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2018/08/01 Harris & Associates, Inc. Certificate of Liability Insurance (8)P52611u28ee2 .ACORV CERTIFICATE OF LIABILITY INSURANCE 08/0 /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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER 0757776 1-000-877-4560 HUB International Insurance Services Inc. CONTACT NAME: PHONE 925 609-6500 FAX 925 609-6550 lALO A/C No E-MAIL ADDRESS: P.O. Box 4047 INSURERS AFFORDING COVERAGE NAIC 0 INSURERA: Valley Forge Insurance Company Concord, CA 94524 INSURED INSURERB: Navigators Specialty Insurance Company Harris & Associates Inc. Attn: Susan Nandilag 1401 Willow Pass Road, Suite 500 Travelers Property Casualty Cc of Amer INSURERC: p Y INSURERD: Continental Casualty Company INSURER E: 1 INSURER F: Concord, CA 94520 COVERAGES CERTIFICATE NUMBER: 53610101 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF I MM/DD POLICY EXP MM/DD LIMBS A % COMMERCIAL GENERAL LIABILITY 6072176739 08/01/18 08/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE � OCCUR PRREM SES Ea occurrence $ 1,000,000 % MED EXP (Any one person) $ 15,000 Ded: 0 PERSONAL & ADV INJURY $ 1,000,000 City 0f ke AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GENL de City It �I PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY JECOT- I —XI LOC _ OTHER: UG L�`�201 AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY ,2eceived PROPERTY DAMAGE Per accident $ E B UMBRELLALULB X OCCUR SP18EXC712701IC 08/01/18 08/01/19 EACHOCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 % EXCESS LIAB CLAIMS -MADE DED I % RETENTIONS 0 $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNERIEXECUTIVE 1W -1 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) NIA TIB-8K458448-TIL-18 ° 08/01/18 08/01/19 H 8 STERATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 U yes describe under DESCRIPTION OF OPERATIONS below D PROFESSIONAL LIABILITY ARH591891588 08/01/18 08/01/19 Per Claim 10,000,000 Claime-Made Aggregate 10,000,000 Ded. Bach Claim 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N morn space is required) ° Workers Compensation policy excludes monopolistic states ND, OH, WA, WY. General Liability Additional Insured statue granted, if required by written contract/agreement, per attached form CNA75079XX 1016. City & its officers, employees, agents a authorized volunteers are additional insureds under General Liability if required by a written contract RE: On -call Professional Entitlement & Final Engineering Services (HA #1600586) l:11:1111FH:AIr r1ULUtK L,AnL r-LLMlIVPL 160-0586 (2022) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Nenifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Allen Yun Public Works / Engineering AUTHORRED REPRESENTATIVE 29714 Haun Road Nenifee, CA 92586 1 USA - ACORD 25 (2016/03) dgarcia 53610101 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD chi.. O N P526(U28002 CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement H , 0 Primary and Noncontributory Insurance N With respect to other insurance available to the additional insured under which the additional insured is a named z insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a w written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effector becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Policy No: 6072176739 Page 2 of 2 Effective Date: 08/01/2018 Insured Name: Harris & Associates Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. P526W28W2 u. v u.. O v TRAVELERS J k WORKERS COMPENSATION AND , ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY > HARTFORD, CT 06183 Z w ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (1-113-81<458448-TIL-18) 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 02.000 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. 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 Countersigned by DATE OF ISSUE: 08-02-18 ST ASSIGN: Page 1 of 1 P520002X002 II1113 International Insurance Services Inc. P.O. Box 4047 Concord, CA 94524 2111MON063116 ILL Electronic Service Requested EB IX BPO 0 ALL FOR AADC 923 2173 0.9555 AB 0.405 li���llvil�llill4�l�ilrlill�illulllil�l��lil�illlll�llllril� Cityy of Menifee 9 29714 HAUN RD PUBLIC WORKS / ENGINEERING MENIFEE, CA 92586-6540 This document was brought to you by CertificatesNow. 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