2022/07/01 Riverside Construction Company, Inc. (6)1016t2022
THIS CERTIFICATE IS ISSUED AS A IIIATTER OF INFORiIATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRi,IATIVELY OR NEGATIVELY AMEI{O, EXTEND OR ALTER THE COVERAGE AFFOROED SY THE POLICIES
BELOW. THIS CERTIFICATE OF II{SURANCE OOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLOER.
IMPORTANT: lf the certiflcato holdor l3 an ADOITIONAL INSURED, tho pollcy(ios) muot havo ADDITIONAL INSURED provisions or be 6ndorsod.
lf SUBROGATION lS WAIVED, slblect to ths tsrm3 and condltlorEr oI tho policy, cortaln policies may roquire an endorsoment. A statomont on
this certificalo doos not confor righlsllg the certlflcato holdor ln ligu ot !uch ondoEemont(s).
RooucrR Edqewood Partners lnsurance Center (EPIC)
19000 MacArthur Blvd. PH Floorlrvine, CA 92612
wwwedgewoodins.coan
263-0606 I 263-0906
INSURER{S) AFFORDIN G COVERA GE
TNSURERA: Executi\e Risk lndemnity lnc 35181
Riverside Construction Comoanv. lncPO. Box 1146
Riverside CA 92502
TNSURERB : Federal Insurance comgany 20281
aiQo"CERTIFICATE OF LIABILITY INSURANCE
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO EELOW HAVE EEEN ISSUEO TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIODINOICATEO NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSEXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LIMITS SHOWT\] MAY HAVE BEEN REDUCED 8Y PAID CLAIMS,
COTIM€RCIAI GEiI ERA L LIA gILITY
CLA MS MAOE
Bl/PD Deductibler $25.000
G€N'L^GGREGAIE LIMIT APPLIES PER
JECT LOC
54309745 71112022 711t2023 s2 000 000
PREMISES lEa @curenco)$100,000
MED ExP (Any oh. p6Bo.)s5 000
PERSONAL & ADV NJURY $ 2.000,000
GENERALAGGREGAIE r4 000.000
PRODUCTS - COMP/OP AGG s4 000,000
5
B AUTOMOAILE LIABILITY
OWNEO sHEO!tfoAUIOS
7 t112022 711t2023 COII,| BINEO SLNGLE LIMIT
BODILY INJURY lPerpe.son)
i't ooo,ooo
5
BOOILY INJURY (Pd .cod..'l)5
I
$ 2,500Como/Coll Deductrble
B OCCUR 93652733 7 t112022 7 t112023 EACH OCCL,,]RRENCE $5.000.000
$5,000,000
DEO RE'ENT]ON !s
B WORKERS COrlPENSATIOITANOE PLOYEiS'UABILITY
ANYPROPRIEIOR/PARTNE'{€XECUT]VE
ClFFICEFAilEMBEREXCLIJOEO?
DESCRIFTION OF OPERATIONS bo|@
N
54309464 7 t1t2022 7 t112023 STAIUTE OTH
EL EACH ACCIOENT $1,000,000
E L DISEASE. EA EMPLOYEE $ 1.000 000
E L OISEASE POLICY LIM]T s 1,000,000
DESCRIPTION OF OPERATION S / LOCATIONS / VEHICLES (ACORO 1ol, Addil{on.l R.m.rl. Sch.dul., n.y br .tt..h.d it mo6 .p.c. l. cqul.d)
RE Holland Road/l-215 Overpass CIP l3-03 for tntent lo Award Contractthe Cily ot Men&_e. s offcers agenls and employees are adddional insured as respects Generat Lrabil y and Automobile Liability per altachedendolsemenl(s) Pnmary and Nonconhbulory wordrng applies lo General Lrabrtrty aid Automob e Lrabititi per the attached erdorldment(s)Wai\er ofSubrogalion applies to General Lrabrl y Automobile Lrabrhly and Worke;s Compensatrm per attadted endorsemen(s).30 Day Notic€ Cancellatron wtth '10 Day br Non payment of Premtum'.
COVERAGES CERTIFICATE NUMBER: 70723758 REVISION NUMBER
CERTIFICATE HOLDER CANCELLATION
@ 1988-20i5 ACORD CORPORATION. All right8 rosorved
ACORO 25 (2016/03) The ACORD n.me and logo are reglsteled martE of ACORD
^Lr ! r"L .;jt'.3;;ea -jei. iiir;:e-'
Holland Rd/l-215 Proiect - lntent to Award Contract
Citv of l\ilenrfee
Attir: lvlaroarita CorneioFinancialServices M6nboer
29844 Haun Road[Ienifee CA 92586
SHOULO ANY OF THE ASOVE OESCRIAEO POLICIES AE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE OELIVEREO IN
ACCORDANCE WIfH THE POLICY PROVISIONS,
AUT}IORIZED REPRESE]!IATIVE
Anlhony D'Asaro
I
I
ls430s463
I
II II
I
I
?grp-
Riverside Conskuction Company, lnc.
