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Insurance Certificates 2021/22 GHD, IncPage 1 of 2 ` T DATE (MMIDDIYYYY) ,4cak� CERTIFICATE OF LIABILITY INSURANCE ��.. 11/16/2021 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 Willis Towers Watson Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE 1-877-945-7378 VAC : 1-888-467-2378 c/o 26 Century BlvdINC.- P.O. Box 305191 E-MAIL ADcertificates@willis.com DRE_SS•_ Nashville, TN 372305191 USA - u INSURERS AFFORDING COVERAGE NAIC @ INSURER A: Allied World Assurance Company US Inc 19489 INSURED INSURERB: Zurich American Insurance Company 16535 GHD Inc. 4747 N. 22nd Street, Suite 200 INSURERC: Beazley Insurance Company Inc 37540 Phoenix, AZ 85016 INSURERD: CnVFRAnFS C r-A'rIFII .ATF NIIMRFR- W22870114 RFVI-glnN NI IRARFR- 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 SUCF( POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Z TYPE OF INSURANCE DDL'S POLICY EFF POLICY p(P V , POLICYNUMBER MMrDWYYY MMIDDIYY LIMITS LIABILITY EACH OCCURRENCE $ 1,000,000 r 711RCIALEGENERAL I � OCCUR A T R N ❑ DAMCLAIMS-MADE PREMISES Ea cccurrenca $ 1,000,000 MED EXP fAny oneperson) $ 25,000 A PERSONAL &ADV INJURY $ 1,000,000 Y 0310-4497 12/01/2021 12/01/2022 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE I $ 2,000,000 POLICY x PEA F� LOG PRODUCTS - COMP/OP AGG 13 2,000,000 I $ OTHER: AUTOMOBILE LIABILITY ;OMSINM SINGLE LIMIT a ac6denlY $ 1,000,000 X 1 ANY AUTO $ BODILY INJURY (Per person) B OWNED SCHEDULED AUTOS ONLY AUTOS X pHII'REDS �7 y x NON -OWNED D Cn7. D?SadN�95aL C -11-11 3:L$250 X X Y BAP 3757423-06 07/01/2021 07/01/2022 BODILY INJURY (Per accident) $ pl{OPpF Y DAMAGE PCf ,3+-Clddenl $ Hired Physical Damag $ 100000 ^ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LAB CLAIMS -MADE $ ❑ED F1 RETENTION$ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? No (Mandatory In NH) NIA Y WC 0380936-06 07/01/2021 07/01/2022 X I SIATUTE ER E.L. EACH ACCIDENT $ 1,000,000 �- 1,000,000 E.L. DISEASE - EA EMPLOYEE $ It as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 C Professional Liability V29594200301 12/01/2021 12/01/2022'Each Claim: $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) GHD Project no.: 11213544 La Quinta Highway Ill Corridor Project The City of La Quinta and its officers and employees are included as an Additional Insured as respects to General Liability and Auto Liability where required by contract or agreement. CERTIFICATE HOLDER C:ANrFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of La Quinta AUTHORIZED REPRESENTATIVE 78495 Calla Tampico La Quinta, CA 92253 ® 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 21843633 aATcH: 2312113 8 of 11 1792 Page 1 of 2 "' DATE (MM/DD/YYYY) AC011tU CERTIFICATE OF LIABILITY INSURANCE 06/16/2021 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 Willie Towers Watson Certificate Center NAME: Willis Towers Watson Northeast, Inc. PHONE 1-677-945-7378 FA C o : 1-888-467-2378 c/o 26 Century Blvd E-MAI certificates Willis.com P.O. Box 305191 ADDRESS: � Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE j NAIC# INSURERA: Allied World Assurance Company US Inc 19489 INSURED INSURER B: Zurich American Insurance Company 16535 GRID Inc. 4747 N. 22nd Street, Suite 200 1P14UpEpC; Beazley Insurance Company Inc 37540 Phoenix, AZ 65016 INSURER D : INSURER E : INSURER F : r1nV1:Rer1=S r'.FRTIFIrATF NI1RARFR- W21263161 Rt:v nN NIiMRER- 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. .. 0 LIMITS VDbL - POLICY EFF POLid* LTR TYPEOFINSURANCE POLICY NUMBER Mm:DD1YYYY MMfDD.'YYYY X . COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 _ CLAIMS -MADE X OCCUR nAMACE PREMISS EENTff a ecwrr :ue $ 1, 000, 000 A _ MED EXP (Any one person) $ 25,000 Y 0310-4497 12/01/2020 12/01/2021 1,000,000 PERSONAL & ADV INJURY $ GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ $ 2,000,000 �_- uPRO- POLICY X JEC LOC _ PRODUCTS - COMP/OPAGG $ 2,000,000 OTHER- $ AUTOMOBILE LIABILITY __ COMBINLOSINGLE LIMIT f;� accidenf) $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO B OWNED SCHEDULED AUTOS ONLY AUTOS Y BAP 3751423-06 07/01/2021 07/01/20221 BODILY INJURY (Per accident) $ ROPERTYAMAG_ E _deacckerttPg5at Hired Physical Vaftg $ GHIRED NON -OWNED O�a]NL d4zso X 100000X $ UMBRELLA LIAB OCCUR EACHOCCURRENCE $ AGGREGATE $ EXCESS LIAB CLAIMS -MADE 11EI) RETENTIONS $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y /N OFFICERIMEMBER EXCLUDED? N° N/A Y WC 0380936-06 07/01/2021 (Mandatory in NH) 07/01/2022 X STATUTE EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 II yes, describe under DESCRIPTION OF OPERATIONS