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2016/11/09 Willdan Engineering Certificate of Liability InsuranceAFCDHolder Identifier : 7777777707070700077763616065553330773617546304557707553126763516201072650576046331130772405113463011207566415372274556071626775724767700754067357623675607504057532274570077727252025773110777777707000707007 6666666606060600062606466204446200602202626204002006002226260060220060022260402422220622022426224022006002004262240200062002262602422220602200406226202006220024042220620066646062240664440666666606000606006Certificate No :570068128939CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/25/2017 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). 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. PRODUCER Aon Risk Insurance Services West, Inc. Los Angeles CA Office 707 Wilshire Boulevard Suite 2600 Los Angeles CA 90017-0460 USA PHONE (A/C. No. Ext): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # (866) 283-7122 INSURED 20478National Fire Ins. Co. of HartfordINSURER A: 35289The Continental Insurance CompanyINSURER B: 19437Lexington Insurance CompanyINSURER C: INSURER D: INSURER E: INSURER F: FAX (A/C. No.):(800) 363-0105 CONTACT NAME: Willdan Engineering 2401 East Katella Avenue, Suite 300 Anaheim CA 92806 USA COVERAGES CERTIFICATE NUMBER:570068128939 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.Limits shown are as requested POLICY EXP (MM/DD/YYYY) POLICY EFF (MM/DD/YYYY) SUBR WVD INSR LTR ADDL INSD POLICY NUMBER TYPE OF INSURANCE LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR POLICY LOC EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG X X X X GEN'L AGGREGATE LIMIT APPLIES PER: $1,000,000 $1,000,000 $15,000 $1,000,000 $2,000,000 $2,000,000 B 11/09/2016 11/09/20175088210281 PRO- JECT OTHER: AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY BODILY INJURY ( Per person) PROPERTY DAMAGE (Per accident) X BODILY INJURY (Per accident) $1,000,000A11/09/2016 11/09/2017 COMBINED SINGLE LIMIT (Ea accident) C 6020541619 EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE EACH OCCURRENCE DED UMBRELLA LIAB RETENTION E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT E.L. EACH ACCIDENT $1,000,000 X OTH- ER PER STATUTE B 11/09/2016 11/09/2017 AOS WC620541572B 11/09/2016 11/09/2017 $1,000,000 Y / N (Mandatory in NH) ANY PROPRIETOR / PARTNER / EXECUTIVE OFFICER/MEMBER EXCLUDED?N / AN CA WORKERS COMPENSATION AND EMPLOYERS' LIABILITY If yes, describe under DESCRIPTION OF OPERATIONS below $1,000,000 WC622647422 Per Claim02817491211/09/2016 11/09/2017 SIR applies per policy terms & conditions $1,000,000Aggregate SIR $250,000 Archit&Eng ProfC $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: FY 17/18 Traffic Engineering Support Services. The City of Menifee is included as Additional Insured in accordance with the policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation policies. CANCELLATIONCERTIFICATE HOLDER AUTHORIZED REPRESENTATIVECity of Menifee Attn: Administration/Risk Manager 29714 Haun Road Menifee CA 92586 USA ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I.WHO IS AN INSURED Insured NamedThesectionisamendedto add as an any person or organization whom the Insured written contract coverage part,is required by to add as an additional insured on this including any such person or organization,if any,specifically set forth on the Schedule attachment to this endorsement.However,such Insuredpersonororganizationisan only with respect to such person or organization’s liability for: A. B.unless paragraph below applies, 1.bodily injury property damage personal and advertising injury, ,or caused in whole or in part by the acts Named Insured Named Insured’soromissionsbyoronbehalfof the and in the performance of such written contractongoingoperationsasspecifiedinsuch;or 2.bodily injury property damage your work products-or caused in whole or in part by and included in the completed operations hazard,and only if a.written contract Named Insuredtherequiresthe to provide the additional insured such coverage;and b.coverage partthis provides such coverage. B.bodily injury,property damage,personal and advertising injury your workorarisingout of described in such written contract,but only if: 1.coverage part bodily injury property damage productsthisprovidescoveragefororincludedwithinthe completed operations hazard;and 2.written contract Named