2021/02/14 Leighton Consulting, Inc. (3)page 2 of 23 Client#: 1257049 305LEI G HG RO ACORD. CERTIFICATE OF LIABILITY INSURANCE D�2111 (MM/DD/YYYY) 5/2021 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(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 any rights to the certificate holder in lieu of such endorsement(a). PRODUCER NA r Lori MCNay McGriff Insurance Services PHONE -- --- —�w 2400 E Katella Ave Suite 1100 ,n/c, No, Ext): 714 941-2815 AdC, No , A ` LMcNay ®mcgriff.com Anaheim, CA 92806 �-` 714 941-2800 INSURER(S) AFFORDING COVERAGE NAIC # INs Lexington Insurance Company 19437 INSURED Leighton Consulting Inc 17781 Cowan Ste. 100 Irvine, CA 92614-6009 URER A . INSURER B : Travelers Indemnity Co of CT 25682 INSURER C. INSURER D : INSURER E i 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. NSA LTR DDL )N$RYr7 U9R ` POLICY NUMBER LIMITS TYPE OF INSURANCE POLICY SFF tMMfDAIYYYYj PAL CY g%R {MAU,BDIYYYYj X COMMERCIAL GENERAL LIABILITY X OCCUR A 065463440 32/14/2021 02/14/202 EACH OCCURRENCE $1,000000 ppppMMMGTO RENTED ICLAIMS-MADE $50r000 MED EXP (AnX. oneperson) $ EXCLUDED _ PERSONAL & ADV INJURY $1,000000 _GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY �PRJECOT X I LOC _ PRODUCTS - COMP/OP AGG s2,000,000 $ $5 000 000 _ OTHER: Overall Policy 3eneral AMre�ate B AUTOMOBILE LIABILITY BA3R7084312143G )2/14/2021 02114/2022 COMBINED SINGLELIMIT 1,000 000 BODILY INJURY (Per person) $ X ANY AUTO X OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY BODILY INJURY Per accident ( ) $ P11 ERTYDAM!E P4r CrJclen $ $ 006546318 32/14/2021 A X UMBRELLA LIAR X OCCUR 02114/2022 EACH OCCURRENCE s5,000,000 AGGREGATE $5 000,000 EXCESS LIAR CLAIMS -MADE DED I X1 RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YPN—. ANY PROPRIETORIPARTNER/EXECUTIVEI OFFICER/MEMBEREXCLUDED7 N/A PER I JOTH- E.L. EACH ACCIDENT $ (Mandatory In NH) I1 yes, describe under E.L. DISEASE - EA EMPLOYEE $ _DESCRIPTION OF OPERATIONS below _ E.L. DISEASE -POLICY LIMIT 1 $ 02/14/2022 $2,000,000 Per Claim A Prof/Polutn Liab 013001524 32/14/2021 Claims Made $4,000,000 Aggregate $100.000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required) Additional Insured applies on General Liability per Lexington's Additional Insured Owners, Lessees or Contractors endorsement LX4316 06114 and LX9605 10/01 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 and Primary wording applies on Automobile Liability per Travelers endorsement CAT474 (See Attached Descriptions) ua=Fi I I `K;A 11; HULL7t-H UANGLLLA I ION (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 5160 #S27361144/M27355854 LXMCN SAGITTA 25.3 (2016/03) 2 of 2 #S27361144/M27355854 5161 page 3 of 23 page 4 of 23 ENDORSEMENT 02/14/2021 This endorsement, effective 12:01 AM 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) LX9586 (02/031 5162 FOX _ page 5 of 23 This page has been left blank intentionally. 5163 page 6 of 23 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 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. Authorized Representative OR Countersignature (In states where applicable) LX9838 (08/05) 5164 page 7 of 23 This page has been Left blank intentionally. 5165 page 8 of 23 Leighton Consulting Inc BA3R7084312143G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. - 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". 2. The following is added to Paragraph B.5., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the 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, requires this insurance to be primary and non-contributory. CA T4 74 02 16 u 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission 5166 7, N page 9 of 23 This page has been left blank intentionally. 5167 page 10 of 23 POLICY NUMBER: 065463440 ENDORSEMENT# 004 COMMERCIAL GENERAL LIABILITY CG 20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: AS REQUIRED BY WRITTEN CONTRACT �LC)City of Menifee 29714 Haun Road Menifee, CA 92586-0000 Re: Proj #11051.007 PMP 20-02: Quail Valley Street Resurfacing Project, Menifee. Additional Insured to include per specifications: City of 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 1001 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. ISO Properties, Inc., 2000 Page 1 of 1 ❑ 5168 o page 11 of 23 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#11051.007 PMP 20-02: Quail Valley Street Resurfacing Project, Menifee. Additional Insured to include per 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 II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with 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. B. 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: 16 (06 14) 1 riclucles copyrig l'ited Intormationo t e nsurance Services Page I of 2 Offices, Inc., with its permission_ All Rights Reserved. 5169 page 12 of 23 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 Includes Copyrighted Intormationotthe Insurance Services Page 2 o Offices, Inc.,with its permission. All Rights Reserved. 