2022/04/07 Norman A Traub and Associates LLOC.ACORD.TRAUB.2
CERTIFICATE OF LIABILITY INSURANCE OATE IMM/DDryYYY)
04t19t2022
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, EXTENO 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: It the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSUREO provisions or be endorsed.
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this co,tificate does not confer riqhts to the certificate holder in lieu of such endorsomont(s).
Michelle A Nowell760471-7116
760.471-9378
34'l l8
mnowe m scorp.com
rocB
Rd #3302625
9 361
PHOIIE 7 60471-71',16
INSURER S
ates LLC
INSURER F
PiODUCER
Alliance Mgt, & lnsurance serv
355 Via Vera Cruz #7
CA AgenuBroker Lic# 0737966
San Marcos, CA 92078
Mlcholle A. Nowell
0tsuREoNorman A Traub &
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOO
INDICATEO, NOTWITHSTANDING ANY REOUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRISED HEREIN IS SUBJECT TO ALL THE TERMS
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS.
ut\itTSINSRTYPE OP IIISURAI{CE SUBR
t,000,000$
MED EXP rAnv on€ @.sonl
PREMISES lEa
EACH OCCURRENCE
OAI',4AGE TO RENIED
s
s 100,000
5,000
1,000,000PERSONAL & ADV INJURY s
GENERAL AGGREGATE
PRODUCTS COMP/OP AGG
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A COMMERCTAL GENERAL LIABILITY
Errors & Omission
x
x
x
T AGGREGAIE LIMIT
"o.,", [ 3Eg
PER
LOC
COMBINEO SINGLE LIMIT
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1,000,000
5,000,000
1.000.000
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A _l
;
OWNED
AUTOS ONLY
HIREDAIJTOS ONLY x
SCHEOULEDAUIOS
NON.OWNEDAI-ITOS ONLY
AUfOMOBILE TIABILIIY
PKV0000417 04t07 t2022
PKV0000417 04t07t2022
$EACH OCCURRENCE
AGGREGATE s
$
UMBRELLA LIAB
EXCESS LIAB
DED RETENTLON$
OCCUR
CLAIMS MADE
WORI(ERS COi'PEN!}ATIONANO Cf PIOYERS' LIAB]LIIY
ANY PROPRIETORFARTNER/EX€CI-ITIVE
OFFICER/MEMBEF EXCLUOED?
DENT
E L OISEASE ,
OTH
N
1,000,000
300,000
04107 t2022
04t0712022
04t07 t2023
04t07 t2023
Prof Liab
Cyber
Professional Liab
Cyber
PKV00004r7
PKV0000417
A
A
DESCiTPT|ON OF OpERAIOiiS / LOCAT|ONS/ VEHTCLES (ACORO 101, Addrdon.l R.m..i. sch.dul., m.y b. rtt.n.d ilm.re lP.c.lr r.qllod)
City of Menifee,their officers,officials,agents,employees and volunteers are
nafted as additional insured with respect to the woik performed by the
named insured.
lnvestigation, CA -
City of Menifee
Mr. Daniel Alvarado
Human Resource Manager
29714 Haun Ave
Menifee- CA 92586
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESE'{TATIVE
1I\atr${, U\a{.u!
O 1988-2015 ACORD CORPORATION AII rights reserved.
The ACORD name and logo are registqred marks of AGORD
ACORD 25 (20t6i03)
INSIIFFFISI AFFOPOING {:.)VFRAGF
rxsuREia : Peleus lnsurance Ce4p4ly
INSURER E:
cIA,MS-MADE [{] occun
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I
POLICY NUMBER: PKV000041 7 COMMERCIAL GENERAL LIABILITY
ctGL 79 03 18
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
SCHEOULE
Name Of Additional lnsured Person(s)
Or Organization(s)Location(s) Of Covered Operations
Blanket as required by valid written contract.Blanket as required by valid written conlract
Additional lnformation
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 or organization
shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and
advertising injury" arising out of:
1. Your acts or omissions, or
2. The acts or omissions of those acting on your behalf;
in the performance of your operations for the additional insured at the location shown in the Schedule.
However:
a. The insurance afforded to such additional insured only applies to the extent permitted by law;
b. lf coverage provided to the additional insured is required by a contract or agreement, the insurance
crGL 79 03 18 lncludes copyrighted material of lnsurance Services Office, lnc Page 1 of 2
This endorsement modifies insurance provided under the following:
COI\iIMERCIAL GENERAL LIABILITY COVERAGE PART
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, and
c. Regardless of the date of occurrence or when the injury or damage flrst occurs or is lirst discovered, a
perion's or organization's status as an additional insured under this endorsement ends upon the earliest
of:
(1) The completion or lermination of the contract or agreement between you and the additional insured
for the location shown in the Schedule;
(2) The date you cease actively performing operations for the additional insured at the location shown in
the Schedule: or
(3) The expiration or termination date of the policy or this endorsement.
B. Wth respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to liability or damages for'bodily injury", "property damage', or "personal and
advertising in1ury':
1. Caused by, alising from, or included in the 'productstompleted operations hazard';
2. Arising out of the additional insured's sole negligence;
3. Arising out of work or operations performed by you thal were completed Prior to the effective date of this
endorsement: or
4. \^/hich continues or progressively deteriorates after you cease actively performing operations for the
additional insured at the location shown in the Schedule, even if the injury or damage first occurred, or is
alleged to have flrst occurred, during the course of your operations for the additional injured.
C. Solely for purposes of this endorsement, the following definition is deleted in its entirety and replaced by the
following:
'l. ""Products-completed operations hazard":
a. lncludes all ,,bodily injury" and "properly damage" occurring away from premises you own or rent and
arising out of "your product" or "your work" except:
(1) Products that are still in your physical possession; or
(2) Work that has not yet been completed or abandoned. However' "your work" will be deemed
completed at the earliest of the following times:
(a) When all of the work called for in your contract has been completed;
(b) trVhen all of the work to be done at the location shown in the Schedule has been completed if
your contract calls for work at more than one location; or
(c) When that part of the work done at the location shown in the Schedule has been put to its' intended use by any person or organization other than another contractor or subcontractor
working on the same project.
Work that may need service, maintenance, correction, repair or replacement, but which is otherwise
complete, will be treated as completed.
D. \ Ith rcspect 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 lnsurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
ctGL 79 03 18 lncludes copyrighted material of lnsurance Services Office, lnc Page 2 ol 2