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2023/11/01 Adame Landscape, Inc.ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: 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 COMPENSATIONAND 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 RENTEDCLAIMS-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 AGGJECT 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 LIMITDESCRIPTION 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.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/30/2023 License # 0C32169 (619) 937-0164 22276 Adame Landscape, Inc. 41863 Juniper St. Murrieta, CA 92562 35289 A 1,000,000 X X 47-GLO-325180-02 11/1/2023 11/1/2024 300,000 5,000 1,000,000 2,000,000 2,000,000 1,000,000A X X 47-CAO-325181-02 11/1/2023 11/1/2024 B Rented Leased Equip 7034545080 11/1/2023 Ded $1,000 - Limit 150,000 RE: ALL LANDSCAPE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED. CITY OF MENIFEE, AND ITS OFFICERS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE INCLUDED AS ADDITIONAL INSURED WITH REGARDS TO GENERAL LIABILITY AND AUTO LIABLITY PER ATTACHED FORMS. PRIMARY AND NON-CONTRIBUTORY WORDING APPLIES WITH REGARDS TO GENERAL LIABILITY AND AUTO LIABILITY PER ATTACHED FORMS. CITY OF MENIFEE 29844 HAUN ROAD MENIFEE, CA 92586 ADAMLAN-01 VPAINTER Rancho Mesa Insurance Services, Inc.2355 Northside Drive Suite 200 San Diego, CA 92108 Berkshire Hathaway Specialty Insurance Company Continental Insurance Company 11/1/2024 X X X X X X DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 Page 1 of 1 | CL-UN-092-A-03/2015 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ENDORSEMENT This endorsement, effective 12:01 AM:, 202 Forms a part of Policy No.: Issued to: By:Berkshire Hathaway Specialty Insurance Company AGGREGATE LIMITS OF INSURANCE (PER PROJECT) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY COMMERCIAL UMBRELLA LIABILITY POLICY COMMERCIAL RETAINED LIMIT LIABILITY INSURANCE POLICY I. The General Aggregate Limit under LIMITS OF INSURANCE (SECTION III) applies separately to each of your “project(s)” away from premises owned by or rented to you. II. As used in this endorsement, “project(s)” means the work for which the “Named Insured” is responsible pursuant to a contract between the “Named Insured”, as the contractor or sub- contractor, and an owner, developer or general or sub-contractor. III. If “Named Insured” is not defined in this policy, “Named Insured” shall mean the Named Insured Designated in the Declarations. All other terms and conditions of this policy remain unchanged. DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 Page 1 of 7 | BH-AL-001-12/2021 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ENDORSEMENT This endorsement, effective 12:01 AM:1, 202 Forms a part of Policy No.:47-CAO-3 -0 Issued to: By: Berkshire Hathaway Specialty Insurance Company BUSINESS AUTO ENHANCEMENT ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II – COVERED AUTOS LIABILITY COVERAGE I.Subparagraph A.1. Who is an Insured is amended to include the following: The following will qualify as a Named Insured if there is no similar insurance available to that organization, regardless of whether the limits of such insurance are exhausted: a.Any incorporated subsidiary in which you maintain ownership or majority interest on the effective date of the Policy. b.Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest. However: (1)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; and (2)Coverage does not apply to "bodily injury" or "property damage" that results from an “accident” that occurred before you acquired or formed the organization. No person or organization will qualify as a Named Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations. II.Subparagraph A.1. Who is an Insured is amended to include the following: d.The lessor of a covered “auto” while the “auto” is leased to you under a written agreement if: (1)The agreement requires you to provide direct primary insurance for the lessor; and (2)The “auto” is leased without a driver. Such a leased “auto” will be considered a covered “auto” you own and not a covered “auto” you hire. DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 Page 2 of 7 | BH-AL-001-12/2021 Includes copyrighted material of Insurance Services Office, Inc., with its permission. e.Any person or organization to whom you become obligated to include as an additional insured under this Policy, as a result of any written contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this Policy, but only with respect to liability covered by the terms of this Policy, arising out of the use of a covered “auto” you own, hire or borrow. However, the insurance provided herein will not exceed the lesser of: (1)The coverage and/or limits of this Policy, or (2)The coverage and/or limits required by said contract or agreement. f.Your "employee" while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs. g.Your "employee" while operating an "auto" hired or rented under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. h.Any of your "executive officers" or his or her spouse, while a resident of the same household using a covered "auto" described below. For the purposes of this Paragraph h., a covered “auto” for Liability Coverage is any “auto” you don’t own, hire or borrow while being used by your “executive officer” or by his or her spouse while a resident of the same household except: (1)Any “auto” owned by that “executive officer” or a member of that person’s household; or (2)Any “auto” used by that “executive officer” or his or her spouse while working in a business of selling, servicing, or repairing or parking “autos”. We will provide coverage to this “insured” equal to the broadest coverage applicable to any covered “auto” you own that is covered by this Policy. Any coverage provided to this “insured” is excess over any other valid and collectible insurance. “Executive officer” means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document. Subparagraph A.2.a Supplementary Payments is deleted and replaced with the following: a. Supplementary Payments We will pay for the "insured": (1)All expenses we incur. (2)Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (3)The cost of bonds to release attachments in any "suit" against the "insured" we defend, but only for bond amounts within our Limit of Insurance. (4)All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $300 a day because of time off from work. (5)All costs taxed against the "insured" in any "suit" against the "insured" we defend. However, these payments do not include attorneys’ fees or attorneys’ expenses taxed against the “insured”. e.Any person or organization to whom you become obligated to include as an additional insured under this Policy, as a result of any written contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this Policy, but only with respect to liability covered by the terms of this Policy, arising out of the use of a covered “auto” you own, hire or borrow. However, the insurance provided herein will not exceed the lesser of: DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 Page 6 of 7 | BH-AL-001-12/2021 Includes copyrighted material of Insurance Services Office, Inc., with its permission. SECTION IV - BUSINESS AUTO CONDITIONS I.Subparagraph A.2.a.is deleted and replaced with the following: a.In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident" or "loss". Include: (1)How, when and where the "accident" or "loss" occurred; (2)The "insured's" name and address; and (3)To the extent possible, the names and addresses of any injured persons and witnesses. This condition applies only when the "accident" is known to: (1)You, if you are an individual; (2)A partner, if you are a partnership; (3)A member, if you are a limited liability company; or (4)An officer or insurance manager, if you are a corporation. Your failure to give first report of a claim to us shall not invalidate coverage under this Policy if the loss was inadvertently reported to another insurer. However, you shall report any such “accident”, claim, “suit” or “loss” to us within a reasonable time once you become aware of such error. II.Subparagraph A.5. Transfer Of Rights Of Recovery Against Others To Us is deleted and replaced with the following: 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. However, we waive any right of recovery we may have against any person or organization with whom you have a written contract executed prior to the “loss” that requires a waiver of recovery for payments made for damages arising out of your operations done under contract with such person or organization. III.Subparagraph B.2. Concealment, Misrepresentation Or Fraud is deleted in its entirety and replaced with the following: 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured", at any time, intentionally conceal or misrepresent a material fact concerning: a.This Coverage Form; b.The covered "auto"; c.Your interest in the covered "auto"; or d.A claim under this Coverage Form. 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. However, we waive any right of recovery we may have against any person or organization with whom you have a written contract executed prior to the “loss” that requires a waiver of recovery for payments made for damages arising out of your operations done under contract with such person DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43 DocuSign Envelope ID: 672B7E6B-407C-497E-BA7F-E5BAD6620C43