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2022/11/22 TR Design Group, Inc. (3),ACORD'TRDESIG{1 CERTIFICATE OF LIABILITY INSURANCE 't1129t2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORiTATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVER,AGE AFFORDEO BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: lf the certlflcate holder is an AODITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSUREO provlslons or be endorsed. lf SUBROGATION lS WAIVED, subject to the terms and condlllons of the pollcy, certaln pollcles may requlre an endorsement. A statement on ihls certlficate do€s not confer rights to the certificate holder in lleu of such endors€ment(s). INSUREO iilHEss cal.cpu@hubinternati onal.com I 51 231-2572 c : Lexington lnsurance Company ,|779-8558 io Security lnsurance Companyoh hrerstie 't9437 34690 2 titsuRERB. Prop€rty and Ca3ualty ln3uranc6 Company of Harttord pRoDUcER License # 0757776 HUB lnt€rnational lnsuranco Services lnc PO Box 5345Riverside, CA 92517 TR Design Group, lnc. 2900 Adams St., Ste. A400 Riverside, CA 92504 INSURER(S) AFFOROING COVERAGE CERTIFICATE NUMBER: TYPE OF INSURANCE ADDL THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO IHE INSURED NAMEO ABOVE FOR THE POLICY PERIOO INOICATED. NOTWITHSTANOING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACI OR OTHER DOCUMENT WITH RESPECTIOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIEED HEREIN IS SUBJECT TOALLTHE TERMS. EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. 2,000,000S 2,000,000S MEO EXP l^nv one oersonl EACH OCCURRENCE OAMAGE TO RENTEOPREMISES lEa @ur6n@l 15,000S 2,000,000SPERSONAL A ADV INJURY GENERAL AGGREGATE 4,000,000S PROOUCTS COMP/OP A6G 4,000,000S COI'MERCIAL GENERAL LIABILTI'f CLAIMS{,ADE I oacu" GEN'L A6GREGATE L MIT x x "o.o" f] 55"9 ES PER LOC x Bzs (23) 56 4l /t1 9s 51412022 5tat2023 S 2,000,000S S S S AIJTOMOBILE LIABILI-IY OW!EDAUTOS ONLY HIRED SCHEDULEOAL,TOS x x x BZS (23) s6 41 41 95 51a12022 5lal20?3 60D LY INJURY {Pe.a..rdenl) lPd.!.rd.n0 COMANEO SINGLE LIMITGaEc{dlnlL S SUMBRELLA LIAB EXCESS t-tAB OCCUR CLAIMS.MADE S DEO RETENTION $s x OTH, €,1 €ACH ACCIOENT 1,000,000s E L DISEASE, EA EMPLOYEE B WORKEFS COT'PENSATIONAND EMPLOYERS' L|AAILITY ANY PROPRIETOFUPARTNER/EXECUTIVEOFFICERJMEMBER EXCLUDED) OESCRIPTION OF OPERATIONS b€Lrw tr x 72 WEC EV4335 E,L OISEASE. POLICY LIMIT I s 1,000,000 1,000,000 c c Professional Liab. Professional Liab. 031711121 031711't21 11122t2022 1't22t2022 11t22t2023 11t2212023 Ded S25KiEAClalm Lmt Aggregate 1,000,000 2,000,000 OESCRIPIION OFOPERATIONS /LOCATIOI{S /VEHICLES (ACORO 10i, Addlllonr I R.m.rt! sch.dul., mly b. !$..h.d ll mor. rprc.lr r.qulr.d) RE: Architectural t Engineering Services Ior CIP 21.03 Fire Statlon No. 68 lmprovements Project. The City of Menltee and ils ofticers, employeqs, agenls, aulhorlzed volunteers and all peEons or ontltios ar6 Additlonal lnsurEd with regard to the General Liability and Auto Liabillty policy, when requlred by wrillen conlract, per the attached endorsamenl form 8P7996 09/16. Covorage is Prlmary & Non -Cont.lbutory with regard to the General Liability pollcy, when requlred by wrltten contract, per th6 attached endoBomonl form 8P1488 07/13. Walver of Subrogatlon applies to the Workers Compensatlon policy, when requlred by wrltten contract, per the atlached endorsemenl fo]m WC040306(1). Should the policies be cancelled before the expiration date, Hub lnternational lnsurance Servlces lnc. (Hub), lndependenl of any rights whlch may be afforded SEE ATTACHED ACORD 10,1 SHOULO ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE wlLL BE DELIVERED IN ACCOROANCE WIIH THE POLICY PROVISIONS.The City of Menifee Attn: Paula Muratore 29844 Haun Road Menifee, CA 92586 AUTHORIZED REPRESENTATIVE ACORD 2s (2016/03) 11 t22t2022 1',t t22t2023 UMBE)vE Ne,M,-,- @'1988.2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are register6d marks of ACORD AGENCY CUSTOMER tD. TRDESTG{1 LOC *: I ADDITIONAL REMARKS SCHEDULE SGONZALEZ ACORD'Page 1 ol 1 License # 0757776 HUB lnternational lnsurance Services lnc. NAiIED INSUREDTR Dssldn GrouD. lnc- 2900 AdEms st., Sto. A400Riverside, CA 9250,{ SEE PAGE 1 AtC COO€ PAGE 1 EEP,I EFFECTVE oArE sEE PAGE 1 ADOITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEOULE TO ACORD FORM, Certificat€ of Liability lnsurance Description of Operations/LocationsNehicles: within the policies to the certiflcate holder named below, will provide to such certificata holder notice of such cancellation within thirty (30) days of the cancellation dateJ except in the event the cancellation is due to non-payment of premium, in which case Hub will provide to such certificale holder notice of such cancellation within ten (10) days of the cancellation date. O 2008 ACORD CORPORATION. All rights reserved. Thc ACORD name and lggo are registered marks of ACORD acoRD t0t (2008/01) FORM NUMBER: AcoRD 25 FORi, TITLE: lnsured: TR Design Group, lnc. Policy No.: BZS (23) 56 41 41 95 Policy Period: 51812022 lo 51812023 BUSINESSOWNERS BP 79 96 09 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESSOWNERS LIAB]LITY EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM Below is a summarizalion of the coverages provided by this endorsement. No coverages are given by this summary. Aclual coverage descriptions are within this endorsement. SECTION SUBJECT A. Supplementary Payments Bail Bonds Loss Of Eamings Broadened Coverage For Damage To Premises Rented To You lncidental i/edical Malpractice lnjury Mobile Equipment Blanket Additional lnsured (Owners, Contractors Or Lessors) Newly Formed Or Acquired Organizations Aggregate Limits Duties ln The Event of occurrence, Offense, Claim or Suit Liability And Medical Expenses Definitions Bodily lnjury lnsured Contract Personal And Advertising lnjury Section ll - Liabillty is amended as follows: A. Supplementary Payments Section A.1. Business Liability is modiied as follows: l. The $250 llmit shown in Paragraph A.1.f.(1Xb) Coverage Extension - Supplementary Payments for the cost of bail bonds is replaced by a $3,000 limit. 2. The $250 limit shown in Paragraph A.f.f.(1xd) Coverage Extension - Supplementary Payments for reasonable expenses and loss of earnings is replaced by a $500 limit. B. Broadened Coverage For Damage To Premises Rented To You 1. The last paragraph of Section 8.1. Exclusions - Applicablo To Business Liability Coverage is replaced by the following: With respect to the premises which are rented to you or temporarily occupied by you with the permis- sion of the owner, Exclusions c., d., o., 9., h., k., 1., m., n. and o. do not apply to "propeny damage". @ 2016 Liberty Mutual lnsuranc€ lncludes copyrighted material of lnsurance Services Ofllce, lnc.,with its permission B c D E F G H t. BP 79 96 09 16 Page I of 4 Paragraph D.2. Liability And Medical Expenses Limits of lnsurance is replaced by the following: The most we will pay under this endorsement for the sum of all damages because of all "property damage" to premises while rented to you or temporarily occupied by you with the permission of the owner is the Limit of lnsurance shown in the Declarations. 3. Paragraph D.3. Liability And Medical Expenses Limits Of lnsurance does not apply. G. lncidental Modical Malpractice lnjury 1. Paragraph (4) under Paragraph B.1j. Exclusions - Applicable To Business Liability Coverage - Profes- sional Services does not apply to "lncidental Medical Malpractice ln.iury" coverage. 2. With respect to this endorsement, the following is added to Section F. Liability And Medical Expenses Definitions: a. "lncidental Medical Malpractice Injury" means bodily injury arising out of the rendering of or failure to render, during the policy period, the following services: (1) Medical, surgical, dental, x-ray or nursing service or treatment or the fumishing of food or beverages in connection therewith; or (2) The fumishing or dispensing of drugs or medical, dental or surgical supplies or appliances. b. This coverage does not apply to: ('l) Expenses incurred by the insured for first-aid to others at the time of an accident and the Dutjes in the Event of Occurrence, Offense, Claim or Suit Condition is amended accordingly. (2) Any insured engaged in the business or occupation of providing any of the services described under a, above. (3) lnjury caused by any indemnitee if such indemnitee is engaged in lhe business or occupation of providing any of the services described under a. above. D. Mobile Equipment Section C. Who ls An lnsured is amended to include any person driving "mobile equipment" with your permission. E. Blanket Additional lnsured (Owners, Contractors Or Lessors) 1. Section C. who ls An lnsured is amended to include as an insured any person or organization whom you are required to name as an additional insured on this policy under a written contract or written agreement. The wriften contract or agreement must be: a. Currently in effect or becoming effective during the term of this policy; and b. Executed prior to the "bodily injury", "property damage", or "personal and advertising injury". 