2018/03/01 Wallace & Associates Consulting, Inc. Certificate of Liability Insurance (7) ACOWO)O CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDrYM)
311/2018
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 certificate holder in lieu of such endorsement(s).
PRODUCER Risk Strategies Company CONTACT
g p y NAME: Risk Strategies Company_
2040 Main Street, Suite 450 PHONE-- - FAX —
Irvine, CA 92614 1ALC_r{o_E:I);_ 949-242-9240 i FAX
Irvine,
E-h1AIL
ADDRESS: syoung@risk-slralegies.ccm _
RJSURERIS)AFFORDING COVERAGE NAIC:
vnnv.risk-strategies.com CA DO[License No.OFOD"675 wSURERA: Citizens Insurance CO.of America 31534
INSURED INSURER e: Allmerica Financial Benefit Insurance Co. 41840
Wallace&Associates Consulting, Inc. —
1203 Angus Ct. INSURER c: Hanover American Insurance Co. 36064
Park City UT 84098 INSURER D: U.S.Specialty Insurance Company_ 29599
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 40616873 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.
EXCLUSION_S AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IrJ SR __.___--7A _ ._._..___
LTR TYPE OF INSURANCE � DDL�SUBR c POLICY EFF POLICY EXP
! POLICY tJUMB_R ! M7.1/ODfYYYY !,1lAI0DIYYYY I LIMITS
A _✓ 'COMMERCIAL GENERAL LIABILITY �/ OB39866077 3/1/2018 j 3/1/2019 EACH OCCURRENCE ;5S2,000,000
CLAIMS-ILADE ✓ OCCUR 1 7D:;RAGE 10RENTED- �— -—
-._ FREIISESjEao wrrencel :SS1.000.000
L!ED EXP(Any one person) S S5,000
PERSONAL&ADV INJURY 5S2.000,000
_GEN't.AGGREGATE LIMIT APPLIES PER � GE14ERAL AGGREGATE i sS4,000,000
_.POLICY i✓ i JECOT _ LOC I 1 PRODUCTS-COL!PJOPAGG SS4,000,000 _
OTHER S
B `AUTOMOBILE LIABILITY 1✓ 'AW39866062 3/l/2018 311/2019 1 c�acadcDlsINGLEurui SS1•000.000
- L---
• ✓ ANY AUTO i - j BODILY INJURY(Per person) S
AUTOS ONLY AUTWNED OS LED I BODILY INJURY(Per accident):S
_ ..ur05 � _
. ✓ HIRED I NON-OWNED I ;PROPERTY DAMAGE i
;_._..AUTOS ONLY :_✓1 AUTOS ONLY I S i{Per acc�denl)_
'UMBRELLALIAB OCCUR
i EACH OCCURRENCE Is
EXCESS LIAR __CLAIMS_-MADE. AGGREGATE
i DED RETENTIONS i !S
C IWORKERSCOMPENSATION ✓ ;WZ39866030 3/112018 !3/1/2019 I ✓ I ST P
RTUTE i OTH-
'AND EMPLOYERS'LIABILITY Y/N I i '� -----------
t)YPROPRIETORIPARTNER/EXECUTIVE I (EJ_.EACH ACCIDENT sS1,000.000
i OFFICERJMEMDEREXCLUDED7 17
'NIA _
'(Mandatory in NH) I E_L DISEASE-EA EMPLOYEE 5$1 QQQ,QQO
It yes.desenbe under
I DESCRIPTION OF OPERATIONS bolo-r !E.L.DISEASE-POLICY LIMIT SS1.000.000
D ;Professional Liability I 'USS1828479 3/112018 13/1/2019 Per Claim:S2,000,000
•ADgregale:S2,000,000
i I
DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached it more space is required)
Projects as on rile With the insured.
City of Menifee and its officers,employees,agents and authorized volunteers are named as additional insureds and primary/non-contributory
applies to the general and auto liability policies and a Waiver of subrogation applies to the Work comp policy-see attached endorsements.
CERTIFICATE HOLDER CANCELLATION
City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Cj
City: Don Allison, Public Works Dir. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
29714 Hahn Rd.
Menifee CA 92586
AUTHORIZED REPRESENTATIVE
1 Michael Christian
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
Architects and Engineers
The following policy language is from Businessowners General Liability Coverage Parf
NAMED INSURED:Wallace&Associates Consulting,Inc. POLICY NUMBER:0639866077
The following are mandatory forms on the policy identified on the Certificate of Insurance:
391-1586(08-16) BUSINESSOWNERS GENERAL LIABILITY SUPPLEMENTARY ENDORSEMENT
Additional Insured by Contract,Agreement or Permit
A. Section If — Liability, C —Who is an insured is amended to include as an additional insured any person or organization
with whom you agreed in a written contract, written agreement or permit but only respect to liability for"bodily injury", "property
damage"or"personal and advertising injury"caused, in whole or in part, by your acts or omissions; or the acts or omissions of
those acting on your behalf, but only with respect to:
(i) "Your work" for the additional insured(s) designated in the contract, agreement or permit including "bodily
injury" or "property damage" included in the "products - completed operations hazard" only if this Coverage
Part provides such coverage;
(ii) Premises you own, rent, lease, or occupy;or
(iii) Your maintenance,operation or use of equipment leased to you.
This provision does not apply:
(1) Unless the written contract or written agreement has been executed or permit has been issued prior to the "bodily
Injury", "property damage", "personal injury"or"advertising injury".
(2) To any person or organization Included as an Insured by an endorsement Issued by us and made part of this
Coverage Part.
(3) To any lessor of equipment(a) After the equipment lease expires; or (b) If the "bodily Injury", "property damage",
"personal injury"or"advertising Injury"arises out of sole negligence of the lessor.
(4) To any: (a) Owners or other Interests from whom land has been leased which takes place after the lease for the
land expires; or(b) Managers or lessors of premises if: (i) The occurrence takes place after you cease to be a tenant
in that premises; or (ii) The "bodily injury", "property damage", "personal injury" or"advertising injury"arises out of
structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor.
(5) To"bodily injury", "property damage"or"personal and advertising injury"arising out of the rendering of or failure to
render any professional services.
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring,
employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury"or"property
damage" or the offense which caused the "personal and advertising injury" involved the rendering of or failure to render any
professional services by or for you.
Other Insurance Primary& Non-Contributory
The following paragraph is added to SECTION III — COMMON POLICY CONDITIONS, H — Other Insurance: Additional
Insured— Primary and Non-Contributory. If you agree in a written contract,written agreement or permit that the insurance
provided to any person or organization included as an Additional Insured under SECTION II—Liability,C.Who is an Insured
is primary and non-contributory, the follovring applies: If other valid and collectible insurance is available to the Additional
Insured for a loss covered under SECTION II—LIABILITY of this Coverage Part,our obligations are limited as follows:
(1) Primary Insurance: This insurance is primary to other insurance that is available to the Additional Insured which
covers the Additional Insured as a Named Insured. We will not seek contribution from any other insurance available to
the Additional Insured except: (a) For the sole negligence of the Additional Insured; (b)When the Additional Insured is
an Additional Insured under another primary liability policy; or (c) When b. below applies. If this insurance is primary,
our obligations are not affected unless any of the other insurance is also primary.
(2) Excess Insurance:
(a)This insurance is excess over any of the other insurance,whether primary,excess,contingent or on any other
basis:
(i) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for"your work";
(ii) That is Fire insurance for premises rented to the Additional Insured or temporarily occupied by the Additional
Insured with permission of the owner;
(iii) That is insurance purchased by the Additional Insured to cover the Additional Insured(s liability as a tenant for
"property damage"to premises rented to the Additional Insured or temporarily occupied by the Additional with
permission of the owner;or
(iv) If the loss arises out of the maintenance or use of aircraft,"autos"or watercraft to the extent not subject to
Exclusion g.of SECTION 11-LIABILITY. B. Exclusions, 1.Applicable to Business Liability Coverage.
(v) That is insurance available to you for your participation in any past or present"unnamed joint venture".
(vi) That is any insurance you may have that provides coverage for your professional services.
(b)When this insurance is excess,we will have no duty to defend the insured against any"suit"if any other insurer
has a duty to defend the insured against that"suit". If no other insurer defends,we will undertake to do so,but we will
be entitled to the insured's rights against all those other insurers.
(c)When this insurance is excess over other Insurance,we will pay only our share of the amount of the loss,if any,
that exceeds the sum of:
(i)The total amount that all such other insurance would pay for the loss in the absence of this insurance:and
(ii)The total of all deductible and self-insured amounts under all that other insurance.
We will share the remaining loss,if any,with any other insurance that is not described in this Excess Insurance
provision and was not bought specifically to apply in excess of the Limits of Insurance_ shown in the Declarations of this
Coverage part.
(3) Method Of Sharing
If all of the other insurance permits contribution by equal shares,we will follow this method also. Under this approach,
each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains,
whichever comes first. If any of the other insurance does not permit contribution by equal shares,we will contribute by
limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total
applicable limits of insurance of all insurers.
