2021/03/31 Valley Pipeline Services, Inc. (3)o.Ro*CERTIFICATE OF LIABILITY INSURANCE
CERTIFTCATE UMBER: C121112903232 REVISION NUMBER:
11t29t2021
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXT
BELOW. THIS CERTIFICATE OF II{SURANCE DOES NOT CONSTITUTE A
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
ONLYORMATIRTIFICATE
ALTE
ISTHERTIcTFICALDER.E HOPONUHTEDNORIGHTSoNNRTTEOFFNISSsASUEDTHcsE tcPOL ESEFORFDDETBYEHTHRcERAOVEGENoDR
U HT ZEDoRITWEBENEHTEocRACTNT
URED provlcions or be endo6ed.
n endorsement. A staGment onROGATI
D roDITN LmusNSREUtholi9DTto AL D,tcy(ieotpoldtfthecatertifi ici re recertainnditioofstheqtotethetmspooNsBSU
this certificate does not confer rights to the certificale holder in lieu of such endorsement(s).
Cynthia Cadenhead
(951)302-0470(951)694-5200E
cynlhia@temeculainsurenceservices.com
AFFORDING COVERAGE
10833*r"a"o. Gernin' lnsrrrance CompanY
PROOUCER
Temeculs lnsurance SeNices
41923 Socond Streel
Suile 201
Temecula cA 925S0
44393Vlbsl American lnsurance ComPanY
35076State Compensation lns Fund
24042Ohlo Securily lnsurance ComPanY
INSI]RERE
Valley Pipeline Services lnc., DBA:Valley Pipeline
3161 Fred waring Dl Ste 200
cA 92260Palm Desert
INSURED
COVERAGES
THAT
ATED
RTALNICAT
tsET cPOLl PERIODoEENA[4 ABOVEDNTOSSUEDETHINSURBEHAVEBEOFRANCENSUL STEDPOLITHESSTH]S CERT]FYTO THISETcCHTOWTHESPTcOTHERORNDTONCONTRAMENTETECORoDSTANNGREQUIROTWTHNNDCALLtsEREHENSISEUBJTcTOOESCESRIEEDORDEBYoETHPOLICETHNSURANCEoEOPEEBISSUECERTIFBYcoSMHAVEENECEDREDULSMTSHO!1NIESTSoLrcHUCONsCDNDONSoSEXCLU
r 1,000 000EACH OCCURRENCE
$ 100,000
s Excluded
r 1.000,000PEF$NAL &AOV NJURY
2,000 000GENERALAGGREGATE
t 2,000,000PROOUCIS COTIPoP AGG r 10.000
a3t3112022
Deduct b e
COM MERCIAL GENERAL LIABILITY
", ,r*roo. [l o""r*
GEN'LAGGRE6A-IE LIMrT APPLIES PER
-u"" ffi F"9
OTHER
LOC
s 1,000,000c
sSODILY INJURY (P'T P'86)
BOOILY INJURY (Per accdenl)
Deductible
12105t202212105124218AW56619091
AUTOS ONLY
HIREOAUTOSONLY
SCIlEDULEO
AIJTOS
NON.OVINEO
AUTOSONLY
AUTOMOBILE LAAILlTY
s 4,000,000
$ 4.000,000OCCUR
EXCESS LIAB
I NoneDeductble
03t3112A220313112021
oeD aeroror s Non€
31,000,000E L EACHACCIOENT
$ 1,000,000E.L DISEASE ' EA EMPLOYEE
1,000,000E L DISEASE. POLICY LIMIT
0111612021 01r1612422C
s1,350,540
$300,000
$28,980
Scheduled Lrmrt
RenULeased EquiPmenl
BPP Limit
a3t311202203t3112021
9086042-2021
8KS56619091D
WORTERS CO1IPENSANON
AND EI'PLOYERS LIABILITY
ANY PROPRIETORFARTNER/EXECUT1VE
OFFICER4 EMBER EXCLUDED?
Contractors Equipment/BPP
Deduclible $1.000
oEscRlPTloN oF oPERATiONS / LOCATIONS '
VEHICLES IACORO 101, AdditioMl R'm'r*3 S.h.dul.,haybe.tlach.dllmoE.r!c.krequied)
Certi,icate holder is hercby named as additional insured
CANCELLATION
Crty of Menifee
29714 Haun Road
cA 92586
SHOULOANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLEO BEFORE
THE EXPIRATION OATE THEREOE NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS,
AUTHORIZEO REPRESENIATIVE
1"1r"
CERTIFICATE HOLDER
@ 1988-2015 ACORD CORPORATION. All rights reserved
ACORO 25 (2016/03)The ACORD name and logo are registercd merks of ACORD
CONFERS
ISSUING INSURER(S),
and policy,tf wAtvEo,subject
DOCUMENT
TERMS
0313112021vcGP026411
$ 1,000
vcFxo01271