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2019/02/26 California Professional Engineering, Inc. Certificate of Liability InsuranceCALI FORPRO CARM �►�aRo CERTIFICATE OF LIABILITY INSURANCE DATE(M 5/21/201YYY) 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 oertificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0252636 CONTACT Patty Ebeling United Agencies PHONE FAx 3257 E. Guasti Avo, Suite 100 Arc, No, Ext : (909) 295-3299 JAIC, No : 929 295-7377 Ontario, CA 91761 a nAIw�a. pattvadrisinc.com INSURED California Professional Engineering Inc. 929 Otterbein Avenue, Unit E La Puente, CA 91748-1440 Navigators Specialty Insurance Company The Travelers Indemnity Company of Connecticut Travelers Property Casualty Company of America 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 TYPE OF INSURANCE +ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LTRINSR W 1 / Y LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE [K OCCUR X X ISI9CGL2395411C 2/26/2019 2/26/2020 DAMAGE TO RENTED 50,000 X Owner's & Contractor GEN'LAGGREGATE LIMIT APPLIES PER: POLICY LOC OTHER: 13 AUTOMOBILE LIABILITY X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS X EDp AUyy�EQ AUTOSONLY X AUTOS ONLY C UMBRELLA LIAB N OCCUR _7i LI X EXCESS AR CLAIMS -MADE DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYANY YYY��1�N�1 WQpoFICER/MEMBER EXCLUDED? ECUTIVE I. 1 NIA X (NIplldatory In NH) �i j If ves. describe under C Contractor Equipm C Installation Floater 0-4N261807-19-26-G 5/19/20191 5/19/2020 BODILY BODILY 6N4477019NF 1 2/26120191 2/26/2020 099943-19-26-G 1 5/19/20191 5/19/2020 2/26/20191 2/26/2020 Least 2/26l2019 2/26/2020 Limit Any oneperson) $ - & ADV INJURY 1 AGGREGATE $ 2 5 - COMP/OP AGG $ 2 $ I SINGLE LIMITIII $ 1 JURY Per erson JURY Peraccident I DAMAGE n �. 10 DESCRIPTION OF OFURATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more xpaca is required) RE: CIP NO. 19-04 AND 19-05 (TRAFFIC SIGNALS AT: MCCALL BLVD & OAKHURST AVE., AND MURR€ETA RD & PARK CITY AVE -DYE k 1 LIMIT I $ 1 City of Menifee and its officers, employees, agents, and authorized volunteers are additional insured as respects to General Liability per blanket forms CG20100413 & CG20370413 and Auto Liability per form CAT3530817. This insurance Is primary and non-contributory as respects to General Liability perform CG20010413. Waiver of Subrogation against General Liability per form CG24040509 and Workers Compensation per form WC990376. "At least 30 days written notice of cancellation, reduction of limits, or deductible or self -insured retention is increased. City of Menifee 29714 Haun Road Menifee, CA 92586 ACORD 25 (2016/03) CANCELLATION 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 V ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO THIWENDORSEMENT CHANGES THE POLICY. PLEASE. READ IT CARIEFULLY, BUSINESS AUTO'. EXTENSION ENDORSEMENT 'This endorsement modifies insurance provided underlhe 1011owirag; BUSINESS AUTO C. OVERAGE FORM With respect to coverage provided by t t endorsement, tfi;.0`.Orov% iori of the Coverage Foil apply' tlnf modifier! by the endorsement. lin osi GENERAL DESCRIPTION OF COVERAGE - This endorsement broad ums coverage. However, coverage for any injury, darnage or medical (Ixpensas described in any of the provisions of this endorsement may be excluded or limiters by another endorsement to the Coverage Part. and these coverage broadening provisions do not apply to thO extent that coverage is excirrded or limited by such an endorSermeftt, The following listing is a general coverage description only. L.imUlions and exclusio n$ may apply to these coverages. Read all the provisiolis of this endorsement and the rest of your policy carefully to determine ritdhts, duties, arid what is and is not covered. A. BROAD FORM, NAMED INSURED EL BLANKET ADDITIONAi INSU ED C. EMPLOYEE BRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS F, HIRED AUTO,:- LIMITED WC*LbW10E COVERAGE -INDEMNITY BASIS G., WAIVER, OF DEDUCTIBLE -- GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1.. Who Is An Insured, of SECTION It - LIABILITY COVERAGE: Any organization you newly acquire or form dllrir'rtl the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Susiliess Auto Coverage_ Coverage under this provision Is affofded only until the 1801h day after you acsluire or form the organization or the es.rd of the policy period, whichever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph C. In A.C. Who Is An Insured, of SECTION II -- LIABILITY COVERAGE: H. 141RED AUTO] PHYSICAL DAMAGE — LOSS OF USE-- INCREASED LIMIT I. PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT J. PERSONAL EFFECTS K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL, ERRORS OR OMISSIONS as an additional tasurrea loaf Liability Coverage, but only for damages to Which this Insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". C. EMPLOYEE HIRED AUTO I: The following is addW fQ Paragraph Who...Is An insured, .of SECTION If - LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating all "auto" hired or rented under a contract or acgreernant in that "employee's" name. with your permission, white performing duties related to the conduct of yotlr business, Z. The following replaces Paragraph b. in B.