2022/09/03 CR&R, Inc. (3)Client#:569053 CR&BINCACORD.. CERTIFICATE OF LIABILITY INSURANCE
COVERAGES REVISION NUMBEB
9t02t2022
INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSUREB(S), AUTHORIZED
REPBESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
RED, the policy(ies) must have AODITIONAL INSURED provisions or bs endorsed
tlons ot the policy, certain policies may require an endorsement. A statement onthis cerlilicate does not confer any rights to the cer ficate holder in tieu ot such endorse
IMPORTANT: lf the cedilicale holder is an ADDITIONAL tNSU
lf SUBBOGATION lS WAIVED, sublect to the terms and condt
THIS CERTIFICATE IS ISSUED AS A MATTER OF
ment(s).
PBOOUCEA
Marsh & McLennan Agency LLC
Marsh & McLennan lns. Agency LLC
'I Polaris Way #300
Aliso Viejo, CA 92656
858-452-7530
20699
NSUBEO
INSU NEF O
ESS:RJ.Simmons@MarshMMA.com
INSUAER E
tNsuFEF C: scollsdale Insurance company
tNsunER a. ACE Properly & Casualty lnsurahce co
tNsunER B lnterslate Fire & Casualty Company
rNsus EB(s) AFFOA DtNG COVEBAGE
RJ Simmons
800 321-4696
CR&R lncorporaled
11292 Western Avenue
Stanton, CA 90680
x
B
xA
TH]S IS TO CERTIFY THA'T THE POLICIES OF INSURA NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIODINDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH BESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL THE TEBIIISEXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LII\,4ITS SHOWN MAY HAVE BEEN BEOUCED AY PAIO CLAIMS,
INSF TYFE OF INSUBANCE
COMMEFCIAL GENEBAL LIABILIIY
cLe us veor X occun
LIMITS
A x HDOG47307065 9t03t2022 09t03t20 55,000,000
$100,000
$'10,000
s5,000,000
ENTED
MED EXP (Any on6 p6r$n)
GEN'LAGGREGATE LIMIT APPLIES PEF
PEFSOIIAL & ADV TNJUBY
GENEFAL AGGBEGATE $10,000,000T_ l PBo -PoLrcY I JEcr i Loc
OTHEB:
PFODUCTS. COMP/OP AGG 5,000 000
AIJIOMOBILE LIABILITY MMTH10701661 t03t2022 09t03t2 MB NED SII]GIL IIITI I $1,000,000
sBODTLY TNJUFY lPer pe,son)
SCHEOULED
AIJTOS
NON OWNEDAt]TOSONLY
BOOTLY TNJUBY (Per accide.0
x
UMSBELLA I.IAB
x ExcEss LraB
x occuq
CLA MS.MADE
us200031420 312022 91312023 EACH OCCUFFENCE s7,000,000
AGGREGATE
DED I REIENTION$
WOR(EFS COMPENSATION
AND EI'PLOYEBS' LIABII.ITY
ANY PFOPFIETOF/PARTNEF/EXECUIIVEOFFICEB/MEMBEB EXCLUOED?
0ESCFIPTION OF OPERATIONS b€row
wLRC70305641 i3i2022 OTH
E L OISEASE EA EMPLOYE€s1 0 000
] a.r DrsEAsE PoLrcY LrMrrgt3t2o25 | 2,OOO,OOO
s1,000,000
EXCESS AUTO cRA0000006 i3t2022
DEscBlFtloN oF oPEBAITONS / locAlloNs / vEHlctES {ACOFO 101, Addlllon.l Femdtki sch.dule, may be attached ll moe sp.e ts requtred)
Excess Liability policy US200031420 is excess auto only.
Cerliricate Holder is included as Addltlonal lnsured as respects General Liability and Auto Liability per
the atlached.
(See Attached Descriptions)
City of Menilee
Attn: Account Payable
29844 Haun Hoad
Sun City, CA 92586
SHOULD ANY OF THE AAOVE DESCRIBED POLICIES BE CANCELLED BEFONETHE EXPIBATION OATE THEREOF, NOTICE WILL BE DELIVEAED INACCOBDANCE WITH THE POLICY PBOVISIONS.
AUTHORIZED REPBESENTATIVE
CEBTIFICATE HOLDEB
t2
1
CANCELL
@ 1988-2015 ACORD CORPORATION. All rlghls reserved.
The ACORO name and logo are registered marks of ACORD
WOPZB
ACORD 2s (2016/03) 1o#s11712696/M1171016
22A29
41297
CEBTIFICATE NUMBEB:
I
f! o"" ouro
I AUTOS ONLY
I x lilto, o^,"
Y/N
E.L EAcHlcc DENT ] sl,000,000
$
s
The City ol Menilee,
General Liabilily per
its olficers, agents and employees are included as additional lnsured as respects to
attached endorsement.
#s11712696/M1 171015'l
INSURED: cR&B tncorporaled
POLICY#: HDoG47s07065 POLICY PERIOD: osto3/2o22 TO os/03/2023
coMMERCTAL GE".Et rh'L"l.J[
THIS ENOORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Any person or organization whom you have agreed to include as an additional insured under a written
contract, provided such contract was executed prior to the date of loss.
lnformati on required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section ll - Who ls An lnsured 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 injury", "property
damage" or "personal and advertising injury"
caused, in whole or in part, by your acts or
omissions or the acts or omissions of those acting
on your behalf:
1. ln the performance of your ongoing operations;
or
2. ln connection with your premises owned by or
rented to you.
Howeveri
1. The insurance afforded 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 agreemenl, 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.
B. 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:
1. 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 limits of insurance.
cG 20 26 12 ',tS O lnsurance Services Office, lnc., 2018 Page 1 of 1
Name Of Additional lnsured Person(s) Or Organization(s):
INSURED:
POLICY#:
CR&R lncorporated
[fl\,4TH 1 0701 66 1 POLICYPERIOD: 0st03t2022 TO: 0S/03/2023
ADDITIONAL INSURED -DESIGNATED PERSONS OR ORGANIZATIONS
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
AUTO DEALERS COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
EXCESS BUSINESS AUTO COVERAGE FORM
Additional lnsured(s)nor an ou have a as an additi n
under a writte contract, provided such co ract was executed orior to the date of loss
For a covered "auto," who ls lnsured is amended to include as an "insured," the persons or organizations
named in this endorsement. However, these persons or organizations are an ,,insured', only for,,bodily
injury" or "property damage" resulting from acts or omissions of:
B
1. You.
2. Any of your "employees" or agents.
3. Any person operating a covered "auto" with permission from you, any of your ,,employees" or agents
The persons or organizations named in this endorsement are not liable for payment of your premium.
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