2018/11/01 WSP USA, Inc. Certificate of Liability Insurance (3)A��RL7� CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
10/29/2018
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(les) 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
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York NY 10177
CONTANAME: AJG Service Team
PHONE nc No:212-9947074
A/C No. Ex : 212-981-2485
E-MAIL
ADOREss: GGB.WSPUS.CertRequests@ajg.com
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: QBE Specialty Insurance Company
11515
INSURED WSPGLOB-Ot
WSP USA Inc.
INSURER B :
INSURER C :
One Penn Plaza
New York, NY 10119
INSURER D
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER- I132ns?rfid REVISION NIIIURFRa
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 -- — AODL SUBR----`--�-- -----
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP------"— —
MMIDD/YYYY MMIDDIYYY LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS
EACH OCCURRENCE
S
DAMAGE TO RENTED
-MADE J OCCUR
PREMISES Ea occurrence
$
MED EXP (Any one person)
$
Gty of Menifee
PERSONAL & ADV INJURY
$
City Clerk
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE_
s
POLICY u PRO.
Ll LOC
I�
NOV / 2018
PRODUCTS - COMP/OP AGO
— ----
S
$
OTHER
AUTOMOBILE
LIABILITY
I
COMBINED SINGLE LIMIT
(Ea accident
I S
ANY AUTO
per, ed
BODILY INJURY (Per person)
S
OWNEDONLY AUTOS SCHEDULED
AUTOS
I
BODILY INJURY (Per accidenl)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident
$
S
LJUMBRELLA
LIAB
OCCUR
EACH OCCURRENCE
S
EXCESSLIAB
CLAIMS -MADE
AGGREGATE
S
DED RETENTION S
S
WORKERS COMPENSATION
I
AND EMPLOYERS' LIABILITY YIN
STATUTE EERH
E.L. EACH ACCIDENT
S
ANYPROPRIETOR,PARTNER EXECUTIVE
OFFICERWEMBER EXCLUDED
NIA
E.L. DISEASE - EA EMPLOYEE
S
(Mandatory in NH)
It yes, describe under
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
A
Professional Liability
CLAIMS -MADE
OPL0022630
11,112018 1
i
10/31/2019
Per Claim/Aggregate
$1.000.000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
12840A- NPDES storm water services
..._.........-.. � , 5vw v r _. {-.NIYLCLL/i 11VIV
City of Menifee
29714 Haun Road
Menifee CA 92586
USA
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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
3 of 6 14968
AtIC RE)r CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDIYYYY)
10/29/2018
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York NY 10177
CONTACT
AJG Service Team
PHONE FAX
A/ Et): 212-981-2485 (AIC. No): 212-994-7074
ADDRESS: GGB.WSPUS.CertRequests@ajg.com
INSURERS AFFORDING COVERAGE
NAICS
INSURER A: QBE Specialty Insurance Company
11515
INSURED WSPGLOB-01
WSP USA Inc.
One Penn Plaza
New York, NY 10119
INSURER B :
INSURERC:
INSURER D :
- ------------ ------------
INSURER E :
-------------
INSURER F:
I,VvtI1AU=Z1 CEHIIFICATE NUMBER:1178179984 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 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
AODL
INSD
SUBRI
WVD
I POLICY NUMBER
POLICY EFF
MIODD/YYYY
POLICY EXP
MM/DD/YYY
—
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
IEACH
OCCURRENCE
S
DAMAGE TO R[ TED
PREMISES (Ea occurrence
$
MED EXP (Any one person)
S
PERSONAL&ADVINJURY
S
GEN'L
AGGREGATE LIMIT APPLIES PER:
11 JPRO-
POLICY 1- LOC
GENERAL AGGREGATE
S
PRODUCTS - COMP/OP AGG
S
S
OTHER.
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
COMBINED SINGLE LIMIT
fEa accident
S
BODILY INJURY (Per parson)
$
BODILY INJURY (Per accidani)
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
IPer accidentl
S
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
S
AGGREGATE
S
DED I RETENTION $
S
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETORrPARTNERiF-XECUTIVE
OFFICER 'MEMBER EXCLUDED7 ❑
N / A
H
STATUTE I ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
S
(Mandatory in NH)
It yes. describe under
E.L. DISEASE . POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
A
Professional Liability
CLAIMS -MADE
OPL0022630
1111/2018
10r31/2019
Per Claim/Aggregate
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule. may be attached If more space is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION
12789A - Menifee Traffic Assistance
City of Menifee
29714 Haun Road
Menifee CA 92586
USA
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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
4 of 6 14968
ACORN" CERTIFICATE OF LIABILITY INSURANCE
FDATE(MM/DDIYYYY)
1 10/29/2018
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 1NSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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
Arthur J. Gallagher Risk Management Services, Inc.
CONTANAME: CT AJG Service Team
PHONE Fax
'A No. Ext : 212-981-2485 A,C No: 212-994 7074
250 Park Avenue, 5th Floor
E-MAIL
ADOREss: GGB.WSPUS.CertRequests@ajg.com
New York NY 10177
INSURERS AFFORDING COVERAGE
NAICN
INSURER A: QBE Specialty Insurance Company
11515
INSURED WSPGLOS-01
WSP USA Inc.
INSURER B
INSURER C :
One Penn Plaza
New York, NY 10119
INSURER D :
INSURER E :
INSURER F:
CUVEHAGES CERTIFICATE NUMBER: ?ngR07mR R1=1nRInPi nllllURPR•
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.
S BR ITq TYPE OF INSURANCE I SD WVD POLICY NUMBER MWDD/WYY MM DDIYYYP LIMITS
COMMERCIAL GENERAL LIABILITY
EACHOCCURRENCE
Is
DAMAGE TO RENTED
PREMISES Ea occwrence
5
CLAIMS -MADE ;OCCUR
MED EXP (Any one person)
S
PERSONAL & ADV INJURY
S
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY u JE� IJ LOC
GENERALAGGREGATE
PRODUCTS - COMP/OP AGG
S
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
tEa accident
I S
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
S
PROPERTY DAMAGE
Wer accident)
S
S
UMBRELLA LIAB !OCCUR
EACH OCCURRENCE
$
AGGREGATE
S
EXCESS LIAB I CLAIMS -MADE
DED RETENTION$
S
i
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y/ N
ANYPROPRIETORIPARTNER%EXECUTIVE ❑
OFFICER/MEMBEREXCLUDED?
N / A
I
PER OTH.
STATUTE I I ER
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYEE
------ ---
S
(Mandatory in NH)
If yes. describe under
E.L. DISEASE - POLICY I IMIT
S
DESCRIPTION OF OPERATIONS below
A
Professional Liability
CLAIMS -MADE
OPL0022630
111112018
I
10/3V2019
Per Claim/Aggregate
$1.000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
12848A - Project Description: 2016/2017 Menifee On Call Eng. & Supp Svcs
City of Menifee
29714 Haun Road
Menifee CA 92586
USA
UAIV
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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
5 of 6 14968
'ac'c�Ro CERTIFICATE OF LIABILITY INSURANCE
F DATE(MMIDDIYYYY)
1 10/29/2018
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 pollcy(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
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York NY 10177
CONTACT
NAME: AJG Service Team
PHONE FAX
arc No. Ext : 212-981-2485 Arc No: 212-994-7074
ADDRESS: GGB.WSPUS.CertRequests@ajg.com
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: QBE Specialty Insurance Company
11515
INSURED WSPGLOS-01
WSP USA Inc.
