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Insurance Certificates 2017/18 Terra NovaAte. R� CERTIFICATE OF LIABILITY INSURANCE ` DATE �"M`�1a ) 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 OF7GFRF151T TIA VF 08 PRC1C7#8'NO THE SF TI,� CICCATE HOLD 0 IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must 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 PRODUCER ONTACT TIMOTHY WOOD, LIC# 0697033 pME: JOVANY M. CALVILLO 1 LIC# CG40189 35963 DATE PALM DR .r Mrl.)r780-770.0700 f N' go, 760-770-9282 H41AIL CATHEDRAL CITY, CA 92234 1nDRessn'OVANY.M,13AEVILLE). NjSt5 TAT-EFARM-E9fu1— - ——TlrsuRaasr+rrPaRtnNezove>aa.;' ' I,ISURERA : State Farm General Insurance CDmDanv 251SI INSURED TERRA NOVA PLANNING & RESEARCH, INC. 42635 MELANIE PLACE, SUITE 101 PALM DESERT, CA 92211-9113 I allRER a 74ftle F3mrML1Md AlL t n701blte 1115.011CL'eCl II atIV-`- �SYTt�- �a I stlRelrE: COVERAGES— -- CERTIFICATE NUMBER- ' REVISION NUMBER- . 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 INS:! A UjjQp l POLICY EFF POLICY EXP i.TR TYPE OF INSURANCE POLICY NUMBER fa1M1DDA`YYYI /MMJODIVYYYI LIMITS. A LLIABILITY 90-BP-D088-0 08101/2017 0810112018 ©�+ o,,:.ru..,;.usMaC�„ 2;0169410_ MSRCIAL GENERAL LIABILITY u.,..,.,.,� Tu „�.�T�.. 300,000 PAEMISES�-xcurr�n ca! ELRlMS•MROE � OCCUR MMEXI, 11�.,,,.gr,,.,„,� 5000— PER9S0WAt-8"'W'fN:WRY- . -- —r GENERAL-AOGRESAFE— II GEN'LAGGREGATE LIMIT PROeteF9•-eewior�\ �LIAPjPLIEjSPER: jj X POLICY I7 e'erp'"' LOC I I I AUT 91LE LIABILITY I l _ 2489932-F29-55 081011201T 08101/2018 COMBINED SINGLE LIMIT 1Eaoccidenl) " 1.000.000 x Y AUTO BODILY INJURY (Per accident)- y _ AU. OWNED AIRED AUTOS AUTOS NON -OWNED AUTOS ` ` PROPERTY fl.4MAG lPtrr am�� t1MBREL4A LIAR � Iy OCCUR �'� EACH OCCURRENCE _ l IXCESSLIAR CLAWS-MADEI1 AGGREGATE — — WORKERS COMPENSATION -` Vlrr._STA'j U- _ []TF�+a - _ _ _,1 AND EMPLOYERS' LIABILITY Y1ry 11 y f ANY PROPRIETORIPARTNERIEXECUTIVE OFFICElMEWt7ER EXCLUDED? 111A ❑ E.L EACH ACCIDENT (Mandalory In NMI E L. DISEASE - EA EMPLOYE McPfpr �lA FA It71•�pw a : I :4bk9E�-PBtICYt:r.*.- 4 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarka Schedule, It more space is required) THE CITY OF LA QUINTA, ITS OFFICERS, EMPLOYEES, CONTRACTORS, AND AGENTS ARE COVERAED AS ADDITIONAL INSURED. POLICY IS PRIMARY AND NON-CONTRIBUTORY, AND WAIVER OF SUBROGATION APPLIES. CERTIFICATE HOLDER ANCELLATION HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF LA QUINTA S THE EXPIRATIO JATE TUEREOF, NOTICE WELL BE DELIVERED IN 78495 CALLE TAMPICO i ACCC,n.x. ec M-FIE-P--+ICrrmt7VISIONS. LA QUINTA, CA 92253 AU ED REPRESENTA E - I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are marks of ACORD 1001486 132849.7 03-01-2012 Stateftm 90-BP-DO66-0 W w, THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 007706 CMP4786.1 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS (Scheduled) This endorsement modifies insurance provided under the following BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 90-BP-D066-0 Named Insured: TERRA NOVA PLANNING & RESEARCHING 42635 MELANIE PL STE 101 PALM DESERT CA 92211-9113 Name And Address Of Additional Insured Person Or Organization: CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA CA 92253-2839 CMP-4786.1 Page 1 of 2 1. SECTION II — WHO IS AN INSURED of b. If coverage provided to the additional in - SECTION II — LIABILITY is amended to in- sured is required by a contract or agree- clude, as an additional insured, any person or ment, the insurance provided to the organization shown in the Schedule but only additional insured will not be broader than with respect to liability for "bodily injury "property damage", or "personal and adverbs -or that which you are required by the contract ing injury" caused, in whole or in part, by: agreement to provide for such addition- al insured; and s. Ongoing Operations c. If the contact or agreement between you (1) Your acts or omissions; or and the additional insured is governed by (2) The acts or omissions of those acting California Civil Code Section 2782 or on your behalf; 2782.05, the insurance provided to the in'the performance of our ongoing o p 9 g era- p additional insured is the lesser of that which: lions for that additional insured; or b. Products — Completed Operations (1) Is allowed for the satisfaction of a de- fense or indemnity obligation by CaU- "Your work° performed for that additional fornia Civil Code Section 2782 or insured and included in the "products- 2782.05 for your sole liability; or completed operations hazard". (2) You are required by contract or However, Paragraph 1. above is subject to the agreement to provide for such addi- following: tional insured. a. The insurance afforded to the additional We have no duty to defend or indemnify the insured only applies to the extent permit- additional insured under this endorsement un- ted by law; til a claim or "suit" is tendered to us, ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CONTINUED 90-BP-DO66-0 007706 2. Any insurance provided to the additional in- sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage. 3. With respect to the insurance afforded to the additional insured, the following is added to SECTION II -- LIMITS OF INSURANCE: If coverage provided to the additional insured is required by contract or agreement, the most we will pay on behalf of the additional insured Will be the lesser of the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits Of Insurance shown in the Declarations. This endorsement shall not increase the ap- plicable Limits Of Insurance shown in the Declarations. 