2022/04/01 Garner Holt Education Through Imagination, LLC (3)oiRo"CERTIFICATE OF LIABILITY INSURANCE 414t2022
THIS CERTIFICATE IS ISSUEO 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 OOES NOT CONSTTUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORTZEO
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER.
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 tho terms and conditions ot the policy, certain policies may require an endoGement. A slatement on
this certificate does not confer rights to the certilicate holder in lieu of such endorsement(s).
PROOUCER
Goodwin lnsurance Agency
1806 Orange Tree Lane Ste A
PO Box 7369
Redlands CA 92375
s09-793-8118 909-793-4187
admin n-tns.com
INSURER(S) AFFORDII{G COVERAGE
TNSURERA: Cilizens lnsurance Companv Of America 31534
GARNHOL.Ol ftsuRER B: Allmerica Financial Benellt lnsurance Company 41840
[{suRERc: The Hanover lnsurance Company
rr{suRER D: Securitv Nalional lns Co
II{SURER E
COVERAGES CERTIFICATE NUMBER: 9934853 REVISION NUMBER
LIMITS
X COiIMERCIAL GENERAL LIABILITY
CLAIMS.MADE
GEN'L AGGREGATE LIMIIAPPLIES PER:
X JECT LOC
OIHER
X
783D54336904 41112022 4t1/2023 EACH OCCL]RRENCE $ 1.000.000
DAMAGE IO RENTEOPREMISES rEa oc.uren.6)s 100.000
MEO EXP (Any one person)$ 10.000
PERSONAL & ADV INJURY s 1.000.000
GENERALAGGREGATE $2,000.000
PRODUCTS . COMP/OP AGG $ 2.000 000
B AUTOMOBILE LIABILIry
OWNED
AUTOS ONLY
HIRED
SCHEDULED
AlJTOS
NON-OWNEOXX
4W3054391604 41112022 4t1/2023 COMBINEO SINGLE LIMIT $ 1.000,000
BODILY INJURY (Per poEo.)s
BOOILY INJURY (P€r accrd€nt)S
$
3
c X
EXCESS LIAB
X
CLAIMS.MADE
11H3D543E7104 4t112022 4t1/2023 EACH OCCI}RRENCE s4,000 000
$4.000 000
DED X RETENTIONS n $
D WORKERS COMPENSATION
ANO EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNEFYEXECUTIVE
OFFICER/MEMBEREXCLUOEO?
DESCRIPTION OF OPERATIONS beld
N
4t1t2422 X STATUIE oTrlER
E.L EACH ACCIDENT $ 1.000 000
E,L DISEASE EA EMPLOYEE $ 1.000 000
E,L, OISEASE. POLICY LIMIT $ 1.000 000
c 1H3054911104 4t1t2422 4/1t2023 3 000.000
3 000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHIC LES (ACORO 101 , Additional R.mark Sch.dul., may b. att ch.d il moro !pa.o i. roqunod)
City of lvlenifee and it's ofllcers. employees, agents and authoized volunteers it's officeas, employees, agents and volunleers are named as additional insureds
as required by contracl per the attached fo.ms. 30 Day Notice of Cancellation excepl '10 Day Notice for Non-Payment of premium applies.
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 Haun Road
Menifee CA 92586
SHOULO ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE7/4-
ACORD 25 (20r6/03)
@ 1988.2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks ofACORO
INSURED
Garner Holt Productions, lnc.
Garner Holt Education through lmagination, LLC
1255 Research Drive
Redlands CA 92374
I zzzszf-, rr-^r
THIS IS TO CERIIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAI,4ED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OIHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERI\,4S,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
$
X
sNP1387116 4t112023
Policv #283D54386904
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY BROADENING ENDORSEMENT
Thls endorsement modifies insurance providod und6r the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SUMMARY OF COVERAGES
1 Additional lnsured by Contract, Agreement or Permlt lncluded
2.Additional lnsured - Primary and Non-Contributorv lncluded
3.Blankel Waiver of Subrogation lncluded
4.Bodily lnJury Redefined lncluded
5.Broad Form Property Damage - Borowed Equlpment, Customers Goods & Use of Elevators lncluded
Knowledge of Occunenco lncluded
7 Liberalization Clause lncluded
8.Medioal Paymenls - Extsndod Raporting Period lncluded
9.lqvly Acquired or Fomed Organizations - Covered until end of policy perlod lncluded
10,Non-owned Watorcrafl 51 ft.
