2022/06/16 SECC Corporationo.Ro'CERTIFICATE OF LIABILITY INSURANCE 6t6t2022
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE IIOLDER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSITUTE A CONTR.ACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLOER.
IMPORTANT: lf tho cortilicato holde. is an AODITIONAL INSURED, tho policy(los) must have AODITIONAL INSURED provisions or be ondorsod.
It SUBROGATION lS WAIVED, subjoet to tho torms and conditiorts ol tho policy, cenain policios may require an endorsoment. A statement on
this certificate do6s not confor righG to lhs cortiticalo holdor in lieu o{ 3uch ondorsement{s).
PRooucER GMGS Rrsk Management & lnsurance Servrces
6201 Oak Canyon. Suite '100
lrvine. CA 92618
www gmgs.com 0884519
Chanse USON
367 94 559$703
AFFOROING COVERAGE
INSURER A : TTAVCICTS Cas Co o, America 25674
Travelers lndemn of ConnecliculSECC Corooration
14945 La Palma Drive
Chino CA 9171 0 IN
COVERAGES CERTIFICATE NUMBER:REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
O 1988-20't5 ACORO CORPORATION. All .ights rosorved
ACORD 25 (2016/03) Tho ACORO name and logo aro rogist.rod marks of ACORD
.:,-:r A-pr / ;/!/w,,r.o F.!qu5.f ^/6/,rr:-,
Permit
Citv of Menifee
Atth: Proiect Mgr
29844 Haun RoadMeni€e CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES AE CANCELLEO BEFORE
THE EXPIRATION DATE TTIEREOF, NOTICE WILL BE OELIVEREO IN
ACCOROANCE IflITH THE POLICY PROVISIONS,
A U THORIZEO REPRES€NTA TIVE /u- e z4cs,S
Ste\e I\,4osrer
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWTHSTANDING ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECI TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED 8Y THE POLICIES DESCRIBEO HEREIN S SUBJECT TO ALL THE TERIVS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOW! MAY HAVE BEEN R EDUCED 8Y PAID C LAlMS
s300 000
s1 000 000
s 2,000,000GENERALA6GREGATE
PERSONAL AADV NJURY
611612022 6t1612023
PROOUCTS, COMP/OP ACG s2 000 000
COMMERCIAL GENERAL LIABILITY
GEN L AGGREGqTE LIMIT APPLIES PERf l PRo f lL ]JECI I ]
OTI]ER
DT22 CO-5083C175-TtL-22
611612022 6t1612023
aOolLY INJURY (Per aco<ron0
-PRoP-ERrY
oa ib-_
SOOILY INJURY (P.. perso.)
s
s
$1 000COMB NEO SINGIE L M TB
AUTOSONLY
AUTOSONLY
SCI]EOUIEDAUIOS
AUIOMOBILELIABILITY 810,5P216031-22-26-G
Plrysical Damage
Comp Ded $1.000
Coll Ded $1,000
EXCESSLIAB
OCCUR 5
I
s
s1
s
s1.000 000
0 000
E L EACN ACCIDENT
E L OISEASE. POLICY LIM]T
E L DISEASE. EA EMPLOYE
WORXERSCOMPENSANON
AND EXPLOYERS' LIABILITY
ANYPROPRIE-IOR/PARINEOEXECUTIVEO'FIC€R/MEMSEEEXCLUO€O'
oEscRtPTtoN oF oPERATTONS b.t*
uB-1L280770 22-26-G 6t16t2022 611612023
DESCRTPTION OF OPERATION S / LOCAIIONS / VEHICLES (ACORO 1 01, Addirion.r R.m..l. S!h.dul., m.y b. .nrched il moro spaco i! r.qurud)
RE:Permit
As respects General Ljability co\,/erage, City of Menibe is added as Additional lnsured per CGD3160219 attached
I NAtc I
| 25682
Lll occuR
r 1.000 000
I
I
I MEoExPraiyo^.Fmn, t5.000
I I
I1.1 .)
