2023/03/01 NorthSouth GIS LLCocfu CERT]FICATE OF LIABILITY INSURANCE
c ICATE NUMBER Jb
LLATION
COVERAGES
3t1t2024
REV NUtIBER: X
meTIFICATE HOLOER
03101t2023
THIS CERTIFICATE IS ISSUEO AS A MATTER OF ITIFORTiATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES TOT AFFIRITTATIVELY OR NEGATIVELY A END, EXTE}ID OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURAT{CE OOES l{OT COi{STTUTE A CO}|IRACT AETWEEN THE |SSU|NG [{SURER(S), AUTHORTZEO REpRESEi{TATIVE
OR PROOUCER, AiID THE CERTIFICATE HOLDER.
IMPORTANT: It lho c€rtific.te holdor is en ADDITIOI{AL ltlsuREO, the policy(io!) must h.v. ADDITIONAL INSt REO provi!ion3 or be endorssd. tfsUBROGATloil ls wAlvED, tubiect to th. t.rms and condilion. or th. pollcy, co(ain pollcl.r m.y r.qutre an .ndoB€ment. A siatom.nt on thiscrrtlficate doo. not conre..lghtr totho c.nificats hotd.. in ti.u ot.uch endoB.mGnt(!).
PRODUCER Locktoncompanios
8110 E Union Avenue
Suile 100
OenverCO 80237
(303) 414-6000
FHOt{E
INSUREN(S) AFFORDING COVETUGE
Old Republic lnsurance Company 24147lNsunEo Northsoulh GIS LLC
496555 2,t4 South San Pedro St, Suite 202
Los Angeles. CA 90012
rNsunen e, --- SEE ATTACHMENT ---
lriSURER C : Beazlev lnsurance ComDanv lnc 37540
!NSURER 5
!]I3IJRER F
PERIOD INDICATED, NOTWIThSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT WIIH RESPECT TOWHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROEO AY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO
LI OF INSURANCE LISTO CERTIFY THAT TH W HAVE BEEN ISSUED TO T D ABOVE FOR THE
INSR
tNso
s 1,000,000
$ 1.000,000
MEO EXP lAnv on6 06.30. r s'10,000
PERSONAL A ADV INJURY $ '1,000.000
GE NERAL AGGREGATE $ 2,000.000
PRODI]CTS. COMP/OP AGG $ 2.000.000
COMMERCIAL GENERAL LIABILITY
L AGGREGATE LIMITAPPTIES PER
x
X
X
LOC
OIHER
JECT
Y
MW2Y31237 421 o31o112023 0310112024
COMBINED SIN6LE LIMIT s 2,000,000
BO0,LY TNJURY (Per person)$ XXXXXXX
BODIlY INJURY (Pe...cident)$ xxxxxxx
s xxxxxxx
AUIOMOBILE LlAAIIIIY
SCHEDULED
HIREO
X
Y Y
MWT831237323 03t0112023 031o112024
S XXXXXXXxr 35,000,000UMBRELI.A LIAB
EXCESS IIAE
x
MADE $ 35,000,000
B
DEO RETENTION I
N N
See Attached
s
X IE5T,.,,, I PJT.
s 1,000,000
EL DISEASE EAEMPLOYEE 5 1,000,000
WORXERS COIPENSAIIOX
AI{D ESPLOYERS' LIABILITY
OIFIC€R]MEMStR EXCLUDED2
oESCRPTloNO.OP€R TONSbb
Y
MWC31237523 03101t2023 03101t2024
EL OISEASE POLICYLIMIT s 1,000.000cology E&O/
Liability
Techn
Cybo.N
vs475D230101 03t0112022 0310112024 Limiti $2,000,000Limit: $5.000,000
DESCRImOI{ OF OPERATIONS / LOCAIIOT|S / VEHICLES (ACORO lol, Additlon.l R.h.rt. Sch.dsl.i n.y b. .t ch.d r mo. .p.c. i. hqdlr.d)RE: City of Menifee: FY2021122 Ptolessio al GIS Consulling Services As requir€d by witlen conlracl or writt€n agreemenl, lhe City of M6nlf€e, its olticers, emptoyees,agenls and aulhorizod volunle€rs are rnclud€d as Addinonal lnsured lor ongoing and compleled operalions under General Liabllity and as addiiionat insured under AutoLlebilty. Cove€ge rs pflmary and non-contnbutory wrth respecl to lhe City of Meniree. s offrcers, oflicials, employees snd volunle€B.
