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2020/01/01 Local Government Commission Certificate of Liability Insurance LOCAGOV-01 SCARRINGTON ACaRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 1/7/2020 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(les)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 C TACT Arroyo InsuranCe Services-LA PHONE FAk 2900 W Broadway M No.t :(323)550-7900 `A N9:323 256-0800 Las Angeles,CA 90041 in g F.- INSURER IS)AFFORDING COVERAGE NAIC.# 1NSURERA:Nonprofits Insurance Alliance of California INSURED U s:Qak River Insurance Company 34630 Local Government Commission PERC 980 9th Street,Suite 1700 m PER D; Sacramento,CA 95814 INS PER E- INSURER F: COVERAGES CE TIF LATE NUMBER: 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. ,T. TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY E%p LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE rX I OCCUR X ;2020-32800 1/1/2020 1/1/2021 DAMA ETORENTED $ 500,000 000 MEDEXP An one erson $ 20'— PERSONAL&ADV INJURY 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X PQLICY j�T El LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER; I $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY $ ANY AUTO X .2020-32800 1/1/2020 1/1/2021 R DILYINJURY Per erson OWNED SCHEDULED AIURTEO�S ONLY AUTOS BODILY BODILY INJURY Per accident $ X AUTOS ONLY X AUTOS 6Na PPer� denl E A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS-MADE 2020-32800-UMB 1/1/2020 1/1/2021 AGGREGATE _ __ R 1,000,000 X DED RETENTION $ _ Y ' 13 WORKERS COMPENSATION X I PER OTH- AND EMPLOYERS'LIABILITY YIN STAT IF ER 1 ILOWC114916 1/1/2020 1/1/2021 ,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDEN7 $ WFICER/MEMBER EXCLUDED? ❑ N 1 A andatory In NH) E.L DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L DI. EASE-POLICY LIMIT , DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Professional Liability Landmark American Insurance Company LHR839248 Effection:12/31/19 to 1/1/21 $2,000,000 Each Claim $2,000,000 Aggregate Limit $1,000 Each Claim Deductible SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION city of Man+fop SHOTHEULD ANY EXPRATTIIONH DATE THEREOF, NOTICE EWIILL BE CBECDELIVERED BEFORIN Road 29T14 Haun RDad y City of lHenl G)t Clerk ACCORDANCE WITH THE POLICY PROVISIONS. Sun City,CA 92586 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) R e[` f, r ) ©1988-2015 ACORD CORPORATION. All rights reserved. 'T 7� name and logo are registered marks of ACORD AGENCY CUSTOMER ID.LOCAGOV-01 SCARRINGTON LOC#: 1 AC40iR0 ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED local Government Commission Arroyo Insurance Services-LA 980 9th Street Suite 1700 Sacramento,6A 95814 POLICY NUMBER SEE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:Q EE PA E 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKSFORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability insurance Description of Operations/LocationsNehicles: Directors and Officers Liability Arch Insurance Company NFP0133662-00 Effective 4/1/19 to 111121 $1,000,000 Each CLaim $1,000,000 Aggregate $5,000 Each Claim Deductible Third Party Crime The Hanover Insurance Company BD3-D997018-00 Effective 7/29119 to 7/29/2022 $35,000 Each CLaim $5,000 Each Claim Deductible *30 Days Notice to Certificate Holder applies except for Non-Payment of Premium,which is 10 days.RE:City of Menifee Active Transportation Plan.City of Menifee and its officers,employees,agents,and authorized volunteers are included as additional insured including primary, non-contributory wording as respects General Liability coverage;Additional insured is included as respects Auto Liability Coverage; only as per attached endorsements. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ONPROFITS INSURANCE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA(NIAC) ALL:ANLi=E OF CALtFORNL,k www,iosuranceforric)nprofits.orci /ngu:anco 4'4501.far Aicurp..Dfik5 BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION POLICY NUMBER:2020-32800 Schedule Al Page 1 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L ❑ S S P A Y E E Additional Insured - NIAC Al City Of Benecia 250 East L St. Benecia, CA 94510 As respects vehicle(s): N/A Additional Insured - NIAC Al Marin Municipal Water District, its Officers, Officials, Agents, Employees and Volunteers 220 Nellen Ave. Corte Madera, CA 94925 As respects vehicle(s): N/A Additional Insured - NIAC Al City Of Mountain View, Its Officers,Agents, Employees, and Volunteers P.O. Box 7540 Mountain View, CA 94039 As respects vehicle(s): N/A Additional Insured - NIAC Al The City Of Fresno, Its Officers, Officials, Employees, Agents and Volunteers 2600 Fresno St., 3rd FI.