2022/09/01 Albert A. Webb Associates (3)---ACORD'ALBEAWE4l
CERTIFICATE OF LIABILITY INSURANCE 112712023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS
CERTIFICATE OOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOR|ZEO
REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER.
IMPORTANT: lf the certlflcate holder ls an ADOITIONAL INSUREO, the policy(ies) must have ADDITIONAL INSURED provisions or bc endorsed.
lf SUBROGATION lS WAIVEO, subject lo the terms and condltlons ofthe policy, certain policies may require an endorsem€nt. A statemenl on
this certificate does not confer rights to the certiflcate holder in lieu of such endorsement(s)
Kristie Koehrer
[iI, l"),(9s1) 231'2s72E:N
FORDING
rN su RE&BILeI!I9!Q[1[S u ra nce Com
51 779{558
tNsuRER A rTravelers Prope Casualty Company of America
cal.cpu@hubinternational.com
INSURER E
2567 4
19437
Albert A. Webb Associates
3788 McCray Stre€t
Rive.side, CA 92506
pRoDUcER License * 0757776
HUB lntemational lnsurance Services lnc.
PO Box 5345
Rlverslde, CA 92517
CE R
THIS IS TO CERTIFY THAT IHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOO
INDICATED, NOTWITHSTANOING ANY REQUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUIVENTWITH RESPECTTOWHICH 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 EEEN REDUCED BY PAID CLAIMS,
EACH OCCURRENCE
9t'12023 DAMAGE TO RENTEOPREIvISES lEa MUren@i
MED EXP (Any one peBonJ
PERSONAL &ADVINJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
5,000
1,0 ,000
300,000
1,000,000
2,000,000
2,000,000
Lt_t_
P-630-5456PS29-TtL-23
A COMUERC IAL GEN ERAL LIABILITY
x
x
x
x x
GEN'LAGGREGATE
x
CLAIMS-\,IAOE
Deductible
5E& ILoc
OTHER:
1,000,000$
s
COMBINEO SINGLE LIMIT
BA-3L23491A-23-43€,|120232l
OWNEDAUTOS ONLY
I,]IREDAI]TOS ONLY
x
x x
x
A AIJTOMOBIfE LIABILITY
SCHEOI]LEDAUIOS
EACH OCCURRENCE sOCCUR
CLAIMS.MAOEEICESS LIAB t
DED RETENT ON $
OTH
9t112023gIJ6481TA-22434 9t'|/2022
x
x
I
E L EACH ACCIDENTUANI PROPRIETORFARTNETVEXECUTIVE t.'OFFICER]IIEMSER EXCLUO€D ? I(U.nd.lory ln NHI
1,000,000
1,000,000
00
WOR(ERS COMPENSATION
AND EMPLOYE RS' LIABIIITY
1,000,0
sht2023 Ded 3150k/EaClaim 1M 't,000,0009t112022B Professional Liab.
oESCRIPT|ON OF OPERATIONS / LocATtONS / vEH |CL€S (ACoRO 101, Addflo.d R.m..t. Sch.dul., Dry b. *ra.h!d If more Bp.c. I. r.quk.d)
Re: Professional Services Agaeement
City of Menifee and its offlcers, employees, agonls, and aulhorlzed volunleers are Additional lnsured with .egard lo the General Liabllity policy Per the
attached endorsement form CGD,II,1 0,U08, Prlmary & Non.Contributory included. Walver of Subrogalion applles wilh regard to the Generel Llablllty policy per
the attached endorsement form CGD379 02/19. Addltlonal lnsured applles wilh regard to the Auto Llabllity policy per the attached endorsement torm CAT353
O2l15. Waiver of Subrogation applles wlth regard to the Workers' Compensation policy perihe attached endorsement form WC990376A.
Should the policies be cancelled before the explraflon date, Hub lntemational lnsurance Services lnc. (Hub), independent ot any rlghts which may be afforded
SEE ATTACHED ACORO 101
CERTIFICATE
City of Menifee
29844 Huan Rd
Sun Clty, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF. NOTICE WILL BE DEUVEREO IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATNE
O 1988-2015 AcoRD CORPORATION. All rights resorved.
