2022/02/05 Allied Traffic and Equipment Rentals, Inc. (3)o.fu CERTIFICATE OF LIABILITY INSURANCE OAIE (MM/DD/YYYYI
08t29t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR"ATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf tho cortlllcato holdor l! an ADDITIOi{AL INSURED, the poficy(tos) must havo ADDITIONAL INSUREO provlsions or bo Bndo.sed.
lf SUBROGATION lS WAlvED, subject to lho termr and condltlons ot lho pollcy, certain pollcles may roqulro an ondoEemont. A atatemont onthl! co.tlflcato dooa not conlor rlghts to tho cortiflcato holdgr in llou of such ondorsomont(s)
PROOI,'CER
KGIB, INC,
KNOX GENERAL INSURANCE BROKERS
226 SOUTH GLASSELL STREEI
ORANGE cA 92866
CONTACT Carol KNox, Debbie Waller or Kory Butler
714 744-3300 14) 7 44-6537
Carol ibinc.com, DWalle nc com,ibinc.com
INSURER(S) Af FOROING COVERAGE
rlsuaen e , CM VANTAGE SPECIALTY INSURANCE CO 15872
INSURED
ALLIED TRAFFIC AND EOUIPMENT RENTALS. INC
41806 l\ri'STREET
IUU RR IETA cA 92562-8842
rNsuRERB EMPLOYERS MUTUAL CASUALTY COMPANY 21415
nsunen c , OAK RIVER INSURANCE COMPANY 34630
1xsp6s6 61 CERTAIN UNDERWRITERS AT LLOYD'S
INSIJRER €
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMEO AEOVE FOR THE POLICY PERIOOINOICATED. NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO !1/tllcH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORD€O BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMSEXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW! MAY HAVE SEEN REDUCED BY PAID CLAIMS
x COMMERCIAL GENE&AL LIABILITY
GENL AGGREGATE LIMII APPLIES PFR
X JECT
x ct\4vPLt0010027-05 09111t2022 09t1112023
EACH OCCURRENCE s 1,000,000
OAMAGE TO RENTED
PREM SES rE6 Eur6n6l s 300,000
MED EXP (Any one p6rson)r EXCLUDED
PERSONAL A ADV NJURY r 1,000,000
GENE RAL AGGREGATE r 2,000,000
PRODUCIS . COM P/OP AGG r 2,000,000
I
B
AUTOMOBILE LIA6ILITY
O!\'NEDA(JTOS ONLYHIR€O
AUTOS ONLY
X SCHEDULEO
AUTOS
NON.OV\NEO
AUTQS ONLYXX
4E1 33 09 42ta5t2022 42105t2023
COMSINED SLNGLE LIMIT I 1000,000
BOO LY INJURY (Po. person)s
SOOTLY TNJUSY (P€. ac.id€ni)5
S
s
IJM6RELLA LIAB
EICESS LIAE
X OCCUR
CLAIMS.MADE cr\4vEXL001 1741-05 09111t2022 09t1112023
EACII OCCURRENCE $ 1,000,000
X AGGREGATE s 1,000,000
OED REIENTIONI I
C
WORKERI COiIPENSATION
AND EIIIFLOYERS' LIABILITY
ANY PROPRIETOR/PARINER/EXECUTIVE
OFF]CER/MEMBER EXCLUOEO?
0ESCFIPTTON OF OPERAIIoNS b6lo*
A1WC347194 05t01t2022 05to1t2023
X STATUTE
OIH,
ER
E L EACI] ACCIOENT i 1.000.000
E L OISFASE , EA EMPIOYFF
E L OISEASE. POLICY LIMIT
s 1,000,000
s 1,000,000
D
PROFESSIONAL LIABILITY
02t45t2022 42to5t2023
$1,000,000 per any
including all costs &
one claim
expenses
OESCR|PnON OF OPERATIoNS / LOCATIONS / vElllcLES IACOiD !ol, Addldon.l R.nrrt. Sch.dul., myb. rttrch.d i' .nor .p... t. nqltnd)
RE: CITY PERMIT
THE CIry OF MENIFEE IS NAi'ED AS ADDITIONAL INSURED PER FORM CG2O1O 04 13 WITH RESPECT TO GENERAL LIABILITY
CERTIFICAT OLDER CANCELLATION
O 1988-20'15 ACORD CORPORATION. All .ights reserv€d.
The ACORD name and logo are rogister€d marks ot ACORD
SHOULD AIIY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED AEFORETHE EXPIR TIOT{ DATE THEREOF. NOICE WLL SE DELIVEREO III
ACCOROANCE WTH THE POLTCY PROVISIONS.CITY OF MENIFEE
ENGINEERING DEPARTMENT
29714 HAUN ROAD
IUEN IFEE cA 92586
AUTHORIZED REPRESENTANVE
ACORD 25 (2016/03)
f].o"
tl.LA,M'-MADE [ *"r"
I
I
scP2021005018
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POLICY NUMBER: CMV.PL|-OOIOo27.O5 COMMERCIAL GENERAL LIABILITY
cG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
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, but only
with respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by:
1. Your acts or omissionsi or
2. The acts or omissions of those acting on your
behalf,
in the performance of your ongoing operations forthe additional insured(s) at the location(s)
designated above.
However:
l. The insurance afforded to such additional
insured only applies to the exent permitted by
lawi and
2. If coverage provided to the additional insured is
required by a contract or agreement, the
insurance atforded to such additional insured
will not be broader than that which you arerequired by the contract or agreement toprovide for such additional insured.
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
"property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with suchwork, on the prolect (other than service,
maintenance or repairs) to be performed by oron behalf of the additional insured(s) at the
location of the 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 subcontractorengaged in performing operations for a
principal as a part of the same project.
Name Of Additional lnsured Person(s)
OrOrganization(s)Location(s) Of Covered Operations
Any Pe6ons or Organizations who you are required to add as an
additional insured on ihis policy under a wdtten contracl or wri(en
agreemenl in effecl prior lo any loss or damage, but only lo the exlent
required in the written cont.acl or wiflen agreement, inctuding any
amounts or limils specified.
All Operations as required by written contract
lnformation required to complete this Schedule , if not shown above, will be shown in the Declarations
cG 20 t0 04 13 @ lnsurance Services Office, lnc.,2012 Page 1 of 2
C. With respect to the insurance atforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf coverage provided to the additional insured is
required by a contract or agreement, the most we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the contract or agreement, or
2. Available under the applicable Limits of
lnsurance shown in the Declarationsi
whichever is less.
This endorsement shall not increase the
applicable Limits of lnsurance shown in the
Declarations.
Page 2 ot 2 @ lnsurance Services Office, lnc.,2012 cG 20 10 04 13