2023/01/01 Adurra Group, Inc..ACORD"
ARDURRA-01
CERTIFICATE OF LIABILITY INSURANCE 113t2023
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 AFFOROED BYTHEPOLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER.
IMPORTANT: lI the certificate holder is an ADDITIONAL INSURED, the policy(ies) must haveADDlTlONAL INSURED provisions or be endorsed.
It SUBROGATION lS WAIVED, subject to the terms and conditions ofthe policy, certain policies may rcquirean endo6ement. A statement on
this certificate does not confer rights to the certiticate holder in lieu of such endorsement(s).
20079
AFFORDING COVERAGE
INSURER E
INSURED
n
03 827 -2279(703) 827 -2277
admi mes ugh.com
rNsuRER D: National Fire &Marine lns Com
Ames & Gough
8300 Greensboro Drive
Suite 980McLean, VA 22102
Aadurra Group, lnc.
4921 Memorial Highway, Suite 300
Tampa, FL 33634
E CERTIFICATE NUMBER REVI NN MBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWTHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUI\,'IENT WTH RESPECT TO WHICH THIS
CERTIFICATE IVAY BE ISSUED OR Il,lAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED H EREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHO\AA] IV]AY HAVE BEEN REDUCED BY PAID CLAIMS
EXP
$
15,000
1,000,000
1,000,000
2,000,0005
S
x 607 5640222
A x
x Contractual Liab.
COMMERCIAL G EN E RAL LIAgILITY
DAMAGE IO RENTED
1,000,000
2,000,000
S
S
OWNEDAUTOS ONLY
BINED SINGLE L tll7 1,000,000
1t1t2023 111t20245640236
B
x
S
sAODILY INJURY
AUTOMOBILE LIABILITY
SCHEOULEO
NON OWNEDAUTOS ONLY
c x
OED X neter.rtor.r s
x
'10,000
EXC€SS LiAB CLAIMS,MAOE 1t1t2023 '111t20246075640270 s
1s,000,000
15,000,000
EACH OCCURRENCE
1t1t202456402531t1t2023 1,000,000
x
5D Professional Liab.42.EPP 0
H.
1h12023 1t1t2024
s
Per Claim/Aggregate
1,000,000
2,000,000
1,000,000
E L, EACH ACC]DENI
E.L OISEASE - EA EMPLOY
E L DISEASE.rcY
WORKERS COMPENSAT!ONaND EMP LOYERS', LTABTLTTY Y/ NANY PROPRIETOR]PARTNER/EXECUTIVE ..
OF FIC ER/MEMAER EXCLUDED ? N(M.ndatory ln NH)
DESCRIpTION OF OPERATIONS / LOCATTON S / VEH lC L ES {ACOR D 101 , Addirional Remark s Sch.dure, may b6 atla ched it mor6 spa.. is r.qu ir.d)
RE: CITY OF MENIFEE ON-CALL LABOR COMPLIANcE
The City of ldenifee, CA is included as additional insured with respect to General Liability, Automobile Liability, and Umbrella Liability when required by
written contract. General Liability includes Additional lnsured coverage for Completed Operations as required by written contract. General Liability,
Automobite Liability, and Umbrella Liability are primary and non-contributory over any existing insurance and limited to liability arising out of the operations
of the named insured and when required by written contract. General Liability, Automobile Liability, Workers Compensation, and [Jmbrella Liability policies
inctude a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. Umbrella Liabili,
coverage sits excess over General Liability, Automobile Liability and Employers' Liatrility coverage.
CERTIFICATE HOLDER CANCELLATION
City of Menilee, CA
29714 Haun Road
Sun City, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES AE CANCELLED BEFORE
THE EXPIRATION OATE THEREOF, NOTICE !/YILL BT DELIVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS,
4*i
O'1988-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks of ACORD
ACORD 25 (2016/03)
_lNsuRER A , Vallev Forqe lnsulance Company A(Xy) .2S598
tNsuRER B . National Fire lnsurance Company of Hadford A(XV) 28478
rNsuRER c , Continental lnsurance Company A(XV) 35289
1t|t2021 111t2024
GEN'L AGGREGATE LIMIT APPLIES PER[- "o.,"., f IIFS, i ],*
t,
GENERAL AGGREGATE $
CLAIMS.MAOE
L
s
s
AUTHORIZEO REPRESENTATIVE
A1\
AMES & GOUGH
2023
RE: Requesting Emails for Certificate of lnsurance Distribution or Notification to Discontinue
Dear Certificate Holder:
Based on the trends from 2O2O and 2021, several companies are transitioning into remote work on a more
permanent basis. ln order to maintain a successful delivery system for certificates of insurance, Ames & Gough
has decided the most efficient method to be email distribution upon renewal.
To ensure a timely delivery, we request that you provide an emailto be added to the certificate on file
Please either write on the attached certificate of insurance with your information, OR provide the holder name,
address and any project or reference numbers directly below:
lnsu red na me
Project name or reference if applicable:
Email address for future delivery
Certificate is no longer needed
Return whichever form you have completed via email or fax listed below. This information can also be found on
the upper right-hand corner ofthe certificate.
Email: ad m in @ amesgough.com
Fax: 7 03-827 -2279
Please contact Allison Buytenhuys at 703-827-2277 or abuvtenhuvs(Aamessouqh.com with any questions. Thank
you.
Sincerely,
8300 Greensboro Drive, Suite 980, Mcl,ean, Virginia22l02
'Ielephone: (703) 827-2277 Facsimile: (703t 827 -2219
F--lllail : info@amesgough.com
Ames & Gough
ARt)tI{l{A{I
Certificate holder name: