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2018/02/13 Infrastructure Engineering Corporation Certificate of Liability Insurance ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/19/2018 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 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 NAME: Certificate Department Cavignac&Associates PHONE 619-744 0574 FAX 450 B Street, Suite 1800 E-MAIL A/c No:619-234-8601 San Diego CA 92101 ADDRESS: certificates cavi nac.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Property&Casual Company of America 25674 INSURED INFRENG-01 INSURER B:Hartford Ins CO Of the Midwest 37478 Infrastructure Engineering Corporation 14271 Danielson Street INSURER C:XL Specialty Company 37885 Poway, CA 92064 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 1137620170 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 6807H08841A 2/13/2018 2/13/2019 EACH OCCURRENCE $1,000.000 CLAIMS-MADE F-K OCCUR DAMAGE To RENTED PRE, RM SS Ea occurrence) $1.000,000 X Contractual Liab MED FRCP(Any one person) $10,000 X Separation of In PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2.000.000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Deductible $0 A AUTOMOBILE LIABILITY BA0643M522 2/13/2018 2/13/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 JX ANY AUTO BODILY INJURY(Per person) $ ALL OS SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS LX NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION 72WEGRT6756 2/13/2018 2/13/2019 AND EMPLOYERS'LIABILITY Y/N X STATUTE OE TRH- ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1.000,000 C Professional Liability DPR9921869 2/13/2018 2/13/2019 Each Claim S2,000,000 Aggregate S2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Re:IEC Project No:219.MENI.0002.01,Comprehensive Labor Compliance Services(CA State)for CIP 19-01 (Rustler's Ranch,Phase ll)Project.Additional Insured coverage applies to General Liability for City of Menifee and its officers,employees,agents,and authorized volunteers per policy form.Primary and Non-Contributory coverage applies to General Liability 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#6807H08841A COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II - WHO IS its of insurance described in Section III - Lim- AN INSURED: its Of Insurance. Any person or organization that you agree in a h. This insurance does not apply to "bodily inju- "written contract requiring insurance"to include as ry" or "property damage" caused by "your an additional insured on this Coverage Part, but: work" and included in the "products- a. Only with respect to liability for"bodily injury", completed operations hazard" unless the "property damage"or"personal injury'; and .written contract requiring insurance" specifi- cally requiresyou providesuch coverage b. If, and only to the extent that, the injury or for that additional insured, and then the insur- damage is caused by acts or omissions of ance provided to the additional insured ap- you or your subcontractor in the performance plies only to such "bodily injury" or "property of "your work" to which the "written contract damage"that occurs before the end of the pe- requiring insurance" applies, or in connection riod of time for which the "written contract re- with premises owned by or rented to you. quiring insurance" requires you to provide The person or organization does not qualify as an such coverage or the end of the policy period, additional insured: whichever is earlier. c. With respect to the independent acts or orris- 2. The following is added to Paragraph 4.a. of SEC- TION IV - COMMERCIAL GENERAL LIABILITY sions of such person or organization; or CONDITIONS: d. For"bodily injury", "property damage" or"per- The insurance provided to the additional insured sonal injury" for which such person or organi- is excess over any valid and collectible other in- zation has assumed liability in a contract or surance, whether primary, excess, contingent or agreement. on any other basis, that is available to the addi- The insurance provided to such additional insured tional insured for a loss we cover. However, if you is limited as follows: specifically agree in the "written contract requiring e. This insurance does not apply on any basis to insurance" that this insurance provided to the ad- any person or organization for which cover- ditional insured under this Coverage Part must age as an additional insured specifically is apply on a primary basis or a primary and non- added by another endorsement to this Cover- contributory basis, this insurance is primary to age Part. other insurance available to the additional insured If. This insurance does not apply to the render- which covers that person or organizations as a ing of or failure to render any "professional named insured for such loss, and we will not services". share with the other insurance, provided that: g. In the event that the Limits of Insurance of the (1) The "bodily injury" or "property damage" for Coverage Part shown in the Declarations ex- which coverage is sought occurs; and ceed the limits of liability required by the"writ- (2) The "personal injury" for which coverage is ten contract requiring insurance", the insur- sought arises out of an offense committed; ance provided to the additional insured shall after you have signed that"written contract requir- be limited to the limits of liability required by ing insurance". But this insurance provided to the that "written contract requiring insurance". additional insured still is excess over valid and This endorsement does not increase the lim- collectible other insurance, whether primary, ex- cess, contingent or on any other basis, that is 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 Policy#6807H08841A COMMERCIAL GENERAL LIABILITY available to the additional insured when that per- fore, and in effect when, the "bodily injury" or son or organization is an additional insured under "property damage"occurs, or the "personal injury" any other insurance. offense is committed. 3. The following is added to Paragraph 8., Transfer 4. The following definition is added to the DEFINI- Of Rights Of Recovery Against Others To Us, TIONS Section: of SECTION IV - COMMERCIAL GENERAL LI- "Written contract requiring insurance" means that ABILITY 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, provid- payments we make for "bodily injury", "property ed that the "bodily injury" and "property damage" damage" or "personal injury" arising out of 'your occurs and the "personal injury" is caused by an work" performed by you, or on your behalf, done offense committed: under a "written contract requiring insurance"with a. After you have signed that written contract; that person or organization. We waive this right only where you have agreed to do so as part of b. While that part of the written contract is in ef- the "written contract requiring insurance" with fect; and such person or organization signed by you be- c. Before the end of the policy period. 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