2023/01/01 LexisNexis Copologic Solutions, Inc. (3)DATE(Mr'rvD0,^YYYY)
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CERTIFICATE DOES NOT AFFIRMATIVELY OB NEGATIVELY AMEND, E
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER.
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the es musl provisions or
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(800) 163-010t(866) 28r /122
ADDFESS
INSUFEA{S) AFFOFOING COVEAAGE
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aoh Ri sk Services Northeast,
Boston MA Offi ce5l State Streetsuite 2 201Boston MA 02109 USA
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INSUFED
LexisNexis Risk solutions FL rnc
1000 Alderman Drivea'lpharetta GA 10005 uSa
o<-G)r"CERT!FICATE OF LIABILITY INSURANCE
COVERAGES CERTIFICATE NUMBEB: 57009707429 0 BEVISION NUMBER:
CANCELLATION
01988-2015 ACORD CORPORATION. All rights resetved.
The ACORD name and logo are regislered marks of ACORD
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toDTHEENDFODABOVEEEBNsEUTODHTESUNETLIS0ELOWBEENoLlcoESSNUTHTEoRTCETHHTTHTHHSNTTHPESCToCTRACoToEllDOCUMEol,l COND OFTION AN ONTCTEEUOBEl\l TNNITOTWStlLJNINGr.l EDDIc T T RMSENCTEoTLHESDECREDBHEESU BJ]SFORDDEIETHPOLICESHETUINSRANCEPEEBSSEDUoEcRTDcSMNl',r E EI NE DBE CU BYED imilsLLSMITOWSHLtcESilCONDITDONSSOFcUPOHcEXONSLU
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$1,000,000
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$10,000,PEFSONAL & ADV NJURY
$10,GENEBALAGGBEGATE
$10.000,000PRODUCTS . COMP/OP AGG
s5,000,000
COMMERCIAL G ENE RAL LIABILITY
GEN LAGGFEGATE LIMIT APPLIES PER
LOCJECT
$5 ,000,000COMBINEO SINGLE LLMIT
BOOLLY INJURY lPer porson)
BODILY IULIBY lPer acc'donll
o1/01/2423 0l/01/2o24BAP 8176848 24B
OWNED
AUIOS ONLY
SCHEDI,JLED
AUTOS
NON-OlrliNEO
AUIO OAILE LIAEILITY
,000EACHOCCUFFENCE
$45,000,000EXCESS LIAB
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1,000E L. OISEASE.POLICY LIM!T
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ANY PROPBIETOR ] PARINEBT EXECI]TIVE
OFFICERT\,IEMBEB EXCLUDED?
DEscPrPTroN oF oPEFATToNS b€tow
J30,000,000
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aitv of Menifee. its officers, emolovees, aqents and authorized vo]untee15, 29841 Haun Road. Menifee cA 92586iiii.i""ii"i,iri",i'i;;;;;;;;".;;iifr-ih;;6liat p.ouiiions of rhe Generdr Liab ity and Automobire Liability
DESCFIPTION OF OPEBATTOTIS/ LoCAllOr'ls, vEHIcLES (ACOFO 101, additonal FeF.rk.Schodule, mdy bo.tl6ch.d il more lpEco i3 roquired)
are included aspolicies.
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STIOIJLO AI{Y OF IHE AAOVE OESCFIB€D P''LICIES BE CA'€€TLEO BEFOBE THE
EXPISAIIOI{ DATE THEFEOF. IiIOTICE W]fL BE OEIIVEREO IN ACCOROA'{CE wTh THE
FOLTCY PFOVTSTONS.
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AUTHORIZED REPHESENTATIVEcitv of Meni fee
29844 Haun RoadM€nifee cA 92586 usa
ACORD 25 (2016/0s)
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IDED I FETENTION I lorH
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| $1, ooo, ooo
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AGENCY CUSTOMER lD: 5700000ss869
LOC f:,o,<:R}ADDITIONAL REMARKS SCHEDULE eage _ of -AGENCY
Aon Risk Serv'ices Northeast, Inc.
