2020/04/01 WSP USA, Inc.� DATE (MM/DD(YYYY)
C" CERTIFICATE OF LIABILITY INSURANCE F311812021
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 rights to the certificate holder In lieu of such endorsement(s).
PRODUCER CONIACT NAME AJG Service Team
Arthur J. Gallagher Risk Management Services, Inc. PHONE 212-994-7100 FAx 212-994 7047
250 Park Avenue, 5th Floor E-MAIL_New York NY 10177 AD AILGGB.WSPUS.CERTREQUESTStMAJG.COM
_ IN_SURER(S)AFFORDINGCOVERAGE _ NAIC1t
INSURER A: Liberty Insurance Corporation 42404
INSURED WSPmOB.01 INSURER B : Zurich American Insurance Company 16535
WSP USA Inc.
One Penn Plaza INSURERC:New York, NY 10119 INSUREe D :
INSURER E
INSURER F
C0VFRAnF9 CFRTIFIrATF NIIURFR• 11'ka1eano RFVISInM MIIIUIRFR-
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 io sus _
LTR TYPEOFINSURANCE y POLICY NUMBER PMk gwyYY IYI�IuAiDIYYYY LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
Y
Y
GLO983581907
4/1/2020
6/1/2021
EACH OCCURRENCE
$2,000,000
$300,000 —
R
Pf�EMISE6„(Enxwrroricn)__
MED EXP (Any oneperson)
$ 5,000
PERSONALSADVIH.AJRY
$2.000,000
t9EM1 AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
X POLICY Ll SECT U LOG
PRODUCT$ - COMP/OPAGG
$2,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
Y
AS7-621.094060-030
4/1/2020
5/112021
�
ilMa Mi0unt� INGLE LIMIT
$ 5,000,000
$
X
ANY AUTO
BODILY INJURY (Per person)
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per acwideni)
$
PAOPEATYDAMAGE
(Per. aceidan1) . -
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
UMBRELLA LIAB i OCCUR
EACH OCCURRENCE
$
AGGREGATE
It
EXCESS LIAR CLAIMS•MADE
pE0 FI CNT1ON$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE ❑
OFFICER/MEMBEREXCLUDED?
(Mandatory In NH)
N/A
Y
WA7-62D-094060-010
41l/2020
5/1/2021
.X TAT TE ER
E.L. EACH ACCIDENT
E.L. DISEASE EA EMPLOYEE
$2,0D0,000
$Z000,000
If yyes, describe under
DESCRIPTION OF OPERATIONS below
E-L. DISEASE • POLICY LIMIT
$ 2,000,000
DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION.
(PB#127$99A) PROFESSIONAL SERVICES TRAFFIC ENGINEERING.
Subject always to policy terms, conditions and exclusions, Waiver of Subrogation is granted in favor of Certificate Holder but only to the extent of risks and
liabilities assumed by the Named Insured in a signed written contract.
CERTIFICATE HOLDER CANCELLATION
CITY OF MENIFEE
29714 HAUN ROAD
MENIFEE CA 92586
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
2" of 8 4351
2 of 8 4351
DATE (MMIDDNVYY)
ACaR" CERTIFICATE OF LIABILITY INSURANCE
3/18/2021
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 rights to the certificate holder In lieu of such endorsements .
PRODUCER NAI'4E:.. AJG Service Team
Arthur J. Gallagher Risk Management Services, Inc. PHONE 212-994-7100 ] FAX , 212-994-7047
250 Park Avenue, 5th Floor MAIL
New York NY 10177 ADDRESS,. GGB,WSPUS.CERTREQU STS@NG.COM
INSURED
WSP USA Inc.
One Penn Plaza
New York, NY 10119
INSURER A: Liberty Insurance Corporation
; VSPGL.OB-o1 INSURERB : Zurich American Insurance Company
INSURER C :
INSURER D :
INSURER E :
F:
COVERAGES CERTIFICATE NUMRER-AmRiA977 REVISION NUMRER!
