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Insurance Certificates 2019/20 Creative Lighting & Electricala RQ CERTIFICATE OF LIABILITY INSURANCE 01/� /202o°"""' 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 CON MM i.C7 Chern Walsh PH Cherri J Walsh Insurance Services, Inc W NH - 909-860-1919 -JAIC 0909-861-4623 E-M302 N Citrus Ave ADDRESS: Cherriwaish@allstate.com Covina, CA 91723 INSURER SJ AFFORDING COVERAGE NAIC a INSURERA: Houston Specialty Ins Co - IX "A-" 12936 INSURED INSURERB: Allstate Insurance Company - XV "A+" 19232 Creative Lighting & Electrical, Inc INSURERC: National Union Fire Ins Co - XV "A" 19445 1654 Illinois Ave Suite 13 INSURERD: Accredited Surety & Casualty - Vj1j 26379 Perris, Ca 92571 INSURER E: INSURER F : COVERAGES CFRTIFICATF N1IMRFR• RFVlgln I NIIMRFR- 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. IOLICY EXP LTR TYPE OF INSURANCE ADOL SU D POLICY NUMBER MMJDPOLICDIYYYY Y EFF PWDOrNYY LIMITS GENERAL LIABILITY TEN-23610 08/01/2019 08/01/2020 EACH OCCURRENCE $ 1 ,000,000 K DAMA ETO.RENTED PREMISES Eaoceurrance $100,000 COMMERCIAL GENERAL LIABILITY ::p CLAIMS -MADE I X1 OCCUR MED EXP (An one arson $5.000 PERSONAL & ADV INJURY _ $1,000-000 A Per Project Aggregate 5,000,000 f GENERAL AGGREGATE $ 2,000,000 C,BEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS - COMP/OPAGG S2,000,000 17 POLICY PRf]- LOC S AUTOMOBILE LIABILITY 648823140 08/01/2019 08/01/2020 COMBINED SINGLE LIMIT Ea acmdanl 1,000,000 yv BODILY INJURY (Per person) X ANY AUTO S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) S B NON -OWNED ...... TYE)AMAGE araceJ I S HIREDAUTOS AUTOS S UMBRELLA LIAB OCCUR HCLAIMS-MADE EBU013299324 08/01/2019 08/01/2020 EACH OCCURRENCE s 5 000 OOi) X AGGREGATE C EXCESS LIAB $ DED RETENTION 5 ZERO S IONILIT AND EMPLOYERS' LIABILITY AND EMPLOYERS' YERS'LIABILITY 1 ATCA16002037 08/01/2019 08/01 /2020 ✓ TT RY uralr VTR EL EACH ACCIDENT D ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N � NIA S 1,000,000 E.L. DISEASE - EA EMPLOYE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) S1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below I S1,000,000 E.LDISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) RE: Project No 2019-12 - La Quinta Park and Washington St/Hwy 111. City of La Quinta and its officers and employees are included as additional insured per form CG2037 attached. Certificate holder named as additional insured per General Liablity Form GC 00 01 12 07 Primary and Non -Contributory and Waiver of Subrogation applies to General Liability when required by written contract. Waiver of Subrogation applies to Workers Compensation when required by written contract. Additional Insured and Waiver of Subrogation applies to Commercial Auto Liability Coverage when required by written contract *30 Days notice of cancellation - 10 Days for non-payment of premium CFRTIFICATF HOi r)PP CANCFI I ATInN City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 78495 Calle Tampico THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN La Quinta, CA 92253 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE D �� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: TEN23610 COMMERCIAL GENERAL LIABILITY CG20100413 THiS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modfies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Oroanization(a) I Locations) Of Covered Blanket: ae required by written contract with insured Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section 11 - Who is An Insured is amended to in- clude as an additional insured the person(s) or or- ganization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" 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 for the additional insured(s) at the location(s) desig- nated above. However: 1. The Insurance afforded to such additional in- sured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the in- surance afforded to such additional insured will not be broader than that which you are re- quired by the contract or agreement to provide for such additional insured. B. With respect to the Insurance afforded to these additional insureds, the following additional exclu- sions apply; This insurance does not apply to "bodily injury" or "property damage" occurring after: i. All work, Including materials, parts or equip- ment fumished in connection with such work, on the project (other than service, mainte- nance or repairs) to be performed by or on behalf of the additional insured(s) at the loca- tion of the covered operations has been com- pleted; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 0413 Copyright, Insurance Services Office, Inc., 2012 Page 1 of 2 INSURED c920100413.fap C_ With respect to the insurance afforded to these additional Insureds, the following Is added to Sec- tion III - Limits Of Insurance: If coverage provided to the additional insured Is re- quired by a contract or agreement, the most we will pay on behalf of the additional insured Is the amount of insurance: 