2022/01/01 Newport Harbor Const., Inc.._-.-rACORD"NEWPO54
CERTIFICATE OF LIABILITY INSURANCE DAIE (MM/OOrY\.YY)
12128t2021
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 AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT AETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPoRTANT: lf the cortlflcate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL tNSUREo provisions or bo endorsedBROGATIWAIVEicy,stfU o tsN D sU theto rmte ansd nditiono ofs the ertai tc ste m re reut enand nbjectrsemt mestate onntpolpolayqthcertifidoecatensotnfellrhtstohetcfirtiholcaleIdelietnofuchsudorsemes
949-36s-5153 Karen Precup
I im *sar.rt 3'3reo949-36s-5153
16045rr.rsuRER ^ : Everest Premier lnsurance Co
RER B
INSURER F
PHONE
INSURER D
INSU
PROOUCER
Brakke-Schaf nitz lns. B.okers
License #0K07568
3 Polaris Wav 4th FloorAliso Vieio, CA 92656
Melody Henderson
rr,rsuRED Newport Harbor Constructionlnc
34'19 Via Lido #602Nowport Beach, CA 92663
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIODINDICATED, NOTWITHSTANDING ANY REOUIREMENT, IERI,I OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY1HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REOUCED BY PAID CLAIMS,
POLICY EFFTYPE OF INSURANCE POLICY NUMBER LIMITS
INSR
EACH
E RENTEO
COMMERCIAL GENERAL LIABILITY
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OWNEDAUTOS ONTY
HIREDAUTOS ONtY NON.OWNED
AUTOMOBILE LIABILITY
SCHEDULED
AUTOS
D INGLE LIM T
BODILY INJURY (Per pe6on)
co
BODILY INJURY (Pe. accident
PROPERry OAMAGE
$
OCCUR
CLAIMS.MAOEEXCESS LIAB
DED RETENTION $
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AGGREGATE
$
OTH
1,000,000
1,000,000
$
DESCRIPTION OF OPERAnONS / LCTAnoNS / VEHICLES (ACORD lo1 , Additional Rem.k sch€duls, m.y b€ rttached if rcr. 3pace ls requtrod)
RE: Sky View 161 - Encroachment Permit
A WORKERS COIIPENSANONANO EMPLOYERS' LIABILITY Y/NANYPROPRIETOR/PARTNER/EXECUTN/E
-OFFICER/MEMBER Ei(CLlroEDT{Mandatorv ln NHI
7 600022921221 o1l0'12023 E,L,H
E L OISEASE . EA EM
',,000,000
SHOULD ANY OF THE AAOVE OESCRIBED POLICIES BE CANCELLEO BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
CIryMEN
City of Menifee
29714 Haun Road
Menifee, CA 92586
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AUTHORIZ€O REPRESENTATIVE
O'lS8E-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are rogistered marks of ACORD
ACORO 25 (2016/03)
INSURER E:
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