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2019/01/25 Governmentjobs.com, Inc. Certificate of Liability Insurance
L _ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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(tes) 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 rig his to the certificate holder in lieu of such endorsements). CONTACT PRODUCER ABD Insurance & Financial Services NAME: Certificate Request 450 Sansome Street, #300 PHONE 415 483-rn0 FA N.: 415483-7769 San Francisco, CA 94111 G_YAII www.theabdteam.com INSURERA: Bertde National Insurance Company INSURED INSURER B : Berkley Regional Insurance Company Govern mentjobs.com, Inc. (NEOGOV) 300 Continental Blvd. Suite 565 INSURERC: Westchester Surplus Lines Insurance Co El Segundo CA 90245 INSURERD: INSURER E : r_0VF=RAr.FC rCDTICH ATC KIIIaaDCD- r 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. ITNS R TYPE OF INSURANCE A BR POLICYNUMBER MMJDOPOLICY EFF i MPta10EI(P T LIMITS 18/25/2020 A COMMERCIAL GENERAL LIABILITY TCP 7011473 B/25/2019 EACH OCCURRENCE $1 000 000 PREMISES occu me $300 000 CLAIMS -MADE OCCUR MED EXP (Arry one pemn) $15 000 I PERSONAL&ADV INJURY $ 1 00D 000 GE_N'L AGGREGATE LIMIT APPLIES PER: POLICY E PRO- JECT LOC GENERAL AGGREGATE $3,00D,000 PRODUCTS-COMPIDPAGG $3000000 $ OTHER: B AUTOMOBILE LIABILITY TCA 7011474 8/25/2019 8/25/2020 C g BINEdt N LIMIT $1 000 000 ANY AUTO _ BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ ROPERTYDAMAGE ecq $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DEO I I RETENTION S S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMB£REXCLUDED7 NIA TWC 7011475 8/25/2019 8/2512020 AER ATUTEER E.L. EACH ACCiDENT $1 0O0 000 E.L.DISEASE - EA EMPLOYE $ (Mandatory in NH) Was. describe under DESCRIPTION OF OPERATIONS be E-L. DISEASE -POLICY LIMIT $1 000 000 C Technology- Errors & Omissions, Incl. Cyber, Network Security, Data F14845562 001 7/25/2019 1l25/2020 Limit: $1,000,000; Retention: $25,000 Breach DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) RE: AIi Operations of the Named Insured. City of Menifee and Its Officers- Employees, Agents and Authorized Volunteers are included as additional insureds as respects to General Liability but only to the extent required by written contract or write nOF ggpept. Primary wording applies with respects to General Liability. CITYFINANCE 0 3 2010 �MI IF I Ul-%lC r1VLIJC IN r:ANI:F1 I ATInN City of Menifee and its Officers, RECEIV Employees, Agents and Authorized Volunteers 29714 Haun Road Menifee, CA 92586 ACORD 25 (2016/03) 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 Rod Sockolov U 1933-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 50781216 1 19-20 All/E&O $1M i Patra (1) 1 8/26/2019 12:21:45 PM (PDT) i Page 1 of 2 POLICY NUMBER: TCP 7011473 8/26/2019 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED 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): City of Menifee and its Officers, Employees, Aggents and Authorized Volunteers 29714 Haun F�oad Menifee, CA 92586 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 1 A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) 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 your acts or omissions or the acts or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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. B. 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. CG 20 26 0413 © Insurance Services Office, Inc., 2012 50781216 119-20 All/E&O $ M I Patra (1) 18/26/2019 12:21:45 PM (PDT) I Page 2 of 2 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 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). O PRODUCER ABD Insurance & Financial Services H ME: CerUfrcate Re nest 450 Sansome Street, #300 PHONE 415 ag3-777o FAX No : 415-083-7769 San Francisco, CA 94111 FaiAli www,theabdteam.com INSURERA INSURED INSURER B : Governmentjobs.com, Inc. (NEOGOV) 300 Continental Blvd. Suite 565 INSURERC: El Segundo CA 90245 INSURERD: COVERAGES CFRTIFICATF f1il IrJIR5=17• cn�nncoi 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 'ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE n POLICY NUMBER MMIDD MM/D _ LIMITS A COMMERCIAL GENERAL LIABILITY TCP 7011473 8/25/2019 8/25/2020 EACH OCCURRENCE $1 000 ODD PREMi E3 E8OCcurrence S 3D0 000 CLAIMS -MADE _ ,/_� OCCUR MED EXP (Any one person) $ 15,000 PERSONAL & ADV INJURY $ 1 000 GEN'L AGGREGATE LIMIT APPLIES PER: ✓ POLICY PRO-- LOC JECTPRODUCTS GENERAL AGGREGATE ,000 $3.000,000 - COMP/OP AGG $ 3 000 000 $ OTHER: B AUTOMOBILE LIABILITY TCA 7011474 8/25/2019 8/25/2020 COMBINED SINGLE LIMIT E aBINE I $ 1 000.000 ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY ✓ AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTYDMA G E$ r acc(dent A UMBRELLA LIAB �/ OCCUR TCP 7011473 8/25/2019 8/25/2020 EACH OCCURRENCE $ 5 000 000 AGGREGATE $ 5 00D 000 EXCESS LIAB CLAIMS -MADE DED ✓ RETENTION 10,000 A AND EMPLOY WORKERS MS LIABI NSATON YIN N ANYPROPRIETORIPARTNERIEXECUTIVE OFFICEWMEMSEREXCLUDED? N I A TWC 7011475 8/25/2019 8/25/2020 V STAT T ER E.L. EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYE $ (Mandatory In NH) If yyes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1.000.00() DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) RE: All Operations of the Named Insur �46f: Fl"a"Ce �F P () 6' �'? ( �F a.crciiriLiAic r1VLVCIY CANCELLATION Received Cityy of Menifee, CA 29714 Haun Road 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 - Rod Sockolov ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 50780681 1 19-20 All i Patra (1) 1 6/26/2019 12:10:14 PM (PDT) i Page 1 of 1