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2018/09/14 DHS Consulting, LLC Certificate of Liability Insurancer~1 ANSERAD-01 NGONZALI CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 8/22/2019 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 ;hvf tions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate old9s in lieu of Such endorsement(s). _ CONTACT PRODUCER AME: Ames & Gough r: , PHONE o, Ext : 703 827-2277 FAX 703 .827-2279 8300 Greensboro Drive :w• IA/C No):( ) Suite 980 a admin@amesoough.com McLean, VA 22102 INSURERS AFFORDING COVERAGE . DIAIC # INSURER A:RLI Insurance Company A+ XI 13056 INSURED , �-� '`'� i �' INSURER B : Continental Insurance Company A XV 35289 DHS Consulting, LLC JNSu c-Evanston Insurance Company 35378 1820 E. First Street Received Suite 410 INSURER D : Santa Ana, CA 92705 INSURERS: INSURER F :.OVERAGES 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. JSR TYPE OF INSURANCE ADDL Stl9R POLICY NUMBER POLICY EFF POLICY EXP.TR LIMITS ' A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE is 1,000,0 CLAIMS -MADE FX] OCCUR PSB0006205 10/26/2018 10/26/2019 PAMAGEToRENTED $ 1,000,0 X Contractual Liab. 10,0 MED EXP An one person) 1.000.0 GEN'LAGGREGATE LIMITAPPLIES PER: POLICY F7x JER& ❑ LOC OTHER GENERAL AGGREGATE $ �,Vvv, PRODUCTS-COMPJCP AGG $ 2,000, $ A AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON OWNED AUTOS ONLYF AUTOS ONLY PSA0002185 ` jl 10/26/2018 10/26/2019 COMBINEO SINGLE LIMIT $ 1 000, BODILY INJURY (Perperson) $ BODILY INJURY Peracci t $ PROPERTY DAMAGE (Per accident) $ o UMBRELLA LIAB EXCESS LIAB ll OCCUR CLAIMS -MADE .16072773437 IPSW0003535 9/14/2018 10/26/2019 EACH OCCURRENCE $ 1 V,VUU, AGGREGATE $ 10,000, DED I X I RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIMBER/PXCLUDE/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IF yes, describe under DESCRIPTION OF OPERATION below N I A 10/26/2018 10/26/2019 X PER OTH- E L EACH ACCIDENT 1,000, E.L DISEASE -EA EMPLOY $ 1'000' E.L. DISEASE -POLICY LIMIT 1,�00, $ C Professional Liab. IMKLV7PL0003387 10126/2018 10126/2019 1 Per Claim/Aggregate 2,000, DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Projects as on file with the insured. City of Menifee and its officers, officials, employees, and authorized volunteers are included as additional insured with respect to General Liability when required by written contract. General Liability is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and when required by written contract. Workers Compensation policy includes a waiver of subrogation in favor of the additional insureds where permissible by state law and when required by written contract. TE HOLDER City of Menifee 29714 Haun Rd. Menifee, CA 92586 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ANSERAD-01 '`'kk. " " CERTIFICATE OF LIABILITY INSURANCE 1 DA8/22/2019YYl 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 NAMF- Ames $r Gough PHO(AJCNNo Ext : 703) 827-2277 FAX No ; 703) 827-2279 8300 Greensboro Drive Suite 980 admin@amesgough.com McLean, VA 22102 _ ,-.��.._-.__ INSURED DHS Consulting, LLC 1820 E. First Street Suite 410 Santa Ana, CA 92705 C nVFRAnFS r f=RTIFIrATP MI IMRFR! RER B : Continental I RER D : INSURER F : ce RFVICIniI PU11MRFR. 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 SUER INSO POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FX7 OCCUR PSB0006205 10/26/2018 10/26/2019 EACH 0 CURRENCE 1,000,000 $ DAMAGE TO RENTED $ 1,000,000 X MED EXP AnX oneperson) 10,000 Contractual Liab. PERSONALS ADV INJURY $ 1,000,000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY 17-7 •• PE� LOC QENE.RALAGGREGATE 2,000,000 PRO UCT-C Iv1PJOPAG $ 2,000,000 O A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson X ANY AUTO PSA0002185 10/26/2018 10/26/2019 OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Peraccidenf $ AUTOS ONLY AUUTOS ONL� F eooddaT m AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 10,000,000 4 AGGREGATE $ 10,000,000 EXCESS LIAB CLAIMS -MADE 6072773437 9/14/2018 10/26/2019 - DID I X I RETENTION $ 10,000 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N I A PSW0003535 10126/2018 10/26/2019 X PERTUTE OTH- FR E.L. EACH ACCIDENT 1,000,000 $ EL DISEASE-EAEMPLOYE $ 1,000,000 E.L. DISEASE -POLICY LIMIT 1,000,000 C Profiessional Liab. MKLV7PL0003387 10/26/2018 10/26/2019 Per Claim/Aggregate 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks ScheLlule, may. be attached If more space is required) Projects as on file with the insured including but not limited to Newport Road Rehabilitation from Bradley Road to Murrieta Road.. City of Menifee and its officers, officials, employees, and authorized volunteers are named as additional insureds and primary/non-contributory clause applies to the general liability policy and a waiver of subrogation applies to the work comp policy -see attached endorsements. Prof Liab Retro Date: Full Prior Acts; Prof Liab Do& $10,000 per claim City of Menifee 29714 Haun Rd. Menifee, CA 92586 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 ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD