2023/01/01 Blackmore Co, LLC.cc.ilr'1211912022
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 AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED 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 HOLOER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSUREO, the policy(ies) must have ADOITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an ehdorsement. A statemenl on
this certificate does not confer rights to the certificate holder in Iieu of such endorsement(s).
James G. Parker lnsurance
License #0554959
P O Box 3947
Carie Stubbl€field CISR
(559) 222-7722 (559) 222-1724
CarieStubblefield@iqparker com
AFFORDINC COVERAGE
lnsurance Co of th€ West
INSUREO
Blackmore Co LLC
Blackmore Equipment Co
41571 Date St
Murrieta cA 925€2
CERTIFICATE NUMBER 23-24 \^"CCOVERAGES REVISION NUIvIBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOO
INDICATED NOTWITHSTANDING ANY REOUIREMENI IERM OR CONDIIION OF ANY COITRACT OR OTHER DOCUMENT WTIIRESFECI TO \,lr4.IICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBEO HEREIN IS SUAJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOV\N MAY HAVE BEEN REOUCED BY PAIO CLAIMS
TYPE OF INSURANCE
EACH OCCURRENCE S
PREMISES lE2 occur..c.)S
MEo D(PaA.v on6 eBo.J S
PERSONAL A AOV NJURY s
GENERALAGGREGATE s
sPR@UCTS. COMP^cPAGG
S
C OMMERCIAL OEIERAL LIASlLITY
GENLAGGREGATE LM TAPPL ES PER
OIHER
LOaJECT
COMBINEO SINGLELIMIT S
SBoolLY N.IURY(Per c.rson)
BOOTLY |NJU RY (P6r ...kr6 nt)s
s
o /vNEo
HIREO
SCHEOULEO
NON.OWNEO
AU'TOMOBILE LIAB]L]TY
s
s
UMBRELLA LIAB
EXCESS LIAB
OCCUR
DEO RETENTION S s
OTH
E L EACHACCIDENT $ 1,0@,@0
E L OISEASE- EA EMPLOYEE $ 1,0o0,0o0
$ 1,000,000
VIloRXERS COMPENSAIION
AND EMPIOYERE LIASILITY
ANY PROPRIETOR/PARINER/EXECUTIVE
OFFICER/I,IEMBER EXCLUOEO?
OESCRIPTION OF OPERITIONS b.I@
wP1504537504 01t0112023 01to1Da24
E L DISEASE.POL CYL MIT
DESC RIPTION OF OPERATIONS / LOCATIO NS I VEH ICLES (ACOF 0 1 O 1 , Add lllonal R. mark. Sch.dul., nsy b. Ett.c h.d ll hoo . p.c. l. r.qulr.d)
III
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III
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IIIIIII
CERTIF HOLDER CANCEL TION
O 1988-2015ACORD CORPORATION. All rights reserued
The ACORD name and logo are registered marks ofACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION OATE THEREOF, NOTICE WLL BE OELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS,
cA 92546
City of Menifee
29714 Haun Road
{r* 6f,^"/^v
ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
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AUTHORIZED REPRESENTAIIVE