POLICY NUMBER: s430s745 COMMERCIAL GENERAL LIABILITY
cG 20 37 1219
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - COMPLETED OPERATIONS
This endorsement modifles insurance provided under the following
COMIVIERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
Or Organization(s)Location And Description Of Completed Operations
WHERE RTQUIRED BY WRITTEN CONTRACI, BUT
ONLY WIIEN THE CONTRACT SPECTFIES COVERAGE
FOR COMPLETED OPERAIIONS
AI,L LOCAIIONS WHERT RAOU'RED BY WRITTEN
CONTRACT
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 onlywith 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 this endorsement
performed for that additional insured and
included in the "products-completed operations
hazard".
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 contracl 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 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 agreementi 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.
CG 2037 1219 @ tnsurance Services Offic€, tnc.,2012
6t,/A!/Ir{3/Ex/flclpRoFpo!L-13t 1.yer I firn xerrey rol6/:022 i:t5:?s pr{ lpmr p.q.2 of r:'11." ,.r'.r 'd - '.r'nls and srperspops pJt p!evro-sty':s.;uedi;i-iiraiie;.
Page 'l of 1
COMMERCIAL GENE RAL LIABILITY
cG 20 10't2t9
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR
ORGANIZATION
Name Of Additional lnsured Person(s)
Or Organization(s)Location(s) Of Covered Operations
WHERE REQUIRED BY WRITIEN CONTRACT AIL LOCATIONS I{HERE REQUIRED BY WRITTEN
CONTRACT
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 forthe additional insured(s) at the location(s)
designated above.
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.
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 proiect (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
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 organization
other than another contractor or subcontractor
engaged in performing operations for a
principal as a part of the same project.
CG 20 10 1219 O tnsurance Services Office, tnc., 2018
]"rrrt! r:l/:r cLllLluHB/Er/wclpRoapoll, 1rr !.yer I hrn xetley 1o/6/ro:l t:ltr23 px lpm)T\i "r'iri - r.'c'.'el" r1d ALt prev,orsty-rssuoo.erLrfrciLe!.
Page I of 2
Ri\€rsrde Construclion Company, lnc.
POLICY NUMBER: 54309745
This endorsement modifies insurance provided under the following:
COMIUERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
C. With respect to the insurance afforded to these
additional insureds, the following is added to
Section lll- Limits Of lnsuranco:
lf coverage provided to the additional insured is
required by a contract or agreement, the mosl we
will pay on behalf of the additional insured is the
amount of insurance:
1. Required by the conlract or agreement: or
2. Available under the applicable limits of
insurance;
whichever is less.
This endorsement shall not increase the
applicable limits of insurance.
Page 2ol2 @ lnsurance Servicss Office, lnc., 2018
tnti)15u 21/:3 lj1,/AL/U$A/EX/tlc/tp.aFFaLL-t!L ldyer krr x.11€y I 10/6/20:? 4rr5:2s pt (pm) I paqe { of 12lh.' , i ,i ...dni lLFrrq.d.! el p.e,r,usiv'riiieS ;iLiil;:,-;ei.
cG 20 10 12 19
Endorsement NumberNamed lnsured
Riverside Construction Company, lnc.Policy Number
54309464
Pokcy Period
a7 ta1 t2022T O 0710112023
Effective Date of Endorsernent
07 t01t2022
lssued By (Name of lnsurance Company)
Fedeaal lnsurance Company
lnserl the polrcv nu mbglr The rema roder of the inlormalion is to be com pleled only when this endorsement is issued subseq uenl lo lhe prepa ration of lhe pohcy
Workers' Com sation and Em ers'Liabil Pol
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because California is shown in ltem 3.A. of
the lnformation Page.
We have the right to recover our payments from anyone liable for an injury covered by thas policy. We will not
enforce our right against the person or organization named in the Schedule, but this waiver applies only with respect
to bodily injury arising out of the operations described in the Schedule, where you are required by a writlen contract
to obtain this waiver from us.
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the
work described in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization
( X) Blanket Waiver
Any person or organization for whom the Named lnsured has agreed by written contract to furnish this
watver
2. Operations:
ALL
3. Premium
The premium charge for this endorsement shall be 1.0 percent of the California premium developed
on payroll in connection with work performed for lhe above person(s) or organization(s) arising out of the
operations described.