2. The insurance afforded to the additional insured is limited as follows: a. The person or organization is only an additional insured with respect to liability arising out of: (l) Real property, as described in a written contract or written agreement, you own, rent, lease, maintain or occupy; and (2) Caused in whole or in part by your ongoing operations performed for that insured. b. The Limit of lnsurance applicable to the additional insured are those specifled in the written contract or written agreement or the limits available under this policy, as stated in the Declara- tions, whichever are less. These limits are inclusive of and not in addition to the Limit of lnsurance available under this policy. c. The insurance afforded to the additional insured does not apply to: ('l) Liability arising out ofthe sole negligence ofthe additional insured; (2) "Bodily injury", "property damage", "personal and advertising injury", or defense coverage under the Supplementary Payments section of the policy arising out of an architect's, en- gineer's or surveyor's rendering of or failure to render any professional services including: o 2016 Liberty Mutual lnsurance BP79 96 09'16 lncludes copyrighted matedal of lnsurance Services Office, lnc.,with its permission. Page2ol 4 2 I * a I B E (a) The preparing or approving of maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specillcations; and (b) Supervisory, inspection, architectural orengineering activities. (3) Any "occurrence, that takes place after you cease to be a tenant in the premises described in the Declarations; or (4) Structural alterations, new construction or demolition operations performed by or for the person or organization designated in the Declarations. 3. Any coverage provided hereunder shall be excess over any other valid and collectible insurance avail- able to the additional insured whether primary, excess, contingent or on any other basis unless a contract specifically requires that this insurance be primary or you request that it apply on a primary basis. F. Newly Formed Or Acquired Organizations The following is added to Section C. Who ls An lnsured: Any business entity acquired by you or incorporated or organized by you under the laws of any individual stale of the United States of America over which you maintain majority ownership interest exceeding ,lfty percent. Such acquired or newly formed organization will qualify as a Named lnsured if there is no similar insurance available to that entity. However: 1. Coverage under this provision is afforded only until the 180th day after the entity was acquired or incorporated or organized by you or the end of the policy period, whichever is earlier; 2. Section A.'1. Business Liability does not apply to: a. "Bodily injury" or "property damage" that occurred before the entity was acquired or incorporated or organized by you; and b. "Personal and advertising injury" arising out of an offense committed before the entily was ac- quired or incorporated or organized by you. 3. Records and descriptions of operations must be maintained by the first Named lnsured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named lnsured in the Declarations. G. Aggregate Limits The following is added to Paragraph D.4. Aggregate Limits Liability and l,4edical Expenses Limits Of lnsurance: l. The Aggregate Limits apply separately to each of the "locations" owned by or rented to you or temporarily occupied by you with the permission of the owner. 2. The Aggregate Limits also apply separately to each of your poects away from premises owned by or rented to you. For the purpose of this endorsement only, "location" means premises involving the same or connect- ing lots, or premises whose connection is intenupted only by a street, roadway, waterway or right- of-way of a railroad. H. Duties ln The Event Of Occurrence, Offense, Claim Or Suit l. Paragraph E.2.a. Duties ln The Event Of Occurrence, Offense, Claim Or Suit Liability And Medical Expenses General Condition applies only when the "occurrence" is known to any insured listed in Paragraph C.l. Who ls An lnsured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim. Paragraph E.2.b. Duties ln The Event Of Occurronce, Offense, Claim Or Suit Liability And Medical Expenses General Condition will not be considered breached unless the breach occurs after such claim or "suit" is known to any insured listed under Paragraph C.1. who ls An lnsured or any "employee" authorized by you to give or receive notice of an "occunence' or claim. Page 3 of 4 o 20 to Liberty Mutual lnsurance lncludes copyrighted material of lnsurance SeNices Office, lnc.,with its permission.BP 79 96 09 16 : Section F. Liability And Medical Expenses Definitions is modified as follows: 1. Paragraph F.3. is replaced by the following: 3. ''Bodily lnjury" means bodily injury, sickness, disease, or incidental medical malpractice injury sustained by a person, and includes mental anguish resulting from any of these; and including death resulting from any of these at any time. 2. Paragraph F.9. is replaced by the following: 9. "lnsured contract" means: a. A contract for a lease of premises. However, that portion of the contracl for a lease of prem- ises that indemnifies any person or organization for damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract": b. A sidetrack agreement; c. Any easement or license agreement, except in connection with construction or demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnity a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any olher contract or agreement pertaining to your business (including an indem- nification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization, provided the "bodily injury" or "property damage" is caused, in whole or in part, by you or by those acting on your behalf. However, such part of a contract or agreement shall only be considered an "insured contract" to the extenl your assumption of the tort liability is permitted by law. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement. Paragraph f. does not include that part of any contract or agreement: (l) That indemnifies a railroad for "bodily injury" or "property damage" arising out of con- struction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road-beds, tunnel, underpass or crossingi (2) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opin- ions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that is the primary cause of the injury or damage; or (3) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (2) above and supervisory, inspection, architectural or engineering activities. 3. Paragraph F.14.b, Personal And Advertising lniury is replaced by the following: b. l\.4alicious prosocution or abuse of process: o 2016 Liberty Mutual lnsurance lncludes copyrighled material of lnsurance Services Offlce, lnc., with its permission 3 F BP 79 96 09 16 Page 4 of 4 lnsured: TR Design Group, lnc. Policy No.: BzS (23) 56 41 41 95 Policy Period: 51812022 lo 51812023 This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORI\,4 The following is added to Paragraph H. Other ln- surance of Section lll - Common Policy Condi- lions and supersedes any provision to the con- trary: Primary And Noncontributory lnsurance This insurance is primary to and will not seek contribution from any other insurance avail- able to an additional insured under your poli- cy provided that: l. The additional insured is a Named ln- sured under such other insurance; and BUSINESSOWNERS BP 14 88 07 t3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY OTHER INSURANCE CONDITION 2 You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribu- tion from any other insurance available to the additional insured. : 3 BP 14 88 07 13 @ lnsurance Services Office, 1nc.,2012 Page I of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT . CALIFORNIA Policy Number: 72 WEC EV4335 Endorsement Number: Effective Dalet 11122122 Effective houristhe sameas stated on the lnformation Pageof the policy Named lnsured and Address: TR DESIGN GROUP INC 29OO ADAMS ST UNIT A.4OO RIVERSIDE CA 92504 We have the right to recover our payments from anyone liable for an injury covered 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 from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. SCHEDULE Person or Organization Job Description Any person or organization for whom you are required by written conlract or agreement to obtain this waiver of dghls from US Countersigned by K-;*;, Kea/ua- Authorized Representative Form WC 04 03 06 (1 ) Printed in U.S.A Process Date: 10/13/22 Policy Expiration Datei 11122123 "tr The additional premium for this endorsement shall be 2 o/o of lhe California workers' compensation premium otherwise due on such remuneration.