2021/03/28 Quest Media and Supplies Inc.aiQo'CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: 14100321 15COVERAGES REVISION NUMBER:
12t29t2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE OOES NOT AFFIRI'ATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be eodorsed.
lf SUBROGATION lS WAIVED, subiect to the terms and 60nditions of the policy, ce.tain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificale holder in lieu of such endorsement(s)
HUB International lnsurance Services lnc
PO Box 255387
Sacramento CA 95865
NAME. LJeDI MeUSOUrqer
lol!fl,,E . ,,,,. sr o-laoltoa l#. ra,916-993-7268
ADORESS:debi.meusburqer@hubinlernational.com
IIISURE R(S) AFFOROING COVERAGE
rtlsrrRER a: Travelers Property Casualty Companv of America 25674
lrISURED
Ouest Media and Supplies lnc
(See below for additional named insured, if any)
PO Box 910
Roseville CA 95678
OLIESMEDOl lNsuRER B: The Travelers lndemnity Company of Connecticut
rr,lsrJRER c : Lloyds svndicate *2987
25682
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED EELOW HAVE EEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDING ANY REOUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
s1.000.000
PREMISES (Ea @c!iren@)s1.000 000
MED ExP (Any ono pe6of)i 10 000
PERSONAL & ADV INJURY $ 1.000 000
GE NERAL AGGREGATE $2.000 000
PRODUCTS. COMP/OPAGG $2.000 000
COMITIERCIAL GENERAL LIAAILITY
GEN'L AGGREGA'IE LIMIT APPLIES PER]
X
X
x
CLAIMS-MADE OCCUR
LOCJECT
630-4K340688-T1L-22 1tlt2422 1t112023
I
COMAINED SINGLE LIM T s 1,000 000
BODILY INJURY (Pd Fen)S
BODILY INJURY (Per aeid6nt)5
$
X
SCHEOIJLED
NON,OWNED
OWNEO
HIRED
AUTOS ONLY
BA-4K342215-22-t3-G 111t2422 1t1t2023
$
X EACH OCCURR€NCE $ 15.000,000UMBRELLALIAB
EXCESS LlAa
OCCUR
s t5 000 000X
OED X RETENTIONS.
cuP4K6129A2-22 1t12422 1t1t2423
S
x STATUTE OTHER
E.L, EACH ACCIOENT $ 1000.000
E I, DISEAS€. EA EMPLOYEE $ 1000.000
WORKERS COMPENSATIOI.I
ANO EMPLOYERS' LIABILITY
ANYPROPRIETOFYPARTNEFYEXECI]TIVE
OFFICEFJMEMBEREXCLUOED?
oESCRIPIIoN oF oPERAIIoNS tEr.*
N
uB-4K594768-22,13 G '11112022 111/2423
E.f, OISEASE. POLICY LIMTT i r 000.000
c cT1134821 3t2412021 3t24t2022 s5.000 000
s5,000 000
OESCRIPTIoN OF OPERATIoNS / LOCATIONS / VEHICLES (ACORO 101 . Additional R.nart! Sch.dul., h.y b. ettlch.d il mor. spa.. i. r.qut.d)
RE: Agreement for Enlerprise Business System Eackup Services
Additional lnsured: City of Menifee and its offcers, employees, agents, and authorized volunteers where required by wiitten codract
Forms: CGD245 0419
C ERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 Haun Rd.
Menifee CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE wlLL BE OELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
O 1988-2015 ACORO CORPORATION. All rights reserved
The ACORD name and logo are registored marks of ACORD
iln"M^^
ACORD 25 (2016/03)
POLICY NUMBER: 630-4K340688-TlL-22 COI\,4I\,4ERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
BLANKET ADDITIONAL INSURED
(lncludes Products-Completed Operations !f Required By Contract)
This erdorsement modifles insurance provided under the follC}Ning
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
The following is added to SECTION ll - WHO lS AN
INSURED:
Any person or organization that ycu agree in a
written contracl or agreement to indude as an
additional insJred orl this Co\Erage Parl is an
insured, but only:
a. With respect to liability for "bodily injury" or
"property damage' that occurs, or for "perstr)al
injuny''caused by an offense that is committed,
subsequent to the signing of that contract tr
agreement and while that part of the @ntrac.t tr
agreement is in effect; and
b. ll and only to the extent that, such injury tr
damage is caused by acts or omissions of ycu c
lour subcontrador in the performance of '\or
work" to which the written contract or agreement
applies. Such person or organization does not
qualify as an additional insured with respect tothe independent acls or omissions of such
person or organization.
The insurance provided to such additional insured is
sub,ect to the fdlowng provisions:
a. lf the Limits of lnsurance of this Coverage Part
shown in the Dedarations exceed the minimum
limits required by the written qttrad q
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purpGes of
determining whether this limitation applies, the
minimum limits required by the written contrad or
agreement will be considered to include the
minimum limits of any Umbrella or Excess
liability co\ erage required ftr the additional
insured by that writen contract or agreement.
This provision will not increase the limits of
insumnce described in Section lll - Limits Of
lnsurance
b. The insurance provided to such additional
insured does not apply to:
(1) Any "bodily injury", "property dam4e" or
"personal injury" arising out of the providirE,or failure to provide, any professional
architectural, engineering d surveying
services, including:
(a) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders or change orders, or the
preparing, approving, or failirg to
prepare or approve, drawings and
specificatio ns; and
(b) Supervisory, i nspection, arch itectural or
engineering activities.
(2) Any "bodily injuly'' or "property damage'
caused by "your work" and induded in the
"producls-completed operations hazatd"
unless the written contract or agreement
specific€lly requires )^cu to proMde such
co\€rage fo that additonal insured during
the policy period.
c. The additional insured must comdy with the
following duties:
(1) Give us written nctice as soon as practicable
cf an "occurrence" tr an cfiense whictr may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "occunence"
or cfiense took place;
(b) The names and addresses cf any injured
persons and witnesses; and
(c) The nature and location of any injury or
damage arising out of the "occurence"
or cffense.
(2) lf a claim is made or "suit' is brought against
the addilional insured:
cG 02 46 04 19 Page 'l of 2O 2018 The Travelers lndemnity Company. All rights resorved.
COMI\,1ERCIAL GEN ERAL LIABILITY
(a) lmmediately record the specifics cf the
claim or "suif' and the date reoeived; and
(b) Nctify us as soo41 as practicable and see
to it that we receive written notice of the
claim or "suit' as soon as praclicable.
(3) lmmediately send us copies of all legal
papers received in connedion with the claimor "suit', cooperate with us in the
in\r'estigation q settlemenl of the claim or
defense against the "suit', and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of any
claim or "suit' to any provider of other
insurance which would cover Sllch additional
insured for a loss we co\€r. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other insurance
available to such additional insured which
co\iers that person or organization as a
named insured as described in Pamgraph 4.,
Other lnsurance, of Section lV - Commercial
General Liability Conditions.
Page 2 of 2 @ 2018 The Travelers lndemnity Company. All righls reserved cG D2 46 04 19