2022/12/17 Heartland Grading, Inc.-om Vicki Paint€r FeylD 619-937-0164 Dale 12D1t2o2210 32-32 AM Paoe2of4
THIS CERTIFICATE lS ISSUED AS A iIATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERNFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFOROEO BYTHEPOLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisiohs or be endorsed.lf SUBROGATION lS WAIVED, subiect to the terms and conditions ofthe policy, certain policies may roquire an endorsement. A statoment on
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Rancho Mesa lnsurance Services. lnc
250 Rlvervlew ParkwaySantee CA q2071
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CERTIFICATE OF LIABILITY INSURANCE
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this certlficate does nol confor to lhe certi{icate holder in lieu of such endorseme
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Hearlland Grading
3142 Tlger Run Ct Ste., # 114
Garlsbad, CA 92010 | VEER E.
INSURER F
THIS lS -TO CERTIFY THAT THE POLICIES OF INSURANCE L'STED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONIRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICAIE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW\I MAY HAVE BEEN REDUCED BY PAID CLAIMS
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CITY OF MENIFEE ENGINEERING OEPARTMENT
29714 HAUN ROAD
MENIFEE, CA 92586
SHOULD AXY OF THE AAOVE DESCRIAED POLICIES BE CANCELLEO BEFORETHE EXPIRATION DATE TIIEREOF, I{OTICE wlLL 8E OELIVEREO IN
ACCOROANCE WITH THE POLICY PROVISIONS.
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DESCRIPTION OF OpERATIONS / LOCATIONS/ VEHICLES taCORD lO1, Addhlond R.h.rli. Sch.dul.. m.v b. artach.d ll morr sDac. i. r.qu .drRE: OPERATIONS OF THE NAITEO INSUREO AS CERTIFICATE HOLOERS INTERESf MAY APPEAR.
THE CITY OF MENIFEE, ITS OFFICERS, EMPLOYEES AND VOLUNTEERS AR€ INCLUOED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL
LIABILITY PER ATTACHEO FORTIS.
CERTIFICATE HOLDER CANCELLATION
AUTHORIZEO REPRESENTATIVE
O 1988-2015 ACORO CORPORATION. All rights roservod
The ACORO name and logo aro regisl6red marks of ACORD
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'om Vicki Painler FaxlD:619-937-O16a
POLICY NUMBER:,41'N225553 t
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 advartising injury"
caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your
behalf:
in the performance of your ongoing operations forthe additional insured(s) at the location(s)
designated above.
However:
'L 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 agreement, 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.
Date 12D1r2O22 1O 32 32 AM Paoe:3of4
COMMERGIAL GENERAL LIABILITY
cG 20 10 04 13
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occurring after:
'l. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by oron behalf of the additional insured(s) at the
location of the covered operations has been
completed; or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ tT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILIry COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
Or Organization(s)Location(s) Of Covered Operations
As required by written contract, fully
executed prior to the named insured's
work - ongoing
As Required By Written Contract, Fully
Executed Prior To The Named lnsured's
Work
lnformation required to complete this Schedule, if nol shown above, will be shown in the Declarations
cG 20 10 04 13 O lnsurance Services Office, lnc.,2012 Page I of 2
,o-937-o 16A
C. 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
wilt pay on behalf of the additional insured is the
amount of insurance:
'1. Required by the contract or agreement; or
Date-12t21DO22 10-32-32 AM Paoe 4 ol4
2. Available under the applicable Limits of
lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of lnsurance shown in the
Declarations.
Page 2 ot 2 O lnsurance Services Office, lnc..2012 cG 20 10 04 13
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