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2022/11/09 Willdan EngineeringANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD DATE (MM/DD/YYYY) PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGG $JECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION $$ PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 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 BEEN REDUCED BY PAID CLAIMS. 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 AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE Lockton Insurance Brokers,LLC CA License #0F15767 777 S. Figueroa Street, 52nd fl. Los Angeles CA 90017 213-689-0065 Willdan Engineering 13191 Crossroads Parkway North, Suite 405 City of Industry, CA 91746 WILLD01 Travelers Property Casualty Company of America 25674 Allied World Surplus Lines Insurance Company 24319 X X X Emp. Benefits Liab. X Contr. Liab. Incl. 1,000,000 1,000,000 15,000 1,000,000 2,000,000 2,000,000 X 1,000,000 XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX XXXXXXX N X 1,000,000 1,000,000 1,000,000 Arch&Eng Prof Per Claim:$1,000,000 Aggregate:$1,000,000 A 810-7T01965A-22-43-G 11/9/2022 11/9/2023 A P-630-7T016289-TIL-22 11/9/2022 11/9/2023 B 0313-5950 11/9/2022 11/9/2023 A UB-7T02108A-22-43-G 11/9/2022 11/9/2023 NOT APPLICABLE 11/9/2023 1506306 Y N Y N N 7/12/2023 N N 19563044 19563044 XXXXXXX City of Menifee Attention: Maritsa Ramirez 29844 Haun Road Menifee, CA 92586 THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED. RE: 2023 - On Call Environmental and Planning Consulting Services (CEQA). City of Menifee and its officers, employees, agents and authorized volunteers are included as Additional Insured(s) in accordance with the provisions of the General Liability and Automobile Liability policies. The General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the provisions of the policy. Please see the next page. X X See Attachments DocuSign Envelope ID: DAEDDBB6-8DCF-4D5D-9D17-FADB69B58327 CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required) ACORD 25 (2016/03) Policies include 30-days’ notice of cancellation (except 10 days for non-payment of premium) and the provisions of each policy govern how notice of cancellation may be delivered to Certificate Holder. Separation of Insureds - except with respect to the Limits of Liability in the General Liability policy and any rights or duties specifically assigned to the first Named Insured, this insurance applies as if each Named Insured were the only Named Insured and Separately to each insured against whom the claim or suit is brought. Professional Liability: Claims Made. Retro Date: 1/1/1962. General Liability deductible - $0; Professional Liability SIR - $0. Certificate Holder ID: 19563044 DocuSign Envelope ID: DAEDDBB6-8DCF-4D5D-9D17-FADB69B58327 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1.The following is added to SECTION II – WHO IS plies only to such "bodily injury" or "property AN INSURED:damage" that occurs before the end of the pe- riod of time for which the "written contract re-Any person or organization that you agree in a quiring insurance"requires you to provide"written contract requiring insurance" to include as such coverage or the end of the policy period,an additional insured on this Coverage Part, but:whichever is earlier.a.Only with respect to liability for 2.The following is added to Paragraph 4.a. of SEC-"property damage" or "personal injury"; and TION IV – COMMERCIAL GENERAL LIABILITYb.If,and only to the extent that,the injury or CONDITIONS:damage is caused by acts or omissions of The insurance provided to the additional insuredyou or your subcontractor in the performance is excess over any valid and collectible "other in-of "your work"to which the "written contract surance",whether primary,excess, contingent orrequiringinsurance"applies.The person or on any other basis, that is available to the addi-organization does not qualify as an additional tional insured for a loss we cover. However, if youinsuredwithrespecttotheindependentactsspecifically agree in the "written contract requiringor omissions of such person or organization .insurance" that this insurance provided to the ad-The insurance provided to such additional insured ditional insured under this Coverage Part mustis limited as follows:apply on a primary basis or a primary and non- c.In the event that the Limits of Insurance of contributory basis, this insurance is primary to this Coverage Part shown in the Declarations "other insurance" available to the additional in- exceed the limits of liability required by the sured which covers that person or organization as "written contract requiring insurance", the in-a named insured for such loss, and we will