2022/10/01 Slater, Inc.--'-lACORD.SLATE-H
CERTIFICATE OF LIABILITY INSURANCE 09t1512022
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THISCERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFOROEO BY THE POLICIESAELOW, THIS CERTIFICATE OF IIISURANCE DOES Ii/OT CONST1TUTE A COI'ITRACT BETWEEN THE ISSUIf{G INSURER(S), AUTHORIZEOREPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLOER,
't -5210
'16535Zurich Ame can lnsurance Co
RTAN T:PO the m s havet oot TION AL SN EUR D ts r bepoicy(i )endo rsedtfUSTIBROGAtsONIVEubtoecttetheIando,cond ofitions the ic certain aestct u an t.endorsemen spolpomay menttalereqtsthficatecertinotferthertihticatetohtstdinerieusofchus
e erossun(.18 18 Ka BIlvd 714-22',1
Anaheim Hills, CA 92808Christopher Hopper
rNsuRER B Gteat American Assurance Go 26344
rNsuRER c. Ttavelers Property Cisualty 2567 4
rNsuRER D. Ametclan Zurich lnsurance Co 40'142
INSURER E
I{SUREOSlater. lnc.
P.O. Box 759
Fonlana, CA 92334{759
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO AELOl/l./ HAVE BEEN ISSUED TO ]HE INSURED NAMED ABovE FoR THE PoLIcY PERIoDINDICATED. NOTIMTHSTANOING ANY REOUIREMENT. TEFS/I OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT \^/lTH RESPECT TO ffiICH THISCERTIFICATE MAY gE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED BY THE POLICIES OESCRIBED HEREIN IS SUAJECT TO ALL THE TERMS.EXCLUSIONS ANO CONOITIONS OF SUCH POLICIES, LIMITS SHO\AAI MAY HAVE BEEN REDTJCED BY PAID CLAIMS,
AOOL
'UBR 't,000,000sa -al 50.000s
MED EXP (Anv on. Ds60n\Excludeds
PERSONAL A ADV IN.II]RY 1,000,0005
OENEFIAL AGGREGATE 2,000,0005
PRODUCTS, COMP/OPAGC 2,000,0005
B COM't!ERCIAL GENERAL LIABILIiY
x
r/Cont Prot.
x
x
LOCJECT
GLP405'1066 09t30t2022 09/30/2023
5
SINGLE L M TI 1,000,000t
BOD LY INJURY{Por ersonl $
BOOILY INJURY {Per accrdenll $
MACE s
A AUTOMOAILE LAAILITY
OWNED
HIRED
x
SCHEOULED
BAP3736463-14 10to1t2022 1010'l t2023
sxx 10,000,000sUMBRELLA LIAS
EXCESS f IAB 10,000,0005
DEO x RETENT oN a 10,000
cuP-7s45A845-22-NF 09t3012022 09/30/2023
5
OTF],
E L EACH ACCIOENT 1,000,000s
E L D]SEASE - EA EMPLOYEE 1,000,000s
D vr/oRl(ERs coMpEftSaTloN
ANO EIVIPLOYERS' LIAAILTY
ANY PROPRIETOR?PARIN€R,€XECUTIVEOFFICERA'EMAER EXCLIIDEO'
OESCRIFTTION OF @EFATIONS bh
wc3736462-'!4 10101t2022 10t0'l t2023
'1,000,000
OESCRIP-i|oN oF oPERATIONS / LOCATIONS / vEHlclES (ACORO 101, Arrdhlon.l R.m. (3 Sch.dul., may b. machad ll mor. Bp.c.IB r.quk.d)
'Ten days notlce of cancellation will be qiven for non-Davment ot Dlemlum.RE: Transportatlon Permit. City of MeniEe is named as a'ddltional lnsuredper the attached endorsementS as lequired by written contract.
TION
O 1988-2015 ACORD CORPORATTON. A rtghts reserved
The ACORD name and logo are reglstered marks ol ACORO
SHOIJLD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION OATE THEREOF, NOTICE wlLL AE DELIVERED INACCORDANCE wlTH THE POLICY PROVISIONS,
CITYMEN
City of Menifee
29844 Haun Rd
Menlfee, CA 92586
A4" bA'"/^-'
AUII]ORIZEO REPRES€TITATIVE
ACORD 25 (2016/03)
lf the certificale holder is an ADOITIONAL INSUREO,
x
f
POLICY NUt\,1BER: G1P405166 COMMERCIAL GENERAL UABILITY
cG 20 12 05 09
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - STATE OR GOVERNMENTAL
AGENCY OR SUBDIVISION OR POLITICAL
SUBDIVISION - PERMITS OR AUTHORIZATIONS
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
State Or Governmental Agency Or Subdivision Or Political Subdivision
VVhen required by written contract
lnformation Iequired to complete this Schedule if not shown above, will be shown in the Declarations
Section ll - Who ls An lnsured is amended to in-
clude as an insured any state or governmental agen-
cy or subdivision or political subdivision shown in the
Schedule. subject to the following provisions
l. This insurance applies only with respect to opera-
tions performed by you or on your behalf for which
the state or governmental agency or subdivision or
political subdivision has issued a permit or autho-
rization.
2. This insurance does not apply to:
a. "Bodily injury", "property damage" or "personal
and advertising injury" arising out of operations
performed for the federal government, state or
municipality, or
b. "Bodily injury' or "property damage" included
within the "products-completed operations ha-
zad'.
cG 20 12 05 09 O lnsurance Services Office, lnc , 2008 Page I of 1 E