2020/09/01 Leighton Consulting, Inc. Certificate of Liability Insurance (12) page 6 of 9
Client#: 1257049 305LEIGHGRO
ACORD. CERTIFICATE OF LIABILITY INSURANCE D 8/281IIE /DD/YYYY)
/2812020
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(fes)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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER CONTNAMEA __xLori M_cNay
o,E
McGriff Insurance Services yy0 x 1 714 941-2815 FAX
AIG
2400 E Katella Ave Suite 1100 Ao A I.Mc_Nay@mcg_riff.com
Anaheim,CA 92806 INSURER(S)AFFORDING COVERAGE NAIC#
714 941-2800 INSURER A:Travelers Property Casualty Co of Amer 25674
INSURED INSURER B:
Leighton Consulting Inc
INSURER C
17781 Cowan Ste.100
INSURER D
Irvine,CA 92614-6009
INSURER E
_ INSURER F:
COVERAGES CERTIFICATE 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 CONTRACTOR 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.
INSA ADDL' U8R POLICY.EFF P LICY E%P LIMITS
LT_R TYPE OF INSURANCE �INSR_WVO POLICY NUMBER (MMlOO!'(Y_YY�_ ee�uDvrrYYy
COMMERCIAL GENERAL LIABILITY pDEAAC,�HpOEECTCpoURRFRENCE $
CLAIM&MADE LI OCCUR _P�l�ES`Eaoccurr010POI__ $
IVIED EXP(Any one person) $
PERSONAL&ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO- PRODUCTS-COMP/OP AGG $
JECT LOC POLICY
OTHER: _ $
AUTOMOBILE LIABILITY C07NB4NED SiNOLE
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PRDPERTYDAMAGE $
AUTOS ONLY AUTOS ONLY Per.ncddent
UMBRELLA LIAR HOCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED I RETENTION$ $
A WORKERS COMPENSATION UB1 R5099812043 09/01/2020 09/01/2021 J:r.E I 1Z0.BH-
AND 9MP1.0YE19S'LIABILITY
ANY PROPRiETORIPARTNERIEXECUTIVE�Y N� yE.L,EACH ACCIDENT $1 000 000
OFFICERIMEMBER EXCLUDED? N l N/A
(MandalM In NH) E.L.DISEASE-EA EMPLOYEE $1 0002000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required)
Waiver of Subrogation applies to Workers Compensation per endorsement WC990376(A),per written contract.
Re: Prof#11051 City of Menifee Professional Services,Various Locations in to City of Menifee.
CERTIFICATE HOLDER CANCELLATION
Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
(LC)Cit y of THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS.
Menifee,CA 92586-0000
AUTHORIZED REPRESENTATIVE
0 1 988-201 5 ACORD CORPORATION.All rights reserved.
ACORD 25(2016/03) 1 of 1 The ACORD name and logo are registered marks of ACORD
4097 #S26401715/M26401547 LXMCN
page 8 of 9
Leighton Consulting Inc
Tl AVELERSAM WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC 99 03 76( A)—
POLICY NUMBER: U131 R5099812043
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT — CALIFORNIA
(BLANKET WAIVER)
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.
The additional premium for this endorsement shall be % of the California workers' compensation pre-
mium.
Schedule
Person or Organization Job Description
ANY PERSON OR ORGANIZATION FOR
WHICH THE INSURED HAS AGREED BY
WRITTEN CONTRACT EXECUTED PRIOR
TO LOSS TO FURNISH THIS WAIVER.
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 Policy No. Endorsement No.
Insured premium
Insurance Company Countersigned by
DATE OF ISSUE: _ - ST ASSIGN: Page 1 of 1
4099