11.Supplomontary Payments lncreased Limits
Ball Bonds $2,500
Loss of Eamings $1000
12.Unintentional Fallure lo Oisclos8 Hazards lncluded
13.Unintsntional Failure to Nolify lncluded
Thls endorssmBnt ameMs covsrages provided under the Commercial Genoral Liabllity Covorage Part through
new coveragos, hlgher llmits and broader coverage grants.
1. Addltlonal lnsur€d by Contract, Agrsement or
Permlt
Ths followlng is added lo SECTON ll - WHO lS
AN INSURED:
Addltlonal lnsured by Contract, Agreoment or
Permlt
a. Any person or organizalion with whom )/Eu
agrsed ln a wrltten conlract, writtgn agreement
or pamlt that such parson or organlzation to
add sn addltlonal lnsurod on )our pollcy is an
additional lnsurad only wlth rsspoct to llabllltyfor 'bodily lnjury', "property damage', or
"personal and advertlslng lnjury' caused, ln
whol6 or ln part, by your acts or omlssions, or
the acts or omlssions of those acling on your
behalf, but only with respect to:
(l) "Your work' for the additional insur€d(s)
designated in tha contract, agreament or
permit;
(2) Premises you own, rent, lease or occupy;
or
(3) Your maintenance, operatlon or use of
equipment loased to you.
b. Th6 insurancs afforded to such additional
insured describsd above:
(l) Only applles to the axtent permitted by
law; and
(2) Will not be broader than the insurance
which you are required by the contract,
agreemenl or psrmit lo providB for such
additional insured.
421-2915 06 1s lnoludirs copyrlghted matsrlol ol lnsuranco Sorvloo8 Ofllco, hc., with [r pormlsrlon.Page I of4
6.
(3) Applies on a prlmary basls tf that ls
requlred by tho wrltton contract, wrltten
agrosmont or permlt.
(4) Wlll not be broador than covarage
providad to any othor lnsurBd.
(5) Do€s not apply lf th€ 'bodily lnjury',
'property damaga' or 'personal and
advertising injury' is othorwise sxduded
from covorag€ under thls covsrags Parl,
lncludlng any endorsBmenB tharoto.
c, Thls provlslon doos not apply:
(1) Unless tha writt6n contrac't or wdtten
agrgement was oxocut€d or p€rmll was
issued prior trc the "bodily injun/, 'ProPerty
dam8gs", or "parsonal lniury and
advsrtl6ing lniun/.
(2) To any person or organlzation lncluded as
an lnsured bY anothar sndorsamBnl
issued by us and mado Part of this
Coversge Part.
(3) To any l€ssor of equlpment:
(a) Afier tho equlpmsnt leasB explrss; or
(b) lf tho 'bodlly iniury', -ProP€rtY
damags', "parsonal and advertising
inlury' arises out of solo negllganca of
the le99or
(4) To anla
(a) Ownors or other lnterosts from. whom
land has b6Bn leas6d whlch takes
placa aftsr tho loass for tho land ex-
plros; or
(b) ManagorB or lassors of Promlsas lf:
(l) The occunonca takss placa after
),ou caas€ to be a tenant ln that
Pr€mlssai or
(ll) Ths 'bodlly ln uqf, "Property
damags', 'personal lnjurf or
'sdvsrtislng lnjulf arisos out of
Etructural altBrauons, new con-
slruclion or demolition oporations
performad by or on behalf of ths
managsr or lessor.
(5) To "bodily lnlury", "proporty damage" or
"pBrsonal and adv8rtising inju4/ arising
out of thB rendsrlng of or tho fallurs to
rsnder any profes8lonal EaMces.
