2023/01/01 Barrett Business Services, Inc.1113012022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
ItIPORTA'{T: lf the certiflcate holder is an ADDTTIONAL INSUREO, the pollcy(les) must have ADOITIONAL ItISURED provisions or be endorsed. lf
SUBROGATION lS WAIVED, 3ubj6ct to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this
certificate does not confer ights to the certificate holder in lieu of such endorsement(s).
226A7
IN SURERIS ) AFFORDING COVERAGE
tNsuRER a Ace Amencan lns!rance Co
844 290 4908
s. BBSlcerls@locklonaffinilycom
o.Ro"
Locklon Companies
444 W47th Street, Suite 900
Kansas City, MO &'112-1906
INSUREO
Sarrett Buslness Scrvices. lnc,
UC/F LANIK ENTERPRISES. lNC. OBA: LANIK ENTERPRISES,lNc
28822 OLD TOWI{ FRONT STREET
TEMECULA, CA 92590
CERTIFICATE OF LIABILITY INSURANCE
COVER,AGES CERTIFICATE NUMBER:REVISION NU[{BER:
CANCELLATION
City OI Menifee
29714 Haun Rd
Menifee, CA 92586
SHOULD ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPTRATION OATE THEREOF, NOTICE WILL BE OELIVEREOIN ACCORDATICE WITIt THE POLICY PROVISIONS,
AUTHoRiZED REPRESENTATTvE
/n - a,'u
CERTIFICATE HOLDER
THIS IS IO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPEC-T TO W-IICH THIS
CERTIFICATE MAY 8E ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDEO AY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIIVITS SHO!\A MAY HAVE BEEN REDUCED AY PAID CLAI[.lSjt)otFLlBPl
MEO EXP (Any one pecon)
s
PREMISES (Ea o@tren@l
s
PERSONAL & AOV NJURY
PRODLJCTS COMP/OPAGG
GE NE RAL AGGREGATElGENL AGGREGATE LIM]TAPPLIES PER
rou"" t] 5l"oi E .o"
OTT]ER
MERCTAL GE ERAL LIABIUTY
"*,rr"-roo. [] *"r*
It
BOOTLY TNJURY {Pe.a@d.nt)
BOoILY INJURY (Perpe&n)
AIJTOMOBILE LIABILITY
SCHEDULEO
NON.oW\EO
AU-TOS ONLY
AUIOS ONLY
HIRED
AUTOS ONLY
EACH OCCLJRRENCE 5
$
$RETENTION $
IEXCESS LIAB
STATUTE OTHwoRxERs conPENsano
ANO EMPLOYERS' IIAAILITY
Ar]V OPOPRIEIOR/PAFTN€R/FXECUTIVF
OFFI(:FRruFMBFR FXCLUOEO?111t2424c512867ts61t1 2t23
i 2.00O.0O0E L DISEASE- POLICY LIMITI nis.RrProN oF opFRArroNs &r&
t 2 000 000
S 2 000 000
L! E4qH
^q!rqEf1E L OISE'SE , EA EMPL
oEscRrPTtoil oF oPERATtoNS / LOCAITONS / VEHICLES {ACORD 101 , Addltlon.l Remarj€ Sch.dul., mry b. .ttch.d ll moE .P.c. lt Equl6d)
ACORD 2s (20'16/03)
@ 1988-2015 ACORD CORPORATTON
The ACORD name and logo are registered marks of AcORD
All rights reserved
s
l s
$
s
oiQo"CERTIFICATE OF LIABILITY INSURANCE 11t3012022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A END, EXTENO OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES
BELOW. THIS CERTIFICAIE OF INSURANCE DOES I{OT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the cortlllcato holde. ls an ADoITIONAL INSURED, th6 policy(les) must hav6 ADDITIONAL INSUREO provi3ions or be ondorsed. It
SUBROGATION lS WAIVED, rubjoct to tho to,ms and condltlons ot tho policy, coitaln pollcie! may requlrc an ondorsomeht. A stetomont on thls
cortlflcato doos not conlor rlghts to the corllllcato holdgr in lleu ot such sndo6oment(3).
Lockton Companies
444 W47th Slreet, Suito 900
Kansas City, MO 641'12-1906
aONraai
844-290-4908
BgSlcerts@locktonamn
INSURER(S) AFFORDING COVERAGE
tNsuRER a : Ac6 Am.rican l,lsuranc€ Co 22667
INSUREDa.r.ett Bu!lne.! Sorvlcos, lnc.
UC/F LANIX ENTERPRISES. lNC. DBA: LANIK ENTERPRISES, ll{C
28822 OLD TOWT{ FRONT STREET
TEMECULA, CA 92590
INSURER E
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUEO TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO V\I]ICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECI TO ALL THE TERMS
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES, LIMITS SHON'N MAY HAVE BEEN REDUCED BY PAID CLAIMS,
COMMERCIAL GE NERAL LIABILITY
GEN'L AGGREGATE LIMITAPPLIES PER
'ou"" fl lfg f l,o"
EACH OCCURRENCE $
OAMAGE TO RENTED
PREMISES lEe o@fi6n@)s
MaO EXP (Any on€ p€rio.)9
PERSONAL 8 ADV NJURY s
GE NE RAL AGGREGATE s
PRODUCTS. COMP/OP AGG I
$
A U IOMOAILE TIAAILITY
ow!Eo
AUTOS ONLY
HIREO
SCHEDIJLEO
NON.OWNEO
AIJTOS ONLY
D I LE LIMIT $
BOOILY INJURY (P.r ps6on)
SOOTIY INJURY (P6..@drnl)$
3
s
EXCESS LIAB
OCCUR
CLAIMS.MADE
5
AGGREOAlE 6
s
WORKERS CO PEXSATION
AND EIIPLOYERS' LIAAIL|iY
ANY PROPRIETOfi/PARTNER/EXECUTI\G
OFFICER/MEIIBER EXCLT]OEO?
oEscRrPTroN oF oPERATIONS b6r@
c51288786 1t112423 1t112424 E L EACH ACCIDENT t 2 0OO,O00
E L OISEASE - EA EMPLOYEE I 2 00O 000
E L OISEASE. POLICY LIMIT t 2 000 000
OESCRTPTTON OF OPERA T|ONS r LOCATIOa,TS / VEHTCIES TACORO 101. Addnion.l R.mrrk. S.h.dul., m.y b. .tl.ch.d rl hot .p.c. l. oqul.d)
CERTIFICATE HOLOER CANCELLATION
1988-2015 ACORO CORPORATION. All rights reserved.
SHOULO ANY OF THE ABOVE DESCRIBED POUCIES BE CAI.ICELIIO BEFORE
'HE EXARANON OATE THEREOF, NONCE WILL BE DEUVEREOIN ACCORDANCE WII}I THE POUCY PROMSIO'{S,
/a, a"'u
AUIHORIZEO REPRESENIATIVE
Clty Of Monlfee
29714 Haun Rd
Menifee, CA 92586
ACORD 25 (2016/03)Tho AGORD namo and logo are registorod marks of ACORD
l
o.fu CERTIFICATE OF LIABILITY INSURANCE 11t3012022
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATIO ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A COI{TRACT BETWEEN THE ISSUTNG INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf tho cortlflcate holdet ls an ADDITIONAL INSURED, the pollcy(los) must have ADDITIONAL INSURED provislon8 or bo endorsod. lf
SUBROGATION lS WAIVEO, !ubJoct to tho te.m! .nd condltlons o, tho pollcy, certaln pollclos mty rsqulro an ondorsemonl. A slatomont on this
certlficato do6s not confor rlg hts to lhe certltlcato holdor ln llou of such endoBomont(s).
Lockton Companies
444 W47th Slreet, Suite 900
Kansas City, MO 64112-'|906
-6Niacr
il',8[E" For 8a.a-2eo-asoo N
BBSlcerc@locklonafllnily.com
INSURER(S ) AFFOROING COVERAGE
|NSURER A I Ace Americsn lnsuranco Co.22667
INSUREOEarrett 8u3lne33 Selvlcst, lnc.
UC/F LAI{IK ENTERPRISES. INC. OAA: LANIK ENIERPRISES,INC
28822 OLO TOWN FRONT STREET
TEi,!ECULA, CA 92590
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CANCELLATION
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANDING ANY REQUIREI\4ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY 8E ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOVVN MAY HAVE BEEN REOUCEO BY PAID CLAIMS,
COMMERCIAL GENERAL LIABIL TY
GENL AGGREGATE L MITAPPLIES PER
"ou"" fl jfg fl .*
OTHER:
EACI,I OCCURRENCE s
OAMAGE TO RENTEDPREM SES rE. o@nencel s
MEO EXP (Any one p6Bo.)s
PERSONAL A ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS. COMP/OP AGG $
$
AUTOMOBILE LIAgILITY
OWNEDAUTOS OI]LY
HIRED
AUTOS ONLY
SCHEOULEOAUIOS
NON.OWNED
AUTOS ONLY
COMBINEO SINGLE LIMIT s
AOO LY TNJURY (Per po^o.)s
AOOILY INJIJRY (P.. a4ld.nt)s
s
5
EXCESS LIAB
OCCUR
CLA MS.MAOE
EACH OCCIJRRENCE
AGGFEGATE
$
s
oEt)_$-
WORKERS COMPEI{SANON
ANO EiI PLOYERS' LIABILIIY
AIIY PROPRIETOR/PARTNER/EXECI]T]VE
OFFICER/MEMBER EXCLUOEO?
DEqCRIPTION OF OPFRATIONS b6IE
c51266766 111t2423 1t1t2424
STATUTE OTH
E L EACH ACCIDENT t 2,000 000
E L OISEASE. EA EMPLOYEE i 2,00000O
E L DISEASE. POL CY LIM T | 2 000 000
DESCRTPTTON OF OPERATIONS / LOCATTONS / VEH TCLES (ACORO r 01, Adduon.l R.n.r(! Sch.d ul., m.y b. .(.ch.d it moE rp.c. l. -qulnd)
City Of Menlfee
29714 Haun Rd
Menitee, CA 92586
SsOULO AT./Y OF THE AAOVE OESCRIBED POLICIES BE CANCELLED BEFOREIHE E)(PIRANON OA,E THEREOF. NO'ICE WILI- BE DEUVEREDIN ACCOROANC€ WITX THE POUCY PROVISIONS,
AIJTHORIZED REPRESENTAT1VE
/-rr^ a*u
CERTIFICATE HOLOER
ACORO 25 (20't6/03)
@ 1988-2015 ACORD CORPORAT!ON. All rights rescrved
The ACORD namo and logo aro r€gistered marks of ACORO
[ *"u^
I