4. Minimum Premium: $0
I 0
Authorized Representative
wc 90 03 7s (05/18)
This\153 2)./2J CtlAt/oUB/EXlBC/PROFPOLL-r!r lay.r K1n r(.lI.y I rO/5/202? 1rI5:23 pt (pm) I plge s of 12'.r-ir,.aLe cdn.ers dnd supcrsFdes AIL prevtousry'rlJ.ieo iiiLiiniiei. '
Riverside ConslrLrclion Company, lnc.
54309463
BIJSII,IESS AUTO COVERAGE FORM
This ondorsem€nt modmes the Budness Auto Coversge Fom.1, OiIENDED CANCELLATION CONDITION
Paragrsph A,2-b. - CANCELI-ATtON - of ths
COMMON POLICY COND|T|ONS rorm tL O0 .t7 is
delelod BM rEplaced wrth tha fo owing:b. 60 days b8fore tho offoctivo dale ol cancoltation l,
we cancel for any othor r€ason,2. EROAD FORM INSURED
,q. S{rbsldlarica and N6wly Acquirrd or Formod
Crrgsni:€tlons A.a lnGurodg
Th6 Named Insured shown in he Dectaraoorc is
amended lo includo:
1. Any leg8lly incorporatod subsidisry in \ fiich
you own more than 50Yo ol the voung stock on
thg etfecflvc dat8 of th6 Covorsgs Form.
However, th€ Named lnsured do€s nol lncludo
any subsidlary thst is an "insured, undar eny
other automobilo policy or would be an
"insured' under Buch a policy but lor il8
tarminalion or the €xhsuston of its Llmit of
lnsuran@.2. Any org8nizBtion thst is ecquired or formed by
you and ov6r which you maintain maJority
ownershlp. Howevor, 0lo Named ln6ured
does nol includ€ arry newly formed or scqulr€d
onganization:
(a) That is sn 'insurad' under sny other
automobil€ potioy;
(b) That has €xhaustsd its Limit of lnsuranca
undsr any ohsr policy; or
(c) 180 days or mora afler it8 acquisiflon or
lormadon by you, unlsss you have giv6n
us Mitten notice of tle acquisitioo or
lormation.
Coverag€ does nol app,y to'bodily injury' or'property damago' lhat lesults from an .accjdenp
thst occured b€fore you formed or acqulred tho
organlzation.
B. Employoes ss lnsured!
Paragraph A.1. - WHO lS AN TNSURED - ot
SECTION ll - LIABILITY COVERAGE is amend€d to
add ths tollowing:d, Any 'employoe' of yours while u6ing acovered'Eulo' you dont own, hilE or
1016t2022
bonow in your businsss or your personal
atfeirs.
C, Lcr3on as lnsurodt
ParagEph A.1. - WHO lS AN TNSUREO - of
SECTION ll- LtABtLtTy COVERAGE is
smonded to add th6 itltorying:6. Th3 les8or of a coverBd "auto' while the'6uto' is based to you under e writen
8gr€6m6nt if:
(1) The agreemBflt rsquiros you to
povide direcl primary insuranco for
the lgssor; and(2) The 'suto' ls lsas€d without a driver.
Suclt lsased 'euto' will be consid€red a
mvered 'auto' you own and not a coverod'auto'you hll€.
However, ths lessor is an'insur€d'only
for "bodily iniury' or.property damage.
rosulting ftom ttle acls or omissions by.1. Yori:2. Any o, your "employges" or agents;
or3. Any perEon, oxcopt the lesEor or
any 'employ6e' or agcr ofthe
lgssor, opcrating an'auto' with thc
permission of any o, 1 . endlo( 2.
above.
O. p.rsons Ard Orlan&rtlon3 As tn3urgds
Und.r A Wrii.n ln3urrd Confst
Paragraph 4.1 -WHO lS AN TNSURED - of
SECTION II - LIABILITY COVERAGE i6
am€nd6d to add the following:f. Any person or organization \,r,ith respect to
the op€ration, maint€nance or use of a
co\rsred 'aulo', provided that you and
such p€rson or organizauon have agre€d
undar an express provision in 8 writlen
'insurcd contracl", wdnon agreemanl or a
Mittsn permit issusd to you by a
govemmenlal or public Buthority to add
6uch person or orgsni2a on to this policy
68 an'insur€d'.
