2022/06/28 Becker Pipeline Co-.-\ -ACORD"OAIE (MM'DCIYYYY)
9/20 /2022
THIS CERT]FICATE IS ISSUED AS A I$ATTER OF INFORIIAIION OI{LY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE''ID OR ALTER THE COVERAGE AFFOROED BY THE POLICIES
BELOW. THIS CERTIFICA'E OF TNSURANCE DOES r'lOT CONSTTTUTE A CONTRACT BETWEEN tHE TSSUTNG [{SURERIS), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT lf lhe cortlflcde holdor ls an AODITIONAL INSURED, th6 pollcy(l6s)must be ondorsed. ITSUBROGATION ISWAIVED, subject to
lho torms and conditlons of tho pollcy, cortaln pollcl6s may roqulro an ondorsomont. A statemsnl on thls corllllcato doos not confer rlghts to tho
cortlflcato holdor ln llou of such ondorsomont(s).
rh€ &El1l6 Coqany
9050 Arohi.b.l"d Avsnu€
P. o, Bor 5{00
Ranoho Groa@tlga cA 91?29
(909) 4?6-0500
INSIRER(S) AFFORUI.IG COVERAGE
|I'ISLRERA B6rkley Asgurance Coq)any 39462
Il\G'IfiED
Beok€! Pipg]-iDe Co
1060 NosthEatc st, ste B
T|E(FER B CaliJorBia Arto lDeuratroa Co@aly
[,rsLnER c: Ev€lest Natro[af IEg, Co
Nar.RERo : Great ArEricrrr Indur.noo
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUM BER:22 /23Mas t€ rCOVERAGES REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE TISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAI,IED ASOVE FOR ]HE POLICY PERIOD
INDICATEO, NOTWTHSTAN DING ANY REOU IREM ENI TERM OR CONDITION OF ANY CONTRACI OR OTH ER DOCUM ENT WITH RESPECT TO WlICH TH IS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCEAFFORDED BY THE POLICIES OESCRIBED HEREIN IS SJSJECT TO ALL THE TERMS
EXCI-USIONS ANO CONOITIONS OF SUCH POLICIES. I.IMITS SHOT/\'{ MAY HAVE EEEN REDUCED 8Y PAID CLAIMS,
LIMlTS
x COMM€RCIAL GEiCRAL LIABUTY
GENL AOGREGA'IE L MIT APA ES PER
x JECT LOC
x
E Cri oco-rRRENc€i 1,000,000
100,000
MEO EYP (Any Mo pdson)!5,000
I'LRSONAL A ADV INJURY j 1,0o0,ooo
2 ,000,000
2,000,000
B
AIJTOMOBlLI LIABILITY
x
A!'TOS
SCHEqJLED
NONIOW\ED
LOMtsINEDs]N6LEL MI $1,000,000
EOOLY INJI.JRY (P., p6rson)$
EOoLY TNJURY (Per a(cd€nt $
PeOFERT.Y DAMAGE
$
A
LiIBRELA LIAB
B(CESS UAE
x OCOJR EACH OCO]RRENCE 3,000,000
x $3,000,000
RETENNON $'I
c
WOE<ERS COMPENACION
AID EI'PLOYERS UAB|LITY
AN Y P ROPR ETI)F,PAFTNER€( EC,JT VE
OFFlCER'N EM BER EX CLI] DED?
CEg:RIPT]ON OF OPEFATIONS bI
1/1/2023
x STATUTE
!1,000,000
E L OISEASE. EA EMPI.OYEE t 1,000,000
E t DISEASE. POLI'Y L MIT 1,O00.000
D a.nt6d/16!.6d Equipaant $300,000
OESCRFnON OF OPEF TIOM| I LOCTnONS I \GHC1-ES IA@RO !01. Addltlq.l R.mrtt S.h.rU., E y b. itlr.h.d r md .p*. l. r.quloofb. City of lileDife€, j'ts offioc!3, 6q):,oy66B.Dd agcats ale aaD€d a! Addj.tioDal hrulcd irhore reguirad by
r.lj'tt€a conErect p6! attach8d forss. (CG 20 10 12 19)
CERTIFICATE HOLOER CANCELLAIION
SiOULDAI{Y OF IHEABOVE OESCRIBEO POUCIEA BE CAI{CELLED BEFORE
IHE EXPIRATIOI.I DAIE T1IEREOF, i{OTICE $'ILL BE OELIVERED IN
ACCORDA}ICE }'ITH IHE POLICY PROVISIOflA,Clty of lbn1fee
29844 Haun Rd
ltenLfee, cA 92586
AUTIORIZED REPRESEiINATYE
Marie RaIID5/MARIE ,4,n4;[1r,"-'
o,ts88-2014
ACORD 25 (mr4lor)
lNS025 r.,'r1r. rl
The ACORD name and logo are registerod marks of ACORD
RATION. All righla rorerved.
flEaE s Cepj-r€-oo. oota
cA 92507
r
If-
] oo,* uo.* [
COMMERCIAL GENERAL LIABILITY
cG 20 10 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED _ OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsernent modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional lnsurod Porson(s)
Or Organization(s)Location(s) Of Covered Operations
As required by written contract executed prior to the date
of occurrence but only to the extent permitted by law.
The insurance afforded to such additional insured will
not be broader than that which you are required by the
contract or agreement to provide for such additional
insured.
As designated in written contract with the Named
lnsured
lnformation required to complete this Schedule, if not shown above, will b€ shown in the Declarations
A. Soction ll - Who 18 An lnaured 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 inlury", "property
damage" or "personal and adverlising lnjury"
caused, in whole or in part, by:
1. Your acb or omissions, or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations forhe additional insured(s) al tfre location(s)
designated above.
However:
l. The insurance afiorded to such additional
insured only applies to the extent permitted by
law, and
2. lf coverage provided to the additional insured is
required by a contract or agreement, the
insurance afiorded to such additional insured
will not be broader than that which you are
required by the contract or agreement to
provide br 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:
l. All work, including materials, parts or
equipment furnished in connection with such
work, on lhe project (other than service,
maintenance or repairs) to be performed by or
on behalt 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 subcontractor
engaged in perbrming operations for a
principal as a part of the same pOect.
@ lnsurance Services Offlce. lnc, 2018 Page I of 2
POLICY NUMBER: vUMA0228082
cG 20 10 12 19
C. With respect to the insurance afforded 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:
l. Required by the contract or agreement: or
2. Available under the applicable limits of
insurance,
whichever is less.
This endorsement shall not increase the
applicable limils of insurance.
Page 2 ol 2 @ lnsurance Services Office, lnc., 2018 cG 20 10 12'19