2018/12/31 Rightway Site Services, Inc. Certficiate of Liability InsuranceCERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
12/23/2018
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, E)CrEND 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 ADDIT�ONAL 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 endorsemential.
PRODUCER
(OR) Heffernan Insurance Brokers
5100 SW Macadam, Suite 440
Portland OR 97239
INSURED
Rightway Site Services, Inc.
530 Central Ave
Lake Elsinore CA 92530
COVERAGES
City of Menifee
City Clerk
RIGHSIT-01
Received
CERTIFICATE NUMBER: 1854919871
I Extl- 503-226-1320 1 WE No): 503-226-1478
INSURERA: Nationwide Mutual
REVISION NUMBER:
NAIC #
23787
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.
PN S R ADDEXUB POLICYEFF POLICYEXP
LTR TYPE OF INSURANCE INSD POLICYNUMBER WMID LIMITS
A
X
_7
COMMERCIAL GENERAL LIABILITY
—I
ACP3027964686
12/31/2018
12131/2019
EACH OCCURRENCE
$1,000,000
DAMAGE TO R
PREMISES 1E occurrence)
CLAIMS -MADE X OCCUR
$300,000
MED EXP (Any one person)
$10,000
PERSONAL & ADV INJURY
$1.000,000
GEMLAGISRE13ATE LIMIT APPLIES PER:
POLICY [:] PRO-
JECT LOC
GENERAL GGREGATE
$2.000,000
PRODUCTS - COMP/OP AGG
$ 2,000�000
$
OTHER:
A
AUTOMOBILE
LIABILITY
ACP3027964686
12/31/2018
12/31/2019
ED SINGLE LIMIT
CfE0,M,r'W"d,.t)
$1,000,000
x
BODILY INJURY (Per person)
$
AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
_9ANY
BODILY INJURY (Per accident)
$
X
HIRED NON -OWNED
AUTOS ON X AUTOS ONLY
PROPERTY DAMAGE
accident)
$
$
UMBRELLA LIAB 1__J
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED I I RETENTION$
$
WORKERS COMPENSATION
--T
DTH_
—7slMATUTI
AND EMPLOYERS'LIABILITY YIN
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
N/A
-1 ER
E. L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
If yes, describe under
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS below
A
Limited Pollution Coveme ACP3027964686
Auto Pollution CA994B1 -13
12/31/2018
12/31/2019
Limit
Each Occurence
$1,000,000
Included in CSL
DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required)
Re: As Per Contract or Agreement on File with Insured.
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29714 Haun Road
Menifee, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CG 7079 (4-98)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LIMITED POLLUTION COVERAGE - JOB SITES
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
Schedule
Each Pollution Incident Limit $
Pollution Liability Aggregate Limit $
Property Damage Deductible $ Each Pollution Incident
Premium $
(if no entry appears in the space above for property damage deductible, no deductible applies to the coverage pro-
vided by this endorsement.)
A. The following is added to COVERAGES (Section 1): No other obligation or liability to pay
sums or perform acts or services is cov-
COVERAGE D. LIMITED POLLUTION COVERAGE ered unless explicitly provided for under
SUPPLEMENTARY PAYMENTS.
1. Insuring Agreement.
a. We will pay those sums that the insured
becomes legally obligated to pay:
1) As damages because of:
a) "bodily injury"; or
b) "property damage"; or
2) As "clean-up costs" because of "en-
vironmental damage" which directly
results from physical injury to tangi-
ble property;
to which this insurance applies. We will
have the right and duty to defend any
.'suit" seeking these damages. We may
at our discretion investigate any "pol-
lution incident" and settle any claim or
"suit" that may result. But:
1) The amount we will pay for damages
and "clean up costs" is limited as
described in SECTION III - LIMITS OF
INSURANCE of this endorsement;
and
2) Our right and duty to defend end
when we have used up the applica-
ble limit of insurance in the payment
of judgments, settlements, or
%lean -up costs".
b. This insurance applies to "bodily injury",
'.property damage", and "environmental
damage" only if:
1) The "bodily injury", "property dam-
age", or "environmental damage"
arises out of a "pollution incident":
a) on or from "your job site" in the
"coverage territory";
b) that it is demonstrable as begin-
ning and ending within 72 hours
of the "pollution incident"; and
c) that it is accidental.
