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2022/08/01 All American Asphalt (5)7120t2022 T}IIS CERTIFICATE IS ISSUED AS A MATTER OF INFOR IATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRT$ATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFORDEO BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS}, AUTHORIZED REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER. TMPORTANT: ll tho cortiticato holdor is an AODITIO AL INSURED, tho pollcy(les) rnust havo ADOlTlOr{AL INSURED p.ovi3iom or bo endoBed. lf SUBROGATION lS WAIVED, subject to the term3 and condltlorE ol tho pollcy, corlsln policios may requinr an ondorsement. A slatemont on thb cg(jficato doga not confgr rlghts to tho certlflcato holda. ln llou o, !uch andorsgmont{3). PRooucFR Edqewood Partners lnsurance CenterPO- Box 5003 San Ramon. CA 94583 www.epicbrokers.com CA LICENSE #0829370 Certif cates Deoarlmenl 559-451 3200 925-901 0671 PI kers AFFORDING COVERAGE lnsLrrance Com 2119S INSUREO All American AsDhalt P.O Box 2229 Corona CA 92878 Zurich American lnsurance Co 16535 Great American lnsurance Co 16691 ERE ACORi'.CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLOER CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights re3ervod. ACORD 25 (2016f03) The ACORD nsme and logo are roglstsred ma*s of ACORD . l!r s!J r'rr Nrih 55hh rs sj!rd LJnlrlrh THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED EELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATED NOTWIHSTANDING ANY REQUIREMENT. fERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO VvllICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBEO HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOITIONS OF SUCH POLICIES LIMITS SI]O\A4'{ MAY HAVE BEEN REDUCEO BY PAIO CLAIMS COiI ME RC'A L GE I.]ERAL LIA BILITY GEN'L AGGREGATE LIM T APPLIES PER JECI Loc DPC100585606 8t1t2022 811t2023 EACH OCCIJRRENCE r 1,000,000 $ 100 000 MED EXP (Anyon€ p66on) PERSONAL & AOV IN.JL]FY s 1 000.000 GENE RAL AG6REGATE 52,000.000 $2 000.000PRODUCTS COMP/OP AGG B AUTOMOBILELIABILIry HIREO AI]TOSONLY SCHEDULEO NON.OWNEO 8AP5571.18810 8t1t2022 8t112023 COMBINEO SINGLE LIMIT s2 000 000 s t EODTLY NJURY lPd person) BODILY INJURY (Ps a.dd6.r) -lPir-4sE@!L 5 c EXCESS LIAB 10,000 TUE347483602 811t2022 8t112023 EACH OCCURRENCE AGGREGATE !!pq9,qq !5,000.000 Follo,ving-Form $ B WORXERS CO PEiISATION ANOE PLOYERS'I|AA|LIIY ANYPiOPRI€TOR/PARINETI,€)(ECUTIVE Of FICER/MEMSEREXCLUD€D? DESCRIPTION OF OPERATIONS bErM N \ /c593205709 81112022 8t1t2023 s 1,000,000E L E CH ACC OENT E L OISE^SE. EA EMPLOYEE s 1 00n ooo EL OSEASE POLICYLMIT s 1,000.000 oESCRIPnOn OF OPERATIONS / LOCAIONS / VEXICLES IACORo 101 , Add{tlontl R.n.r*. S.h.dul., n.y b. .lt.ch.d It moE .p.c. i. Equind) RE: Public Vvorks Mainlenance and Operations C€nler, CIP 16-13 / Cerlifcate Holder is Additional lnsured if Requiled by Wfltten ConlGcl Excluding V\b*ers Compensation Citv of Menifee 29844 Haun Road Menifee CA 92586 STIOULD ANY OF THE ABOVE OESCRIAEO POLICIES BE CANCELLED BEFORE THE EXPIRATION OATE THEREOF, NOTICE WILL BE DELIVEREO IN ACCORDANCEWITH THEPOLICY PROVISIONS AUTHORIZED REPRESENTATIVE Maleah Cantrell I I [ *"r" ba---- trtrtr9 PO Box 5003 San Ramon, CA 94583 Phone:925.244.7700 Fax:925.901-0244 Email: EPlCcerts@epicbrokers.com To: Regarding: Date lssued: Named lnsured(s): Policy Number(s): Vvhom it may concern Notice of Cancellation 7 t20t2022 All Amcrican Asphalt DPC100585606 8AP5571088 r0 wc593205709 1Ut]34748]602CERTIFICATE HOLDER: ( it\ ol l\4enilie 298.14 llaun RoadMcnilic C A 9258(r Should the above described policy be cancelled before the expiration date thereof, we will mail 30 days written notice to the above referenced Certificate Holder; except, 10 days notice for non-payment of premium. Sincerely, Malcirh ( antrell epicbrokers.com edgewood partners insurance center 693r:r:3 r :a lo| sranddrd vlth ssm )is )/ta/,:o12 atrl:4a a, (pDT) p.qe i of tl ca license 0829370 ba---- COMMERCIAL GENERAL LIABILITY cG 20 r0 04 13 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SGHEDULE Name Of Additional lnsured Person(s) Or Organization(s): Location(s) Of Covered Operations Any person or organization where the Named lnsured has agreed to add as an additional insured by written contract or agreement, provided the contract or agreement is executed prior to any "occurrence" or offense Any localion where required by written contract or agreement, provided the contract or agreemenl is executed prior to any "occurrence" or offense. lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations A,Section ll - Who ls An lnsurad 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: Your acts or omissions: or 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. The insurance afforded to such additional insured only applies to the extent permitted by law; and lf coverage provided to the additional insured is required by acontracl or agreement, the insurance afforded to such additional insured will not be cG 20 10 04 13 broader than that which you are required by the contract or agreement to provide for such additional insured. 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 afler: All work, including materials, parts or aquipment furn is hed in connsction with such work, on the project (other than service, mainlenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or That portion of "your work" out of which lhe iniury or damage arises has been put lo its inlended use by any person or organization other than another contractor or s u b contra cto r engaged in B 1 2 1 2 2 @ lnsurance Services Office, !nc.,2012 l0r I srand.id vrth ssm x ):2 3r45:10 ^x rPDT) I P,qe I of 1l Page 1 ol2 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. However: 1. performing operations for a principal as a part of the same project. With respect to the insurance atforded 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 agreemenl, the most we will pay on behalf of the additional insured is the amount of insurance: Required by the contract or agreemenl; or Available under the applicable Limits of lnsurance shown in the Oeclarations; whichever is less. This endorsement shall nol increase the applicable Limits of lnsurance shown in the Declarations. 1 2c All other terms and conditions of this policy remain unchanged Endorsement Number: This endorsement is effective on the inc€ption date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: DPcl 00585606 Named lnsured: All American Asphall Endorsement Effective Date: 08/01/2022 REFERENCEi RE: Public Works Mainlenance and Operations Center, CIP 16-'13 / SCHEDULE: City of Menibe CG 20 10 04 13 @ lnsurance Sorvices Offico, |nc.,2012 lurl sla.d.rd,rrh s1m xs 7/:o/10.t;r 3:45:{0 Page 2 ol 2 COMMERCIAL GENERAL LIABILITY cG 20 37 04 13 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: COIVIMERCIAL GENERAL LIABILIry COVERAGE PART PROOUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional lnsured Person(s) Or Organization(s)Location And Description Of Completed Operations Any person or organization where the Named lnsured has agreed to add as an additional insured by written contract or agreement, provided the contract or agreement is executed prior to any "occurrence" or offense All locations where required by contract lnformation requirsd 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 tor "bodily injury" or "property damage" caused, in whole or in part, by "your work" al the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard'. However: The insurance afforded to such additional insured only applies to the extent permitted by law; and lf coverage provided to the additional insured is required by acontract or agreement, theinsurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such cG 20 37 04 13 additional insured With respect to the insurance afforded to these additional insureds. lhe followrng is added to Section lll - Limits Of ln6urance; 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: Ava ilable under the applicable Limits of lnsurance shown in the Declarations; This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations. B 1 2 1 2 @ lnsurance Services Ofllce, lnc.,2012 693?21?3 r 2? l01l Sland.!d ulth 95m xs si.!d L.ndr.rh 1tla/202? a.4\t4a Ax lFDT) p.qe 5 ot 1t Page 1 ol 2 Required by the contract or agreement; or whichever is less. All olher lerms and conditions of this Policy remain unchanged Endorsement Number: This endorsement is effective on the inception date of this policy unless otheMise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: Dpc1oos8s6o6 Named lnsured: All American Asphalt Endorsement Effective Date: 08/01/2022 REFERENCEi RE: Public\ilbrks Mainlenance and Operations Center, CIP 16-'13/ SCHEDULE: City of N,lenibe CG 20 37 04 13 O lnsurance Services Offlce, lnc..2012 Page 2 ol 2 COMMERCIAL GENERAL LIABILITY cG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endoGement modifies insurance provided under the following The following is added to the Other lnsurance Condition and supersedes any provision to the contrary: Primary And Noncontributory lnsurance ('l ) The additional insured is a Named lnsured under such other insurance; and This insurance is primary to and will notseek contribution from any other insurance available to an additional insured under your policy provided that: All other terms and conditions of this policy remain unchanged. REFERENCE: SCHEDULE: RE: Public lrtrorks Maintenance and Operations Centor, CIP 16-13/ City of trenitue Endorsement Number: This endorsement is effective on the inception date of this policy unless otherwise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: Dpcl 00585606 Named Insured. All American Asphatt Endorsement Effective Date: 9616172622 cG 20 01 04 13 O lnsurance Services Offlce, lnc.,2012 Landre.l. ' /r0lr0l? 3:a5:{0 Ax 'Pm. I P.9. ? of Page 1 of 1 COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. COMMERCIAL GENERAL LIABILITY cG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMIVIERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization where the waiver of our right to recover is permitted by law and is required by written contract or agreement, provided the contracl or agreement is executed prior to any occurrence or oftense lntormation required to complete this Schedule, if not shown above, will be shown in the Declarations The following is added to Paragraph 8. Transfsr for injury or damage arising out of your ongoing Of Rights Of Recovgry Against Others To Us operations or "your work" done under a contract of Section lV - Conditions: with that person or organization and included inthe "products-completed operalions We waive any right of recovery we may have hazard'. This waiver applies only to the person against the person or organization shown in the or organization shown in the Schedule above. Schedule above because of payments we make All other terms and conditions of this policy remain unchanged. Endorsement Number: This endorsement is effective on the inception date of this policy unless othenyise stated herein. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Policy Number: oPc100585606 Named lnsu red:All American Asphalt Endorsement Effective Date: o8/01/2022 REFERENCE RE: Puuic Vlbrks Maintenance and Operalioos Center, CIP 16-13 / SCHEDULE: Cily ot Menibe cG 24 04 05 09 @ lnsurance Services Office, lnc., 2008 1l standard riLh SsM xs sier. r,.nd!e 4s:i0 lx (PDTI Page 1 of 1 112012022 POLICY NUMBER. BAPs571O881O COMMERCIAL AUTO cA 20 48 10 13 Thrs endorsement modifies ansurance provided under the follolving AUTO DEALERS COVERAGE I.ORII,I BUSINESS AUTO COVERAGE FORIVl [,OTOR CARRIER COr'ERAGE FORM With respect to coverage provided by this endorsement, the provEions of the Coverage Form apply unless mod red by thrs endorsement This endorsement identfles person(s) or organization(s)who are 'insureds' for Covered Autos Liablity Coverage undsr the Who ls An lnsured provrsion of the Coverage Form. This endorsernent does not alter coverageprovrdcd an thc Covcrogc Form Thts endorsement changes the polrcy efiective on the rnce*pn date of the policy unless another date rs rndtcated bslow Named lnsurcd: All American Asphall End016emont Efoctive Date: O8lO 2022 SCHEDULE Name Of Personlsl Or Organlzation(r): Al\lY PERSOhI OR ORGANIZATIOI{ TO WHOIM OR Vvtl ICH YOU ARE REOUIRED TO PROVIDE ADDITIONAL INSURED STATUS ON A PRIMARY NON-CONTRIBUTORY BASIS. IN A WRIITEN CONTRACT OR WRITTEN AGREEMENT EXECUTED PRIOR TO LOSS, EXCEPT WHERE SUCI-I CONTRACT OR AGREEiVIENT lS PROHIBITED BY LAW lnformation required to complqte thrs Schedule, 'f not shown above, will be shown rn the Declaratrons Each person or organrzation shovr'n in the Schodule is an "rnsured'for Cover€d Autos Liabltty Coverag€, but only to the extent that person or organEation quahftes as an rnsured under the who ls An lnsured pdovtspn contained rn Paragraph A'1. ol Sectpn ll - Covered Autos Liabilrty Coverage in the Business Auto and Motor Carner Coverage Forms and Paragraph D.2. ofSection I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 rlE l0 13 @ lnsurance Servrces Office, lnc , 2011 SCHEDULE: Caly of Menibe 6917?r:A I 22 l0ll sra^dard rtrh s5m xs | 1/?a/2a22 at15t1o ax lpDT) I 9!9. 9 of 11 Page 1 of I THIS ENOORSEMENT CHANOES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE 712012022 POLICY NUMBER BAP55710881o COMMERCIAL AUTO cA 04 44 10 13 THIS ENDORSEMENTCHANGESTHE POLICY. PLEASE READ ITCAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGATNST OTHERS TO US (WATVER OF SUBROGATTON) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named lnsured: A American Asphatt Endorsement Effective Date; 6676172622 SCHEDULE Name(s) Of Person(s) Or Organization(s): ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS POLICY lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations The Transfor Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. cA 04 44 10 't3 SCHEDULE: City of [,,lenitue @ lnsurance Services Office, lnc., 2011 6Cr?l],:3 23 I0rl 5rand.!d vtrh $5m xs I 5ic!. Lrndrerh I 1/2a/2a22 at45t40 Ix (pDT) I p.qe 1o of rr Page , of I WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY wc 04 03 06 (Ed. 4-84) WAIVER OF OUR RIGHTTO HECOVEH FROM OTHERS ENDORSEMENT_ CAL!FORN!A We have the right to recover our payrnents lrom anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization narned in the Schedule. (This agreernent applies only to the extent that you perform work under a written contract that requires you to obtain this agreernent from us.) You must rnaintain payroll records accurately segregating the remuneration oI your employees while engaged in the work described in the Schedule. The additional premium for this endorsernent shall be mium otherwise due on such remuneration. 0.00 % of the Calilornia workers' compensation pre- SCIII]DULE: City oI Menil'ec Person or OrganizationAI,L PERSONS AI{D /OR ORGANI ZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT WITH THE INSURED. EXECUTED PRIOR TO THE ACCIDENT OR LOSS, TITAT WAIVER OE SUBROGAT ION BE PROVIDED I'NDER TITIS POLICY TOR WORK PEREORMED BY YOU TOR THAT PERSON AND /OR ORGANI ZAT ION PolicyNumber: wc5sl2o57oe Named lnsured: Al Anrcrcan Asphall Endorsement Effective Date: 08/0ri20?l wc 252 (4A4) wc 04 03 06 (Ed. 4€4) Schedub Job Description AI,L CA OPER,ATIONS REFERT'NCE: RI1: Public works Maintcnancc and Opcralions ('cnicr. ( lP 16-13 / l0rl sr.hd.!d ,irh $5m xs I srEr. L.ndrerh I 7/?0/:021 s:.15:40 rr{ lrDTr I p.ge t1 .f 11 l%ge 1 o, 1