Thls excluslon appllas svan lf tho clalms
agalnst any lnsured allegs negllgonca or
other wrongdoing ln the suporvlsion,
hlrlng, employment, tralning or monltorlngof othors by that lnsured, lf the
'occunenco" whlch causad tho "bodily
lnjury' or'propsrty damaga" or the offonse
whioh cau8sd tha "Porsonal and
advertising lnjury' involved the rendsring
of or failure to render any professlonal
servlces by or for you.
d. With respocl to th€ lnsurance afford€d to
these addltonal lnsureds, the tollowlng ls
add6d to SECTION lll - LIMITS oF
INSURANCE:
The most ws wlll pay on behatf of the
additlonal insured for a covered clalm ls the
lesser of the amount of lnsurance:
1. Requlred by the contract, agrsam€nt or
permlt dsscribsd ln Paragraph a.; or
2. Avallable under the applicablB Limlts of
lnsurance shown ln ths Declaratlons.
Thls sndorsemant thall not lncr€ase the
appllcable Llmfts ot lnsurance shown In the
Declaratlons.
2. Addltlonal lnsurcd - Prlmary and Non-
Gontrlbutory
The followlng is added to SECTION lV -COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 4. Other ln3uranca:
Addltlonal lnsured - P.lmary and Non-
Contrlbutory
lf you 6grse ln a wrltten contract, wrlttsn
agreement or permlt that the lnsurance Provlded lo
any pennn or organlzatlon lndudad as an
Additional lnsured under SECTION ll - WHO lS
AN INSURED, ls primary and non-contdbutory,
the followlng applles:
lf othar valld and mllectlble lnsuranc€ ls avallabls
to thB Additional lnsured for a loss @vared und€r
Coveragos A or B of this Coverage Part, our
obllgations ar€ limited as follows:
a. Prlmary lnsurance
This insurancs ls primary to other lnsuranca
that ls available to the Addltlonal lnsurad
whlch covers the
Addltional lnsurod as a Namod lnsured. We
will not seek contrlbutlon from any other
insurance available to the Addlilonal lnsured
except:
(l) For the sole negllganco ol tha Addltlonal
lnsured;
(2) When the Addltional Insured ls an
Addltlonal lnsured under another pdmary
llablllty policy; or
(3) when b. below apPllos.
lf this lnsurance is prlmary, our obllgations arE
not affected unless 8ny of the other lnsurancs
ls also prlmary. Then, we wlll sharo wlth 8ll
that other lnsuranca by tha msthod descdbed
ln c. bolow.
421-2915 06 '15 lncludss copyright6d m6terlalol lnsursnc6Solvlc66 Omco, lnc., with lts psrmlosli,n.Pagc 2 ol 4
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b, Excoss ln3urance
(1) Thls lnsuranca ls oxcass ovBr any of the
other insuIanco, whsther prlmary, excoss,
contlngenl or on any other basls:
(a) That ls Flre, Exlsndad Coverage,
Bulldo/s Ri8k, lnstallatlon Rlsk or
slmllar covsrage for 'your u/ork";
(b) That ls Flre Imulance for prsmlses
rantod to the Addltlonal lnsured or
tomporarlly occupled by tha Additlonsl
lnsured wlth p€rmlsslon of tho owner;
(c) That ls lnsuranc€ purchased by the
Addldonal lnsurod to cover the
Additionsl ln3ured's liability as atenant for 'property damage' topremises rentsd to the Additlonal
lnsured or tsmporarlly occupled by the
Additlonal wlth permlsslon of the
ownar; ot
(d) lf the loss arlsas out of tha
malntenance or use of slrcraft, "autos"
or wslorcrafr to the axtont not sublectto Excluslon g. of SECTION I -COVERAGE A - BODILY INURYAND PROPERTY DAIIAGE
LIABILITY.
