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2019/07/07 TNT Blanchard General Engineering, Inc. Certificate of Liability Insurance�1 TNTBLAN-01 DATE MMDLDWELL A`c.QRo CERTIFICATE OF LIABILITY INSURANCE 7/1/2020 _ 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 endorsements . PRODUCER (CONTACT NAM Teag ueInsurance Agency,Inc. PHpNE — 4700 Spring St., #44D AAIe, No, Ed.- (619) 464-6851 Fi4 C, No ; 619) 668-4715 La Mesa, CA 91942-0275 I CARE infniph." ,Ilaln ..-- INSURED TNT Blanchard General Engineering, Inc. 46750 Rainbow Canyon Road #D Temecula, CA 92592 N INSURER F 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 — ADnL SUER T TYPE OF INSURANCE POLICY NUMBER P�ZCY ELF POLICY Fi7tP A X COMMERCIAL GENERAL LIABILITY •� CLAIMS -MADE . X OCCUR X AES104399404 12/30/2019 12/30/2020 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- ❑ LOC JECT OTHER' AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED 60507437 7/7/2019 7/7/2020 X AUTOS ONLY AAppUT��O{{S�y���p AUTOS ONLY AL Og pNLy _ _ UMBRELLA LIAB OCCUR . EXCESS LIAB CLAIMS -MADE RED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY AANYPROPRIEMTgO@RiPARTNERIEXECUTIVE YIN TNWC121398 7/7/2020 7/7/2021 (MFandatoryTn R ) EXCLUDED? N / A LIMITS 1, 2,000,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (ACORD 501, Ad011onal Remarks Schedule, may be attached if more space is reyuired) City of Menifee Is included when required by written contrast/agreement as additional insured for ongoing an tl completed operations with respects to the general liability, per forms attached. City of Menifee 29844 Houn Road Menifee, CA 92586 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE &Y ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: AES104399404 COMMERCIAL GENERAL_ LIABILITY CG 20 33 07 ,04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART X. Section II — Who Is An Insured is amended .to include as an additional insured any person or or- ganization for whom you are performing. operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an addi- tional insured on your policy: Such person or or- ganization is an additional insured only with re- spect to liability for "bodily :injury"., "property damage" or "personal and advertising injury" caused, in whole or in part, qy; 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. A person's or organization's status as an additional insured under this endorsement ends when your operations: for that additional insured are com- pleted. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury„ arising: out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying servic- es, including: a. The preparing; approving, or failing to pre- parc or approve, maps, shop drawings, opi- nions, reports, surveys, field orders, change orders or drawings and specifications; or b, Supervisory. inspection, architectural or engineering activities. 2. "Bodily injury„ or "Property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice; maintenance or repairs) to be per- formed by or on behalf of the additional in- sureds) at the location of the covered operations has been completed; or b. 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 subcontrac for engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 rJ ISO Properties, Inc._, 2004 Page 1 of 1 POLICY NUMBER: AES104399404 COMMERCIAL GENERAL LIABILITY CG20370704 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 Additional Ensured Person(s) Or Organization(s): Location And Description Of Completed Operations All persons or organizations where written contract with the Named Ensured requires additional insured completed operations. This form does not apply to your work on "residential property Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown. in the Schedule, taut only with respect to liability for "bodily injury" or "property dam- age caused, in whole or in part, by "your work" at the location designatedand described in the sche- dule of this endorsement performed for that adclk tional insured and includeO in the "products - completed operations hazard". CG 20 37 07 04 0 ISO Properties,. Inc:; 2004 Page 1 of 1 p