SHOULD ANY OF THE ABOVE DESCRIBEO POLICIES BE CANCELLED EEFORETHE EXPIRATION DATE THEREOF, I{OTICE WILL 8E DELIVEREO IN
ACCOROAI{CE IYITH THE POLICY PROVISIONS.
17759536
City ol Menifeo
29a44 Haun Road
M€nifee CA 92586
AUIHORIZEO REPRESENTATIVE
ACORD 2s (2016/03)Tho ACORO name and logo ars.oglstered marks ot ACORD
s
E
N
wfi
A 10 day notice of cancellation applies. As required by
written contract or written agreement, a Waiver of Subrogation in favor of the Additional lnsured applies to GeneralLiability, Auto Liability and.Workers' Compensation. Umbiella coverage is Follow Form to General Liability,
Automobile Liability and Workers Compensation Employers Liability.
CONTINUATION OESCRIPTION OF OPERATIOiIS/IOCATIONg/VEHICLESIEXCTUSIONS ADOEO BY EIIOORSEMENT/SPECIAL PROVISIONS (Um.nly ll h.h.p.c.l. rquir.d)
ACORO 25 (20r6/03)Cedificate Holder iD: 17759536
Attachment Code : D588950 Master lD: 1496555, Certificate tD: 17759536
Excess Coverage
Carien Policv Number Dates:NAIC: Limits:
National Fire and Marine lnsurance Co
Endu rance American Specialty lnsurance
Co.
RSUI lndemnity Company
Lexington lnsu rance Company
Underwriters at Lloyd's
42 U MO -314128-03
E1D30001559303
3/1/2023 3/1/2024
3/1/2023- 3/1/2024
20079
41718
$5MxP
$5M x $5M
NHAl0r 212
080877662
x51128823
22314
19437
10736
$10M x $l0M
$7.5M (po$'l5M)x $20M
$7.5M (po$1sM)x $20M
3/1/2023 3/1/2024
3/1/2023 - 3/1/2024
3/1/2023 3/1/2024
Policy Nrunbcr: MWTB3 I 237 323
IL IO (I2106) OI,D REPUBLIC INSURANCE COMPANY
THIS ENDORSEMENT CTTANGES THE POLICY. PLEASE READ IT CAREFTJ'LLY
ADDITIONAL INSI]RED/DESIGNATED INST]RED A]\4ENDMENT-PRIMARY ANI)
NON-CONTRIBTITORY
This cndorscnrcnt rmdifies irsurancc proviJed mder the following:
AII pcrsons or organiatbns where required by wriften contract.
Page I of I
MWTB3l237323 TEPA, LLC 03 t0 I 12023 -03 t0 I t2024
WHO IS AN INSURED(SECTION Il) is anrnded to incLded the perso(s) or organiztbn(s)
shown in ttre above Schedule, brl only with respects to 'hccidents" arising our of work being
perfornrd for srch person(s) or organization(s)
As respccts any person(s) or organization(s) shown in thc above Schedub with whom you havc
agreed in a written contract lo provile prinury irsuralre on a rnn-contrbutory basb, this irsurance
will be prinnry to and non-contrbuting with any other insurance availabh to such person(s) or
organiatio(s).