The ACORD name and logo are regislered marks of ACORD
ACORD 2s (2016/03)
2t112023
I BoDTLY TNJUFY (Psr scclds.t, IPRoPERTY0AMAGE ILEqc!s!e!!-) I5
9t112023
AGGREGATE L!
E L orsEAsE - EaEMPLoYEq $
031711122
Nfl&M.-r-
AGENCY CUSTOMER ID. ALBEAWE'o1
LOC #: 0
ADDITIONAL REMARKS SCHEDULE
SGONZALEZ
ACORD'Page 1 of 1
License d 0757776
HUB lnternational lnsurance Services lnc.
NAMED INSURED
Albert A. Webb Assoclates
3788 McCrav StreetRiverside, dA 92506
SEE PAGE 1
NAIC CODE
PAGE 1 EEPl EFFEcrlvE DAIE: SEE PAGE 1
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDIJLE TO ACORD FORM,
C€rtiflcate of Liability lnsurance
Description of Operations/Locations/Vehicles:
within the policies to the certificate holder named below, will provide to such certificate holder notice of such cancellation within
thirty (30) days of the cancellation date, except in the event the cancellation is due to non-payment of premium, in which case Hub
will provide to such certificate holder notice ot such cancellation within ten ('10) days of the cancellation date
@ 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks ofACORD
ACORD 101 (2008/01)
FORM NUMBER: ACORD 25 FORMTITLE:
COI\,II\,IERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED - WRITTEN
GoNTRACTS (ARCHITECTS, ENGINEERS AND
SURVEYORS)
Albert A. Webb Associates
Policy Number: P-630-5456P929-TlL-23
Policy Period: 0210112022 to 09i01/2023
1, The following is added to SECTION ll - WHo lS
AN INSURED:
Any person or organization that you agree in a
"written contract requiring insurance'to include as
an additional insured on this Coverage Part, but:
a. Only with respect to liability for "bodily iniury',
"property damage'or "personal injury': and
b. lf, and only to the extent that, the injury or
damage is caused by acts or omissions of
you or your subcontractor in the performance
of "your work" to which the \,r,/ritten contract
requiring insurance' applies. The person or
organization does not qualify as an additional
insured with respect to the independent acts
or omissions of such person or organization.
The insurance provided to such additional insured
is limited as follows:
c. ln the event that the Limits of lnsurance of
this Coverage Part shown in the Declarations
exceed the limits ol liability required by the
'tvritten contract requiring insurance', the in-
surance provided to the additional insured
shall be limited to the limits of liability required
by that l,vritten contract requiring insurance'.
This endorsement shall not increase the limits
of insurance described in Section lll - Limits
Of lnsurance-
d. This insurance does not apply to the render-
ing of or failure to render any 'professional
seryices" or construction management errors
or omissions.
e. This insurance does not apply to "bodily in-
jury" or "property damage" caused by 'your
work" end included in the 'products-
completed operations hazard' unless the
'\Mritten contract requiring insurance' specif-
cally r€quires you to provide such coverage
for that additional insured. and then the insur-
ance provided to the addltlonal insured ap-
plies only to such'bodily injury" or "property
damage'that occurs before the end of the pe-
riod of time lor which the 'Written contract re-
quiring insurance" requires you to provlde
such coverage or the end of the policy pedod,
whichever is earlier.
2. The following is added to Paragraph 4.a. of SEC-
TION IV _ COMMERCIAL GENERAL LIABILITY
CONDITIONS:
The insurance provided to the additional insured
is excess over any valid and colleclible "other in-
surance'. whether primary, excess, contingent or
on any other basis, that is available to the addl-
tional insured for a loss we cover. However, if you
specifcally agree in the Vritten contract requiring
insurance" that this insurance provided to the ad
ditional insured under this Coverage Part must
spply on a primary basis or a primary and non-
contributory basis, this insurance is prim€ry to
'other insurance" available to the additional in-
sured which covers that person or organization as
a named insured for such loss, and we will not
share with that "other insurance". But this insur-
ance provided to the additional insured stil is ex-
cess over any valid and collectible "other insur-
ance', whether primary. excess, contingent or on
any other basis, that is available to the additional
insured when that person or organization is an
add tional insured under any "other insurance".