below E.L- DISEASE - POLICY LIMIT $ 1, 000, 000 C Professional Liability V29594200201 12/01/2020 12/01/2021 Each Claim: $1,000,000 Aggregate: $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) GHD Project no.: 11213544 La Quinta Highway Ill Corridor Project The City of La Quints. and its officers and employees are included as an Additional Insured as respects to General Liability and Auto Liability where required by contract or agreement. r`_FRTIFIRATI= Hnl n;=n r..ONRFI I ❑TInN 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 City of La Quints 78495 Calla Tampico /],, La Quints, CA 92253 �'�"'" 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 21225601 BATca: 2132365 2 of 5 6400 AGENCY CUSTOMER ID: LOC #:' AC V ADDITIONAL REMARKS SCHEDULE L Page 2 of 2 AGENCY NAMED INSURED Willis Towers Watson Northeast, Inc. 0HD Inc. 4747 N. 22nd Street, Suite 200 POLICY NUMBER Phoenix, AZ 85016 See Page 1 CARRIER NAIC CODE See Page 1 See Page 1 EFFECTIVE DATE: See Page 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, j IJ FORM NUMBER: 25 FORM TITLE• Certificate of Liability Insurance General Liability and Auto Liability policies shall be Primary and Non -Contributory with any other insurance in force for or which may be purchased by Additional Insureds where required by contract or agreement. Waiver of Subrogation applies in favor of Additional Insureds with respects to Workers Compensation where required by written contract, agreement or permit where permissible by law or statute. ACORD 101 (2008101) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks' of ACORD SR ID: 21225601 BATCH: 2132365 CERT: W21263161 POLICY NUMBER: 0310-4497 COMMERCIAL GENERAL LIABILITY CG20101001 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Where required by written contract (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations per- formed for that insured. B. With respect to the additional insureds, added: 2. Exclusions insurance afforded to these the following exclusion is This insurance does not apply to "bodily inju- ry" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi- tional insured(s) at the site of the cov- ered operations has been completed; 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 con- tractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG20101001 © ISO Properties, Inc., 2000 Page 1 of 1 C3 3 of 5 6400 POLICY NUMBER: 0310-4497 COMMERCIAL GENERAL LIABILITY CG 20 3710 01 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 SCHEDULE Name of Person or Organization: Where required by written contract Location And Description of Completed Operations: Where required by written contract Additional Premium: N/A (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Section II — Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of "your work" at the location designated and described in the schedule of this endorsement performed for that insured and included in the "products -completed operations haz- ard". CG 20 3710 01 © ISO Properties, Inc., 2000 Page 1 of 1 0 POLICY NUMBER: 0310-4497 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTORY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Notwithstanding any other provision of this policy to the contrary, the insurance afforded to an additional insured under this policy will be primary to, and non-contributory with, any other insurance available to that person or organization in the event a contract or agreement you enter into requires you to furnish insurance to that person or organization of the type provided by this policy. GL 00021 00 (07/09) 4 of 5 6400 Coverage Extension Endorsement 19 ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Add'l. Prem Return Prem. BAP 3757423-06 1 07/01 /2021 07/01 /2022 07/01 /2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II — Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.i.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. All other terms, conditions, provisions and exclusions of this policy remain the same. U-CA-424-F CW (04/14) Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-8 ) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments froth 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 w hioh it is attached and is effective on the date issued unless othetwise stated. (The information below Is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective Folicy No; WC 0380936-06 Endorsement No. Insured: GHD Inc. Premium $ 4 Insurance Company Zurich American Insurance Company Countersigned By WC 00 03 13 (Ed. 4-84) Copyrighk 1963 National Council on Compensation Insurance 5 of 5 6400