2021/07/07 TNT Blanchard General Engineering, Inc.,4CORD TNTBLAN.Ol
CERTIFICATE OF LIABILITY INSURANCE 12t28t2021
THIS CERTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AIVIEND, EXTEND OR ALTER THE COVERAGE AFFOROEO BYTHEPOLICIESBELOW, THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: It the cenificate holder is an ADDITIONAL INSURED, the policy(ies) musl have ADOITIONAL INSURED provisions or bc endorsad.l, SUBROGATION lS WAIVED, subject to the terms and condilions ofthe policy, certain policies may require an endorsem€nt. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsemen(s)
INSURED
Redwood Fire & Casualty
IN SURER(S) AFFORDING COVERAGE
10833
3'1453
11673TNT Blanchard General Engineering. lnc.
46750 Rainbow Canyon Road #D
Temecula, CA 92592
pRoDUc€R License # 0525512
Teague lnsurance Agency, lnc4700 Sprinq St.. rl400
La Mesa, CA 91942-0275
NsuRER a : Gemini lnsura!!q company
rNsuRER B : Financial Paqifjc lnsurance Company
l^13.'fi .,', (ol s) loa-oest
iJDfl Ess inf o@tea g ueins.com
CATE NUMBER ER
THIS IS TO CERT]FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMEDABOVE FORTHE POLICY PERIODINOICATED NOTWTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OT ANY CONTRACTOROTHER DOCUMENTWITH 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
POLICY EFF POIICY ENPIMM/DO/YYYYI IMM/DOIfYYYIwvDA X conuenctll ceNERA! LrAarLrrY
cLArMs MAoE X occuR X VCGP027403 1213012021 12t30t2022
_EACH OC9URRENCE
DAMAGE TO RENTEO
PnEMlSES (Ea o.cure.ce)
l,lED EXP (Any one person)
PERSONAL & ADV INJURY
1,000,000
s0,000
Excluded
1,000,000
2,000,000
2,000,000
GEN'L AGGREGATE LIMIT APPTIES PER- oou"r l{i iF8, - .*GENERAL AGGREGATE
PRODUCTS. COMP OPAGG
B rurouogtue LnarLrw
X allv nt-rro
COMBINEO SINGLE LIMII
BOD LY IIUURY (P6r porson )
lBqqlLY lf!qB!lEe!4!49!1)
PROPERTY DAMAGE
I 1,000,000
60507437 7 t712021 7 t712022 $OWNEOAUTOS ONLY
HIRED
SCI]EDI]LEDAUTOS
NON.OWNEDAUTOS ONLY
5
5
TIMBRELLA LIAB
EXCESS LIAB
OED RETENTIONS
OCCUR
CLAIMS.MADE
EACH OCCURREIQE
AGGRECATE
$
s
sC woaxenscoupelslttor,t
ANDEMPLOYERS'IIABIIITY
ANY PROPRIETOfu PARiNER'EXECU'I VE
OFFICER/MEMBER E^CLUOED]Itl.nd.lorv h tlHl
ri v6s da*nba und6roFqcRlPTroN oF oPFRAfl oNs h"r.*
X STATUTE oTr-
TNWC224488 7n12021 7nt2022 1,000,000
1,000,000
1,000,000
E L. EACH AQQ]qE!T
E,L OISEASE. EA EMPTOYEE
E.L OISEASE. POIICY LIMII
DESCRIPTIOI.I OF OPERATIONS/ LOCATIONS / VEHICLECity of Menifee Is included when required by
general liability, per torms attached.
S (ACOqD 101, Add'l'on.l Rsmarrr Sch.du,e. mry bo rrl'ch.d ,f moro 3pac€ is reqwritten contract/agreement as addilional lnsured for ongoing and completed operations with respects to the
City of Menifee
2984,4 Houn Road
Menifee, CA 92586
rct ->
O 19E8-2015 ACORD CORPORATION. All rights reserved
The ACORD name and logo are registered marks ofACORD
ACORD 25 (2016/03)
[iL r.r,(61e) 668-47i s
MMORALES
,$
SIIOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF. NOTICE wlLL BE OELIVEREO IN
ACCOROANCE wlTH THE POLICY PROVISIONS.
:HO D
Policy Number: VCGP027403
lnsured Name: TNT Blanchard General Engineering, lnc.
Number: 37
cG 20 37 12't9
Eff ective O ate : 1 21 30 I 2021
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 lnsured Person(s)
Or Orqanization(s)
Location And Description Of
Completed Operations
Any person or organization when you have agreed in
a written and executed contract, prior to an
"occurrence", that such person or organization be
added as an additional insured on your policy.
All locations and completed operations for
which you have agreed in a written and
executed contract prior to an "occurrence."
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s) or
organization(s) shown in the Schedule, but only
with respect to liability for "bodily injury" or
"property damage" caused, in whole or in part,
by "your work" at the location designated and
described in the Schedule of thas endorsement
performed for that additional insured and
included in the "products-completed operations
haza rd".
However:
1. The insurance afforded to such additional
insured only applies to the extent permitted
by law; and
2. lf coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such additional
insured.
All other terms and conditions of this Policy remain unchanged
B. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
lf coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured is
the amount of insurance:
'1. Required by the contract or agreement; or
2. Available under the applicable limits of
insu rance.
whichever is less.
This endorsement shall not increase theapplicable lrmrts of insurance.
c,G 20 37 12 19 O lnsurance Services Office, lnc., 2018 Page 1 of 1
Policy Number: VCGP027403
lnsured Name: TNT Blanchard General Engineering, lnc.
Number:34
cG 20 1012 t9
Eff ective D ate : 1 21 30 I 2021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Part
Schedule
Name Of Additional lnsured Person(s)
Or Orqanization(s)Location(s) Of Covered Operations
Any person or organization when you have agreed in
a written and executed contract, prior to an
"occurrence", that such person or organization be
added as an additional insured on your policy.
All locations for which you have agreed in a
written and executed contract prior to an
"occurrence."
lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations
A. Section ll - Who ls An lnsured is amended to
include as an additional insured the person(s)
or organization(s) shown in the Schedule, but
only with respect to liability for "bodily injury",
"property damage" or "personal and advertising
injury" caused, in whole or in part, by:
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(s) at the location(s)
designated above.
However:
l. The insurance afforded to such additional
insured only applies to the extent permitted
by lawi and
2. lf coverage provided to the additional
insured is required by a contract or
agreement, the insurance afforded to such
additional insured will not be broader than
that which you are required by the contract
or agreement to provide for such additional
insured.
B. With respect to the insurance afforded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury"
or "property damage" occurring after:
1. All work, including materials, parts or
equipment furnished in connection with such
work, on the project (other than service,
maintenance or repairs) to be performed by
or on behalf of the additional insured(s) at
the location of the covered operations has
been completedi or
2. That portion of "your work" out of which the
injury or damage arises has been put to its
intended use by any person or organizationother than another contractor or
subcontractor engaged in performing
operations for a principal as a part of the
same project.
O lnsurance Services Office, lnc., 20'18 Page 1 o'f 2cG 20 101219
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll - Limits Of lnsurance:
li coverage provided to the additional insured is
required by a contract or agreement, the most
we will pay on behalf of the additional insured is
the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable limits of
insurance,
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
All other terms and conditions of this Policy remain unchanged
cG 20 10 12 19 O lnsurance Services Otfice, lnc.,2018 Page 2 ol 2