#3065 Fresno, CA 93721 As respects vehicle(s): N/A Additional Insured - NIAC Al Fehr& Peers, a California Corporation, The City of Stockton, its Mayor, Council, officers, representatives" 425 N. El Dorado St. Stockton, CA 95202 As respects vehicle(s): N/A COUNTERSIGNED:03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC -SCHEDULE Al (32800) DINPROFITS INSURANCE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA(NIAC} ALL:ANLi=E OF CALtfORNL,k wvtiiiLirosu rance€orrion rofits.or Ingu:anco 4'450/i:farAicurp..Dfik5 BUSINESS AUTO COVERAGE EE. ADDITIONAL INSURED/LOSS PAYEE EXTENSION POLICY NUMBER:2020-32800 Schedule Al Page 2 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al City of San Leandro, its officers, officials, employees and volunteers 835 E 14th St. San Leandro, CA 94577 As respects vehicle(s): N/A Additional Insured - NIAC Al Fehr&Peers and Santa Clara County 160 W Santa Clara St., #600 San Jose, CA 95117 As respects vehicle(s): N/A Additional Insured - NIAC Al McCord Environmental, Inc. 759 Bianco Court Davis, CA 95616 As respects vehicle(s): N/A Additional Insured - NIAC Al The City of Berkeley, its Officers, Agents, Volunteers, and Employees 2118 Milvia St. Berkeley, CA 94704 As respects vehicle(s): N/A Additional Insured - NIAC Al The State of California, the Trustees of the California State University, California State University, Los Angeles, and the officers, employees, 5151 State University Dr. Los Angeles, CA 90032 As respects vehicle(s): N/A f� C� i COUNTERSIGNED:03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC-SCHEDULE (32800) 'NPROFITS INSURANCE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA(NIAC) ALL:ANLi=E OF CALttORNL,k wvoi Li os u ra ncefornoop rof its.or Ing7ranco 4 4501 i:far Aicnrp..Dfik5 BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION POLICY NUMBER:2020-32800 Schedule Al Page 3 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al City Of San Francisco, and its officers, agents, and employees; Department of the Environment 1455 Market St.#1200 San Francisco, CA 94103 As respects vehicle(s): N/A Additional Insured - NIAC Al Toole Design Group, LLC and Shasta Regional Transportation Agency 8484 Georgia Ave., Ste. 800 Silver Spring, MD 20910 As respects vehicle(s): N/A Additional Insured - NIAC AI Santa Clara Valley Water District, its Directors, officers, employees, and agents, individually and collectively 5750 Almaden Expressway San Jose, CA 95118 As respects vehicle(s): N/A Additional Insured - NIAC AI Town of Truckee, its officers, officials, employees, and agents 10183 Truckee Airport Rd. Truckee, CA 96143 As respects vehicle(s): N/A Additional Insured - NIAC AI City of Rancho Cucamonga, its officers, officials, employees, designated volunteers, and agents 10500 Civic Center Dr. Rancho Cucamonga, CA 91730 As respects vehicle(s): N/A C Y Z COUNTERSIGNED:03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC-SCHEDULE Al (32800) )NPROFITS INSURANCE NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA(NIAC) noALL:ANLi=E.OF CALtf0RNL,k www,insurancefornonorofils.t}r4 ingtcanco 4'4501i.farAintrp.Dfik5 BUSINESS AUTO COVERAGE =::ADDITIONAL INSURED/LOSS PAYEE EXTENSION POLICY NUMBER: 2020-32800 Schedule Al Page 4 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al The City of Sacramento, its officials, employees, and volunteers; C/O EXIGIS LLC P.O. Box 4668- ECM#35050 New York, NY 10163 As respects vehicle(s): N/A Additional Insured - NIAC Al City of Albany, its Officers, Officials, Employees, Consultants and Volunteers 1000 San Pablo Ave. Albany, CA 94706 As respects vehicle(s): N/A Additional Insured - NIAC Al City of Brea its elected officials, officers, employees, attorneys &agents 1 Civic Center Plaza Brea,CA 92621 As respects vehicle(s): N/A Additional Insured - NIAC Al The County of Ventura, Agency, and their respective officials, employees, and agents 800 S Victoria Ave. Ventura, CA 93009 As respects vehicle(s): N/A Additional Insured - NIAC Al Yolo County Dept. of Community Services Attn: Kimberly Villa 625 Court Street Woodland, CA 95695 As respects vehicle(s): N/A COUNTERSIGNED:03/20/2019 BY I (AUTHORIZED REPRESENTATIVE) NIAC-SCHEDULE Al (32800) POLICY NUMBER: 2020-32800 COMMERCIAL GENERAL LIABILITY Named Insured: Local Government Commission CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or O anization s Locations Of Covered Operations Any person or organization that you are required to All insured premises and operations. add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy.The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A.Section II— Who Is An Insured is amended to 2. If coverage provided to the additional insured is include as an additional insured the person(s)or required by a contract or agreement,the organization(s)shown in the Schedule, but only insurance afforded to such additional insured with respect to liability for"bodily injury", will not be broader than that which you are "property damage"or"personal and advertising required by the contract or agreement to injury"caused, in whole or in part, by: provide for such additional insured. 1. Your acts or omissions; or B.With respect to the insurance afforded to these 2. The acts or omissions of those acting on additional insureds, the following additional your behalf; exclusions apply: in the performance of your ongoing operations for This insurance does not apply to"bodily injury"or the additional insured(s)at the location(s) "property damage"occurring after: designated above. 