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2019/09/01 Leighton Consulting, Inc. Certificate of Liability Insurance (4)ACORD"' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DOIYYYY) Ii.....---' 08/27/2019 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 pollcles 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 Certificate Department NAME: Tutton Insurance Services ~-HgNJ:0 Ext': (949) 261-5335 I fffc No': (949) 261-1911 2913 S Pullman Street E-MAIL Bernadette Reza or Catlin Ortiz ADDRESS: License #0B89376 INSURER'S) AFFORDING COVERAGE NAIC# Santa Ana CA 92705 INSURERA: WestAmerican Insurance 44393 INSURED lNSURERB: Leighton Consulting, Inc. lNSURERC: 17781 Cowan INSURERD: Ste. 200 JNSURERE: Irvine CA 92614 INSURERF: COVERAGES CERTIFICATE NUMBER• 19-20 WC Consulting 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 LTR TYPE OF INSURANCE I1 NSD WVD POLICY NUMBER ,~ShlE~I .~~%~1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ □ CLAIMS-MADE OoccuR PREMISEJY~~~:~ence\ $ ~ MED EXP (Any one person) $ ~ PERSONAL & ADV INJURY $ RCAGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE ' □PRO-□ POLICY JECT LOG PRODUCTS -COMP/OP AGG ' OTHER: ' AUTOMOBILE LIABILITY I fE~~~b~~~tf'INGLE LIMIT s '- ANY AUTO BODILY INJURY (Per person) s '--OWNED SCHEDULED BOD!L y INJURY (Per accident) s '-AUTOS ONLY '---AUTOS HIRED NON-OWNED I fp~~~~c~RAMAGE ' '-AUTOS ONLY '---AUTOS ONLY s UMBRELLA UAB HOCCUR EACH OCCURRENCE s '- EXCESS LIAB CLAIMs-MA0E AGGREGATE s OED I l RETENTION s $ WORKERS COMPENSATION xi ~ffTurE l I om- AND EMPLOYERS' LIABILITY ER Y/N 1,000,000 A ANY PR0PRIETOR/PARTNERfEXECUTIVE ~ XWW60245009 09/01/2019 09/01/2020 E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L. DISEASE· EA EMPLOYEE $ 1.000.000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES {ACORD 101, AddlUonal Remarks Schedule, may be attached If more space Is required) Re: Proj#11051.000 City of Menifee Professional Services, Various locations in the City of Menifee. Includes Blanket WOS per WC990679 0113. Waiver of Subrogation to Include per above specifications: City of Menifee and its officers, officials, employees and authorized volunteers. CERTIFICATE HOLDER CANCELLATION 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 Rd AUTHORIZED REPRESENTATIVE Menifee CA 92586 ~{,)~ ' © 1988-2015ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD = :;;~ ~:-= g ,=·' . . . -~ ,. WORKER§ COMPENSATiON AND.ENIPL9VERS LIABILITY l~SURANCE POL!CY WAIVER OF OUR RIGHT•TO RECO_VER FROM OTHERS ENDOR!!EMENT • CALIFORNlf\ wc:99 06 'l'.9 Ed_-01'13 We ha_ve the right. to rei:_oyer. our ,paymenis from .. anyone liable for ,ari injury _ cov$red t,y this poiicy. We will not enforce our right <)gain~! ,th_e perso~· or _organi.i~tion· named 1in ,the Schedule: (:!:hi~ .agreer'n_erit applj~s- .oniy io•lhe extent that you perform work under a written contr~ct -tt1al'•r.equires you to obtain this agreement from us.) · ·You ·mtist. maint,iin payroll recor9s accurately· segregating the remuneration, of your employees -while en- g,i'ged in the work -descdb_ed· in the Scheduie. The __ a_dditiona_l premium. for this endor~em~nt is $ Incl ilded' ,Schedule Pers<i,n,iir piganizatl<ii:i Bl~nket Job-Description T_tiis:eridofsenier\t changes •the policy to .wtiich 'it•is·.attached and ls effective on :the date.· i_s~ued unless ·,otherwise -stated. · · · · ·-. -. ----.,. (Tli~ lnf~mi~\icir\ ·beli?w· j~ requi(ed (?illy ;ytheit: •Utis -en!lor'sen\ent .'ls•issu_~d su~sequ~nt ,to. pl'!)par~ljon of ·the• p,;,lic:,,.)· · · · · · · · · Eiidi>rserne~i :-Effective - l?olicy ,Effecthie 09/01/2019• ~1a1e Pplicy ,,Ng, X,1/,/W (20) 60 24 50 09 · Insured L~IGHTON GROQJ?, -INC. Endo_rsement Nq. -.oooa, Pren\iiJ_m 1n·su_r~ri¢e <;:on\pariy· we'st-Ament:ari Insurance toi,,pariy Countersigned · by . we 99,06 7~ (Ed. 01ai3j "©. 2013Liberw Mutual Insurance :includ8S CoP.Yrighted maleri8.1· of Wf:;1R~.with its jJermiSsi"pfl.