3. The following is added to SECTION lV - COM-
MERCTAL GENERAL LIABILITY CONDITIONS:
Dutles Of An Additlonal lnsured
As a condition of coverage provided to the addi-
tional insured:
a. The additional insured must give us written
notice as soon as practicable of an "occur-
rence' or an offense which may result in a
claim. To the extent possible, such notice
should include:
cG D4 14 04 08 @ 2om The Travelers companies. lnc.Page 'l of 2
This endorsement modilles insurance provided under the tollowing:
COMI\,,IERCIAL GENERAL UABI LITY COVERAGE PART
COI\,4I\,4ERCIAL GENERAL LIABILITY
l. How. when and where the 'occurrence'
or ofiense took place:
ll. The names end addresses of any injured
persons and witnesses: and
lll. The nature and locatron ol any injury or
damage arising out of the "occunenc€" or
ofiense.
b. lf a claim is made or "suit" is brought against
the additional insured. the additional insured
must:
l. lmmediately record the specilics of the
claim or'suit" and the date received: and
ll, Notiry us as soon as practicable.
The additional insured must see to it that we
receive written notice of the claim or'suit'as
soon as practicable.
c. The additional insured must immediately send
us coples of all legal papers received ln con-
nection with the claim or'suit", cooperate with
us in the investigation or settement of the
claim or defense against the 'suit", and oth-
erwise comply with all policy cond tions.
d. The additional insured must tender the de-
fense and indemnity of any clelm or'suif to
any provider of other insurance which would
cover the additional insured for a loss we
cover. However. this condition does not alfect
whether this insurance provided to the eddi-
tional insured is primary to that other insur-
ance available to the additional insured which
covers that person or organization as a
named insured.
4. The following is added to the DEFINITIONS Sec-
tion:
lvritten contract requiring insurance" means that
part of any written conlract or agreement under
which you are required to include a person or or-
ganization as an additional insured on this Cover-
age Part, provided that the "bodily injury" and
'properly damage" occurs and the "personal in-
jury" is caused by an offense mmmitted:
a, After the signing and execution ol the contract
or agreement by you:
b, While that part of the contract or agreement is
in eflect and
c. Belore the end of the policy period.
Page 2 ol 2 rg, zollB lhe I r;Nelers uompanles, lr]c.cc D4 14 04 08
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
XTEND ENDORSEMENT FOR ARCHITECTS, ENGINEERS
AND SURVEYORS
This endorsement modifies insurance provided under the following
CONIIV]ERCIAL GENERAL LIABILITY COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement broadens coverage. However, coverage for
any injury, damage or medical expenses described in any of the provisions of this endorsement may be
excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions
do not apply to the extenl that coverage is e)cluded or limited by such an endorsemenl. The following lisling is a
general coverage description only. Read all the provisions of lhis endorsement and the rest of your policy
carefully to determine righls, duties, and what is and is not covered.
