2021/02/14 Leighton Consulting, Inc.page 2 of 12
Client#: 1257049 305LEIGHGRO
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ACORD. CERTIFICATE OF LIABILITY INSURANCE D2lDD/1YYV)
/19/2021
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 any rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NA E; Lori MCNay
McGriff Insurance Services PHONE iAX
7
2400 E Katella Ave Suite 1100 MAID °, Ext): 14 941-2815 IAIr.. I,ny:
Anaheim, CA 92806
ADDREss. LMONay0mc iriff.com
714 941-2800 INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A • Lexington Insurance Company 119437
INSURED
Leighton Consulting Inc
17781 Cowan Ste. 100
Irvine, CA 92614-6009
INSURER B : Travelers Indemnity Co of CT
INSURER C
INSURER D:
INSURER E :
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 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 DDL SI16R POL Y EFF POLICY EEXP
L7R TYPE OF INSURANCE INSR WVD POLICY NUMBER MMiDWYYY (MMAWYYYY), LIMITS
A X COMMERCIAL GENERAL LIABILITY 065463440 32/14/2021 02/14/2022 EACH OCCURRENCE $1000000
DAMAGE TO RENTED
CLAIMS -MADE X OCCUR PREMISES Eaoccurrence $50 OOO
_ MED EXP (Anyone person) $EXCLUDED
PERSONAL & ADV INJURY $1 000 000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000
POLICY [:� JECOT FXJ LOC PRODUCTS - COMP/OP AGG s2,000,000
OTHER: Overall Policy general !Aggregate $$5,000,000
B AUTOMOBILE LIABILITY BA3R7084312143G )2/14/2021,02/14/202 C.OMBINEDLSINGLELIMIT 1,000000
JX
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY PeraccideniAUTOS ONLY AUTOS( )$
HIRED NON -OWNED PAOI'EATYDAMAGE AUTOS ONLY Ix
AUTOS ONLY Per acciden $
A UMBRELLA LIAR X OCCUR 006546318 D2/14/2021 07J14/2022 EACH OCCURRENCE $5 000 OOO
EXCESS LIAB CLAIMS -MADE AGGREGATE $5 O00 OOO
DED X RETENTION $10000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNEWEXECUTIVE Y / N EL. EACH ACCIDENT $
OPFICERIMEMBER EXCLUDED? NIA
(MarsdalM In NH) E1, DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below _ E.L. DISEASE - POLICY LIMIT $
A Prof/Pollutn Liab 013001524 D2/14/2021 02/14/202 $2,000,000 Per Claim
Claims Made $4,000,000 Aggregate
$100,000 Ded
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addltlonal Remarks Schedule, may be attached If more space Is required)
Additional Insured applies on General Liability per Lexington's Additional Insured
Owners, Lessees or Contractors endorsement LX4316 06/14 and LX9605 10101 attached to the General Liability
policy as required by written contract. Primary wording applies to General Liability per Lexington's
endorsement LX9838 08/05 attached to policy.
Additional Insured applies on Automobile Liability per Traveler's Blanket Additional Insured endorsement
(See Attached Descriptions)
(LC)City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
29714 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS.
Menifee, CA 92586
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD
62 #S27389219/M27355846 LXMCN
SAGITTA 25.3 (2016/03) 2 of 2
#S27389219/M27355846
63
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ENDORSEMENT
This endorsement, effective 12:01 AM 02/14/2021
Forms a part of policy no.: 065463440
Issued to: Leighton Consulting Inc
By:LEXINGTON INSURANCE COMPANY
CANCELLATION AMENDMENT
In consideration of the premium charged, it is hereby agreed that the cancellation provision is amended
to 90 days in lieu of (30) days, except for non-payment of premium which remains (10) days.
All other terms and conditions remain unchanged.
Authorized Representative OR
Countersignature (In states where applicable)
LX9586102/03)
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ENDORSEMENT
This endorsement, effective 12:01 AM 02/1412021
Forms a part of policy no.: 065463440
Issued to: Leighton Consulting Inc
By.-LEXINGTON INSURANCE COMPANY
PRIMARY/NON CONTRIBUTORY ENDORSEMENT
This endorsement modifies insurance provided by the policy:
Notwithstanding any other provision of the policy to the contrary, the insurance afforded by this policy
for the benefit of the Additional Insured shall be primary insurance, but only with respect to any claim,
loss or liability arising out of the Named Insured's operations: and any insurance maintained by the
Additional Insured shall be non-contributing.
