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2019/05/31 SCG-Spicer Consulting Grp, LLC Certficiate of Liability Insurance 's DATE(MMIDDlYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/12/2019 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 ISU Insurance Services Cormarc Tasman I7HON Helena Orosco ydc HsF ExO:—(951)290-5040 126011 x1 2T$9BB4 25220 Hancock Ave,Suite 200 E-MAIL Murrieta, CA 92562 ADDRESS: heleriaosticormarc.com INSURERS AFFORDING COVERAGE NAIC# License#: OE63467 INSURERA: T s G - asualty Ins-Co INSURED INSURER B: NorGuard Insurance Company SCG-SPICER CONSULTING GRP LLC I DBA SPICER CONSULTING GROUP NSURERC: LIO d's of London 41619 MARGARITA RD,STE 101 INSURER D: TEMECULA, CA 92591 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 00000000-76945 REVISION NUMBER: 1 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, IIN,TR TYPE OF INSURANCE A00�SUBR POLICY EM POLICY EXP -WVD POLICYNIIMBER MMIDDFnY MMIO 1YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 680-21-1870106 05/31/2019 05131/2020 EACH OCCURRENCE $ 21000,000 DAMAGE TO RIENIEt) CLAIMS-MADE ; OCCUR PREMI E.IFa occurre $ 300,000 MED EXP Any oneperson) $ 5,000 PERSONAL&AOV INJURY $ 2,000,000 GE�N'L AGGREGATE LIMIT APPLIES PER: GENERAL AWREGAT6 li 4,000,000 X�POLICY PEa 1-1 LOC PRODUCTS-COMP/OPAGG $ 4A00,000 OTHER $ A AUTOMOBILE LIABILITY 680-2H870106 05131/2019 05/3112020 CWI�INED SIN Llrµn S 1,00Q,Q00 ANY AUTO BODILY INJURY(Per person) fi OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED yy NON-OWNED $ AUTOS ONLY A AUTOS ONLY UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO I I RETENTIONS $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN Y SCWC994693 10/07/2018 10/07/2019 X TATUTE s 1 OOO OOO ANY PROPRIETORIPARTNER/EXECUTIVE E-L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 5 1,000,000 f yes,describe under IDESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ C Prof Lia MPL175558019 105/31/2019 05131/2020 Limit 2,000,000 retro date 5/31/16 Retention 10,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: On-Call Municipal Finance Consulting Services. City of Menifee,its officers,employees,agents and authorized volunteers are named as additional insured in respects to General Liability coverage is Primary and Non-Contributory per CGD1050494.Waiver of Subrogation applies to Work Comp per WC040306. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Menifee MEN1297 ACCORDANCE WITH THE POLICY PROVISIONS. 29844 Haun Road Menifee,CA 92586 AUTHORIZED REPRESENTATIVE " pi y ----LORD) ©19802015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Printed by ORO on June 12,2019 at 01:12PM COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: 1. WHO IS AN INSURED (SECTION II) is amended in a written contract for this insurance to to include as an insured any person or organiza- apply on a primary or contributory basis. tion (called hereafter "additional insured") whom 3. This insurance does not apply: you have agreed in a written contract, executed prior to loss, to name as additional insured, but a. on any basis to any person or organization only with respect to liability arising out of "your for whom you have purchased an Owners work" or your ongoing operations for that addi- tional insured performed by you or for you. b, to "bodily injury," "property damage," "per- 2. With respect to the insurance afforded to Addi- sonal injury," or "advertising injury" arising tional Insureds the following conditions apply: out of the rendering of or the failure to render a. Limits of Insurance — The following limits of any professional services by or for you, in- cluding: liability apply: 1. The limits which you agreed to provide; 1. The preparing, approving or failing to prepare or approve maps, drawings, or opinions, reports, surveys, change or- 2. The limits shown on the declarations, ders, designs or specifications; and whichever is less. 2. Supervisory, inspection or engineering b. This insurance is excess over any valid and services. collectible insurance unless you have agreed CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994. Page 1 of 1 Includes Copyrighted Material from Insurance Services Office, Inc. WORKERS COMPENSATION AND EMPLOYERS LIABILITY 114SURANCE POLICY WC 04 03 0.6 �(Ed.4-84) -------------------------- WAIVER OF OUR RIGHT TO RECOVER FROM 0THEPtEND0RSEMENT--CALIF0RNIA We have the right to recover our paymerb from anyone liable for an injury covered by this policy: We will not.enforce our right against the person or organization named in the-Schadule, (This agreement applies only to the extent that you Perform work up.de.r a wrktert contract:that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of Your employees white-engaged in the work described in the Schedule- Tl3e kw this 51-mil bu 1_.02 of tilm Gatirofnid. Woikors., wnlpealza I ik-In. puerniulu other wl�e clue On such.:rernunerafion. Schedule Persono Organ.za 1 1 1.n ..r _0 Job'Description B"et Waiver-Any pemn or orginuzation for whom the, All CA Operations:: Nwcd Insured has agreod by wntton contract to furtish this. Eve, P FWorw,i-iew Fitex.:tIve Pollayw, 9=9446cM Endar�onwrit No. Insurance Caff1plarty movs uy tho W*rtmr.