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2019/08/16 Robert Borders & Associates Certificate of Liability Insurance�Q,�✓D® CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNYYY)01/22/2020 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 Certificate Department NAME: PNONE (949) 261-5335 FA n i ND '9d9) 261-1911 Tutton Insurance Services E-MA L Benadette Reza or Caitlin Ortiz ADDRESS: 2913 S Pullman Street INSURER(S) AFFORDING COVERAGE NAIC p License #0689376 INSURER A: Continental Casualty Co. 20443 Santa Ana CA 92705 INSURED I V E D INSURER B : American Casualty Co of Reading PA 20427 INSURER C: Robert Borders & Associateg t C INSURER D : Border Architects INSURER E : 1675 Scenic Ave., Suite 210 INSURER F : Costa Mesa CA 92626 COVERAGES CERTIFICATE NUMBER: 20-21 GLAuto Umb WC REVISION NUMBER: THIS IS TO CERTIFYTHAT THE POLICIES OF INSURANCE LISTED BELONNAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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 NSD WVD POLICY NUMBER POLICY EFF MM/DD/VYYY POLICY EXP MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 Fx_] 300,000 CLAIMS -MADE OCCUR PREMISES Ea occurrence $ MED EXP (AnV Dne person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 A 4024428684 01/22/2020 08/16/2020 GEN'L AGGREGATE LIMIT APPLIES PEM GENERAL AGGREGATE $ 2,000,000 ❑ ❑ PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY JECT LOC $ OTHER. AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED 4024428684 01/22/2020 08/16/2020 BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED vv NON -OWNED AUTOS ONLY ^ AUTOS ONLY x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 A EXCESS LIAB CLAIMS -MADE 4024428796 01/22/2020 08/16/2020 DED I x RETENTION S 10,000 $ WORKERS COMPENSATION v ERH AND EMPLOYERS' LIABILITY Y / N /� STATUTE E.L. EACH ACCIDENT $ 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE � NIA 4024428751 01/22/2020 08/16/2020 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E-L. DISEASE - POLICY LIMIT $ Each Claim $2,000,000 Professional Liability A Claim Made AEH003010587 08/16/2019 08/16/2020 99ate Aggregate 9 $2,000,000 Ded $11,250 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Manifee its councilmembers, officers, agents and employees are named as Additional Inured per SS146932F including Primary Non Contributory and Waiver of Subrogation per S13300113D.0616 Primary Non Contributory per CNA80103XX.0914. Workers' Compensation Waiver of Subrogation per G191608.1197 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Manifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Huan Road AUTHORIZED REPRESENTATIVE Manifee CA 62586 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD CNA ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM SCHEDULE Name Of Person Or Organization: SB300113D (Ed. 6-16) Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations. It is understood and agreed that the section entitled WHO IS AN INSURED is amended with the addition of the following: A. The person or organization shown in the Schedule is an insured, but only with respect to such person or organization's liability for "bodily injury," "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: 1. in the performance of your ongoing operations; or 2. in connection with premises owned by or rented to you. B. However, if coverage for the additional insured is required by written contract or written agreement, subject always to the terms and conditions of this policy, including the limits of insurance, we will not provide such additional insured with: 1. coverage broader than required by such contract or agreement; or 2. a higher limit of insurance than required by such contract or agreement. C. The coverage granted by this endorsement does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard." Any coverage granted by this endorsement shall apply solely to the extent permissible by law. W N V {mp W N N 0 All other terms and conditions of the Policy remain unchanged. 0 O N O O SB300113D (Ed. 6-16) Page 1 of 1 Copyright, CNA All Rights Reserved. Id/A '1_1 CNA80103XX (09-14) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: BUSINESSOWNERS COMMON POLICY CONDITIONS The following is added to Paragraph H. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: 1. The additional insured -is a Named Insured under such other insurance; and 2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All other terms and conditions of the Policy remain unchanged. CNA80103XX (09-14) Page 1 of 1 Copyright, CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission CNA Workers Compensation And Employers Liability Insurance Policy Endorsement I This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B (11-1997) Policy No: WC 4 24428751 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 01/22/2020 Endorsement No: 2; Page: 1 of 1 Policy Page: 29 of 43 Underwriting Company: American Casualty Company of Reading, Pennsylvania, 151 N Franklin St, ` Chicago, IL 60606 0 Copyright CNA All Rights Reserved.