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2018/04/01 CR&R, Inc. Certficiate of Liability Insurance CR&RINC-01 S0912533 CERTIFICATE OF LIABILITY INSURANCE DATE(MM1!/DD/YYYY) 08131/2018 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 certifigak�=tvo1¢er(rn)ieu of such endorsement(s). PRODUCER License#OE77964 LCONTACT Solid Waste Insurance Marketing Clty 'nrj( I PHONE --- -- FAX P.O.Box 7072 (AIC,No,Ext):(626)795-9000 (A/C,No):(626)577-8940 Pasadena,CA 91109 ^ r� { E•MAIL �H .0�2U(�((j ADDRESS: INSURERS AFFORDING COVERAGE NAIC INSURER A:Greenwich Insurance Company 122322 INSURED ll"'""""�"'I INSURERB:XL Specially Insurance Com an 37885 CR&R,Inc.Haulaway Storage Containers,Inc. INSURERC:XL Insurance America 124554 11292 Western Avenue INSURER D: Stanton,CA 90680 INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR I TYPE OF INSURANCE IADDL SUUIBR PMLICDY EFF MM ICY EXP LIh!ITS TR IN . POLICY NUMBERYYJ A !XI:C70MMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR GEC300046804 09/03/2018 09/03/2019 DAMAGE TO RENTED 100,000 X P E uj_II�ES�_a occu rent S >f MED EXP(Any oneperson) S 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I S 2,000,000 X POLICY❑PET F LOC I PRODUCTS-COMP/OP AGG I S 2,000,000 OTHER: I S B AUTOMOBILE LIABILITY EOacccl de01)INGLE LIMIT S 1,000,000 JX ANY AUTO X AECO04448604 09/03/2018 09/03/2019 BODILY INJURY Perperson) I S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident S AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Peracadent S S UMBRELLA LIAB OCCUR EACH OCCURRENCE is EXCESS LIAR HCLAIMS-MADE AGGREGATE S DED I I RETENTION s s C WORKERS COMPENSATION I X PER OTRH- AND EMPLOYERS'LIABILITY YIN RWD943520911 04/01/2018 04/01/2019 1,000,000 ANY CERIMEMBERlPXCLUDE/EXECUTIVE E.L.EACH ACCIDENT 5 (Mandatory in N )EXCLUDED? NIA' II 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEfJ 5 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Common Policy Conditions(Cancellation)-IL0017(Ed.11198) Earlier Notice of Cancellation Provided by Us WC990110(Ed.1108) SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN tY ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road Menifee,CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:CR&RINC-01 S0912533 LOC#: 1 ® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY License#OE77964 NAMED INSURED olid Waste Insurance Marketin CR&R,Inc.Haulaway Storage Containers,Inc. g 11292 Western Avenue POLICY NUMBER Stanton,CA 90680 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEEPAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/Locations/Vehicles: Certificate Holder name: City of Menifee its officers,employees,agents and volunteers Additional Insured-Owners, Lessees or Contractors-Scheduled Person or Organization CG20100413 Automatic Additional Insured XIC411 1013 Additional Insured-Owners, Lessees or Contractors (GL Primary Wording)XIL4240605 ACORD 101 (2008101) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IL 00 17 11 98 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation b. Give you reports on the conditions we find; 1. The first Named insured shown in the and Declarations may cancel this policy by mailing c. Recommend changes. or delivering to us advance written notice of 2. We are not obligated to make any inspections, cancellation. surveys, reports or recommendations and any 2. We may cancel this policy by mailing or such actions we do undertake relate only to delivering to the first Named Insured written insurability and the premiums to be charged. notice of cancellation at least: We do not make safety inspections.We do not a. 10 days before the effective date of undertake to perform the duty of any person or cancellation if we cancel for nonpayment of organization to provide for the health or safety premium; or of workers or the public. And we do not b. 30 days before the effective date of warrant that conditions: cancellation if we cancel for any other a. Are safe or healthful; or reason. b. Comply with laws, regulations, codes or 3. We will mail or deliver our notice to the first standards. Named Insured's last mailing address known 3. Paragraphs 1. and 2. of this condition apply to us. not only to us, but also to any rating, advisory, 4. Notice of cancellation will state the effective rate service or similar organization which date of cancellation. The policy period will end makes insurance inspections, surveys, reports on that date, or recommendations. 5. If this policy is cancelled, we will send the first 4. Paragraph 2, of this condition does not apply Named Insured any premium refund due. 1f we to any inspections, surveys, reports or cancel, the refund will be pro rata. If the first recommendations we may make relative to Named Insured cancels, the refund may be certification, under state or municipal statutes, less than pro rata. The cancellation will be ordinances or regulations, of boilers, pressure effective even if we have not made or offered vessels or elevators. a refund. E. Premiums 6. If notice is mailed, proof of mailing will be The first Named Insured shown in the sufficient proof of notice. Declarations: B. Changes 1. Is responsible for the payment of all premiums; This policy contains all the agreements between and you and us concerning the insurance afforded. 