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2016/03/13 Disability Access Consultants, LLC 2016-2017 A �D DATE(MM/DD/YYY) ® CERTIFICATE OF LIABILITY INSURANCE 11/1/2016 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 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 Ceil Provo NAME: AX Lee F. Murphy Insurance Group PHCNN Ex : (651)644-7200 Fnc No: 2361 Highway 36 West ADDRESS:cprovo@leefmurphy.com INSURERS AFFORDING COVERAGE NAIC# St. Paul MN 55113 INSURERA:CNA Insurance Company INSURED INSURER B:WeSCO Insurance Company Disability Access Consultants, LLC INSURER C:Philadel hia Insurance Company 2243 Feather River Blvd INSURER D: INSURER E: Oroville CA 95965 INSURER F: COVERAGES CERTIFICATE NUMBER:2016 - 2017 REVISION NUMBER: 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM/DDY/YYYYEFF MMIDD/Y YY LIMITS POLICY EXP LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 DAMAGE TO RENTED A CLAIMS-MADE �X OCCUR PREMISES Ea occurrence) $ 50,000 X Y B6019986956 2/13/2016 2/13/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 4,000,000 X POLICY JECT FILOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY (CEO,accident) SINGLE LIMIT S 1,000,000 A A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED X Y B6020004762 1/O1/16 1/Ol/17 BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident medical payments S 5,000 X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE is DED RETENTION$ X B6019987007 2/13/2016 2/13/2017 s B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N/A WWC3183875 1/08/2016 1/08/2017 E.L.EACH ACCIDENT S 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) Y E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 C Professional Liability PHSD1116464 3/13/2016 3/13/2017 Limit $5,000,000 Deductible $10,0 0 0 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) City of Menifee ADA Self Evaluation and Transition Plan . 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 and its officers, employees, agents ACCORDANCE WITH THE POLICY PROVISIONS. and authorized volunteers 29714 Haun Road AUTHORIZED REPRESENTATIVE Menifee, CA 92586 (� James Enge/CEIL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025/2014n11 CAM SB Ed.06/111) r� THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION - WITH PRODUCTS COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM SCHEDULE* Name Of Person Or Organization: * Information required to complete this Schedule, if not shown on this endorsement,will be shown in the Declarations. A. The following is added to Paragraph C. Who Is An 1. The rendering of, or the failure to render any Insured: professional architectural, engineering, or 4. Any person(s) or organization(s) shown in the surveying services, including: Schedule is also an additional insured, but only (a) The preparing, approving, or failing to prepare with respect to liability for 'bodily injury,' 'property or approve maps, shop drawings, opinions, damage' or- 'personal and advertising injury,' reports, surveys, field orders, change orders caused,in whole or in part, by: or drawings and specifications;and o a. Your acts or omissions; or (b) Supervisory, inspection, architectural or b. The acts or omissions of those acting on your engineering activities. behalf 2. 'Bodily Injury,' 'property damage,' or 'personal in the performance of your ongoing operations for and advertising injury' arising out of any premises the additional insured(s); at the location(s) or work for which the additional insured is specifically listed as an additional insured on designated above;or another endorsement attached to this Policy. g c. 'Your work' that is included in the 'products- C. The following is added to Paragraph H. of the completed operations hazard' and performed Businessowners Common Policy Conditions: for the additional insured, but only if this sPolicy provides such coverage, and only if the H. Other Insurance N written contract or written agreement requires This insurance is excess over any other insurance you to provide the additional insured such naming the additional insured as an insured coverage. whether primary, excess, contingent or on any B. The insurance provided to the additional insured does other basis unless a written contract or written not apply to 'bodily injury,' 'property damage,' or agreement specifically requires that this insurance 'personal and advertising injury'arising out of: be either primary or primary and noncontributing. SB-300120-C Page 1 of 1 (Ed.06/11) CNA SB(Ed 012/08) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. P..� TARGETED HACKER ATTACK This endorsement modifies insurance provided under the following: BUSINESSOWNERS SPECIAL PROPERTY COVERAGE FORM The following coverage is added to your Businessowners b. Paragraph 1.k. Special Property Coverage Form under Paragraph A.6. 