NAIiEO NSUPED
LexisNexis aisk Solutions rr tnc
See ce rt i fi cate Number: 570097074290
see certi fi cate Number: 570097074290
NAIC CODE
EFFECI VE DAIE
ADOITIONAL BEMABKS
DITIONAL BEMABKS FORM IS A SCHEDULE TO ACORO FORM.
FORM NUMBEB: ACORD 25 FORM TTTLE: Cediiicate of Liabit
THIS AO
ity lnsurance
,\t)t) 'toNAL P()t.t( ll.ts If a policy below does not include lirnit information
cenificate form for policy limits.
refer to thc corresponding policy on the ACORD
INSUREB(S) AFFORDING COVERAGE NAIC #
INStIRI.,R
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ocLG4666l160 ot/ot/ 2023 01/07/2024 Deducti bl e $15,000
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acoFD lol (2008/0r)
The ACOFD name and togo aro regislor€d marks ot ACOBD
G) 2008 ACOAO COBPOFATION. AllrighB reserved.
AGENCY CUSTOMER tD: 570000055869
LOC f;o-R}ADDITIONAL REMARKS SCHEDULE Page - of -
46ENCY
Aon Risk serv'ices Northeast, rnc LexisNexis Risk Solutions FL rnc
see certi fi cate Number: 570097074290
see certi fi cate Number: 570097074290
NArC COOE
EFFECTIVE OATE
ADDITIONAL BEMABKS
companies affording coverage
82
18
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THIS ADDITIONAL FEMABKS FORM IS A SCHEDULE TO ACORO FORM'
FORM NUMBER: ACORD 25 FOBM TITLE: Certificate of Liabil lnsLrrance
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10016s35zuri ch American lns co1/ t/ 2023 l/L/2024BAP 8176848 24Busi ness Auto coverage
AA1128 (t2 / 3t/ 2023 Ll oyd' s syndicate No,2623FSCEo2100015). / L/ 2023E8o - Professi onal
Li abi Iity - Primary
AA1126(NL2 / 3l/ 2023 Ll oyd' s syndicate No, 621t/7/2023FSCEO2 300015E8o - Professional
Li abi 1i ty - Primary
AA1780(zu ri ch rnsurance PlcL/7/2023 L2/3r/2023G8CGP2 301519Excess L'iability
coverage
22667 100r/ L/ 2024 AcE Atneri can rnsurance companyt/t/2023ocLG4666 31606eneral Liability
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ETne Sub6criDing insurers, ob)igariors unde! cor.racts ot in9rrance to rbich they BuDscril)e are sevetaT and noc ioitt aad are
timiaed sote]y io rtre exreac ot theit individuai subscriptiorE. rhe subectit ing ihe$er6 are noc te9PonsibTe tor tbe subacriPtion
at any ca-7ubicribing insufer vha tat any rcason daes not satisfy a77 or patt of ite obTigations.
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acoBD r01 (2004/01)
Tha acoRo namo rnd logo are regist€fed marks ol AcoFD
O 2OO8 ACOFO CORPOFATION. Allrights reseryed.
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certif icate No : 57009707 4287
City of Menifee
29844 Haun Road
Menifee CA 92586 USA
Wednesday, December 28, 2022
MSC# .17755 | Aon
P.O. Box 1447
Lincolnshire, lL 60069
AON
To whom it may concern:
Followino a concentrated effort to reduce our environmental footprint and provide timely certificate
delivery,"Aon will begin delivering our Certificates of lnsurance electronically in PDF format.
Please utilize one of the following methods to ensure you will receive the electronic copy of your
Certificate (Certificate No: 570097074287) Ior future renewals:
- Visit aon.com/e-cert; or
- Utilize the QR Code below to enter/validate your information.
lf your email address has changed or will be changing in the future, or you no longer require this
certificate. please let us know using one of the methods above.
Thank you for your cooperation and willingness to help us reduce our impact to the environment.
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