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Home My WebLink AboutInsuranceClient#: 13851 CIVILSOUR ACORDTM CERTIFICATE OF LIABILITY INSURANCE PRODUCER Dealey, Renton & Associates P. O. Box 10550 'ta Ana, CA 92711-0550 427-6810 DATE (MM/DD/YYYY) 09/22/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURED Civil Source, Inc- 500 Wald Street Irvine, CA 92618 INSURER A Travelers Indemnity Co. of Connectic INSURER B Travelers Property Casualty Co of Am INSURERC: Travelers Casualty&Surety Co of Amer INSURER D: NAIC # 25682 25674 31194 INSURER E: COVERAGES I r 1i I-Vt_,,.nw yr- IIVOUfCtUVyC uO I Cu tscwvV HAVE tittN ISSUtU I O I HE 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRC TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MMIDD/yY) LIMITS A GENERAL LIABILITY 6802810L758 07/20/10 07/20/11 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY General Liab. DAMAGE RENE PR£M SESO(Fa occur° noel $1,000,000 CLAIMS MADE X OCCUR excludes claims MED EXP (Any one person) $10,000 X Contractual Liab. arising out of PERSONAL &ADV INJURY $1,000,000 the performance GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: of professional PRODUCTS - COMP/OP AGG $2,000,000 POLICY X PRO- JECT LOC _ services. B AUTOMOBILE LIABILITY BA4592L377 07/20/10 07/20/11 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ AUTO ONLY: AGG $ B EXCESS/UMBRELLA LIABILITY CUP6772Y251 07/20/10 07/20/11 EACH OCCURRENCE $1,000,000 X OCCUR CLAIMS MADE Does not include AGGREGATE $1,000,000 $ DEDUCTIBLE Professional RETENTION $ Liability. $ $ B WORKERS COMPENSATION AND UB6771Y518 07/20/10 07/20/11 X WC STATU- OTH- EMPLOYERS' LIABILITY TORY I IMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? If yes, describe under E.L. DISEASE - EA EMPLOYEE $1,000,000 S SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 C OTHER Professional 105316987 07/20/10 07/20/11 $2,000,000 per claim Liability $2,000,000 arm! aggr. C Claims made $5,000 Ded. per claim DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS The City of National City, its elected officials, officers, agents, and employees are additional insured on General & Auto Liability coverage as per written contract. Waiver of subrogation included in work comp. (See Attached Descriptions) IFICATE HOLDER City of National City Attn: Maryam Babaki, P.E. 1243 National City National City, CA 91950 CANCELLATION Ten Day Notice for Non Payment of Premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL stRim MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,XyQXFA K ) OCNRXMCXXXRDtJQX7 IOIK-XXVXXWXXiN IXtegNICOt6C IXOCI eC3 AXSOSCDCD6M WXX Kbrb£SWIXRX AUTHOREPRESENTATIVE ACORD 25 (2001/08) 1 of 2 #S2742461M274245 2 THC o ACORD CORPORATION 1988 General Liability Deductible: $0 AMS 25.3 (2001/08) 2 of 2 #S274246/M274245 3 POLICY NUMBER: BA4592L377 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who is An Insured Provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement effective 09/22/10 Named Insured Civil Source, Inc. Name of Person(s) or Organization(s): City of National City Attn: Maryam Babaki, P.E. 1243 National City National City, CA 91950 SCHEDULE The City of National City, its elected officials, officers, agents, and employees. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who is An Insured Provision contained in Section II of the Coverage Form CA20480299 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 4 WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 (00) -- POLICY NUMBER: UB6771Y518 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 right against the person or organization named in the Schedule. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be % of the California workers' Compensation pre- mium otherwise due on such remuneration. Person or Organization: City of National City Attn: Maryam Babaki, P.E. 1243 National City National City, CA 91950 DATE OF ISSUE: 09/22 /10, Schedule Job Description: The City of National City, its elected officials, officers, agents, and employees. 5 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED (Section II): Any person or organization that you agree in a "contract or agreement requiring insurance" to in- clude as an additional insured on this Coverage Part, but only with respect to liability for "bodily in- jury", "property damage" or "personal injury" caused, in whole or in part, by your acts or omis- sions or the acts or omissions of those acting on your behalf: a. In the performance of your ongoing opera- tions; b. In connection with premises owned by or rented to you; or c. In connection with "your work" and included within the "products -completed operations hazard". Such person or organization does not qualify as an additional insured for "bodily injury", "property damage" or "personal injury" for which that per- son or organization has assumed liability in a con- tract or agreement. The insurance provided to such additional insured is limited as follows: d. This insurance does not apply on any basis to any person or organization for which cover- age as an additional insured specifically is added by another endorsement to this Cover- age Part. e. This insurance does not apply to the render- ing of or failure to render any "professional services". f. The limits of insurance afforded to the addi- tional insured shall be the limits which you agreedin that "contract or agreement requir- ing insurance" to provide for that additional insured, or the limits shown in the Declara- tions for this Coverage Part, whichever are less. This endorsement does not increase the limits of insurance stated in the LIMITS OF CG D3 81 09 07 INSURANCE (Section III) for this Coverage Part. B. The following is added to Paragraph a. of 4. Other Insurance in COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV):. However, if you specifically agree in a "contract or agreement requiring insurance" that the insurance provided to an additional insured under this Cov- erage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such addi- tional insured as a named insured, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense committed; after you have entered into that "contract or agreement requiring insurance". But this insur- ance still is excess over valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured under any other insurance. C. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us in COMMERCIAL GENERAL LIABILITY CON- DITIONS (Section IV): We waive any rights of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, under a "contract or agreement requiring insurance" with that person or organization. We waive these rights only where you have agreed to do so as part of the "contract or agreement requiring -insur- ance" with such person or organization entered into by you before, and in effect when, the "bodily 2007 The Travelers Companies, Inc. Includes the copyrighted material of Insurance Services Office, Inc with its permission 6 Page 1 of 2 COMMERCIAL GENERAL LIABILITY injury" or "property damage" occurs, or the "per- sonal injury" offense is committed. D. The following definition is added to DEFINmONS (Section V): "Contract or agreement requiring insurance" means that part of any contract or agreement un- der which you are required to indude a person or organization as an additional insured on this Cov- erage Part, provided that the "bodily injury" and "property damage" occurs, and the "personal in- jury" is caused by an offense committed: a. After you have entered into that contract or agreement; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. Page 2 of 2 m 2007 The Travelers Companies, inc. includes the copyrighted material of insurance Services Office, inc., with Its permission 7 CG D3 81 09 07