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C)R'0® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 11/05/2020 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). PRODUCER CONTACT Adrian Revel NAME: Safe Life Insurance Agency A/�NNo Ext : (888) 633-6632 (AIC, No : (951) 905-1904 903 CalleAmanecer E-MAIL Adrian@SafeLifeAgency.com ADDRESS: Suite 125 INSURER(S) AFFORDING COVERAGE NAIC # San Clemente CA 92673 INSURERA: Infinity Select 20260 INSURED INSURER B : Costera Waste and Environmental INSURER C : 14 EI Vaquero INSURER D: INSURER E: Rancho Santa Margarita CA 92688 INSURER F : nnv�onnoc !`CATICIC ATC iV 11MRFR• ULZU"I "IDUUO34 I:/�7l,-1NL'h Pll'11=73.M v 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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, ILTR TYPE OF INSURANCE COMMERCIAL GENERAL LIABILITY CLAIMS -MADE El OCCUR AUDLSUHR INSD WVD POLICY NUMBER EFF IDY/YYYY MM D POLICY DDIYYYY EXP MM LIMITS EACH OCCURRENCE $ DAMAGE TENTED PREMISES Ea occurrence _ $ MED EXP (Any one person) $ PERSONAL& ADV INJURY $ GENERALAGGREGATE $ GEN'LAGGREGATE LIMITAPPLIES PER: POLICY PRO LOC JECT OTHER: PRODUCTS-COMP/OPAGG $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY F I 504-61014-7030-001 11/05/2020 11/05/2021 (Ea c accident) SINGLE LIMIT $ 110003000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAB EXCESS LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ HCLAIMS-MADE $ DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE F--1 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Those usual of the insured's operations. HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD