2018/10/07 SCG-Spicer Consulting Grp, LLC Certificate of Liability Insurance (3)AC)RL78
C CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DDIYYYY)
06/12/2019
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: Helena Orosco
ISU Insurance Services Cormarc Tasman
PHONE FAX
A/C No Ext : (951)290-5040 A/c No): (951)278-0664
25220 Hancock Ave, Suite 200
E-MAIL
Murrieta, CA 92562
ADDRESS: helena@isucormarc.com
License #: OE63467
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURERA: Travelers Casualty Ins Co
INSURED
INSURERB: NorGuard Insurance Company
SCG-SPICER CONSULTING GRP LLC
I
NSURERC: Lloyd's of London
DBA SPICER CONSULTING GROUP
41619 MARGARITA RD, STE 101
INSURER D :
TEMECULA, CA 92591
INSURERE:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 00000000-76945 REVISION NUMBER: 1
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
ADDL
INSD
SUBR
WVD
POLICY NUMBER
POLICY EFF
MM/DD/Y
POLICY EXP
MM/DD/YY
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
Y
680-21-1870106
05/31/2019
05/31 /2020
EACH OCCURRENCE
$ 2,000,000
CLAIMS -MADE X OCCUR
DAMAGE TO RENTED
PREMISES Ea occurrence
$ 300000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 2,000,000
AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ 4,000,000
GEN'L
X
POLICY ❑PRO- JECT ❑ LOC
PRODUCTS - COMP/OP AGG
$ 4,000,000
$
OTHER:
A
AUTOMOBILE
LIABILITY
68U-2H870106
05/31/2019
05/31/2020
EOaa.cden,)MBINEDS LELIMIT
$ 1,000,000
BODILY INJURY (Per person)
$
ANY AUTO
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
Per accident
$
X
HIRED NON -OWNED
AUTOS ONLY X AUTOS ONLY
$
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAB
CLAIMS -MADE
DED RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑
Y
SCWC994693
10/07/2018
10/07/2019
X STATUTE EERH
1,000,000
E.L. EACH ACCIDENT
$ 1,000,000
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
N/A
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - POLICY LIMIT
$
C
Prof Lia
MPL175558019
05/31/2019
05/31/2020
Limit
2,000,000
retro date 5/31116
Retention
10,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 191, Additional Remarks Schedule, may be attached if more space is required)
RE: On -Call Municipal Finance Consulting Services.
City of Menifee, its officers, employees, agents and authorized volunteers
are named as additional insured in respects to General Liability coverage is
Primary and Non -Contributory per CGD1050494. Waiver of Subrogation applies
to Work Comp per WC040306.
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 MEN1297
ACCORDANCE WITH THE POLICY PROVISIONS.
29844 Haun Road
Menifee, CA 92586
AUTHORIZED REPRESENTATIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Printed by ORO on June 12, 2019 at 01:12PM
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES
OR CONTRACTORS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROVISIONS:
1. WHO IS AN INSURED (SECTION II) is amended
to include as an insured any person or organiza-
tion (called hereafter "additional insured") whom
you have agreed in a written contract, executed
prior to loss, to name as additional insured, but
only with respect to liability arising out of "your
work" or your ongoing operations for that addi-
tional insured performed by you or for you.
2. With respect to the insurance afforded to Addi-
tional Insureds the following conditions apply:
a. Limits of Insurance — The following limits of
liability apply:
1. The limits which you agreed to provide;
or
2. The limits shown on the declarations,
whichever is less.
b. This insurance is excess over any valid and
collectible insurance unless you have agreed
in a written contract for this insurance to
apply on a primary or contributory basis.
3. This insurance does not apply:
a. on any basis to any person or organization
for whom you have purchased an Owners
and Contractors Protective policy.
b. to "bodily injury," "property damage," "per-
sonal injury," or "advertising injury" arising
out of the rendering of or the failure to render
any professional services by or for you, in-
cluding:
1. The preparing, approving or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change or-
ders, designs or specifications; and
2. Supervisory, inspection or engineering
services.
CG D1 05 04 94 Copyright, The Travelers Indemnity Company, 1994. Page 1 of 1
Includes Copyrighted Material from Insurance Services Office, Inc.
WORKERS COMPENSATION. AND EMPLOYERS LIABILITY INSURANCE POLICY
ANC 44 03>0.6
(Ed. 4-84)
WAIVER OF RIGHT T4 RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
We have the right to recover our payments from anyone liable for an injury covered by this policy. We: will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that
you perform work under a written contract that require you to obtain this agreement from us.)>
You must maintain payroll records accurately s�egregating the remuneration of your employees while engaged in the
w,afk described in the Schedule.'
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otherwise clue on such remuneration:
Schedule
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t w he )ntormataoft below is rep4rea only wfiert utis endor"Ment is issued sul)se+gttent to prepparattsn of the polity.)
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