Albert A. Webb Associates
Policy Number: P-630-5456P929-TlL-23
Policy Period: 02l01/2023 to 09/01/2023
A. Non-Owned Walercrafl - 75 Feet Long Or Less
B. Who ls An lnsured - Unnamed Subsidiaries
C. Who ls An lnsured - Retired Partners, Members,
Direclors And Employees
D. Who ls An lnsured - Employees And Volunteer
Workers - Bodily lnjury To Co-Employees, Co-
Volunleer Workers And Retired Partners,
Members, Directors And Employees
E. Who ls An lnsured - Newly Acquired Or Formed
Limited Liability Companies
F. Blanket Additional lnsured - Controlling Interest
G. Blanket Additional lnsured - Morlgagees,
Assignees, Successors Or Receivers
PROVISIONS
A. NON-OWNED WATERCRAFT - 75 FEET
LONG OR LESS
1. The following replaces Paragraph (2) of
Exclusion 9., Aircraft, Auto Or Watercraft,in Paragraph 2. of SECTION I -
COVERAGES - COVERAGE A - BODILY
INJURY AND PROPERry DAMAGE
LIABILIry:
(2) A watercrafi you do not own that is:
(a) 75 feet long or less; and
(b) Not being used to carry any person
or property for a chargei
2. The following replaces Paragraph 2.e. of
SECTION II - WHO IS AN INSURED:
e. Any person or organization that, with
your express or implied consent, either
COMMERCIAL GENERAL LIABILITY
H. Blanket Additional lnsured - Govemmenlal
Enlities - Permits Or Authorizations Relating To
Premises
l. Blanket Additional lnsured - Govemmenlal
Entities - Permits Or Authorizations Relating To
Operations
J. lncidental Medical Malpractice
K. Medical Payments - lncreased Limit
L. Amendment Of Excess lnsurance condition -
Professional Liability
M. Blanket Waiver Of Subrogation - When Required
By Written Contract Or Agreement
N. Contractual Liabilily - Railroads
uses or is responsible for the use of a
watercraft that you do not own that is:
(1) 75 feet long or less; and
(2) Not being used to carry any person
or property for a charge;
B. WHO IS AN INSURED - UNNAMED
SUBSIDIARIES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any of your subsidiaries, other than a partnership
or joint venlure, that is not shown as a Named
lnsured in the Declarations is a Named lnsured
if:
a. You are lhe sole owner of, or maintain an
ownership interesl of more than 50% in, such
subsidiary on lhe first day of the policy
period; and
cG D3 79 02 19 O 2017 The Travelers Indemnily Company. All rights reserved.
lncludes copyrighted materialof lnsurance Services Office. lnc. v.th its permission
Page 1 oI 6
COMIVlERCIAL GENERAL LIABILITY
b. Such subsidiary is not an insured under
similar other insurance.
No such subsidiary is an insured for "bodily
injury" or "property damage" that occurred, or
"personal and advertising iniury" caused by an
offense committed:
a. Before you maintained an ownership interesl
of more than 50o/o in such subsidiary; or
b. After the dale, if any, during the policy period
that you no longer maintain an ownership
interesl of more than 50% in such subsidiary.
For purposes of Paragraph 1. of Section ll - Whols An lnsured, each such subsidiary will be
deemed lo be designated in the Declarations as:
a. A limited liabilily company:
b. An organization other than a partneBhip,
joint venture or limited liability company; or
c. A trusl;
as indicated in its name or the documents that
govern its structure.
C. WHO IS AN INSURED - RETIRED PARTNERS,
MEMBERS, DIRECTORS AND EMPLOYEES
The following is added to Paragraph 2. of
SECTION II - WHO IS AN INSURED:
Any person who is your retired partner, member,
director or "employee" that is performing services
for you under your direct supervision, but only for
acts within the scope of their employmenl by you
or while performing duties related to lhe conduct
of your business. However, no such relired
partner, member, director or "employee" is an
insured for:
(1) "Bodily injury":
(a) To you, to your current partners or
members (if you are a partnership or
joint venture), to your current members
(if you are a limited liability company) or
to your current direclorsi
(b) To the spouse, child, parenl, brother or
sister of that current partner, member or
darector as a consequence of Paragraph
(1Xa) above;
(c) For which there is any obligation to
share damages with or repay someone
else who musl pay damages because of
the injury described in Paragraph (1Xa)
or (b) above; or
(d) Arising out of his or her providing or
failing to provide professional health care
services.
