2022/03/28 Quest Media and Supplies Inc.'-^
^CORD-CERTIFICATE OF LIABILITY INSURANCE OATE (IIIM/DO/YYYY)
12127 t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRI'TATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certilicate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s).
PRODUCER
HUB lntemational lnsurance Services lnc
PO Box 255387
Sacramento CA 95865 EE
Liense# 0757776
fi 3illlcr o"ni r..r"r.urrq",
PHONE 916-4804168 l# ru"r,9r6-993-7268
debi.meusburoer@hubinternational.com
INSURER(S) AFFOROING COVERAGE
tNsuRER a: Travelers Property Casualty Companv of America 25674
INSURED
Quest Media and Supplies lnc
(See below for additional named insured, if any)
PO Box 910
Roseville CA 95678
OI]ESMED4l rNsuRER B: Lloyds Svndicate #2987
INSURER C
INSURER D
INSURER E
COVERAGES CERTIFICATE NUMBER: 349s38204 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAI'ED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREI\.4ENT. TERII,i OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE I\,{AY BE ISSUED OR I\IAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERII,'S,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LII\,IITS SHOWN I\,IAY HAVE BEEN REDUCED BY PAID CLAII\,IS,
TYPE OF INSURANCE LIMITS
X COMMERCIAL GENERAL IIABILITY
CLAIMS,MADE
GEN'L AGGREGATE LiMITAPPLIES PER]
JECT LOC
OTHER
X
630-4K340688-TtL-23 1tlna23 11112024 EACH OCCI-IRRENCE s 1,000,000
DAMAGE TO RENTEO
PREMISES lEa o.cuEene\s 1,000,000
MED EXP (Anv one oeBonl s 10,000
P.ERSONAI & ADV IN.]IJRY s 1,000,000
GEN E RAL AGGREGATE s2,000,000
PRODUCTS . COMPTOP AGG s2,000,000
S
AUTOMOBILELIABILITY
X
OWNEDAUTOS ONLYHIREO
AUTOS ONIY
SCHEDULED
NON'oWNEO
8A4K342215-23-t3-G 11112023 11112024 $ 1,000,000
BOOILY INJURY (Per person)$
BODILY INJURY (Per accdent)$
$
5
EXCESS LIAB
X OCCUR
CLAIMS-[,|AOE
cuP4K612902-23 11112023 '1112024 $ r5,000,000
$ 15,000,000
OED X RETENTION S ^s
WORKERS COMPENSATION
ANO EIIIPLOYERS' LIABILIry
ANYPROPRIETOR/PARTNERTEXECIJTIVEOFFICER/MEMBEREXCLlJDED?
OESCRIPTION OF OPERATIONS b€low
u B4 K594768-23-1 3,G 11112023 11112424 X OTH.
E,L, EACHACCIOENT $ 1,000,000
E,L, OISEASE - EA EMPLOYEE $ 1,000,000
E,L, OISEASE. POL]CY L MIT s 1,000,000
B 3128t2022 3t2812423 $2,000,000$2,000,000
OESCRIPTION OF OPERATIONS / LOCATIONS IVEHICLES (ACORD tol,Addltlonal Rema.ks Schedule, may be aiached lfmore.pac. i5 r.quted)
RE: Agreement for Enterprise Business System Backup Services
Additional lnsuredr City of Menifee and its offrcers, employees, agents, and authorized volunleers where rcquired by written mntract
Forms: CGD246 0419
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 Haun Rd.
Menifee CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
O 1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORDACORD 2s (2016i03)
@ o""r*
X
I APr1441222
*4e*^
AUTHORIZED REPRESENTATIVE
POLICY NUMBER: 630-4K340688-TlL-23 COI\,.1MERCIAL GENERAL LIABI LITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1T CAREFULLY,
BLANKET ADDITIONAL INSURED
(lncludes Products-Completed Operations lf Required By Contract)
This efldorsement modifies insurance provided under the follcrruing
COI\,4MERCIAL GEN ERAL LIABILITY COVERAGE PART
PROVTSTONS
The following is added to SECTION ll - WHO lS AN
INSURED:
Any person or organization that ycu agree in a
written contracl or agreement to indude as an
additional insured on this Co\€rage Part is an
insured, but only:
a. With respect to liability for "bodily injury" or
"property damage' that occurs, or for "perscnal
injuny''caused by an offense that is committed,
subsequent to the signing of that cmtract tr
agreement and while that part d the contra(, tr
agreement is in effecl; and
b. lt ar'd only to the extent thal, such injury a
damage is caused by acts or omissions of y(rr a
,our subcontractor in the performance of "),otr
work" to which the written contrad or agreement
applies. Such person or organization does not
qualify as an additional insured with respect to
the independent acls or omissions of such
person or organization.
The insurance provided to such additional insured is
subiect to the fdlowing provisions:
a. lf the Limits of lnsurance of this Coverage Part
shown in the Dedarations exceed the minimum
limits required by the written contrad d
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purpcGes of
determining whether this limitation applies, the
minirrum limits required by the written contrad tr
agreernent will be considered to include the
minimum limits of any Umbrella d E)oess
liability co\,erage required fa the additjonal
insured by that writen contract or agreement.
This provision will not incre6e the limits of
insurance described in Section lll - Limits Of
lnsurance.
b. The insurance provided to such additjonal
insured does nol apply to:
(1) Any "bodily injury", "property damage" or
"personal injury" arising out cf the providing,or fdllre to provide, any professional
architedural, engineering cr surveying
services, including:
(a) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surve)6,
fidd orders or change orders, or the
preparing, approving, or failirg to
prepare or approve, drawings and
spec.ifications; and
(b) SuperMsory, insp€ction, architectural o
en gineering adivities.
(2) Any "bodily injuty'' or "property damage'
caused by "!our work" and induded in the
"produds-comdeted operations hazard'
unless the written contract or agreernent
specifically requires you to provide such
coverage fs that additjonal insured during
the policy period,
c. The additional insured must comdy with the
following duties:
(1) Give us written nc{ic€ as soon as praclicable
cf an "occunenc€" c an cffense whictr may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "o@urrence"
or cffense took place;
(b) The names and addresses cf any injured
persons and witnessE; and
(c) The nature and location of any injury or
damage arising out c,f the "o@urence"
or offense.
(2) lfa claim is made or "suit'is brought against
the additional insured:
cG D2 46 04 't9 @ 2018 The Travelers lndemnity Company. Allrights res€rved Page 1 of 2
COMMERCIAL GENERAL LIABILITY
(a) lmmediately record the specifics of the
claim or "suit" and the date received: and
(b) Notify us as soon as practicable and see
to it that we receive written notice of the
claim or "suit" as soon as pradic€ble.
(3) lmmediately send us copies of all legal
papers received in connection with the claim
or "suit', cooperale with us in the
investigation a settlement cf the claim or
defense against the "suit', and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity cf any
claim or "suit' to any provider of other
insurance which would cover such additional
insured ftr a loss we co\,er. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to other rnsurance
available to such additional insured which
co\,ers that person or organization 6 a
named insured as described in Paragraph 4.,
OtlEr lnsurance. of Sedion lV - Commercial
General Liability Conditions.
Page 2 ol 2 O 2018 The Travelers lndemnity Company. All r ghls reserved cG D2 46 04 19
12t2112022
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 AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: tf the cedficate holder is an ADDITIONAL INSURED, the pollcy(les) must hav6 ADDITIONAL INSURED provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and condillons of the pollcy, certaln pollcies may requlre an endorsement. A statement on
this certificate does not confer rights to the certificale holder in lieu of such endorsement(s).
PRODUCER
HUB lntemational lnsurance Services lnc
PO Box 255387
Sacramento CA 95865
License# 0757776
illllc' oeoi Meusor.qer
916-480-4168 916-993-7268
debi.rneusbu hubinternatronal.com
rNsuRER(S) ar FOR0tNG COVERAGE
rNsuRER a: Travelers Properly Casualty Company of America 2567 4
INSUREO
Ouest Media and Supplies lnc
(See below for additional named insured, if any)
PO Box 910
Roseville CA 95678
OLJESMED{]rNsuRER s: Lloyds Syndicale #2987
CERTIFICATE OF LIABILITY INSURANCE
CERTIFICATE NUMBER: 349538204COVERAGES REVISION NUMBER:
THIS IS TO CERTIFY IHAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATEO. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROEO BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REOUCEO BY PAID CLAIMS,
INSR
X COII MERCIAL GENE RAL LIABITIiY
GEN'L AGGREGATF LIM I APPI IFS PFR
630,4K3406aa-TlL,23 1t1t2023 1t1QA24 EACH OCCUFRENCE s 1,000.000
DAMAGE TO R€N'EO
PREMISES lEa .drane\s 1,000,000
MEO EXP (A.y ons p6&n)s 10,000
PERSONAL & ADV INJURY s 1,000.000
GENERAL AGGREGATE s 2,000 000
PRODUCTS . COMP]OP AGG s 2,000,000
S
AUTOMOBILELIAAILlTY
X
OWNEO
HIREO
SCI]EDULED
AUTOS
AUTOS ONLY
8A]iK312215-23-13-<j 1t't 12023 1t't t2024 s 1,000 000
BODILY TNJURY (P6. p6En)S
BOOILY INJURY (P6. a@d6n0 s
s
s
x
CLAIMS,[,IADE
cuP-1K612902-23 1tln023 1t112024 s 15,000,000
X $ 15,000,000
DED X RETENTION S n 5
WORKERS COi'PENSANON
AND EIIPIOYERS LIABILITY
ANYPROPRIETOR/PARTNEfo€XECUIIVEOFFICERA,IEMSEREXCLUDEO?
oEscRIPIION OF OPERATIONS below
u84K594768-23-r3-G 1t'l2023 1t112024 x ATI]TE TB-
E L EACH ACCIDENI $ 1,000,000
E.L DISEASE , EA EMPLOYEE $ 1,000,000
E,L DISEASE . POLICY LIMIT $ 1,000,000
a APr1041222 312412422 3t24t2023 $2,000,000
$2,000,000
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29844 Haun Rd.