#'0*1t pert3afion tnvuranvo f"tafing Dumu OfOn ia4m,Im Ail rig hts.ro"mod Cl CWA021011 CERTIFICATE OF INSURANCE This certificate Is issued for Informational purposes only.It certifies that the policies listed in this document have been Issued to the Named Insured. It does not grant any rights to any party nor can it be used,In any way, to modify coverage provided by such policies.Alteration of this certificate does not change the terms,exclusions or conditions of such policies.Coverage is subject to the provisions of the policies, Including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured.The limits shown below are the limits provided at the policy inception.Subsequent paid claims may reduce these limits. Certificate Holder. Named Insured: CITY OF MENIFEE SPICER CONSULTING GROUP LLC ATTN: DEPARTMENT OF FINANCE 41619 MARGARITA RD STE 101 29844 HAUN RD TEMECULA CA 92591-2986 MENIFEE, CA USA 925866539 Automobile Liability Insurer Name:Allstate Insurance Company PoticfNumber 648827849 1-Any Auto 2-Owned Autos Only 3-Owned Priv.Pass.Autos Only 4-Owned Autos Other Than Priv. 5-Owned Autos Subject to 6-Owned Autos Subject to a Compulsory UM Law Pass.Autos Only No Fault x 7-SNcifically Described Autos 8-Hired Autos Only x 9-Nonowned Autos Only Policy Effective Date: 0 9-14-2 018 Policy Expiration Date: 0 9-14-2 019 Limits of $1,000,000 Combined Single Limit(each accident) Insurance: BI Per Person I BI Per Accident PD Per Accident Description of Operations/Locations/Vehicles/Endorsements/Special Provisions Interested Party T : Additional Insured - Munici alit THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER. IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED, THE POLICY(IES)MUST EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOLDER WITH ADDITIONAL INSURED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH POLICY LANGUAGE OR ENDORSEMENT. Producer. ADRIANA CUEVAS Authorized Representative: Date: 05-24-19 Includes copyrighted material of Insurance Services Office, Inc.,with its permission Cl CWA021011 Allstate Insurance Company Page 1 of 1 Insured Full Copy POLICY NUMBER: 648827849 COMMERCIAL AUTO CA20481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM 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 this endorsement. This endorsement identifies person(s) or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: SPICER CONSULTING GROUP LLC Endorsement Effective Date: 0 5—2 4—2 019 SCHEDULE Name Of Person(s)Or Organ¢ation(s): CITY OF MENIFEE ATTN: DEPARTMENT OF FINANCE 29844 HAUN RD MENIFEE, CA USA 925866539 Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph Al. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 ©Insurance Services Office, Inc.,2011 Page 1 of 1 Insured Full Copy CHUEaall ISSUING COMPANY Workers' Compensation ACE AMERICAN INSURANCE COMPANY NCCI CARRIER CODE and Employers Liability 12165 _ Insurance Policy Information Page POLICY NUMBER 0 New ❑ Renewal ❑ Rewrite Symbol: WLR Number:C6 56 25 87 8 PREVIOUS POLICY NO. _ Individual ❑ Partnership Association Symbol: Number: ❑X Corporation ❑ Joint Venture ❑ Other Legal Entity Item 1. FTRINET GROUP, INC. Inter/Intrastate ID No.: Named L/C/F SCG SPICER CONSULTING GROUP LLC Insured 9000 TOWN CENTER PARKWAY Federal Employer ID No.: 953359658 BRADENTON FL 34202 Mailing Address Employer's ID No.: PIIC CODE: 6282 For other named insured see Extension of Information Page—Schedule of Named Insured,WC 99 99 99 A For other workplaces see Extension of Information Page—Schedule of Other Workplaces,WC 99 99 99 B Item 2. Policy period: From 12-16-2018 To 07-01-2019 12:01 A.M., standard time at the named insured's mailing address. Item 3A. Workers'Compensation Insurance: Part One of the policy applies to the Workers'Compensation Law of the states listed here: CA Item 3B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 2.000,000 each accident Bodily Injury by Disease $ 2,000,000 policy limit Bodily Injury by Disease $ 2,000,000 each employee Item 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here ALL STATES EXCEPT ND,OH,WA,WY, AND STATES DESIGNATED IN ITEM &A Item 3D. This Policy includes these endorsements and schedules: See schedule of Forms and Endorsements WC999999D Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans.All information required below is subject to verification and change by audit. SEE EXTENSION OF INFORMATION PAGE—CLASSIFICATIONS If indicated here, interim adjustments of premium will be made: Minimum Premium collected in CA $ ❑ Semi-Annually ❑ Quarterly ❑ Monthly Total Estimated Premium $ Deposit Premium $ PRODUCER NAME AND MAILING ADDRESS USI INSURANCE SERVICES NATIONAL INC 2601 SOUTH BAYSHORE DRIVE 16TH FLOOR SUITE 1600 COCONUT GROVE FL 33133 PRODUCER CODE: Z05455 56-1882208 DAU MARKETING OFFICE: DALLAS BRANCH ISSUE DATE: 12/27/2018 Authorized Representative WC 00 00 01A(05/88) Copyright 1987 National Council on Compensation Insurance INSURED COPY