All other terms and conditions of the policy remain the same.
�1 �r
Authorized Representative OR
Countersignature (In states where applicable)
LX9838 (08/05)
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This page has been left blank intentionally.
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Leighton Consulting Inc
BA3R7084312143G
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following is added to Paragraph c. in A.1., Who
Is An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE in the BUSINESS AUTO
COVERAGE FORM and Paragraph e. in A.1., Who Is
An Insured, of SECTION II — COVERED AUTOS
LIABILITY COVERAGE in the MOTOR CARRIER
COVERAGE FORM, whichever Coverage Form is
part of your policy:
This includes any person or organization who you are
required under a written contract or agreement
between you and that person or organization, that is
signed by you before the "bodily injury" or "property
damage" occurs and that is in effect during the policy
period, to name as an additional insured for Covered
Autos Liability Coverage, but only for damages to
which this insurance applies and only to the extent of
that person's or organization's liability for the conduct
of another "insured".
CA T4 37 02 16 02016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1
Includes copyrighted material of Insurance Services Office, Inc with its permission.
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page 10 of 12
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POLICY NUMBER: 065463440 ENDORSEMENT# 004 COMMERCIAL GENERAL LIABILITY
CG 20 10 10 01
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
OR ORGMIm-nON
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
5 REQUIRED BY WRITTEN CONTRACT
C)Ci[y of Menifee
)714 Haun Road
enifee, CA 92586-0000
Proj #11051 City of Menifee Professional Services, Various Locations in to City of Menifee Additional Insured to include per above specifications; City
Menifee and its officers, employees, agents, and authorized volunteers.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations
as applicable to this endorsement.)
A Section II - Who Is An Insured is amended
to include as an insured the person or organization
shown in the Schedule, but only with respect to
liability arising out of your ongoing operations
performed for that insured.
B. With respect to the insurance afforded to these
additional insureds, the following exclusion is
added:
2. Exclusions
This insurance does not apply to "bodily in-
jury" or "property damage" occurring after:
CG 20 10 10 01
LX9605
(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 site of the covered
operations has been completed; or
(2) That portion of "your work" out of which
the injury or damage arises has been put
to its intended use by any person or
organization other than another contractor
or subcontractor engaged in performing
operations for a principal as a part of the
same project.
O ISO Properties, Inc., 2000
Page 1 of 1 ❑
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ENDORSEMENT # 021
This endorsement, effective 12.01 AM 02/14/2021
Forms apart of policy no.: 065463440
Issued to: LEIGHTON GROUP, INC.
By: LEXINGTON INSURANCE COMPANY
ADDITIONAL INSURED- OWNERS, LESSEES
OR CONTRACTORS- COMPLETED
OPERATIONS
(Based on CG2037 04/13)
This endorsement modifies insurance provided by the following:
COMMERCIAL GENERAL LIABILITY POLICY
SCHEDULE
Name of Additional Insured Person(s) Location of Completed Operations
or Organization(s)
AS REQUIRED BY WRITTEN CONTRACT
(LC)City of Menifee
29714 Haun Road
Menifee, CA 92586-0000
Re: Proj #11051 City of Menifee Professional Services, Various Locations in to City of Menifee Additional Insured to include per above specifications:
City of Menifee and its officers, employees, agents, and authorized volunteers.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section 11 - Who Is An Insured is amended to include as an additional insured the person(s) or
organization(s) shown In the Schedule, but only Wth respect to liability for "bodily injury", or
"property damage" caused, in whole or in part, by "your work" at the location designated and
described in the Schedule of this endorsement performed for that additional insured and included in
the "products -completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law,
and
2. If coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
R. 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:
43 6 0 f 4 Incu es Copyrighted I ntormationotthe I nsu rance Services Page i of 2
Offices, Inc., with its permission. All Rights Reserved_
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1. Required by the contract or agreement; 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 the policy remain the same.
Authorized Representative
LY.4316(0611i4) InciudesCcipyN6htedTn rmationo t e InsuranceServices Page o
Offices, Inc., with its permission. All Rights Reserved.
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