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Insurance Certificates 2018/20 Converse Consultants1fI ACC>R" CERTIFICATE OF LIABILITY INSURANCE ffE(MM/DD/YYYY) `�/07/2019 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 CONTACT Weaver & Associates, Inc. NAME PO Box 1508 PAICNNo.Extl: (626) 446-6161 I,No): (626) 445-3827 Arcadia CA 91077 INSURER(S) AFFORDING COVERAGE NAIC # INSURERA:Travelers Casualty Ins Co of A 19046 INSURED (626) 930-1284 INSURER B The Converse Professional Group (A Corp). DBA: Converse Consultants INSURER C: 717 S. Myrtle Ave INSURERD: Monrovia CA 91016 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: Cert ID 5279 REVISION NUMBFR- 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 ADDL TYPE OF INSURANCE UB POLICY L7R POLICY NUMBER MMDDNYYY MM/DDJYYYY LIMITS COMMERCIALGENERAL LIABILITY EACHOCCURRENCE $ CLAIMS -MADE ❑OCCURPREMISESa -DAMAGE (E7ED occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY D PRO LOC JECT PRODUCTS -COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY CO Bi ED SINGLE IM T Ea accldenl $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTYDAMAGE P r acrid $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED I I RETENTION $ $ WORKERPER A AND AND EMPLOYERS' LIABILITY YERS'LSAILIT YIN Y L7B-3N735675 12/31/2018 12/31/2019 X STATUTEER ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N N/A E.L. EACH ACCIDENT $ 1, OOQ, 00 E L DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT $ 1,000,000 S S DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Coverage applies to the following States: California, Alabama, New Jersey, New York, Nevada, Pennsylvania, South Carolina Blanket Waiver of Subrogation applies as required by written contract for California, Alabama, Nevada, Pennsylvania, South Carolina CERTIFICATE HOLDER CANCELLATION City of La Quints. 78495 Calls Tampico La Quints. 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD D­ l of l TRAVELERS J� WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 00 03 13 (00) - 001 POLICY NUMBER: UB-3N735675-18-47-G 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 any one not named in the Schedule. SCHEDULE DESIGNATED PERSON: DESIGNATED ORGANIZATION: ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. DATE OF ISSUE: 03-15-19 ST ASSIGN: PAGE 1 OF1 �a DATE (MMIDDIYYYY) '`►JR� CERTIFICATE OF LIABILITY INSURANCE 6/7/2019 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 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 CONTACT NAME: Justin Holguin Poms &Associates Insurance Brokers PVHC NNo Ext: (800)578-8802 AiC Nc: (618)449-9321 CA License #0814733 E-MAIL ADDRESS: p JHol in@ omsassoc.com 5700 Canoga Ave. #400 INSURERS AFFORDING COVERAGE NAIC # Woodland Hills CA 91367 INSURERA:AXIS Surplus Insurance 26620 INSURED INSURER B : Travelers Property Casualty Insurance C 25674 The Converse Professional Group INSURERC:LlO ds of London dba: Converse Consultants INSURER D: 717 S. Myrtle Avenue INSURERE: Monrovia CA 91016 INSURER F : COVERAGES CERTIFICATE NUMBER:18-20 GL AUTO XS PROF 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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 TYPE OF INSURANCE ADDL SUBR POLIPOLICY NUMBER MM/DCY EFF D/YYYY Mff22 EXP 1_TR LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A CLAIMS -MADE x OCCUR $ 300,000 DA A E PREMISES Ea occurrence X MED EXP (Any oneperson) S 10,000 DED BI/PD: $25, 000 X ELZ761118/01/2018 6/30/2018 6/30/2020 PERSONAL &ADV INJURY $ 1,000,000 GEMLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S 2,000,000 PRO - POLICY � ECT rI LOC PRODUCTS - COMP/OPAGG S 2,000,000 $ OTHE AUTOMOBILE LIABILITY COM31NED SINGLE LIMIT Ea accident S 1,000,000 BODILY INJURY (Per person) $ B X ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS 810-153D8596 8/17/2018 8/17/2019 BODILY INJURY (Per accident) $ NON-OWNEp HIRED AUTOS AUTOS PROPERTY DAMAGE eraccldent $ S UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 5,000,000, A X I EXCESS LIAB CLAIMS -MADE AGGREGATE S 5,000,000 DED I I RETENTION 5 S ELZ761119/01/2018 6/30/2018 6/30/2020 WORKERS COMPENSAT10N AND EMPLOYERS' LIABILITY YIN I PER OTH- ___LSTATU 7E ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N /A E. L DISEASE - EA EMPLOYEE 5 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E. L DISEASE -POLICY LIMIT S A PROFESSIONAL LIABILITY I ELZ761118/01/2018 6/30/2018 6/30/2020 LIMIT PER CLAIM $3,000,000' RETENTION: $150,000 RETRO DATE: 8/14/1984 AGGREGATE LIMIT $3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of La Quinta is included as Additional Insured with respects to General Liability per attached form. Primary and Non -Contributory wording applies. CERTIFICATE HOLDER CANCELLATION City of La Quinta 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 Lynn Solomon/JHOLGU ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Endorsement No. Effective Date: 06/30/2018 @12:01 a.m. Standard Time at the address of the Named Insured Policy Number: ELZ761118/01/2018 Insured Name: Converse Professional Group Issuing Company: AXIS Surplus Insurance Company Additional (Return) Premium $0 If the Endorsement Effective Date is blank, then the effective date of this Endorsement is the Inception Date of the Po ADDITIONAL INSURED/PRIMARY COVERAGE INCLUDING COMPLETED OPERATIONS (CGL & CONTRACTORS POLLUTION COVERAGE) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies the Specialty Package Policy. In consideration of the premium charged, it is agreed that: SECTION III — WHO IS AN INSURED is amended to include as an Additional Insured the person or organization shown in the schedule below as respects Coverages A, B and D, but only for liability arising out of Your Work or Covered Operations performed by you or on your behalf for that Additional Insured and not due to any actual or alleged independent liability of said Additional Insured. This endorsement does not apply to Bodily Injury. Property Damage or Loss arising out of the sole negligence or willful conduct of, or for defects in design furnished by the Additional Insured. As respects the coverage afforded the Additional Insured, this insurance is primary and non-contributory where a written contract or written agreement in effect prior to any related Claim requires you to provide such coverage. When this insurance is primary and non-contributory, our obligations are not affected by any other insurance carried directly by such additional insured whether it is primary or excess coverage. However, regardless of the provisions above: We will not extend any insurance coverage to the additional Insured person or organization: (1) That is not provided to you in this Policy; or (2) That is broader coverage than you are required to provide to the additional Insured person or organization in the written contract or written agreement. This endorsement does not increase the Company's Limits of Insurance as specified in the Declarations of the Policy. SCHEDULE OF ADDITIONAL INSUREDS As required by written contract in effect prior to any related Claim SPP 0024 (Ed. 06 12) Page 1 of 1