Ho'/vevar, such per8on or organization is
an'insursd'onV:
COMMERCIAL AUTOMOBILE
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT
Thls eMorsement modifles insumnc€ provided under the following:
Form: 1&02{292 (Rev. 11-16) page 1 of 3'lncludes copyrighted material of lnsurance Servicss Olfic€, lnc. with ts dermisslon"
c"n ."1s " 1.1 suDers.des ALL plevrousty' rssued cerrr flcaLes.
(1) with respect to the op€raflon, d. Rantll Erpamamalr enance or us€ of a cov€r€d Ws will pay tr6 following expsnseg that you or'auto'; and anv ot ybui .emptoye;;;JG;tt ;bt;s;;(2) for'bodry injury' or 'prgpsrty.damage' to iav Lecause ot i written con-trEit o, -
csu8ed by an "accidsnt' whlch takes agiiment entered into fof use o, e ,ent lplaco alter veNclB in t l€ conduct cf V"ri Ouif"*"i-(a) You exeo.rted-rh:-'illyl{ -^ - nreiruuu wE wrLL pAy FoR ANy oNEcontmcf or u/riflar agraement; or Cbi*ifridr On aSREEMENT:(b) The permlt h8s b6en lrsuod to i-'ii,ei6 to, r"*, ot incomo incuned by theyou.3. FELLOW Ei,lpLOyEE-COVmlOf rental sgoncy during ths psfiod ot timo t|ar
gXCluSf Or.r
'e-8. - Fe-LLoW Ef*,iibvee - ot vehlclo is out of use because of actual
SeCrrON rr _ LAA[_iIy CijVEnaO-e.J&. iot.oor". dsmege ro, or .toss, of, rhar vohict€, tnctudtng4. pHyStCAL iJnr,tAcE _ ADDmONII E]ipoiiiii tnco.ne to3r due tc absence of Uler v€hicta for
TRAHSPORT Ttoit EXPEHSE COVERAGE- - ure eo o rcplac€msnt
Paragraph A.4.a. - TRANSPORTATION EXPENSES 2. $2,500 for decroase in trodoln valu€ ol the
_ ol SECTTON lll _ PHYSICAL DAMAGE renl8l vohicls bocause of acual dsmage to
COVERAGE is amondgd to pmvido I timlt of E5O per that v€hicl. sriGing out of a covgrcd '1066': and
day for tamporEry lransportalion €xp€nss, subj€ct to a 3, $2,500 lor administrstlvg oxpsn66 lncu.rad
maximum limit oI91,000. by the reniBl aoency, as stated in fio contr8ct5. Alno LOAN/LEAsE GAP COVERAGE or agrooment.
?aragrsph A. 4. - COVERAGE EXTENSIONS - of 4. $7,500 maximum tctel smount tor paragraphs
SECTION lll- PHYSICAL OAMAGE COVERAGE ts 1., 2. 8nd 3. combined.
smondad to add lhe follorring: 7. EXTRA P(PENSE - BROADENED COVERAGE
c. Unprld Loan or baie Amounts Parsgreph A.4. - COVERAGE EXTENSIONS - of
ln the cv.nl of a lotal 'lo;s' to a cover.d 'euto'. we wilt SECTIO6I lll- PHYSICAL DAMAGE COVEFAGEpay any unpaid amount due on the l@n or lsaso fur a is amcndcd to add the tollovving:
covsred 'aulo' minus: €. Racovry Erpenar1. The amounl peid under he Physical Damags Ws wlll pay for &le sxpcn$, of r€tuming a
Coverags Sectjon of the policy: and stohn coversd 'auto'to you.2. Any: 8. AIRBAG COVERAGEa. Overdue loan/leass payments at ths tlm€ of Pardgrsph 8.3.a. - EXCLUSIONS - of SECTTON
the "loss'; lll- PHYSICAL DAMAGE COVERAGE doe6 notb. Financial ponsltlBs lmposed under B los6o lor spply to the accldenhl or unintendod dlschargo of
oxcosslve u8o, abflormal wrar and tsar or an glrbsg. Cov€rage 13 axcoss over any other
high mileag6; ollectbla lnsursnc€ or wa snty spscificallyc. Secuity doposits not r€tumod by the lessor: dosignsd to Fovide ttlls mrrcrage.d. Costs for sxtended urarranties, Crsdit Ufe 9. AUDIO, VISUAL Ar{D DATA ELECTnON|C
lnsurance, Health, Accucnt or Disabitity E(ltJlpllEifT. BROAOENED COVERAGElnsuEnco purc}lasod with th6 loan or lease; psragrsph C.j,b. - L|MIT OF INSUMNCE - ofand SECTTON ut _ pHyStCAL DAMAGE 18 d€tstede. Carry"ovgr belances
'Iom
provious loans or end leplacad wl$ thc following:teasas. b. g2,i0o iB the mo6t ws wifl ;ay br "toss,, in anyWe will pay for any unpaid amount due on th6 loan or one "accldent" to dl sfectorii" uqrip.nent it,it1686s if cgused by: rgpmducos, recei\r€s or fonsmft; audio, visual1. Olher th€n Collision Cov€rage onty if th€ oiiato lignats wtict, ,f t " tir. Jir"r;, L,
" ffiiiullr,,:e*:"r;{:{fl;"*; iiiSi;,j;t*id'tr#*:lilft":
2. Specified Causes of Lca Cov
Dectarations indicote urri spiirn*iir'".r'Ji :116.r
l9c:ton $at ls not normallv used bv
l-osa coverase is pr;Jia-6i "rl,-*""r.J'"rr.'' f";H'lffi]gfrer ror the lnstarration
3. Collision Coveraoe only lf the D6clarations indlcato (2) .Removoble trom s pormanonuy installed
that collislon cdveraga is provioea Ior qny - - '- houslng unit 8s d€scribod in Psrsgrsph
covarad .auto. 2,a, abovo or ls an inteoral pert of that
6. RENTAL AGEllCv EXPENSE equipm€nti or
Pa€graph A. 4. - COVERAGE EXTENSIONS - of (3) An intGgral pslt of such oquipment.
SECTION III - PHYSICAL DAMAGE COVERAGE
ls amended to add lha folloiring: 10. G|-ASS REPAIR - WAryER OF DEDUCIB-E
Form:16{2-0292 (Rev. 11-16) page 2 of 3.lncludrs copyrighted mat€rial of lnsurance Services Ofiico, lnc. with its p;rmlsslon.
3 ?1/?1 cL/AL/uttB/Ex/ rtclpRoFpoLL-rrt I!.rL!tr.aLe cancels and supersedes Aye! r rrin \eIr./ 10.5/?0:2 4:15:.s pu ,pmi p.qe ? ot l?IL prevlouslv rssued cerr i fica Ee5,
Undor Paragr8ph O. - DEOUCTTBLE -ofSECTION III- PHYSICAL DAMAGE COVERAGE
the following is added:
No deductibl€ applies to glass dameg€ [ the glas6
is repailsd ralher than raplaced.
r1. TWO OR tiCF.E DEDUCnALES
Paragraph D.- DEOUCTIBLE - of SECTTON t -PHYSICA'- OAMAGE COVERAGE is Emonded to
add tle rollorving:
lf this Covardge Form end any other Coverage
Form or policy issusd to you by us that is not an
automoblle policy or Coveraoe Fom applles to the
same'accidonf, the rollowing applies:1. lf th6 deducdble und€r thls Buatna66 Auto
Coverage Form is the smaller (or smalle8t)
d6duc{ible, it will be $/aivad; or2. lf the deductibls under this Busin€Bs Auto
Covemgc Form ls not the smdler (or smaltcst)
deducliue, it will be reduced by the amount of
the smallsr (or smsllest) d€ductibl€.
12. AIIENOED DUTIES IN THE EVENT OF
ACGIDEtIT, CLA|ltl, SUIT OR LrOSS
Paragreph 4.2.a. - DUTIES tN THE EVENT OF
AN ACCIDENT, CLAIM. SUIT OR LOSS OfS=CrlON lV - BUSINESS AUIO CONDrI|ONS i3
dalotsd ard rsplac€d wlth he following:a. ln the event of "accider ", clalm, 'suit" or
'loss', you mu6l promptly noliry u6 whon th6'accid€nt' is known to:
(l ) You or your authorized ropre86nlative, if
you 8rs an indlvldusl;
(2) A partner, or sny adhorized
repres8ntativg, if you arE s parfiorship;
(3) A membsr, lf you er8 a ltmited tiabllity
company; or
(4) An exocutlve offcer, insurance managsr,
or EUthorizgd roprcsentative, if you ars an
oBanization olh€r tlen a partnarship or
limitsd liability company.
Knowledge of an'sccident', daim, 'su[' or'loss' by other p€rsons do8s not lmply that the
psrsons listed above heve such knowlodgc.
Notics to us should lncludo:(1) How, when and where the'accidcnf or'loss' occunedi(2) The 'insur6d's' name and addr€s8; and(3) To th€ ertent po3slbl6, the name6 and
addross€a of any iniured porsons or
wihesses.
