2022/04/13 AQS Mechanical, Inc.cARDI'
IMPORTANTT lf the cerlilicate holder is an ADDITIONAL INSURED, the policy(ies) must have ADOITIONAL INSURED provisions or be endors€d.lf SUBROGATION lS WAIVED, subject to the lerms and conditions of the policy, certain policies m6y require an €ndorsement. A statement on
thls certltlcate does not confer rl hts to the certiflcate holder in lieu ot such endorsement s
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TXE ISSUING INSURER(S}, AUTHORIZEO
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLOER.
S and L Risk Management and lnsu.ance Solutions
1447 Ford St. #103
Redlands
AQS Mechanical. lnc
3464 Durahart St
cA 92374
cA 92507Riverside
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
1012012022
tNs AF FOR DING COVERAGE
NsuRER c, Scotlsdale lnsurance Co
rNslRERD lnsurance Company ol the
Evanston lasurance Co.
Wesl American lnsurance Co.
tNsuRER E . Ohio Security lnsurance Co
PHONE
Matt sadeghi
.909-253-7742
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO
INOICATED. NOTWITHSTANDING ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE IVAY 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 CLAIi'llS,
X COIIIM ERCIAL 6ENERAI- LIABILITY
[X o""r"
GEN'L AGGREGATE LIMIT APPI.IES PER:
,ou"" fX igo; f ].oc
B AUTOMOBILE LlAAIIIIY
X X occu*
EXCESS LIAB CLA I,iS.MADE
X REIENTION 10 000
WORKERS COIIIPENSA'ION
AND EMPlOYERS' LAEIf ITY
ANYPROPRIE IOR/PAR INER]EXECI-ITIVE
OFFICER/MEMBEREXCL!DEO'
DescRtFTtoN oF cPEFLAlroNs beo*
E Rented/d Equipment
x MKLVsPBCOO5177
8AW56466212
x1S2000756
x WSD 5001574 13
8FS56466212
111112022 11t1t2023
4t132022 4113t2023
LIMITS
EACHOCCURRENC€
MEO EXP (A.y ooe person)
PFRSONAL 8 ADV INJURY I
1,000,000
300,000
5,000
1000,000
2.000.000GENERAL AGGREGAT€- - .
PROOUCTS. COMP/OP AGG
I PRoFERIYDAMAGE
2,000,000
1000,000
X aNY Alro
OWNEO
- AT]TOS ONLY
HIREO
SCHEDULED
AUTOS
NON OWNED
GLE L I./IT
BOUILY INJURY (Ps p€Eon)
SOOTLY INJURY (Per addenl)
C
D
11tlt2022 11t1t2023 EACHOCCURR€NCE
AGGREGATE
5t1812022 5/18t2023 X IE
E,L EACI]ACCIOENT
El DISEASE FlEl.,lPLOYE
E L DISE\SE - POLIC! IIJI.IIT $
4113t2022 4t13t2023
+i
5 000,000
5,000,000
1,000,000
1,000,000
1,000,000
ER
$
$E
Limit: $25,000
D€ductible $1,000
DESCRI?TTON Ot OPERAIIOIS / LOCATIOaISiVEH,CLES (ACORD 101, Addllio..l R.m. .SchcduL m.y bo rttzch.d irmor..p&. r. EqurEd)
RE: Publc Works Maintenance and Operations Center HVAC Replacement.
30 day notice ot canc€llation for non payment of premium.
The tollowing are named as additional insureds per lhe attached endorsements City of Menifee and its oflicers, omployees, agents, and authonzed volunteers
Primary and Non Contributory Wording applies.
CERTIFICATE HOLDER CANCELLATION
v
City of lvlen ifee
29844 Haun Road
Menifee CA 92586
@ 1988-2015 ACORO CORPORATION. All rlghts reserved
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THEABOVE OESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION OATE THEREOF, NOTICE WILL BE OELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS.
Uat=lrf
AIJTHORIzEO REPRESENTATIVE
ACORD 2s (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
-
| [#.l.r, eoe-253-7718
IADD! suBR
H
$
]
POLICY NUMBER: MKLVsPBC0051 77 COMMERCIAL GENERAL LIABILITY
cG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS _ SCHEDULED PERSON OR
ORGANIZAT!ON
This endorsemenl modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
Or Organization(s):Location(s) Of Covered Operations
As agreed to by written contract or agreement All locations
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, bul only
with respect to liability for "bodily injury", "property
damage" or "personal and adveriising injury"
caused, in whole or in part, by:
l. Your acts or omissions; or
2. The acts or omissions of those acling on your
behalf:
in the performance of your ongoing operations forthe additional insured(s) at the location(s)
designated above.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"propefty damage" ocourring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by or
on behal, of the additional insured(s) at the
location of lhe covered operations has been
completed, or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
cG 20 10 07 04
O ISO Properties, lnc.,2004 Page 1of1 tr
POLICY NUN4BER: ll4KLVsPBC0051 77 COMMERCIAL GENERAL LIABILITY
cG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS _ COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
Or Organization(s):Location And Description Of Completed Operations
As agreed to by written contract or agreement All locations
lnformation required to complele this Schedule, if not shown above, will be shown in the Declarations
Sectlon ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only with
respect to liability for "bodily injury" or "property
damage" caused, in whole or in part. by "your work"
at the location designated and described in the
schecjule (,f this cndorser,ent periormed for ihar
additional insured and included in the "products-
completed operations hazard".
cG 20 37 07 04
O ISO Properties, lnc., 2004 Pagel ofl tr
POLICY NUMBER: l\ilKLVsPBC0051 77 COMMERCIAL GENERAL LIABILITY
cG 24 04 05 09
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
The following is added to Paragraph 8. Transfer Of
Rights Of Recovery Against Others To Us of
Sectlon lV - Condltlons:
We waive any right of recovery we may have against
the person or organization shown in the Schedule
above because of payments we make for injury or
damage arising out of your ongoang operations or
"your work" done under a contract with that person
or organization and included in the "products-
completed operations hazard". This waiver applies
only to the person or organization shown jn the
Schedule above.
cG 24 04 05 09
O lnsurance Services Office, |nc.,2008 Page 'l of I
Name Of Person Or Organization:
As agreed to by written conlract or agreement.
COMMERCIAL GENERAL LIABILITY
cG 20 01 04 13
THIS ENDORSEMENT CHANGES TI{E POLICY. FI.EASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY.- OTHER INSURANCE CONDITION
This endorsement modrRes insurance provided under the following:
COMi,4ERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COI\4PLETED OPERATIONS LIABILITY COVERAGE PART
The following is added to the Other lnsurance
Condition and supersedes any provision to the
contrary:
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek
contribution from any other insurance availableto an additional insured under your policy
provided that:
(1) The additional insured is a Named lnsured
under such other insurance; and
(2) Ycu have agreed in writing in a contract or
agreement that this insurance would be
primary ind would not seek contributionr.rri ai'y rrther insuiance available to it'e
additional insured.
cG 20 01 04 13
@ lnsurance Services Office, lnc.,2012 Page 1 of I