2021/03/13 Disability Access Consultants, LLC.,rC()RifQ CERTIFICATE OF LIABILITY INSURANCE
CERT|F|CATE NUMBERi 22123 Maslett2tt22 PtolCOVERAGES REVISION NI.',MBER:
oArE (t{M/oIvYYYl)
12t30t2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER.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.
IMPORTANI lf the cortiticato holdor b an ADOITIONAL INSURED, tho policy(ios) muat have ADOITIONAL INSURED provisions o, be ondoEed
lf SUBROGATION tS WAIVEO, subject to th. t.rm3 and conditions of tho policy, certain policies may requits an ondoBement. A statomont on
this cortificata dogs not confur rights to the cortificate holdor in lieu of such endorggmont(s).
PFODUCER
AssursdPartners of Minnesota LLC
2361 Hwy 36 W
St Paul [rN 55113
mNraai Cerl Provo
(651) 644-7200 (651) 644-9137
AODRESS:cerl provo@assuredpartners com
INSURERIS) AFFORDING COVERAGE
tNsuRERA. Conlinenial Cas Co 20443
INSUREO
Disabilily Access Consultants, LLC
2862 Ohve Highway
Oroville cA 95965
tNsuRER B . Amencan Casualty Co Readrng 24427
txsuRER c , Transportation lns Co 20494
tNsuRER D . The Sentinel lnsurance Company 11000
tNsuRER E. QBE lnsurance Company
THIS ISTO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOWHAVE AEEN ISSUEDTOTHE INSURED NAMEDABOVE FOR THE POLICY PERIOO
INOICATEO NOTWIHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WTIICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCR IBED HEREIN tS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOW]\ MAY FIAVE BEEN REOUCEO 8Y PAIO CLAIMS,
TYPE OF INSURANCE INSD
POLICY EXP UMTTS
COMMERCIA L GEN EFAL LIABITITY
.LATMS-MADE ffi o""u*
GEN'LAGGREGATE LIM T APPLIES PER
POLICY
OTHER
JECT LOC
86020052s87 a1la1t2a22 a1ta1t2a23
EACH OCCURRENCE $ 2 000,000
DAMAGE TO RENTEO
PREMISES {EA OCCUfi€NC€)r 1,000,000
MED EXP (Any one p.co.)r 10,000
, 2.000 000PERSONAL & ADV INJURY
GENERALAGGREGATE $ 4 000.000
PROOUCTS, COMP/OPAGG s 4,000,000
s 1.000,000Employee Benefits
a
AUTOMOAILE LIABILI]Y
OVINED
AUIOS ONLY
HIREO
AUTOS ONLY
SCHEOULEO
AU rOS
NON€\4NEO
AUTOSONLY
6024004782 01to1l2a22 0110112023
COMBINEO SINGLE LIMIT s 1,000 000
BOO LY INJURY (P€. porso.)s
sBoolLY NJUFY(Peracqdeno
I
Medlcalpayments $ 5.000
C
x X OCCUR
CLAIMS.MAOE 86020052637 0110112022 0110112023
EACA OCCURRENCE $ 5 000,000
AGGREGATE $ 5 000,000
0Eo RETENT]ON t O s
D
$loRxERs coitPEtitsaTrotl
ANO ETPLOYERS' LIABILITY
ANY PROPRIETOR,/PARTNER/EX€CUTIVE
OFFICEfuMEMBER EXCLUDED'
DESCR PTION OFOPERATIONS b'I@
a11a8t2a22 a1ta8t2a23
X STATI,]TE
E L EACHACCOENT $ 1,000,000
EL OSEASE-EAEMPLOYEE
91.000.000EL OISEASE - POLCY L]MII
E
Professiofl al Liability a3113t202',1 0311312A22 Lrmil $5 000 000
oEscR|pnoN oF opERAno s I LocanoNs / vEHtcLES llcoRo lol, a.tdldd.l R.mrt s.h.dul., Dy b. .ttrch.d I mc.p... i. ruqulrld)
Crty of MenfeeADA Self Ev6luation and Transition Plan ere listed as additronal rnsured
CERTIFICATE HOLDER CANCELLATION
Cily of l enif€e and its officers employoes. agenls
29714 Haun Road
cA 92586
SHOULDAI{Y OF TI]E ABOVE DESCRIBED POLICIES BE GANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE wlLL BE DELIVERED IN
ACCORDAI{CE WITH THE POLICY PROVISIOT{S.
AIJTHORIZEO REPR€SENTAT]VE
-,\-'"*A er"
@ 1988-2015 ACORO CORPORATION. All rights reservod.
Th6 ACORD name and logo aro registered marks ofACOROACORD 2s (2016/03)
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UMBRELLA LIAB
EXCESS LIAE
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