13. WAIVER OF SUBROGATION
ParEsraph A.5. - TRANSFER OF RTGHTS OF
RECoVERY AGAINST OTHERS TO US of
SECTION IV - BUSINESS AUTO CONDITIoNS is
delet€d and replsced wlth tho following:5. W€ will waivc the right ot recovery we would
ohonvisg havs agginst anothsr porson oI
organization tor'los3'to which this insuranca
applieE, provkJed tho 'insursd" has waivsd
thelr rlghts of recovory agEinst such parson ororganizalion (rlder e conhact or agreemenl
that i8 sntorgd into bcfor€ such .loos'.
To lhe oxtenl thal the'in!ur.d's' righls to
locovsr dameges for all or parl of any
payment msd6 under this insursnce has not
boen wsiv€d, hoss righB ore bansl€.red to
us. Thel psrson or organization must do
everylhing necesssry to secure our rights and
mu8t do nothing aller'accidenf or.loss'to
impalr them. At our rBquest, the insured will
bring Buil or trgnafer hose rights to us and
hclp us €nforcs th€m.
I4. UNINTENNONAL FAILURE TO O'SCLOSE
HAZARDE
Parsgraph 8.2. - CONCEALMENT,
MISREPRESENTATION or FF.AUD ot SECTTONlV- BUSINESS AUTO CONDTTTONS - b deleted
and replac€d with hc following:
It you unintontionally fail to disclose any hsz8rds
axisting et th8 inc€ption dato of your policy, w€ wi
not void coverage undor thle Cov€rage Form
be6u6a of such lailure.
15. AUTOg REITED BY EIIPLOYEES
P8rsgraph B.5. - OTHER INSURANCE of
SECTION IV - BUSINESS AUTO CONDITIONS .
is amandod to add the fo{lowing:€. Any'euto' hired or rented by your,6mployeG'
on your bohalf and at your diroc-tion will be
considered an 'auto' you hira. lf an
'employss'8' parsonsl lnaur6nce also appli8s
on rn excesr baris to I covared ,auto' hired
or Gnt6d by yout'Gmployre' on your bch6lf
and al your dir€ction, thls lnsur€nce will be
primary to ihe "employ€€'6, personal
tnsuranco.
10. HIRED AUTO - COVERAGE TERRITCRY
Paragraph 8.7.b.(5). - pOL!Cy pERtOD,
COVERAGE TERRTTORY of SECTTON lV -zuSINESS AUTO CONDITTONS b dot€ted end
replaced Rith the lollorying:
(5) A covaBd 'auto' of thc private passenger
type is l6a66d, hired, rented or borro\{"d
without a ddver for a poriod of 45 days or
less; 8nd
17. RESULTA T ENTAL ANGUISH COVERAGE
ParEgraph C. of - SECTTON V - DEF|N|T|ONS is
dolstod end replsc.€d by the ,o owing:
'Bodily injury' mean8 bodily iniury, dckncss or
disBaso sustainsd by any porson, inctuding
msntal snguish or death as 0 rosutt oflhe .bodily
lnjuM sustslned by thal p€rson.
?4 t p'."--
Fon:1642-0292 (Rev. 11-16) page3of S'lncludeE copyrighted matedal o, tnsurancB Servlces Oftic6, lnc. vrith its p;rmission.
.'./: cl ar/JM8.Ex/u'.pFvFpol.L-l'r l.y.r x'n KeIIey I ro/6/.022 {rL5r:3 pM .pDr. p,qe 3 ot t2' .1 'cdl6 .an.els and sLpersedes ALL previoLslv rssJed :e-rrrrcdres.
POLICYNUMBER: 5a30s7a5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY INSURANCE FOR
SCHEDULED ADDITIONAL INSURED
This endorsement modifies insurance provided under the following:
COMMERCIAT GENERAL LIASIUTY COVERAGE PART
SCHEDUTE
Ri\€rside Conslruction Company. lnc.
Addltlonal lnsured:
WHERE REOUIRED BY WRITTEN COITIR,ACT
wlth respect only to the Additlonal lnsured and at
the Location Of Covered Operations shown ln the
Schedule, the following is added to SECTIOI{ lV -
COMMERCI.AL GENERAT TIABILTIY CONOMONS,
Paragraph 4.Other lnsuranceand supersedes any
provision to thecontrary:
Prlmary And Noncontrlbutory lnsuranco
This lnsurance is prlmary to and will not
seekcontribution from any other insurance
available to the Addltional lnsured wlth respect
to the Location Of Co\€red Operations shown in
the Schedule under thispollcyprovlded that:
1042-2461 (Ed. 7-151
'1016t2022
COMIIIERCIAL G ENERAL UABILITY
1042-21$1 (Ed. 7-r 5)
Lotation O{ Covered Operatlons:
Atr,! r,oclf,roNs
(lf no entry appears above, informatlon requlred to complete thls endorsement will be shown in the
Declaratlons as applicable to thls endorsement.)
lndud€s copyyightod m€lerlal of lnsuranc€ Servicss Offlcg, lnc.,
with its permisslon.
