2022/09/30 Slater, Inc.-'-lA,ICIORD.RECEIVED SLATINC.O2
CERTIFICATE OF LIABILITY INSURANCE
N M R
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 AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THiS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, ANO THE CERTIFICATE HOLDER.
R
9t30t2022
IMPORTANT: lf the ce(ific.te holder is an AODITIONAL INSURED, the policy(ies) must have ADOITIONAL INSURED provisions or be endorsodlf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies
this certificale does not conter rights to ths certificato holder in lieu of such sndorsem
may require an endoBement. A statoment onen(s).
if}Ifcr Debbie Boulanger
fiEls.. .,,r, (7r4) 221-s236
dboula nSutance.comtos
INSU RERISI AFFOROING COVERAGE
Crosbv lnsurance
8181 (. Kaiser BlvdAnaheim Hills, CA 92808
rNsuRERA, Great American Agaurance Comoanv 26344
r sumne,Zurich Ame can lnBurance Comoanv 16535
tNsuRER c: TraveleB Propert C53ualty Company ot America 2567 4
wsuara o, American Zurich lnsurance Comoanv 40142
Slater, lnc.
P.O. Box 759
Fontana, CA 92334-0759
1,000,000s
50,000s
ME0 €XP (Anv o..6.$n)5
PERSONAL & AOV INJURY 1,000,000S
GENERAL AGGREGAIE 2,000,000t
PROOUCTS. COMPOPAGG 2,000,000s
A COMMERCIAL GENERAL LIAAIITY
Ownols & Contractor
GEN L AGGREGATE L M T APPLI
X
x
x
JECT LOC
X GLP4455171 913012022 9t3012023
5
ED 1,000,0005
BODILY INJURY rP..osonl
s
B AUTOMOB LE L ABiL TY
OWI!ED
F]IREDAI]TOS ON!Y
SCHEDULED
x 8AP3736463-14 10t't t2022 10t112023
x x EACB @CURRENCE 5,000,000sOCCUR
5,000,000s
OED RETENTIONS
cuP-7s4s8845,22-NF 9130t2022 9130t?o23
sxOTH.
1,000,000s
E L OISEASE. EA EMPLOYEE
,|,000,000
s
D IYORXER€ CO PtmlAnoirAND ETPLOYERS' LIABII ITY
ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICE&1\'EMAER EXCLUOEO?
DESCRIPTION OF OPERATIONS b.k)l,
wc3736462-14 10t1t2022 '10t1t2023
EL OISE:ASE POLICY UMIT 1,000,000
Equipmenl QT-660-6688M077-TrL-22 9t3012022 9130t2023 Ronted/Leasod Equlp r00,000
DESCRIPTION Of OPERATIOT'IS / LOCATIONS / VEHICIES IACORD 1O l, Addhlonal R.mrt. S.h.dul.. m.y 5. .inchrd lr no. .p... l. nluind)'Ten deys notlce of cancellatlon will be glven for nonfayment ol pnemlum'
RE: Transportation Permlt. Clty of MenlfeE is named as addltionallnsured porthe attachod endorsements a3 roqulrcd by wrltten cont6ct.
City ot Menafee
29844 Haun Rd
Menitee, CA 92586
8"u-'tl,,.rC
ACORD 25 (20r6/03)
flitf,cE
Ni]T 1
O 1988-2015 ACORO CORPORATION. All rlghtr ro3orvod.
Ths AGORD name and logo a.o rogbto.ed marks ot ACORO
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOWHAVE BEEN ISSUEDTOTI]E INSURED NAMEDAEOVE FOR THE POLICYPERIODINDICATED, NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OIHER OOCUMENTWTH RESPECT IO V!}IICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROEO 8Y THE POLICIES OESCRIBEO HEREIN ISSUBJECTTOATT THETERMS.
EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWI.I MAY HAVE SEEN REDUCEO gY PAIO CLAIMS
x
E
SHOULO ANY OF THE ABOVE OESCRIBEO POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE wlLL AE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
cllY ur m!Ntt!E
Great American Assuranco Company
PO[-ICY NUMBER GI,P4455I 7I cG 20 12 (Ed. 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 endorsemont modiliss insurance provided under th€ follovving:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Schedule
State or Govsrnmental Agency or Subdiyision or Political Subdivision:
Wh€n rBquired by written contrad
lnrolma0on requlred to complete this S€$edule, lf not shovyn above, will be shown ln the Declaratlons.
SECTION ll - WHO lS AN INSUREO is amended to include as an insurd any stale or govemmental agency or
subdivision or polilical subdivision sho,yn in the Schadula, sJbj6cl lo the following provisions:
1. This insuranca applies only with respecl lo operations performed by you or on your behalf for which the state or
govommental agency or subdivision or political subdivision has issuod a pormit or authorizalion.
2. This insurance does not apply to:
a. "bodily iniury,' 'property damage' or "personal and advertising injurlf arising out ol operations p8rtormod for lh6
federal govemment, state or municipality; or
b. "bodily injt ry' or "pmperty damags' included within ths "products-completed operatlons hazard.'
Copynght, ISO Prcpqties, lnc., 206
(Psgs I of 1)cG 20 12 (Ed. 05m9)