2022/09/01 Barrett Business Services, Inc.o.#CERTIFICATE OF LIABILITY INSURANCE 9t2t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRIIATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. TH|S CERTTFTCATE OF |NSURAi{CE OOES t{OT CONSTTTUTE A COiITRACT BETWEEN THE ISSUING INSURER(S), AUTI'IORIZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: lf th. cortlflc.to holdor ls .n AOOITIONAL INSUREO, th6 pollcy(lo8) mu3t h.ve ADDITIONAL INSt RED provi.lon. or bo ondorsed' lf
SUBROGATION lS WAIVED, .ubJoct to the term! and condltlonr ol tho pollcy, co,t.ln pollcl.! m.y roquho an ondoEomont. A ltrt€mont on thlE
certlrlcato doos not conter rlghts to tho cortltlcato holdet in ligu or such ondoEgment(6).
Loctton Companies
444 W47th Slreet, Suite 000
Kansas City, MO 64112-1906 BBSlcens@bcllonefflnity.com
INSU RER{S) AFFOROING COVERAGE
tNsuRER A . Ace Am€rican hsuranco Co 226A7
ll,lSUREOBrrlet Bualnols Services, inc.
UC/F AIRX UTIUTY SURVEYORS,INC
785 E M|SS|ON RD STE 100
SAT MARCOS, CA 92069
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CANCELLATION
o {988-20't5 AC
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE AEEN ISSUEO TO THE INSUREO NAMEO ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO v\tlICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI']E TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOW\] MAY HAVE BEEN REDUCED BY PAID CLAIMS,
COMMERCIAL GENERAL LIABILITY
CLAIMS.MAOE
GEN'L AGGREGATE LIMITAPPLIES PER
T---_'l oE^ T---_1PoLrcYL,l lEb'r L lLoc
EACH OCCURRENCE 5
s
MEO ExP (Any on. p.Bon)s
PERSONALA ADV INJURY s
GENE RAL AGGREGATE $
PRODUCTS, COMP/OP AGG $
s
AUTOMOBILE LIABILITY
OW!EDAUIOS ONLY
HiREO
AUTOS ONLY
sct'lEouLED
AUTOS
NON.OWNED
AUTOS ONLY
MT 5
BOD]LY INJURY (P6T p.Bon)I
BOOTLY TNJURY (Per3@donl)$
$
s
OCCUR EACH OCCURRENCE s
AGGREGAIE 5
0Eo RETENTION S r_
xWORKERS COM PENSANON
ANO EM PLOYERS' LIAAILITY
ANY PROPR EIOF/PARTNEA'EXECU'NVE
OFFICERATEMBER EXCLUOEO?
OESCRIPTION OF OPERAT ONS bdd
c51272158 9t112022 9t1t2A23 E L EACH ACCIOENT $ 2 000,000
E.L OISEAS€. EA EMPLOYEE t 2.000,00o
E L DISEASE. POICY LIM1T t 2 OOO,O00
DESCRTPTTON OF OpERAIONS
'
LOCATTON S
'
VEHTCLES (ACORO 101, Addttton.t R.m.rt. Sch.dul., n.y b. .n.ch.d t no. .p.c. l. Dqulndl
Clty Of Menlfee
298214 Haun Road
Menlfoo,, CA 92586
SHOULD ANY OF I}IE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFOREIHE EXPIRAIION DAIE THEREOF, NOTICE wlLL BE DEUVEREOIN ACCORDANCE WITH THE POLICY PROViSIONS,
AUTHOR12EO REPRESENTATIVE
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CERTIFICATE HOLDER
ACORD 25 (2016/03)The ACORD name and logo are rsgistorod marks of ACORD
CORPORATION. All rights reserved
E44-290-4908
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EXCESS L|AA
^cfu CERTIFICATE OF LIABILITY INSURANCE 9t2t2022
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATIOT{ ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRITIATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES I{OT CONSIITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, ANO THE CERTIFICATE HOLDER.
IMPORTANT: lftho coitlflcete holdor ls an AODITIONAL INSUREO, the policy(loEl muet havo AOOITIONAL INSUREO provlslons or bo ordorsod. lI
SUBROGATION lS WAIVED, !ubl6ct to th6 torms and condltlon! ol tho pollcy, coitaln pollcl.3 may roqulre an ondoBomont. A stat6m€nt on this
c€rllflcato doos not confer rlght3 to lh6 cortlflcato holder ln llou ot 3uch endoEoment(3).
844 290 4908
B
INS UR€R{ S ) AFFORDING COVERAGE
|NSIJRER A . Acs Amoacan lnsurance Co 22667
INSUR€DBa.rott Bu!lnoss Servlce3, Inc.
UC/F AIRX UNLITY SURVEYORS,INC
785 E MTSS|ON RD STE 100
sAN MARCOS, CA 92069
COVERAGES CERTIFICATE NUMBER:REVISION NUMgER:
THIS IS TO CERTIF/ THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BE€N ISSUEO TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOO
INDICATEO, NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO V!+IICH THIS
CERTIFICATE MAY BE ISSUEO OR IVAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOITN MAY HAVE BEEN REOUCED BY PAID CLAIMS,
AODL SIJBR LIMITS
COMMERCIAL GENERAL LIABILITY
CLA MS-MAOE
GEN L AGGREGATE LIMIT APPLIES PER
PoL'cY f l SE& fl roc
EACH OCCURRENCE $
$
ME0 EXP (any on. D.6on)I
PERSONAL A AOV NJURY I
GENERAL AGGREGATE s
PROOUCTS, COMP/OP AGO s
S
AUTOMOBILE LIABILIry
OWNED
AUTOS ONLY
HIREO
AIJTOS ONLY
SCHEDULED
NON OWNEO
s
BOD LY TNJURY (Porp66on)s
BOD LY INJURY (P6T aed6ni)$
s
s
a(c€ssLtaB
OCCUR EACH OCCURRENCE S
AGGREGATE !
RETENTION 9 5
woR(ERS COiiPENSAnON
ANO EMPLOYERS' UABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICERA]IEMAER EXCLUDED?
DE siRiPTroN oF oPERATToNs b.ro*
c5127215A 911t2022 9t'12023
STATI]TE oTr.t
E L EACH ACC DENT ! 2 000 oo0
E L, DISEASE. EA EMPLOYEE t 2,000 000
E L, DISEASE. POLICY LIMIT 5 2,000000
OESCRIPTION OF OPERAnONS I LOCAIIONS lvEHrcLES (ACORD 101. Addnbn.l R.m.rt. Sch.d!r., m.y b..tt.ch.d n 60..p.c. r!.qur.d)
CERTIFICA HOLDER CANCELLATION
SI,IOULO ANY OF THE ABOVE DESCRIB€O POLICIES BE CAIICELI.IO AEFOiETH€ EXPIRAIION OAIE THEREOF, NOIIC€ WILL AE OEUVEREOIN ACCORDANCEWITH THEPOUCY PROVISIONS.City Of Menifoe
29714 Haun Road
Menifo6,, CA 92586
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AUTIIORIZEO REPRESENIATIVE
ACORD 2s (2016/03)
@ 1988-2015 ACORD CORPORATION. All rights r€served
The ACORD name and logo aro registered marks of ACORD
Lockton Companies
444 W47th Street, Suite 900
Kansas City, MO 64112-1906