2021/08/31 Inland Empire Stages, LTD (3)o.Gls
COVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: 422037930 REVISION NI.JMBER
8t3112021
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 AIIIEND, 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,
INIPORTANT: lf lhe certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. lf SIJBROGATION lS WAIVED, subject to
lhe terms and conditions of the policy, certain policies may require an endorsement. A statemenl on this certificate does noi confer rights lo the
certificate holder in lieu of such endorsement(s)-
TIB Transportation lns Brokers
425 West Broadway, Suite 300
Glendale CA 91204
INSUR€D
lnland Empire Stages Ltd.
9567 Eighlh Street
Rancho Cucamonga CA 9'17304504
NArrE JeSSrca Lan0erOS
818-246-2800 [!1, xor, 818-2a6-a6eo
jlanderos@libinsurance.com
-- r suRER(S) AFFOEOTIG COVERAGE
rNsuR€R a Lancer lnsurance Company
INSURER B:
26077
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO IHE INSURED NAI\,4ED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERI\,I OR CONDITION OF ANY CONTRACT OR OTHER DOCUI\,IENT WITH RESPECT TO WHICI.I THIS
CERTIFICATE MAY BE ISSUEO OR IVAY PERTAIN, THE INSURANCE AFFOROED AY THE POLICIES DESCRIBED HEREIN IS SUAJECT TO ALL THE TERI!4S
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED AY PAID CLAII\4S,
L]MITSM
4]31t2022
X
LEa ecurencer
GEN'L AGGREGATE L MIT APPLIES PER GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
MEO EXP(Anyone pe6on)
PERSONAL & ADV IN.IL]RY
EACH OCCL]RRENCEX COMMERCIAL GENERAL LlAAILlTYi a,o ra.rooa X occr*
s5,000,00q
!
$
! 5 ooo ooo
5100 000
s5000
s 5,000 oo0
JECT
BAr57o4Cdr9 BB1DA21 8131t2022
I (Pd .@4c!!)
X SCHEDULEO
NON.OWNEO
COMBINEO SINCLE LIMIT K(E. a..'defr) " s 000 000
BODILY INJ|RY (Per pe6on) S
A AIIIOMOBILE I IABII ITY
AllTosX nrnro auros x
aoorLY NJtTRY (P€r acodenr) S
EXCESS LIAS
o.o I T *.r.".]o^,
5
$
$
WORKERS COMPENSATION
ANO EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUT VE
OFFICER/I"IEMBER EXCLUOEO?
DESCR PTION OF OPERATIoNS h.l.*
s
E L. O]SEASE. EA EMPLOYE
E L OISEASE. POLICY LIMIT
TE'R I l
I sU\TrrTE l
E L EACH ACCIDENT
OTH.
DESCRTPTION OF OPERATIONS / LOCATIONS /VEHICLES IACORD 10i. Addili.n.l Remarls Sch.d!I., m.y b..tlachad ilmoresp.c. is roquirod)
Certillcale holder is included as additronal insured but only lo lhe extent that lhe certillcale holder is held liable for the conduct of the named insured
CERTIFICATE HOLDER CANCELLATION
City of Menilee
29844 Haun Road
l\,4enifee CA 92586
SHOULO ANY OFTHE ABOVE OESCRIBEO POLICIES BE CANCELLED AEFORErHE EXPIRATIOTI DATE THEREOF, NOTICE WILL BE DELIVEREO IN
ACCORDANCE WTH THE POLICY PROVISIONS.
AUTI]ORIZEO REPRESENTATIVE
-_O 1988-2014 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORDacoRD 25 (2014/01)
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