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Insurance Certificates 2018 HR Green Pacific, Inci--� ++ DATE(MMIDDIYYYY) f ��. CERTIFICATE OF LIABILITY INSURANCE I 07/30/2018 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 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). PRODUCER 1-800-300-0325 ICONTACT NAME: Michelle Gruis 1 Holmes Murphy 6 Assoc - CR PHONE FAX iAIG Nd..Past1, 319-896-7715 1A1c.No1: 866-231-7822 201 First Street SE, Suite 700 E-MAIL ruis8holmesmu h ADDRESS: m g rPi Y•eom INSURER(SI AFFORDING COVERAGE NAIC # Cedar Rapids, IA 52401 INSURERA: Zurich American Insurance Company 16535 INSURED INSURERB: Travelers Property Casualty Company of 25674 HR Green Pacific, Inc. INSURERC: XL SPECIALTY INS CO 37985 1260 Corona Point Court INSURERD: Suite 305 INSURER E: Corona, CA 92879-5013 INSURERF: COVERAGES CERTIFICATE NUMBER: 53532771 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. PISR I.TR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP IMMIDDIYYYYI IMM0DfYYYY1 LIMITS A X COMMERCIAL GENERAL LIABILITY GL0373096708 01/01/18 01/01/19 EACH OCCURRENCE I$ 1,000,000 I CLAIMS 120 DAMAGE TO RENTED 300,000 -MADE OCCUR PRE MMESIca acgw1gua) $ II jMEDEXP(Anyone person) $10,000 `PERSONAL & ADV INJURY $ 1,000,000 % GENLAGGREgAT> LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 V PEA rx-1 j I 2,000,000 POLICY! 1 LOC J PRODUCTS-COMP/OPAGG $ OTHER: $ A AUTOMOBILE LIABILITY BAP373096808 _ 01/01/18 01/01/19 �".M.„ter. INOLEUMi7 iEe azdduntl $ 2,000,000 II X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Par accident) $ X X NON -OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS tPer acddenh $ B X uMBRELLAUAe f X OCCUR ZUP24N8656618 01/01/le 01/01/19 EACH OCCURRENCE s 15,000,000 f EXCESS LIAR CLAIMS -MADE AGGREGATE S 15, 000, 000 / DED 1 X I RETENTIONS 10, 000 SV/ WORKERS COMPENSATION A WC373096608 01/01/18 01/01/19 X PER OTH- STATUTE ER AND EMPLOYERS'LU4BILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICE FUME MBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 (ryas, descrlbeundu DESCRIPTIOPOrOPEF;�TIOMS Brow E.L. DISEASE - POLICY LIMIT S 1,000,000 C Professional Liabllality DPR9920152 01/01/18 01/01/19 Per Claim 5,000,000 (Claims Made Coverage) Aggregate 6,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached If more space is required) Project: 171838 On -Call Building Plan Review and Inspection The City of La Quinta is an additional insured on the General Liability on a primary and non-contributory basis as required by written contract with the insured, per policy terms and conditions. The Workers Compensation includes a waiver of subrogation in favor of the additional insureds as required by written contract with the insured, per policy terms and conditions. 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 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Maria Casillas 78-495 Calla Tampico AUTHORIZED REPRESENTATIVE La Quinta, CA 92253��`������� I USA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD sgreinercr C7SO9771 0 Additional Insured —Automatic — Owners, Lessees Or ZURICH. Contractors Policy No. Eff. Date of Pol. Exp. Date of Pol. I Eff. Date of End. Producer No. Add'I. Prem Return Prem. Gi-003730967-08 01/01/2018 01/01/2019 01101/2018 37-179-000 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: HR GREEN PACIFIC, INC. Address (including ZIP Code): 1260 Corona Point Court Corona, CA 92879 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, in the performance of your ongoing operations or "your work" as included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following additional exclusion applies: This insurance does not apply to: 'Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. U-GLA 176-F CW (04113) Page 1 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit" as soon as practicable; and 3. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition of Section IV— Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. U-GL-1175-F GW (04113) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 0313 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US. This endorsement changes the policy to which it is attached and Is effective on the date Issued unless otherwise stated. IThe information below is required only when this endorsement is issued subsequent to preparation of the policy.) 01/01/2018 WC 3730966-08 GREEN COMPANIES, INC. ZURICH AMERICAN INSURANCE CO. K� -I*.