2) The "bodily injury", "property dam-
age", or "environmental damage"
occurs during the policy period.
c. Damages because of "bodily injury" in-
clude damages claimed by any person or
organization for care, loss of services, or
death resulting at any time from the
"bodily injury".
2. Exclusions.
The insurance provided by this endorsement
does not apply to:
a. "Bodily injury", "property damage", or
'.environmental damage" expected or in-
tended from the standpoint of the insured.
CG 7079 (4-98) Page 1 of 4
"Bodily injury", "property damage", or
fienvironmental damage" for which the
insured is obligated to pay damages by
reason of the assumption of liability in a
contract or agreement. This exclusion
does not apply to liability for damages
that the insured would have in the ab-
sence of the contract or agreement.
c. Any obligation of the insured under a
workers' compensation, disability bene-
fits or unemployment compensation law
or any similar law.
d. "Bodily injury" to:
1) An employee of the insured arising
out of and in the course of.
a) employment by the insured; or
b) performing duties related to the
conduct of the insured's busi-
ness
2) The spouse, child, parent, brother or
sister of that employee as a conse-
quence of (1) above.
This exclusion applies:
1) Whether or not the insured may be
liable as an employer or in any other
capacity; and
2) To any obligation to share damages
with or repay someone else who may
pay damages because of the injury.
e. "Property damage", or "environmental
damage" to:
1) A "waste facility";
2) Property you own, rent or occupy
now or at any time in the past;
3) Premises you sell, give away or
abandon, if the "property damage"
arises out of any part of those prem-
ises;
4) Property loaned to an insured; or
5) Personal property in the care, cus-
tody or control of an insured.
"Bodily injury", "property damage", or
Vienvironmental damage" included within
CG 7079 (4-98)
the "prod ucts-completed operations haz-
ard".
"Bodily injury", "property damage", or
Henvironmental damage" arising out of
the ownership or operation of any off-
shore facility as defined in the Outer
Continental Shelf Lands Act Amendment
of 1978 or any deepwater port as defined
in the Deepwater Port Act of 1974 as
amended or as may be amended.
"Bodily injury", "property damage", or
.'environmental damage" arising out of a
"pollution incident" on or from a "job site"
or any part of a "job site" that is, or was
at anytime, used by you for the storage,
disposal, processing or treatment of
waste materials.
"Bodily injury", "property damage", or
.'environmental damage" arising out of
the ownership, maintenance, use or
entrustment to others of any aircraft,
"auto," rolling stock or watercraft owned
or operated by or rented or loaned to any
insured. Use includes operation and
"loading or unloading".
This exclusion does not apply to "bodily
injury", "property damage", or "environ-
mental damage" arising out of the opera-
tion of any of the equipment listed in
paragraph f.(2) or f.(3) of the definition of
.'mobile equipment" (Section V.).
"Bodily injury", "property damage", or
"environmental damage" arising out of
the emission, discharge, release or es-
cape of drilling fluid, oil, gas, or other
fluids from any oil, gas, mineral, water or
geothermal well.
"Bodily injury", "property damage", or
.'environmental damage" arising out of a
"pollution incident" which results from or
is directly or indirectly attributable to
failure to comply with any applicable
statute, regulation, ordinance, directive
or order relating to the protection of the
environment and promulgated by any
governmental body, provided that failure
to comply is a willful or deliberate act or
omission of:
1) An insured; or
2) You or any of your members, part-
ners or executive officers
CG 7079 (4-98) Page 2 of 4
I. "Bodily injury", "property damage", or
t, environmental damage" arising out of
acid rain,
m. "Bodily injury", "property damage", or
,.environmental damage" arising out of.