Insuredthespecificallyrequiresthe to provide additional insured coverage under the 11-85 or 10-01 edition of CG2010 or the 10-01 edition of CG2037. II.Subject always to the terms and conditions of this policy,including the limits of insurance,the Insurer will not provide such additional insured with: A.written contractcoveragebroaderthanrequiredbythe;or B.written contractahigherlimitofinsurancethanrequiredbythe. III.bodily injury propertyTheinsurancegrantedbythisendorsementto the additional insured does not apply to , damage personal and advertising injury,or arising out of: A.the rendering of,or the failure to render,any professional architectural,engineering,or surveying services, including: 1.the preparing,approving,or failing to prepare or approve maps,shop drawings,opinions,reports,surveys, field orders,change orders or drawings and specifications;and 2.supervisory,inspection,architectural or engineering activities;or B.any premises or work for which the additional insured is specifically listed as an additional insured on another coverage partendorsementattachedtothis . IV.COMMERCIAL GENERAL LIABILITY CONDITIONS,Notwithstanding anything to the contrary in the section entitled Other InsurancetheConditionentitled , this insurance is excess of all other insurance available to the additional writteninsuredwhetheron a primary,excess,contingent or any other basis.However,if this insurance is required by50020000860185877084902Policy Number: 5088210281 CNA PARAMOUNT Blanket Additional Insured -Owners,Lessees or Contractors -with Products-Completed Operations Coverage Endorsement contract to be primary and non-contributory,this insurance will be primary and non-contributory relative solely to insurance on which the additional insured is a named insured. V.COMMERCIAL GENERALSolelywithrespectto the insurance granted by this endorsement,the section entitled LIABILITY CONDITIONS is amended as follows: Duties In The Event of Occurrence,Offense,Claim or SuitTheConditionentitled is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1.claim occurrence claimgivetheInsurerwrittennoticeofany,or any or offense which may result in a ; 2.except as provided in Paragraph IV.of this endorsement,agree to make available any other insurance the coverage partadditionalinsuredhasforanylosscoveredunderthis ; 3.send the Insurer copies of all legal papers received,and otherwise cooperate with the Insurer in the claiminvestigation,defense,or settlement of the ;and 4.claimtenderthedefenseandindemnityofany to any other insurer or self insurer whose policy or program coverage part written contractappliesto a loss that the Insurer covers under this .However,if the requires (4)this insurance to be primary and non-contributory,this paragraph does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer claimreceiveswrittennoticeof a from the additional insured. VI.DEFINITIONSSolelywithrespectto the insurance granted by this endorsement,the section entitled is amended to add the following definition: Written contract Named Insuredmeansawrittencontractorwrittenagreementthatrequiresthe to make a person coverage partororganizationanadditionalinsuredonthis ,provided the contract or agreement: A.is currently in effect or becomes effective during the term of this policy;and B.was executed prior to: 1.bodily injury property damagetheor;or 2.personal and advertising injurytheoffensethatcausedthe for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy. 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YOU MUST AGREE TO THAT REQUIREMENT PRIOR TO LOSS. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. Transfer Of Rights Of Recovery Against Others To The InsurerIt is understood and agreed that the condition entitled is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above,the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage Named Insured’s your workarisingout of the ongoing operations or done under a contract with that person or products-completed operations hazardorganizationandincludedinthe. All other terms and conditions of the Policy remain unchanged. This endorsement,which forms a part of and is for attachment to the Policy issued by the designated Insurers,takes effect on the effective date of said Policy at the hour stated in said Policy,unless another effective date is shown below,and expires concurrently with said Policy.50020000860185877084906Policy Number: 5088210281