2022/07/07 TNT Blanchard General Engineering, Inc.A,CORD TNTBLAN.Ol
CERTIFICATE OF LIABILITY INSURANCE 6t2712022
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, EXTEND OR ALTER THE COVERAGE AFFOROED BYTHEPOLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO
REPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the cortificat€ holder is an ADoITIONAL INSURED, the policy(ies) must hav€ ADOITIONAL INSURED provisions or be endorsed.lf SUBROGATIoN lS wAIvED, subject to the t6rms and conditions ofthe policy, cq.tain policios may require an endorsement. A statoment on
lhis certificate doos not confer rights to the ce(ificate holder in li6u of such endorsement(s).
11673
668-2385 115619
lllsuRE R(S) AFFORDING COTVERAGE
lllsuRERA:Gemini lnsurance company
(a/C, No)
rNsuRER c : Redwood Fire & Casual
TNsuRERB Financial Pacific lnsurance Company
cl Janna Mccowan, CISR Elite
jmccowan@teagueins.com
pRooucER License # 0525512
Teague ln6urance Agency, lnc.i1700 Spring St., ,1400
La Mesa. CA 91942-0275 l- *",
10833
31453
TNT Blanchard General Engineering, lnc
46750 Rainbow Canyon Road #O
Tomecula, CA 92592
o ERAG ES ERTI R EVI NN MBER
THIS IS TO CERTIF/ THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEOTOTHE INSUREO NAMEDABOVE FORTHE POLICY PERIOD|NDICATEO NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECTTO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFOROED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE IERMS,
EXCLIJSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIO CLAIMS,
LIMITSPOLICY EFF POIICY EIP
60507437 71712022
AX
X VCGP027403 't213012021 12t30t2022
TB
1,000,000
717 t2023
COIIMERCIAL GE ERAL LIAAILITY
CLAIMS-MADE X occuR
SCHEDULEOAUTOS
NON.OWNEDAUTOS ONLY
1,000,000
50,000
Excluded
1,000,000
2,000,000
2,000,000
B ruroroare .,ra,.rv
X aNy AUro- owNEoAIITOS ONI Yf- xrneo I
^UTOS
ONLY
EASLqcluSaqucE l$
DAMAGE TO RENTEO IPREMISES (Ea occutr6&91 I $
IiLED EXP(A!! oltolslson) L$
eE8so]!r. qaor4,NJuBY ls
PSqSUSIS :COUPr'OP AGG IT
r
COMBINEO SINGTE LfiIT(Ea accdrnL) __
@orLY_!$iU-RItEer,!9E9tL
EQqL-Y-IIUEY iEer!@elA
OCCUR
CLAIMS.MADE
RETENTION$
EACH OCCURRENCE
EXCESS LAA
DEO
WORKERS COMPENSATIONANO E MPLOYEES' LIA6ILITY
ANY PROPRIETOR/PARINERT€XECUTIVE
OFF CER/MEMBER E^CLLJDEDA
TNW
v PER OIH- I
^ STATL'TE ERc3271627 t712022
1,000,000
c
$N
71712023 EL EAc, accrDENr
E L DISEASE. POL CY LIMIT $
1,000,000
1,000,000
lf v€s doscnb. und6rDEscRrptroN oF oPFRATToNs hor*
OESCRIPIION OF OTERAIIO\S, LOCATIO\S. VEHTCLES {ACORD 101. A6d'l'on.l R.marls Schedul.. m.v be.lE.h.d,l mor..o... 'r r.ou'r.dlCity of Menifee is included when requir6d by willen conlracl/agreement as additionil insured for ongoing and completed operations with rcspects to thogen6ral llabllity, per forms attached.
City of Monifee
298{4 Houn Road
Menifee, CA 92586
AUTHORIZED REPRESEIITATIVEfrlw llouturu
ERTIFI CANCELLATION
O'1988-2015 ACORO CORPORATION. All rights reserved
The ACORD name and logo a.e registered marks of ACORO
ACORD 25 (2016/03)
I|I!'L AGGREG4]E LIMIT APPLIES PER
]coLrcv X ![p; Loc
.L
AGGREGATE ] $
E L OISEASE. EA EMPLOYEE $
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION OATE THEREOF, NOTICE WLL BE DELIVEREO INACCORDANCE wlTH THE POLICY PROVISIONS.
Policy Number: VCGP027403
lnsured Name: TNT Blanchard General Engineering, lnc.
Number:37
cG 20 37 1219
Effective Date: 1 213012021
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
Schedule
Name Of Additional lnsured Person(s)
Or Organization(s)
Location And Oescription Of
Completed Operations
Any person or organization when you have agreed in
a written and executed contract, prior to an
"occurrence", that such person or organization be
added as an additional insured on your policy.
All locations and completed operations for
which you have agreed in a written and
executed contract prior to an "occurrence.'
Information 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 respeet 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 endorsementperformed 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 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
insu red.
AII other terms and conditions of this Policy remain unchanged
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 agreement; or
2. Available under the applicable limlts of
insurance:
whichever is less.
This endorsement shall not increase theapplicable limits of insurance.
@ lnsurance Services Office, lnc., 2018cG 20 37 ',tz 19 Page 1 of 1
Policy Number: VCGP027403
lnsured Name: TNT Blanchard General Engineering, lnc.
Number:34
cG 20 1012't9
Eff ective Date i1 21 30 12021
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS _ SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
Commercial General Liability Coverage Part
Schedule
Name Of Additional lnsured Person(s)
Or Organization(s)Location(s) Of Covered Operations
Any person or organization when you have agreed in
a written and executed contract, prior to an
"occurrence", that such person or organization be
added as an additional insured on your policy.
All locations for which you have agreed in a
written and executed contract prior to an
"occurrence."
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
for the 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.
cG 20 10 12 19 O lnsurance Services Office, lnc., 2018 Page 1 of 2
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 organizationother 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, lhe 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 the
applicable limits of insurance.
All other terms and conditions of this Policy remain unchanged
cG 20 1012 19 O lnsurance Services Office, |nc.,2018 Page 2 ot 2