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2018/02/14 Leighton Consulting, Inc. Certificate of Liability Insurance (3)
Clianftf• 1957nd9 305LEIGHGRO ACORD,. CERTIFICATE OF LIABILITY INSURANCE ATE (MMIDD/YYYY) r2/23/2018 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER BB&T Insurance Services of Orange County 2400 E Katella Ave. Suite 1100 CONTACT Kathy Waters BOON Ext : 714 941-2938 FAX No): ADDRESS: KWaters@bbandt.com INSURER(S) AFFORDING COVERAGE NAIC # Anaheim, CA 92806 INSURER A Lexington Insurance Company 19437 INSURED Leighton Consulting Inc 17781 Cowan Ste. 100 INSURER B : Travelers Indemnity Co oICT 25682 INSURER C Irvine, CA 92614-6009 INSURER D : INSURER E INSURER F nnVFRAr:FS CFRTIFICATF Nl1MRFR- 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 CONTRACTOR 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 INSR SUBR WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 065463440 2/14/2018 02/14/2019 EACH OCCURRENCE S1,000,000 PREMISES ERENTED nce S50000 CLAIMS -MADE � OCCUR MED EXP (Any one person) sEXCLUDED PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 PRO - POLICY X JECT [XI LOC PRODUCTS - COMP/OPAGG 52,000,000 ]OTHER: Overall Policy General Aggregatel B AUTOMOBILE LIABILITY BA0305L81418CAG 2/14/2018 02/14/201 COMBINE$$5,000,000 (Ea acccideDI51NGLE LIMIT 1,000,000 BODILY INJURY (Per person) S X ANY AUTO BODILY INJURY (Per accident) $ OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE Per accident S 5 A X UMBRELLA LIAB X OCCUR 006546318 2/14/2018 02/14/201 EACH OCCURRENCE s5,000,000 AGGREGATE S5 000 000 EXCESS LIAR CLAIMS -MADE DED X RETENTION$10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) N / A E.L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEEI S E.L. DISEASE - POLICY LIMIT I S If yes, describe under DESCRIPTION OF OPERATIONS below A Liab 013001524 2114/2018102114/201 $2,000,000 Per Claim Fof/Pollutn aims Made $4,000,000 Aggregate $50 000 Ded DESCRIPTION OF OPERATIONS/ LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Proj #11051.003 Newport Road Rehabilitation from Bradley Road to Murrieta Road, PMP 16-01, Newport Rd, Menifee. Additional Insured to include per specifications: City of Menifee and its officers, employees, agents, and authorized volunteers. Additional Insured applies on General Liability per Lexington's Additional Insured (See Attached Descriptions) 1I,AN V CLLH Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE (LC)City of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS. Menifee, CA 92586 AUTHORIZED REPRESENTATIVE @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S19571273/M19526647 LXMCN SAGITTA 25.3 (2016/03) 2 of 2 #S19571273/M19526647 ENDORSEMENT # 016 This endorsement, effective 12:01 AM 02/14/2018 Forms a part of policy no.: 065463440 Issued to: LE I GHTON GROUP, INC. By:LEXINGTON INSURANCE COMPANY CANCELLATION AMENDMENT In consideration of the premium charged, it is hereby agreed that the cancellation provision is amended to 90 days in lieu of (30) days, except for non-payment of premium which remains (10) days. All other terms and conditions remain unchanged. Authorized Representative OR Countersignature (In states where applicable) LX9586 (02/03) ENDORSEMENT # 011 This endorsement, effective 12:01 AM 02/14/2018 Forms a part of policy no.: 065463440 Issued to:LEIGHTON GROUP, INC. By:LEXINGTON INSURANCE COMPANY PRIMARY/NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided by the policy: Notwithstanding any other provision of the policy to the contrary, the insurance afforded by this policy for the benefit of the Additional Insured shall be primary insurance, but only with respect to any claim, loss or liability arising out of the Named Insured's operations; and any insurance maintained by the Additional Insured shall be non-contributing. All other terms and conditions of the policy remain the same. f Authorized Representative OR Countersignature (In states where applicable) LX9838 (08/05) COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED- PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in SECTION II. 2. The following is added to Paragraph B.5., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an addi- tional insured person or organization is the first named insured when the written contract or agreement between you and that person or or- ganization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy pe- riod, requires this insurance to be primary and non-contributory. CA T4 74 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. POLICYNUMBER: 065463440 ENDORSEMENT# COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 10 01 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN CONTRACT (LC)City of Menifee 29714 Haun Road Menifee, CA 92586-0000 Re: Proj #11051.003 Newport Road Rehabilitation from Bradley Road to Murrieta Road, PMP 16-01, Newport Rd, Menifee. Additional Insured to include per specifications: City of Menifee and its officers employees agents, and authorized volunteers. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section If -Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions This insurance does not apply to "bodily injury" or "property damage" occurring after: CG 20 10 10 01 ISO Properties, Inc., 2000 LX9605 (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the site of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. Page 1 of 1 ENDORSEMENT This endorsement, effective 12:01 AM 02/14/2018 Forms a part of policy no.: 065463440 Issued to: LEIGHTON GROUP, INC. By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS- COMPLETED OPERATIONS (Based on CG2037 04/13) This endorsement modifies insurance provided by the following: COMMERCIAL GENERAL LIABILITY POLICY SCHEDULE Name of Additional Insured Persons) Location of Completed Operations or Organization(s) AS REQUIRED BY WRITTEN CONTRACT (LC)City of Menifee 29714 Haun Road Menifee, CA 92586-0000 Re: Proj #11051.003 Newport Road Rehabilitation from Bradley Road to Murrieta Road, PMP 16-01, Newport Rd, Menifee. Additional Insured to include per specifications: City of Menifee and its officers, employees, agents, and authorized volunteers. Information required to complete this Schedule, if not shown above, will be shown in the Declarations A 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 viork" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: I. The insurance afforded to such additional insured only applies to the extent permitted by law, and 2. If coverage provided to the additional insured is required by a contract or agreement, the -insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. . With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: '� upynyineu inrormauon OTme insurance Services Page 1 O Offices, Inc., with its permission. All Rights Reserved. 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations All other terms and conditions of the policy remain the same. f Authorized Representative rr11a1.1=u 11nunnduon oruie insurance Servia '6K Inc., with its permission. All Rights Reserved.