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2020/02/20 Integrated Project Services, Inc. Certificate of Liability Insurance A��f> CERTIFICATE OF LIABILITY INSURANCE DATE 3/4/2020 ) 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 CONTACT (OC)Heffernan Insurance Brokers NAME; Chanel Hradeck Fax 18004 Sky Park Circle, Suite 210 949-771-3400 AIC Nc:949-771-3401 Irvine CA 92614 a6DRes .. Chanelh heffins-cam INSURERS AFFORDING COVERAGE NAIC# 0564249 INSURER A:Beazley Insurance Company,Inc. 37540 INSURED ZPETTIN-MS INSURER B: Integrated Project Services, Inc 1787 Pomona Road, Suites D& E INSURER C: Corona CA 92880 INSURER D: INSURER E: INSURER F: COVERAGES CERTIF#CATE NUMBER:2043893761 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. l�TR TYPE OF INSURANCE JN POLICYNUMBER ADDL Sump PMfuDCQ F MMI R POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 1 OCCUR DAMAG PREMISES(Ea occurranca) $ MED EXP(Any one person $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- ❑LOC PRO- JECT PRODUCTS-COMP/OPAGG $ RIOTHER- $ AUTOMOBILE LIABILITY COMBINES]SINGLE LIMIT $ 1�a acolden! ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) HIRED NON-OWNED PROP DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ 7 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ l EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $ WORKERS COMPENSATION S ATllS ERH AND EMPLOYERS'LIABILITY Y I N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L,EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY V15RDP191301 2/20/2020 2/20/2021 PER CLAIM $1,000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:As Per Contract or Agreement on File with the Insured.Cancellation notice endorsement for the Professional Liability policy has been ordered from the carrier and if approved will follow. CERTIFICATE HOLDER City oMenifee CANCELLATION City Clerk W 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 Rd. Ir� Menifee, CA 925 _ AUTHORIZEDRfPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD0 ) 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 endorsements. PRODUCER CONTACT (OC)Heffernan Insurance Brokers PKONE Chanel Hradeck FAX 18004 Sky Park Circle, Suite 210 949-771-3400 A!C Nn:949-771,3401 Irvine CA 92614 ADDRESS-, Chanelh heffins.com INSURERS AFFORDING COVERAGE NAIC# LicenseM,0564249 INSURER A:Beazley Insurance Company,Inc. J 37540 INSURED ZPETTIN-MS INSURER B., Integrated Project Services, Inc J 1787 Pomona Road, Suites D&E INSURERC: Corona CA 92880 INSURER D: INSURER E: INSURER F: J COVERAGES CERTIFICATE NUMBER:830905665 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. ILTR TYPE OF INSURANCE AODL.SUBR IN WVD POLICY NUMBER MM/DCY EFF MOLIICUY� LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ I MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY El JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMatNED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED (Per accident AUTOS ONLY AUTOS BODILY INJURY P( ) $ HIRED NON-OWNED PRQPFRTYDAMAGE AUTOS ONLY AUTOS ONLY Per accident)$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED 1 RETENTIOM$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN J STATUTE ER ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ NIA E.L EACH ACCIDENT $ (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A PROFESSIONAL LIABILITY V15RDPI91301 2/20/2020 2/20/2021 PER CLAIM $1,000,000 AGGREGATE $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Re:As Per Contract or Agreement on File with the Insured. 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 Rd. Menifee, CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD