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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) $ $ s s ! $ s 5 5 5 70't 1411359 I 5 A1\ 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: