2022/06/26 Southern California Gas CompanyACORif
COVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER:sEA-00386766&05 REVISION NUMBER: 8
DAIE IIIU/DD/YYYY)
10128D022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORIIIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER.
IiTPORTANT: lf the ce.tificate holder is an AOOITIONAL INSUREO, tho poticy(ies)must have ADOITIONAL INSURED provisions or be endorsed.lf SUBROGATION lS WAIVED, subiect to the terms and conditions of the policy, certain policies may .oquiG an endoE€ment. A statoment onthis certiricate does not confer rights to the certificate holder in li€u of such endoEsme nt(s)
PROOUCER
IIARSH USA INC,
111 S.W. CoLUMEIA
FIFIH FI,OOR
PORTTAND, OR 9720I
Athr Seatto.CertEuesl@fi€lsh.com / Fax 21 2-948-0507
cN1017632ElSDGE-AEr-22-23
PHONE
E.MAIL
INSIJ AFFOROING COVERAGE
lliSURER A: Everest Nalional lnsurance Co 10120
INSURED
Southem California Gas Company
do Semp6 lnsurance & Rjsl Advjsory
488 8th Ave. H006N1
San orego CA 92101
rNsuRER B : Associated Eleclric & Gas lns Services Lld
INSURER C
INSURER O
INSURER E
INSURER F
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICAIEO NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECI TO W}IICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIII, THE INSURANCE AFFORDED BY THE POLICIES OESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOW{ MAY HAVE BEEN REOUCED BY PAID CLAIMS
INSRLTR TYPE OF INSURANCE AOOL
LIMITS
x COIIMERCIAL GENERAL LIABILITY
OCCUR
GEN L AGGREGATE TIMITAPPLIES PER
x
OTI]ER
[] !go; ltoc
x
8N4G100088221 1110112022 11101t2023 EACHOCCURRENCE 1.000,000$
OAMAGE TO RENTEDPREMISES rEe o6urencer $100,000
MEo ExP (Any ons pelson)$5.000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $3 000.000
PROOUCTS COMP/OP AGG $1,000 000
$
AUTOMO6ILELIABIUIY
O!^/l.l€D
AUTOS ONLYHIRED
AUTOS ONLY
SCHEOU!EOAUIOS
NON.O!r/l{ED
AUIOS ONLY
COMBINED SINGLE TIMIT $
BODIIY INJURY (Pq prsm)$
$EOOILY INJURY (P6r a@d'oot)
PROPERTYOAMAGE $
5IUMARELLAUAB
EXCESSLIAB
OCCUR x15112511P 0612612022 06,12d2023 EACH OCCURRENCE 5.000.000$
X x AGGREGATE $5,000.000
DII)RETENIION$$
WORI(ERSCO PENAATrcN
ANO EIiPIOYERS' LIAEI!ITY
ANYPROPRIElOR/PARTNER/EXECUTIVE
OFFICER/MEMAER EXCLUDED?
oEscRtPTtoN oF oPERATToNs b€rtu
OTH
ER
E L EACHACCIDENT $
E L OISEASE . EA EMPLOYEE $
E L DISEASE. POLICY LIMIT $
OESCRIPnOiI OF OPERAnONS / LOCATIoI{S / VEHGLES (ACORO lol, Addldool R.m.rt! S.n.rrul.. m.y b..n ch.d tt mm.p.c. t. r.qutndl
CERTIFICATE LDER CANCELLATION
@ l9E8-2016 ACORD CORPORATION. All right8 168€rved.
The ACORD name and logo are registered marks of ACORD
SHOULO ANY OF THE ABOVE DESCRISED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City ol Menileo
29844 Haun Rd
[,lendee, CA 92506
?7Zaz4Z ?/Si ?*c.
ATITHOR12EO REPRESEITTATIVE
ACORD 25 (20r6/03)
I
tl
00014 r? sP
City of Meniloe
29844 Haun Rd
Menifee, CA 92586
0429 ,c01,P03418 r
[+EE\.:H
o!29 {l1 {]0 00034r 7.m0r -0007144
t+r+tdfk