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2021/01/01 HR Green Pacific, Inc. Certificate of Liability InsuranceP5260028002 Holmes Murphy & Assoc - CR 201 First Street SE, Suite 700 Cedar Rapids, IA 52401 202012233310 Electronic Service Requested ALL FOR AADC 923 14786 0.5234 AB 0.416 rlil�rl�lllllr��"�I����III�II�I�IrI�I����I�IIJ�I'I�I'Ill��l"I' Cityy of Menifee 134 29714 HAUN RD MENIFEE, CA 92586-6540 EBIX BPO We hope you find this document satisfactory. If you have any questions regarding the content of this certificate, please contact Holmes, Murphy & Associates or the Insured, both are listed on the certificate of insurance. - NOTICE: This communication is not encrypted and may contain privileged or other confidential information. If you are not the intended recipient or believe that you may have received this communication in error, please reply to the sender indicating that fact and delete the copy you received. In addition, you should not print, copy, retransmit, disseminate or otherwise use this information. Thank you. - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. i Certificate Delivery by CertiflcatesNow - www.ConfirmNet.com - 877.669.8600 P5260028002 ACCERTIFICATE OF LIABILITY INSURANCE 12/21/202' 0Y ) 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(les) 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 endorsoment(s). PRODUCER 1-600-300--0325 CONTACT Holmes Murphy & Assoc - CR NAME: Blliety Sunned 'PHNE . 319-896-7670 FAX No: EDDR12 Me—Sft0lme 201 First Street 8E, suite 700 ADDRE g` amurphy.com INSURER($] AFFOROINgCOVERAGt: NAIC p Cedar Rapids, IA 52401 INSURERA: Zurich American Insurance Company 16535 INSURED INSURERB: Travelers Property Casualty Company of 25674 HR Green Pacific, Inc. INSURERC: XL SPECIALTY INS CO 37885 1260 Corona Point Court INSURERD: Suite 305 INSURERE: Corona, CA 92879-5013 INSURERF: COVERAGES C.FRTIFIf.ATF PJISRARr P- 60943849 oc�nern►r err ri.nr_n. 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, INBR TYPE OF INSURANCE POLICY EFF POLICY UpPOLICYNUMArR M DDIYYYY MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY GL0373096711 01/01/21 01/01/22 EACH OCCURRENCE $ 2,000,000 D.AMAGE TO RENTED Eeo n $ 300,000 CLAIMS -MADE Fi-j OCCUR MED EXP (Any one person) $ 10,000 PERSONAL& ADV INJURY $ 2,000,000 GENLAGGREGATE LIMITAP1PIJES PER: POLICY JEST 4J LOC GENERAL AGGREGATE $ 4,000,000 PRODUCTS-COMPIOPAGG $ 4,000,000 $ OTHER: A AUTOMOBILE LIABILITY BAP373096811 01/01/21 01/01/22 OMBINEO INGLELIMIT _"Sc._ $ 2,000,000 ANY AUTO BODILY INJURY (Per person) $ JX OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY GE SP or $ B X UMBRELLA LIAO X OCCUR ZUP14N8656621 01/01/21 01/01/22 EACH OCCURRENCE $ 10,000,000 EXCESS LIAO CLAIMS -MADE AGGREGATE $ 10,000,000 DIED FX I RETENTION$ 10,000 $ A AND AND EMPLOYERS' LIABILITY YERS'LBATIONILIT YIN ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUI N N/A WC373096611 01/01/21 01/01/22 X PAT E ERH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEd $ 1,000,000 (Mandatory In NH) Msdsscdbc under RIP ION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1, 000, 000 C lProfessional Liability DPR9970726 01/01/21 01/01/22 Per Claim 5,000,000 (Claims Made Coverage) I Aggregate 10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more apace Is required) Re: Project FY 17/18 On -Call Engineering Services (Recoverable) City of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional Insureds on the General Liability and Auto Liability on a primary and non-contributory basis as required by written contract with the insured, per policy terms and conditions. The workers Compensation includes a waiver of Subrogation in favor of the City of Menifee and its officers, employees, agents, and authorized volunteers when required by written contract with the insured, per policy terms and conditions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee, CA 92586 USA ©1983-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD mgruiscr 60943849 w N O rV 00 W