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2019/02/14 CValdo Coporation Certificate of Liability InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) 08/26/2019 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(les) 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 Cora Lim NAME: SelectSolutions Insurance Services PHONE (866) 500-6359 FAX (925) 951-0077 A/C o Exl • A/c, No 1107 Investment Blvd E-MAIL ADDRESS: coral@soleclsolutiorisins.com Suite 100 INSURER(S) AFFORDING COVERAGE NAIC # El Dorado Hills CA 95762 INSURERA: Travelers Property Casualty Company of America 25674 INSURED INSURER B : Travelers Casualty and Surety Company ofAmerica 31194 CValdo Corporation INSURER C : 2255 Avenida De La Playa INSURER D Suite 5 INSURER E La Jolla CA 92037 INSURER F : COVERAGES CFRTIFICATF NIIMRFR• CL1982045758 ne%mm^kr ruurreeo. THIS IS TO CERTIFYTHAT 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. ILTRR TYPE OF INSURANCE DE NSD SUH WVp POLICY NUMBER POLICY EFF MM DD POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE OCCUR PREMISES Es occurrence $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 A Y Y 680-7H119150-19-47 02/14/2019 02/14/2020 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 POLICY ❑ jECOT- ❑ LOC PRODUCTS - COMP/OPAGG S 4.000,000 $ OTHER: AUTOMOBILE LIABILITY COiNNED SINGLE LIMIT Ea accidonS $ INCL IN GL BODILY INJURY (Per person) $ ANYAUTO A OWNED SCHEDULED AUTOS ONLY AUTOS 680-7H119150-19-47 02/14/2019 02/14/2020 BODILY INJURY (Per accident) $ HIRED NON -OWNED X PROPERTY DAMAGE Por aoddenl $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DED I I RETENTION $ $ WORKERS COMPENSATION X AND EMPLOYERS' LIABILITY Y f H STATUTE I JER E.L. EACH ACCIDENT $ 1,000,000 A ANY PROPRIR/PARTNER/EXECUTIVE OFFICER/MEMBMB ER EXCLUDED? N/A Y UBOK2171971947G 02/14/2019 02/14/2020 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory ory If yes, describe under d be and E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below PROFESSIONAL LIABILITY B 105478547 08/06/2019 08/06/2020 PER CLAIM $2,000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Re: On Call Public Works/Engineering-Land Development Professional Services. As Per Contract or Agreement on File with the Insured. City of Manifee, its Council members, Officers, Agents and Employees are named as additional insured (primary/non-contributory) on General Liability policy if required by written contract per attached endorsement. Walver of subrogation applies to General Liability and Workers Compensation policies if required by written contract per the attached endorsement. General Llability policy contain a 30 day notice provision for cancel lationlnon-renewal endorsement tofollow from carrier. Workers Compensation and Proresslonal Liability policies coiilain a 30 day notice provision for cancellation/non-renewal per the attached endorsement. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. Dept of Finance 29844 Haun Road AUTHORIZED REPRESENTATIVE Menifee — CA 92586/-r' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: C. With respect to the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III — Limits Of Insurance. h. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the additional insured which covers that person or organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance. CG D3 81 09 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 © 2015 The Travelers Indemnity Company. All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office, Inc., with its permission TR►4VF�.FR5WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) POLICY NUMBER: UBOK2171971947G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2. oo % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR ENGINEERS WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. a� 3� r CYO ur= SS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company DATE OF ISSUE: 12/18/18 ST ASSIGN: Countersigned by Page 1 of 1 000229 TRAVELERS WORKERS COMPENSATION AND ONE TOWER $QUAKE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 06 R3 (00) - POLICY NUMBER: vs-OR217197-19-47-C NOTICE OF CANCELLATION TO DESIGNATED PERSONS OR ORGANIZATIONS The following is added to PART SIX — CONDITIONS Notice Of Cancellation To Designated Persons Or Organizations If we cancel this policy for any reason other than non-payment of premium by you, we will provide notice of such cancellation to each person or organization designated in the Schedule below. We will mail or deliver such notice to each person or organization at its listed address at least the number of days shown for that person or organiza- tion before the cancellation is to take effect. You are responsible for providing us with the information necessary to accurately complete the Schedule below, If we cannot mail or deliver a notice of cancellation to a designated person or organization because the name or address of such designated person or organization provided to us is not accurate or complete, we have no responsibility to mail, deliver or otherwise notify such designated person or organization of the cancellation. SCHEDULE Name and Address of Designated Persons or Organizations All other terms and conditions of this policy remain unchanged. Number of Days Notice This endorsement changes the policyto which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy,) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance Company Countersigned by DATE OF ISSUE: 12-18-18 ST ASSIGN: 001981 V 2013 The Travelers Indemnity Company, All rights reserved. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION PROVIDED BY THE COMPANY This endorsement changes the following: Professional Liability Terms and Conditions PROVISIONS: If the Company cancels this policy for any statutorily permitted reason other than nonpayment of premium, the Company will mail or deliver notice of cancellation to the Person or Entity shown in the Notice Schedule below. The Company will mail or deliver such notice to the address provided by the Named Insured at least the number of days shown for cancellation in such Notice Schedule before the effective date of cancellation. Notice Schedule Number of Days Notice of Cancellation: 30 Person or Entity: Any person or entity to whom the Named Insured has agreed in a written contract that notice of cancellation of this policy will be given, but only if: 1. the Named Insured sends the Company a written request to provide such notice, including the name and address of such person or entity, after the Named Insured receives notice from us of the cancellation of this policy; and 2. The Company receives such written request no later than 10 days after the Named Insured receives the notice of cancellation. Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, exclusions or limitations of the above -mentioned policy, except as expressly stated herein. This endorsement is part of such policy and incorporated therein. Issuing Company: Travelers Casualty and Surety Company of America Policy Number: 105478547 PTC-2070 Ed. 05-11 Page 1 of 1 02011 The Travelers Indemnity Company. All Rights Reserved SELECTSOLUTIONS INS SVCS A PATRA CORP CO 1107 INVESTMENT BLVD SUITE 100 ELDORADO HILLS CA 95762-5711 CITY OF MENIFEE DEPT OF FINANCE 29844 HAUN RD MENIFEE CA 92586-6539 CITY OF h1F_NIFEE FIHAFICE AUG 302019 RECEIVED m TRAVELERSJ� 707 WEST MAIN AVENUE SUITE 300 SPOKANE WA 99201 000480- 01 CITY OF MENIFEE DEPT OF FINANCE 297 HAUN ROAD MENIFEE CA 92586 REINSTATEMENT NOTICE CITYFINANCEFEE juN 2 p 2019 RECEIVED Please take notice that the Policy designated below has been reinstated as of the effective date of the reinstatement stated below, notice of cancellation heretofore issued being hereby withdrawn as null and void. POLICY NUMBER: 680-7H119150-19-47 ISSUE DATE: 06/13/2019 NAME AND ADDRESS OF INSURED PRODUCER OR AGENT CVALDO CORPORATION SELECTSOLUTIONS INS LLC DGW54 4901 MORENA BLVD STE 1110 SAN DIEGO CA 92117-7341 ISSUING OFFICE SPECIALIST A&E 21X EFFECTIVE DATE OF THIS NOTICE VEHICLE IDENTIFICATION 0 6 / 0 6 / 19 (Complete for Auto Policies or Coverages Only) LOCATION (Complete for Fire Policies or Fire Coverages ONLY) 0 0 o WRITTEN NOTICE IS HEREBY GIVEN TO YOU AS: U o ❑ THE PERSON TO WHOM AN INSURANCE CERTIFICATE WAS ORIGINALLY ISSUED OR A BANK g OR FINANCE COMPANY; roo AN ADDITIONAL INSURED UNDER THE TERMS OF THE POLICY; ❑ A MORTGAGEE ON THIS NOTICE IS GIVEN ONLY BY THE COMPANY OR COMPANIES WHICH ISSUED THE POLICY DESIGNATED ABOVE. Page 1 of 1 CN 00 3C 03 94