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2018/01/01 D-Max Engineering, Inc. Certificate of Liability Insurance TE(MM/DDYYYY) CERTIFICATE OF LIABILITY INSURANCE 76/20/2018 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 TE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE BY THE POLICIES R(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). PRODUCER CONTACT Cavignac&Associates NAME: Certificate Department 450 B Street,Suite 1800 PHONE -;FAx---- — _L0JC No,_Ex)):619-744-0574 _(A/C,No)_619-234-8601 San Diego CA 92101 E-MADDRESS: certificates@cavignac.com INSURER(S)AFFORDING COVERAGEI NAIC INSURER A:Travelers Property&Casualty Company of America 25674 INSURED DMAXENG-01 INSURER B:XL Specialty Company 37885 D-MAX Engineering, Inc. 7220 Trade Street, Suite 119 INSURER C: San Diego CA 92121 INSURER D: INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:328467905 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 ADDL SUER; LTR TYPE OF INSURANCE IN POLICY EFF I POLICY EXP n POLICY NUMBER MM/DDIY MM/DD/YY I LIMITS A X COMMERCIAL GENERAL LIABILITY i Y 6806HO48517 1/1/2018 1/112019 EACH OCCURRENCE I S 1,000.000 1 I CLAIMS-MADE OCCUR I PREMIS 0_ES R occurrence) S1,000,000 X Contractual Liab I ccyp O 1 �q 1 MED EXP(Any one person) S 10,000 tv Separation of In `3�if��F r/en1f�� PERSONAL&AOV INJURY I S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 'y Perk I GENERAL AGGREGATE $2,000.000 POLICY I X E O- ! X LOC K — JU PRODUCTS-COMP/OP AGG S 2,000.000 OTHER: 2(1/7 I 15 A AUTOMOBILE LIABILITY BA89241_251 1/1/2018 1/1/2019 I COMBINED SINGLE LIMIT I S X I I (Ea accident) 1 000 000 ANY I BO ALL OWNED DILY INJURY(Per person) S ! l— SCHEDULED e)Vp,• AUTOS AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE S ! 1 HIRED AUTOS I AUTOS ! i (Per accident) _ 1 I I S UMBRELLA LIAB i�l OCCUR i I EACH OCCURRENCE j S EXCESS LIAB CLAIMS-MADE I ! I ! I (AGGREGATE ;S i DED , I RETENTIONS 1 S i WORKERS COMPENSATION I � !AND EMPLOYERS'LIABILITY I PER OTH. Y/N i I STATUTE I I ER !ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA i j I E.L.EACH ACCIDENT j S (Mandatory in N If yes,describe under I I I E.L.DISEASE-EA EMPLOYEE S DESCRIPTION OF OPERATIONS below 1 I E.L.DISEASE-POLICY LIMIT 1 S B I Professional Liability I I DPR9920755 1/112018 1/1/2019 1 Each Claim 51,000,000 I I i Aggregate $2,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Additional Insured coverage applies to General Liability for City of Menifee,its officers,agents and employees per policy form.Professional Liability-Claims made form,defense costs included Within limit. CERTIFICATE HOLDER CANCELLATION 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 Road Menifee CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Policy Number: 6806HO48517 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ( GRICHF ECG T S, EMOV`ILEERM HD SSU V[; y 0R8) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS h. This insurance does not apply to "bodily AN INSURED: injury" or "property damage" caused by "your Any person or organization that you agree in a work" and included in the "products- "written contract requiring insurance" to include as completed operations hazard" unless the an additional insured on this Coverage Part, but: "written contract requiring insurance" specifically requires you to provide such a. Only with respect to liability for"bodily injury", coverage for that additional insured,and then "property damage" or"personal injury"; and the insurance provided to the additional b. If, and only to the extent that, the injury or insured applies only to such "bodily injury" or damage is caused by acts or omissions of "property damage" that occurs before the end you or your subcontractor in the performance of the period of time for which the "written of "your work" to which the "written contract contract requiring insurance" requires you to requiring insurance" applies, or in connection provide such coverage or the end of the with premises owned by or rented to you. policy period, whichever is earlier. The person or organization does not qualify as an 2. The following is added to Paragraph 4.a. of additional insured: SECTION IV — COMMERCIAL GENERAL c. With respect to the independent acts or LIABILITY CONDITIONS: omissions of such person or organization; or The insurance provided to the additional insured d. For "bodily injury", "property damage" or is excess over any valid and collectible other "personal injury" for which such person or insurance, whether primary, excess,contingent or organization has assumed liability in a on any other basis, that is available to the contract or agreement. additional insured for a loss we cover. However, if you specifically agree in the "written contract The insurance provided to such additional insured requiring insurance" that this insurance provided is limited as follows: to the additional insured under this Coverage Part e. This insurance does not apply on any basis to must apply on a primary basis or a primary and any person or organization for which non-contributory basis, this insurance is primary coverage as an additional insured specifically to other insurance available to the additional is added by another endorsement to this insured which covers that person or organizations Coverage Part. as a named insured for such loss, and we will not share with the other insurance, provided that: f. This insurance does not apply to the rendering of or failure to render any (1) The "bodily injury" or "property damage" for "professional services". which coverage is sought occurs;and g. In the event that the Limits of Insurance of the (2) The "personal injury" for which coverage is Coverage Part shown in the Declarations sought arises out of an offense committed; exceed the limits of liability required by the after you have signed that "written contract "written contract requiring insurance", the requiring insurance". But this insurance provided insurance provided to the additional insured to the additional insured still is excess over valid shall be limited to the limits of liability required and collectible other insurance, whether primary, by that "written contract requiring insurance". excess, contingent or on any other basis, that is This endorsement does not increase the available to the additional insured when that limits of insurance described in Section III — person or organization is an additional insured Limits Of Insurance. under any other insurance. CG D3 81 09 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 2 Includes the copyrighted material of Insurance Services Office, Inc.,with its permission COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph 8., Transfer a. The following definition is added to the Of Rights Of Recovery Against Others To Us, DEFINITIONS Section: of SECTION IV — COMMERCIAL GENERAL "Written contract requiring insurance" means that LIABILITY CONDITIONS: part of any written contract under which you are We waive any right of recovery we may have required to include a person or organization as an against any person or organization because of additional insured on this Coverage Part, payments we make for "bodily injury", 1.property provided that the "bodily injury' and "property damage" or "personal injury" arising out of "your e dama " occurs and the work" performed by you, or on your behalf, done g "personal injury" is caused by an offense committed: under a "written contract requiring insurance" with that person or organization. We waive this right a. After you have signed that written contract; only where you have agreed to do so as part of b. While that part of the written contract is in the "written contract requiring insurance" with effect; and such person or organization signed by you before, and in effect when, the "bodily injury" or c. Before the end of the policy period. "property damage" occurs, or the"personal injury" offense is committed. Page 2 of 2 ©2015 The Travelers Indemnity company.All rights reserved. CG D3 81 09 15 Includes the copyrighted material of Insurance Services Office,Inc.,with its permission Cavignac&Associates 450 B Street, Suite 1800 San Diego,CA 92101 6 1 SP 0.470 �IIIIIII�IIII��II�I�IrI�I�IIIIIi�IIIIi�II�I�I�II�iiI����IIIII�i�r CITY OF MENIFEE 29714 HAUN RD B-6 MENIFEE, CA 92586-6540