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2017/04/01 JLC Engineering & Consulting, Inc. Certificate of Liability InsuranceACOROr CERTIFICATE OF LIABILITY INSURANCE 14_� [DATE (MMIDDNYYY) 3/9/2018 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 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 Dealey, Renton &Associates P. O. Box 12675 Oakland, CA 94607 License 0020739 ACT ROSema Currie CONT NAME PHONE AX No : 714 427-6818 c No • 626 844-3070 AooREss: enterprise@dealeyrenton.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Travelers Indemnity Co. of Connecticut 25682 INSURED JLCENGINE JLC Engineering & Consulting, Inc. 36263 Calle de Lobo INSURER B : Travelers Casualty&Surety Co of Amer. 31194 INSURER C : American Automobile Ins. Co. 21849 INSURER D : Travelers Property Casualty Co of Ameri 25674 Murrieta CA 92562 INSURER E : INSURER F : L,UVtKAUtb CERTIFICATE NIIMRFR• 1n3ddR3nnr ocvlclnt,I Knleeovo. 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 MM/DDY/YYYI' MMIDD[YYYY LIMITS D X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FTI OCCUR Contractual Liab Y Y 6800,1006977 4/1/2017 4/1/2018 EACH OCCURRENCE S 1,000,000 DAMAGE To PREMISES Ea occurrence) S 1,000,000 X MED EXP (Any one person) S 10,000 Included PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ECT LOC GENERAL AGGREGATE 52,000,000 PRODUCTS-COMP/OPAGG 52,000,000 S OTHER: A AUTOMOBILE LIABILITY Y Y BA9225L185 4/1/2017 4/1/2018 COMBINED SINGLE LIMIT Ea accident S 1 000 000 BODILY INJURY (Per person) S ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS I BODILY INJURY Per accident ( ) 5 NON -OWNED HIRED AUTOS E AUTOS X PROPERTY DAMAGE Per accident S S UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ AGGREGATE S EXCESS LIAB CLAIMS -MADE DED I I RETENTIONS S I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? �Y N / A Y WZP81032695 6/1/2017 6/1/2018 OT X I STATUTE I EERH E.L. EACH ACCIDENT 51,000,000 E.L. DISEASE - EA EMPLOYEE 5 1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below B Professional Liability 105263763 4/1/2017 4/1/2018 S1,000,000 perciaim $2,000.000 annl. aggr DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations as pertains to named insured. The City of Menifee is named as Additional Insured as respects General and Auto Liability as required per written contract or agreement --• • • •• •_• • — •�--"�•• l+M1YVGLu1 I IVIY au Udy 1VUIICe Ui L'ancelialion The City of Menifee 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 IJ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD Policy # BA9225L185 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident' or 'loss", provided that the CONDITIONS Section: "accident' or 'loss" arises out of the operations 5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap- ers To Us plies only to the person or organization desig- We waive any right of recovery we may have nated in such contract. against any person or organization to the extent CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: BA92251_185 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion 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 indi- cated below. Endorsement Effective: 4/1/2017 Countersigned By: Named Insured: JLC Engineerinq & Consulting, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): The City of Menifee 29714 Haun Road Menifee, CA 92586 (If no entry appears above, information required to complete this endorsement will be shown 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 qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1