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Insurance Certificates 2018/19 NV5, Inc� A4Ca►2" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 8/22/2018 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 ACT NAME. Certificate Department Cavignac & Associates PHONE 450 B Street, Suite 1800 A o.E,tI: 619-744.0574 WC Has:6'19-234-8601 San Diego CA 92101 I ADDRESS: certificates@cavignac.com INSURERI5)AFFORDING COVERAGE _ NAIC # INSURER A; Valley Forge Insurance Company _ 20508 INSURED NVSINC0.01 INSURER B: Continental Casualty Co. 20443 NV5, Inc. 15092 Avenue of Science, Suite 200 INSURERC: Continental Insurance Comoanv 35289 San Diego, CA 92128 INSURERD: National Fire Ins. Hartford 20478 INSURER E: Berkley Insurance Company 32603 INSURER F : Underwriters at Lloyds London 85202 COVERAGES CERTIFICATE NUMBER: 1626302581 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. INTR TYPE OF INSURANCE ADDL SUBn POLICY EFF POLICY EXP N�Wyn POLICY NUMBER rMM/DGtYYYYI rMM/DD/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Y 6057040530 5/12018 5/12019 EACH OCCURRENCE $ 1,000.000 CLAIMS X I OCCUR DAMAGE Tp RENTED -MADE PREMISES (Ea occurrencel $ 1,000.000 X Cross Liab/Sevin MED EXP (Any one person) $ 15.000 X $0 Deductible PERSONAL & ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2 000 000 POLICY �( PRO - 0 JECT LOC PRODUCTS - COMP/OP AGG $ 2.000.000 OTHER: Stop Gap Liability $ 1,000,000 B AUTOMOBILE LIABILITY 6057040575 5112018 5112019 �uwiorrecu anruLt LIMIT rEa acC danll $ 1 000.000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident ( ) $ NON -OWNED HIREDAUTOS AUTOS P PROPERTY DAMAGE rperaoddentl $ $ C X UMBRELLA LIAB OCCUR 6057187219 5/12018 5/12019 EACH OCCURRENCE $ 20.000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 20,000,000 DIED X RETENTION $ n $ D WORKERS COMPENSATION Y 6057040558 5/12018 5/12019 X I PER STATUTE I ERH AND EMPLOYERS' LIABILITY Y i N ANY PROPRIETOR/PARTNER/EXECUTIVE �� I E.L. EACH ACCIDENT $ 1.000.000 OFFICER/MEMBER EXCLUDED? ry I N / A l (Mandatory In NH) --' E L DISEASE - EA EMPLOYEE $ 1.000.000 If yes, desuibe under DESCRIPTION OF OPERATIONS below E L DISEASE -POLICY LIMIT $1,000,000 E Professional Liability AEC902036802 5/12018 5/12019 Ea. Claim/Aggreg $10M/$20M F Cyber Liability 504019 5112018 5/12019 Limit $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Additional Insured coverage applies to General Liability and Pollution Liability for the City of La Quinta per policy form. Waiver of subrogation applies to Workers Compensation per policy form. Pollution Liability included in Professional Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of La Quinta ACCORDANCE WITH THE POLICY PROVISIONS. 78495 Calle Tampico AUTHORIZED REPRESENTATIVE La Quinta CA 92253 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Blanket Additional Insured,- Owners, Lessees or Contractors - with Products -Completed Operations Coverage Endorsement This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is understood and agreed as follows: I. WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused in whole or in part by your acts or omissions, or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operations subject to such written contract; or B. in the performance of your work subject to such written contract, but only with respect to bodily injury or property damage included in the products -completed operations hazard, and only if: 1. the written contract requires you to provide the additional insured such coverage; and 2. this coverage part provides such coverage. II. But if the written contract requires: A. additional insured coverage under the 11-85 edition, 10-93 edition, or 10-01 edition of CG2010, or under the 10-01 edition of CG2037; or B. additional insured coverage with "arising out of language; or C. additional insured coverage to the greatest extent permissible by law; then paragraph I. above is deleted in its entirety and replaced by the following: WHO IS AN INSURED is amended to include as an Insured any person or organization whom you are required by written contract to add as an additional insured on this coverage part, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of your work that is subject to such written contract. III. Subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: A. coverage broader than required by the written contract; or B. a higher limit of insurance than required by the written contract. IV. The insurance granted by this endorsement to the additional insured does not apply to bodily injury, property damage, or personal and advertising injury arising out of: A. the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: 1. the preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and 2. supervisory, inspection, architectural or engineering activities; or B. any premises or work for which the additional insured is specifically listed as an additional insured on another endorsement attached to this coverage part. V. Under COMMERCIAL GENERAL LIABILITY CONDITIONS, the Condition