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HomeMy WebLinkAboutMurrieta Development Company Inc. Ins. Cert. 6-15-2017 Ll �,DIf ? CERTIFICATE OF LIABILITY INSURANCE P6/15/2017 ATE(MMIDDIYYYY) 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, th© policy(ies) must be endorsed. IF SUBROGATION IS WAIVED, su0ject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this eartificate,does not confer rights to the certificate holder in lieu of such endorserrlent(s). PRODUCER CONTACT Laura Burns Leo Rodriguez Insurance Agency, Inc. PHONE (951)246-4003 IA,C No):(951)246-4008 LIC# OH07360 AIL ADDRESS:Laura@LeoRodriguez Ins.com 27174 Newport Road, Suite 3 INSURE S AFFORDING COVERAGE NAICtt Menifee CA 92584 INSURERA Old Republic General Ins. Co 24139 INSURED INSURER B Atlantic Specialty Insurance 27154 Murrieta Development Company Inc. INSURERCNational Union Fire Ins. Co. 19445 Close Equipment, LLC INSURERD: 42540 Rio Nedo Road INSURER E: Temecula CA 92590 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1691902695 REVISION NUMBER: ` 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_, INTSRR ADDTYPE OF INSURANCE L POLICY-NUMBER _ MPMmaiyyCY Y POLICY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Fx_]OCCUR T 100,000 PREMISES fFa occurrence) $ X XCU Included AlCG49901612 10/20/2016 10/20/2017 MED EXP Any one parson) $ 5,000 ($5,000 deductible) PERSONAL&ADV INJURY 3 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY L X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY €a ardent $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS NED SCHEDAUTOS OS AlCA49901608 10/20/2016 10/20/2017 BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED Comp/Coll Dad: $1,000 each R R GE $ AUTOSPer accident UMBRELLA LIAB X OCCUR EACH OCCURRENCE 5 5,000,000 C Ix EXCESS LIAB CLAIMS-MADE BE038176749 10/20/2016 10/20/2017 AGGREGATE $ 5,000,000 DED I I RETENTIONS 10,000 $ A WORKERS COMPENSAnON AND EMPLOYERS'LIABILITY YIN X I STATUTE ANY PROPRIETORIPARTN€RIEXECUTIVE AICW49901612 10/20/2016 10/20/2017 EL EACH ACCIDENT $ 1,000,000 ❑l"NCEWMEMSER EXCLUDED? ,I N I A (Mandatory In NH) ($0 deductible) E.L DISEASE-EA EMPLOYE $ 1 000 000 If yqes describe under DESCRIPTION OF OPERATIONS beiii I E.L.DISEASE•POLICY LIMIT I S 11000,000 B Scheduled Equipment 7100360190001 ($2500 Dad) 10/20/2016 10/20/2017 Scheduled Limit: $7,978,773 B Leased/Rented Equipment 7100360190001 ($2500 Dad) 10/20/2016 10/20/2017 Lease Rented Limit: $500,000 DESCRIPTION OF OPERATIONS;LOCATIONS;VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached IF more space Is required) City of Lake Elsinore, its officers, elected and appointed officials, officers, agents and employees are named as additional insured per blanket form CG2010 0413 and blanket form CG2037 0413, Primary and Non-Contributory applies per blanket form CGENGN0029 0906. GL Waiver of Subrogation applies per blanket form CG2404 0509. BA Waiver of Subrogation applies per blanket form CAENGN0021 0906. WC Waiver of Subrogation applies per blanket form WC990315 0906. *60 Days notice of cancellation applies to all liability; 10 days notice of cancellation for non-payment. CERTIFICATE HOLDER r, CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Lake Elsinore THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 130 S. Main Street JUL � J 2017 L1R l7 ACCORDANCE WITH THE POLICY PROVISIONS. Lake Elsinore, CA 92530 UI/ AUTHORIZED REPRESENTATIVE 7'I Y r-1 Lt-_ P. •d, iguez/LBUR � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 t9n14n1i