2022/04/01 Hampton Tedder Electric CoA<:ORD
03t25t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the certificate holder as en AOOITIONAL INSUREO, the policy(ies) must have AODITIONAL INSURED provisions or be endo6ed.
lf SUBROGATION lS WAIVED, subjecl lo the terms end conditions of the policy, certain policies may r€quire an endorsement- A statement on
this cenificale doe3 not confer rights to the certificale holder in lieu of such endorsement(s).
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INSURERIS) Af FORO'IG COVERAGE
rNsuRERA. Star lndemnity & Liability Co
rNsuRER B. National Fire & Marine lns Co
INSURERq:
IISURERE:
71 4-22't -5200
INSUREOHAIVPTON TEDDER ELECTRIC CO
Ittl. Not 714-221 -s21OCrosby lnsurance
8181 E. Kaiser Blvd
Anaheim Hills, CA 92808
38318
20079
PO Box 2128irontclair, CA 91763
TH]S IS TO CERTIFY THAT THE POLICIES OF INSURANCE L STED BELOW HAVE BEEN ISSUED TO THE INSURED NAII,IED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREIT4ENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE IVIAY BE ISSUED OR II4AY PERTAIN, THE INSURANCE AFFORDED AY THE POLICIES DESCRIBED I.]EREIN IS SUEJECT TO ALL THE TERI\4S
EXCLUSIONS AND CONOITIONS OF SUCI.J POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA MS,
LIUITSPOLICY EFF POLICY EXP
1,000,000
50.000
Excluded
1,000,000
2,000,000
2,000,000
1,000,000
rAC! OCCUPEf\CI
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MED EXP (Any one p€rs)
1000025639221
9
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A X couueacral oeNERALLraBrlrY
cLA Ms,MAoE X occuR
X Owner/Cont Prot.
GEN'L AGGREGATE LIMlT APPL!ES PER
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IEIiSONAL E AO]/ NJUFY
CEN€RAL AGGRE6AIE
PROOI]CTS . COMP/OP AGG
COMBINED SINGLE LIMITlEta!cdsnrl
0410112022 0410112023 BooLy NJURv (pe' p.Bon) 5
qpqLY lNlURY (Per ac.den0 $
A autotioetltltlgtLt-rv
X rr.r.r,ruro
OWNEDAUTOS OIILYX I1ft8. o",,
2,000,000
1000198602221
I
3
SCHEOIJLEO
x }9|aB%tl9 OAMAGE
EACIIOCCURRENCE
AGGREGATE
5,000,000
5.000,000
Bx
x
uMBRELLALTAB X occuc
EXCESS LIAB CLAIMS.MAOE
RETENTONi
P081622000 04to1t2022 04t0112023 !
A WORKERS COMPEiJSAflONANO EMPLOYERS' LIABILITY
ANY PROPRIETOR,PARINER/EXECUI VE
OFFICER/MEMAEN EXCLUOED?iMrrd.rory in NH)
rl yes descr be u..hr
w PER OTH.^ s_rrurE EP
04101t2022 04t01t2023
EL OEEASE EA EMF-OrEE
E L D1SEASE. POIICY LIMIT
1,000,000
1,000,000
1,000,000
100 0001878 I
oEscRrPTro,! of oPERATtoNS / LocATioNs , VEHtct-Es lAcoRo 101, addrtbndr Rem.rks schedur., m.y De anached i, more 5pace 6 requtedl
'Ten days notice of cancellation will be given for non-payment of premium.
Re: City of M€nifee
SHOULO ANY OF THE ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOIICE W|LL BE OELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONSCity of Menifee
29844 Haun Road
Menifee, CA 92586
SalaAr4nlc
AUTHORIZED REPRESENIATIVE
acoRD 2s (2016/03)O 1988-2015 ACORD CORPORATION. All righls reserved
HAMPT.D
CERTIFICATE OF LIABILITY INSURANCE
Emp Ben.
CITYMEN