I
I
SLCC Corporation
D t 22-( ()-5083( l75-l-lL-22
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT GHANGES THE POLICY, PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR CONTRACTORS
This endoEoment rnodines insuranca proyided underthe following:
COMMERCIAL GENERAL LIABILIry COVERAGE PART
GEI{ERAL DESCRIPnON OF COVERAoE - This Endors€msnt brosdEns co\€rage. Horyever, covqrago for any
lnlury, damsge or m€dlcal elpcnses described in any of tho provisions of this endors€ment may be 6)(ciud€d or
lirdted by snolhsr ondorsamsnt to this Coyeraga Part, and thesa cov€rage broad€ning provisions do not apply to
thB elden thst co\arago is s)@lud€d or lirdted by such an sndorsameri. The followlng listino b 8 0eneral
co1/Brage descddion only. Read 8ll th8 pmvbions of this sndorsemant and the resl ol your policy carefully to
dstermino rights, duiies, and what is end is not covered.
A- Who ls An lnsur€d - Unnamod Subsidiaries
B, Blenket Additional lnsured - Govemmental
Entiti€s - Permlts Or turthorizations R6lating To
Operations
cG D3 16 02 t9
C. lncldental Medlcel Maltradico
D. Blanket Wsiver Of Subrogstion
E Contrsciual Liaullty - Rellmeds
F. Damags To Premises ReJied To You
r. An olganizalion olher than a psrtnership, ioinl
venturs or llmitcd llrulity comFny; or
b. A lrust;
c indicated in its name or the doormenls that
gov€m its stnEture.
B. BLA KET ADDITIOT{AL INSURED
GO'ERNMENTAL ENINES - PERMITTI OR
AUTTIORZATIO S RELATING TO OPERANOiIS
The folowlng is added to SECTION ll - WHO lS
AN INSUBED:
Any govEmmental entlty lhsl hes issuod a permitor euthorizdion with respec{ to operatlons
perlormed by you or on your bshalf and that you
are rsquird by any ordinancs. law, buildinq code
or written conlrad or agEement to include 8s an
addillonal Insurad on this Coveraos Psn ls an
lnsur€d, but only w'th respeci to liability for'bodily
injury', 'prop€rty damaoe' or "personal and
adverlislng hiury. arbing oul ofsuch operatlons.
The irEursrEe provid6d to such govemmgntal
onltty do€s nol apply to:
a Any "bodily infuq/,'p.oFrty damage' or
'personsl and advsrllsing injuqf arbing oul of
operations pertorrned for the govemmental
entity; or
b. Any "bodily inirry' or 'property damagd'included in tho "Foduds-complstod
oPerations hazard".
O2Ol7 Thr Tl.y.bls lndrnnry Comp.ny. All rlhta ri..rd.
lnc-ll5e copyrloHad mtbrht ot hsunnce Servbra Otll€, lnc., i t na paml6slor.
A-PD/c/r/Nt/ti,a Rl, char13. Fe.9!son 6/6/2a22 ll:01:02 M rpur,) I paqr r .f
Pa0s I of 3
Piolflstotrt8
A, WHO I8 AI{ IT{!'URED - UN A ED
SUBAIDlARIES
The fotrowing is 8dd€d to SECnON ll - WHO lS
AN ITISURED:
Any of your suBidiarios, oth6r thsn I psrtn6rship,
Joint venluG or limitod liability company, thst isnot shorNn as a Nam6d lnsured in th8
D€clarstions ls a Nam€d lnsured if:
a, You ere tho sole orvn3r of, or mSintein an
own8rshlp intersst of mor€ thsn 50% in, such
subsidiary on the tlrst dEy ofths pollcy pedod;
and
b, Sllch subidi8ry is not 8n insur€d urdor
sin{l8r olhEr in$ranca.
No such subcldiery ls an insursd for 'bodily injurf
or "tropcrty dsm{6' thd occurrsd, or 'tErsonaland adverlblng lnjury' caus€d by an offonse
comrdttsd:
a. Before you maintaind en of,'nership intercst
of more than 5096 in such suBidiery; or
b. Aner $e dsta, if eny, during the pollca poriod
that ycr,l no longer melmeln sn orvnsrsfiip
interesl ot rnore than 50% ln such subsidlary.
For purposB of Peragraph ,. of Soc{on ll - Whols An lnsutEd, oach such subsidisry will bs
deemed to b6 designat€d in the Declerations as: