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2021/05/31 SCG-Spicer Consulting Grp, LLC (5)06/11/2021 ISU Insurance Services Cormarc Tasman 25220 Hancock Ave, Suite 230 Murrieta, CA 92562 License #: 0E63467 Tim Tomsen (951)290-5040 (951)278-0664 tim@isucormarc.com 00018712-760674 19 SCG-SPICER CONSULTING GRP LLC DBA SPICER CONSULTING GROUP 41619 MARGARITA RD STE 101 TEMECULA, CA 92591-2986 Travelers Casualty Ins Co 19046 A Y 680-2H870106 05/31/2021 05/31/2022X X X 2,000,000 300,000 5,000 2,000,000 4,000,000 4,000,000 California Automobile Ins Co 38342 B Y BA040000059364 05/31/2021 05/31/2022 X 1,000,000 Travelers Casualty & Surety Co.25674 C Y UB-9P270352 05/31/2021 05/31/2022 X 1,000,000 1,000,000 1,000,000 Lloyd of London D MPL175558021 05/31/2021 05/31/2022Prof Liability Limit 2,000,000 retro date 5/31/16 Retention 10,000 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 WC990376(A)-001. City of Menifee MENI297 29844 Haun Road Menifee, CA 92586 (TLT) Printed by TLT on June 11, 2021 at 08:43AM ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) 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 RENTED CLAIMS-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 AGG $JECT OTHER:$ 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 LIMIT $DESCRIPTION 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. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DocuSign Envelope ID: 86AC8DBA-D023-4451-9CDF-F85C483787B7 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OR CONTRACTORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS: CG D1 05 04 94 Includes Copyrighted Material from Insurance Services Office, Inc. BLANKET ADDITIONAL INSURED – OWNERS, LESSEES Copyright, The Travelers Indemnity Company, 1994.Page 1 of 1 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. DocuSign Envelope ID: 86AC8DBA-D023-4451-9CDF-F85C483787B7