42404
16535
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,
L 1 TYPEOFINSURANCE ]AolaL9UBR' POLICY NUMBER MAO11Q0fYYYY MM�h+YYYY LIMITS
B
X
COMMERCIAL GENERAL LIAB ILITY
Y
Y
GLOG83581907
4/1/2020
5/1/2021
EACHOCCURRENCE
$2,000,000
�l
CLAIMS -MADE OCCUR
I "' I
AOETO E
PREMfSE$_{l�aoQowrQ�ca},_
$ 300,000
$ 5,000
MED EXP (Anyoneperson)
PERSONAL & ADV INJURY
$2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERALAGGAEGATE
$ 5,000,000
IX POLICY E J RE O LOC
PRODUCTS - COMP/OP AGG
$ 2,000,000
1
$
U7HER:
A
AUTOMOBILE LIABILITY
Y
Y
AS7-621-094060-030
4/1/2020
5/1/2021OMBINEU�INGLELIMIT
(;, modonl ---- ------
$5,000,000
$
X ANY AUTO
BODILY INJURY (Per person)
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
BODILY INJURY (Per accident)
$
$
p}lOPERTY�D RAAUE'
{Par r�r,.cldunQ
B
X
UMBRELLA LIAB X OCCUR
AUC014438604
4/1/2020
5/1/2021
EACH OCCURRENCE
$5.000,000
FIEXCESS
AGGREGATE
$ 5,000,000
CLAIMS•MADE
�LIAR
DIED I RETENTION $
_
Follow Form
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVC
OFFICER/MEMSEREXCLUDED?
N/A
Y
WA7-62D-094060.010
4/1/2020
5/1/2021
X H.
TA7 T ER
$ 2,000,000
E.L. EACH ACCIDENT
—
(Mandatory In NH)
E L, DISEASE EA EMPLOYEE
$ 2,000,000
II yyes, describe under
DESCRIPTION OF OPERATIONS below
—
EL, DISEASE • POLICY LIMIT
$ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION
Project Number: 12848A
Project Description: 2010/2017 Menifee On Call Eng. & Supp Svcs
Subject always to policy terms, conditions and exclusions, The City and its officers, employees, agents, and authorized volunteers are (lamed as Additional
Insured (excluding Workers' Compensation and Employers' Liability) but only to the extent of risks and liabilities assumed by the Named I11SUred in a signed
written contract.
UhN I11-1(;A I t HULUtH GANGELLATION
City of Menifee
29714 HAUN ROAD
MENIFEE CA 92586
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
3' 0 B 4351
3 of 8 4351
.alc_oitr� CERTIFICATE OF LIABILITY INSURANCE DATE (MMJDD/YYYY)
1 3/1812021
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 rights to the certificate holder In lieu of such endorsements .
PRODUCER CO NTALT NAME AJG Service Team
Arthur J. Gallagher Risk Management Services, Inc. PH.NE 212-994 7100 FAQ 212.994-7047
250 Park Avenue, 5th Floor FAIL
New York NY 10177 AnDREss: GGB.WSPUS.CERTREQUESTS@IAJG.COM
INSURED
WSP USA Inc.
One Penn Plaza
New York, NY 10119
INSURER A: Liberty Insurance Cor oratior
WSPGLOB-01 INSURER B : Zurich American Insurance C
INSURER C :
INSURER D_
INSURER E ;
COVERAGES CERTIFICATE NUMRER, 1n9d1')QR_ d RFVISICSN NIIMRFFR
42404
16535
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.
ILTR I TYPE OF INSURANCE AODL SD o POLICY NUMBER hiAKDD(YVYY MO IYYYP LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
Y
Y
GLOBB3581907
4/1/2020
5/1/2021
EACH OCCURRENCE
$2,0_00,000
CLAIMS -MADE XOCCUR
_
_15J AMAGETO(3 NTE�
(?REM(SES jEa occurrence)
_.
$ 300.000
$ 55,000
MED EXP (Any one person)
PERSONAL & ADV INJURY
$ 2.000,000
GENT AGGREGATE LIMIT APPLIES PER:
X POLICY I__� PRO
JECT J LOC
GENERAL AGGREGATE
$ 5,000,000
$ 2,000 000
PRODUCTS - COMPYOP AGO
$
OTHER:
A
AUTOMOBILE LIABILITY
_
Y
Y
AS7-621-094060-030
4/1/2020
5/1/2021
jl� :IIINEOSINGLELIMIT
(a accidonJ)
$5,000,000
X ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
$
BODILY INJURY (Per accident)
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
O"P Y DAMAGE
(Fier P. orkil
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB CLAIMS•MAOE
$
DED RETENTION $
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PAnTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? ❑
NJA
Y
WA7-62D-094060.010
4/1/2020
6/1/2021
X 1---STPEPATUTE I I ER
E.L. EACH ACCIDENT
$2,000.000
E.L. DISEASE EA EMPLOYEE
(Mandatory In NH)
$2,000,000
II as, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
— f
$ 2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION.
(PB #12837A) Menifee Project Management - On -Call,
Subject alwayyss to policy terms, conditions and exclusions, City and its officers, employees, agents, and authorized volunteers are
named as AdBitionai Insured (excluding Workers' Compensation and Employers' Liability) but only to the extent of risks and
liabilities assumed by the Named Insured in a signed written contract.