&., This includes arty persoil Of organization who you Other insurance, of SECTION IV - are required udder a written contract or BUSINESS AUTO CONDITIONS agreement between you and that person or organization, that is sioned by you before the b• For Faired Auto physical Damage "bodily injury" ar "property damage" occurs and Coverage, the following are deemed to he that is in effect daring the polliry period, to name covered "autos" you owls. CA T3 53 08 17 t� 2016 'rt,e Trsveletas rndemnrty company. Arl rights reserved. Page 1 of 4 *Ludes WRYnghled tnate" Oilnsurenpe Services Office, Inc. rMlh its p,rmlosbn 10-4N261807-191.126-G COMMERCIAL AUTO (1) Any covered "auto" you lease, hire, liability company) or meinbers of, their rent or borrow; and households. (2) Arty covered "auto" hired or rented by "employee" (1) With respect to any claim mane or "suit" your under a contract in brought outside the United States of that individual "employee's" name, America, the territories and possessions with your permission, whlie performing duties related to the of the United States of America. Puerto Rico and Canada: conduct of your business. However, any "auto" that Is leased, hired, (a) You rrttrst arrange to defend the „insured" against, acid investigate or rented or borrowed with a driver is not a "auto". settle any such claim or "suit" and covered D. EMPLiC1YEES AS INSURED keep us advised of all proceedings and actions. The following is added to Paragraph A.1., Who is (b) Neiiher you nor any other involved An Insured, of SECTION II - LIABILITY "insured" will make arty settlement COVERAGE: without Our consent. Airy "employee" of yours is an "insured" while (c) We may. at our discretion. participate using a covered "auto" you don't own, hire or in defending the "insured" against, or borrow in your business or your personal affairs. in the settlement of, any claim or E. SUPPLEMENTARY PAYMENTS - INCREASED "suit". LIMITS (d) We will reimburse file "insured": 1. The following replaces Paragraph A.2.a.(2), (i) For sums that the "Insured" of SECTION 11 - LIABILITY COVERAGE: legally must pay as damages (2) Up to $3,000 for cost of bail bonds because of "bodily injury" or (including bands for related traffic law 1Properly damage" to which this violations) required because of an insurance applies, that the "accident" we cover. We do not have to "insured" pays with our consent. fumist) these bonds. but only UP to the limit described 2. The following replaces Paragraph A.2.a.(4), In Paragraph C., Limit Of Insurance, of SECTION II -- of SECTION 11 - LIABILITY COVERAGE. LIABILITY COVERAGE; (4) All reasonable expenses incurred by the "insured" (ii) For the reasonabla expenses at our request, including actual incurred with otir consent for your loss of earnings up to $500 a day because of time°: off from work. investigation of such claims and HIRED AUTO -- LIMITED WORLDWIDE your defense of the "insured" against any such "suit", bl,t only COVERAGE -INDEMNITY BASIS The following replaces Subparagraph e. in up to and includea within the limit described in Paragraph C., Limit Paragraph B,7., Policy Terra, Coverage Of Insurance, of SECTION II -- Territory, of SECTION IV - BUSINESS AUTO LIABILITY COVERAGE, and not CONDITIONS-, in addition to such limit. Our duty e. Anywhere in the world, except any country or to make such payments ends jurisdiction while any lrade sanction, when we have used up the embargo, or similar regulation imposed by the applicable limit of insurance in United States of Arnerira applies to and payments for damages. prohibits the transaction of business with or settlements or defense expenses, within such country or jurisdiction, for Liability Coverage for "aido" (2) This insurance is excess over any valid any coverer! that you lease, hire, rent or borrow without a driver for and Collectible Other insurailce available "insured" a penod of 30 days or less and that is not an to the whether primary, excess "auto" you lease, hire, rent or borrow front contingent or on any other basis. any of your "employees", partners (if you are (3) This insurance is not a sutrslilute for a partnership), mernbers (if you are a limiled required or compulsory insurance in any country Outside the united Slates, itS Page 2 of 4 -* 