One Penn Plaza
New York, NY 10119
INSURER B
INSURERC:
INSURER D :
------------------ -----
INSURER E :
-----------
INSURER F:
COVERAGES CERTIFICATE NUMBER:1934914677 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 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
ADD
IN D
SUBR-1
WVD
I POLICY NUMBER
POUCY EFF
MMrDD/YYYY
I POLICY EXP
MMIDD/YYY
—� —
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE I OCCUR
EACHOCCURRENCE
$
DAMAGE TO RENTED
—J
PREMISES (Ea occuuence)
S
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
S
GEN'L
AGGREGATE LIMIT APPLIES PER:
POLICY �, JPRO-
I_J LOC
GENERAL AGGREGATE
S
PRODUCTS - COMP/OP AGG
S
$
OTHER:
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
COMBINED SINGLE LIMIT
(Ea accident
BODILY INJURY (Per person)
$
BODILY INJURY (Per accident)
S
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accide
$
S
UMBRELLA LIAR
j� IOCCUR
EACHOCCURRENCE
S
AGGREGATE
$
EXCESS LIAB I CLAIMS -MADE
DIED I I RETENTION $
S
I
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRiETORIPARTNERiEXECUTIVE
OFFICERWEMBER EXCLUDED? ❑
N / A
STATUTE I I OERH
E.L.EACH ACCIDENT
_
E.L. DISEASE - EA EMPLOYEE
$
(Mandatory in NH)
11 yes, describe under
E.L. DISEASE - POLICY LIMIT
S
DESCRIPTION OF OPERATIONS below
A
Professional Liability
CLAIMS -MADE
OPL0022630
11/1/2018
10/31i2019
Per Claim/Aggregate
$2.000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION
12799A - Professional Services Traffic Engineering
-� _ 6rH1Yl�CLLH I IVN
City of Menifee
29714 Haun Road
Menifee CA 92586
USA
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
U 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
6 of 6 14968
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York, NY 10177
14968 2 AB 0.405 14968
rl�r�ilil�il�i�11lnl1i'ilb"I1111-111
CITY OF MENIFEE
29714 HAUN RD
MENIFEE, CA 92586-6540
1 of 6 14968
aCOR® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDDIYYYY)
10/29/2018
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(les) 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
Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York NY 10177
CONTACT AJG Service Team
PHONE
AI N Ext : 212-981-2485 FAX
No: 212-994-7074
AIL
ADDRESS: GGB.WSPUS.CertRequests@ajg.com
INSURERS AFFORDING COVERAGE
NAIC#
INSURER A: QBE Specialty Insurance Company
11515
INSURED WSPGL06-01
WSP USA Inc.
INSURER B :
INSURER C :
One Penn Plaza
New York, NY 10119
INSURERD:
INSURER E :
INSURER F:
livvMMAUM. CERTIFICATE NIIMRFRr.)Rircmn7R owrcrnhr ILur■-n-
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 ADD SUBfi POLICY EFF7 POLICP EXP
LTR TYPE OFINSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY I MWDDIYYY LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE OCCUR
EACH OCCURRENCEDE
$
DAMAGE TO RE TPREMISES (Ea occurrence
S
MED EXP (Any one person)
S
PERSONAL & ADV INJURY
$
GEN'L
AGGREGATE LIMIT APPLIES PER:
u JE PRO -
POLICY E LOC
OTHER.
GENERAL AGGREGATE
$
PRODUCTS - COMPIOP AGG
S
$
AUTOMOBILE
LIABILITY
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NONOVJNED
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
(Ea accident
S
BODILY INJURY (Per person)
S
BODILY INJURY tPer accident)
$
PROPERTY DAMAGE
(Per accident)
_
$
S
UMBRELLA LIAB "I OCCUR
EXCESS LIAB � CLAIMS -MADE
j
I
EACH OCCURRENCE
S
AGGREGATE
S
DED 1 1 RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y r N
AN YPROPRI E TO RrPARTN ER%F_XECUTI VE
OFFICER/MEMBEREXCLUDED7 ❑
(Manddlory In NH)
It yes. describe under
DESCRIPTION OF OPERATIONS below
NIA
i
PER OTH
STATUTE I ER
E.L. EACH ACCIDENT
E.L. DISEASE • EA EMPLOYEE
S
E.L. DISEASE - POLICY LIMIT
S
A
Professional Liability
CLAIMS -MADE
OPL0022630
11/1/2018
10+3V2019
Per Claim/Aggregate
$1.000,000
DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
12837A - Menifee Project Management -On - Call
City of Menifee
29714 Haun Road
Menifee CA 92586
USA
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
U laaa-ZU15 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2 of 6 14968