(2) When thls lnsurance ls excess, ws wlll
havo no duty under Covsragos A or B to
defand tha lnsured agalnst any 'sult" if any
othar lnsurer has a duty to dsfend the
lnsured agalnst that 'Bult'. lf no othsr
lnsurer defends, we wlll undertaks to do
so, but w€ will bB sntltled to ths lnsured's
rlghts agalnst all thoso othor lnsur6rs.
(3) Whon thls lnsurancs ls excess over othBr
lnsuranc6, ws lvlll pay only our shars ofthe amount of the loss, lf any, that
exceods tha sum ot
(a) The total amount that all such other
lnsurance would pay for the loss ln the
absence of thls lnsurance; and
(b) The total of all deductlble and self
lnsured amounts under all that othsr
lnsuranc€.
Ws will share the remalning loss, lf any,wlth any other lnsurance that ls not
descrlbed ln thls Excs8s lnsurance
provlsion and was not bought speclffcallyto apply ln €xcess of tho Limtts of
lnsurance shor/vn ln ths Oeclarations of
thls Coverage Part.
c. Mothod Of Sharlng
lf all of tho other ln8urancs psrmits
contrlbutlon by equal sharcs, we wlll follow lhlg
method also. Undor thls approach each
lnsurer contdbulss squal amounts un l lt has
paid its appllcable llmil of insurancs or none of
the loss remaln8, whlchsver com6s tlrst. lf anyof the other insurance does not permlt
contdbution by €qual shares, w6 Mll contrlbuto
by limits. Under thls method, each lnsura/s
share ls basad on the ratlo of lts appllcable
llmll of lnsuranco to the total app cable limlts
of lnsurance of all lnsurers
3. Blanket Walvar ot Subrogatlon
The following is added to SECTTON lV -COI{MERCIAL GENERAL LIABILITY
CONDITIOI{S, Paragraph 8. Transfor Ot Rtghts
Of Rocovery Agalnst Othor8 To Us:
We walve any right of ro@vory ws may havo
agalnst any person or organlzatlon with whom you
have a written contract that requlres such walvor
b€cause of payments u/B make for damag€ undsr
this coverago form. The damage must arlse out of
lour acilvitles under a wrltten contract wlth that
person or organizatlon. Thls walver applles only tothe extent that subrogatlon ls walvad undor a
wdttan contract axecuted prior to tha 'occurronce'
or offense glvlng dsa to such payments.
4. Bodlly lnjury Rsdeflnsd
SECTION V - DEFINITIONS, Deflnltlon 3. "bodity
injury' is replaced by lhe followlng:
3. 'Bodily injun/ means bodlly hjury, stckness or
dissass sustainod by a person lncludlng death
rBsulllng ftom any of thoso at any tlma. "BodilyinjuDf includes menlal angulsh or othor
mental injury rBsultlng fmm 'bodily injury,.
5. Broad Form Proporty Damage - BorowedEqulpment, Cuatomers Goodr, U3€ of
Elovatorc
8. SECTION I - COVERAGES, COVERAGE A-BODIL]Y INJURY AND PROPERTYDAIIAGE LIABILITY, Paragraph 2.
Excluslons subparagraph r, ls amBndod as
follows:
Paragraph (4) doss not apply to "property
damage' lo bonowgd equlpment whlls at a
Jobsite and nol b6ing used to perform
operations.
Paragraphs (3), (4) and (6) do not apply to
'property damage' to 'customers goods" whll€
on your pramlses nor do they apply to th6 use
of el€vators at premises you own, rent, lease
or occupy.
b. The followlng ls add6d to SECTION V -DEFINTIONS:
24. "Customers goods" means propsrty ofyour cuslomar on your premises for the
purpose of belng:
421-2015 08 15 lncludds copyrlohtsd mat6 alof lnsurance S€rvlces Offlco, lnc., with lts pgmisslon Page 3 of4
a. worked on; or
b. used In your manufacluring process.
c. Tha lnsuranc€ afforded undar thls provlslon is
excess over any other valid and collectible
prop8rty lnsurance (lncluding deducliblo)
avallable to ths lnsurod whathar primary,
excess, contlngenl
8. Knowlsdge ol Occuronco
The followlng ls sdded lo SECTION lV -COMMERCIAL GENERA LIABILITY
CONOITIONS, Paragraph 2. Dutlos ln tho Evont
of Occunonco, Oftsnso, Clalm or Sultl
6. Notlco of an 'occunonco", offense, clalm or
"sult" wlll bo considorod knowledge of the
insured if reported lo an lndlvldual named
insured, partnsr, executlve ofticar or an
'employee" deslgnated by you to givo us such
a notice.