entitled Other Insurance is amended to add the following, which supersedes any provision to the contrary in this Condition or elsewhere in this coverage part: Primary and Noncontributory Insurance CNA75079XX (10-16) Page 1 of 2 Policy No: 6057040530 Effective Date: 0 5 / 01 / 2 01 s Insured Name: Drv5 Global, Inc Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. CNA Blanket Additional Insured - Owners, Lessees or Contractors -with Products -Completed Operations Coverage Endorsement With respect to other insurance available to the additional insured under which the additional insured is a named insured, this insurance is primary to and will not seek contribution from such other insurance, provided that a written contract requires the insurance provided by this policy to be: 1. primary and non-contributing with other insurance available to the additional insured; or 2. primary and to not seek contribution from any other insurance available to the additional insured. But except as specified above, this insurance will be excess of all other insurance available to the additional insured. VI. Solely with respect to the insurance granted by this endorsement, the section entitled COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: The Condition entitled Duties In The Event of Occurrence, Offense, Claim or Suit is amended with the addition of the following: Any additional insured pursuant to this endorsement will as soon as practicable: 1. give the Insurer written notice of any claim, or any occurrence or offense which may result in a claim; 2. send the Insurer copies of all legal papers received, and otherwise cooperate with the Insurer in the investigation, defense, or settlement of the claim; and 3. make available any other insurance, and tender the defense and indemnity of any claim to any other insurer or self -insurer, whose policy or program applies to a loss that the Insurer covers under this coverage part. However, if the written contract requires this insurance to be primary and non-contributory, this paragraph 3. does not apply to insurance on which the additional insured is a named insured. The Insurer has no duty to defend or indemnify an additional insured under this endorsement until the Insurer receives written notice of a claim from the additional insured. VII. Solely with respect to the insurance granted by this endorsement, the section entitled DEFINITIONS is amended to add the following definition: Written contract means a written contract or written agreement that requires you to make a person or organization an additional insured on this coverage part, provided the contract or agreement: A. is currently in effect or becomes effective during the term of this policy; and B. was executed prior to: 1. the bodily injury or property damage; or 2. the offense that caused the personal and advertising injury; for which the additional insured seeks coverage. Any coverage granted by this endorsement shall apply solely to the extent permissible by law. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. CNA75079XX (10-16) Policy NO: 6057040530 Page 2 of 2 Effective Date: 0 5 / 01 / 2 018 Insured Name: NV5 Global, Inc. Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Policy No: 6057040530 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. It is understood and agreed that the condition entitled Transfer Of Rights Of Recovery Against Others To The Insurer is amended by the addition of the following: Solely with respect to the person or organization shown in the Schedule above, the Insurer waives any right of recovery the Insurer may have against such person or organization because of payments the Insurer makes for injury or damage arising out of the Named Insured's ongoing operations or your work done under a contract with that person or organization and included in the products -completed operations hazard. All other terms and conditions of the Policy remain unchanged. This endorsement, which forms a part of and is for attachment to the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Policy, unless another effective date is shown below, and expires concurrently with said Policy. Policy No AEC902036802 BERKLEY INSURANCE COMPANY H. Contract means any agreement, whether express or implied, in fact or in law, written or oral, including, but not limited to, hold harmless and indemnity clauses, warranties, guarantees, certifications or penalty clauses. I. Contractor Services means drilling, excavation, or other sampling or testing procedures or construction, remediation or operational activities performed by you, your agent, or your subcontractor necessary to perform your Professional Services. J. Cyber Security Breach means your computer network security activities which result in: 1, the failure to prevent the introduction or transmission of a computer virus or any other malicious code, but only if such computer virus or malicious code affects the data, software, firmware, systems or networks of your clients; 2. the failure to provide your