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2023/03/01 The Altum Group10/06/2023 Ascend Insurance Agency 36917 Cook St. Ste 101 Palm Desert, CA 92211 License #: 0F44130 Ana Santos (760)341-3477 (760)341-3476 ana@ascendins.com 00002843-0 1 The Altum Group 44-600 Village Court, Suite 100 Palm Desert, CA 92260 Sentinel Insurance Company, Limited 11000 A Y Y 59SBABI6127 03/01/2023 03/01/2024X X X 2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000 California Automobile Insurance Company 38342 B Y Y BA040000083375 09/01/2023 09/01/2024 X X X 1,000,000 Sentinel Insurance Company, Limited 11000 A 59SBABI6127 03/01/2023 03/01/2024XX X 10000 3,000,000 3,000,000 Wesco Insurance Company 25011 C Y WWC3647322 05/07/2023 05/07/2024 N X 1,000,000 1,000,000 1,000,000 National Casualty Company 11991 D JEO0001998 06/23/2023 06/23/2024Professional Liab Aggregate 2,000,000 ON CALL SERVICES Certificate Holder, City of Menifee, its officers, employees, officials, volunteer, and agents, are named as additional insured as per attached endorsements. Waiver of Subrogation applicable as per attached; there is no exclusion for cross liability suits on the General Liability policy. *10 Day Notice due to non-payment will be given* City of Menifee 29844 Haun Road Menifee, CA 92586 (ACS) Printed by ACS on 10/06/2023 at 05:20PM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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 have ADDITIONAL INSURED provisions or 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: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A The Altum GroupPolicy #: BA040000083375 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A Policy: 59SBABI6127 Insured: The Altum Group BUSINESS LIABILITY COVERAGE FORM BLANKET ENDORSEMENTS Additional Insureds When Required by Written Contract, Written Agreement or Permit The person(s) or organization(s) identified in Paragraphs a. through f. below are additional insureds when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such a person or organization be added as an additional insured on your policy, provided the damage occurs subsequent to the execution of the contract or agreement, or the issuance of the permit. A person or organization is an additional insured under this provision only for that period of time require by the contract, agreement or permit. a) Vendors b) Any express warranty unauthorized by you; c) Lessors Of Land or Premises d) Architects, Engineers or Surveyors e) Permits Issued By State or Political Subdivisions f) Any Other Party not insured in A through E above Primary And Non-Contributory To Other Insurance When Required By Contract If you have agreed in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and will not seek contribution from that other insurance. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. FORM SS 00 08 04 05 DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A DocuSign Envelope ID: 94F0BDC8-21CB-453F-B890-E901C14CC83A