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2022/03/01 Roadway Engineering & Contracting Inc.ACORD ROADENG-OI CERTIFICATE OF LIABILITY INSURANCE DAIE (MII!/DD/YYYY) 3t3t2022 THIS CERTIFICATE IS ISSUEO 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 AFFOROED BYTHEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER. IMPORTANT: lf the certlflcate holder ls an ADDITIONAL INSUREO, the policy(ies) must have ADDITIONAL INSURED provislons or bo endorsed.lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certaln policies may requirc an endorsement. A slatement on this certificate does not cohfer rights to the certificate holder in lleu of such endorsornent(s). pRooucER Liconse # 0C35661 lnland Empiro-Alliant lnsuranco Servicos, lnc 665 Carnegle Or Ste 265 San Bornardlno, CA 92408 fi9lE4cr Christina M Mountz lI8,*,F., ."r, (eoe) 886'9861 EilHEss cmountz@alliant.com INSURER(S) AFFORDING COVERAGE nrsunen r, Greenwich lnsurance Company rNsuRER E,XL Specialty lnsurance Company tNsuRER c :Everest Premier lnsurance company [il, r"r,(soe) 886.2013 INSIJRED 22322 37885 16045Roadway Enginooring & cont.acting lnc '10966 Banana Avs Fontana, CA 92337 INSURER D INSURER E INSURER F covE s ICATE N R: NPC100450901 POLICY EFF POLICY EXP 311t2022 31112023 REVISION NUMBER EACH OCCURRENCE 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 REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCU[,1ENT 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 REOUCED 8Y PAID CLAIMS, L SUBRTYPE OF INSURANCE A X couusacnr cENERAL LraBrLrrY CLATMS-MADE X occuR XX $5,000 PD ded/Occ GEN'L AGGREGATE LIMIT APPLIES PER eoLrcv X !ffi Loc OTHER: B AUTO OAIIE I.IABILITY X exv auro OWN€O AUTOS ONLYX lFrbo.o"," x X 11,000 comp D6d X X NBA-I004510-01 NEC-6006403-0'l 76000t735522'l OAMAGE TO RENTED PREMISES (Ea occurBnco) MEo ExP (Aiy one p€6on) PERSONAI A ADV INJIJRY GENERAI AGGREGATE PRODUCTS COMP/OPAGG EBL AGGREGATE $ $ I $ I I $ 1,000,00r 100,00r 5,00r 1,000,00r 2,000,00( 2,000,00( 1,000,00r SCHEOULEOAUTOS NON.OWNEOAUTOS ONLY $1,000 CollOed 3t1t2022 311t2023 3t112022 31112023 3t1t2022 COMSINEO SINGLE LIMIT 8OO LY INJURY (Per pe6on) BODILY INJURY (P.r aeident) PROPERry DAiIAGE 't,000,00r xAUMBRELLA LIAB X E(cEss LrAB OCCUR CTAIMS.MAOE 0oeo X RETENTION $ C woRxERs coMPENsaloNAiIO EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUIIVEOFF CER/MEMBER EXCLUDEO?(Mandrlory ln NH) lryes des'be u.der OESCRIPTIoN OF OPERATTONS below AGGREGATE OYer GUAUEL W PER^ SIATUTE I3t112023 Fl E L DISEASE EA EMPLOYEE $ EL DISEASE POLICY LIMIT I EACH OCCURRENCE 5,000,00( 5,000,00r 1,000,00r 1,000,00r 1,000,00r OTHER N OESCRIPTION Of OPERATIONS / LOCATIONSI VEHICLES (ACORD 10r, Add'r,on.lR.mdris Sch.dul. may b. ahach€d i, moro spacs is.oquirod) Re: 1165 - city of Menifee, Perris High School No. ,l - cAT28 offsite Street lmprovements City of Menilee is addition.l insureds as respects to general laability per endorsoments atlach€d; additional insureds as respecb to auto liability per endorsements attached. City of Menilee 29844 Haun Road Menifee, CA 92586 E HOLDER ELLAT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAI{CELLED BEFORE THE EXPIRATION OATE THEREOF, NOTICE WLL BE OELIVEREO II{ ACCORDANCE wlTH THE POLICY PROVISIONS. AUI}IORIZED REPRESENTATTVE fu I l*^--- ACORD 25 (2016/03)O 1988-2015 ACORD CORPORATION. All rights reserved rWAN( POLICY NUMAER s I $ $ $ t THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 1T CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This ondorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE POLICY NUMBER: NPClOO4 50901 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 aftorded to such additional insured only applies to the extent permjtted 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. Name Ot Additional lnsured Person(s) Or Organization(s)Location(s) Of Coverod Operations Blanket as required by wrj-tten contract Blanket as required by writsten contract lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations cG 20 1012 19 O lnsurance Services Office, lnc., 2018 Page 1 of 2 COMMERCIAL GENERAL LIABILITYcc 20 10 12.t9 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 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. C. 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 insurance; whichever is less. This endorsement shall not increase tho applicable limits of insurance. Page 2 ot 2 @ lnsurance Services Oftice, lnc., 2018 cG 20 10 1219 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 PRODUCTS/COMPLETED OPERATIONS LIABILIry COVERAGE PART SCHEDULE POLICY NUMBER: NPC IOO45O9O 1 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 iniury" 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: l. 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. COMMERCIAL GENERAL LIABILITY cG 20 37 1? 