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2022/05/19 California Professional Engineering Inc.ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTR INSD WVD PRODUCER CONTACTNAME:FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: 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 COMPENSATIONAND 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 RENTEDCLAIMS-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 AGGJECT 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 LIMITDESCRIPTION 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 INACCORDANCE 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. THISCERTIFICATE 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), AUTHORIZEDREPRESENTATIVE 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 onthis 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.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/17/2022 License # 0252636 36056 California Professional Engineering Inc.19062 San Jose Avenue La Puente, CA 91748 25674 22314 19038 A 1,000,000 X CE22CGL239541IC 5/19/2022 5/19/2023 50,000 Owner’s & Contractor 5,000 1,000,000 2,000,000 2,000,000 1,000,000B X 4N2618072226G 5/19/2022 5/19/2023 Ded: $0 5,000,000C NHA253783 5/19/2022 5/19/2023 5,000,000 10,000 B 3N0999432226G 5/19/2022 5/19/2023 1,000,000Y1,000,000 1,000,000 D Contractor Equipment 7P2991896600 5/19/2022 Leased/Rented 100,000 D Installation Floater 7P2991896600 5/19/2022 5/19/2023 Limit 250,000 RE: CIP 22-15 ANTELOPE ROAD/MSJC ENTRANCE TRAFFIC SIGNAL City of Menifee, its officers, agents and employees are additional insureds with respects to General Liability and Auto Liability. This insurance is primary and non-contributory with respects. *At least thirty (30) days written notice of cancellation. Ten (10) days notice for non-payment of premium. City of Menifee 29844 Haun Road Sun City, CA 92586 CALIFORPRO CARLOSD Duran Risk & Insurance Services3257 E. Guasti Ave, Suite 100Ontario, CA 91761 Kristy Braley kristy@drisinc.com Navigators Specialty Insurance Company Travelers Property Casualty Company of America RSUI Indemnity Company Travelers Casualty and Surety Company X 5/19/2023 X X X X X X X X X X X DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 POLICY NUMBER: CE22CGL239541IC DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 POLICY NUMBER: CE22CGL239541IC DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8 DocuSign Envelope ID: A197FADA-0C57-4D7F-8E22-3E8E95C6EDB8