The policies certified hereon are primary and non-contributory only to the extent of risks and liabilities assurned by the Named
See Attached...
CERTIFICATE HOLDER CANCELLATION
Cf Menifee
IM2HAUN ROAD
MENIFEE CA 92586
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
Q 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
4" of 8 4351
4 of 8 4351
AGENCY CUSTOMER ID: WSPGLOB-01
LOC #:
►c - ADDITIONAL REMARKS SCHEDULE Page 1 of
AGENCY NAMED INSURED
Arthur J. Gallagher Risk Management Services, Inc. WSP USA Inc.
One Penn Plaza
POLICY NUMBER New York, NY 10119
CARRIER
ADDITIONAL REMARKS
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Insured In a signed written contract and subject always to policy terms, conditions and exclusions.
Subject always to policy terms, conditions and exclusions. Waiver of Subrogation is granted in favor of Certificate Holder but only to
the extent of risks and liabilities assumed by the Named Insured in a signed written contract.
ACORN 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
5" of B 4351
5 of 8 4351
��o�� CERTIFICATE OF LIABILITY INSURANCE DATE
� r 3r18r2o2tYYY)
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).
PRODUCER NONTACT
AME AJG Service Team
Arthur J. Gallagher Risk Management Services, Inc. PHONE — 212.994-7100 a 212.994.7047
250 Park Avenue, 5th Floor
New York NY 10177 1AVtfflM; GGB.WSPUS.CERTREQUESTS@AJG.COM
INSURER A: Liberty Insurance Corporation
INSURED WSPGLOB-01 INSURER B : Zurich American Insurance Cc
WSP USA Inc,
One Penn Plaza INSURERC:
New York, NY 10119 INSURERD:
INSURER E :
COVERAGES CERTIFICATE NUMBER 1R75540n33 REVISION NIIMRFR-
42404
16535
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 AUDL SUBI1 PORECCY EFf POLI 1 E%P
IiJ' W POLICY NUMBER I MMrDDIYYYY I MMrDGrYYYY LIMITS
0
X
COMMERCIAL GENERAL LIABILITY
Y
Y
GLOD83581907
4/1/2020
511/2021
EACH OCCURRENCE
$2,000,000
CLAIMS -MADE " I I OCCUR
�.
DAMAGE
PREMISES-�Eaoecurrence]�
5300,DOD
MED EXP (Anyone person)
3 5,006
PERSONAL & ADV INJURY
$ 2,000,000 _
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 5,000,000
X POLICY im171 1,00
$ 2.000,000
PRODUCTS - COMP/OP AGO
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
Y
AS7-621.094060-030
4/1/2020
5/1/2021
COMBINEDSINGLE LIMIT
$ 5,000,000
)(
ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
(Per accident] _
$
$
UMBRELLA LIAB OCCUR
L
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB CLAIL48'tAAUE
DED I I RETENTION
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
N/A
Y
WA7-62D-094060-010
4/1/2020
5r1/2021
XLPER -H-
BTATUTE I I FJa
E.L, EACH ACCIDENT
$2,000,000
— - —
E.L. DISEASE - EA EMPLOYEE
(Mandatory In NH)
$ 2.000,000
II yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$ 2,000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more apace Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION.
(PB #12789A) MENIFEE TRAFFIC ASSISTANCE
Subject always to policy terms, conditions and exclusions, The City of Menifee, its officers, employees, agents, and volunteers are named as Additional
Insured(excluding Worker's Compensation and Employers Liability) but only to the extent of risks and liabilities assumed by th Named Insured in a signed
contract
Subject always to policy terms, conditions and exclusions, Waiver of Subrogation is granted in favor of Certificate Holder but only to
See Attached...
L•CHI r'_H. A I C rIU LLJ CTS toAlNt..CLLA I IUN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
CITY OF MENIFEE ACCORDANCE WITH THE POLICY PROVISIONS.
29714 HAUN ROAD
MENIFEE CA 92586 AUTHORIZED REPRESENTATIVE
USA--
0 1988-2015 ACORD CORPORATION, All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
6` of 8 4351
6 of 8 4351
ACQ
AGENCY CUSTOMER ID: WSPGLOB-01
LOC #:
AnnITWINAI 121:hAA121C0.Cr_HrI' m i:
AGENCY
Arthur J. Gallagher Risk Management Services, Inc.
POLICY NUMBER
CARRIER
AlR711 WINIAL HhMAKKS
NAMED INSURED
WSP USA Inc.