19 B. With resDect to the insurance affordedadditional insureds, the following is Section lll - Limits Of lnsurance: lf coverage provided to the additional insured is required by a contracl or agreemenl, 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. to theseadded to Name Of Additional lnsured Person(s) Or Organization(s)Location And Description Of Completed Operations Blanket as required by written conEract lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations cG 20 37 12 19 @ lnsurance Services Offlce, |nc.,2018 Page 1of 1 Blanket as required by written contract POLICY NUNiIBER: NBA-1 00451 0-01 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XL PLUS BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM COVERAGE DESCRIPTION Tomporary Substitute Auto Physical Damago Who ls An lnsuied 1. Broad Form lnsured 2. Employees As lnsureds 3. Addltional lnsured By Contract, Agreement or Permit 4. Employee Hired Autos Supplementary Payments Amended Fellow Employee Exclusion Physical Damage Coverage 1. Rental Reimbursoment 2. Extra Expense - Broadened Coverago 3. Personal Effects Coverage 4. Lease Gap 5. Glass Repair - Waiver Of Deductible Physical Damage Coverage Extensions 1. AdditionalTransportationExpense 2. Hired Auto Physical Damage Business Auto Conditions 1. Notice Of Occurrence 2. Waiver Of Subrogation 3. Unintentional Failure To Disclose Hazards 4. Primary lnsurance Bodily lnjury Redefined Extended Cancellation Condition @ 2013 X.L. America, lnc. All Rights Reserved. May not be copied without permission. lncludes copyrighted material of lnsurance Services Office, lnc., with its permission A B c D E H t. F G xlc 421 1013 xic 421 1013 Page 1 of 6 A. Temporary Substitute Auto Physical Damage SECTION l- COVERED AUTOS, C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos is changed by adding the following: lf Physical Damage coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physical Damage coverage: Any "auto" you do not own while used with the pelmission of its owner as a temporary substitute for a covered "auto" you own that is out of service because of its: Breakdown; Repair; Servicing; "Loss'; or B.Who ls An lnsured SECTION ll - COVERED AUTOS LlABlLlry COVERAGE, A. Coverage, 1. Who ls An lnsured is changed by adding the following: 1 a, b. c. d. e. 1 Broad Form lnsured For any covered 'aulo", any subsidiary, affiliate or organization, other than a partnership or joint venture, as may now exist or hereafler be constituted over which you assume active management or maintain ownership or majority interest, provided that you notify us within ninety (90) days from the date that any such subsidiary or affiliate is acquir€d or formed and that there is no similar insurance available to that organization. However, covorage doos not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization. Employees As lnsureds Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow, in your business or your personal affairs. 3.Additional lnsured By Contiact, Agreement Or Permit Any person or organization with whom you have agreed in writing in a contract, agreement or permit, to provide insurance such as is provided under this policy, provided that the ''bodily injury' or "property damage" occurs subsequent to the execution of the written contract, agreement or permit. 4.Employee Hired Autos 2. @ 2013 X.L. America, lnc. All Rights Reserved. May nol be copied without permission. lncludes copyrighted material of lnsuranc€ Services Office, lnc., with its permission xtc 42't 1013 Page 2 of 6 Destruction. An "employee" of yours is an "insured' while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. SECTION lV - BUSINESS AUTO CONDITIONS, B. ceneral Conditlons, 5. Other lnsurance, b. is replaced with the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos' you own: (1) Any covered "aulo" you lease, hire, rent or borrow; and l2l Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your pormission, while performing duties related to the conduct of your business. However, any "aulo" that is leased, hired, rented or borowed with a driver is not a covered "auto'. C. Supplam€ntaryPayments SECTION ll - COVERED AUTOS LIABILITY COVERAGE, A. Coverage,2. Coverage Extensions, a. Supplementary Payments is changed as follows: Item (2) is deleted and replaced by the following: (21 Up to $3,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accidenl" we cover. We do not have to furnish these bonds. Item (4) is deleted and replaced by the following: (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of eamings up to $500 a day because of time off from work. D, Amended Fellow Employe€ Exclusion SECTION ll - COVERED AUTOS LIABILITY COVERAGE, B. Excluslons, 5. Fellow Employee does not apply. The insurance provided under this Provision D. is excess over any other collectible insurance. E. Physical Damage Coverage SECTION lll - PHYSICAL DAMAGE COVERAGE, A. Coverage is changed by adding the following: 1. Rental Reimbursement We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" because of ''loss" to a covered "aulo". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered'auto". No deductibles apply to this coverage. We will pay only Ior those expenses incurred during the policy period beginning twenly-four (24) hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: O 2013 X.L. America, lnc. All Rights Reserved. May not be copied without permission. lncludes copyrighted material of lnsurance Services Office, lnc., with its permission a xtc 421 1013 Page 3 of 6 b. (1)The number of days reasonably required to repair or replace the covered "auto". lf "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered 'auto" and return it to you. (2) Thirty (30) days. Our payment is limited to the lesser of the following amounts (1) Necessary and actual expenses incurred. 12) $50 any one day per pivate passenger "aulo"; $100 any one day per truck; $1,500 any one period per private passenger "auto"; $3,000 any one period per truck; or Higher limits if shown elsewhere in this policy. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. e lf "loss" results from the total lheft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the Physical Damage Coverage Extension. 2. Extra Expense - Broadened Coverage We will pay for the expense of retuming a stolen covered 'auto" to you 3.Personal Effects Coverage lf you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $500 for "personal effects" stolen from the "auto". As used in this endorsement, "personal effects" means tangible property that is worn or canied by an "insured". "Personal effects" does not include tools, jewelry, money or securities. Lease Gap ln the event of a total "loss" to a covered'auto" shown in the Oeclarations, we will pay any unpaid amount due on the lease or loan for a covered 'auto", less: a. The amount paid under the Physical Damage Coverage Section of the policy; and c d 4 b Any: (1) 12) (3) (4) (s) O 2013 X.L. America, lnc. All Rights Reserved. May not be copied without permission. lncludes copyrighted materialof lnsurance Services Office, lnc., with ils permission Overdue lease/loan payments at the time of the "loss"; Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; Security deposits not returned by the lessor; Costs for extended wananties, Credit Life lnsurance, Health, Accident or Disability lnsurance purchases with the loan or lease; and Carry-over balances from previous loans or leases. xtc 421 1013 Page 4 of 6 F 5. Glass Repair - Walver Of Deductlble No deductible applies to glass damage if the glass is repaired rather than replaced. Physical Damage Coverage Extensions SEGTION lll - PHYSICAL DAMAGE COVERAGE, A. Covorage, 4. Coverago Extansions is amended by the following: 1. AddltlonalTransportationExponse Sectlons a. and b. are amended to provide a limit of $50 per day and a maximum limit of $1,000. 2. Hired Auto Physical Damage The following section is added: Any "auto' you lease, hire, rent or bonow is deemed to be a covered "aulo" for physical damage coverage. The most we will pay for each covered "auto" is the lesser of: (1) the actual cash value; l2l the cost for repair or replacement; or (3) $50,000, or higher limit if shown on the Declarations for Hired Auto Physical Damage Coverage. For each covered "auto" a deductible of $100 for Comprehensive Coverage and $1,000 for Collision Coverage will apply. Business Auto Conditions SECTION lV - BUSINESS AUTO CONDITIONS, A. Loss Conditions is changed by the following: '1. Notlce Of Occurrence Section 2. - Duties ln The Event Of Accident, Claim, Suit Or, Loss, a. is changed by adding the following: G 2. lf you report an injury to an "employee'' to your workers' compensation carrier and if it is subsequently determined that the injury is one to which this insurance may apply, any failure to comply with this condition will be waived if you provide us with the required notice as soon thereafter as practicable after you know or reasonably should have known that this insurance may apply. waiver Of Subrogation Section 5. Transfer Of Rights Of Recovery Against Others To Us is changed by adding the following: However, this Condition does not apply to any person(s) or organization(s) with whom you have a written contracl, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under such contract with that person or organization. xtc 421 1013 Page 5 of 6O 2013 X.L. America, lnc. All Rights Reserved. May not be copied without permission. lncludes copyrighted material of lnsuranc€ Services Office, lnc., with its permission H SECTION lV - BUSINESS AUTO CONDITIONS, B. General Conditions is changed by the following: 3. Unintentional Failure To Disclose Hazards The following condition is added: Your unintentional failure to disclose all hazards as of the inception date of the policy shall not prejudice any insured with r€spect to the coverags afforded by this policy. 4. Primary lnsurance Condltlon 5. Other lnsuranc6 is changed by adding the following: For any covered "auto" this insurance shall apply as primary and nol contribute with any other insurance where such requirement is agreed in a written contract executed prior to a'loss". Bodily lnjury Redefined SECTION V - DEFINITIONS, C. "Bodily injury" is replaced by the following: "Bodily iniury" means bodily injury, sickness or disease sustained by a p€rson including menlal anguish, mental injury, shock, fright or death resulting from any of these at any time. Extended Cancellation Condition COMMON POLICY CONDITIONS (Form lL 00 17), A. Cancellation, 2.b. is replaced by the following: The greater of sixty (60) days or lhe time required by any applicable state amendatory endorsement before the effective date of cancellation if we cancel for any other reason. All other terms and conditions of this policy remain unchanged O 2013 X.L. America, lnc. All Rights Reserved. May not be copied without permission. lncludes copyrighted material of lnsurance Services Office, lnc., with ils permission xtc 421 'to13 Page 6 of 6 t.