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2017/08/01 Harris & Associates, Inc. Certificate of Liability InsuranceP521,ne28ee2 ACOR>fl CERTIFICATE OF LIABILITY INSURANCE DATE IYYYY) L 07/27/20/2017 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 COVEPAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING !NSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION 13 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 0757776 1-800-877-4560 HUB International Insurance Services Inc. P.O. Box 4047 COfITACT NA M- ___ _ __ __ _PHO925 - FAX NE (cjC. No)..925-609-6550 C No. ExtL 609 _6500 - E-MAIL - ADDRESS: Concord, CA 94524 INSURER(S) AFFORDING COVERAGE INSURER A: Citizens Insurance Company of America INSURED Harris & Associates Inc. INSURER B: Navigators Specialty Insurance Company --- --------------- — Attn: Susan Mandilag INSURERC: Travel -era Property Cesuulty Co of Amer INSURER D: ContinonLal Casualty Company 1401 Willow Pass Road, Suite 500 INSURER E: Concord, CA 94520 INSURER F : THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED,',BOVE 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 SUBR POLICY EFF POLICY EXP — LTR TYPE OF INSURANCEINSR wvnPOLICY NUMBER MMIDDNYYY MMIDD LIMITS A GENERAL LIABILITY ZBF9201722 08 08/01/1 08/01/18 EACH OCCURRENCE §2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE 'U RE.,mcm__1,000,000 PREMISES Ea occurrence)$ CLAIMS -MADE a OCCUR MED EXP (Any one person) $ 10, 000 X Ded: 0 I PERSCNAL E AD'::NJURY_ FGENERALAGCgHGATE $ 2, 000, 000 § 4, 000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTF._COMP,OP AGG $4,000,000 POLICY FX PRO- % LOC I --- - — 2 AUTOMOBILE LIABILITY COMBINED 31NGLE LIMIT IEa accident_ _ ______ -t_-__ $ - ----- ANY AUTO I BOD'LY !ALIURY(Par parson) ALL OWNED SCHEDULED Y------------ - . $ AUTOS AUTOS BODILY INJURY (Par accider.:) NON -OWNED HIRED AUTOS AUTOS PROPERTY DAMAGE (Pe: accident) e4DED MBRELLALIAB X LAI7EXC712701IC 08/07./1 08/O1/18 OCCUR IACHOCCURRENCF I § ].0,000,000 XCESS LNB CLAIMS -MADE -!- �GGREGATE � S_1C, 000, 000 X RETENTION$0 $ C WORKERS COMPENSATION PJDB8166N36A17 + OS/Ol/1 OB/Ol/18J XWC STATU-OTF!- AND EMPLOYERS' LIABILITY YIN T0P1y I IMITS _ § 1,000,000 ANY PROPRIETORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N❑ NIA E.L. FACI1 ACCIDENT E.L. DISEASE- EA EMPLOYE $ 1,000,000 -- (Mandatory In NH) (Mandatory If yes, desuibe under I j- DESCRIPTION OF OPERATIONS below I E.L. UISEASE -POLICY LIMIT $ 1,000,000 D PROFESSIONAL LIABILITY AEHS 1 58 Per C aim 01 Claims-Made Aggregate 10,aaci,UCO Ded. Each Claim 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required) '' Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. General Liability Additional Insured status granted, if required by written contract/agreement, per attached forms MAN-0426 0715 ✓t MAN-0427 0715. City & its officers, employees, agents & authorized volunteers are additional insureds under General Liability if required by a written contract RE: FY 17/18 On -call Engineering Services (Recoverable) (HA #1700317) WAn V r LIJi I IUIV 170-0317 (2018) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Allen Yun 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee, CA 92586 USA U 1988-2010 ACORD CORPOP.ATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD dgarcia 50465583 M POLICY NUMBER: ZBF9201722 08 L '7 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL ENSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS MAN-0427 07/15 z w This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional insured Person(s) Location And Description Of Completed O: Or5aniz3tlon(a). Operaticna Blanket as Required By Written %ontract (it no entry appears above, Information required to complete this andors6;nent will be shown in the Declarations as applicable to this endorsement.) 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 wort;" at the location designated and described in the schedule of this endorsement performed for that additional insured and inciuded in the "products-complated operations hazard". ALL OTHER TERMS, f_ ONDITiONS, AND EXCLUSIONS REMAIN UNCHANGED. MAN-0427 07115 Includes copyrighted material of Insurance Services Olilce, Inc., with Its permission. Page 1 of 1 POLICY NUMBER: ZBF9201722 08 COMMERCIAL GENERAL LIABILITY C-G 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: r BLANKET WITH WRITTEN CONTRACT Information required to complete this Schedule, If not shown above, will be shown In the Dcclarabcns. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — 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. CG24040509 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 z w n..a