2022/01/17 Anser Advisory Management, LLC (19)ACORD
Ames & Gough
8300 Greensboro Drive
Suite 980
McLean, VA 22102
CERTIFICATE OF LIABILITY INSURANCE
ANSERAD.Ol
l[lli.,ext, Fo3, azt -zztt [iI. rq,(703] 827-227e
iilBILEss admi n@ames goug h.com
rNsuRER{S) AFFOROING COVERAGE rttArc I
lx5upsp 4. National Fire lnsurance Company of Hartford A(XV) 20478
rNsuRER B : Continental lnsurance Company A(XV) 35289
rNsuRER c : American Casualty Co of Reading, PA A(XV) 20427
rNsuRER o: Evanston lnsurance Company 35378
Anser Advisory Manag€menl, LLC
2677 North Main Street
Suite 400
Santa Alla, CA 32705
1t15t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED 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 the certilicate holder is an ADDITIONAL INSURED, the policy(ies) must have AD DITIONAL INSURED provisions or be endorsed.lf SUBROGATION lS WAIVED,Eubject to the term s and conditions of lhe poticy, certa,n policies may require an endorsemenl. A statement onthis certificate does not confer.ights to the certificale holder in lieu of such endorsement(s)
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW I]AVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIODINDICATED, NOTWITHSTANDING ANY REOUIREITTIENT, TERM OR CONDITION OF ANY CONTRACTOROTHER DOCUMENTWITH RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR I\,44Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES LIMIIS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
Ltc
COVERAGES
GEN'L AGGREGATE LIMIT APPLIES PER
X coMMERcraL GENERAL LtaBturY
oLATMS NIAOE x OCCTJR
EJCI-] OCCURRENCE
DAIV1AGE TO RENTEO
PREM SES {Ea occurence)
MED EXP (A.y one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCIS COMP/OP AGG
10t2612021 1t1712023
10t2612021 1t1712023
10t26t2021 111712023
SION NUIlIBER
A
A
PoLEY D!] t88i IX Loc
B X uusneLLa Lrng X ] occun
CIAIMS.MADE
AUIOIIIOBILE LIABIUTY
X arv ruroOWNED IAUTOS ONLY
H RED I
-
AL]TOS ONLY :
SCHEDULED
COMBINEO SINGLE LIMII
lEa ae!i!!enl)
BOOILY INJURY (Per person)
BO0ILY INJURY tPd a..denr)
PROPFRTY DAMAGF(Per sccrdenl)
EACH OCCURRENCE
011411355
7011652381
1,000,000
15,000
1,000,000
2,000,000
2,000,000
1,000,000
10,000,00
10,000,000
oEo X RETENTToN s 10,000
C woRxERs coMPENsATtoNANO E,.PLOYERS' LIABILIIY
ANY PROPRIETOR/PARTNEF'EXECUTIVE
OFFICER?MEMBER EXCf UDED'lM..detory rn NH)
oEsc
7011411372 1t17 t2022 1,000,000
'1,000,000
1,000,000
v PER^ SIATUTE ER
111712023 EL EA.HAccrDENrf-ET OISEASE - EAEMPLOYEE
DISEASE . POLICY LIMIT !D Professional Liab MKLV7PLOO05l,I1 111712022'111712023 PerClaim/Aggregate 2,000,000
OESC fl PnON OF OPERAIIONS / LOCATIONS / VaHIC LES {ACORO l0 I Addltlonal Remarks S.h.dule, may be .ttached lf m@ space ls r.quired}RE: CIP 2,I.16, RANCHO LAVITA RESURFACING
The City of Menifee, CA and its officers, employees, agents, and authorized volunteers are included as addational insured with respect to ceneral Liability,
Automobile Liability and Umbrella Liability when requited by written contract. General Liability includes Additional lnsured cov€rage for On-coing &
Completed Operations as required by written contracl. General Liability and Automobile Liability are primary and non-contributory over any existing
insurance and limited to tiability arising out ol the operations of the named insured and v,hen required by writlen contract. General Liabitity, Automobile
Liability and Workers Compensataon policies include a waiver of subrogation in tavor ofthe additional insureds where permissible by state law and whenSEE ATTAGHED ACORD 101
CERTIFICATE HOLDER CANCELLATION
SHOULO ANY OF THE AAOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WLL AE OELIVERED IN
ACCORDANCE wlTH THE POLICY PROVISIONS.City of Menifee, CA
29844 Haun Road
Menifee, CA 92586
O 1988-20'15 ACORD CORPORATION. AII rights reserved
The ACORD name and logo are registered marks of ACORD
fr*0/*
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
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AMES & GoUGH
2022
Based on the trends from 2020 and 2021, several companies are transitioning into remote work on a more
permanent basis. ln order to maintain a successful delivery system for certificates of insurance, Ames & Gough
has decided the most efficient method to be emaildistribution upon renewal.
To ensure a timety delivery, we request that you provide an email to be added to the certificate on file
Please either write on the attached certificate of insurance with your information, OR provide the holder name,
address and any project or reference numbers directly below:
lnsured na me
Project name or reference if applicable
Email address for future delivery:
Certificate is no longer needed
Return whichever form you have completed via email or fax listed below. This information can also be found on
the upper right-hand corner of the Lertificate.
Email: admin@amesgough.com
Fax: 7 03-827 -2279
Please contact Allison Buytenhuys at 703-A27 -2277 or.g-b.g.y!9d-gy!@-eEgsg with any questions. Thank
you.
Sincerely,
8-'100 Creensboro Drive, Suile 980, NlcLean, Virginia 22102
Tclcpholrc: (703) 827-2277 l:acsimile: (703) 827 -2279
Ii.Mail : infcr@amesgough.conr
Ames & Gough
ANS]-RAT).OI
RE: RequestinB Emails for Certificate of lnsurance Distribution or Notification to Discontinue
Dear Certificate Holder:
Certificate holder name: