2022/02/01 Trenton CarnielloAcoRD* cERTIFIcATE oF ttABtLITy INSURANcE DArE(MIVOOarrw)
02/02/ 22
PRODUCER
NUGEN & ASSOC INS SERV INC
10722 ARROW RTE #115
R,ANCHO CUCAI{ONGA CA 91730
9O9/94t-0L67 ErK 909/ 941- 94s3
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFOROING COVERAGE NAIC#
INSUREO TRENTON CARNIELLO DBA:
CARNIELLO ENTERPRISES
PO BOX 1728
UPI,AND, CA 91785
P09 98L-2728
NSURER A GEMINI INSURANCE COMPANY 10 833
INSURER B UNITED FINANCIA', CA.s CO(A,XV'Lt'17 0
2407 4
INSURER E
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANOING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY IHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE AEEN REDUCED BY PAID CLAIMS.
ryPF OF INSIIRANCF POLICY NUMBER LIMIIS
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILIry
x OCCUR
cP0207 54
GEN'L AGGREGATE LIMIT APPLIES P
x POL]CY LOC
02/0L/22 02/0r/23
EACH OCCIIRRENCE s1, 000,000.00
PREMISES (Ea oc.!r€nc€)s100,000.00
MED ExP (Any one p€r3on)$s,000.00
PERSONAL &AOV INJURY r1,000,000. o0
GENERAL AGCREGATE 12, 000,000.00
$2, 000, 000. 00
AUTOMOBILE LIABIL!TY
ALLOWNEO AUTOS
SCHEDUTED AUTOS
HIREDAUTOS
NON.OWNEDAUTOS
x
x
02854469-6 02 /o4 / 22 02/o4 /23
COMAINED SINGLE LIMIT $1, 000, 000 . 00
BODI!YIN.IURY
BODILYINJURY
PROPERry DAMAGE $
GARAGE LIABILITY $
OTHERTHAN
AUIOONTY AGG
s
$
EXCESS/UMBRELLA LIABILITY
OCCUR CLAIMSMAOE
OEDUCTIBLE
RETENTION $
EACH OCCURRENCE s
AGGREGATE $
$
5
- rEcsii'iG-]-- T6rF:IToRY[M[s l I FR
$
E L EACH ACCIOENT $
E T OISEASE - EA EMPLOYEI $
E L OISEASE. POLICY LIIIIIT $OTHER INI.AND
MARINE/EQUI PMENT Bt{o (23 ) 60842511 02/0L/22 02/o!/23 SSO, OOO LEASED/RENTED
9306,000. SCHEDULE
S1OOODED, AI,L RISK
DESCRIPIION OF OPERATIONS /!OCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDOR
MENIFEE PIAZA 27599 NEWPORT RD AND 3OO1:'ilrX$ffiffi DR MENTFEE cA e2s'5
CITY oF MENIFEE Is BEING NAI\,ED As ADDITIoNAP. I*aY*Oi.,. ""* FORM CG2010 04/13
REGIVED
Y
WORKERS COMPENSATION ANO
EMPLOYERS'LIASILITY
ANY PROPRIETO&PARINER,€X€CUTIVE
OFF]CE&XTEMBER EXCLUDEO?
SPEC IAI PROvISIONS b6 o*
CERTIFICATE HOLDER CANCELLATION
SHOULO ANY OF THE ABOVE O!
DATE THEREOF THE ISS
NOTICE TO THE C
IMPOSE NO O
REPRESENIA
ICATE HOLDER NAMEO IO THE LEFT, BUT FALLURE
s
INSURER WILL ENOEAVOR ur, 30 oavs wnrrrer
POLtCtES EILED BEFORE THE EXPIRA
SO SHALL
ORL OF ANY KINO UPON T R ITS AGENIS OR
AUTHORIZED
acoRo25(2001/08)RD CORPORATION 1988
INSURERC o8ro cAsuArtY rNsuRiANcE co{a,xv)
INSURER O
PRODUCTS. COMP/OP AGG
$
$
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AUTO ONtY-EAACCIOENI
PoUcY E F F Ec-Tl\,?ETPoL lc Y ExP IRATDATEIMM/DOTYYJ DATE(MM/DD/YY)
m
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ry:+z
CITY OF MENIFEE
29844 HAUN RD
MENIFEE CA 92586
I
Policy Number: VtGP020754
lnsured Name: Carniello Enterprises
Number: 38 Effective Dal€: A2l 01 120.22
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS _ SCHEDULED PERSON OR
ORGANIZATION
This endorsernent mooiiaes tnsurance provlded underthe Following:
Commercial General Liability Coverage part
cG 20 10 04 13
SCHEDULE
Name Of Additional lnsured person(s)
Or Organization(s):Location(s) Of Covered Operations
ny person or organization when you have agreed
a written and executed contract prior to an
"occurrence", that such person or organization be
added as an additionat insured on your policy.
A
in ich you have agreed in a written
and executed contract prior to an ,,occurrence.,,
All locations for wh
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarataons.
A. Section ll - \rvho ls An lnsured is amendedto include as an additional insured tfle
person(s) or organization(s) shown in the
Schedule, but only with respect to liability for
'bodiiy inJury', "propeny damage,, or ',personal
and advertising injury" caused, in whole or in
part, by:
l. Your acts or omissions; or
2. The acts or omissjons of those acting on
your behalf ;
in the performance of your ongoing operations
for the additional insured(s) at the location(s)
designated above.
However:
l. The insurance afforded to such additional
insured only applies to tfle extent
permitted by lawi and
2. lf coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional lnsured will not be broader than
that which you are required by the contract
or agreementto provide for such additional
insured.
B. With respect to the insurance afforded to
these additional insureds, the following
additional exclusions apply:
This insurance does not appty to ,,bodity injury',
or "property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with
such work, on the project (other than
service, maintenance or repairs) to be
perforrned by or on behalfof the additional
insured(s) at the location of the cor'ered
operations has been completedi or
cG 20 10 04 13 @ lnsurance Services Office, lnc., 2012 Page 1 of 2
2. That portion of'your worK,out of which the
injury or darnage arises has been put to its
intended use W any person or
organization other than another contractor
or subcontractor engaged in performing
operations for a principal as a part of the
same project.
C. \rylth respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf coverage provided to the additional insured
is ieguirecj iry a contact or agreement, the
most we will pay on bel-Elf of the additional
insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the appticable Umits of
lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of lnsurance shown in the
Declaratior}S.
cG 20 10 04 13 O lnsurance Seryices Office, lnc., 2012 Page 2 of 2