2022/03/31 SCS Engineers (4)ACORi}
CERTIFICATE NUMBER: 182COVERAGES 7
3131t2023
REVISION NUMBER
OATE (MM/OO/YYYY}
03t26t2022
THIS C€RTIFICATE IS ISSUEO AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTENO OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW-THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A COt{TRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE
OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: ll lhe certificale holder is an AODITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be en.torsed. tfSUBROGATIoN ls wAlVED, subject to the terms and condilions of the policy, c6rtain pollcles may require an endorsemenl. A statement on thiscertificate does not confe. rights to the cenificate hotder in tieu ot such endorsoment(s)
PRODUCER Locklon Insurance Brokers.LLc
CA License #0F15767
777 S. Figueroa Street, 52nd ll.
Los Angeles CA 90017
213-689-0065
Zurich American lnsurance Com an 16535lNsuRED scs Engineers
1500777 3900 Kihoy Airport Way, Ste 1oo
Long Beach, CA 90806-6816
IXSUR€R B: American Guarantee and Liab. lns. Co 26247
INSURER E
LrsrED aELow HAVE BEEN lssuEo ro rHE TNSURED NAMED ABaVE FoR -HE F -PERIOD INDICATED. NOTWITHSTANOING ANY REOUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WIIH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUAJECT TO
THIS IS TO CERTiFY THAT THE POLICIES OF INSURANCE
IES LII\,4ITS SHOWN T,!AY HAVE BEEN REDUCED BY PAID CLAiMSALL THF TFRMS FXCI IISIONS AND COND T ONS OF SL]'H POI I'
SUBFTYPE OF INSURANCE AODLINSD
E4CH OCCURRENCE s 5.000.000DAMAGE TO RENTEO
PREMTSFS rF:..i/rchre j s 1.000.000
MED EXP rAnv one oersonr s 25.000
PERSONAL A AOV INJURY s 2.000.000
GENERAL AGGREGAIE $ 10,000.000
PRODUCTS , COMP/OP AGG $ '10,000.000
B COMMERCIAL GENERAL LIAAILITY
GEN'L AGGREGATE LIMIT APPLIES PER
X
X X
X
CLAIMS MAOE
LOC
OTHER
JECT
Y N
GLO 0112778-07 03t31t2422 43131t2423
$
L]MIT $ 1,000,000
BODTLY INJURY (Per pe6on)$ XXXXXXX
BOD LY INJURY (Per accide.t)$ XXXXXXX
$ xxxxxxx
B AUTOMOBILE LIABILITY
OWNED
AU-TOS ONLYHIREDAUTOS ONLY
SCHEOULEO
NON.OWNEOAUTOS ONLY
x
Y N
04to112022 04t0112023
$ xxxxxxx
EACH OCCURRENCE $ XXXXXXX
EXCESS LIAB LAIMS MAOE AGGREGAIE $ XXXXXXX
DEO RETENTION $
NOT APPLICABLE
$
X
$ 1,000,000
E L D]SF:ASE - EA EMPLOYEE s 1,000,000
WORI(ERS COMPEI.IgATION
AI{D EMPLOYERS' LIA6ILITY
OFFICERMEMSER €XCLUOEO'N Y
w c01 12779-07 04t0112022 04ta112023
E L D SEASE POL CY L]IiI I s '1,000.000
Env Prof (EEO)- Prof Lrab- Claims Made N N
PEC 0112862 06 03131t2A22 03i 31/202:Per Claim: $1,000.000Aggregatei $1.000,000
OESCRIPTION OF OPEaATIONS / LOCATIONS / VEIIICLES (ACORD 1o'l,Addftio.al R.mlrtr Sch.dul.. m.y b..tt!ch.d ll mor.p.c. t. rcquirud)
lnsu.ed und6r said conrrcl
CERTIFICATE H CANCELLATION ee
o'1988-20't5
me
o o
SHOULO ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORETHE EXPIRAIION OATE THEREOF. NOTICE wlLL BE OELIVEREO IN
ACCOROANCE WITH THE POLICY PROVISIONS.
18259497
City of Menifoe
Atln: Allen Yun
29714 Haun Road
Menifee, CA 92586 Wr
AIJTHORIZEO REPRESENTATIVE
ACORD 25 (2016/03)ORATION. All rights reserved
CERTIFICATE OF LIABILITY INSURANCE
BAP 0112780-07
B
The ACORD name and logo are registered marks of ACORD
Lockton lnsurance Brokers, LLC
725 S. Figueroa Street 35th Fl.
Los Angeles, CA 90017
li,\ill,.rtrI
ffi
2oz #10 Q08738 - 1498 5092
CITY OF MENIFEE
29844 HAUN RD
MENTFEE CA 92586-6539
trlI t,llrtr. Irr|||r,r||,III||IL.||LIIIIII|, |, | |L I I||, |||I|, ||
AttacMlfirdfifiqEl"BltryEf; f8ggE"te rD : 1 825e4e7
City of Menifee
Attn: Allen Yun
29714 Haun Road
Menifee,, CA 92586
To whom it may concern:
ln our continuing effort to provide timely certificate delivery, Lockton Companies is
transitioning to pope ess delivery of Certificates of Insurance, thus this is your final
hard-copy delivery.
To ensure electronic delivery for future renewals of this certificate, we need your email
address. Please contact us via one of the methods below, referencing Certificate lD
18259497
. Email: LACertse Delivery@lockto n.com. Phone: (213) 334- 4669
lf you received this certificate through an internet link where the current certificate is
viewable, we have your email and no further action is needed.
ln the event your mailing address has changed, will change in the future, or you no
longer require this certificate, please let us know using one of the methods above,
The above [nbox ond phone number is for outomoting electronic delivery of ceftiftcotes only.
Pleose do NOT send future ceftiftcote requests to this inbox or contoct the phone number
below with emaiL updates.
Thank you for your cooperation and willingness in reducing our environmental footprint
Lockton Companies
777 South Figueroa Street Los Angeles, CA 90017
ro(xrcil
t6+
Lockton Companies
L
Attachment Code : D568466 Certilicate lD : 18?59497
Attachment Code : D603900 Certificate lD : 18259497
Additional Insured - Automatic - Owners, Lessees Or
Contractors
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifes insurance pror,ided under the
Commercial General Liability Coverage Part
A. Section ll - Who ls An lnsured is amended to include as an additional insured any person or organization wtom you
are required to add as an additional insured under a written contract or written agreement executed by you, but only
with respect to liability for "bodily injury", "property damage" or "personal and ad\ertising injury" and subject to the
following:
1. lf such witten contract or written agreement specifically requires that you pro\ide that the person or organization be
named as an additional insured under one or both of the following endorsements:
a. The lnsurance Sendces Ofice (lSO) ISO CG 20 10 (10/01 edition); or
b. The ISO CG 20 37 (10i0'l edition),
such person or organization is then an additional insured with respecl to such endorsement(s), but only to the
extent that "bodily injury", "property damage" or "personal and ad\ertising injury" arises out ot
(1)Your ongoing operations, with respect to Paragraph 1.a. abo\e; or
(2) "Your work", with respect to Paragraph 1.b. abo\,e,
which is the subject of the written contract or written agreement.
Howerer, solely with respect to this Paragraph 1., insurance afforded to such additional insured:
(a) Only applies if the "bodily injury", "property damage" or "personal and adrertising injury" offense occurs
during the policy period and subsequent to your execulion of the witten contract or written agreement;
and
(b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the
"products-Completed operations hazard" unless the written contract or written agreement specifically
requires that you pror,ide such co\€rage to such additional insured.
2. if such written contract or written agreement specifically requires that you provide that the person or organization be
named as an additional insured under one or both of the flllowing endorsements:
a. The lnsurance Se^,ices Office (lSO) ISO CG 20 10 (07/04 edition); or
b. The ISO CG 20 37 (07/04 edition),
such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent
that "bodily injury", "property damage" or "personal and ad\ertising injury" is caused, in whole or in part, by:
(1) Your acts or omissions, or
(2) The acts or omissions of those acting on your behall
rJ:;E
BT.E
Policv No. GLO 0112778-07 Effecti\,e Date: 031 31 I 2022
hcludes copyrighted nEterialof lnsurance Se.vices Office, lnc., w ith its per.riss'on
GGL-2162-A C1,V (02l'19)
Page 1 of 4
Attachment Code : D603900 Certificate lD : '18259497
in the performance of:
(a) Your ongoing opeftttjons, with respect to paragraph 2.a. abow; or
(b) "Your work" and included in the "products-completed operations hazard", with respect to Paragraph
2.b. abo\e,
lvhich is the subject of the written contract or written agreement.
Howe\€r, solely with respect to this Paragraph 2., insurance afforded to such additional insured:
(i) Only applies if the "bodity injury", "property damage,' or ,'personal and ad\ertising injury,, ofiense
occurs during the policy period and subsequent to your execution of the written contract or written
agreementi and
(ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included withinlhe "products-completed operations hazard" unless the written contracl or written agreement
specifically requires that you proude such co\erage to such additional insured.
3. lf neither Paragraph '1. nor Paragraph 2. abo\e apply and such written contract or written agreement requires thatyou pro\,ide that the person or organization be named as an additional insured:
a. UnderthelSOCG20 10 (04/13 edition, any subsequent edition orif noedition date is specifed); or
b. With respect to ongoing operations (if no form is specifed),
such person or organization is then an addjtional insured only to the extent that "bodily injury", "property damage,'or "personal and ad\ertising injury" is 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, which is the subject of the wlitten contract or written agreement
Howe\er, solely with respect to this paragraph 3., insurance afforded to such additional insured:
(a) Only applies to the extent permitted by taw;
(b) Will not be broader than that which you are reguired by the written contract or written agreement topro\,ide for such additional insured; and
(c) Only aPplies if the "bodily injury", "property damage" or "personal and adrertising injury" offense occurs
during the policy period and subsequent to your execution of the written contract or written agreement.
4. lf neither Paragraph 1. nor Paragraph 2. abo\e apply and such written contract or written agreemenl requires thatyou proUde that the prson or organization be named as an additional insured:
a. Under the ISO CG 20 37 (04/13 edltion, any subsequenl edition or if no edition date is specifed); or
b. With respect to the "productsrompleted operations hazard,, (if no form is specified),
such person or organization is then an additional insured only to the extent that "bodily injury" or,'propertydamage" is caused, in whole or in part by "your work" and included in the "products-comfte[ea operatoni
hazard", which is the subject of the written contract or writen agreemenl.
Howe\er, solely with respect to this Paragraph 4., insurance afforded to such additional insured:
(1)Only applies to the extent permitted by law;
(2) Will not be broader than that which you are required by the written contract or written agreement lopro\,ide for such additional insured;
(3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent loyour execution of the written contract or written agreement; and
(4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the
"products-comPleted operations hazard" unless the written contract or wrilten agreement specificallyrequires that you pro\,ide such co\erage to such additional insured.
lncludes copyrllhted riaterialof lnsurance Services Office, lnc., w ith its pernission
L!GL-2162-A CW (02l19)
Fhge 2 ol 4
Attachment Code : D603900 Certiflcate lD : 18259497
B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. ofthis endorsement, the
following additional exclusion applies:
This insurance does not apply to "bodily injury", "property damage" or "personal and ad\,ertising injury" arising out of
the rendering ol or failure to render, any professional architectural, engineering or suneying senices including:
'1. The preparing, approving or failing to prepare or appro\,e maps, shop drawings, opinions, reports, suneys, field
orders, change orders or drawings and specifcations; or
2. Supervisory, inspection, architectural or engineering acti\rities.
This exclusion applies e\en if the claims against any insured allege negligence or other wrongdoing in the supenision,
hiring, employment, training or monitoring of others by that insured, if the "occunence" which caused the "bodily in]ury"
or "property damage", or the offense which caused the "personal and ad\ertising injury", in\ol\ed the rendering of or
the failure to render any professional architectural, engineering or suneying senices.
C. Solely with respect to the co\€rage provded by this endorsement, the following is added to Paragraph 2. Duties ln The
Event Of Occurrence, Ofiense, Claim Or Suit of Section lV - Commercial General Liability Conditions:
The additional insured must see to it that:
(1) We are notifed as soon as praclicable of an "occunence" or ofiense that may result in a claim,
(2) We receiw written notice of a claim or "suit" as soon as practicable; and
(3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by
another insurer under lvhich the additional insured may be an insured in any capacity. This pro\iision does not
apply to insurance on which the additional insured is a Named lnsured if the written conlract or wlitten
agreement requires that this co\erage be primary and non-contributory.
D. Solely with respect to the co\€rage provded by this endorsement:
1. The bllowing is added to the Other lnsurance Condition of Section lV - Commercial General Liability
Conditions:
Primary and Noncontributory insura nce
This insurance is primary to and will not seek contribution fom any other insurance a\ailable to an additional
insured pro\,ided that:
a. The additional insured is a Named lnsured under such other insurance; and
b. You are required by witten contract or written agreement that this insurance be primary and not seek
contribution tom any other insurance a\ailable to the additional insured.
2. The following paragraph is added to Paragraph 4.b. of the Other lngrrance Condition under Section lV -Commercial General Liability Conditions:
This insurance is excess o\er:
Any of the other insurance, whether primary, excess, contingent or on any other basis, a\ailable to an
additional insured, in which the additional insured on our policy is also co\€red as an additional insured on
another policy pro\,iding co\,erage for the same "occunence", offense, claim or "suit". This pro\,ision does not
apply to any policy in which lhe additional insured is a Named lnsured on such other policy and lvhere our
policy is required by a written contract or written agreement to provde co\erage to the additional insured on a
primary and noncontributory basis.