5. The following additional exclusions apply: Coverage Extensions. Unless otherwise stated, payments made under this Coverage Extension are subject to and With respect to this Coverage Extension, we will not not in addition to the applicable Limits of Insurance. pay for loss or damage caused directly or indirectly by Targeted Hacker Attack any of the following. Such loss or damage is excluded regardless of any other cause or event that contributes 1. We will pay up to the Limits of Insurance indicated in concurrently or in any sequence to the loss. Paragraphs 9.and 10.below,for the following: a. Programming errors or omissions, or incorrect a. Corruption, distortion, deletion, damage or instructions to a machine, including without destruction of your 'electronic data' caused by or limitation, incorrect instructions to 'electronic data resulting from a*targeted hacker attack.' processing equipment' from a user incorrectly operating with, or committing an error using, an b. Subject to paragraph 8. below, actual loss of Business Income you sustain -due to the input device (including, without limitation, a y keyboard, mouse or touchpad) and corrupting, necessary 'suspension' of your 'operations' distorting, deleting, damaging or destroying during the 'period of restoration.' The 'electronic data.' 'suspension' must be caused by the necessary interruption or suspension of your 'electronic data b. Misappropriation, theft, copying, transfer or processing equipment' resulting from a 'targeted unauthorized viewing of any property, proprietary(") hacker attack' that corrupts, distorts, deletes, or confidential information, 'money,' 'securities,' damages or destroys your'electronic data.' stock, electronic data processing equipment electronic media and data or electronic datat c. Subject to paragraph 8. below, with respect to a including without limitation, the use of any 'suspension' of your 'operations' as described in computer to cause such misappropriation, transfer paragraph 1.b. above, the 'extra expense' (other or copying. than the expense to repair or replace property)to: c. Errors or deficiency in design, installation, (1) Avoid or minimize the 'suspension' of maintenance, repair or modification of your business and to continue'operations'; or 'electronic data processing equipment,' 'electronic media and data' or'electronic data' or (2) Minimize the 'suspension' of business if you any 'electronic data processing equipment,' cannot continue'operations.' electronic devices, computer system or network to 2. Worldwide coverage is provided under this Coverage which your electronic data processing equipment' Extension. The coverage territory as described in electronic media and data or electronic data is connected or dependent; provided, however, this Paragraph F.8.b does not apply to this Coverage Extension. exclusion shall not apply with respect to any such error or deficiency in design, installation, 3. This Coverage Extension does not apply to: maintenance, repair or modification that is a. 'Stock';or exploited as part of an otherwise covered targeted hacker attack.' b. Property that is licensed, leased or rented to d. Unexplained or indeterminable failure, malfunction others. or slowdown of a 'electronic data processing 4. The following exclusions as described in Section B., equipment' 'electronic media and data' or Exclusions, of the Businessowners Special Property 'electronic data.' Coverage Form do not apply to this Coverage e. Suspension, interruption, delay, disruption, loss of(,W*) Extension: functionality of, inaccessibility to, or inability to use a. Paragraph 1.j.;and or communicate with, any 'electronic data SB-300129-B Page 1 of 2 (Ed. 01/08) (Version 1.0) SB-146932-E CNA (Ed.06/1 1) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Policy. 1. ADDITIONAL INSURED—BLANKET VENDORS own acts or omission or those of its employees or anyone else acting on its WHO IS AN INSURED is amended to include as an behalf. However, this exclusion does not additional insured any person or organization (referred apply to: to below as vendor) with whom you agreed, because of a written contract or agreement to provide (1) The exceptions contained in insurance, but only with respect to 'bodily injury' or Subparagraphs d.or f.;or 'property damage'arising out of'your products'which (2) Such inspections, adjustments, tests or are distributed or sold in the regular course of the servicing as the vendor has agreed to vendor's business, subject to the following additional make or normally undertakes to make in exclusions: the usual course of business, in 1. The insurance afforded the vendor does not apply connection with the distribution or sale of to: the products. a. 