(11lhe Additlonal lnsured is a named
lnsuredunder such other insurance; and
(2) You have agreed in wrltlng in a contract
oragreement thal lhls insurance would
beprimary and would not seek
contributionfrom any olher lnsurance
avallabh to lheAdditlonal lnsured.
cdn.ers and 5upersedes ALt p!evroJsly lssued ce!rrtrcares.
P89€ I of '1
POLICYNUMBER: sa3osa63 COif MERCIAL AUTO
10-02.03't6 Ed. 10 r4
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NON.CONTRIBUTORY LIABILITY
INSURANCE
This endorsament modili8s insurence proMdsd under lha following:
BUSINESS AUTO COVERAGE FORM .
witr| -respscl. to coverage provid€d by this endorssment, the provislons of he covarage Form apply unlsssmodified by lhe endorsement.
This ondorsement changB tho policy efiBcliva on tho inoeption date of the policy unle$ another dste is indicatedbelow.
Named lnaured: Ri\€rsde Consltuclion Company, lnc.
Endorsoment Efreclive Datr: to/6/2022
SCHEDULE
Name(B) Of P.Eon(r) Or Organiza{on(3}: Where Roquired By Wrtttan Contr6d
lnformation red to com ete this Schedu16 if not shown aboy€will be shown in tha Declarations.
The following is sdded to ltem 5. -'oth.;ln3uranco' of llem B. -'Ganerel Condltlonr' under
Seclion lV - "Buslnssi Auto Condltlon.":
e. Regard,ess ol he proMsions ot Paragraph 5.s.
through d. above, for any liability arising out ot the
o\,vnership, maintonanca, uEo, rental, less6, loan, hir6
or borrowing by an 'insured'of a covor€d 'auto'for
which an 'insured' i8 conlracrtually obligaled to
provide primary lnsuranca covsrage to a cllent, this
Coverage Form lvill b€ primary and non-contributory
with r8spoct to the PsrsoN or Organizations in lhe
sch€dulo, regardless of the availability or exislonco of
other collectible insurance undor any other Cowrago
Fom or policy that applies on a primary basis-
10-02-0316 Ed, 10,t4
701?3t43 t 2?/,j Cr,/ALlUrlB/EXIWC/PROEPOLT,-1s! I.y.! I Krh XeIIey rO/6/202? 4:r5:23 pU lFm) I p.qe r0 of 12-5is 'orrrtr.d p r '.ls a1d 3upe.seoes ALt pcevrously rssueo certrfrcaIes,
Page 'l of I
Transfer Or Waiver Of Rights Of Recovery Against Others To Us
Ri\erside Construction Company, hc.
General Liability Policy: sr:osz+s
c, Mothod Of Sharlng
lt all of tle other lnsurance permlts conlributlon
by equal sharB, r,e will follow thls me.thod a!.so. Under this apfroach each lrcurer contrib-utes equal amounts until lt has psld its appll-
cable llmit of lnsurance or none of the i6ss
remalns, whlchever comes fir61.
ll any of the oher lnsurance does not p€mlt
contrlbullon by equal shsres, wB wlll contrlbuteby limlts. Under lhis mehod, each lnsure/s
share ls based on the ratio ol lts appllcsble llm-ll ot lnsursnce to the toEl appllcable limlts of
lnsurance ot all insureB.
5. Promlum Audlt
a. We will compute all premlums for lhls Cover-age Part ln a@ordance wl$ our rules and
rateS.
b. We may audit your books and records 6s hey
relale to thls insurance st any flme durlng the
term of this policl gnd up to three years sfrsr-wsrds.
c. The flrst Named lnsured must keep records of
the infurmstlon tve need tor premium cornpub-
llon, and send us coples al sudt Imes as n€
may requesl.
6. Raprrs.ntltlon3
By acceptlng thls pollq/, you sgree:
a. The stalements ln the Dedaratons te sccu-
rate and comdete:
b. Those stalemenls sre bssed upon r€paesenla-
tions you made to us: and
c. We have lssued thls policy In relisnce upon
your representatonS.
7. Soparatlon Of Imuiads
Except with respect lo lhe Llmib of lnsurance, and
any righb or dulles sp€ciflcally asslgned in thlg
Coverage Pad to the first Named lnsured, thls ln-
suranco spplies:
!. As if each Named lnsured were the only
Named lnsurcd; and
b. Separstely lo eadt lnsured sgainst whom
clalm is msde or "suil'b b.ought.
