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2017/09/30 LSA Associates, Inc. Certificate of Liability InsuranceCERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Dealey,Renton &Associates Lic.#0020739 P.O.Box 10550 Santa Ana CA 92711-0550 Robin Lee 714-427-6810 714-427-6818 rlee@dealeyrenton.com Hartford Fire Ins.Co.19682 LSAASSOCI1 Berkley Insurance Company 32603LSAAssociates,Inc. 20 Executive Park,Suite 200, Irvine CA 92614 1665894389 A X 1,000,000 300,000 X 1,000,000 2,000,000 2,000,000 57CESOF4492 9/30/2017 9/30/2018 X 10,000 A 1,000,000 X X X 57UUNIF1488 9/30/2017 9/30/2018 A N 57WEGG5794 9/30/2017 9/30/2018 1,000,000 1,000,000 1,000,000 B Professional and Pollution Liability 6/18/2018 X AEC901701401 9/30/2017 9/30/2018 $2,000,000 $4,000,000 per Claim Annl Aggr. General Liability Policy excludes claims arising out of the performance of professional services. Re:Cultural &Paleontological Reports. City of Menifee,its officers,agents and employees are Additional Insured as required by written contract. Primary and Non-Contributory as required by written contract. Waiver of Subrogation as required by written contract. 30 Day Notice of Cancellation/10 Day City of Menifee* Attn:Margarita Cornejo 29714 Haun Road Menifee CA 92586 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 Policy Number: 57CESOF4492 EXCERPTS FROM CA 0001 (1013) HARTFORD BUSINESS AUTO COVERAGE Additional Insured: SECTION II – COVERED AUTO LIABILITY COVERAGE A.1. WHO IS AN INSURED: The following are “insureds” c. Anyone liable for the conduct of an “insured”…but only to the extent of that liability. Primary Insurance: SECTION IV – BUSINESS AUTO CONDITIONS B. General Conditions - 5. Other Insurance a. For any covered “auto” you own, this Coverage Form provides primary insurance. For any covered “auto” you don’t own, the insurance provide by this Coverage Form is excess over any other collectible insurance. c. Regardless of the provisions of paragraph a. above, this Coverage Form’s Covered Auto Liability Coverage is primary for any liability assumed under an “insured contract”. Cross Liability Clause: SECTION V – DEFINITIONS G. “Insured” means any person or organization qualifying as an insured in the Who is An Insured provision of the applicable coverage. Except with respect to the Limit of Insurance, the coverage afforded applies separately to each insured who is seeking coverage or against whom a claim or “suit” is brought. EXCERPTS FROM HA9916 (0312) HARTFORD COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT 15. WAIVER OF SUBROGATION – We waive any right of recovery we may have against any person or organization with whom you have a written contract that requires such waiver because of payments we make for damages under this Coverage Form. 57UUNIF1488 WC040306 Workers' Compensation and Employers' Liability Insurance Policy Waiver of Our Right to Recover From Others Endorsement - California WC 04 03 06 If the following information is not complete, refer to the appropriate Schedule attached to the policy. Policy NumberInsured: Producer: Dealey, Renton & Associates Effective Date Schedule Person or Organization Job Description Additional Premium % We have the right to recover our payments from any- one liable for an injury- covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segre- gating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement shall be the percentage, as shown in the Schedule applicable to this endorsement, of the California workers' compensation premium otherwise due on such remuneration. __________________________________________________________ Authorized Representative LSA Associates,Inc.57WEGG5794 9/30/2017 City of Menifee* Attn:Margarita Cornejo 29714 Haun Road Menifee CA 92586 Re:Cultural &Paleontological Reports. *its officers,agents and employees