4. With respect to the insurance afforded to the additional insured, the following is added to Paragraph 3. Duties In The Event Of Occur- rence, Offense, Claim Or Suit of SECTION II — GENERAL CONDITIONS: The additional insured must: a. See to it that we are notified as soon as practicable of an "occurrence" or an of- fense which may result in a claim. To the extent possible, notice should include: (1) How, when and where the "occur- rence" or offense took place; (2) The names and addresses of any in- jured persons and witnesses; and CMP-4786,1 Page 2 of 2 (3) The nature and location of any injury or damage arising out of the "occur- rence" or offense; b. Tender the defense and indemnity of any claim or "suit" to us and to all other insur- ers who may have insurance potentially available to the additional insured; and c. Agree to make available any other insur- ance the additional insured has for de- fense or damages for which we would provide coverage under SECTION II — LIABILITY. 5. With respect to the insurance afforded the ad- ditional insured, the following replaces SEC- TION II —LIABILITY of Paragraph 7. Other Insurance of SECTION I AND SECTION 11— COMMON POLICY CONDITIONS: a. This insurance is primary to and will not seek contribution from any other insurance available to the additional insured, provided that the additional insured is a named in- sured under such other insurance. b. Regardless of any agreement between you and the additional insured, this insur- ance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional in- sured has been added as an additional in- sured on other policies. There will be no refund of premium in the event this endorsement is cancelled. All other policy provisions apply. CMP-4786.1 ©, Copyright, State Farm Mutual Automobile Insurance Company, 2013 Includes copyrighted material of Insurance Services Office, Inc., with its permission. ACC> CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/Y /YY) 07/17/2018 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 riqhts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Heather Harris Hall & Company PHONE 360-598-5026 FAX A/E Insurance Services 1Arc_ N Fr�1 IAfr;. Nol, 360 59$ 3703 19660 10th Ave NE n aRFss, hharris@hallandcompany.com Poulsbo WA 98370 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A! Underwriters at Lloyd's London Syndicate #2623 INSURED TERRNOV-01 INSURER B : Terra Nova Planning & Research Inc INSURERC: 42635 Melanie PI Ste 101 Palm Desert CA 92211 INSURER D INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 599687040 REVISION NUMBER: 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. INSR AU01- siJOR POLICY EFF POLICY EXP TYPE OF INSURANCE LTR :1NSD WVD POLICY NUMBER ;MMfDOIYYYYI {MMIDDrYYYY} LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ CLAIMS -MADE L: OCCUR DAMAGETO RENTED $ II MED EXP (Any one person) +l S I PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY JECT LOC II + PRODUCTS -COMP/OP AGG S OTHER: S AUTOMOBILE LIABILITY { a c Ndentl 1NliLE LIMIT $ ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED NON -OWNED PRO $ AUTOS ONLY AUTOS ONLY [p4r aecEdei7[.y . S UMBRELLA LAB _OCCUR EACH OCCURRENCE S �I EXCESS LAB CLAIMS -MADE AGGREGATE $ DED RETENTIONS S WORKERS COMPENSATION PER ` 01'1­1- STATUTE ER AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE — EL, EACH ACCIDENT S NIP` OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E,L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ A Professional Liab;Claims Made ENP0002018-01 111512017 11/5/2018 $2,000,000 Per Claim $2,000,000 Aggre Contractors Pollution Liability I $2,000,000 Per Claim $2,000,000 Aggre DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of La Quinta THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 78-945 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta CA 92253 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD StateFarnl 90-BP-D066-0 007730 CMP-4787 A. Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CMP-4787 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US This endorsement modifies insurance provided under the following: BUSINESSOWNERS COVERAGE FORM SCHEDULE Policy Number: 90-BP-DO66-0 Named Insured: TERRA NOVA PLANNING & RESEARCHING 42635 MELANIE PL STE 101 PALM DESERT CA 92211-9113 Name And Address Of Person Or Organization: CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA CA 92253-2839 The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of: a. Your ongoing operations; or b. "Your work" done under contract with that person or organization and included in the "products - completed operations hazard". This waiver applies only to the person or organization shown in the Schedule. All other policy provisions apply. CMP-4787 m, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission. POLICYHOLDER COPY SP P.O. BOX 8192, PLEASANTON, CA 94588 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 09-01-2017 CITY OF LA QUINTA SP 78495 CALLE TAMPICO L-A--QUINTA CA 92253-2839 GROUP: POLICY NUMBER: 9068678-2017 CERTIFICATE ID: 52 CERTIFICATE EXPIRES: 09-01-2018 09-01-2017/09-01-2018 This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated. This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer. We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein, Notwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate of insurance may be issued or to which it may pertain, the insurance afforded by the policy described herein is subject to all ,the terms, exclusions, and conditions, of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE. ENDORSEMENT #2085 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 09-01-2013 IS ATTACHED TO AND FORMS A PART OF THIS POLICY. EMPLOYER TERRA NOVA PLANNING & RESEARCH,INC. SP 42635 MELANIE PL STE 101 PALM DESERT CA 92211 M0410 (REV.7-2014) PRINTED : 08-17-2017