Loading...
2017/03/31 SCS Engineers Certicate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE( 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 poiicy(ies)must have ADDITIONAL INSURED provisions or bu 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). c m PRODUCER CONTACT � ACID Risk Insurance services West, Inc, NAME, L05 Angg el es CA Office fl u,. E : (866) 283-7122 FAA77CC 800-363-0105 1 AIC.No. 707 wilshire Boulevard E-MAIL e Suite 2600 City of Menifee ADDRESS: _ LOS Angeles CA 90017-0460 USA cityClerk INSURER(S)AFFORDING COVERAGE NAIC# INSURED MAR 2 5 2019 INSURERA: Steadfast Insurance company 26387 SCS Enuineers INSURER B: Zurich American Ins CO 16535 3900 Kilroy Airport way, suite 100 Long Beach CA 90806-6816 USA INSURER C: Received INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:570075439121 REVISION NUMBER, THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 13ELOW HAVE BEEN ISSUED TO THE INSURED NAMED A13OVE FOR THE POLICY PERIOD INDICATED-NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 8E 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. limits shown are as ragwasted Y TYPE OF INSURANCE POLICY NUMBER p 1N1 LIMITS X COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $2,000,000 CLAIMS-MADE X❑DDCUR P NJ5,_5a.,ccurrancW $1,000,000 MED EXP(Any one person) $2 5,000 PERSONAL 8 ADV INJURY $2,000,000 N GEN'LAGCREOATE LIMITAPPLIES PER: GENERAL AGGREGATE $4,000,000 m POLICY PRO IX- LOC JECT PRODUCTS-COMP/OPAGG $4,000,000 M OTHER: o I- B AUTOMOBILE LIABILITY BAP 0112780-04 04/01/201904/01/7020 COMBINED SINGLE LIMIT $1,000,000 N X ANYAUTO BODILY INJURY(Per person) Z OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) d HIREDAUTOS NON-OWNED PROPERTYDAMAGE ONLY AUTOS ONLY Peraccldent O 4- UMBRELLA LIAB OCCUR EACH OCCURRENCE U EXCESS LIAB CLAIMS-MADE AGGREGATE IDED RETE-TION B WORKERS COMPENSATION AND wC011 7 4 04/01 2019 04 0I 020 1 PER OTH EMPLOYERS'LIABILITY I N X STATU7 ANY PROPRIETOR I PARTNER/EXECUTIVE N E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? NIA A (Mandatory in NH) EI DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E L,DISEASE-POLICY LIMIT $l,000,00O A Env ProfE8A) IPR379235302 03/31/2017 03/31 020 Per claim $1,000.000= Prof Liab - Claims Made Aggregate $1,000,OOD DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: lab No. 50000016.01 T4, Job Description: on-Call Environmental services Agreement - Evans Property Burrowing owl survey- City of Nenifee and its officers, employees, agents and authorized volunteers as required by written contract are included as Additional Insured with respect to the General Liability and Automobile Liability policies, granted a waiver of subrogation far Workers' compensation policy and the General Liability policy evidenced herein is Primary and Non-Contributory to other fieinsurance available, as required by written contract, but limited to the operations of the Insured under said contract. [tom 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. cLL= city Of Meni fee AUTHORIZED REPRESENTATIVE ry Attn: Allen Yun Z9714 Haun Road �- Menifee CA 92586 USA eta ✓Ged>Ye./ did ✓ - ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an 'occurrence"or offense that may result in a claim; 2. We receive written notice of a claim or"suit"as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV—Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same 'occurrence", offense, claim or"suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III—Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged U-GL-1175-F CW(04/13) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc.,with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective: 04/01/2019 Endorsement No. Policy No.WC 0112779-04 Insured: Stearns, Conrad and Schmidt, Consulting Engineers, Inc. Premium$ Insurance Company:Zurich American Insurance Company WC124(4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance,Inc. Uniform Forms TM