Menifee CA 92586
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DArE THEREOF. NOTICE WILL BE DELIVERED ltl
ACCOROANCE WfTH THE POLICY PROVISIONS.
@'1S88.2015 ACORD CORPORATION. All rights reserved,
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
-I
"*,u"^r*. E *u"
]"o.""[!ffi !,o"
tl
DESCRIPTION OF OPERAIIONS / LOCATIONS /VEHICLES (ACORD 101, AddltloMl R.m.rbSch.dul., m.y b..rr.ch.d It mor. rp.c. l. 6qulEd)RE: Agreement for Enterprise Business System Backup Services
Additional lnsured: City of Menifee and its officers, employees, agenls, 6nd authorized volunteers where required by wfltten contract.
Forms: CGD246 04'19
fu"M^-
AUTHORIZED REPR ES ENTATIVE
POLICY NUMBER; 630-4K340688-TlL-23 COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(lncludes Products-Completed Operations lf Required By Contract)
This endorsement modifies insurance provided under the folloring
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS
The following is added to SECTION ll - WHO lS AN
INSURED:
Any person or organization that ycr..r agree in a
written conlract or agreement to indude as an
additional insured orl this Co\,erage Part is an
insured, but only:
a. With respect to liability for "bodily injury" tr
"property damage" that occurs, or for "perssral
injuty'' caused by an offense that is committed,
subsequent to the signing of that contract d
agreement and while that part of the contrad s
agreement is in effect: and
b. ll ar'd only to the extent that, such injury tr
damage is caused by acts or omissions of yor s
,our subcontraclor in the performance of ") 3r.r-
worK'to which the written contra(, or agreement
applies. Such person or organazation does not
qualify as an additional insured with respect to
the independent acls or omissions d such
person or organ ization.
The insurance provided to such additional insured is
subject to the fdlowing provisions:
a. lf the Limils cf lnsurance of this Coverage Part
shown in the Dedarations exceed the minimum
limiG required by the written cqltrad s
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purpces of
determining whether this limitation applies, the
minimum limits required bythe written contrad or
agreement will be considered to include the
minimum limits cf any Umbrella or Excess
liability co\,erage required ftr the additional
insured by that writen contract or agreement.
This provision will not increase the limits of
insurance described in Section lll - Limits Of
lnsurance.
b. The insurance provided to such additional
insured does not apply to:
(1) Any "bodily injury", "property damage" or
"personal injury" arising out of the providing,
or failure to provide, any professional
architedural, engineering or surveying
ssvices, including:
(a) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surver6,
fidd orders or change orders, or the
preparing, approVng, or failirE to
prepare or approve, drawings and
specifications; and
(b) Supervisory, i nspection, architechiral or
en gineering activities.
(2) Any "bodily injuqy'' or "property damage'
caused by "!our work" and induded in the
"producis-completed operations hazard"
unless the written contract or agreement
specifically requires )ou to provide such
co\ -arage ftr that additjonal insured during
the policy period.
The additional insured must comply wath the
following duties:
(l) Give us written nctice as soon as pradicable
cf an "o@urrence" q an cffense which may
res-rlt in a claim. To the extent possible, such
notice should include:
(a) How, when ard where the "occurrence"
or cffense took placel
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and location c, any injury or
damage arising out of the "occunence"
or cffense.
(2) lfa claim is made or "suit'is brought againsl
the additional insured:
G
cG D2 46 04 19 aO 2018 The Travelers lndemnity Company. All rights reserved Page 1of 2
COMt\,4ERCIAL GEN ERAL LIABILITY
(a) lmmediately record the specifics of the
claim or "suit" and the date received; and
(b) Notify us as soon as practicable and see
to it that we receive written notioe cf the
claim or "suit" as soon as praclicable.
(3) lmmediately send us copies of all legal
papers received in connedion with the claim
or "suit', cooperate with us in the
in\€stigation s settlement of the daim or
defense against the "suit', and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of any
claim or "suif' to any provider of other
insurance which would cover such additional
insured ftr a loss we co\,er. However, this
condition does not affect whether the
insurance provided to such additional
insured is primary to olher insurance
available to such additional insured which
co\€rc that person or organization 6 a
named insured as described in Paragraph 4.,
OtlEr lns.rrance, of Section lV - Comm€rcial
GerEral Liability Conditions.
O 2018 The Travelers lndemnity Company. Allrights reserved cG D2 46 04 19Pqe2 of 2