'Bodily injury' or 'property damage' for which 2. This insurance does not apply to any insured the vendor is obligated to pay damages by person or organization, from whom you have reason of the assumption of liability in a acquired such products, or any ingredient, part or contract or agreement. This exclusion does container, entering into, accompanying or not apply to liability for damages that the containing such products. vendor would have in the absence of the 3. This provision 2. does not apply to any vendor contract or agreement; included as an insured by an endorsement issued b. Any express warranty unauthorized by you; by us and made a part of this Policy. c. Any physical or chemical change in the 4. This provision 2.does not apply if'bodily injury'or product made intentionally by the vendor; 'property damage' included within the 'products- completed operations hazard is excluded either d. Repackaging, except when unpacked solely by the provisions of the Policy or by endorsement. for the purpose of inspection, demonstration, 2 MISCELLANEOUS ADDITIONAL INSUREDS testing, or the substitution of parts under instructions from the manufacturer, and then WHO IS AN INSURED is amended to include as an repackaged in the original container; insured any person or organization (called additional e. Any failure to make such inspections, insured) described in paragraphs 2.a. through 2.h. adjustments, tests or servicing as the vendor below whom you are required to add as an additional has agreed to make or normally undertakes to insured on this policy under a written contract or make in the usual course of business, in agreement but the written contract or agreement must connection with the cis:ribution or sale of the be: products; 1. Currently in effect or becoming effective during the f. Demonstration, installation,servicing or repair term of this policy;and operations, except such operations performed 2. Executed prior to the 'bodily injury,' 'property at the vendor's premises in connection with damage'or'personal and advertising injury,'but the sale of the product; Only the following persons or organizations are g. Products which, after distribution or sale by additional insureds under this endorsement and you, have been labeled or relabeled or used coverage provided to such additional insureds is as a container, part or ingredient of any other limited as provided herein: thing or substance by or for the vendor;or a. Additional Insured—Your Work h. 'Bodily injury' or 'property damage' arising out of the sole negligence of the vendor for its That person or organization for whom you do work is an additional insured solely for liability SB-146932-E Page 1 of 5 (Ed. 06/11) SB-146914-C (Ed.01/12) (2) The effective date of replacement (2) The rates presently in effect. coverage obtained by the first c. If the first Named Insured accepts the Named Insured. renewal, the premium increase, if b. If the first Named Insured elects not any, and other changes are effective to renew, any earned premium for the the day following this policy's period of extension of the terminated anniversary or expiration date. policy will be calculated pro rata at the lower of the following rates: (1) The rates applicable to the terminated policy; or s 0 0 0 m m s N SB-146914-C Copyright,ISO Properties,Inc.,2001 Page 3 of 3 (Ed.01/12) SB-146932-E CNA (Ed.06/11) due to your negligence specifically resulting This insurance does not apply to 'bodily from your work for the additional insured injury,' 'property damage' or 'personal and which is the subject of the written contract or advertising injury' arising out of operations written agreement. No coverage applies to performed for the state or municipality. liability resulting from the sole negligence of c. Controlling Interest the additional insured. The insurance provided to the additional Any persons or organizations with a insured is limited as follows: controlling interest in you but only with respect to their liability arising out of: (1) The Limits of Insurance applicable to the (1) Their financial control of you;or additional insured are those specified in the written contract or written agreement (2) Premises they own, maintain or control or in the Declarations of this policy, while you lease or occupy these whichever is less. These Limits of premises. Insurance are inclusive of, and not in a This insurance does not apply to structural addition to,the Limits of Insurance shown in the Declarations. alterations, new construction and demolition operations performed by or for such additional (2) The coverage provided to the additional insured. insured by this endorsement and d. Managers or Lessors of Premises paragraph F.9.of the definition of'insured contract' under Liability and Medical A manager or lessor of premises but only with Expenses Definitions do not apply to respect to liability arising out of the ownership, 'bodily injury' or 'property damage' maintenance or use of that specific part of the arising out of the 'products-completed premises leased to you and subject to the operations hazard' unless required by the following additional exclusions: written contract or written agreement. This insurance does not apply to: (3) The insurance provided to the additional insured does not apply to 'bodily injury,' (1) Any 'occurrence' which takes place after s 'property damage,' or 'personal and you cease to be a tenant in that premises; 01 advertising injury' arising out of the or rendering or failure to render any (2) Structural alterations, new construction or professional services. demolition operations performed by or on b. State or Political Subdivisions behalf of such additional insured. A state or political subdivision subject to the e. Mortgagee,Assignee or Receiver following provisions: A mortgagee, assignee or receiver but only g (1) This insurance applies only with respect with respect to their liability as mortgagee, to the following hazards for which the assignee, or receiver and arising out of the state or political subdivision has issued a ownership, maintenance,or use of a premises permit in connection with premises you by you. s own, rent, or control and to which this N This insurance does not apply to structural insurance applies: alterations, new construction or demolition (a) The existence, maintenance, repair, operations performed by or for such additional construction, erection, or removal of insured. advertising signs, awnings, canopies, f. Owners/Other Interests—Land is Leased cellar entrances, coal holes, driveways, manholes, marquees, An owner or other interest from whom land hoistaway openings, sidewalk vaults, has been leased by you but only with respect street banners, or decorations and to liability arising out of the ownership, similar exposures;or maintenance or use of that specific part of the land leased to you and subject to the following (b) The construction, erection, or additional exclusions: removal of elevators;or This insurance does not apply to: (2) This insurance applies only with respect to operations performed by you or on your (1) Any 'occurrence' which takes place behalf for which the state or political after you cease to lease that land; or subdivision has issued a permit. SB-146932-E Page 2 of 5 (Ed.06/11) CNA s (Ed.06/1 ) (2) Structural alterations, new Damage To Property, is replaced by the construction or demolition operations following: performed by or on behalf of such additional insured. k. Damage To Property g. Co-owner of Insured Premises 'Property damage'to: A co-owner of a premises co-owned by you 1. Property you own, rent or occupy, and covered under this insurance but only including any costs or expenses with respect to the co-owners liability as co- incurred by you, or any other person, owner of such premises. organization or entity, for repair, replacement, enhancement, h. Lessor of Equipment restoration or maintenance of such Any person or organization from whom you property for any reason, including lease equipment. Such person or organization prevention of injury to a person or are insureds only with respect to their liability damage to another's property; arising out of the maintenance, operation or 2. Premises you sell, give away or use by you of equipment leased to you by abandon, if the 'property damage' such person or organization. A person's or arises out of any part of those organization's status as an insured under this premises; endorsement ends when their written contract or agreement with you for such leased 3. Property loaned to you; equipment ends. 4. Personal property in the care, With respect to the insurance afforded these custody or control of the insured; additional insureds, the following additional 5. That particular part of any real exclusions apply: property on which you or any This insurance does not apply: contractors or subcontractors working directly or indirectly in your behalf are (1) To any 'occurrence' which takes place performing operations, if the'property after the equipment lease expires;or damage' arises out of those ( ) To '2 bodily injury,* 'property damage or operations; or 'personal and advertising injury' arising 6. That particular part of any property out of the sole negligence of such that must be restored, repaired or additional insured. replaced because 'your work' was Any insurance provided to an additional insured incorrectly performed on it. designated under paragraphs b. through h. above Paragraph 2 of this exclusion does not does not apply to 'bodily injury' or 'property apply if the premises are 'your work' and damage' included within the 'products-completed were never occupied, rented or held for operations hazard.' rental by you. 3. The following is added to Paragraph H. of the Paragraphs 1, 3, and 4, of this exclusion BUSINESSOWNERS COMMON POLICY do not apply to 'property damage' (other CONDITIONS: than damage by fire or explosion) to H. Other Insurance premises: 4. This insurance is excess over any other (1) rented to you: insurance naming the additional insured (2) temporarily occupied by you with the as an insured whether primary, excess, permission of the owner,or contingent or on any other basis unless a (3) to the contents of premises rented to written contract or written agreement you for a period of 7 or fewer specifically requires that this insurance be consecutive days. either primary or primary and noncontributing. A separate limit of insurance applies to Damage To Premises Rented To You as 4. LEGAL LIABILITY—DAMAGE TO PREMISES described in Section D — Liability and A. Under B. Exclusions, 1. Applicable to Medical Expenses Limits of Insurance. Business Liability Coverage, Exclusion k. SB-146932-E Page 3 of 5 (Ed. 06/11) CNA S (Ed.6 06/1 ) Paragraphs 3, 4, 5, and 6 of this (2) Any partner, if you or an additional exclusion do not apply to liability insured is a partnership; assumed under a sidetrack agreement. (3) Any manager, if you or an additional Paragraph 6 of this exclusion does not insured is a limited liability company; apply to 'property damage' included in (4) Any 'executive officer' or insurance the 'products-completed operations manager,if you or an additional insured is hazard. a corporation; B. Under B. Exclusions, 1. Applicable to (5) Any trustee, if you or an additional Business Liability Coverage, the last paragraph of 2. Exclusions is deleted and insured is a trust;or replaced by the following: (6) Any elected or appointed official, if you or Exclusions c,d,e,f, g,h, i, k, I,m,n,and o, an additional insured is a political do not apply to damage by fire to premises subdivision or public entity. while rented to you or temporarily occupied by This paragraph e. applies separately to you you with permission of the owner or to the and any additional insured. contents of premises rented to you for a period of 7 or fewer consecutive days. A 7• Bodily Injury separate limit of insurance applies to this Section F. Liability and Medical Expenses coverage as described in Section D. Liability Definitions, item 3. 'Bodily Injury' is deleted and And Medical Expenses Limits Of replaced with the following: Insurance. "Bodily injury" means bodily injury, sickness or C. The first Paragraph under item 5. Damage To disease sustained by a person, including death, Premises Rented To You Limit of Section humiliation, shock, mental anguish or mental D. Liability And Medical Expenses Limits injury by that person at any time which results as Of Insurance is replaced by the following: a consequence of the bodily injury, sickness or The most we will pay under Business Liability disease. for damages because of "property damage" 8. Expanded Personal and Advertising Injury to any one premises,while rented to you, or Definition temporarily occupied by you, with the permission of the owner, including contents of a. The following is added to Section F. Liability such premises rented to you for a period of 7 and Medical Expenses Definitions, item 14. 8 or fewer consecutive days, is the Damage to Personal and Advertising Injury, In the Premises Rented to You limit shown in the Businessowners General Liability Declaration. Coverage Form: S. Blanket Waiver of Subrogation h. Discrimination or humiliation that results in g injury to the feelings or reputation of a natural We waive any right of recovery we may have person, but only if such discrimination or against: humiliation is: s a. Any person or organization with whom you 1. Not done intentionally by or at the " have a written contract that requires such a direction of: waiver. 6. Broad Knowledge of Occurrence a. The insured;or b. Any 'executive officer,' director, The following items are added to E. stockholder, partner, member or Businessowners General Liability Conditions manager (if you are a limited liability i� in the Businessowners Liability Coverage company)of the insured;and Form: a. and b. apply to you or to an 2. Not directly or indirectly related to the e. Paragraphs pP Y Y y employment, prospective employment, additional insured only when such past employment or termination of 'occurrence,'offense, claim or'suit' is known employment of any person or person by to: any insured. (1) You or any additional insured that is an b. The following is added to Exclusions, Section individual; B.: SB-146932-E Page 4 of 5 (Ed.06/11) CAFA s (Ed606/1 E (IS)Discrimination Relating to Room, Personal and Advertising Injury Liability is Dwelling or Premises excluded either by the provisions of the Policy Caused by discrimination directly or or by endorsement. indirectly related to the sale, rental, lease 9. Personal and Advertising Injury Re-defined or sub-lease or prospective sale, rental, Section F. Liability and Medical Expenses lease or sub-lease of any room, dwelling Definitions, item 14, -Personal Advertising Injury, or premises by or at the direction of any Paragraph c.is replaced by the following: insured. (16)Fines or Penalties c. The wrongful eviction from, wrongful entry into, or invasion of the right of private Fires ar penalties levied or imposed by a occupancy of a room dwelling or premises rc,.1—m-lental entity because of that a person or organization occupies s;r'mmation, committed by or on behalf of its owner, c. Thi:• wcvision (Expanded Personal and landlord or lessor. Adwhrtising Injury) does not apply if SB-146932-E Page 5 of 5 (Ed.06111)