Unless you are in the business or occupalionof providing professional health care
services, Paragraphs (1Xa), (b), (c) and (d)
above do not apply to "bodily injury" arising
out of providing or failing t0 provide first aid
or "Good Samaritan services" by any of your
retired partners, memberc, directors or
"employees", other than a doctor. Any such
retired parlners, members, directors or
"employees" providing or failing to provide
firsl aid or "Good Samaritan services" during
their work hours for you will be deemed to be
acling within the scope of their employment
by you or performing duties related to the
conducl of your business.
(2) "Personal injury'':
(a) To you, to your cunenl or retired
partners or members (if you are a
partnership or joint venture), to your
current or retired members (if you are a
limited liability company), to your othercurrent or retired directors or
"employees" while in the course of his or
her employment or performing duties
related to the conduct of your business,
or lo your other "volunteer workers"
while performing duties relaled to lhe
conduct of your business;
(b) To the spouse, child, parent, brother or
sister of that currenl or retired partner,
member, director, "employee" or
"volunteer workef' as a consequence of
Paragraph (2Xa) abovei
(c) For which there is any obligation to
share damages with or repay someone
else who musl pay damages because of
the injury described in Paragraph (2Xa)
or (b) above; or
(d) Arising out of his or her providing or
failing to provide professional health care
services.
(3) "Property damage" t0 property:
(a) Owned, occupied or used by, or
(b) Rented to, in the care, custody or conlrol
of, or over which physical control is
being exercised for any purpose by;
you, any of your retired parlners, membersor direclors, your currenl or retired
"employees" or "volunleer workers", any
current partner or member (if you are a
partnership or joint venture), or any currenl
member (if you are a limited liability
company) or curent director.
Page 2 of 6 @ 2017 The Travelers lndemnity Company. All rights res€rved.
lncludes copyrighted malerialof lnsurance Services Office, lnc. with its permission
cG D3 79 02 19
D. WHO IS AN INSURED - EMPLOYEES AND
VOLUNTEER WORKERS - BODILY INJURYTO CO-EMPLOYEES, CO.VOLUNTEER
WORKERS AND RETIRED PARTNERS,
MEMBERS, DIRECTORS AND EMPLOYEES
The following is added to Paragraph 2.a.(1) of
SECTION II - WHO IS AN INSURED:
Paragraphs (1Xa), (b) and (c) above do not
apply to "bodily injury" to a currenl or retired co-
"employee" while in the course of the co-
"employee's" employment by you or performing
duties related to lhe conducl of your business, orto "bodily injury" to your other "volunleer
workers" or retired parlners, members or
direclors while performing duties relaled lo the
conduct of your business.
E. WHO IS AN INSURED - NEWLY ACQUIRED
OR FORMED LIMITED LIABILIry COMPANIES
The following replaces Paragraph 3. of
SECTION II - WHO IS AN INSURED:
3. Any organization you newly acquire or form,
other lhan a partnership or joint venture, and
of which you are lhe sole owner or in which
you maintain an ownership interest of more
than 50%, will qualify as a Named lnsured if
there is no other similar insurance available
to that organizalion. However:
a. Coverage under lhis provision is
afforded only:
(l) Until the 1801h day after you acquire
or form the organizalion or the end
of the policy period, whichever is
earlier, if you do nol report such
organization in writing to us within
180 days after you acquire or form it;
or
(2) Until the end of the policy period,
when that date is later than 180 days
after you acquire or form such
organization, if you report such
organization in writing to us within
180 days after you acquire or form it;
b. Coverage A does not apply to "bodily
injury" or "property damage" that
occurred before you acquired or formed
the organization; and
c. Coverage B does not apply to "personal
and advertising in.iury' arising out of an
offense committed before you acquired
or formed the organization.
For the purposes of Paragraph 1. of Seclionll - Who ls An lnsured, each such
CONi]IVIERCIAL GENERAL LIABILITY
organization will be deemed to be
designated in the Declarations as:
a. A limited liability company;
b. An organization otherthan a partnership,
joint venture or limited liability company;
or
c. A trust,
as indicated in ils name or the documenls
that govern its structure.