not surance provided to the additional insured share with that "other insurance". But this insur- shall be limited to the limits of liability required ance provided to the additional insured still is ex- by that "written contract requiring insurance".cess over any valid and collectible "other insur- This endorsement shall not increase the li mits ance", whether primary, excess, contingent or on of insurance described in Section III – Limits any other basis, that is available to the additional Of Insurance.insured when that person or organization is an additional insured under any "other insurance".d.This insurance does not apply to the render- ing of or failure to render any "professional 3.The following is added to SECTION IV – COM- services" or construction management errors MERCIAL GENERAL LIABILITY CONDITIONS: or omissions.Duties Of An Additional Insured e.This insurance does not apply to "bodily in-As a condition of coverage provided to the addi-jury"or "property damage"caused by "your tional insured:work"and included in the "products-a.The additional insured must give us writtencompletedoperationshazard"unless the notice as soon as practicable of an "occur-"written contract requiring insurance"specifi-rence"or an offense which may result in acallyrequiresyoutoprovidesuchcoverageclaim.To the extent possible,such noticefor that additional insured,and then the insur-should include:ance provided to the additional insured ap- "bodily injury", POLICY NUMBER: P-630-7T016289-TIL-22 CG D4 14 04 08 © 2008 The Travelers Companies, Inc.Page 1 of 2 Attachment Code: D604165 Certificate ID: 19563044 DocuSign Envelope ID: DAEDDBB6-8DCF-4D5D-9D17-FADB69B58327 POLICY NUMBER: P-630-7T016289-TIL-22 ii.The names and addresses of any injured cover. However, this condition does not affect How, when and where the "occurrence" persons and witnesses; and whether this insurance provided to the addi- any provider of other insurance which would COMMERCIAL GENERAL LIABILITY or offense took place;cover the additional insured for a loss we i. tional insured is primary to that other insur-iii.The nature and of any injury or ance available to the insured whichdamage arising out of the "occurrence" or covers that person or organization as aoffense.named insured.b.If a is made or "suit" is brought against 4.The following is added to the DEFINITIONS Sec-the additional insured,the additional insured tion:must: "Written contract requiring insurance"means thati.Immediately record the specifics of the part of any written contract or agreement underclaim or "suit" and the date received; and which you are required to a person or or-ii.ganization as an additional insured on this Cover- The additional insured must see to it that we age Part, provided that the "bodily injury" and receive written notice of the claim or "suit" as "property damage" occurs and the "personal in- soon as practicable.jury" is caused by an offense committed: c.The additional insured must immediately send a.After the signing and execution of the contract us copies of all legal papers received in con-or agreement by you; "suit", cooperate with b.While that part of the contract or agreement isusintheinvestigationorofthein effect; andclaimordefenseagainstthe"suit",and oth-c.Before the end of the policy period.erwise comply with all policy conditions. d.The additional insured must tender the de- fense and indemnity of any or "suit" to claim settlement include nection with the claim or claim location additional Notify us as soon as practicable. Page 2 of 2 © 2008 The Travelers Companies, Inc.CG D4 14 04 08 Attachment Code: D604165 Certificate ID: 19563044 DocuSign Envelope ID: DAEDDBB6-8DCF-4D5D-9D17-FADB69B58327 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE © 2016 The Travelers Indemnity Company. All rights reserved.CA T4 74 02 16 Page 1 of 1 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM COMMERCIAL AUTO PROVISIONS 1.The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION ll – COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract 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 Liability 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 another "insured". 2.The following is added to Paragraph B.5., Other Insurance of SECTION IV – BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, 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 contract 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, requires this insurance to be primary and non-contributory. POLICY NUMBER: 810-7T01965A-22-43-G Includes copyrighted material of Insurance Services Office, Inc. with its permission. Attachment Code: D603995 Certificate ID: 19563044 DocuSign Envelope ID: DAEDDBB6-8DCF-4D5D-9D17-FADB69B58327