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2023/05/01 Tate Snyder Kimsey, Inc.12/12/2023 RSC Insurance Brokerage, Inc. 750 Third Ave 15th Floor New York NY 10017 Mayelyn Sala msala@risk-strategies.com Tate Snyder Kimsey, Inc. 316 W. 2nd Street, PH Los Angeles CA 90012 Hartford Insurance Company of the Midwest 30104 Hartford Accident and Indemnity Company 22357 Hartford Casualty Insurance Company 29424 XL Specialty Insurance Company 37885 CL2353153460 A 84SBWBI0133-006 05/01/2023 05/01/2024 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000 B 84UEGAE1619 05/01/2023 05/01/2024 1,000,000 A 10,000 84XHGYH2784 05/01/2023 05/01/2024 15,000,000 15,000,000 C 84WEGAS3TAB 05/01/2023 05/01/2024 1,000,000 1,000,000 1,000,000 D Professional Liability Pollution Liability DPR5012505 05/01/2023 05/01/2024 Per Claim $2,000,000 Annual Aggregate $2,000,000 The claims-made professional liability coverage has a total aggregate limit for all claims presented within the annual policy period and is subject to a deductible. Thirty (30) day notice of cancellation in favor of certificate holder on all policies as required by written contract. City of Menifee is named as an additional insured on the general, auto and umbrella liability coverage as required by written contract. A waiver of subrogation is shown in favor of the additional insured on all policies as required by written contract. Project reference – CIP 23-10 for Architectural Design Z& Engineering Services for the Community Center City of Menifee Attn: Maritsa Ramirez 29844 Haun Road Menifee CA 92586 SHOULD 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 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 Tate Snyder Kimsey, Inc.RSC Insurance Brokerage, Inc. 25 Certificate of Liability Insurance: Notes Additional Named Insureds. MoreGroup Holdings, Inc. Huckabee Architects LP Huckabee Holdings, Inc. Huckabee Intermediate, Inc. Huckabee Architects Inc. Huckabee GP, LLC Huckabee & Associates Inc. Don Penn Consulting Engineer Image Engineering Group, LLC Rachlin Partners Inc. (CA) Rachlin Partners, LLC e4h-Environments for Health, LLC Environments for Health, LLC E/F/H Architects PC Environments for Health AR Inc. E4H-Environments for Health (Northeast) Inc. Tate Snyder Kimsey, Inc. Tate Snyder Kimsey, Inc. (CA) Environments for Health NJ, Inc. DaSilva Architects, P.C. Environments for Health (CA), Inc. Environments for Health (MI), LLC RSG Architects, LLC E4H – Environments for Health (OH), Inc. Envrionments for Health (WA), Inc. Environments for Health (NV), Inc. Environments for Health (USA), P.C. ACORD 101 (2008/01) The ACORD name and logo are registered marks of ACORD © 2008 ACORD CORPORATION. All rights reserved. THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER:FORM TITLE: ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE Page of AGENCY CUSTOMER ID: LOC #: AGENCY CARRIER NAIC CODE POLICY NUMBER NAMED INSURED EFFECTIVE DATE: DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 Policy Number: 84UEGAE1619 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 Policy#: 84SBWBI0133-006DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9 DocuSign Envelope ID: 1379161F-1DF9-4F6A-A209-479ABDA8AFC9