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2017/11/12 IDS Group, Inc. Certificate of Liability Insurance (5)SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 10/10/2018 Risk Strategies Company 2040 Main Street, Suite 450 Irvine, CA 92614 949-242-9240 www.risk-strategies.com CA DOI License No. 0F06675 Michael Christian Risk Strategies Company syoung@risk-strategies.com IDS Group, Inc. 1 Peters Canyon Rd., Ste 130 Irvine CA 92606 44827066 3 3 3 City of Menifee and its officers, officials, employees, and authorized volunteers are named as additional insureds and primary/non-contributory clause City of Menifee Attn: Margaret Cornejo, Contract & Procurement Administrator 29714 Haun Rd. Menifee CA 92586 Projects as on file with the insured including but not limited to CIP 19-16: Lazy Creek Recreation Center Improvement Project. applies to the general and auto liability policies and a waiver of subrogation applies to the work comp policy-see attached endorsements. A $2,000,0006809H7179195/1/2018 5/1/2019 $1,000,000 3 $10,000 3 $2,000,000 $4,000,000 $4,000,0003 B BA8F335897 5/1/2018 5/1/2019 $1,000,000 3 3 A CUP7K299343 5/1/2018 5/1/2019 $9,000,00033 $9,000,000 3 0 A UB4K463295 5/1/2018 5/1/2019 3 $1,000,000 $1,000,000 $1,000,000 C Professional Liability AEH288340328 11/12/2017 11/12/2018 Per Claim:$3,000,000 Aggregate:$3,000,000 Travelers Property Casualty Co. of America 25674 Travelers Indemnity Company of CT 25682 Continental Casualty Company 20443 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 1 of 8 IDS Group, Inc. 6809H717919 5/1/2018 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 2 of 8 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 3 of 8 IDS Group, Inc. BA8F335897 5/1/2018 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 4 of 8 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 5 of 8 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 6 of 8 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 7 of 8 Insured: Policy No.: Effective D We have policy. W Schedule You mus employee The addit compensa Schedule Person o ANY PER YOUR RI PRIOR TO Job Desc Projects a : Date: the right to We will not . st maintain es while eng tional prem ation premi e or Organiza RSON OR O GHT TO R O THE DAT cription: as on file wi WAIVER OF recover ou enforce o payroll re gaged in th mium for thi um otherwi ation ORGANIZA RECOVER A TE OF LOS ith the insu F OUR RIGHT ENDORSEM (BLAN ur payments ur right ag ecords acc e work des s endorsem ise due on ATION WITH AGAINST T SS red. T TO RECOV MENT – CALI NKET WAIVE s from anyo gainst the p curately se scribed in th ment shall such remu H WHOM Y THEM. YO A WORKER EMPLO ENDORSEM VER FROM O FORNIA ER) one liable fo person or o gregating he Schedule be 5.000% neration. YOU AGRE OU MUST A Authorized R RS COMPEN AND OYERS LIAB MENT WC 99 OTHERS for an injury organizatio the remun e. % of the Ca EE IN WRIT AGREE TO epresentative NSATION BILITY 9 03 76 (00) y covered b on named i neration of alifornia wo TING TO W O THIS WA e by this n the your rkers’ WAIVE AIVER IDS Group, Inc. UB4K463295 5/1/2018 44827066 | 18-19 GL-HNOA-UL-WC, 17-18 PL | Sherry Young | 10/10/2018 9:14:37 AM (PDT) | Page 8 of 8