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2019/09/01 Leighton Consulting, Inc. Certificate of Liability InsuranceACpRE)i CERTIFICATE OF LIABILITY INSURANCE I 1 F DATE(MM/DDIYYYY) 08/27/2019 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 CONTACT Certificate Department NAME: Tutton Insurance Services PHONE (949) 261-5335 FAX (949) 261-1911 AI "o x A.C. No : 2913 S Pullman Street E-MAIL DURESS: Bernadette Reza or Catlin Ortiz A License #OB89376 INSURER(S) AFFORDING COVERAGE NAIC # Santa Ana CA 92705 INSURERA: West American Insurance 44393 INSURED INSURER B : Leighton Consulting, Inc. INSURER C : 17781 Cowan INSURER D Ste. 200 INSURER E : Irvine CA 92614 INSURER F : GOVERAGES CERTIFICATE NUMBER: 19-ZU We consulting REVISION NIIMRFR- THIS IS TO CERTIFY THATTHE 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. LTR TYPE OF INSURANCE I POLICY NUMBER P LI Y EFF MMiAR CY EXP MMIDD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES fra occurrence $ CLAIMS -MADE OCCUR MED EXP Any oneperson) $ PERSONAL &ADV INJURY $ GENLAGGREGATE LIMITAPPLIESPER: POLICY PRO- JECT LOC GENERAL AGGREGATE $ PRODUCTS - COMP/OPAGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT Ea accldanl $ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY H PROPERTY DAMAGE Per accdent $ $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A XWW60245009 09/01/2019 09/01/2020 PER OTH- X STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1-000,000 (Mandatory in NH) If yes, describe under DESCRIPT ION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) Re: Proj#11051.000 City of Menifee Professional Services, Various locations in the City of Menifee. Includes Blanket WOS per WC990679 0113. Waiver of Subrogation to include per above specifications: City of Menifee and its officers, officials, employees and authorized volunteers. city ni Menifee -lnante Ln"i Mk"f lII al JM IKa1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd AUTHORIZED REPRESENTATIVE Menifee CA 92586 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 (Ed. 01-13) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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. (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 segregating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement is $ Included Schedule Person or Organization Blanket- �I �I I Job Description 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 Endorsement No. 0008 Policy Effective 09/01 /2019 Premium State Policy No, XWW (20) 60 24 50 09 Insured LEIGHTON GROUP, INC. Insurance Company West American Insurance Company 11576 Countersigned by WC 99 06 79 (Ed. 01-13) © 2013 Liberty Mutual Insurance Includes copyrighted material of WCIRB,with its permission. ACQRtf CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/27/2019 THIS CER71FICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATi= 0012S 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 CONTACT Certificate Department NAME: Tutton Insurance Services PHONE (949) 261-5335 F (949) 261-1911 fA19. Na Ex • I WC. Na : 2913 S Pullman Street ADDRESS: Bernadette Reza or Catlin Ortiz License #01389376 INSURER(S)Arr0RIDING COVERAGE NAIC # Santa Ana CA 92705 INSURER A: WestAmerican Insurance 44393 INSURED INSURER B : Leighton Consulting, Inc. INSURER C : 17781 Cowan INSURER D : Ste. 200 INSURER E : Irvine _ _ CA 92614 INSURER F : CUVkhtAGE5 CERTIFICATF NJ IMRFR• 19-20 WG Gonsultine DCmmAu r.rr uADOD. 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 MAYBE 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. ILTR TYPE OF INSURANCE VIVID POLICY NUMBER POLICY MM DD/YPOLICY YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES frwo occurrence $ CLAIMS -MADE OCCUR MED EXP (Anv one person) $ PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER; POLICY ❑ �PERa � LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OPAGG $ $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea c idenl $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY �PeOr a c den DAMAGE $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE � OFFICER/MEMBMBER EXCLUDED? N/A XWW60245009 09/01/2019 09/01/2020 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes, de=cdbe r!ndsr DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Re: Proj#11051.005 CIP19-01 Rustler's Ranch Resurfacing Project Phase II (NE Newport Rd & Bradley Rd, Menifee) Includes Blanket WOS per WC990679 0113. City Of Menifee Finance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee Received ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd Menifee CA 92586 AUTHORIZED REPRESENTATIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 79 (Ed. 01-131 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA 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, (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 segregating the remuneration of your employees while en- gaged in the work described in the Schedule. The additional premium for this endorsement is $ Included b Schedule a= Person or Organization Blanket Job Description 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 Endorsement No. 0008 Policy Effective 09/01/2019 Premium State Policy No. XWW (20) 60 24 50 09 Insured LEIGHTON GROUP, INC. Insurance Company West American Insurance Company 11576 Countersigned by WC 99 06 79 (Ed. 01-13) © 2013 Liberty Mutual Insurance I Includes copyrighted material of WCIRB,with its permission.