clients with access to your website, or your computer or communications network, when your clients have authorized use of the your website, or your computer or communications network; 3. failure to prevent unauthorized access to, or use of, data, software, firmware, systems or networks containing private or confidential information of your client; 4. the destruction, deletion or corruption of your client's electronic data; or 5, failure to prevent the theft, unauthorized or illegal disclosure or loss of your client's information listed below: a. an individual, natural person's private Content, or b. commercial confidential information that resides in or on your hardware devices or data systems. K. Damages means compensatory monetary amounts for a covered Claim which you become legally liable including judgments (inclusive of any pre -or post -judgment interest), awards, or settlements negotiated with our approval. Damages include fines, sanctions, taxes, penalties, punitive or exemplary damages and the multiple portion of any multiplied damage award unless any are uninsurable pursuant to applicable law. For purposes of Insuring Agreement B, Damages includes Clean -Up Costs. Damages do not include any return, withdrawal or reduction of professional fees, profits or other charges. L. Information Technology Products means a computer or telecommunication hardware or software product or other electronic product that is created, developed or manufactured by you for others including software updates, service packs and other maintenance releases for such products. M. Information Technology Services means 1. consulting on, design of, development of, analysis of, integration of, interface of, modification of and programming of software, hardware, networks, telecommunication systems and electronic or digital devices performed by you for your clients; 2. installation of, training in the use of, support of, servicing of, maintenance of, repair of your Information Technology Products; 3. marketing of, selling of, licensing of and distribution of your Information Technology Products; 4. storage of, warehousing of, mining of and processing of data by you for your clients; 5. managing, operating, administering and hosting your Information Technology Products for your clients; or 6 activities performed on your website(s); but shall not mean Information Technology Products. N. Insured means the following: 1. The Named Insured designated in Item 1 of the Declarations, or by Endorsement to this Policy; 2. Any Named Insured with respect to your participation in a legal entity, including a joint venture, but solely for your legal liability for the performance of Professional Services by the legal entity. Insured does not include the legal entity or any other entity that is part of the legal entity; 3. Any person who is, was, or hereafter becomes a partner, principal, officer, director, member, or employee of the Named Insured, but only for Professional Services performed in such capacity on behalf of the Named Insured; 4. A retired partner, principal, officer, director, member or employee of the Named Insured, while acting within the scope of their duties as a consultant for the Named Insured; 5. Any temporary or leased personnel, but only for Professional Services performed while acting under the direct supervision of and on behalf of the Named Insured; 6. Your estate, heirs, executors, administrators, and legal representatives, in the event of your death, disability, incapacity, insolvency, or bankruptcy, but only to the extent you would have otherwise been provided coverage under this Policy; 7. Your lawful spouse or legally recognized domestic partner solely by reason of their legal status, or their ownership interest in property or assets that are sought as recovery. This shall not apply to the extent a Claim alleges any Wrongful Act by such spouse or legally recognized domestic partner; \� 8. With respect to Insuring Agreement B — Contractor's Pollution Liability, any person or organization that you are required in a written agreement to include as ar, Insured under this Policy but solely to the extent that such person's or organization's liability arises out of your performance of Contractors Services; 9. Your newly formed or acquired entities, other than a partnership, joint venture or limited liability company, which you maintain majority interest, provided there is no other similar insurance available to that entity; however: a. Coverage is only afforded for ninety (90) days after you form or acquire the entity or the end of the Policy Year, whichever is earlier; and BDP0713001 Page 5 of 9 CNA 1 This endorsement changes the policy to which it is attached. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is Blanket Waiver of Subrogation Percentage Charge%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, ,takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B 01-1997) Endorsement Effective Date: 05/O1/2018 Policy No: 6057040558 0 Copyright CNA All Rights Reserved.