F. BLANKET ADDITIONAL INSURED
CONTROLLING INTEREST
1. The following is added to SECTION ll -
WHO IS AN INSURED:
Any person or organization that has financial
control of you is an insured with respecl lo
liability for "bodily injury", "property damage"or "personal and advertising injury" that
arises out of:
a. Such financial controli or
b. Such person's or organization's
ownership, mainlenance or use of
premises leased to or occupied by you.
The insurance provided to such person or
organization does not apply to structural
atterations, new conslruction or demolition
operations performed by or on behalf of such
person or organization.
2. The following is added to Paragraph 4. of
SECTION II - WHO IS AN INSURED:
This paragraph does not apply to any
premises owner, manager or lessor that has
financial control of you.
G. BLANKET ADDITIONAL INSURED
MORTGAGEES, ASSIGNEES, SUCCESSORS
OR RECE]VERS
The following is added to sEcTloN Il - wHo IS
AN INSURED:
Any person or organization that is a mortgagee,
assignee, successor or receiver and that you
have agreed in a wrilten contracl or agreementto include as an additional insured on this
Coverage Part is an insured, but only with
respecl to its liability as mortgagee, assignee,
successor of receiver for "bodily injury", "property
damage" or "personal and advertising injury"
that:
a. ls "bodily injury" or "property damage" that
occurs, or is "personal and adverlising injury'
caused by an offense that is committed,
cG D3 79 02 19 O 2017 The Travelers lndemnily Company. All rghts reserved.
lncludes copyrighted material of lnsurance Seruices Offce, Inc. with ils permission
Page 3 of 6
COMMERCIAL GENERAL LIABILITY
subsequent lo the signing of lhat contract or
agreemenl; and
b, Arises out of the ownership, maintenance or
use of the premises for which that
morlgagee. assignee, successor or recerver
is required under that contracl or agreement
to be included as an additional insured on
this Coverage Part.
The insurance provided to such mortgagee,
assignee, successor or receiver is subject to the
following proMsions:
a. The limits of insurance provided to such
mortgagee. assignee. successor or receiver
will be the minimum limits that you agreed to
provide in the written contracl or agreemenl,
or the limits shown in the Declaralions,
whichever are less.
b. The insurance proMded to such person or
organization does not apply to:
(l) Any "bodily injury' or "property damage"
that occurs, or any "personal and
advertising injuy caused by an offense
that is committed, afler such conlract or
agreemenl is no longer in effect; or
(2) Any "bodily injury". "property damage" or
"personal and advertising injury" arising
out of any slructural alterations, new
construction or demolition operations
performed by or on behalf of such
morlgagee, assignee, successor or
receiver.
H. BLANKET ADDITIONAL INSURED
GOVERNMENTAL ENTITIES - PERMITS OR
AUTHOR|ZATIONS RELATING TO PREMISES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any governmental entity that has issued a permit
or authorization wilh respect to premises owned
or occupied by, or rented or loaned to, you and
that you are required by any ordinance, law,
building code or wrilten contract or agreemenl lo
include as an additional insured on this
Coverage Part is an insured, but only with
respect to liability for "bodily injury", "property
damage" or "personal and advertising injury"
arising out of lhe exislence, ownership, use,
maintenance, repair, conslruction, ereclion or
removal of any of the following for which that
governmental entity has issued such permit or
authorization: advertising signs, awnings.
canopies, cellar enlrances, coal holes,
driveways, manholes, marquees, hoist away
openings, sidewalk vaulls, elevators, streel
banners or decorations.
I. BLANKET ADDITIONAL INSURED
GOVERNMENTAL ENTITIES - PERM ITSOR AUTHORZATIONS RELATING TO
OPERATIONS
The following is added to SECTIoN ll - WHO lS
AN INSURED:
Any governmental entity that has issued a permil
or authorization with respect to operalions
performed by you or on your behalf and that you
are required by any ordinance, law, building code
or written conlract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liability for
"bodily injury", "property damage" or "personal
and advertising injury" arising out of such
operations.
The insurance provided to such governmenlal
entity does not apply to:
a. Any "bodily iniury", "properly damage" or
"personal and advertising injury" arising outof operations performed for the
govemmental entity; or
b. Any "bodily injury" or "property damage"
included in the "products-completed
operalions hazard".
J. INCIDENTAL MEDICAL MALPRACTICE
1. The following replaces Paragraph b. of the
definition of "occurrence" in the
DEFINITIONS Section:
b. An act or omission committed in
providing or failing to provide "incidental
medical services", first aid or "Good
Samaritan services" to a person, unless
you are in the business or occupation of
provlding professional health care
services.
2. The following replaces the last paragraph of
Paragraph 2.a.l1l ot SECTION ll - WHO lS
AN INSURED:
Unless you are in the business or occupalionof providing professional health care
services, Paragraphs (lXa), (b), (c) and (d)
above do nol apply to "bodily injury' arising
out of providing or failing to provide:
(a) "lncidental medical services" by any of
your "employees" who is a nurse,
nurse assistant, emergency medical
technician, paramedic, athletic trainer,
audiologist, dietician, nutritionist,
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occupalional lherapist or occupationai
therapy assistant, physical therapist or
speechlanguage pathologisti or
(b) First aid or "Good Samaritan services"
by any of your "employees" or "volunteer
workers", olher than an employed or
volunteer doctor. Any such "employees"
or "volunteer workers" proMding or failing
to proMde Iirst aid or "Good Samaritan
services" during their work hours for you
will be deemed to be acting within the
scope of their employment by you or
performing duties related to the conduct
of your business.
3, The following replaces the lasl sentence of
Paragraph 5. of SECTION lll - LIMITS OF
INSURANCE:
For the purposes of determining the
applicable Each Occurrence Limit, all related
acts or omissions commitled in providing orfailing to provide "incidental medical
services". first aid or "Good Samaritan
services" to any one person will be deemed
to be one "occLrrrence"
4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -
COVERAGES - COVERAGE A - BODILY
INJURY AND PROPERW DAMAGE
LIABILITY:
Sale Of Pharmaceuticals
"Bodily injury" or "property damage" arising
out of the violalion of a penal statute or
ordinance relating to the sale of
pharmaceuticals commitled by, or with lhe
knowledge or consent of the insured.
5. The following is added lo the DEFINITIONS
Section:
"lncidental medical services" means:
a. Medical, surgical, dental, laboratory, x-
ray or nursing service or treatment,
advice or instruction, or the related
furnishing of food or beverages; or
b. The fumishing or dispensing of drugs or
medical, dental, or surgical supplies or
appliances.
6. The following is added to Paragraph 4.b.,
Excess lnsurance, of SECTION tV -COMMERCIAL GENERAL LIABILIry
CONDITIONS:
This insurance is excess over any valid and
colleclible other insurance, whether primary,
excess, contingenl or on any other basis,
COiilMERCIAL GENERAL LIABILITY
that is available lo any of your "employees"
for "bodily inlury" that arises out of providing
or failing to provide "incidental medical
services" to any person to the extent not
subject to Paragraph 2.a.(1) of Section ll -
Who ls An lnsured.
K. MEDICAL PAYMENTS - INCREASED LIMIT
The following replaces Paragraph 7. of
SECTION III - LIMITS OF INSURANCE:
7. Subject to Paragraph 5. above, the Medical
Expense Limit is the most we will pay under
Coverage C for all medical expenses
because of "bodily injury" sustained by any
one person, and will be the higher of:
a. $10,000; or
b. The amount shown in the Declarations of
this Coverage Parl for Medical Expense
Limit.
L. AMENDMENT OF EXCESS INSURANCE
CONDITION - PROFESSIONAL LIABILIry
The following is added to Paragraph 4.b.,
Excess lnsurance, of SECTION lVCOMMERCIAL GENERAL LIABILITY
CONDITIONS:
This insurance is excess over any of lhe other
insurance, whether primary, excess, conlingenl
or on any other basis, that is Professional
Liability or similar coverage, to the extent the
loss is not subject to the professional services
exclusion of Coverage A or Coverage B.
