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2020/09/01 Accela, Inc. Certificate of Liability Insurance (4) AC" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/24/2020 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). CONTACT PRODUCER ABD Insurance & Financial Services NAME: Geri Request 777 Mariners Island Blvd Suite 250 PHONE FAX San Mateo, CA 94404 �C.No.!~Xt} 650-ass 8565 ac Nu EgRER.- TechCortAeguest@tbe"eam.com INSURER 3 AFFORDING COVERAGE NAIC# www.theabdteam.com INSURER A: Federal Insurance Company 20281 INSURED INSURER : Chubb.Indemnity Insurance Company 12777 Accela, Inc. 2633 Camino Ramon INSURER AIG S eciaf Insurance Company 2ssa3 Suite 500 INSURER D: San Ramon, CA 94583 INSURERE; INSURER F: COVERAGES CERTIFICATE NUMBER: 57748962 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. TR TYPE OF INSURANCE POL UeR POLICY F,FF POLICY EXP PQLICYNUMBEJt M OyYM (MVIDDrYYYYI LIMITS A I COMMERCIAL GENERAL LIABILITY �/ 3604-121-08 9/1/2020 9/1/2021 EACH D'WXiOCCURRENCE $1 0011 11111 FCLAIMS-MADE OCCUR PREMISES Ea occurrence s 1,60o.000 MED EXP(Arty one ponson) $10 000 PERSONAL&ADV INJURY $1 000 000 GWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2,000,000 ✓ JECT ❑ LOC PRODUCTS-COMP/OP AGQ S'2 000 000 POLICY❑ PRO- OTHER: A AUTOMOBILELIABILITY 7359-95-44 9/1/2020 l9/1/2021oaraasrhlERSINGLELIMIT $1000000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE✓ $AUTOS ONLY ✓ AUTOS ONLY per eCddenl Physical mo.Deductible $1 000 A �/ UMBRELLA LIAB / OCCUR 7818 52 90 9/1/2020 9/1/2021 EACH OCCURRENCE $10 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10 ODO 000 DED I I RETENTION$ S S WORKERS COMPENSATION 1 7175-62-53 9/1/2020 9/1/2021 ✓ AND EMPLOYERS'LIABILITY YIN STATUTE OR ANYPROPRIETORIPARTNERIEXECUTIVE E,L-EACH ACCIDENT $1 000 000 OFFICERIMEMBEREXCLUOED9 N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOY _�.O_0�Q�._ If yyes,describe under ESCRIPTION OF OPERATIONS below E-L.DISEASE-POLICY LIMIT $1 000.000 C Errors&Omissions w/Cyber 1 01-812-53-18 911 W2020 9/18/2021 Limit$5.0a0,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:All operations of the Named Insured. City of Menifee is additional insured to General Liability.Primary wording applies with respects to General Liability. CERTIFICATE HOLDER CANCELLATION City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Contract No.2013-0021 ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road 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 57748962 1 16254 1 20-21 All/E&O $5M 1 Patra (1) 1 9/21/2020 4:56:38 PM (PDT) I Page 1 of 1