7. Llb€rallzatlonClauss
The followlng ls addBd to SECTION lV -COMMERCIAL GENERAL LIABIL]TY
CONDITIONS:
Llborallz6tlon clauso
lf we adopt any rovislon that would broadon the
coverage under thls Coverage Form wlthout
addltlonal pramlum, wlthln 45 days prlor to or
during the policy poriod, tho broadsnsd covorage
wlll lmmedlately apply to thls Covsrago Parl.
8. Medlcal PaymontB - Extsnded Roportlng
Perlod
a. SECTION I - COVERAGES, COVERAGE C -
MEDICAL PAYMENIS, Paragraph 1'
ln8urlng Agreomont, subparagraph a.(3Xb)
ls replaced by the followlng:
(b) Tho oxponsas ars lncuned and ropotted
to us Mthln three years of ths dale of the
accident; and
b. Thls coversgo does not apply lf COVERAGE
C - ll,lEDlCAL PAYMENTS ls excluded elthor
by th6 provisions of tho Coverage Part or by
endorsemgnt.
9. Newly Acqulrod Or Formed Organlzallons
SEcTloN ll - WHO lS AN INSURED, ParagraPh
3.a. ls replaced by tha following:
a. Covorago under thls provlslon Is afforded untll
the snd of tho pollcy period.
10. Nonownod Watorcraft
SECTION I - COVERAGES, COVERAGE A
BODILY INJURY AND PROPERTY OAMAGE
LIABILITY, Paragraph 2. Exclualons,
subparagraph g.(2) is replac€d by the followlng:
g. Alrcrafi, Auto Or watercraft
(2) A watercraft you do not own that ls:
(a) Less than 51 feet long; and
(b) Not being used to carry persons or
property for a charge;
This provision apPlias to any person who,
with )rour conssnt, sither usea or ls
rssponsible for lhe use of a watsrcrsft.
11, Supplomentary Paymonts lncr€asod Llmlts
SECTION I - SUPPLEMENTARY PAYMENTS
COVERAGES A AND B, Paragraphs 1'b. and
1.d, are replaced by the following:
1.b.Up to $2,500 for cost of ball bonds requlrad
because of accldents or traffic law violations
arislng out of thB use of any vshlcle to which
the Bodily lnjury Llabillly covsrage appllBs.
We do not havs lo fumish thsse bonds.
1.d.All reasonable expenses lncuned by the
lnsured al our requasl to 888lst us ln the
investlgation or dsfsnse of the claim or "suit",
including actual loss of eamlngs uP to $'t000 a
day because of tlm6 of from work.
12. Unlntentional Falluro to Dlscloso Hazards
The following ls added to SECTION lV -COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 6. Reprasontatlons:
We will not disclaim coverago under thls Coverage
Part if you fail to disclose all hazards existlng as of
the inceptlon date of the Pollcy provlded such
failurE lE not intentional.
13. Unlntentlonal Fallure to Notfi
The following is added to SECTION lV -COMMERCIAL GENERAL LIABIL]TY
CONDITIONS, Paragraph 2. Dutle! ln the Evont
of Occurronco, Off6nse, Clalm or Sult:
Your rights afforded under thls pollcy shall not be
preludic€d lf you fail to give us notice of an
'occurrence', offense, claim or'sutt", solely due to
your reasonable and documentsd bslief that the
'bodily lniury' or 'property damage" ls not covered
under this pollcy.
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED
421.2915 06 15 lnoludescopyrlghtodmaterlolof lnsuranceSoNlcesOfflc6, lnc, wlth ltspermlsslon.Pago 4 ot ,l
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