1. Required by the contractor agreement; or 2. Available under the applicable Limits of Insur- ance shown In the Declarations; whichever is less. This endorsement shall not Increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 Copyright, Insurance Services Office, Inc., 2012 CG 20 10 0413 POLICY NUMBER: TEN23610 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) Or Organization(d) Location And Description Of Covered Operations Blanket as required by written contract with insured Information required to complete this Schedule, if not shown above, will be shown In the Declarations. A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown In the Schedule, but orgy with respect to liability for "bodily injury" or "prop- erty damage" caused, In whole or in part, by 'your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "prod- ucts -completed operations hazard". However: 1. The insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the insurance afforded to these additional insureds, the following Is added to Sec- tion III - Limits Of Insurance: If coverage provided to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insur- ance shown in the Declarations; whichever Is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 37 0413 Copyright, insurance Services Office, Inc., 2012 Page 1 of 1 INSURED o92 03 7 as 13 _ fap POLICY NUMBER: TEN23610 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifles insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket as required by written contract with insured Information required to complete this.Schedule, if not shown above, will be shown in the Declarations. I The following is added to Paragraph a. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a 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 above. CG 24 04 05 09 Copyright, Insurance Services Office, Inc., 2008 Page 1 of i INSURED cg2404a. fap COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEN0215 01 14 PRIMARY AND NON-CONTRIBUTING INSURANCE This endorsement modifies insurance provided under the following, COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM The following is added to SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4: Section IV: Commercial General Liability Conditions 4. Other Insurance: d. Notwithstanding the provisions of sub -paragraphs a, b, and c of this paragraph 4, with respect to the Third Party as defined below, it is understood and agreed that in the event of a claim or "suit" caused in whole or in part by the Named Insured's negligence, this insurance shall be primary and any other insurance maintained by the additional insured named as the Third Party below shall be excess and non-contributory. The Third Party to whom this endorsement applies is: Absence of a specifically named Third Party above means this endorsement applies only to those third parties required to be named as an Additional Insured as Primary and Non -Contributory coverage specified in a written contract with the Named Insured under this policy, entered into prior to the "loss" or "occurrence". All other terms, conditions and exclusions under this policy are applicable to this Endorsement and remain unchanged. TEN0215 01 14 Includes copyright material of Insurance Services Office, Inc. Page 1 of 1 CERTIFICATE HOLDER © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS WC STATU-TORY LIMITS OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOS AUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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 WVD SUBR N / A $ $ (Ea accident) (Per accident) 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). The ACORD name and logo are registered marks of ACORD COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 07/31/2019 Cherri J Walsh Insurance Services, Inc Cherri Walsh 909-860-1919 909-861-4623 Cherriwalsh@allstate.com Houston Specialty Ins Co - IX "A-" 12936 Creative Lighting & Electrical, Inc 1654 Illinois Ave Suite 13 Perris, Ca 92571 Allstate Insurance Company - XV "A+"19232 National Union Fire Ins Co - XV "A" 19445 Accredited Surety & Casualty - VIII "A-" 26379 ✘TEN-23610 08/01/2019 08/01/2020 1,000,000 100,000 5,000 A 1,000,000 Per Project Aggregate 5,000,000 2,000,000 2,000,000 ✔ 648823140 08/01/2019 08/01/2020 1,000,000 B EBU013299324 08/01/2019 08/01/2020 5,000,000 C ZERO D 1ATCA16002037 Y ✔08/01/2019 08/01/2020 1,000,000 1,000,000 1,000,000 The City of La Quinta, its officials, employees, and agents are named as additional insured per General Liablity Form GC 00 01 12 07. Primary and Non-Contributory and Waiver of Subrogation applies to General Liability when required by written contract. Waiver of Subrogation applies to Workers Compensation when required by written contract. Additional Insured and Waiver of Subrogation applies to Commercial Auto Liability Coverage when required by written contract. *30 Days notice of cancellation - 10 Days for non-payment of premium City of La Quinta 78495 Calle Tampico La Quinta, Ca 92253