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2018/07/15 HP Communications, Inc. Certificate of Liability Insurancer`lli—fit- A9A990 HPCOMMU1 ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 1 07/10/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER Marsh & McLennan Agency LLC Marsh &McLennan Ins. Agency LLC city of M enifee PO Box 85638 city aerk CONTACT Gloria Bell NAME: AX PHONE g58-768-4041 aIC, No A/C No, Ext oRlGloria.BelI@marshmma.comAIess: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Old Republic General Insurance Corp 24139 San Diego, CA 92186 Ns INSURED jut 16 INSURER B • The Continental Insurance Company 35289 HP Communications Inc. INSURER C :Atlantic Specialty Insurance Company 27154 13341 Temescal Canyon Road Corona, CA 92883 Received INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE Nl1MRFR, 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 CONTRACTOR 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. R TYPE OF INSURANCE ADDIN NSRL WVD POLICY NUMBER MMIDD�FF MM%DID LIMITS A X COMMERCIAL GENERAL LIABILITY X X Al CG11171802 7/15/2018 07/15/2019 EACH OCCURRENCE $1,000,000 PREMISES ERENTED oc/cu ante $100OOO CLAIMS -MADE a OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRODUCTS-COMP/OPAGG ECT$2,000,000 POLICY "l PRO- I I LOC OTHER: A AUTOMOBILE LIABILITY X X Al CA11171802 7/15/2018 07/15/201 DtSINGLE LIMIT Ea aBciderJ $2,000,000 BODILY INJURY (Per person) $ X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY See attached for Hired Auto Physical damage PROPERTY DAMAGE Per accident $ $ B UMBRELLA LIAB X OCCUR 6072189359 7/15/2018 07115/2019 EACH OCCURRENCE $1 O 000 000 X AGGREGATE $1 O 000 000 EXCESS LIAR CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? a (Mandatory in NH) N / A X Al CW11171802 7/15/2018 07/15/201 OTH- X PTRTuTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT 1 $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below C Contractors 7100336610005 7/15/2018 0711512019 Scheduled: $7,134,389 Equipment Rented: $200,000 Item Floater - ACV Deductible: $2,500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) City of Menifee is named as Additional Insured as respects to the General and Automobile Liability per the attached endorsements. City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS. Menifee, CA 92586-0000 AUTHORIZED -REPRESENTATIVE U 19BH-2U15 AGUKU GUKNUKA I IUN. Au rignis reserveu. ACORD 25 (2016103) 1 of 1 The ACORD name and logo are registered marks of ACORD #S3567440/M3567170 WSJZH ,a�coizo� ADDITIONAL REMARKS SCHEDULE AGENCY NAMEDINSURED Marsh & McLennan Insurance Agency LLC HP Communications Inc. CARRIER I NAIC CODE EFFECTIVE DATE: AU THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance ADDITIONAL COVERAGE E-Professional Liability — Berkley Assurance Company #PCADB50062930718 Term: 7/15118 — 7/15/19 $5,000,000 Each Claim Limit $5,000,000 Policy Aggregate $25,000 Deductible Each Claim E-Pollution Coverage - Berkley Assurance Company #PCADB50062930718 Term: 7/15/18 — 7/15/19 $5,000,000 Each Claim Limit $5,000,000 Aggregate $25,000 Deductible Each Claim D-Crime Coverage - Travelers Cas & Surety Co of America #105983294 Term: 7/15/18 — 7/15/19 Employee Theft of Client Property $1,000,000; $10,000 Retention Fiduciary Limit $1,000,000; $0 Retention C-Installation Floater - Atlantic Specialty Insurance Company #7100336610005 Term: 7/15/18 — 7/15/19 Actual Cash Value $2,000,000 Limit $2,500 Deductible Hired Auto Physical Damage (Comp & Collision): $100,000 Limit Comp $1,000 Deductible & Collision $1,000 Deductible Hired/Borrowed Auto Liability: $1,000,000 Limit Non -Owed Auto Liability: $1,000,000 Limit Page 2 of 2 ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED:HP Communications Inc. POLICY#:A1 CG11171802 POLICY PERIOD: 07/15/2018 TO: 07/15/2019 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Orctanization(s) I Location And Description Of Completed Operations All persons or organizations as required by written I As designated in written contract with the Named Insured contract with the Named Insured 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 include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in 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. 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 37 0413 © Insurance Services Office, Inc., 2012 Page 1 of 1 INSURED: HP Communications Inc. POLICY #: AlCG11171802 POLICY PERIOD: 07/15/2018 TO 07/15/2019 OLD REPUBLIC GENERAL INSURANCE CORPORATION CHANGES ADDITIONAL INSURED PRIMARY WORDING SCHEDULE THIS ENDORSEI,dENT CHANGES THE POLICY, PLEASE READ IT GAREFULIY. THIS ENDORSEMEl'IT MCDIFIES INSURANCE PRfiADED UNDER THE FOLLOWING., COfslTvIERCIAL GENERAL LIAIJILI-FY COVERAGE FORM Narnc- of Additional Insured Person(s) Location(s) of Govered Operations Or Organization(s): As required by written contract As Required Per Written Contract In orrnatfan requir-ed, to complete thfs Schedule, if not shown <'1bvve, will be shown in the Declarations. The Insurance provided by this yndorsetttent is primary Insurance. and we todil not sraek cantrlbutlon from any athcr insuranoe of a like kind vvailable to the person or organization shoot in the schedule above unless the other irIsttranca is pr-ovided by a contractor ether thart the person or arganization shown in the schedule ;above for the sarne of oration and jets lcCatiun. It �, We Will share with 11121 other inSuranee b the methc{1 describe-L! in paragraph 4.c. of Section IV - Commercial General Liability Grjriditions: All other terms and conditions rem. ain Unchanged, G Elul GN EC1J29 09 06 INSURED: HP Communications Inc. POLICY #: AlCA11171802 POLICY PERIOD: 07/15/2018 TO: 07/15/2019 OLD REPUBLIC GEt,IERAL INSURANCE CORPORATION ADDITIOtdAL INSURED -PRIMARY AND N01-1-CONTRIBUTORY THIS ENDORSEMENT CHANGES THE POLICY. PLE=SH READ IT CAREFULLY - THIS ENDORSEMENT MODIFIES INSURANCE PRO%4DED UNDER TIHE FOLLOWING: BUSINESS AUTO COVERAGE FORM 'A ith respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement iden ',ies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below - SCHEDULE 0r City of Menifee 29714 Haun Road Menifee, CA 92586-0000 (If no entry appears above, information required to complete this endorsement will be shokvn in the Declarations as applicable to the endorsement) Each person or organization shown in the Schedule is an insured" for Liability Coverage, but only to the extent that person or organization quafifies as an insured" under the Who Is An Insured Provision contained in Section lI of the Coverage Form. If the person or organization shown in the schedule quafines as an 'insured' for Liability Coverage, and they have coverage as a first named insured under another policy, this policy is primary to and non-contributory %ith that other insurance_ All other terms, conditions, and exclusions apply. CA EN GN 0044 02 12 Page 1 of 1