8. Tran3ter Or Walvor Of Rights Of Rocov.ry
Agalnrt OlhoE To U3
We will wEi\re the dghl of recovery $,e u,ould olh-
erwise ha\re had agalngl another person or organ-
lzatlon, for loss to which thls lnsuranco apdies,povlded the lnsured h8s wsirrEd trelr rlghts of re-covery agsinst such person or organi:G on ln 8contracl or sgreemenl thal b executed betore
such lo33.
Pago 12 of 16
141612022
To the extenl that the lnsured's rights to recover
all or part ol any paymenl made unter this Cover-
6ge Pan havr not been waived, those dghts ar€
tansfened to u3. The insured must do nothlng af-
ter loss to impalr them. At our Gquesl, the insured
will bring 'suil" or bansfer those rights to us and
help us enforc€ them.
Thls condlUon does not apply to Coverage C.
0, Whcn Wc Do Not Rsngw
lf lve decide not to renew this Coverage Part, wewill msll or deli\€r to the first Named lnsured
shor,l,rr in he Declarations written notlce of the
nonrenewal not less than 30 days belore the expl-
rallon dale.
lf notlce ls malled, proof of malling will be sufilcientpmof of notce.
SECTION V - DEFIT{ITIONS
1. 'Advertisement' means an electronic, oral, wrilten
or oher nolice, about goods, FoducB or services,
deslgned for the specific purpose of attracting thegenersl publlc or a specific market segment lo use
such goods, products or services.
'Adverllsement' does not include any e.mail ad-
dress, lntemel domain name or other electronic
address or meblanguage.
2. "Adverlislng injury' means lnjury, otherlhan'bodi-
ly lniury'. 'prop€rty damage' or'personsl iniury",
suslalned by a perEon or organlzadon and caused
by an offens€ of inkinging, in that particular parl of
your "sdverllsement' aboul your goods, producls
or servlces, upon their:
!. CopyrighEd 'advertbemert'; or
b. Reglstered collecfrve msrk, reglstered seMce
mart or ofier regislered tademarked name,
slogan, symbol or title.
3. 'A.sbesto6' means ssbeslos in any form, including
tE presence or use ln any alloy, by-p{oduct, com-
pound or other material or'waste'.
4. "Aulo' means:
!. A land motor vehicle, trailer or semltraller de-
signed for t'a\€l on publlc roads, including any
sttacfied madlinery or equipmenl; or
b. Any other land \€hicle hal is suuecl to I com-
pulsory or financial responsihility law or other
motor vehlcle lnsurance law ln lhe strate where
It is llc€nsed or principally gsraged.
However, 'aulo'does nol lnclude'moblle equlF
menl'.
5."Bodlly lnjury" means physical:
a. lnjury:
b. Slckness; or
c. Diseass;?9t P--
lncludes copyrighted materisl of ISO Pmperlies,
lnc., wlth lts permission
1412315A ?1/:1 CL/AL/Ut(BtEX/ttC/pRO??aLL-1sr r.y€! |(rn Grl.y I to/6/20r2 a:l5r?3 pN (pm)'rhis .errif,cate ca.cers a.d supersedes Atr platiousri' r;;;;i i.iit i i',ijii.! .
Form 10.,02.1800 (Rey. 6-09)
trEItrEI
MEMO
Ccrdficate Eolder
Namc & Address
Citv of Menifee
Atth: l\ilaroarita Corneio.FinancialServices Mdnboer29844 Haun Road
Menifee CA 92586
Should the abovc described policy be csncelled before the expiration date theroof, chaoge in
coveragc or reductiou of limits, wc will mril 30 days written notice to thc Certificste Holder
named above; except, 10 days notice for non-payment ofpremi 'm.
Sincerely,
?4 r0
10t6t2022
Managing Principal
(949) 4t7-9170
,,9000 Ma.Arthur Blvd., PH . lMne, CA 92612
Pr 949.263.ffO6 . Fr949.263.0906. CA Uc.nse 0829370
wy,vr.cdtewoodl nr.com
Ib:Whom it may conccrn
l'rom:Anthony D'Asaro
Named I nsured(s):ons n ompany,nc.
Policy Number(s):
Noticc of C8ncellatior
7D7?3753 jrl:r CrlAr,/UHS/EX/HC/PROEPOLr!-trt rayer Krr K.ILey | \A/6/2022 arr5rts px {pm) | tuq. i or plhis .6rfiricate cancets and supersedes al,! prenioustv' r'siuea iertrilCiie!.
81',o851%o 9'#B,o33u*,93652733
RE: