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2011/11/01 Becker Engineering Certificate of Liability InsuranceBECKE-1 OP ID: JB C-Om " CERTIFICATE OF LIABILITY INSURA E.: ;, ;,_'DATE(MM/DD/YYYY) I 6 < < � 01 /24/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOONN THE CERTIFICATE HOLDER. THIS VER BELOW. THIS CATE EES RTIFICATE FIOCATEFOFNATIVELY NSURANCOE DOES NIOTLY AMEND, EXTEND CONSTITUTE A CONTOR ALTER THE RACT BETWEEN COI ES igS�Ul�F1Cl NR RE BY THE POL ZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If Sl."VtT40, ti,5.�, RIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certihicate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 805-495-4634 Associated Insurance Services, 600 Hampshire Rd., #150 805-494-0781 Westlake Village, CA 91361 Jennifer Kight CONTACT NAME: PHONE A/c No Ext : FNC No E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA: Century Surety Company INSURED Becker Engineering Walt Becker P O Box 890365 INSURER B : Hartford, The 22357 INSURERC:American States Insurance 19704 INSURER D : Temecula, CA 92589 INSURER E : 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL B POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X CCP750274 01/25/12 01/25/13 DAMA E RENTED PREMISES Ea occurrence $ 100,00 CLAIMS -MADE a OCCUR 5,00 MED EXP (Any one person) $ PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,00 POLICY JECTPRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO ALL OS SCHEDULED AUTOS AUTOS BODILY INJURY Peraccidenl ( ) $ HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERS COMPENSATION WC STATLI OTH- X AND EMPLOYERS' LIABILITY Y / N T RY LIMIT ER E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE 57WECDE7880 11/01/11 11/01/12 OFFICER/MEMBER EXCLUDED? N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) It yes, describe under — E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS below C Equipment Floater 01CG10726110 11/20/11 11/20/12 Equipment 74,60 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) Certificate holder is named as additional insured. 10 day notice of cancellation may apply for non-payment of premium. ERTIFICATE City of Menifee Public Works Dept 29714 Haun Rd Menifee, CA 92586 CITYMEN 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 REPRE Jennifer Kight ACORD 25 (2010/05) ©1988-201 The ACORD name and logo are registered marks of AtORD hts reserved. CGL 1816 0106 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - PRIMARY AND NON-CONTRIBUTORY COVERAGE This endorsement modifies insurance provided under the following: CONTRACTORS LIMITED CLAIMS MADE GENERAL LIABILITY COVERAGE FORM CONTRACTORS LIMITED CLAIMS MADE AND REPORTED GENERAL LIABILITY COVERAGE FORM COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): I Location(s) Of Covered Operations A. Section II — Who Is An Insured is amended to 2. That portion of "your work" out of which the include as an additional insured the person(s) or injury or damage arises has been put to its organization(s) shown in the Schedule, but only intended use by any person or organization with respect to liability for "bodily injury", "property other than another contractor or subcontractor damage" or "personal and advertising injury" engaged in performing operations for a caused, in whole or in part, by: principal as a part of the same project. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or C. It is agreed that the insurance provided for the benefit of the above additional insured(s) shall be primary and non-contributory, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. CGL 1816 0106 Includes copyrighted material of Insurance Services Office, Inc. with its Page 1 Of 1 ❑ permission. © ISO Properties, Inc., 2004