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2019/07/01 GHD, Inc. Certificate of Liability InsurancePage 1 of 1 ACC"R O DATE (MMIDD(YYYY) ilCERTIFICATE OF LIABILITY INSURANCE 11/22/2019 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 CONTACT NAME: w:i71n ar Hassarhuancts, Inc. PHONE 1-877-945-7378 �k N 1-BBB-467-2376 c/o 26 Century Blvd &MAIL certifioatea w P.O. Box 305191 pDDp� iilis.com Nashville, TN 372305191 USA .,.­.. INSURED GIRD Inc. Winzler a Kelly 3750 Convoy Street, Suite 220 San Diego, CA 92111 USA INSURERA: Allied World Assurance Company US Inc 19499 INSURER8: Zurich American Insurance Company 16535 INSURERC: INSURERD: _ INSURER E INSURER F : COVERAGES CERTIFICATE NUMBER- W13949784 R1=VISI0N NLIMRFR: 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 REAVULIDUCED BY PAID CLAIMS. ILrq TYPE OF INSURANCE INSD SU Q POLICY NUMBER i W CY YY M m ,YYYY LIMITS X COM MERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 A OCCUR _$ _1,000,000CLAIMS•MADE yPmlmSryg A MED EXP (Any oneperson) $ 25,000 X X 0310-4497 12/01/2019 12/01/2020 1,000,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 � � PRO- — - POLICY X. JECTPRO- LOG PRODUCTS-COMP/OP AGO $ 2,000,000 OTI•fFR. 1 $ AUTOMOBILE LIABILITY COM13INEO SINGE $ 1, 000, 000 _�A-tseGdeall— -- ANY AUTO BODILY INJURY (Per person) $ B OWNED SCHEDULED At}TU5 ONLY AUTOS Y X BAP 3757423-04 07/01/2019 07/01/2020 - BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ X : HHI`IR4TTED�� X NNpON-OGGWc��N�NEDVy •tAoI7Qd"a3NL�S of CaUmpOda3i Lg250 fPpr-- X1 X :Hired Physical Damag $ 100000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A � F AGGREGATE $ 5,000,000 EXCESS UAB CLAIMS -MADE X X 0310-4498 12/01/2019 12/01/2020 DED RETENTION$ $ WORKERS COMPENSATION TH- AND EMPLOYERS' LIABILITY Y / N T 7 ER ANYPROPRIETORIPARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE It yes, describe under DESCRIPTION OF OPERATIONS beJow E.L. DISEASE • POLICY LIMIT $ I j DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached It more space Is required) General Liability/Automobile Liability Additional Insured: City of Menifee. Coverage is Primary and Non -Contributory. Severability of Interest applies. Blanket Waiver of Subrogation applies to General Liability and Business Auto policies as required by written contract. Blanket Additional Insured applies to General Liability and Auto Liability as required by written contract. Umbrella/Excess Liability Follows Form over General Liability and Auto Liability. City of Menifee L:Lti I R-A A I It rtULULFt 1-- I n a n f F-3 GANULLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DEC 0 9 2019 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Menifee Received AUTHORIZED REPRESENTATIVE 29114 Haun Road q _/ ` Mp��_ Sun City, CA 92586 Y�I'�^� 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 18847015 BATCH: 1468300 2 of 4 6486 BAP 3757423-03 agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit"; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. 0. Employee Hired Autos — Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto — World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. U-CA-424-F CW (04/14) Page 5 of 6 Inr.liOP..- rnmrinhtarf mmtariral of Inciiranra Ganiirac nffinp Inr with ite narmiccinn 3 of 4 6486 POLICY NUMBER: 0310-4497 COMMERCIAL GENERAL LIABILITY CG 20 37 10 01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Where required by written contract Location And Description of Completed Operations: Where required by written contract Additional Premium: N/A (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) 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 work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products -completed operations haz- ard". CG 20 3710 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 4 of 4 6486