2022/01/01 Barrett Business Services, Inc.o.Go"CERTIFICATE OF LIABILITY INSURANCE
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, EXTENO OR ALTER THE COVERAGE AFFORDEO 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: lf the certificate holder is an ADDITIONAL INSUREO, the policy(ies) musl be endorsed. lf SUBROGATION lS WAIVED, sub.iect to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this ce.tificate does not confer rights to the
certificate holder in lieu of such endorsement{s).
PRODUCER
Lockton Companies
444 W47th Street, Suite 900
Kansas City, N4O 641'12-1906 E.MAIL BBSlcerts@locktonaff inity com
INSURE AFFOROING COVERAGE
INSURERA Ace Ameacan lnsurance Co 22667
INSUREOBarrett Business Servlces, lnc.
L/C/F LANIK ENTERPRISES. INC, DBA: LANIK ENTERPRISES, INC
28822 OLO TOWN FRONT STREET
TEMECULA, CA 92590
INSURER A
!NSURER C
IIISURER O
INSURER E
INSURER F
A@t* 2539373
COVERAGES CERTIFICATE NUMBER REVISION NUMBERI
THIS iS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANDING ANY REQUIREI\4ENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERi'S
ExCLUSIONS AND CONDITIONS OF SUCH POLICIES LlIrlTS SHO\ N l\ilAY HAVE BEEN REDUCED BY PAID CLAII\,1S.
INSR IYPE OF INSURANCE SUBR POLICY EFF POTICY EXP LIMITS
CO[lMERCIAL GENERAL LIABILIlY
GEN'L AGGREGATE LIMITAPPLIES PER
POLICY
OTHER
JECT LOC
EACH OCCURRENCE $
DAMAGE TO RENTED
PREMISES rEs occ!nence)$
MED ExP (A.y one pe6on)$
PERSONAL & AOV NJURY $
GENERAL AGGREGATE $
PRODUCTS . COMP/OP AGG $
$
AIJTOMOEILE LIASILITY
ALI OIMIEOAUIOS SCHEOULEO
AUTOSNON.O!!NEDAUIOSH RED AUIOS
COMAINED SINGLE IIMIT s
BOOILY INJURY (Pei p€rson)
EOOILY TNJURY (Peraccdenl)s
PROPERry DA!!AGE s
s
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCURRENCE s
AGGREGATE $
DEO RETENTION $$
WORKERS COi/lPENSATION
AND Ei'PLOYERS' LIABILITY
ANY PROPR ETOR/PARTNER/EXECUT VE
OFFICER/MEMBER EXCLUOED'
DFS'RIPTION OF OPFRATIONS Eh*
c69S88891 11112022 11112023
x STATUTE
OTH
ER
E L EACH ACCIDENT S 2,000000
E L OISEASE.EA EMPLOYEE $ 2,000000
E L OISEASE POLICY LIMIT $ 2 00O 000
DESC RIPTION OF OPERATIONS / LOCATIONS / VEHIC LES (ACORD 101 , Addlilon.l Rrm.rti Schodul., Bay be lt.ched I more .p.c. l. ..qolEd,
CERTIFICATE HOLDER CANCELLATION
Cily Of Menifee
29714 Haun Rd
Menifee, CA 92586
SHOULD ANY OF I}IE ABOVE OESCRIAEO POLICIES BE CANCELLEO BEFORETHE EXPIRATION OATE THEREOF, NOTICE WLL BE OELIVEREDIN ACCOROANCE WTH THE POLICY PROVISIONS.
ALJTHORIZEO REPRESENTATIVE
/*, a.zo
ACORO 25 {2014/01)
O 1988.2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
DATE (MM/DDIYYYY)
1112912021
11,3"^i .,,,. 844-2so,4so8
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