2022/01/01 Goldfarb & Lipman LLPACORD-CERTIFICATE OF LIABILITY INSURANCE t1r05t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPoRTANT: lf the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provislona or be endorsed
tf SUBROGATION lS WAIVED, subject to the terms and condltlons of the policy, certain policles may require an endorsemenl. A statement on
this c€rtilicate does not confer rights lo lhe c€rtificate holder in liou of such endorsement(s)
Erown & Brown lnsuaanc€ SeNices ol Califomia, lnc
3697 Ml. Diablo Blvd. 516 100
cA 94549-3745
(800)733-3131
ienna halssy@bbrown.com
IN SURER(S) Af FOROING COVERAGE
tNsuRERA. Sentinel lnsuranc€ Company, Lld 11000
Goldfarb & Lipman LLP
1300 Clay Sl Fl 11
cA 94612
tNsuRER B. Obsidian Specially lnsurance Company
COVERAGES cERTtFtCATENUMBER. 22123 REVISION NUIVBER
CERTIFICATE HOLDER CANCELLATION
29714 Haun Road
cA 92586
SHOULD ANY OF TI]E AAOVE DESCRIBEO POLICIES AE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WLL BE OELIVERED IN
ACCOROANCE wlIH THE POLICY PROVISIOIIS,
AUII]ORIZEO REPRESENTAIIVE a3>
@ 1988-2015 ACORD CORPORATION. All righls res6tY€d.
The ACORD namo and logo are register€d marks oIACOR0
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN TSSUEO TOTHE INSUREO NAMEO AAOVE FORTHE POLICY PERIOO
INOICATEO, NOTWITHSTANOING ANY REOUIREMENI TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS,
EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE AEEN REDUCEO BY PAID CLAIMS,
rNso
COMN ERCIAL GENERAL LIABILITY
cLArMs-MAoE E] occrJR
GEN'L AGGREGATE L MITAPPLIES PER
JECT
01to112022 01141D023
$ 1,000,000
PR€MlsEs (Ea occur€nc€)$ 1,000,000
MED EXP (Ahy on6 !060.)o 10,000
PERSONAL A AOV INJURY 31,000,000
GENERALAG6REGATE a 2,000,000
PRODUCTS, COMP/OPAGG r 2.000,000
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AUIOMOBILE LIABILITY
OWNED SCHEOULEO
AUTOS 57SBABH3O97 01101t2022 41to112023
COIVBINEO SINGLE LIMIT $ 1,000,000
BO0ILY INJURY iFe. ps6on)$
BoDILY INJURY lPsr .ccid€nll $
$
x
EICESS LIAB 57XHUXO3233 01ta1Da22 01to112023
r 10,000,000
r'10,000,000
RETENNON t 1O,OOO !
WORXERS COMPENSANON
ANO EiIPLOYER6' LIABILIW
ANY PROPRIETOF/PARTNER/EXECUTIVE
OFFICER4,iEMAER EXCLI]OEO?
RrPTrOr.l cf oPER TTONS b.b,-,
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EL DISEAS€ - EA EMPLOYE E $
f.r. Drsrasi .oL aY r irdi
B
Cyber L ab (y OBDCBSlJEOITNF 01to112022
Firsl Party Liability
Third Parly Liabilly
DeducliblB
$1,000,000
$1,000,000
$10,000
oEscRFnot{ oF opERATloNs , Locaflo{s / vEHtcLEs (acoEo r ot, addltlon.l R.m.rt. sch.dul., n.y b. .tt ch.d ll 60. .p.c. l. [qulr.d)
Cityof Menifee, its offic€rs, employees, agenls, volunteers are named Addilional lnsured il rcquared by written conlracl and per form SS0008 (04/05)
atlached (o the General Liability pollc] with respect lo lhe operaljons ol lhe Nam3d lnsured.
ACORD 25 (2016/03)
Oakland
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57SBABH3097
0110112423