M. BLANKET WAIVER OF SUBROGATION -
WHEN REAUIRED BY WRITTEN CONTRACT
OR AGREEMENT
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,
of SEcTloN lV - COMMERCIAL GENERAL
LIABILITY CONOITIONS:
lf lhe insured has agreed in a written contract or
agreement to waive that insured's right of
recovery against any person or organization, we
waive our right of recovery against such person
or organization, bul only for payments we make
because of:
a. "Bodily injury" or "properly damage" thal
occurs; or
b. "Personal and advertising injury" caused by
an offense that is committed;
subsequent to the signing of that contract or
agreemenl.
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Page 5 of 6
COMI\4ERCIAL GENERAL LIABILITY
N. CONTRACTUAL LIABILIry - RAILROADS
1, The following replaces Paragraph c. 0f lhe
definition of "insured contract" in the
DEFINITIONS Section:
c. Any easement or license agreement;
2. Paragraph f.(l) of the delinition of "insured
contract" in the DEFINITIONS Section is
deleted.
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lncludes copyrighted malerial of lnsurance Services Offce, lnc. twh ils pe.mission.
Page 6 of 6 cG D3 79 02 19
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
This endorsemenl modifies insurance proMded under the following
BUSINESS AUTO COVERAGE FORM
Albert A. Webb Associates
Policy Number: BA-3L23491 A-23-43-G
Policy Term: 02101 12023 lo 0910'1 12023
PROVISIONS
1. The following is added to Paragraph A.1.c., Who
ls An lnsured, of SECTION ll - COVERED
AUTOS LIABILITY COVERAGE:
This includes any person or organization who you
are required under a written contracl or
agreement between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, to name
as an additional insured for Covered Autos
Liabilily Coverage, but only for damages to which
this insurance applies and only to the extent of
that person's or organization's liability for the
conduct of anolher "insu red".
2. The following is added lo Paragraph 8.5., Other
lnsurance of SECTION lV - BUSINESS AUTO
CONDITIONS:
Regardless of lhe provisions of paragraph a. and
paragraph d. of this part 5. Other lnsurance, this
insurance is primary to and non-contributory with
applicable other insurance under which an
additional insured person or organization is the
first named insured when the written conlract or
agreemenl between you and that person or
organization, that is signed by you before the
"bodily injury" or "property damage" occurs and
that is in effect during the policy period, requires
this insurance to be primary and non-contributory.
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lncludes copyrighted material of lnsurance Services Office, lnc. with its permission
cA T4 74 02 16 Page 1 of 1
BLANKET ADDITIONAL INSURED - PRIMARY AND
NON.CONTRIBUTORY WITH OTHER INSURANCE
.-,
TRAYELERSJ
ONE TOI{ER SQUARE
I{ARTFORD CT 05183
WORKERS COMPENSATION
AND
EMPLOYERS LIABILITY POLICY
ENDORSEMENT WC990376( A)- oo3
poLIcY NUMBER: uB-4J5ir817 8 -22-43-c
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
ENDORSEMENT - CALIFORNIA
(BLANKET WAIVER)
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not
enforce our riqht against the person or organization named in the Schedule.
The additional premium for this endorsement shall be 2. oo % of the California workers' compensation pre-
mium.
schedule
Person or Organization
ANY PERSON OR ORGANIZATION
FOR WHICIT THE INSIJRED IIAS
AGREED BY WRITTEN CONTRACT
EXECUTED PRIOR TO LOSS TO
IURNISH THIS WAIVER.
Job Description
ARCHITECTIJBAI SERVICES
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise
stated.
(The information below is required only when this endoEement is issued subsequent to preparation of
the policy.)
Endorsement Effective o9lo I /202 2'09/01 /2023 Policy No. UB-4)648178-22.43-c Endorsement No.
lnsured Albert A. webb asso(iates Premium
lnsurance Company
DATE OF ISSUE: os-L'22 ST ASSIGN:
Countersigned by
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