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2021/12/08 IK Consulting, LLC (5)
� CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) ACORD' 1....,..---· 11/30/2021 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 endorsement(s). PRODUCER CONTACT John Boughton NAME, San Tan Insurance r.f1�N,_t �_.,.480-391-3883 I i� Nol: 480-391-9484 625 N Gilbert Rd., Suite 107 E-MAIL JFBoughton@santaninsurance.net Ann����. INSURER/SI AFFORDING COVERAGE NAIC# Gilbert AZ 85234 INSURER A: Hartford Casualty Insurance Co INSURED INSURERS: IK Consulting, LLC INSURERC: P.O. Box 17661 INSURER D: INSURER E: Tucson AZ 85730 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR A A A A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY I CLAIMS-MADE Ci] OCCUR - �'L AGGRE[�r �:� AP□S PER: POLICY JECT LOG OTHER: AUTOMOBILE LIABILITY -ANY AUTO -OWNED SCHEDULED -AUTOS ONLY -AUTOS X HIRED X NON-OWNED AUTOS ONLY AUTOS ONLY UMBRELLA LIAB H OCCUR -EXCESS LIAB CLAIMS-MADE OED I I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE[fil OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Errors & Omissions Liability ADDL •••�n N/A SUBR POLICY EFF POLICY EXP LIMITS un,n POLICY NUMBER IMM/DDIYYYY\ IMM/DDIYYYYI EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED $300,000 tr----• ,�r----\ 59SBAZM4677 12/08/2021 12/08/2022 MED EXP /Anv one oerson) $10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $4,000,000 PRODUCTS -COMP/OP AGG $4,000,000 $ COMBINED SINGLE LIMIT $1,000,000 ,c: ...... ,.,..,,:..-1,.. ... +\ BODILY INJURY (Per person) 59SBAZM4677 12/08/2021 12/08/2022 BODILY INJURY (Per accident) $ fc�?�.'.°"�J::-cHAMAGE $ $ EACH OCCURRENCE $ AGGREGATE $ $ X I ���TIITF I 1 nH- 59WECGC6729 E.L. EACH ACCIDENT $500,000 01/08/2022 01/08/2023 E.L. DISEASE -EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 $1,000,000 each Glitch Limit 59SBAZM4677 12/08/2021 12/08/2022 $2,000,000 Aggregate 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 automatically included as an additional insured ( primary non contributory basis) on the general liability insurance when required by written contract. Waiver of subrogation applies in favor of the certificate holder on the general liability insurance when required by written contract. See attached form. All forms when required by written contract are subject to policy forms and conditions. CERTIFICATE HOLDER City of Menifee 29714 Huan Rd Menifee, CA 82586 ACORD 25 (2016/03) 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 © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E DocuSign Envelope ID: 3B4591CA-14DB-4939-8A80-1BF1E2DB599E