Per Project Aggregate
The following changes are made to SECTION II-LIABILITY:
1.The following is added to SECTION ll -LIABILITY, D. Liability and Medical Expenses Limits of Insurance,paragraph 4:
The Aggregate Limits of Insurance apply separately to each of"your projects"or each"location"listed in the
Declarations.
2. For the purpose of coverage provided by this endorsement only, the following is added to SECTION II - LIABILITY, F.
Liability and Medical Expenses Definitions:
1."Your project"means:
a.Any premises,site or"location"at,on,or in which"your work"is not yet completed;and
b.Does not include any"location"listed in the Declarations.
2. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a
street, roadway,waterway or right-of-way of a railroad.
Separation Of Insureds
Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first
Named Insured, this insurance applies:a.As if each Named Insured were the only Named Insured; and, b.Separately to each
insured against whom claim is made or"suit"is brought.
Waiver Of Subrogation
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV -
COMMERCIAL GENERAL LIABILITY CONDITIONS)is amended by the addition of the following:
We waive any right of recovery we may have against the person or organization where required by written contract because
of payments we make for injury or damage arising out of your ongoing operations or"your work"done under a contract with
that person or organization and included in the "products-completed operations hazard". This waiver applies only to the
person or organization where required by written contract.
Notice Of Cancellation
For any statutorily permitted reason other than non-payment of premium, the number of days required for notice of
cancellation, as provided in paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an
applicable state cancellation endorsement,is increased to 90 Days.
AUTHORIZED REPRESENTATIVE
'From Hanover Forms:391-1445 (08/16);391-1586(08/16),391-1003(08116)
No coverage is provided by this Notice,nor can it be construed to replace any provisions of the policy(including its endorsements). If there is any conflict
between this Notice and the policy(including the endorsements)•the provisions of the policy(including its endorsements)shall prevail.
PO;T CY 7a0. : AW39866062
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
A. The following is added to SECTION II —
LIABILITY COVERAGE, Paragraph A.1. Who Is If you agree in a written contract, written
An Insured: agreement or written permit that the insurance
Additional Insured if Required by Contract provided to a person or organization who qualifies
If you agree in a written contract, written as an additional "insured' under SECTION II —
agreement or written permit that a person or LIABILITY COVERAGE, Paragraph A.I. Who Is
organization be added as an additional "insured" An Insured, .subparagraph Additional Insured if
under this Coverage Part, such person or Required by Contract is primary and non-
organization is an "insured'; but only to the extent contributory,the following applies:
that such person or organization qualifies as an The liability coverage provided by this Coverage
"insured"under paragraph A.1.c.of this Section. Part is primary to any other insurance available to
If you agree in a written contract, written the additional "insured' as a Named Insured. We
agreement or written permit that a person or will not seek contribution from any other insurance
organization be added as an additional "insured' available to the additional"insured'except:
under this Coverage Part, the most we will pay on (1) For the sole negligence of the additional
behalf of such additional"insured'is the lesser of: "insured;or
(1) The Limits of Insurance for liability coverage (2) For negligence arising out of the ownership,
specified in the written contract, written maintenance or use of any "auto" not owned
agreement or written permit;or by the additional "insured' or by you, unless
(2) The Limits of Insurance for Liability Coverage that"auto' is a "trailer"connected to an"auto"
shown in the Declarations applicable to this owned by the additional"insured'or by you;or
Coverage Part. (3) When the additional "insured' is also an
Such amount shall be part of and not in addition to additional "insured' under another liability
the Limits of Insurance shown in the Declarations policy.
applicable to this Coverage Part. Regardless of C. This endorsement will apply only if the "accident'
the number of covered "autos", "insureds", occurs:
premiums paid, claims made or vehicles involved 1. During the policy period;
in the "accident', the most we will pay for the total
of all damages and "covered pollution cost or 2. Subsequent to the execution of the written
expense" combined resulting from any one contract or written agreement or the issuance
"accident" is the Limit of Insurance for Liability of the written permit;and
Coverage shown in the Declarations. 3. Prior to the expiration of the period of time that
B. The following is added to SECTION IV — the written contract, written agreement or
BUSINESS AUTO CONDITIONS, Paragraph B. written permit requires such insurance to be
General Conditions, subparagraph 5. Other provided to the additional"insured".
Insurance: D. Coverage provided to an additional "insured' will
Primary and Non-Contributory not be broader than coverage provided to any
other"insured'under this Coverage Part.
ALL OTHER TERMS,CONDITIONS,AND EXCLUSIONS REMAIN UNCHANGED.
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