5170 ON page 13 of 23 Client#: 1257049 305LEIGHGRO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE2/YYYY) 2/15120/2021 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 pollcy(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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAM 'T Lori McNay III Insurance Services PH NE Pt;X— T 2400 E Katella Ave Suite 1100 �o. £xl : 714 941-2815 , No): ADiYgE$&; y LMcNa 0mc riif.com -- - � Anaheim, CA 92806 INSURER(S) AFFORDING COVERAGE NAIC # 714 941-2800 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 E INSURER F : 25682 GUVtHA1Jil GtH I IFIGA It NUMtSt:H REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY PERTAIN, AND CONDITIONS OF SUCH OF POLICIES. INSURANCE THE LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY INSURANCE AFFORDED BY THE LIMITS SHOWN MAY HAVE BEEN POLICY NUMBER ISSUED TO CONTRACTOR POLICIES REDUCED THE INSURED OTHER DOCUMENT DESCRIBED BY PAID CLAIMS. NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, INSfi LTR TYPE OF INSURANCE DDL ly p a yyyD POLICY EFF MDf1'YYY 02/1412021 3eneral D2/14/2021 POLICY :14�P N6rOpIYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 065463440 Overall Policy BA3R7084312143G 006546318 02/14/202 ASare te 02/14/202 .PoEACH OCCURRENCE $1 000 000 PSEMISES EaoccurrDance $50,000 MED EXP (Any one person) $EXCLUDED PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECTPRO- LOG OTHER: GENERAL AGGREGATE s2,000,000 PRODUCTS -COMP/OP AGG $2,000 000 q5,000,000 B A AUTOMOBILE X X LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY X AUTOS ONLY UMBRELLA LABX OCCUR EXCESS LIAB CLAIMS -MADE COMBINED SINGLE LIMIT .i�rrn 1 000 000 �r BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE IPer accident) $ _ $ 2/14/2021 02/14/202 EACH OCCURRENCE s5,000.000 AGGREGATE $5 QOO OOO DED X RETENTION$10000 $ WORKERS COMPENSATION AND EMPLOYERW LIABILITY Y / N ANY PAOPRIETOFVPARTNERfEXECUTIVE[--] OF FIG ERIM EMBER EXCLUDED? N /A PER I JOTH- E.L. EACH ACCIDENT $ {Nlandalory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below _ _ _ _ _ E.L. DISEASE - POLICY LIMIT . $ A Prof/Polutn Liab 013001524 2/14/2021 02/14/202 $2,000,000 Per Claim Claims Made $4,000,000 Aggregate $100.000 Ded DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional 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 LX960510101 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 and Primary wording applies on Automobile Liability per Travelers endorsement CAT474 (See Attached Descriptions) (.;th I IPIL;A1 = HULUEH GANC:ELLANON (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 RE�PPRREESEENTTA�TIVE 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD 5171 #S27361145/M27355854 LXMCN page 14 of 23 DESCRIPTIONS (Continued from Page 1 ) 0216, Blanket Additional Insured -Primary and Non -Contributory with Other Insurance, attached to the Automobile policy as required by written contract. Re: Pro) #11051.010 CIP 21-13 (McCall Blvd Resurfacing-Encanto to Antelope) Materials Testing & Geotechnical Services. Additional Insured to include per specifications: City of Menifee and its officers, employees, agents, and authorized volunteers. SAGITTA 25.3 (2016/03) 2 of 2 # S27361145/M27355854 5172 page 15 of 23 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 fin states where applicable) LX9586 (02103) 5173 page 16 of 23 This page has been left blank intentionally. 5174 page 17 of 23 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 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. Al other terms and conditions of the policy remain the same. Authorized Representative OR Countersignature (In states where applicable) LX9838 (08/05) 5175 page 18 of 23 This page has been left blank intentionally. 5176 0 page 19 of 23 Leighton Consulting Inc BA3R7084312143G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: 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". 2. The following is added to Paragraph B.5., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the 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, requires this insurance to be primary and non-contributory. CA T4 74 02 16 u 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 5177 page 20 of 23 This page has been left blank intentionally. 6178 page 21 of 23 POLICY NUMBER: 065463440 ENDORSEMENT# 004 COMMERCIAL GENERAL LIABILITY CG 20 10 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i � ice, L ■ � i ■ lop P: This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: 3 REQUIRED BY WRITTEN CONTRACT :)C[ly of Menifee 1714 Haun Road enifee, CA 92586-0000 Proj #11051.010 CIP 21-13 (McCall Blvd Resurfacing-Encantoto Antelope) Materials Testing & Geotechnical Services. Additional Insured to include ecifications: City of 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 1001 LX9605 (1) All vork, including materials, parts or equipment furnished in connection with such vwrk, 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 vvork" 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. ISO Properties, Inc., 2000 Page 1 of 1 ❑ 5179 page 22 of 23 ENDORSEMENT # 021 This endorsement, effective 12-01 AM02/14/2021 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 ofMenifee 29714 Haun Road Menifee, CA 92586-0000 Re: Proj ##11051.010 CIP 21-13 (McCall Blvd Resurfacing-Encantoto Antelope) Materials Testing & Geotechnical Services. Additional Insured to include per 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 with 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. B. 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: ncu es opyrig to normationo t elnsurance ervices Page 1 of 2 Offices, Inc., vuith its permission. All Rights Reserved. 5180 page 23 of 23 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 �77=Includes Copyrighted n ormationo the nsurance Services age o Offices, Inc., with its permission. All Rights Reserved. 5181