2021/10/03 Interwest Consulting Group--.4r ^ACC)RT)"CERTIFICATE OF LTABILITY INSURANCE
TH S CERTIFICATE tssUED TTE R OF INFORMATION ON LY AN D ON FERS NO RI GHTS UPON THEcERTIFtcTEDO cERTIFICATE HOLD ER TH ISEsNOTFIRMATIVELORN EGA TIVE LY END,EXTEND OR LTER TH E COVERAG E THBELOWTHtscERTIFlcATEOFNE POLtc ESSURANCEDOESNOTcoNTITUTEcONTRACTBETWEENTHSSUNGINRER(s)AUTH OR tzEDREPRESENTATIVEoRPRODUCER,ND THE c ERTIFIC TE HOLDER
IMPORTANT: lf the certificate h
If SUBROGATION IS WAIVEO, S
this certlticate do6s not confer r
old IS n D otTtoNAL INsURED th PoIicy(i s)m st h DDITtoNAL INSU RED provisions be endbjthe rsItotermsandnditinsofthepolcyrtaiPomayqurestateenthtstotheceriiticatehoiSuchndorse
PRODUCER
RBN lnsurance Services
303 E Wacker Dr Ste 650
Chicago lL 60601
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PHONE 312-856-9400 312-A56-9425
s. swhile rbninsurance.com
AFFORDING COVERAGE
Hartford Fire lnsurahce Co 19682INSUREO
lnterwest Consultino Grouo
P.O. Box 18330
Boulder CO 80308
SAFELLC.Ol rNsuRERa j Hartford Casualty lnsu rance Co 29424
Greal American E&S lns. Co 37532
COVERAGES CERTIFICATE NUMBERT 10s4395390 REVISION NUMBER:
HAVE
TAND
STu S TO CERTI TTHA ETH POLI Ec oS SUN LRANCE TEIS BEDLOW B NEE UED THTOE SUREN D EM ABOVDE TNOR POE cL E loDNoSTHNGEN4ENToTERI\4 c D]TON No OF coANYNTRACT OTHEOR D MEOCU NT ]TH RE cSPE TTo Hc ISTHCERTTEFICAMAEBSUSOREOMATl-l INSU EcE RDEAFFO BYD HTE ICPOL ES SCRIDE DSt EREH N SUS CTBJE TO TLHELEXCUSoNSDoISHUCPOLCESI\,4 SHOTS HA E EEB REN UD Ec BD CAD tNlS
LtMllS
EACH OCCURRENCE $ 1,000,000
$ 300 000
[4EO EXP 510,000
$ 1,000,000PERSONAL & ADV INJURY
GENERAL AGCREGATE 000,000$
X
83UEN7V3951 10t3t2021 '10n/2422
PROOUCIS. COMP/OP AGG
X
5
f l PRo- f lL JECT L ]12 000,000
COMMERCIALGENERAL LIABILITY
CLAIMS.MAOE OCCUR
GEN'L AGGREGATE LIMITAPPLIES PER:
LOCX poLrcy
EOOILY INJURY (P6rp€ls)
51,000,000
BOOILY NJURY (Per a6idenr)S
NGLE83UENPY91OOB
X X
10t3t2021 10t3t2022ALIIOMOAILELIABILITY
SCHEDULED
AUTOS
NON.OWNEO
lX rruveuro
OWNEO
H]REO
AUTOSONLY
X EACH OCCIJRRENCE s5,000,000
CLAIMS.MADE AGGREGATE s5 000.000
X ExcEss LraB
xoEo RETE N
cH21EXC885600tC
$
X OTH.
E
$1 000,000
WORXERS COIIIPEN9ATION
AND EMPTOYERS' LIASILIIY
ANYPROPR ETOR/PARTNER/EXECUTIVE
OFF]CER/MEITBEREXCLIJOED?
o
)t
5112t2021 5t12t2022
E L EACH ACC DENT
E L D SEASE POLICY L]M T
E.L O SEASE EA EI\,IPLOYE
s 1,0 000
$ 1,000,000
Er@ss L.b (2nd)L;yerc
E TER 2861558
8E-A7-X1"0002079-00 14t3t2021
'1ot312021
10812422
10t3t2022 E.ch occ/Agg?qal€10,000,000
5,000,000
OESCRTPTION OF OPERATTONS / LOCATTONS / VEH|CLES (ACORD lO1, Addilo..t R.m.rk. Sch.dut..CITY OF MENIFEE and its officers, ofiicials, emptoyees, and volunteo.s aie aJait a.y b. .tt ch.d it mor. .prc t. -qutr.d)ional insured as respects the General Liability as required by written contracl.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORETHE EXPIIIATION OATE THEREOF, NOTICE wlLL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
AUTH ORIZED REP RESENTATIVE
o 1988-2015 ACORO
ACORD 25 (2016/03)The ACORO name and logo are registered marks of ACORO
CORPORATION. AII rights reserved_
9t29t2021ts
AFFORDED
an endorsement,
ns
INDICATED,
PERTA N TERIlIS,CONDITIONS
s
S
S
14ty2021 1At3t2022
tr
CITY OF MENIFEE
29844 HAUN ROAD
MENIFEE CA 92586