Loading...
2018/08/01 Harris & Associates, Inc. Certificate of Liability Insurance (9)P52C,M2WW1 NM A ACp O CERTIFICATE OF LIABILITY INSURANCE oe/03/2018 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((es) 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(a). PRODUCER 0757776 1-800-877-4560 CONTACT HOB International Insurance Services Inc. PHONE ((,j• _FAX, -65505 609-0650fACH925 6092E41A lP.O. Box 4047 ADDRESS: _ INSURERS AFFORDING COVERAGE NAICS Concord, CA 94524 INSURER A: Valley Forge insurance Company INSURED INSURERS: Navigators Specialty Insurance Company Harris Q Associates Inc. INSURERC. Travelers Property Casualty Co of Amer Attn: Susan Mendilag 1401 Willow Pave Road, Suite SOO INeuaERD:Continental Casualty Company INSURER E : Concord, CA 94520 INSURER F: rn�rcoar_cc r`CIrrlCtr aTF IJIWrtFO. 53610125 RI=LiSICIN M[IMAFR- 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. INSR AUDL15UBHI POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER Y M KrD A E COMMERCIAL GENERALUABUM 6072176739 08/01/18 06/01/19 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE f a t OCCUR DAMAGE TO RENTED PREMIMS Ea owrrmflwl S 1, 000, 000 MED EXP Anyone Person) $ 15,000 E Dedl 0 PERSONAL SADVINJURY S 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMPlOPAGO i 2,000,000 POLICY I JECTFil LOC S OTHER: AUTOMOBILEUABILRY ED IHGLE GMIT $ BODILY INJURY (Per Pelson) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY s B UMBRELLA LIAR X OCCUR OF18EXC712701IC 08/01/18 08/01/19 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10, 000, 000 E EXCESS LAB CLAIMS -MADE DED X RETENTION 0 S C WORKERS COMPENSATION OB-BR458448-TIL-18 • 08/01/18 06/01/19 IS STARTUTE KOH AND EMPLOYERS' LIABUJTY YIN ANYPROPRIEfORIPARTNERIEXECUr1VE E.L. EACH ACCIDENT S 1,000,000 E.L. DISEASE- EA EMPLOYEE $ 1,000,000 OFFICEWMEMBER EXCLUDED? (Mandatory In NH) NIA E.L. DISEASE -POLICY LIMIT f 1,000,aoo rcyyeeee deameeunder DESCRIFr1ON OF OPERATIONS below D PROFESSIONAL LIABILITY AE9591891588 08/01/18 08/01/19 Per Claim 10,000,000 Claims -Made Aggregate 10,000,000 Dad. Each Claim 1 150,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddNlonsl RernmAs Schedule, may he adschad N more space Is required) • Workers Ccaipensation policy excludes monopolistic states ND, OH, WA, WY. General Liability Additional Insured status granted, if required by written contract/agreement, per attached form CHR75079XX 1016. City i its officers, employees, agents S: authorized volunteers are additional insureds under General Liability if required by a written contract RE: On -call Professional Entitlement 4 Final Engineering Services (HA #1600468) UtKI11"IUAItKULtlt:M C-1tv Or. lyWITHICZ LFLry1,CLLaI1Vn %60-0460 (2011) Clty Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Maulfes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AUG 132018 ACCORDANCE WITH THE POLICY PROVISIONS. Allen Mum Public Works / Engineering AUTHORIZED REPRESENTATIVE 29714 Baud Road Recelved Menifee, CA 92586 USA CO 1988-2015 ACORD CORPORATIUN. All ngnts reservea, ACORD 25 (2015103) The ACORD name and logo are registered marks of ACORD dgarcia 53610125 w N ?N z W P5260026""2 , i CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily Injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of" language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising Injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: CNA75079XX (10-16) Page 1 of 2 Insured Name: Harris & Associates Inc. Policy No: 6072176739 Effective Date: 08/01/2018 copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. I_ 0 N 9 P5261AU28(K'2 I® CNA Blanket Additional Insured - Owners, Lessees or Contractors - with Products -Completed o Operations Coverage Endorsement M Primary and Noncontributory Insurance rV With respect to other insurance available to the additional insured under which the additional insured is a named z insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a w written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently In effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Page 2 of 2 Insured Name: Harris & Associates Inc. Policy No: 6072176739 Effective Date: 08/01/2018 Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. P5I61NIA8MI, CNA Architects, Engineers and Surveyors General Liability Extension Endorsement (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision, the Other Insurance conditions is amended to add the following paragraph: This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis that is Property insurance covering property of others damaged from the use of elevators. 23. RETIRED PARTNERS, MEMBERS, DIRECTORS AND EMPLOYEES WHO IS INSURED is amended to include as Insureds natural persons who are retired partners, members, directors or employees, but only for bodily injury, property damage or personal and advertising injury that results from services performed for the Named Insured under the Named Insured's direct supervision. All limitations that apply to employees and volunteer workers afs❑ apply to anyone qualifying as an Insured under this Provision. 24. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended to delete the limit of $250 shown for daily loss of earnings and replace it with a $1,000. limit. 25. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS If the Named Insured unintentionally fails to disclose all existing hazards at the inception date of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 26. WAIVER OF SUBROGATION - BLANKET Under CONDITIONS, the condition entitled Transfer Of Rights Of Recovery Against Others To Us is amended to add the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury or damage arising out of: 1. the Named Insured's ongoing operations; or 2. your work included in the products -completed operations hazard. However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in a written contract or written agreement, and only if such contract or agreement: I. is in effector becomes effective during the term of this Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. 27. WRAP-UP EXTENSION: OCIP, CCIP, OR CONSOLIDATED (WRAP-UP) INSURANCE PROGRAMS Note: The following provision doss not apply to any public construction project in the state of Oklahoma, nor to any construction project in the state of Alaska, that is not permitted to be insured under a consolldated (wrap- up) insurance program by applicable state statute or regulation. CNA74858XX (1-15) Page 16 of 17 Insured Name: Harris & Associates Inc. Policy No: 6072176739 Effective Date: 08/01/2018 Copyright CNA Ali Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. rsrwuzeuuz • , L. O v TRAVELERS Jw A WORKERS CONDPENSATION N OHE TORM SQUARs EMPLOYERS LIABILITY POLICY z HMFORD, CT 06103 W ENDORSEMENT WC 99 03 76 ( A) — 001 POLICY NUMBER: (UB-8K456448-TIL-18) 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 02.000 % 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: 08-02-18 ST ASSIGN: Page 11 of 1 P326rN1 MIZ 111.111 International Insurance Services Inc. P.O. Box 4047 Concord, CA 94524 201 M",3316 Electronic Service Requested C Q I V//�� p DO L UU p 1 0 ALL FOR AADC 423 ^ 2172 0.9555 AB 0.405 I�IIIII��II�II�II'�I'I'�I'III'�11"II��I����I��III�I�I�II'll��lll Cityy of Menifee > 29714 HAUN RD 9 PUBLIC WORKS / ENGINEERING ua MENIFEE, CA 92596-6540 This document was brought to you by CertificateeNow. - If you have questions regarding the content of this document, please contact - the Producer/Agent listed on the certificate of insurance or the Insured listed - on the notice of cancellation/reinstatement.- To find out how you can send and receive all of your certificates of insurance - either by email, high speed fax or standard mail, - email customercareoconfiranet.com, or visit our webaite at - www.confirmnet.com- cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertlllcatesNow - www.ConfirmNat.com - 877.669.8600 Harris & Associates CERTIFICATE OF THE PRESIDENT AND CEO OF HARRIS & ASSOCIATES, INC. Authorization to Enter into Contracts and Proposals Pursuant to the authority granted by Section 5.3 of the Bylaws of Harris & Associates, Inc., a California corporation ("Company"), and the delegation of authority by the Board of Directors of the Company to the President and CEO, the undersigned, as President and CEO, hereby authorizes the individuals named below to have the authority to enter into contracts and proposals, and incur obligations in the amounts set forth below for contracts with acceptable risk. Those contracts that have questionable risk must be elevated to the Executive Leadership Team for review and approval. These individual authorities shall remain in effect until the designated individual's employment or position is terminated, or the signing authority is revoked, changed, or amended by a duly executed Certificate of the President and CEO. Contracts and Proposals in Unlimited Amounts (C-Suite and Division Presidents/Senior Vice Presidents) Ehab Gerges John Kuprenas Lisa V. Larrabee Michael McCormick Glenn Suitor Steven Winchester Contracts and Proposals up to Five Million Dollars ($5,000,000) (Vice -Presidents) Christopher J. Dunne K. Dennis Klingelhofer Gary H. Yagade Contracts and Proposals up to One Million Dollars ($1,000,000) Randall G. Berry Frank Lopez Alison Bouley Matt C. Nethercutt Jasmine Cuffee Brad Sager Vijay Desai Diane Sandman Ann Hajnosz Mike Sheffield Lara Jennings Sam Yaghmaie Contracts and Proposals up to Two Hundred Fifty Thousand Dollars ($250,000 Scott Alman Serafin Fernandez Craig Seifert Ryan Binns Kate Giberson David Vallejos Sean Dunbar Brandon Hays Dana Van Horn Jules Feher Blake Johnson Eric Vaughan IN WITNESS WHEREO , the undersigned has executed this Certificate of the President and CEO as of this 12th day of Februa , 2 Lisa V. Larrabee, President and CEO