ HIRED X{ NON-OWNED PROPER7YI7AMAflE AUTOS ONLY AUTOS ONLY (Per accident) B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 7987-71-21 06/01/2020 06/01/2021 AGGREGATE $ 5,000,000 DED F-1 RETENTION$ $ WORKERS COMPENSATION X TAT T ERH AND EMPLOYERS'LIABILITY 1,000,000 C ANYPROPRIETOPJPARTNER/EXECUTIVE Y/N I E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA 7174-35-69 06/01/2020 06/01/2021 1,000,Otl0' (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ II yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below r E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) City of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional Insureds as respects General Liability. The General Liability policy shall be Primary and Non-Contributory with any other insurance in force for or which may be purchased by the Additional Insureds. 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. City of Menifee AUTHORIZED REPRESENTATIVE 29844 Road Menifeee,, C CA 92566 9)1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD sR 1D: 19629514 BATCH: 1684774 202 2060 DocuSign Envelope ID:42048F6E-18EE-4924-B750-AE413F1 BFA44 Dated: 05/20/20 CA848143 7114 7389 6621 3761 0695 CALIFORNIA PRELIMINARY NOTICE This is not a Lien. Civil Code Sections 8200, et seq., 9300, et seq. Reputed Owner or Public Entity CI 1 -You are hereby notified that 05/20/20 CA848143 FINANCE FEE REXEL USA INC DBA GEXPRO CITY OF MENIFEE 2099 S STATE COLLEGE BLVD#200 29844 HAUN RD JUN 0 2 2020 ANAHEIM CA 92806 MENIFEE CA 92586 RECEIUtD Reputed Construction Lender or Lessee 2-Has furnished or will furnish labor, services,equipment, or materials of CO# R-687/BOND#36KO13524 the following general description: CULBERSTON INS SERVICES INC ELECTR. EQUIPMENT& SUPPLIES 5500 E SANTA ANA CANYON RD #201/ANAHEIM CA 92807 3 -An estimate of the total price of the Reputed Direct Contractor labor,services,equipment,or materials DBX INC furnished or to be furnished is: ATTN: ACCOUNTS PAYABLE $142,000.00 42024 AVENIDA ALVARADO#A TEMECULA CA 92590 4-The building,structure or other work of NOTICE TO PROPERTY OWNER improvement is located at:EVEN THOUGH YOU HAVE PAID YOUR R-687 TRAFFIC SIGNAL @ CONTRACTOR IN FULL, if the person or firm that has MENIFEE-HOLLAND TS & given you this notice is not paid in full for labor, MENIFEE/CAMINO CRYSTAL RD service, equipment or material provided or to be MENIFEE/HOLLAND RD provided to your construction project, a lien may be MENIFEE CA 92586 placed on your property. Foreclosure of the lien may 5-The party to or for whom the work is provided. lead to loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your 1081356/DBX INC contractor to provide a signed release by the person 42024 AVENIDA ALVARADO#A or firm that has given you this notice before making TEMECULA CA 92590-3405 payment to your contractor, or(2) any other method that The relationshipa to the p rty(ies)giving this notice is: is appropriate under the circumstances. This notice is Material Supplier required by law to be served by the undersigned as a 6-Name and address of Trust Funds to which statement of your legal rights. This notice is not intended Supplemental Fringe Benefits are payable to reflect upon the financial condition of the contractor (if applicable): or the person employed by you on the construction project. If you record a notice of cessation or completion of your construction project,you must within 10 days after recording, send a copy of the notice of completion 7-Federal Public Work Jobsite Title 40 USC Sec.270A-270E to your contractor and the person or firm that has given Contract# you this notice. The notice must be sent by registered Bond Co: or certified mail. Failure to send the notice will extend the deadline to record a claim of lien.You are not required to send the notice if you are a residential Authorized Agent I /� homeowner of a dwelling containing four or fewer units. 1-800-366-5660 This undersigned declares as follows: I am over the age of 18 and employed by Construction Notice Services, Inc.,whose business address is 9520 Padgett St #208, San Diego,CA 92126. 1 am employed in the County of San Diego,where this mailing occurs, and not a party to this action.On the date shown below, in the City of San Diego, I served within California Preliminary Notice, sealed and deposited in the mail in the manner prescribed by law, by first class registered or certified mail, postage fully prepaid,to the person(s)at the address shown thereon. _ Signature: = �— [ � — Date: 05/20/20