One Penn Plaza
New York, NY 10119
NAIC CODE
EFFECTIVE DATE:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
_FORM NUMBER: ?5 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
the extent of risks and liabilities assumed by the Named Insured in a signed written contract.
The policies certified hereon are primary and non-contributory only to the extent of risks and liabilities assumed by the Named
Insured in a signed written contract and subject always to policy terms, conditions and exclusions.
pane i of 9
ACORD 101 (2008/01) 0 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
7` of a 4351
7 of 8 4351
AC"R& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD(YYYY)
3/18/2021
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 rights to the certificate holder In lieu of such endorsements .
PRODUCER NAME__ AJG Service Team
Arthur J. Gallagher Risk Management Services, Inc. PHONE 212-994-7100 pax 212-994-7047
250 Park Avenue, 5th Floor E.ILA1Lq
New York NY 10177 : G(,R WSPUS.CERTREOUI=STSIMAJG,COM
INSURER(S) AFFORDING COVERAGE NAIC A
INSURERA: Liberty Insurance Corporation 42404
INSURED WSPGLO9-01 INSURERB: Zurich American Insurance Companv 16535
WSP USA Inc.
One Penn Plaza INSURERC:
New York, NY 10119 INSURER D :
INSURER E :
INSURER F :
rOVFRAr,FS r:FRTIFICATF NIIMRFR• 1QA15R7F1n0 RF1II4ZFf)KI NItM92=I7-
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.
IE7R TYPEOF INSURANCE ADDL Soak Q61FC EF"F P- - -_Y__I�XP
WVD PBLICYNUMBER MMDCrYY MlDSIVYY LIMITS
B
X
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE [.X] OCCUR
Y
Y
GLOO83581907
4/1/2020
5/112021
EACH OCCURRENCE
$2,000,000
$ 300,000
AFT�SSaoNTEb
e
MED EXP JAny oneperson)
$ 5.000
PERSONAL & ADV INJURY
$ 2.000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
OENERAL AGGREGATE
$ 5,000,000
POLICY I_J S L. ] LOC
M
PRODUCTS -COMP/OP AGG
$ 2,000.000
$
OTHER:
A
AUTOMOBILE
LIABILITY
Y
Y
AS7-621.094060-030
4/1/2020
5/1/2021
C�OMBINEOSINGLELIMIT
[ a 3reldonl7.
$5,000,000
X
ANY AUTO
BODILY INJURY (Per person)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
$
BODILY INJURY (Per accident)
HIRED NON OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
tl?pt,accidenJ)_-_ _
UMBRELLA LIAB TOLL CUR
EACH OCCURRENCE
AGGREGATE
EXCESS LIAR AIMS -MADE
$
DEC] nETENTION $
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANYPROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED?
N / A
Y
WA7-62D-094060.010
4/1/2020
5/112021
X PER 1
T 7 T
E.L. EACH ACCIDENT
;2.000,000
_
E.L. DISEASE - EA EMPLOYEE
(Mandatory In NH)
II yes, describe under
$2,000,000
DESCRIPTION OF OPERATIONS below
I
E.L. DISEASE - POLICY LIMIT
$ 2,000.000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
THIRTY (30) DAYS NOTICE OF CANCELLATION.
(PB #12840A) NPDES Storm Water Services
CERTIFICATE HOLDER CANCELLATION
City of Menifee
29714 HAUN ROAD
MENIFEE CA 92586
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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Arthur J. Gallagher Risk Management Services, Inc.
250 Park Avenue, 5th Floor
New York, NY 10177
4351 2 MB 0.971
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CITY OF MENIFEE
29714 HAUN RD
MENIFEE, CA 92586-6540 4351
We are providing you with a Certificate of Insurance confirming our client's coverage.
Want to get certificates of insurance faster? "Go Green with Gallagher" by receiving digital copies of certificates via
e-mail in the future. Or, do you no longer require a certificate of insurance for our client? Please contact us at
f.0 dateMyEmailC�AJG.com and provide the following information for processing:
1. Confirmation that a certificate of insurance is no longer required; or
2. E-mail address to send future certificates of insurance in lieu of U.S. Mail delivery
3. Insured Code found in the Insured section on the enclosed certificate. An example of this code is XXXXXX-01
4. This Certificate Number: 113614902
To learn more about the Insurance and Risk Management Services offered by Gallagher, please visit us at
www.a-'g.com/us/about-us/how•wo-worklcore-360.
Gallagher does not share your e-mail as detailed in our privacy policy found athtC s:1p Iwww.4jl- omlWprivacy-pQlicvl,
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