2016 The TravcAers fnrlentn, y Company. Ail rights Tosened. CA T3 63 08 17 Includes copyrighted material of Inetlrance Serrioes 01ke, Inc. vnlh its permisdc;n 810-4N261807-19-25-G territories anti possessions, Puerto Rico and Canada, you agree to maintain all required or compulsory insurance in any such county up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liaNe to the same extent we would trade been lla0e had youcompiled with the compulsory insurance requirements. (4y It is undersroiA that we are not an admitted Of authorized insurer outside the United States of America, its territories and possessions, Puerto Rico ana Canada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE -- GLASS The following is added to Paragraph D;, Deductible, of SECTION III - PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather th8n replaced - HIRED AUTO PHYSICAL DAMAGE - LOSS OF USE -INCREASED OMIT The foltovAng replaces the last sentence of Paragraph AA,b., loss Of Use Expenses. of SECTION III - PHYSICAL DAMAGE COVERAGE: However. th[a most we will pay for any expr+rtses for loss of use is $65 per day, to a Maximum of $750 for any one "accident". 1. PHYSICAL DAMAGE - TRANSPORTATION EXPENSES - INCREASED LIMIT The fallowing replaces the first sentence in Paragraph A.4.a., Transportation Expenses, of SECTION III - PHYSICAL DAMAGE COVERAGE. We will pay up to $5Q per day to a inaxirnurn of S1.500 for temporary Irasrsportalion expense incurred by you because Of the total theft of 2 covered "auto" of the private passenger type J. PERSONAL EFFECTS The following is added to Paragraph A.4., Coverage Extensions, of SECTION III - PHY5ICAL DAMAGE COVERAGEr COMMERCIAL AUTO Personal Effects We will pay up to $400 for "loss" to wearing apparel and other personal effects which are, (t) Owned by an "lnsored"; and (2) in or on your covered "auto'. This coverage applies only in the=everlt of a total tlleft of Your covered "auto". No deductibles apply to this Personal Effect, coveragge. K. AIRBAGS Tile following is added to Paragraph H.3., Exclusions, of SECTION Ill - PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or More airbags in a covered "auto" you own that inflate dire to a cause outer than a cause of "foss', set forth in Paragraphs A.1.b. and A.t.c,, but ❑ nly: 0. If that ."auto" is a covered °*auto" f6r Compre4ensive Coverage under this policy; The airbags are not covered under any warranty: and c. The, airbags were not intentionally inflated,; We wit! pay Up. to a ai Ixfmilm tit $1.Q06 for any L. NOTICE AND'KNOWL DGE OF ACCIDENT OR LOSS The fallowing is added to Paragraph A,2.a., of SECTION IV -- 1:3USINESS AUTO CONDITIONS; Your duty to give us or our authorized representative prompt. notice of the 'accident" or ,doss" applies Only when the "accident or "loss" is known to: (a) You (if you are an Individual), (b) A partner (if you are ra partnership),, (c) A member (if YOU are a limited liability company); (d) An executive officer, director or insurance manager (if you are a corporation or other arganvartion). or (e) Any "employee" aulhorized by you to give notice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5.. Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV - BUSINESS AUTO CONDITIONS: CA T3 53 08 17 4P 2016 The Travelmrs Indemnity Company. All Nhts reserved. Page 3 of 4 1rclud&9 copyrirghted maleraal oI Insurance services ofrece, rite. wlih its permission COMMERCIAL AUTO 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may Irava against any person or orgafiization to the extent required Of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident' or "lass" arises out of operatinns contemplated by such contract. The waiver applies only to the Person or organization designated In such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph 8.2., Concealment, Misrepresentation Or Fraud. of SECTION tv — BUSINESS AUTO CONDITIONS: The unintentional onri_ssion of, or unintentiornai error in, any information given by you shall not pfejudicr? your fights under this insurance.. However this provision does.not affect our right to C,01)ect additional premium or exercise our right of cancellation or non -renewal. ;Page; 4 of 4 '2016 The Travelers InrsemnpyCompany. All rbqhig reserved. CA T3 53 08 17 .Inelu4w copyrighted rn1bQr1al vi Insurance SORCes 0Mce, Inc. wills its pefalw ;nn ,POLIC ': t`dUMSER: 19CG1,"39541 la: COMMERCIAL GENERAL LIABILIr CG 20 10 04 13 THIS EN+ D RSEMIENT CHANGES THEPON IOY. PLEASE READ IT CAREFOLLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This ndorsament Modifies.insurance provided under the faliowing COMMERCIAL GENERAL:LIAMLITY COVERAGE PART SCHMULE e of Additional Insured Or Organization(s) Any person or organization for whorn you are performing operations during the policy period when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. to. nS this Schedule, if not shown -above. will be shown in the Dedarations. — 1 A. Section It - Who Is An Insured is amended to include as an additional insured the persons) or organization(s) shown in the Schedule, 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(G) designated above. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law: and 2. If coverage provided to the additional insured is required by a contract or agreement, the Of S. With respect to the insurance afforded to these additional insureds, 'he 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 he perforated by or on behalf of the additional irnsured(s) at the location of the covered operations has been completed; or 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. CG 20 10 04 13 0 insurance. -Services Office, Inc., 2oJ2 Page tof!- insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured, C. With respect to the Insurance afforded to these 2. Available under the applicable Limits of Insurance additional insureds, the following is added to shown in the Declarations; Section III - Limits Of insurance; whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the applicable required by a contract or agreement, the most we Limits of Insurance shown in the Declarations. will pay on behalf of the additional insured is the amount of insurance: I Required by the contract or agreement; -or i f}` 10.'l 4 0 Insurance Services Office, Inc-, 2012 Page 2 of POLItY NUMBER: I .7OCGL23954`f 1�Q:. COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIA ENDORSEMENT CHANCES THE POLICY. PLEASE BEAD ET CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies i0surance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATION$ LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(a) Any person or organisation for whore you are - performing operations y1hen you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured ❑n your policy. DescriDtion Of this Schedule, if not: shown above, will be shown in the Declarations. A. Section It - Who is An Insured is amended to include as an additional insured the person(s) or organizations) shown in the Schedule, but only willb respect to liability for "bodily injury" or "property damage" caused; in whale or in part, by "your work" at the location designated and described its the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard" However. 1. The insurance afforded to such additional Insured only applies to the extent permitted by law: and 2. if coverage provided to the additional insured is required by a contract or agreement, the Insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. 8. With respect to the insurance afforded to these additional insureds, the following is added to Section Ili - Limit-; 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 -tile amount of insurance: I. 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. CG 20 37 04 13 6 Insurance Services Office, Inc.. 2012 Page 1 of 1 TRAVELERSWORK;W COMPENSATION ANl3 EMPLOYERS: LIABILITY POLICY ENDORSEMENT- WC 99 03.76 ( A) -- POLICY 141UMBER: lU.1r3NO99943-1.9-26-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) We have the right to (euover our payments from anyone Iiat)le for an injury covered by this pol gy We wilt iavt enforce our right against the person or organization named in the Schedule. The add.tiona[.premiu,ril for'ihis enclarseinent shall to 2 % bf`the California workere, rnpensation pre- mium. Schedule Persois or Organ-iratton ,lab Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective .on the date issued unless othbrwis�, stated. (The information below is required only when this endorsement J s.issved subsequ nt.to preparation of the policy.) Endorsement Effective 05/19/2019 Policy No. UB-3NO99943-19-26-G Endorsement No. Insured CALIFORNIA PROFESSIONAL ENGINEERING, ING. Premium Insurance Company TRAVELERS PROPERTY & Countersigned by CASUALTY COMPANY OF AME CA DATE OF ISSUE: - - ST ASSIGN: Page POLICY NUMBER. IS'19CGL239541 IC. COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US , !'N , endlarmrnent ha difies insurance piroMded'under the'flollowi CCMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTSfCOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: --- Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that you will waive any right of recovery against such person or organization. Information required to this S if not shown The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section 1V - conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 shown in the Schedule above, will be shown in the Declarations. CG 24 04 06 09 0 Insurahce Services Olfice, Ind., 2008 Page 1 of 9