2022/08/01 Burke, Williams & Sorensen, LLP,ciAD'
COVERAGES
CERTIFICATE OF LIABILITY !NSURANCE
CERTTFTCATE NUMBER. 22-23 Cily REVISION NUMBER
0711212022
THIS CERTIFICATE lS ISSUED AS A MATTER OF INFORI,IATION ONLYANO 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 OOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: It the cortificato holder is an AOOITIONAL INSUREO, the policy(ies) must have AODIT
lf SUBROGATION lS WAIVED, rubiecl to lho term! ahd cohdltlon3 ol the policy, cerlaln pollcies may requlre an endorsement. A slat€mont on
lhl! certiticate doos nol confor rlght3 to the cerllflcate holdor ln lieu ol6uch endor.emont(s).
IoNAL INSURED provkion. or be endoBod
Kasey Lilz
@@m(805)413-1498
kas€y@isuslanlon.com
IXSURER{5) AFFORDING COVERAGE
19682rNsuRER A . Hartford Fire lnsurancs Company
Stanlon and Associatas lnc.
ISU Stanton & Associelos
3625 Thousand Osks Blvd #319
Wesllake Village cA 91362
29424rxsuRER s. Harlford Casualty lnsurance Company
34690Prog€rty & Casualtry lnsurarance Co. ol Hartford
II.ISURER E
Bu €, Wlliams & Sorensen, LLP
444 S Flower St. Suite 2400
cA 90071LosAngeles
Ifi@
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE AEEN ISSUEO TO THE INSURED NAMED ABOVE TOR THE POLICY PERIOO
INOICATED, NOTWIHSTANOING ANY REQUIREMENI IERM OR CONDIION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY AE ISSUED OR MAY PERTAIN, THE INSUFIANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TOAIL TIIE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY I'IAVE BEEN REDUCED 8Y PAID CLAIMS,
,1,000,000
, 300.000PREMISES iEr occur€nce)
,10,00oMEO EXP rAnvs€ ers)
r 1,000,000PERSONAL I ADV INJI]RY
r 2,000,000GENERALAGGREGATE
i 2,000,000PROOUCTS - COMP/OP AGG
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COMI'ERClAI GE{ERAL LIABILIIY
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GEN'LAGGREGATE LIMITAPPIIES PEREJECT
72UUNUR4713
r 1,000,000COMBINED SINGLE LlMrI
$SOOILY INJURYIPT o66onr
IBOOILY INJURY (P$ 6..'d6nl)
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$
72UENCG7716SCHEDI]LEO
AU'TOMO6ILE LABILIrY
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t 10 000,000xx
t72XHUUR4585oato1 t2022a
DEO RETENTTON S 10'0oo
X 3Fa8',* |
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EL EACH ACCIO€NT r 1,000,000
E.L OISEASE. EA EMPLOYEE r 1,000,0000810112022
E.I, OISEASE.POLICY LIMIT ! 1,000,000
72WEAg2915c
WORXERS COfPETAANON
AND EI.PLOYER3' LIABIUIY
ANY PROPRIEIOTI/PARTNER/EXECL]TIVE
OFFICERTX'EMAER EXCf UOEO?
OESCRIPTION OF OPER TIONS b8lor
DEICR|FT|O|{ OF OPatl^not'ts / IOCATK)II! / VEHTCLES IACORO 101 , ddldon.l R.m.r*. S.h.dub, n.y b. .i..h.d fl M. .p.c. lr -qulrd)
Hartford CGL policy lorm HGOOOl incfudes Addiiional lnsured slatus, Primary and Non-Contdbulory lvording, and Walvor ol Subrogation where required by
lH 0303 ' 30 O6y NOC applies
CG2026 - Addilloml tnsured - Designated P€rson or Organizalion
wc 990394 - 30-oay Notice of Cancollallon to cenficate Holders
WCo40306 - WC waivsr of Subrogetion
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CERTIFICATE HOLDER CANCELTATIOI.I
Cily o, Menifee Alln: City Administrator
29714 Haun Rd
cA 92586
SHOULD ANY OF THE ABOVE OESCRIEEO POLICIES BE CANCELLEO BEFORE
THE EXPIR-AT|OI'I DATE TiIEREOE NOTICE WILL BE DELIVERED lN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUIHOR12€D REPRESEIITATIVE
6'.e
acoRo 25 (20't6/03)
O 1988-2015 ACORO CORPORATION. All.ioht3 teserved
Tha ACORO name and logo are reglster6d marks of ACORO
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