1) The transportation of "mobile equip-
ment" by an "auto" owned or oper-
ated by or rented or loaned to any
insured; or
2) The use of "mobile equipment" in, or
while in practice or preparation for,
a prearranged racing, speed or
demolition contest or in any stunting
activity.
n. Any loss, cost or expense arising out of
any request, demand or order by a gov-
ernmental body that any insured or oth-
ers test for, monitor, clean-up, remove,
contain, treat, detoxify or neutralize, or in
any way respond to, or assess the affects
of "pollutants" at any site which is in-
cluded or proposed for inclusion on a
governmental body's clean-up priority
list, such as but not limited to, USA/EPA's
NPL listing.
o. "Bodily injury" or "property damage"
arising out of heat, smoke or fumes from
a hostile fire.
As used in this exclusion, a hostile fire
means one which becomes uncontrolla-
ble or breaks out from where it was in-
tended to be.
p. Any multiple, punitive or exemplary dam-
ages.
q. "Bodily injury" or "property damage" or
from any of "your job sites", on which any
insured or any contractor or subcontrac-
tor working directly or indirectly on any
insured's behalf are performing oper-
ations if the pollutants are not brought on
or to "your work site" by such insured,
contractor or subcontractor.
B. SUPPLEMENTARY PAYMENTS - COVERAGES A
AND B is amended to:
SUPPLEMENTARY PAYMENTS - COVERAGES A,
B AND D.
C. SECTION III - LIMITS OF INSURANCE is amended
as follows:
CG 7079 (4-98)
CG 7079 (4-98)
1- Paragraph 1 is replaced by the following:
1. The Limits of Insurance shown in the
Declarations and this endorsement and
the rules below fix the most we will pay
regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought; or
c. Persons or organizations making
claims or bringing "suits",
2. Paragraph 2. is replaced by the following:
2. The General Aggregate Limit is the most
we will pay for the sum of:
a. Medical expenses under Coverage
C;
b. Damages under Coverage A, except
damages because of "bodily injury"
or "property damage" included in the
"prod ucts-com pi eted operations haz-
ard";
c. Damages under Coverage B; and
d. Damages under Coverage D.
3. The following is added:
8. Subject to 2. above (the General Aggre-
gate Limit) the Pollution Liability Aggre-
gate Limit is the most we will pay for the
su m of,
a. All damages because of all "bodily
injury" and "property damage" and
b. All "clean-up costs" incurred be-
cause of all "environmental dam-
age";
arising out of all "pollution incidents".
9. Subject to 2. above (the General Aggre-
gate Limit) and 8. above (the Pollution
Liability Aggregate Limit) the Each Pol-
lution Limit is the most we will pay for:
a. All damages because of all "bodily
injury" and "property damage"; and
b. All "clean-up costs" incurred be-
cause of all "environmental dam-
age";
Page 3 of 4
arising out of any one "pollution inci-
dent".
Deductible
Our obligation under this endorsement to
pay damages for "property damage" or
.,clean-up costs" because of "environ-
mental damage" on your behalf applies
only to the amount of damages or
"clean-up costs" in excess of any deduct-
ible amount stated in the schedule of this
endorsement as applicable to Each Pol-
lution Incident. Neither the Each Pollution
Incident Limit nor the Pollution Liability
Aggregate Limit will be reduced by the
application of such deductible amount.
2. The terms of this insurance, including
those with respect to:
a. Our right and duty to defend any
"suits" seeking those damages; and
b. Your duties in the event of a "pol-
lution incident", claim or "suit";
apply irrespective of the application of the
deductible amount.
3. We may pay any part or all of the
deductible amount to effect settlement of
any claim or "suit" and, upon notification
of the action taken, you shall promptly
reimburse us of such part of the deduct-
ible amount as has been paid by us.
D. Paragraph 4., Other Insurance of CONDITIONS
(Section IV) is amended as follows:
All references to Coverages A or B are amended
to read Coverages A, B or D.
