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2019/01/01 Bureau Veritas North America, Inc. Certificate of Liability Insurance (5)1 ® � o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12/21/2018 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(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 Aon Risk Services Northeast, Inc. Aon Risk Services Northeast, Inc. NY NY Office City of Menifee One Liberty Plaza 165 Broadway, suite 3201 City Clerk CONTACT NAME: PHONE 866-283-7122 FAX 800-363-0105 {A/C. No. Ext): _ {a/c. No.): ADDRESS: New New York NY 10006 USA INSURER(S) AFFORDING COVERAGE NAIC# INSURED N ® 7 2019 INSURERA: Hartford Fire Insurance Co. 19682 Bureau Veritas North America, Inc. 180 Promenade Circle, Suite 150 Sacramento CA 95834 USA INSURERB: Twin City Fire Insurance Company 29459 INSURERC: Hartford Ins Co of the Midwest 37478 Received INSURERD: Hartford Accident & Indemnity Company 22357 INSURERE: sentinel insurance Company, Ltd 11000 30104 INSURERF: Hartford Underwriters Insurance Company COVERAGES CERTIFICATE NUMBER: 570074337036 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. Limits shown are as requested iNSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIyyyY LIMITS K X COMMERCIAL GENERAL LIABILITY USt EACH OCCURRENCE $2,000,000 CLAIMS -MADE ❑X OCCUR PREMISES Ea occurrence)$1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GEMLAGGREGATELIMITAPPLIESPER : GENERAL AGGREGATE $2,000,000 POLICY PRO- ElR LOC JECT PRODUCTS - COMP/OPAGG $2,000,000 OTHER: A AUTOMOBILE LIABILITY _ 10 AB S41202 AOS 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT Ea acciden $2,000,000 BODILY INJURY( Per person) A X ANYAUTO 10 AB S41203 01/01/2019 01/01/20201 OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY HI BODILY INJURY (Per accident) PROPERTYDAMAGE (Per accident) UMBRELLA LIAB EACH OCCURRENCE HOCCUR EXCESS LIAB CLAIMS -MADE AGGREGATE DED RETENTION I C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRI ETOR/ PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? NIA 1 WWN 441 00 ADS 1OWN541200 01/01/2019 01/01/2019 1/01 202 01/01/2020 X PER OTH- STATUTE ER E.L EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under CESCRIPTION OF OPERATIONS below AK ID NY E L. DISEASE -POLICY LIMIT $1, 000 , 000 K Archit&Eng Prof uSF00248019 01/01/2019 01/01/2020 Each Claim $1,000,000 SIR applies per policy to Is & condi ions Aggregate $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is included as Additional insured in accordance with the policy provisions of the Business Auto Coverage & General Liability Coverage policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Meni fee AUTHORIZED REPRESENTATIVE 29714 Haun Road Menifee CA 92586 USA 0 0 t` CY) 0 0 0 ti u0 i NA A2 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 570000048582 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of . AGENCY NAMED INSURED Aon Risk Services Northeast, Inc. Bureau Veritas North America, Inc. POLICY NUMBER See certificate Number: 570074337036 CARRIER NAIC CODE See certificate Number: 570074337036 1 EFFECTIVE DATE: ADDITIONAL REMARKS ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD