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2023/07/22 Animal Friends of the Valleys, Inc.8/30/2023 Cormarc Insurance Services Lic #0D79653 25220 Hancock Ave, Suite 230 Murrieta CA 92562 Sunitha Jana 951-290-5043 951-319-4264 sunitha@cormarcins.com Animal Friends of the Valleys, Inc. 33751 Mission Trail Wildomar CA 92595 Arch Insurance Company 11150 Redwood Fire & Casualty Company 11673 CompWest Insurance Company 12177 Indian Harbor Insurance Company 36940 22-23 WC / 23-24 PCKG/EXC A X X X Veterinarians Prof Liab $1M X X MKPK09602400 7/22/2023 7/22/2024 1,000,000 1,000,000 10,000 1,000,000 3,000,000 3,000,000 Employee Benefits - Occurrence 1,000,000 B X X X 01APM03730401 7/22/2023 7/22/2024 1,000,000 A X X MKUM09787300 7/22/2023 7/22/2024 2,000,000 2,000,000 C 100072003 9/1/2022 9/1/2023 X 1,000,000 1,000,000 1,000,000 D Animal Control Officers /PPL0956890 7/22/2023 7/22/2023 Occurrence / Aggregate Limit $ 1,000,000 Police Professional Liability Retention $ 15,000 City of Menifee is named as additional insured with respects to general liability per form CG27000517. City of Menifee "MENI298" 29844 Haun Rd. Menifee, CA 92586 Sunitha Jana/SJANA The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person)$ PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PER STATUTE OTH- ER E.L.EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes,describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNED AUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: 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 POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS: E-MAIL FAX (A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S)AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INS025 (201401) DocuSign Envelope ID: 890A88EF-D044-4256-BAB0-55FFF4750CBF ARCH INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COVERAGE EXTENSIONS GL 2700 05 17 McNeil & Co., 2017 Page 1 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Bail Bonds Subparagraph 1.b. under Section I – Coverages, Supplementary Payments – Coverages A and B is amended to read as follows: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Your Expenses Subparagraph 1.d. under Section I – Coverages, Supplementary Payments – Coverages A and B is amended to read as follows: d. All reasonable expenses incurred by the insured at our request to assist in the investigation or defense of the claim or “suit”, including actual loss of earnings up to $1,000 a day because of time off from work. 3. Damage to Borrowed Equipment Paragraph (4) of j. Damage to Property in 2. Exclusions under Section I – Coverages, Coverage A – Bodily Injury and Property Damage Liability is deleted with respect to equipment you borrow for use in your operations. 4. Additional Insured The following are added to Section II – Who Is An Insured: a. Persons or Organizations – As Required By Contract Any person or organization when you have agreed in writing in a contract or agreement that such person or organization is to be included on your policy as an additional insured. Such person or organization is only an insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: (1) Your ongoing operations for such person(s) or organization(s); (2) “Your products”; or (3) Your use or maintenance of a premises you own, rent, lease, occupy or otherwise use with the permission of the owner, except those premises you lease from person(s) or organization(s) for which paragraph 4.b. below applies. b. Managers, Landlords or Lessors of Premises Any person or organization from whom you lease premises when you have agreed in writing in a contract or agreement that such person or organization is to be included on your policy as an additional insured. Such person or organization is only an insured with respect to liability arising out of the ownership, maintenance or use of that part of the premises leased to you and subject to the following additional exclusions: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person(s) or organization(s). Policy # MKPK09602400DocuSign Envelope ID: 890A88EF-D044-4256-BAB0-55FFF4750CBF GL 2700 05 17 McNeil & Co., 2017 Page 2 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. c. Lessors of Leased Equipment Any person or organization from whom you lease equipment when you have agreed in writing in a contract or agreement that such person or organization is to be included on your policy as an additional insured. Such person or organization is only an insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). With respect to the insurance afforded to these additional insureds, this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. Coverage provided to the person(s) or organization(s) included as an insured in subparagraphs 4.a., 4.b., and 4.c. above only applies if the written contract or agreement identified in subparagraphs 4.a., 4.b., and 4.c. above is executed prior to the “bodily injury”, “property damage”, or “personal and advertising injury”. Coverage shall be primary and not contributory with respect to the person(s) or organization(s) included as an insured in subparagraphs 4.a., 4.b., and 4.c. above. Any other insurance such person or organization has will be excess and not contributory with this insurance but this provision only applies if it is required in the written contract or agreement identified in subparagraphs 4.a., 4.b., and 4.c. above. 5. Fellow Employee Subparagraphs 2.a.(1)(a), 2.a.(1)(b) and 2.a.(1)(c) under Section II – Who Is An Insured are deleted with respect to “bodily injury”. 6. Newly Formed or Acquired Organizations Subparagraph 3.a under Section II – Who Is An Insured is deleted and replaced by the following: a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier. 7. Damage to Premises Rented to You – Limit Amendment Paragraph 6. under Section III – Limits of Insurance is amended to read as follows: 6. Subject to paragraph 5. above, the most we will pay under Coverage A for damages because of “property damage” to any one premises while rented to you or temporarily occupied by you with the permission of the owner is $1,000,000, unless a higher Damage to Premises Rented to You Limit is shown on the Declarations. 8. Medical Expense – Limit Amendment Paragraph 7. under Section III – Limits of Insurance is amended to read as follows: 7. Subject to paragraph 5. above, the most we will pay under Coverage C for medical expenses because of “bodily injury” to any one person is $10,000, unless a higher Medical Expense Limit is shown on the Declarations. 9. Duties in the Event of Occurrence, Offense, Claim, or Suit The following subparagraph e. is added to 2. Duties in the Event of Occurrence, Offense, Claim, or Suit under Section IV – Commercial General Liability Conditions: e. Knowledge of any "occurrence", offense, claim, or "suit" will be deemed knowledge by you only when such "occurrence", offense, claim, or "suit" is known to: (1) You, if you are an individual; (2) Any partner, if you are a partnership; (3) Any member, if you are a limited liability company; (4) An executive officer or insurance manager if you are a corporation; or (5) An “employee” or “volunteer worker” designated by you to give us notice of such "occurrence", offense, claim, or "suit". DocuSign Envelope ID: 890A88EF-D044-4256-BAB0-55FFF4750CBF GL 2700 05 17 McNeil & Co., 2017 Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 10. Liberalization If we revise this coverage form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. 11. Mental Anguish Paragraph 3. under Section V - Definitions is deleted and replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time. “Bodily injury” includes mental anguish or other mental injury resulting from “bodily injury”. DocuSign Envelope ID: 890A88EF-D044-4256-BAB0-55FFF4750CBF