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Insurance Certificates 2018/19 NAI Consulting, Inc�xr� CERTIFICATE OF LIABILITY INSURANCE DAT1118/2019 Y) 01/1812019 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 rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: CS&S/HUB INTERNATIONAL INS PHONE FAX (AIC. No. En): AlC, No : PO' BOX 958489 EMAIL ADDRESS: Lake Mary, FL 32746-8989 INSURER(S) AFFORDING COVERAGE NAIC # 1-877-724-2669 INSURER A: Continental Casualty Company 20443 INSURED INSURER B: INSURER C: NAI CONSULTING, INC. NICKERSON & ASSOCIATES, INC. INSURER D: 68955 ADELINA RD INSURER E: CATHEDRAL CITY, CA 92234 INSURER F: 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. NOTWITHSTANDINGANY 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. INSPOLICY TRR TYPE OF INSURANCE INSDADDL wVD NUMBER POLICY EFF IMM/ DD/YYMM/DD1Y POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y 4017307305 02/28/19 02/28/20 EACH OCCURRENCE 'S 2,000,000 � OCCUR DAMACLAIMS-MADE PREMISES TO re PREMISES tEa occurenceJ $ 300OQQ MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 4 000 000 PRO - POLICY F7.jEcJ7 LDC PRODUCTS - COMP/OP AGG � 4,000,000 OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) $ BODILY INJURY(Perperson) 15 ANY AUTO OWNED AUTOS SCHEDULED ONLY AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE HIRED AUTOS NON -OWNED ONLY AUTOS ONLY (Per accident) ;$ ;5 (UMBRELLA LIAB OCCUR EACH OCCURRENCE i5 AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L- EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE 'S (Mandatory in NH If yes, describe under E.L DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below OTHER PER STATUTE OTH- ER E-L EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE 15 E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Acord 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is named as Designated Person Location #1 68955 Adelina Rd, Cathedral City, CA, 92234 CERTIFICATE HOLDER j CITY OF LA QUINTA 78495 Calle Tampico LA QUINTA, CA 92253 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD NAICONS-01 MRUI � v�o CERTIFICATE OF LIABILITY INSURANCE D 011TE , IDD/YYYY) _ 01 /23/2019 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 0757776 HUB International Insurance Services Inc. 77564 Country Club Drive, Suite 401 Palm Desert, CA 92211 INSURED NAI Consulting, Inc. 68965 Adelina Road Cathedral City, CA 92234 CUNTACT I one migaw NAME: (wCC, N ONE , E.t). (760] 360-4700 4251 FAX AIL, No)1(760) 360-0717 E-MAIL SS: tona.delgadoQhubinternational-com .INSURER(S] AFFORDING COVERAGE NAIL 0 IHSVREkA:Caniinental Csualty.Company 20443 INSURER B :Ohio Security. Insurance Company .24082 INSURERC:Preferrod Employers Insurance Company_ 10900 INSURER D : Hanover Insurance Company. 22292 INSURER E : INSURER F : OVERAGES 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. INSR LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF 02/28/2019 POLICY EXP 02/28/2020 LIMITS EACH OCCURRENCE DAMAGE TO RENTED PREMJSES (Ea occurrence) $ 2,000,000 300,000 $ A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X X IB 4017307305 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY_ S 2,000,000 GEN'L AGGREGAT LIMIT APPLIES PER: X POLICY I '� l 1 LOC JE T GENERAL AGGREGATE PRODUCTS - COMP/DP AGG $ 4,000,000 4,000,000 S OTHER: BLKT ADDL INSUR COMBINED SINGLE LIMIT AEe-amAdept)- Included 1,000,000 - $ B AUTOMOBILE LIABILITY X ANY AUTO 1BAS57443277 11/20/2018 11/20/2019 BODILY INJURY fPer person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY_(Per accident) $ V���FEpp X HIRED ONLY X N%T ONLY [PPR � aoEc�OnlDAMAGE — $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED I I RETENTION $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ppANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ (MFaridat8n NHS EXCLUDED? N / A X 'WKN 133867-12 06/01/2018 06/01I2019 _ ,EORH _ PER F_I-EACHacCIDENT $ 1,000,000 EL DISEASE - EA EMPLOYEE S 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below 1,000,000' $ E.L. DISEASE -POLICY LIMIT p Professional Liab I1-1-13890054608 11/01/2017 11/01/2019 Claim 2,000,000 D Professional Liab ILH3890054608 11/01/2017 11/01/2019 JEach ,Aggregate 1 4,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached if more space is requlredl The City of La Quinta, City employees, officers, City Engineer, its consultants, elected officials, agents and sub -consultants are named as additional insured per attached form. The general liability is primary and non contributory per attached form. Waiver of subrogation applies to workers compensation per attached form. Project: Fiscal Year 2018/2019 Project Management and Contract Administrative Support Services City of La Quinta Public Works Deparment 78495 Calle Tampico La Quinta, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0&z&d4__ . ACORD 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Workers Compensation and Employers Liability Preferred Employers Insurance Policy INSURANCE C 0 M rANY Waiver of Our Right to Recover from Others Endorsement — California 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.) 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 determined by multiplying the California workers' compensation premium due on such remuneration by the factor 0.050 Schedule Person or Organization City of La Quinta Public Works Department 78945 Calle Tampico La Quinta, Ca. 92253 Job Description Re: Engineer Consulting This endorsement is subject to a minimum premium charge of $ 200 Nothing in this endorsement shall vary, alter, waive or extend any of the terms, conditions or limitations of this policy otherthan as stated above. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, agreements or limtations of this endorsement. This Endorsement when attached to Policy Number: WKN 133867-12 issued to N A I CONSULTING, INC. shall be valid and shall form part of referenced policy. The effective date of this endorsement is 06/01/18 at 12:01 A.M. Endorsement No.: 23 Producer Number: 53000 Agency Name: DESERT EMPIRE INS SERVICES, INC. Date Issued: 06/07/18 Refer To Signature Page Authorized Representative PE 1104 05/01 /98