2022/07/26 Donna Ritchie (3)oiQo"CERTIFICATE OF LIABILITY INSURANCE oarE (Mrrr/ooffYvY)
07/25/2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADOITIONAL INSURED, lhe policy(ies) must have ADDITIONAL INSUREO provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certilicate does not conter rights to the certilicate holder in lieu of such endorsement(s).
PROOUCER
BIBERK
P.O. Box 113247
Stamford, CT 06911
INSUREDDonna Ritchie
23820 Falr Weather Dr
Canyon Lake, CA 925A7
COVERAGES CERTIFICATE NUMBER:REVISION NI,JMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INOICATED, NOTWTHSTANDTIG ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO IA'}IICH THIS
CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURAI{CE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO\^/N MAY HAVE BEEN REDUCED BY PAID CLAIMS,
sN t POLICY EXP LIMITSTYPEOFINSURANCE
q
q
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$
EACH OCCIJRRENCE
PERSONAL A AOV INJURY
GENERAL AGGREGATE
PRODUCTS. COMP/OP AGG
COMMERCIAL GENERAL LIABILITY
GEN'L AGGREGATE LIMIT APPL ES PER
CLA MSMADE occlJR DAfuAGEJdRENTtrT
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MEO E(P (Any ore pden)
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BoDILY N"'URY (Por r.cd.nt) t
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BODILY lN.IURY (Pd pdsn)
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AUTOMOBIT E LIA BITITY
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AUTOS ONLY
COMBINEOSINGLE LIMITlE. ac.d€nlJ
EXCESSLIAB
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I ".o,r".roo.o€D RETENTIONS
EACH OCCURRENCE
AGGREGATE
$
$
$
WORKER6 COITIPENSATION
ANO EMPLOYERS' LIAB|LITY
ANYPROPRIEIOR/PARINEF/EXECt,II VE
OFFICER/I\'EMBER E)(CLUDEO'E L EACB ACCIDENT
E L DISEASE - EA EMPLOYFE S
EL DISEASE- POLICY Lll\4lT $
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5
DESC
STATUTE i
OTHER
R PrION OF OPERATIONS b.low
Per Occurrence/
Aggregate
$1,000,000/
$1.000,00007 /26/2022 07 /26/2023Professional Liability (Errors &
Omissions): Claims-lYade N9P1704829
DESCR IPIION OF OPERATIONS / LOCATIONS / VEHIC LES (ACORO t 01 , Add nbna I R6,narts Sch.dul€, fi.y b€ atbched if m orc space rs t€qurred)
CERTIFICATE HOLDER CANCELLATION
City of Menifee, inluding it's officers, agents, and eml
29844 Haun Rd
Menifee, CA 92586
SHOULD AI,IY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DAfE THEREOF, NOTICE WILL BE OELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZEO REPRESENTATIVE {-+*' 6
O 1988-2015 ACORO CORPORATION. All rlghts reserved.
The ACORD name and logo are reglstered marks ofACORDACORD 25 (2016/03)
203 -554- 3613
rNsuRER{s)!!q!o-E-ol!,G9o,YE!49E L__!49r
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INSURER B i
INSI]RER E
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City of Menifee, inluding it's officers, agents, and
employees
29844 Haun Rd
Plenifee, CA 92585
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