E. This endorsement does not apply to an additional insured which has been added to this Co\erage Parl by an
endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies
specifcally to that identified additional insured.
F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this
endorsement, the following is added to Section lll - Limits Of lnslrance:
Additional lnsured - Automatic - Ownerq Lessees Or Contrac{ors Limit
The most we will pay on behalf of the additional insured is the amount of insurance:
r!;frtflft
lncludes copyflghted rnalerial of lnsurance Services Office, lnc . w ith ils permiss on
u-GL-2162-4 CW (02/1S)
l%ge 3 of 4
Attachment Code : D603900 Certificate lD : 18259497
'1. Required by the written contract or written agreement referenced in Section A of this endorsement; or
2. Awilable under the applicable Limits of tnsurance shown in the Declarations,
whiche\er is less.
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
All other terms, conditions, provsions and exclusions of this policy remain the same
lncludes copyrighled nEterial of lnsurance Services Office, lnc., w ith its pernission
u-GL 2162-A CW (02/19)
l%ge 4 of 4
Attachment Code : D60391 8 Certificate lD : '18259497
POLICY NUMBER: BAP 0112780-07 COMMERCIAL AUTO
cA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifes insurance proVded under the following
With respect to co\erage pro\,ided by this endorsement, the pro\,isions of the Co\erage Form apply unless
modified by this endorsement.
This endorsement identifes person(s) or organization(s) who are "insureds" for Corered Autos Liability Co\,erage
under the Who ls An lnsured pro\,ision of the Cowrage Form. This endorsement does not aller co\erage
provided in the Cowrage Form.
This endorsement changes the policy effecti\€ on the inception date of the policy unless another date is indicated
below.
SCHEDULE
Name Of Person(s) Or Organization(s):
Any person or organization to whom or which you are required to pro\iide additional insured status or addilional
insured status on a primary, non-contributory basis, in a written contract or written agreement executed prior to
loss, except where such contract or agreement is prohibited by law.
lnformation required to complete this Schedule, if not shown abore, will be shown in the Declarations
Each person or organization shown in the Schedule is
an "insured" for Co\Ered Autos Liability Co\erage, but
only to the extent that person or organization qualifies
as an "insured" under the Who ls An lnsured
provsion contained in Paragraph A.1. of Section ll -Corcred Autos Liability Co\€rage in the Business
Auto and Motor Canier Co\erage Forms and
Paragraph D.2. of Section I - Co\ered Autos
Co\€rages of the Auto Dealers Corerage Form.
[:#ul+
cA 20 48 10 13 @ lnsurance Senjces Ofrce, lnc.,2Q1'l Page 1 of 1
Wollers (luw er Frnanclal Servces I Llniform Forns'*
AUTO DEALERS COVERAGE FORI\,4
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
Named lng:red: Steams, Conrad and Schmidt, Consulting Engineers, lnc.
Endorsement Effective Date: 0410112022
Attachment code : D603918 Certificate tD : 18259497
Attachment Code : D603915 Certificate lD : 18259497
WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY
wc 04 03 06 (Ed. 4-84)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT_
CALIFORN!A
This endorsement changes the policy to which it is attached effecti\,e on the inception date of the policy unless a
difierent date is indicated below.
(The follow ing "attaching clause need be conpleted only whenthis endorsenEnl is issued subsequent to preparation of the policy.)
t,,.+t:]ts
This endorsemenl, efiecti\,e on: 0410112022
Policy No. WC011277947
of the: ZJrich American lnsurance Company
at 12:01 A.M. standard time, brms a part of
Endorsement No.
issued to: Steams, Conrad and Schmidt, Consulting Engineers, lnc
Premium (if any) $
We ha\e the right to reco\er our payments tom anyone liable for an injury co\ered by this policy. We will not
enforce our right against the person or organization named in the Schedule. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement fom us.)
You must maintain payroll records accurately segregating the remuneration ofyour employees while engaged in
the work described in the Schedule.
The additional premium for this endorsement shall be % of lhe Califomia workers' compensation pre-
mium otheMise due on such remuneration.
Schedule
Person or Organization Job Description
ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE AGCIDENT OR LOSS, THAT WAIVER OF
SUBROGATION BE PROVIDED UNDER THIS POLICY FOR WORK PERFORMED BY YOU FOR THAT
PERSON AND/OR ORGANIZATION
wc252 (4-84)
wc 04 03 06 (Ed. 4-84)l%ge 1 of 1