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2021/08/10 Rolcom, Inc.oiQo"CERTIFICATE OF LIABILITY INSURANCE 3t16t2022 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 BY THE POLICIES BELOW. TH|S CERTTFTCATE OF TNSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEET{ THE TSSUTNG r'.lSURER(S), AUTHORIZEO REPRESENTATIVE OR PROOUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: lf the cortificate holdor is an ADDITIONAL INSURED, tho policy(ies) must bo ondorsod. lf SUBROGATION lS WAlvEO, subioct to ths terms and condltlons o, the pollcy, canain policies may require an ondofsement. A statament on this certiticate dogs not contor rlghts to the ceftificate holdea in liou of such ondoasoment(s) PROOUCEF First SeTvice lnsurance 215 Estates Dr Ste 4 Roseville CA 95678 II{SURED Rolcom, lnc. 240 N. Ott Street Corona CA 92882 ROLCO,l COVERAGES CERTIFICATE NUMBER: 2075789141 REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE EEEN ISSUED TO THE INSURED NAMED INDICATED, NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO \A/TIICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCH POLICIES LIMITS SHO'AN MAY HAVE BEEN REDUCEO BY PAID CLAIT/IS. POLICY EFF POLICY ABOVE FOR THE POLICY PERIOD EACH OCCURRENCE DNIAGE T-T6TENiEO PREMISES iEa odur.ncel MEO EXP (Any one p6Bon) PERSONAL &AOVINJURY GENERAL AGGREGATE PROOUCTS , COMP/OP AGG $ 1 000 000 !100@0 _ t 1.000 000 $ 2 000 000 $20@oao 001141561 Loc x 3n712A22 3117D023 TH COIIIMERCIAL G ENERAL LIABILITY- curus,ueoe X occun GEN'L AGGREGATE LLM T 0o,""'x 5E& s t t t MBINED S NGLE LIM I I a 4!rd€nl)AI'TOM06ILE LIABILITY II REO AUTOS BOOTLY rNJr.lRY (Per peen) SCHEDULEO AUIOS NONQV\]i.IE D AU-IOS ALL O\A/NED AUTOS BOOILY INJURY (P€r 3eld6n0 PRoPERTi oAtiiAcE(P9r ac.rCq(L 3111nO230011{1821 311t-n422 E 5 $ Y/N T NI I c No o OTHDEO F^occUR CLA MS,MADE EACH OCCURREIC! AGGREGATE uMaRELLALras XI STATUTE ] ER EL EACH ACCIDENT E L DISEASE. EA EMPLOYEE E L DISEASE. POLICY L]MIT WOiXERS COMPENSAIION AND EiIPLOY€FS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUI VE OFFICER/MEMAER EXCLUOED' 1 000 0001,000.0003111na22 4110t2021 xt17t2a23u10no221MP18r993505 4NE19033011s DEscRtplot{ oF opERATtoN s / LocATtoNs / vEHtcLEs lAcoRo 1ot. addtdon.t R6m.,k! s.h.dul., m.y b. .tl.cn.d f moE .p.c. l. requlDd I City of Menifee is shown as an Addilional lnsured with respect lo General Liability per the attached endorsement(s). CERTIFICATE HOLDER CANCELLATION City of Menifee Attn: Engineering Department 29714 Haun Road Menifee CA 92586 -rE? O 1988-2014 ACORD CORPORATION. All rights reserved The ACORo name and logo are registered marks of ACORDACORD 2s (2014/01) ADDL suBR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE wlLL BE OELIVERED IN ACCOROANCE WITH THE POLICY PROVISIONS, POLICY NUMBER: 001 141561 COM[iIERCIAL GEI{ERAL LI.ABILITY cG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US COMMERCIAL GENERAL LIABILIry COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIAEI LITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Vvhere required by wntten contract or written agreernent lnformation required to complete this Schedule. if not shown above, will be shown in the Oeclarations The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us ot Section lV - Conditions: We waive any right of recovery we may ha\,e against the person or organization shown in the Schedule above because of payrnents we make br iniury or damage arising oul of your ongoing operations or "your work" done under a contracl with thal person or organization and included in the "products- completed operations hazard'. This waiver applies only to the peBon or organization shown in theSchedule above. cG 24 04 05 09 O lnsurance Services Office, lnc., 2008 Page l ofl tr This endorser€nt modifies insurance proMded under the bllowing: 001 141561 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsernent modifies insurance provided under the fotlowing ALL COVERAGE PARTS Name Of Additional lnsured Person(s) Or Organizalion(s): lf no entry appears above, this endorsement applies to all Additional lnsureds covered under this Dolicy. Any coverage provided to an Additional lnsured under this policy shall be excess o\ier any other valid and collectible insurance a\Eilable to such Additional lnsured whether primary, excess, contingent or on any other basis unless a written contract or wriften agreement specifically requires that this insurance apply on a primary and noncontributory basb. ALL OTHER TERMS AND CONOITIONS OF THE POLICY REMAIN UNCHANGED AP5031 US 04-10 Page 1 of 1 COMMERCIAL GENERAL UABILITY cG 20 1007u THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsernent modifies insurance plovided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Additional lnsured Person(s) Or Organization(s):Location(s) Of Covered Operations Where required by written contract or written agreement All operations of the Narned lnsureds lnformation required to complete this Schedul e if not shown above, will be shown in the Declarations A, Seclion 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 fior "bodily injury", 'property damage' or "pe.sonal and advBrtising injuqy'' caused, in whole or in Part, by: L Your acts or omissions: or 2. The acts or omissions of those acting on your behalf: in the performance of your ongoing operations ficr the additional insured(s) at the location(s) desig- nated above. B. Wth respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to'bodily iniury'or "property damage" occurring afisr: 't. All work, including materiols, pads or equip- ment fumished in connection with such work, on the project (other than seNace. maintenance or repairs) to be perbrmed by or on behalf ot the additional insured(s) al the location of the covered operations has been completed: or 2. That portion of "your work" out of which the iniury or damage arises has been put to its in- tended use by any person or otganizalion oth- er than another contraclor or subcontEctor engaged in performing oPerations for a Princi- pal as a part of the same project. cG 20 10 07 04 o ISO Properties, lnc., 2004 Page l ofl tr POLICY NUMBER: 001 141561 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsernent modifies insurance provided under the icllowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE PoLlcY NUMBER: 001 141 561 CO]IITIERCIAL GEN ERAL LIABILITY cG 20 37 07 04 Section ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organiza- tion(s) shown in the Schedule, but only with respect to liability br "bodily injury" or "properly damage" caussd, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorse- ment perforrned lor that additional insured and included in the "products-completed operations hazard". Name Of Additional lnsured Peteon(s) Or Orqanization(s): Location And Description of Completed opera- lions Vvhere required by written contract or writlen agree- rnent -All operations of lhe Narned lnsureds lnformation required to complete this Schedule, if not shown above will be shov/n in the Oeclarations. cG 20 37 07 04 @ ISO Properties, lnc., 2004 Page l ofi tr