Loading...
2023/09/01 CavignacSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 11/7/2023 Cavignac 451 A Street,Suite 1800 San Diego CA 92101 Certificate Department 619-744-0574 619-234-8601 certificates@cavignac.com Travelers Property Casualty Company of America 25674 ENGIRES-01 Berkley Insurance Company 32603EngineeringResourcesofSouthernCalifornia,Inc. 1861 W.Redlands Blvd,Bldg 7B Redlands CA 92373 Hartford Casualty Insurance Co 29424 1631257295 A X 1,000,000 X 1,000,000 10,000 1,000,000 2,000,000 X X Y 6802H222963 9/1/2023 9/1/2024 2,000,000 Deductible 0 A 1,000,000 X Y BA2S03978A 9/1/2023 9/1/2024 A X X 5,000,000CUP7181Y5049/1/2023 9/1/2024 5,000,000 X 0 C X72WEGGG63719/1/2023 9/1/2024 1,000,000 1,000,000 1,000,000 B Professional Liability AEC907006904 9/1/2023 9/1/2024 Ea Claim &Aggreg $2,000,000 Re:On-Call Engineering Services,Job No.02002007.Additional Insured coverage applies to General Liability and Automobile Liability for City of Menifee,its officers,agents and employees per policy form.Excess/Umbrella policy follows form over underlying policies:General Liability,Auto Liability &Employers Liability (additional insured and waiver of subrogation apply when afforded on underlying policies).Professional Liability -Claims made form,defense costs included within limit. City of Menifee 29844 Haun Road Menifee CA 92586 DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Policy #BA2S03978A DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Policy #BA2S03978A DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Policy #BA2S03978A DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E                                                                                                      Policy #BA2S03978A DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E '311)6'-%0+)2)6%00-%&-0-8= 4EKISJ8LI8VEZIPIVW-RHIQRMX]'SQTER]%PPVMKLXWVIWIVZIH -RGPYHIWGST]VMKLXIHQEXIVMEPSJ-RWYVERGI7IVZMGIW3JJMGI-RG[MXLMXWTIVQMWWMSR '+8 G 1IXLSH3J7LEVMRK -JEPPSJXLISXLIVMRWYVERGITIVQMXWGSRXVMFYXMSR F]IUYEPWLEVIW[I[MPPJSPPS[XLMWQIXLSHEPWS 9RHIV XLMW ETTVSEGL IEGL MRWYVIV GSRXVMFYXIW IUYEP EQSYRXW YRXMP MX LEW TEMH MXW ETTPMGEFPI PMQMXSJMRWYVERGISVRSRISJXLIPSWWVIQEMRW [LMGLIZIVGSQIWJMVWX -J ER] SJ XLI SXLIV MRWYVERGI HSIW RSX TIVQMX GSRXVMFYXMSRF]IUYEPWLEVIW[I[MPPGSRXVMFYXI F] PMQMXW 9RHIV XLMW QIXLSH IEGL MRWYVIV W WLEVIMWFEWIHSRXLIVEXMSSJMXWETTPMGEFPIPMQMX SJ MRWYVERGI XS XLI XSXEP ETTPMGEFPI PMQMXW SJ MRWYVERGISJEPPMRWYVIVW H 4VMQEV] %RH 2SR'SRXVMFYXSV] -RWYVERGI -J 6IUYMVIH&];VMXXIR'SRXVEGX -J]SYWTIGMJMGEPP]EKVIIMRE[VMXXIRGSRXVEGXSV EKVIIQIRX XLEX XLI MRWYVERGI EJJSVHIH XS ER MRWYVIHYRHIVXLMW'SZIVEKI4EVXQYWXETTP]SR E TVMQEV] FEWMW SV E TVMQEV] ERH RSR GSRXVMFYXSV]FEWMW XLMW MRWYVERGIMWTVMQEV] XS SXLIVMRWYVERGIXLEXMWEZEMPEFPIXSWYGLMRWYVIH [LMGLGSZIVWWYGLMRWYVIHEWEREQIHMRWYVIH ERH[I[MPPRSXWLEVI[MXLXLEXSXLIVMRWYVERGI TVSZMHIHXLEX  8LIFSHMP]MRNYV]SVTVSTIVX]HEQEKIJSV [LMGLGSZIVEKIMWWSYKLXSGGYVWERH  8LI TIVWSREP ERH EHZIVXMWMRK MRNYV] JSV [LMGLGSZIVEKIMWWSYKLX MWGEYWIHF] ER SJJIRWIXLEXMWGSQQMXXIH WYFWIUYIRX XS XLI WMKRMRK SJ XLEX GSRXVEGX SV EKVIIQIRXF]]SY  4VIQMYQ%YHMX E;I[MPPGSQTYXIEPPTVIQMYQWJSVXLMW'SZIVEKI 4EVXMREGGSVHERGI[MXLSYVVYPIWERHVEXIW F4VIQMYQ WLS[R MR XLMW 'SZIVEKI 4EVX EW EHZERGITVIQMYQMWEHITSWMXTVIQMYQSRP]%X XLIGPSWISJIEGLEYHMXTIVMSH[I[MPPGSQTYXI XLI IEVRIH TVIQMYQ JSV XLEX TIVMSH ERH WIRH RSXMGIXSXLIJMVWX2EQIH-RWYVIH 8LIHYIHEXI JSVEYHMXERHVIXVSWTIGXMZITVIQMYQWMWXLIHEXI WLS[REWXLIHYIHEXISRXLIFMPP -JXLIWYQSJ XLI EHZERGI ERH EYHMX TVIQMYQW TEMH JSV XLI TSPMG] TIVMSH MW KVIEXIV XLER XLI IEVRIH TVIQMYQ[I [MPPVIXYVRXLII\GIWWXSXLIJMVWX 2EQIH-RWYVIH G8LIJMVWX2EQIH-RWYVIHQYWXOIITVIGSVHWSJ XLI MRJSVQEXMSR [I RIIH JSV TVIQMYQ GSQTYXEXMSRERHWIRHYWGSTMIWEXWYGLXMQIW EW[IQE]VIUYIWX  6ITVIWIRXEXMSRW &]EGGITXMRKXLMWTSPMG]]SYEKVII E8LI WXEXIQIRXW MR XLI (IGPEVEXMSRW EVI EGGYVEXIERHGSQTPIXI F8LSWI WXEXIQIRXW EVI FEWIH YTSR VITVIWIRXEXMSRW]SYQEHIXSYWERH G;I LEZI MWWYIH XLMW TSPMG] MR VIPMERGI YTSR ]SYVVITVIWIRXEXMSRW 8LIYRMRXIRXMSREPSQMWWMSRSJSVYRMRXIRXMSREPIVVSV MRER]MRJSVQEXMSRTVSZMHIHF]]SY[LMGL[IVIPMIH YTSR MR MWWYMRK XLMW TSPMG] [MPP RSX TVINYHMGI ]SYV VMKLXWYRHIVXLMWMRWYVERGI,S[IZIVXLMWTVSZMWMSR HSIW RSX EJJIGX SYV VMKLX XS GSPPIGX EHHMXMSREP TVIQMYQSVXSI\IVGMWISYVVMKLXWSJGERGIPPEXMSRSV RSRVIRI[EPMREGGSVHERGI[MXLETTPMGEFPIMRWYVERGI PE[WSVVIKYPEXMSRW  7ITEVEXMSR3J-RWYVIHW )\GITX[MXLVIWTIGXXSXLI0MQMXWSJ-RWYVERGIERH ER] VMKLXW SV HYXMIW WTIGMJMGEPP] EWWMKRIH MR XLMW 'SZIVEKI 4EVX XS XLI JMVWX 2EQIH -RWYVIH XLMW MRWYVERGIETTPMIW E%W MJ IEGL 2EQIH -RWYVIH [IVI XLI SRP] 2EQIH-RWYVIHERH F7ITEVEXIP]XSIEGLMRWYVIHEKEMRWX[LSQGPEMQ MWQEHISVWYMXMWFVSYKLX  8VERWJIV3J6MKLXW3J6IGSZIV]%KEMRWX3XLIVW 8S9W -JXLIMRWYVIHLEWVMKLXWXSVIGSZIVEPPSVTEVXSJER] TE]QIRX[ILEZIQEHIYRHIVXLMW'SZIVEKI4EVX XLSWIVMKLXWEVIXVERWJIVVIHXSYW8LIMRWYVIHQYWX HSRSXLMRKEJXIVPSWWXSMQTEMVXLIQ%XSYVVIUYIWX XLIMRWYVIH[MPPFVMRKWYMXSVXVERWJIVXLSWIVMKLXW XSYWERHLIPTYWIRJSVGIXLIQ  ;LIR;I(S2SX6IRI[ -J[IHIGMHIRSXXSVIRI[XLMW'SZIVEKI4EVX[I[MPP QEMPSVHIPMZIVXSXLIJMVWX2EQIH-RWYVIHWLS[RMR XLI (IGPEVEXMSRW [VMXXIR RSXMGI SJ XLI RSRVIRI[EP RSXPIWWXLERHE]WFIJSVIXLII\TMVEXMSRHEXI -JRSXMGIMWQEMPIHTVSSJSJQEMPMRK[MPPFIWYJJMGMIRX TVSSJSJRSXMGI 7)'8-32:z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ocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E '+(4EKISJ -RGPYHIWGST]VMKLXIHQEXIVMEPSJ-RWYVERGI7IVZMGIW3JJMGI-RG[MXLMXWTIVQMWWMSR 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z0-1-873* -2796%2') *SV XLI TYVTSWIW SJ HIXIVQMRMRK XLI ETTPMGEFPI)EGL3GGYVVIRGI0MQMXEPPVIPEXIH EGXWSVSQMWWMSRWGSQQMXXIHMRTVSZMHMRKSV JEMPMRK XS TVSZMHI MRGMHIRXEP QIHMGEP WIVZMGIW JMVWX EMH SV +SSH 7EQEVMXER WIVZMGIWXSER]SRITIVWSR[MPPFIHIIQIH XSFISRISGGYVVIRGI 8LI JSPPS[MRK I\GPYWMSR MW EHHIH XS 4EVEKVETL)\GPYWMSRWSJ7)'8-32-z '3:)6%+)7 z'3:)6%+)% z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z '311)6'-%0 +)2)6%0 0-%&-0-8= '32(-8-327 8LMWMRWYVERGIMWI\GIWWSZIVER]ZEPMHERH GSPPIGXMFPISXLIVMRWYVERGI[LIXLIVTVMQEV] I\GIWW GSRXMRKIRX SV SR ER] SXLIV FEWMW XLEXMWEZEMPEFPIXSER]SJ]SYVIQTPS]IIW JSVFSHMP]MRNYV]XLEXEVMWIWSYXSJTVSZMHMRK SV JEMPMRK XS TVSZMHI MRGMHIRXEP QIHMGEP WIVZMGIW XS ER] TIVWSR XS XLI I\XIRX RSX WYFNIGXXS4EVEKVETLE  SJ7IGXMSR--z ;LS-W%R-RWYVIH / 1)(-'%04%=1)287z-2'6)%7)(0-1-8 8LI JSPPS[MRK VITPEGIW 4EVEKVETLSJ 7)'8-32---z0-1-873*-2796%2') 7YFNIGXXS4EVEKVETLEFSZIXLI1IHMGEP )\TIRWI0MQMXMWXLIQSWX[I[MPPTE]YRHIV 'SZIVEKI'JSV EPP QIHMGEP I\TIRWIW FIGEYWISJFSHMP]MRNYV]WYWXEMRIHF]ER] SRITIVWSRERH[MPPFIXLILMKLIVSJ ESV F8LIEQSYRXWLS[RMRXLI(IGPEVEXMSRWSJ XLMW'SZIVEKI4EVXJSV1IHMGEP)\TIRWI 0MQMX 0 %1)2(1)28 3* )<')77 -2796%2') '32(-8-32z463*)77-32%00-%&-0-8= 8LI JSPPS[MRK MW EHHIH XS 4EVEKVETLF )\GIWW -RWYVERGI SJ7)'8-32 -: z '311)6'-%0 +)2)6%0 0-%&-0-8= '32(-8-327 8LMWMRWYVERGIMWI\GIWWSZIVER]SJXLI SXLIV MRWYVERGI [LIXLIV TVMQEV] I\GIWW GSRXMRKIRX SV SR ER] SXLIV FEWMW XLEX MW 4VSJIWWMSREP 0MEFMPMX] SV WMQMPEV GSZIVEKI XS XLI I\XIRX XLI PSWW MW RSX WYFNIGX XS XLI TVSJIWWMSREP WIVZMGIW I\GPYWMSRSJ'SZIVEKI%SV'SZIVEKI& 1 &0%2/)8 ;%-:)6 3* 79&63+%8-32 z ;,)2 6)59-6)( &= ;6-88)2 '3286%'8 36%+6))1)28 8LIJSPPS[MRKMWEHHIHXS4EVEKVETL8VERWJIV 3J6MKLXW3J6IGSZIV]%KEMRWX3XLIVW8S 9W  SJ7)'8-32 -: z '311)6'-%0 +)2)6%0 0-%&-0-8='32(-8-327  -JXLIMRWYVIHLEWEKVIIHMRE[VMXXIRGSRXVEGXSV EKVIIQIRX XS [EMZI XLEX MRWYVIH W VMKLX SJ VIGSZIV]EKEMRWXER]TIVWSRSVSVKERM^EXMSR[I [EMZISYVVMKLXSJVIGSZIV]EKEMRWXWYGLTIVWSR SVSVKERM^EXMSRFYXSRP]JSVTE]QIRXW[IQEOI FIGEYWISJ E&SHMP] MRNYV] SV TVSTIVX] HEQEKI XLEX SGGYVWSV F4IVWSREPERHEHZIVXMWMRKMRNYV]GEYWIHF] ERSJJIRWIXLEXMWGSQQMXXIH WYFWIUYIRX XS XLI WMKRMRK SJ XLEX GSRXVEGX SV EKVIIQIRX 1PMJDZ/VNCFS)DocuSign Envelope ID: A8160C96-CE82-4692-80F2-606D724E092E