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2017/01/01 Bureau Veritas North America, Inc. Certificate of Liability InsuranceAte' 0® DATE(MM/DDNYYY) CERTIFICATE OF LIABILITY INSURANCE 1 06/23/2017 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 Aon Risk Services Northeast, Inc. NAME: PHONE 866-283-7122 FAX 800-363-0105 Aon Risk Services Northeast, Inc. AIC. No. Ext: A/C. No.: NY NY Office E-MAIL 199 water Street ADDRESS: New York NY 10038-3551 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED Bureau VeritaS North America, Inc. 180 Promenade Circle, Suite 150 Sac Sacramento CA 95834 USA COVFRAGFS INSURERA: INSURERS: INSURERC: INSURER D: INSURERE: 31NSURER F: Hartford Underwriters Insurance Company Hartford Fire Insurance Co. AllianZ Global Risks US Insurance Co. Twin City Fire Insurance Company Trumbull Insurance Company Sentinel insurance Company, Ltd 30104 19682 35300 29459 27120 11000 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE ADDL INS SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS C X COMMERCIAL GENERAL LIABILITY CGL2008089 01/01/2017 01/01/2018 EACH OCCURRENCE $2,000,000 CLAIMS -MADE X OCCUR DAMAGE TO RENTED PREMISES a occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: POLICY X PRO X LOC JECT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000 OTHER: B AUTOMOBILE LIABILITY 10 AB S41202 AOS 01/01/2017 01/01/2018 COMBINED SINGLE LIMIT accident)$2,000,000 BODILY INJURY ( Per person) A X ANY AUTO 10 AB S41203 01/01/2017 01/01/2018 OWNED SCHEDULED AUTOS ONLY AUTOS HI BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident HIRED AUTOS NON -OWNED ONLY AUTOS ONLY UMBRELLA LAB H OCCUR EACH OCCURRENCE EXCESS LAB CLAIMS -MADE AGGREGATE DED RETENTION E H WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRIETOR/PARTNER/EXECUTIVE N OFFICERIMEMBER EXCLUDED? NIA 1OWNS41200 ADS 1OWNS41200 01/01/2017 01/01/2017 01/01/2018 01/01/2018 X PER OTH- STATUTE E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below AK ID IL NJ NY I E.L. DISEASE -POLICY LIMIT $1, 000 , 000 c Archit&Eng Prof uspip L2008139 applies per policy terns 01/01/2017 & condi 01/01/2018 ions Each Claim Aggregate $1,000,000R $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional Insured in accordance with the policy provisions of the Business Auto Coverage & General Liability Coverage policy. CERTIFICATE HOLDER CANCELLATION city of Menifee 29714 Haun Road Menifee CA 92586 USA 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 0 m c d a `tn a 0 x AGENCY CUSTOMER ID: 570000048582 LOC #: ACORD® �--- ADDITIONAL REMARKS SCHEDULE page _ of AGENCY NAMED INSURED Aon Risk services Northeast, Inc. Bureau Veritas North America, Inc. POLICY NUMBER see Certificate Number: CARRIER NAIC CODE See Certificate Number: EFFECTIVE DATE: ADDITIONAL REMARKS LTR TYPE OF INSURANCE INSD \VVD POLICY NUMBER EFFECTIVE DATE MMlDDM'YY EXPIRATION DATE MM/DD/YYYY LIMITS WORKERS COMPENSATION A N/A 1OWNS41200 HI MA 01/01/2017 01/01/2018 J N/A IOWNS41200 AZ GA KY MI MN NE OK SC 01/01/2017 01/01/2018 F N/A 1OWNS41200 IA 01/01/2017 01/01/2018 K N/A 10WNs41200 CA NC 01/01/2017 01/01/2018 B N/A 10WNs41200 FL NH ND OH WA WY 01/01/2017 01/01/2018 G N/A 10WNs41200 PA 01/01/2017 01/01/2018 I N/A 10WNs41200 DE LA VT 01/01/2017 01/01/2018 D N/A 10WBRs41201 WI 01/01/2017 01/01/2018 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000048582 LOC #: A ADDITIONAL REMARKS SCHEDULE Page _ of _ AGENCY NAMEDINSURED Aon Risk services Northeast, Inc. Bureau Veritas North America, Inc. POLICY NUMBER See Certificate Number: CARRIER NAIC CODE see Certificate Number: EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER K:Hartford Casualty Insurance Co 29424 INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. 1NSR ANSD UBRW%'D POLICY POLICY LTR TYPE OF INSURANCE ISD VD PO LICI' NIIJiQER EFFECTIVE EXPIRATION LIDIITS DATE DATE \1D1/D D/Y1'YY \i NI/DD/YYYY ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 10 AB S41202 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NAMED INSURED ENDORSEMENT BUREAU VERITAS HOLDINGS, INC. BUREAU VERITAS NORTH AMERICA INC. BUREAU VERITAS CERTIFICATION NORTH AMERICA INC. BUREAU VERITAS MARINE, INC. ONECIS INSURANCE COMPANY NATIONAL ELEVATOR INSPECTION SERVICES INC. US LABORATORIES INC. TH HILL & ASSOCIATES INC. INSPECTORATE PLEDGECO, INC. INSPECTORATE HOLDCO, INC. INSPECTORATE AMERICA CORPORATION INSPECTORATE AMERICA INVESTMENTS, INC. INSPECTORATE INVESTMENTS U.S. INC. INSPECTORATE NEW HOLDINGS INC. CHAS MARTIN MONTREAL, INC. PETROLEUM FUEL CONSULTANTS, INC. WATERDRAWS LLC ACME ANALYTICAL LABORATORIES (USA), INC. BIVAC NORTH AMERICA, INC. ANALYSTS INC. MATTHEWS-DANIEL COMPANY 7 LAYERS, INC. SUMMIT INSPECTION SERVICES INC. GUIDEWARE SYSTEMS, LLC Form IH 12 00 11 85 Printed in U.S.A. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 10 WN S41200 Endorsement Number: ss Effective Date:ol/01/2017 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: BUREAU VERITAS HOLDINGS, INC. 1601 SAWGRASS CORPORATE PKWAY SUITE 400 FORT LAUDERDALE, FL 33323 We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER FROM US. Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date: Policy Expiration Date: POLICY NUMBER: CGL 2008089 COMMERCIAL GENERAL LIABILITY CG 20 10 0413 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 Any owner, lessee or contractor for whom Locations that are listed in the written you are performing operations when you contracts or agreements stated on the left and such owner, lessee or contractor have side of this SCHEDULE. agreed in writing in a contract or agreement that such owner, lessee or contractor should be added as an additional insured on your policy. I 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 2. If coverage provided to the additional insured is include as an additional insured the person(s) or required by a contract or agreement, the organization(s) shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for "bodily injury", "property will not be broader than that which you are damage" or "personal and advertising injury" required by the contract or agreement to caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or 2. The acts or omissions of those acting on your B. With respect to the insurance afforded to these behalf; additional insureds, the following additional in the performance of your ongoing operations for exclusions apply: the additional insured(s) at the location(s) This insurance does not apply to "bodily injury" or designated above. "property damage" occurring after: However: 1. All work, including materials, parts or 1. The insurance afforded to such additional equipment furnished in connection with such insured only applies to the extent permitted by work, on the project (other than service, law; and 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 CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13