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2020/01/01 Local Government Commission Certificate of Liability Insurance (3)ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 1/7/2020 (323) 550-7900 (323) 256-0800 Local Government Commission 980 9th Street, Suite 1700 Sacramento, CA 95814 34630 A 1,000,000 X 2020-32800 1/1/2020 1/1/2021 500,000 20,000 1,000,000 3,000,000 3,000,000 1,000,000A X 2020-32800 1/1/2020 1/1/2021 1,000,000A 2020-32800-UMB 1/1/2020 1/1/2021 1,000,000 X 0 B LOWC114916 1/1/2020 1/1/2021 1,000,000 1,000,000 1,000,000 Professional Liability Landmark American Insurance Company LHR839248 Effection: 12/31/19 to 1/1/21 $2,000,000 Each Claim $2,000,000 Aggregate Limit $1,000 Each Claim Deductible SEE ATTACHED ACORD 101 City of Menifee 29714 Haun Road Sun City, CA 92586 LOCAGOV-01 SCARRINGTON Arroyo Insurance Services - LA 2900 W Broadway Los Angeles, CA 90041 Nonprofits Insurance Alliance of California Oak River Insurance Company X X X X X X X X FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. Arroyo Insurance Services - LA LOCAGOV-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance 1 SEE P 1 Local Government Commission 980 9th Street, Suite 1700 Sacramento, CA 95814 SEE PAGE 1 SCARRINGTON 1 Description of Operations/Locations/Vehicles: Directors and Officers Liability Arch Insurance Company NFP0133662-00 Effective 4/1/19 to 1/1/21 $1,000,000 Each CLaim $1,000,000 Aggregate $5,000 Each Claim Deductible Third Party Crime The Hanover Insurance Company BD3-D997018-00 Effective 7/29/19 to 7/29/2022 $35,000 Each CLaim $5,000 Each Claim Deductible *30 Days Notice to Certificate Holder applies except for Non-Payment of Premium, which is 10 days. RE: City of Menifee Active Transportation Plan. City of Menifee and its officers, employees, agents, and authorized volunteers are included as additional insured including primary, non-contributory wording as respects General Liability coverage; Additional insured is included as respects Auto Liability Coverage; only as per attached endorsements. M NONPROFITS INSURANCE ALL: ANLi=E. OF CALtfORNL,k NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC} www,iosuranceforrionprofits.org BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION Ingu:anco 4 '4501i:far Aicurp..Dfik5 POLICY NUMBER: 2020-32800 Schedule Al Page 1 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al City Of Benecia 250 East L St. Benecia, CA 94510 As respects vehicle(s): N/A Additional Insured - NIAC Al Marin Municipal Water District, its Officers, Officials, Agents, Employees and Volunteers 220 Nellen Ave. Corte Madera, CA 94925 As respects vehicle(s): N/A Additional Insured - NIAC Al City Of Mountain View, Its Officers, Agents, Employees, and Volunteers P.O. Box 7540 Mountain View, CA 94039 As respects vehicle(s): N/A Additional Insured - NIAC Al The City Of Fresno, Its Officers, Officials, Employees, Agents and Volunteers 2600 Fresno St., 3rd Fl. #3065 Fresno, CA 93721 As respects vehicle(s): N/A Additional Insured - NIAC Al Fehr & Peers, a California Corporation, The City of Stockton, its Mayor, Council, officers, representatives* 425 N. El Dorado St. Stockton, CA 95202 As respects vehicle(s): N/A COUNTERSIGNED: 03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC - SCHEDULE Al (32800) M NONPROFITS INSURANCE ALL: ANLi=E. OF CALtfORNL,k BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC} wvtiiiLirosuranceforrionprofits.org Ingu:anco 4 '4501i:far Aicurp..Dfik5 POLICY NUMBER: 2020-32800 Schedule Al Page 2 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al City of San Leandro, its officers, officials, employees and volunteers 835 E 14th St. San Leandro, CA 94577 As respects vehicle(s): N/A Additional Insured - NIAC Al Fehr & Peers and Santa Clara County 160 W Santa Clara St., #600 San Jose, CA 95117 As respects vehicle(s): N/A Additional Insured - NIAC Al McCord Environmental, Inc. 759 Bianco Court Davis, CA 95616 As respects vehicle(s): N/A Additional Insured - NIAC Al The City of Berkeley, its Officers, Agents, Volunteers, and Employees 2118 Milvia St. Berkeley, CA 94704 As respects vehicle(s): N/A Additional Insured - NIAC Al The State of California, the Trustees of the California State University, California State University, Los Angeles, and the officers, employees, 5151 State University Dr. Los Angeles, CA 90032 As respects vehicle(s): N/A COUNTERSIGNED: 03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC - SCHEDULE (32800) M NONPROFITS INSURANCE ALL: ANLi=E. OF CALtfORNL,k BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) wvoiLiosurancefornooprofits.org Ingu:anco 4 '4501i:far Aicurp..Dfik5 POLICY NUMBER: 2020-32800 Schedule Al Page 3 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al City Of San Francisco, and its officers, agents, and employees; Department of the Environment 1455 Market St. #1200 San Francisco, CA 94103 As respects vehicle(s): N/A Additional Insured - NIAC Al Toole Design Group, LLC and Shasta Regional Transportation Agency 8484 Georgia Ave., Ste. 800 Silver Spring, MD 20910 As respects vehicle(s): N/A Additional Insured - NIAC Al Santa Clara Valley Water District, its Directors, officers, employees, and agents, individually and collectively 5750 Almaden Expressway San Jose, CA 95118 As respects vehicle(s): N/A Additional Insured - NIAC Al Town of Truckee, its officers, officials, employees, and agents 10183 Truckee Airport Rd. Truckee, CA 96143 As respects vehicle(s): N/A Additional Insured - NIAC Al City of Rancho Cucamonga, its officers, officials, employees, designated volunteers, and agents 10500 Civic Center Dr. Rancho Cucamonga, CA 91730 As respects vehicle(s): N/A c y z COUNTERSIGNED: 03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC - SCHEDULE Al (32800) M NONPROFITS INSURANCE ALL: ANLi=E. OF CALtfORNL,k BUSINESS AUTO COVERAGE ADDITIONAL INSURED/LOSS PAYEE EXTENSION NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA (NIAC) www,insurancefornonprofils.org Ingu:anco 4 '4501i:far Aicurp..Dfik5 POLICY NUMBER: 2020-32800 Schedule Al Page 4 NAME OF INSURED: Local Government Commission ADDITIONAL INSUREDS / L O S S P A Y E E Additional Insured - NIAC Al The City of Sacramento, its officials, employees, and volunteers; C/O EXIGIS LLC P.O. Box 4668 - ECM#35050 New York, NY 10163 As respects vehicle(s): N/A Additional Insured - NIAC Al City of Albany, its Officers, Officials, Employees, Consultants and Volunteers 1000 San Pablo Ave. Albany, CA 94706 As respects vehicle(s): N/A Additional Insured - NIAC Al City of Brea its elected officials, officers, employees, attorneys & agents 1 Civic Center Plaza Brea, CA 92621 As respects vehicle(s): N/A Additional Insured - NIAC Al The County of Ventura, Agency, and their respective officials, employees, and agents 800 S Victoria Ave. Ventura, CA 93009 As respects vehicle(s): N/A Additional Insured - NIAC Al Yolo County Dept. of Community Services Attn: Kimberly Villa 625 Court Street Woodland, CA 95695 As respects vehicle(s): N/A COUNTERSIGNED: 03/20/2019 BY (AUTHORIZED REPRESENTATIVE) NIAC - SCHEDULE Al (32800) POLICY NUMBER: 2020-32800 COMMERCIAL GENERAL LIABILITY Named Insured: Local Government Commission CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy. The additional insured status will not be afforded with respect to liability arising out of or related to your activities as a real estate manager for that person or organization. All insured premises and operations. 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", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. 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 additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 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 location of the covered operations has been completed; or CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 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. C. 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: 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. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 NONPROFITS INSUR.ANCE MANCE OF. (AL FORN!,A POLICY NUMBER: 2020-32800 FORM: NIAC-E61 11 17 NAMED INSURED: Local Government Commission HrSV far ,1/2suraacw. A Hear for Nuaprop1s. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT FOR PUBLIC ENTITIES This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that you are required to add as an additional insured on this policy, under a written contract or agreement currently in effect, or becoming effective during the term of this policy, i n consideration of food contributions or client referrals you receive from them. (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 any public entity as an additional insured for whom you are performing operations, who may be named in the schedule above, when you have agreed in a written contract or written agreement that such public entity be added as an addition al insured(s) on your policy, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your negligent acts or omissions; or 2. The negligent acts or omissions of those acting on your behalf; in the performance of your ongoing operations: No such public entity is an additional insured for liability arising out of the "products-completed operations hazard" or for liability arising out of the sole negligence of that pubic entity. B. With respect to the insurance afforded to these additional insured(s), the following additional exclusions apply. This insurance does not apply to "bodily injury" or "property damage" occurring after: 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 location of the covered operations has been completed; or 2. 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 location of the covered operations has been completed; or C. The following is added to SECTION III — LIMITS OF INSURANCE: The limits of insurance applicable to the additional insured(s) are those specified in the written contract between you and the additional insured(s), or the limits available under this policy, whichever are less. These limits are part of and not in addition to the limits of insurance under this policy. NIAC-E61 11 17 Page 1 of 2 NONPROFITS INSUR.ANCE MANCE OF. (AL FORN!,A POLICY NUMBER: 2020-32800 FORM: NIAC-E61 11 17 NAMED INSURED: Local Government Commission Head for , 1/2suraacw. A Hear for Nuaprop1s. D. A. With respect to the insurance provided to the additional insured(s), Condition 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance a. Primary Insurance This insurance is primary if you have agreed in a written contract or written agreement: (1) That this insurance be primary. If other insurance is also primary, we will share with all that other insurance as described in c. below; or (2) The coverage afforded by this insurance is primary and non-contributory with the additional insured(s)' own insurance. Paragraphs (1) and (2) do not apply to other insurance to which the additional insured(s) has been added as an additional insured or to other insurance described in paragraph b. below. b. Excess Insurance This insurance is excess over: 1. Any of the ot her insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (b) That is fire, lightning, or explosion insurance for premises rented to you or temporarily occupied by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of SECTION I — COVERAGE A— BODILY INJURY AND PROPERTY DAMAGE. (e) Any other insurance available to an additional insured(s) under this Endorsement covering liability for damages which are subject to this endorsement and for which the additional insured(s) has been added as an additional insured by that other insurance. (1) When this insurance is excess, we will have no duty under Coverages A or B to defend the additional insured(s) against any "suit" if any other insurer has a duty to defend the additional insured(s) against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the additional insured(s)' rights against all those other insurers. (2) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) (a) The total of all deductible and self -insured amounts under all that other insurance. (3) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. b. Methods of Sharing If all of the other insurance available to the additional insured(s) permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any other the other insurance available to the additional insured(s) does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. NIAC-E61 11 17 Page 2 of 2