Attachment Code : D557457 Master lD: 1496555, Certiticate lD: 17759536
PCA048 l0 13
Attachment Code : D557459 Master lD: 1496555, Certificate lD: 17759536
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY wc 00 0313
POLICY NUMBER: MWC31237523
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We ha\e the right to reco\er our payments lrom anyone liable for an lnjury co\ered by this policy. We Wll 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 thal requires you to obtain this agreement fom us.)
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
AS FTQUIRED BY IIRITTEN CONTRACT, TO THE EXTENT AI,I,OWABLE BY LAW
DATE oF LSSVE | 03 / 0L /2023
INSURED COPY
N4iscellaneous Attachment: M557452 Master lD: 1496555. Certificate lD: '17759536
PoLICY NUMBER M\NZY31237 423 COMiilERCIAL GENERAL LIABILITY
cG 20 10 ,t2 t9
THIS ENDORSEMENT CHAI.IGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS . SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERC!{L GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional ln$tred Person(s)
Or Organization (s)Location(s) Of Covered Operations
All Person or Organi:ations when required by
written contract or agreenrnt
All locations
lnformation ired to complete this Schedule, if not shown abo\e, 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 br "bodily injury", "properly
damage' or "personal and ad\ertising injury'
caused, in whole or in part, by:
1. Your acts oromissions; or
2. The acts or omissions of those acting on your
behalf;
in the performance of your ongoing operations ilrthe additional insured(s) at the location(s)
designated abo\e.
Howe\€r:
1. The insurance afiorded to such additional
insured only applies to lhe extent permitted by
law; and
2. lf co\erage 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 pro\,ide
for such additional insured.
B. With respect to the insurance afiorded to these
additional insureds, the following additional
exclusions apply:
This insurance does not apply to "bodily injury" or
"property damage" occuning ater:
'1. All work, including materials,parls or
equipment fumished in connection with suchwork, 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 co\€red operations has been completedi
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 ope€tions for a principal as a part of
the same project.
Miscellaneous Attachment: M557452 Master lD: 1496555, Certificate tD: 't7759536
cG 20 10 12 19 @ lnsurance Services Office, lnc., 2018 Page 1 of 2
Miscellaneous Attachment: M557452 Master lD: 1496555, Certificate lD: 17759536
C. With respect to the insurance afiorded to theseadditional insursds, the bllowing is added to
Section lll - LimiB Of lnsurance:
lf co\erage pro\,ided to ths additional insured is
required by a conlract 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. A\ailable under the applicable limits of
insurance;
whiche\€r is less.
This endorsement shall not increase the applicable
limits of insurance.
P age 2 ot 2 @ lnsurance Services Office, lnc., 20'18 cG 20 10 12 19
Miscellaneous Attachment : M557452 Master tD: 1496555, Certificate lD: 17759536
Miscellaneous Attachment : M557453 Master lD: 1496555, Certilicate lD: 17759536
POLICY NUMBER: MWZY3I237 423 COMMERGTAL GENERAL
LIABILITY
cG 20 37 12 t9
THIS ENDORSEMENT CHA}.IGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS . COMPLETED OPERATTONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILIry COVERAGE PART
PRODUCTS/COIVPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional lnsured Person(s)
Or Orga nization(s)Location And Description Of Completed Operations
All Person or Organiations when required by
written contract or agreerrEnt
All Locatiom
lnformation required to complete this Schedule, if not shown abo\e, will be shown in the Declaralions
A. Ssction ll - Who ls An lnsured is amended to include as an additional insured the person(s) or organization(s)
shown in lhe Schedule, but only with respect 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 endorsement performed
for that additional insured and included in the "products-completed operations hazard,'.
Howe\er:
1. The insurance afurded to such additional insured only applies to the extent permitted by law; and
2. lf co\erage provided to the additional insured is required by a contralct 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
pro\,ide for such addilional insured.
B. With respect to the insurance afiorded to these additional insureds, the bllowing is added to Section lll -Limits Ot lnsura nce:
lf co\,erage provided to the additjonal insured is rsquired by a contract 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. A\€ilable under lhe applicable limits of insurance;
whiche\er is less.
