2022/04/01 Howroyd Wright Employment Agency, Inc. dba AppleOne.ACORD HOWRGEN.Ol
CERTIFICATE OF LIABILIW INSURANCE DAIE ( I'/DOTYYYY)
41112022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the cortificate holdsr is an AOOITIONAL INSURED, the policy(ios) must have ADDITIONAL INSURED provisions or be endoBod.
lf SUBROGATION lS WAIVED, subiect to the torms and conditions of the policy, certain policies may roquirc an ondorsGmont. A statement on
this ce.tificate do6s not conter rights to ths certificate holder in lieu of such endor3emont(s).
CONTACT
[iI. n.,,(gro) azs-ezozfol8lfi, u"r, (:ro) +ze-so+r
INSURERISl AFFORDING COVERAGE
rNsuRER ^ : Philedelphia lnsuranc6 Companies 23850
PRODUCER
MG Skinnor & Associatos
11030 Santa Monica Blvd., Suito 207
Los Angol6s, CA 90025
22667tNsuRER B,Ace American lns co
INSURER C :
INSURER D
INSURER E
INSURER f
Howroyd Wright Employmsnt Agoncy, lnc. dba Appleone
P.O. Box 29048
Glendale, CA 91209-9048
INSUREO
MB
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSUREO NAMED ABOVE FOR THE POLICY PERIOO
INDICATEo. NoTWITHSTANDING ANY REoUIREMENT. TERM oR coNDItION OF ANY COI'{TRACT OR OTHER 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 TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LIMITSINSRTYPE OF INSURANCE SUBR
€ACH OCCURRENCE 3,000,000$
100,000$DAMAGE TO RENTEOPREMISES lEa trcLrencel
MED EXP rAn! one oerso.l s,000s
PERSONAL A AOV INJURY 3,000,0005
3,000,000$
3,000,000$
GENERAL AGGREGATE
PROOUCTS. COMP/OP AGG
4t112022 4t112023
$
A COMMERCIAL GENERAL LIABILITY
cLArMs-M DE fl o""r*
G€N'L AGGREGATE LIMIT APPLIES PER:
"o.,"" [ 5gg; ff.oc
x
x
x
Contractual Liab
x PHPK2397255
IN LIMITD 1,000,000$
$BOOILY INJURY (Per pe.son)
BODILY INJURY (Per a..
TROPERTYDAMAGE $
$
OWNEOAUTOSONLY
HIRED
SCIlEOULEOAUTOS
NON.OWNEBAI-ITOS ONLY
x
x x
AUTOMOBILE LIABILITY
x PHPK2397255 4t112022 41112023
A
EACH OCCURRENCExx
AGGREGATE
15,000,000
15,000,000
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS MADE
$
PHUB8O9384 4t1t2022 4l't t2023
A
DED x RETENI9N$ 10,000
1,000,000
'1,000,000
1,000,000
_!_
s
$
B WORKERS COl,PENSATIONaND EIPLOYERS L|ABLTTY Y/N
ANY PROPRIETORT'PARTNERIEXECUTIVE T-. I.ir|:.:rffrir.l.. rx:Lij:i:: !\l(Ulndalory in NH)
DESCRIPTION OF OPERATIONS below
f.*"6892800A 4t112022 4t1t2023
x
L E.ACH ACCIDENT
411t2022
411t2022
4t112023
41112023
Occurrence/Aggrogate
Occurrence/Aggregate
3,000,000
3,000,000
A
A
Crime (3rd Party)
E&O/Prof. Liability
PHPK23972s5
PHPK2397255
oEscRtPnoii oF oPERATtoNS/ LocatoNs /vEHrcLEs (acoRD lol, addrtadel Rom..i. schedule, may b. rnach.d rlmoro.p.co r! rcqulr.d)
Job lD:00951349
Clry of Menifee and its ofrices, employeees, agents snd authorized volunteers are addltlonal lnsu.eds. Primary and non-contributory coverage applies
Separatlon of lnsureds (cros6 liability) clause rpplles under General Llablllty. Notice of Cancellatlon under appllcablo policies: 30 days / 10 days for
non"payment of premium. General Liabllity and Auto Llablllty deducllble: $0
City ot Menlfoo
29844 Haun Road
Menit€e, CA 92586
SHOULD ANY OF THE AAOVE DESCRIBED POLICIES BE CANCELLEO BEFORE
THE EXPIRATION DATE THEREOF, I{OTICE wlLL BE DELIVERED IN
ACCORDANCE wlTH THE POLICY PROVISIONS,
AUTHORIZED REPRESEIiJTATIVE
V"n
CANC
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ACORD 25 (2016/03)