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2019/02/13 Infrastructure Engineering Corporation Certificate of Liability Insurance AC�V DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE 2114i2019 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 FAX 450 B Street, Suite 1800 IA1C,No,r:nt);_619-744-0574 I iii,Nam:619-234-8601 San Diego CA 92101 ADDRESS: Certificates@r-aviLLnaC.COm INSURE"S AFFORDING COVERAGE_ NAIC# _ INSURER A.Travelers Property Casualty Company of America 25674 INSURED INFRENG- 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: r INSURER F: COVERAGES CERTIFICATE NUMBER: 1059350678 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 I EXP �TR TYPE OF INSURANCE III ADOL,BURR POLICY POLICY EFF Wi POLICY NUMBER MM OIDfYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y 6BO7HO8841A 21132019 2)1312020 EACH OCCURRENCE $1,000.000 _ CLAIMS-MADE X OCCUR PREM SEES(Ea occurrence} +$1.000,000 X Contractual Lab MED EXP(Anyone person) $10,000 X Seperation of In PERSONAL&ADV INJURY `$1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $2.000.000 j POLICY L ; JECOT- L j LOC PRODUCTS-COMPIOP AGG $2.000,000 OTHER. Deductible S D A AUTOMOBILE LIABILITY BA0643M522 V1312019 2/13/2020 COMBINED SINGLE LIMIT $ (Ea accident 1 000-p4_� X ANY AUTO BODILY INJURY(Per person) S ALL OWNED - SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident): S , , _ _ PRCFPERtYDX X HIRED AUTOS X ANONo 1NNED {PerracuderliMAGE $ — I Is UMBRELLA LIAR OCCUR EACH OCCURRENCE _ $ EXCESS LIAB _ CLAIMS-MADE I AGGREGATE I $ DED RETENTIONS $ B WORKERS COMPENSATION 72WEGRT6756 2113/2019 2113/2020 X SPER TATUTE I OTH- AND EMPLOYERS'LIABILITY YIN. - - _ i ANY PROPRIETORIPARTNERIEXECUTIVE D E L EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED9 N ii — — (Mandatory In NH) E L DISEASE-EA EMPLOYEE. $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT S 1,0DD,OW C Professional Liability OPR9938352 211312019 2/13/2020 Each Claim $2,000.000 Aggregate S2 000.000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached A more space is required) Re: IEC Project No 219.MEN1.0002.01,Comprehensive Labor Compliance Services(CA State)for CIP 19-01 (Rustler's Ranch, Phase II)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 ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee CA 92586 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6807HO8841 A OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD425 (07-08) - OTHER INSURANCE ADDITIONAL INSUREDS PRIMARY AND NONCONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS - PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4. a_, Primary Insurance, of SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a written contract or agreement that the insurance afforded to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: (1 ) The "bodily injury" or "property damage" for which coverage is sought is caused by an "occurrence" that takes place; and (2) The "personal injury" or "advertising injury" for which coverage is sought arises out of an offense that is committed;subsequent to the signing and execution of that contract or agreement by you. CG D4 25 07 08 2008 The Travelers Companies, Inc. CG T8 01 12 18 Page 1 of 1 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 68071108841A OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2404 (10-93) - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that you have agreed in a written contract or agreement to waive your right of recovery against, but only for payments we make because of: 1 _"Bodily injury" or "property damage" that occurs: or 2."Personal injury" or "advertising injury" caused by an offense committed: after you have executed that contract or agreement. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazards." This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 CG T8 02 12 18 Page 1 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 68071108841A OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2404 (10-93) - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 CG T8 02 12 18 Page 2 of 2 Z }o T a5ed 8T ZT t0 81 03 b0 LO LE OZ 00 '..OJVZVH SNOliV83dO 03131dWO0-S10n00Jd., 3H1 NI a3Qnl0NI ❑NM 03JnSNl 1VN01110OV 1VHi b0J 03AH03b3d IN3W3Sb0(1N3 SIHI 30 31n03H3S 3H1 NI 0321H0S30 0NV 031VNJISM NOUV001 3Hl IV „mdoM dnOA. 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PLEASE READ IT CAREFULLY. CG2037 (07-04) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: Copyright ISO Properties, Inc. 2004 CG T8 04 12 18 Page 2 of 2 Z }O T a6ed 8T ZT E0 81 0O `aamSNl WNOI1100t/3S3H1 Ol 0308Oddd 30NvdnSNI 3H1 01 103dS318 H11M '0 '3A09b' 031VNOIS30 (S)NOIlt/301 3H1 1H(S)038nSNl 1dN011l00b' 3H1 HO-3 SNOliVd3dO SNIOONO ?JnOJ. 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