This endorsement shall not increase the applicable limits of insurance.
Miscellaneous Attachment I M557453 Master tD: 1496555, Certificate lD: 17759536
Miscellaneous Attachment : M557455 Master lD: '1496555, Cedificate lD: 17759536
Policy Numbcr: MWZY31217 423
cG 20 01 12 19
The bllowing is added to the Other lnsurance
Condition and supeBedes any pro\/rision to the contrary:
Primary And Noncontributory lnsurance
This insurance is primary to and will not seek
contribution tom any other insurance a\€ilable to an
additional insured under your policy provided that:
(1) The additional insured is a Named lnsured
under such other insurance; and
(2) You ha\e agreed in writing in a contract or
agreement that this insurance would be
primary and would not seek contribution from
any other insurance a\ailable to the additional
insured.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRI MARY AND NONCONTRI BUTORY
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILIry COVERAGE PART
LIQUOR LIABILIIY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILI'|Y COVERAGE PART
cG 20 01 12 19 O lnsurance Senices Offce, lnc., 2018 Page 1 of 'l
COMMERCIAL GENERAL LIABILIry
Miscellaneous Attachment : M557455 Master lD: 1496555, Certificate lD: 17759536
Miscellaneous Attachment : M557456 Master lD: 1496555, Certificate lD: 17759536
GOMMERCIAL GENERAL LIABILITY
cG 24 53 12 19
THIS ENDORSEMENT CHAI.IGES THE POLICY. PLEASE READ IT CAREFULLY.
WAMER OF TRANSFER OF RIGHTS OF RECOVERY
AGATNST OTHERS TO US (WAMER OF SUBROGATTON) -
AUTOMATIC
This endorsement modifies insurance pro\,ided under the following
COMMERCIAL GENERAL LIABILTTY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIOUOR LIABILIry COVERAGE PART
POLLUNON LIABItIry MVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART OESIGNATED SITES
PRODUCTS/COMPLETED OPERqIONS LIABILIry COVERAGE PART
RAILROAD PROTECIIVE LIABILIry COVERAGE PART
UNDERGROUND STORAGE TANK POLICY OESIGNATEO TANKS
The following is added to Paragraph 8. Trander OfRights Of Reco\ery Against Others To Us of Section
lV - Conditions:
We wai\e any right of reco\ery against any person or
organization, because of any payment vrre make under
this Co\erage Part, to whom the insured has wai\ed its
right of reco\ery in a witten contracl or agreement.
Such waiwr by us applies only to the extent that the
insured has wai\ed its righl of reco\ery against such
person or organization prior to loss.
cG 24 53 12 19 @ lnsurance Senices Office, lnc., 2018 Page 1 of 1
Policy Number: MW ZY31 237 423
Miscellaneous Altachment : M557456 Master lD: 1496555, Certificate tD: 17759536
Miscellaneous Attachment: M557458 Master lD: 1496555, Certificate lD: 17759536
POLICY NUMBER:lvfWTB31 237323 COMMERCIAL A,,TO
cA04 tl4 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGATNST OTHERS TO US WATVER OF SUBROGATTON)
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form
apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date ofthe policy unless another
date is indicated below.
Endorsement Effective Date: 311 12021
lnbrmation required to complete this Schedule, if not sho\rvn abo\e, will b€ showr in the Declarations
The Transfer Of Rights of Rocovery Against Others
To Us Condition does not apply to the person(s) or
organization(s) shovwt in the Schedule, but only to
the extent that subrogation is wai\€d prior to the
"accident" or the "loss" under a contracl with that person
or organization.
cA04 44 10 13 lnsurance Services Office, lnc., 201 1 Page 1 of 1
This endorsement modifies insurance provided under the following:
SCHEDULE
Name(s) Of Person(s) Or O rganization(s):
ALL PERSONS OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT.
Miscellaneous Attachment: M557458 Master lD: 1496555, Certificate lD: 17759536