2. Will be the payee for any return premiums we The first Named Insured shown in the pay. Declarations is authorized to make changes in the F. Transfer Of Your Rights And Duties Under This terms of this policy with our consent. This policy's Policy terms can be amended or waived only by endorsement Issued by us and made a part of Your rights and duties under this policy may not this policy. be transferred without our written consent except C. Examination Of Your Books And Records in the case of death of an individual named insured. We may examine and audit your books and If you die, your rights and duties will be records as they relate to this policy at any time transferred to your legal representative but only during the policy period and up to three years while acting within the scope of duties as your afterward. legal representative. Until your legal representative D. Inspections And Surveys is appointed, anyone having proper temporary 1. We have the right to: custody of your property will have your rights and a. Make inspections and surveys at any time; duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 01 10 (Ed. 1108) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US ENDORSEMENT This endorsement modifies insurance provided under the following: WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY Number of Days Notice: 60 (If no entry appears above, information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice of cancellation, as provided in PART SIX — CONDITIONS, D. Cancelation of the Workers' Compensation and Employers' Liability Insurance Policy or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. All other terms and conditions remain the same. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. 04-01-2018 to 04-01-2019 RWD9435209-11 Insured CR&R Incorporated Insurance Company XL Insurance America, Inc. .�'407- Countersigned by WC 99 01 10 Ed. 1/08 rL)2007 XL America Inc. POLICY NUMBER: GEC300046804 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Locations Of Covered Operations City of Menifee, its officers, employees,agents and Re: All Operations volunteers 29714 Haun Road Menifee, CA 92586 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for"bodily injury", "property This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury' "property damage"occurring after: caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the injury or damage arises has been put to its 1. The insurance afforded to such additional intended use by any person or organization insured only applies to the extent permitted by other than another contractor or subcontractor law; and engaged in performing operations for a 2. If coverage provided to the additional insured is principal as a part of the same project. required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III—Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 2010 0413 POLICY NUMBER: AECO04447704/AECO04448604 XIC 411 1013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTOMATIC ADDITIONAL INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM AUTO DEALERS COVERAGE FORM A. COVERED AUTOS LIABILITY COVERAGE, Who Is An Insured, is amended to include as an "insured" any person or organization you are required in a written contract to name as an additional insured, but only for"bodily injury" or"property damage" otherwise covered under this policy caused, in whole or in part, by the negligent acts or omissions of: 1. You, while using a covered"auto"; or 2. Any other person, except the additional insured or any employee or agent of the additional insured, operating a covered "auto"with your permission; Provided that: a. The written contract is in effect during the policy period of this policy; b. The written contract was signed by you and executed prior to the "accident" causing"bodily injury" or"property damage"for which liability coverage is sought; and C. Such person or organization is an "insured" solely to the extent required by the contract, but in no event if such person or organization is solely negligent. B. The Limits of Insurance provided for the Additional Insured shall not be greater than those required by contract and, in no event shall the Limits of Insurance set forth in this policy be increased by the contract. C. General Conditions, Other Insurance is amended as follows: Any coverage provided hereunder shall be excess over any other valid and collectible insurance available to the additional insured whether such insurance is primary, excess, contingent or on any other basis unless the contract specifically requires that this policy be primary. All terms, conditions, exclusions and limitations of this policy shall apply to the liability coverage provided to any additional insured, and in no event shall such coverage be enlarged or expanded by reason of the contract. All other terms and conditions of this policy remain unchanged. XIC 411 1013 ©2013 X.L. America, Inc. All Rights Reserved. Page 1 of 1 May not be copied without permission. Includes copyrighted material of Insurance Services Office, Inc.,with its permission.