1.All work, including materials, parts or However: equipment furnished in connection with such 1.The insurance afforded to such additional work, on the project(other than service, insured only applies to the extent permitted maintenance or repairs)to be performed by by law; and or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 20 10 04 13 ©Insurance Services Office, Inc., 2012 Page 1 of 2 2.That portion of"your work"out of which the 2.Available under the applicable Limits of injury or damage arises has been put to its Insurance shown in the Declarations; intended use by any person or organization whichever is less. other than another contractor or subcontractor engaged in performing operations for a This endorsement shall not increase the principal as a part of the same project. applicable Limits of Insurance shown in the Declarations. C.With respect to the insurance afforded to these additional insureds,the following is added to Section III—Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or CG 20 10 04 13 0 Insurance Services Office, Inc.,2012 Page 2 of 2 NONPROFITS POLICY NUMBER: 2020-32800 FORM: NIAC-E61 11 17 INSURANCE NAMED INSURED: Local Government Commission A MANCE OF.(AL FORN!,A HrSV far,'/zsuraacw.A Hear forNuapropls THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES 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 are required to add as an additional insured on this policy, under a written contract or agreement currently in effect,or becoming effective during the term of this policy, in consideration of food contributions or client referrals you receive from them. (Information required to complete this Schedule, if not shown above,will be shown in the Declarations.) A. Section II— Who Is An Insured is amended to include any public entity as an additional insured for whom you are performing operations, who may be named in the schedule above, when you have agreed in a written contract or written agreement that such public entity be added as an additional insured(s) on your policy, but only with respect to liability for"bodily injury", "property damage"or"personal and advertising injury"caused, in whole or in part, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations: No such public entity is an additional insured for liability arising out of the"products-completed operations hazard"or for liability arising out of the sole negligence of that pubic entity. B.With respect to the insurance afforded to these additional insured(s),the following additional exclusions apply. This insurance does not apply to"bodily injury"or"property damage"occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work,on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed; or 2. All work, including materials, parts or equipment furnished in connection with such work,on the project(other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at the location of the covered operations has been completed;or C. The following is added to SECTION III— LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s)are those specified in the written contract between you and the additional insured(s),or the limits available under this policy,whichever are less.These limits are part of and not in addition to the limits of insurance under this policy. NIAC-E61 11 17 Page 1 of 2 NONPROFITS POLICY NUMBER: 2020-32800 FORM: NIAC-E61 1117 INSURANCE NAMED INSURED: Local Government Commission MANCE OF (AL FORN!,A Head for,'/zsuraacw.A Hear for NuapropIs. D.A.With respect to the insurance provided to the additional insured(s), Condition 4.Other Insurance of SECTION IV—COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary,we will share with all that other insurance as described in c. below; or (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)'own insurance. Paragraphs(1)and (2)do not apply to other insurance to which the additional insured(s)has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1.Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work'; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for"property damage"to premises temporarily occupied by you with permission of the owner;or (d) If the loss arises out of the maintenance or use of aircraft,"autos"or watercraft to the extent not subject to Exclusion g. of SECTION I—COVERAGE A—BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional insured(s)under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1)When this insurance is excess,we will have no duty under Coverages A or B to defend the additional insured(s)against any"suit"if any other insurer has a duty to defend the additional insured(s) against that"suit". If no other insurer defends,we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2)When this insurance is excess over other insurance,we will pay only our share of the amount of the loss, if any,that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) (a)The total of all deductible and self-insured amounts under all that other insurance. (3)We will share the remaining loss, if any,with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. b. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares,we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains,whichever comes first. If any other the other insurance available to the additional insured(s)does not permit contribution by equal shares,we will contribute by limits. Under this method,each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 11 17 Page 2 of 2