E. The following definitions are added to SECTION V
- DEFINITIONS:
CG 7079 (4-98)
"Clean-up costs" means expenses for the removal
or neutralization of "pollutants".
"Environmental damage" means the injurious
presence of "pollutants" in or upon land, the at-
mosphere, or any water course or body of water.
"Pollution incident" means the actual or alleged
emission, discharge, release, or escape of
"pollutants" from "your job site" provided that such
emission, discharge, release, or escape results in
.,environmental damage". All "bodily injury",
'.property damage" and "environmental damage"
arising out of one emission, discharge, release or
escape shall be deemed to be one "pollution inci-
dent".
"Pollutants" means any solid, liquid, gaseous or
thermal irritant or contaminant, including smoke,
vapor, soot, fumes, acids, alkalis, chemicals and
waste. Waste includes materials to be recycled,
reconditioned or reclaimed.
"Waste facility" means any site to which waste
from the operations of "your work site" is legally
consigned for delivery or delivered for storage,
disposal, processing or treatment, provided that
such site is not and never was owned by, rented
or loaned to you.
"Your job site" means any site or location on
which you or any contractors or subcontractors
working directly or indirectly on your behalf are
working. "Your job site" does not include any
premises, site or location which currently is or
was, at the time you or any contractors or sub-
contractors working directly or indirectly on your
behalf were working on such premises, site or lo-
cation, owned or occupied by or rented or loaned
to you.
CG 7079 (4-98) Page 4 of 4
COMMERCIAL AUTO
CA 99 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLLUTION LIABILITY - BROADENED COVERAGE
FOR COVERED AUTOS - BUSINESS AUTO AND
MOTOR CARRIER COVERAGE FORMS
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless
modified by the endorsement.
A. Covered Autos Liability Coverage is changed as
follows�
1. Paragraph a. of the Pollution Exclusion
applies only to liability assumed under a
contract or agreement.
2. With Fespect to the coverage afforded by
Paragraph A.I. above, Exclusion B.6. Care,
Custody Or Control does not apply.
B. Changes In Definitions
For the purposes of this endorsement, Paragraph
D. of the Definitions Section is replaced by the
following:
D. "Covered pollution cost or expense" means any
cost or expense arising out of:
1. Any request, demand, order or statutory or
regulatory requirement that any "insured" or
others test for, monitor, clean up, remove,
contain, treat, detoxify or neutralize, or in
any way respond to, or assess the effects
of "pollutants"; or
2. Any claim or "suit" by or on behalf of a
governmental authority for darnages
because of testing for, monitoring, clean�ng
up, removing, containing, treating,
detoxifying or neutralizing, or in any way
responding to or assessing the effects of
"pollutants".
"Covered pollution cost or expense" does not
include any cost or expense arising out of the
actual, alleged or threatened discharge,
dispersal, seepage, migration, release or
escape of "pollutants":
a. Before the "pollutants" or any property in
which the "pollutants" are contained are
moved from the place where they are
accepted by the "insured" for movement
into or onto the covered "auto"; or
b. After the "pollutants" or any property in
which the "pollutants" are contained are
moved from the covered "auto" to the
place where they are finally delivered,
disposed of or abandoned by the
"insured".
Paragraphs a. and b. above do not apply to
.'accidents" that occur away from premises
owned by or rented to an "insured" with
respect to "pollutants" not in or upon a
covered "auto" if:
(1) The "pollutants" or any property in
which the "pollutants" are contained
are upset, overturned or damaged as
a result of the maintenance or use of
a covered "auto"; and
(2) The discharge, dispersal, seepage,
migration, release or escape of the
,.pollutants" is caused directly by
such upset, overturn or damage.
CA 99 48 10 13 @ Insurance Services Office, Inc., 2011 Page 1 of I
HEFFERNAN INSURANCE BROKERS
5100 SW MACADAM AVE. SUITE 440
PORTLAND OR 97239-3830
CITY OF MENIFEE
29714 HAUN RD
MENIFEE CA 92586-6540