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PROOF OF INSURANCE (2020 - 2021) CLOSEDDATE (MMIDDIYYYY) ACOPRV CERTIFICATE OF LIABILITY INSURANCE lam, 1 12/23/2019 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 suchR"E0 endorsement(s). 7YI Ape Nu 8t8,I 500-"85a g PRODUCER CONTACT f�IT.Ov.:Il"MCD Alex First Eagle Insurance Services IA'C, No, Emil 5 p 500. I1 5 £''• 333 S. Central Ave. Ste. 101 AI:+DRE,!1RE5<Iv~;rrrv'a II 1NSURER(SI AFFORDING COVERAGE, NA1C M Glendale CA 91204 INSURER A • PENN STAR /SCOTTISH AMERICAN 10073 INSURED INS'URER'8 NATIONAL UNION I FIRE INS CO l SCOTTISH 19445 Matrix Audiovisual Designs, Inc. INSURER C 2525 W. Burbank Blvd. INSURERD INSURER IE ' Burbank CA 91505- INSL1'RF'R r 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. 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 POLICY EFF POLICY EXP L,TR TYPE OF INSURANCE NP""w 'Vn POLICY NUMBER WMN)01"+^+"Y`YW iMMlD0,rYYYY1 -, ..,,, LIMITS COMMERCIAL GENERAL LIABILITY EACH L?G: C: V,.1146?V.::,hJCW.. S 1,000,000-00 CLAIMS -MADE I OCCUR-'0',hfl"4E'E 100,000.00 A C',It N"I. .11.0h1'e s 9, o,Yya un AU I OMt.)6' H 1"'' 1 IIABILiTY s 1,0010,000.ip0 PAY All"r'J" 000'I0'! s 0.00 u-WNFU, SCHEDULED Al I'VOS (uNI f' AUTOS _ HIRED NON -OWNED AU 105 OINI Y AUTOS ONLY Y Y CPV0030880 UMBRELLALIAB OCCUR B X EXCESS LIAB CLAIMS -MADE Y Y EBU067974906 1:'10 IP F.TCC;71 CN cA WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? NIA IMandatory in NH) 1Y tra'S. drrr,crapan agridral taiµ;-ata,RPrdc:�tw aJF .'1F"EraA'I"11:1IJ5 ha,lovt A MED EXPI✓'r. y anr, p„0!.i i1 o1 s 9, o,Yya un 10/30/2019 10/30/2020 PERSONAL &ADV INJURY 0Nl lu, s 1,0010,000.ip0 p,,, 1111 l N,.a 1',01''' Deductible 000'I0'! s 0.00 V"!G."Id1131N�YI;ial; 6J1P t"1I F IIN,$Y'V BODILY INJURY IPer person) E BODILY INJURY IPer accident) E EACH OCCURRE14CE 1,1:1'I. 0,1130 ➢.00 10/30/2019 10/3012020 AGGREGATE 1'(y30'00('J 00 Crises RcsporYsn 1 '/'50,000,00 E L EACH ACCIDENT 5 E L DISEASE - EA EMPLOYEE S I" I. D115EI' SE .' POLICY LIMIT S ., ...........w DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ACORD 101, Additional Remarks Schedule, may be attached if more space Is required) OPERATIONS: Audio & Visual Design & Installation. Additional Insured Endorsement Form CG 2010 04 13 and CG2037 04 13 or Equivalent Form & Waiver of Subrogation Endorsement for GL policy form EPA 1920 01 19. Policy is Primary & Non -Contributory Form EPA 1920 01 19. Additional Insured: City of EI Segundo CERTIFICATE HOLDER 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. City of EI Segundo AUTHORIZED REPRESENTATIVE 350 Main Street EI Segundo CA 9024511 0 19BB-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS COVERAGE ENHANCEMENT (ONGOING OPERATIONS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Construction Project Aggregate Limit: See General Aggregate Limit in Declarations Maximum Policy General Aggregate Limit: $5,000,000 Lost Key Coverage Each Occurrence Limit: $10,000 Property Damage Extension Each Occurrence Limit: $5,000 Property Damage Extension Aggregate Limit: $25,000 A. The following is added to SECTION II - WHO IS AN INSURED: 1. Any owner, lessee, or contractor for whom you are performing operations is an additional insured if you have agreed in a written contract or written agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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 in the performance of your ongoing operations performed for that person or organization. However, the insurance afforded to such additional insured only applies to the extent permitted by law and will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. A person or organization is not an additional insured with respect to "bodily injury", "property damage", or "personal and advertising injury" arising out of the acts, omissions, or negligence of that person or organization. 2. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering, or surveying services, including: a. The preparing, approving, or failing to prepare or approve maps, shop drawing, opinions, reports, surveys, field orders, change orders, or drawings and specifications; or b. Supervisory, inspection, architectural, or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training, or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering, or surveying services. B. SECTION IV. COMMERCIAL GENERAL LIABILITY CONDITIONS is amended as follows: 1. The following is added to Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary and Noncontributory == The insurance under this endorsement is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. The additional insured is a Named Insured under such other insurance; b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured; and EPA -1920 (0112019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 3 c. The "bodily injury" or "property damage" is caused by your sole negligence, or the "personal and advertising injury" is caused by an offense committed solely by you. The following is added to Paragraph 8. Transfer of Rights of Recovery Against Other to Us: We waive any right of recovery we may have against an additional insured because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with an additional insured and included in the "products -completed operations hazard" This waiver applies only when the "bodily injury" or "property damage" is caused by your sole negligence, or the "personal and advertising injury" is caused by an offense committed solely by you. C. The following is added to SECTION III — LIMITS OF INSURANCE: Construction Project Aggregate Limit For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — COVERAGE A, and for all medical expenses caused by accidents under SECTION I — COVERAGE C, which can be attributed only to ongoing operations at a single designated construction project: a. A separate Construction Project General Aggregate Limit applies to each construction project, and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. b. The Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard", and for medical expenses under Coverage C regardless of the number of: (1) Insureds; (2) Claims made or "suits" brought; or (3) Persons or organizations making claims or bringing "suits". c. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Construction Project General Aggregate Limit and the Maximum Policy General Aggregate Limit, shown in the Schedule above. d. The Maximum Policy General Aggregate Limit shown in the Schedule is the most we will pay for the sum of all Construction Project Aggregate Limits. 2. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under SECTION I — COVERAGE A, and for all medical expenses caused by accidents under SECTION I — COVERAGE C, which cannot be attributed only to ongoing operations at a single designated construction project: a. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit shown in the Declarations or the Products -Completed Operations Aggregate Limit, whichever is applicable; and b. Such payments shall not reduce any Construction Project General Aggregate Limit. 3. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate Limit shown in the Declarations, and not reduce the General Aggregate Limit shown in the Declarations nor the Construction Project General Aggregate Limit. 4. If the applicable designated construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 5. The provisions of SECTION III — LIMITS OF INSURANCE not otherwise modified by this endorsement shall continue to apply as stipulated. EPA -1920 (0112019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 3 D. The following provisions are added to Subparagraph J. Damage to Property of Paragraph 2. Exclusions, of SECTION I — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: 1. Lost Key Coverage However, if you or your "employees", agents, or any other person acting on your behalf lose keys that have been given to them to access the premises at which you are performing work, we will pay to replace the keys and adjust locks to accept new keys, or, if required, we will pay for new locks of like kind and quality; including the cost of their installation. This coverage does not apply to "property damage" caused by misappropriation, secretion, conversion, infidelity, or dishonest acts by you or your "employees", agents, or any other person acting on your behalf. The most we will pay for damages under this coverage because of "property damage" arising out of any one 'occurrence" is the Lost Key Coverage Each Occurrence Limit shown in the Schedule above. This limit is part of, not in addition to, the Each Occurrence and General Aggregate Limits described in SECTION III - LIMITS OF INSURANCE. 2. Property Damage Extension Subparagraphs (4) and (5) do not apply to "property damage" arising out of operations performed at premises under your care, custody or control. The most we will pay for all damages under this extension because of "property damage" is the Property Damage Extension Aggregate shown in the Schedule above. Subject to the Property Damage Extension Aggregate, the most we will pay for all damages under this extension because of "property damage" arising out of any one "occurrence" is the Property Damage Extension Each Occurrence Limit shown in the Schedule above. These limits are part of, not in addition to, the Each Occurrence and General Aggregate Limits described in SECTION III - LIMITS OF INSURANCE. EPA -1920 (0112019) Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 3 MATRAUD-01 ZMERCADO CERTIFICATE OF LIABILITY INSURANCE DATE � YY) 20 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 certi. �.. _.. _.. _.. _._................................ ........ PRODUCER License # OM93299 CONTACT SIP Insurance Services - Pasadena PHONE AN"3:So. Xt ^ SAX 301 E. Colorado Blvd., 205 _.. _ I. A/c No) Pasadena, CA 91101 }ysR� 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, 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 COMMERCIAL SUBR POLICY EFF POLICY EXP � ................... LTR PE OF INSURANCE WVD POLICY NUMBER IMM/DD/YYYYI I IMM/DD/YYYYI LIMITS CIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS -MADE dsiSA D PERSONAL. & ADV INJURY $ AGGREGATE LIMIT APPLIES : INSURER(S) AFFORDING COVERAGE NAIC# ......_._.. .............. INSURER A: California Automobile Insurance Company 38342 INSURED INS URERB: Pacific Compensation Insurance Com pany11555 Matrix Audio VisualDesigns,Inc. IN ....su,R,e.O................................................................................. ................. 2525 W Burbank Blvd. INSURER D Burbank, CA 91505 AUTOMOBILE LIABILITY INS....... ....... 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, 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 COMMERCIAL SUBR POLICY EFF POLICY EXP � ................... LTR PE OF INSURANCE WVD POLICY NUMBER IMM/DD/YYYYI I IMM/DD/YYYYI LIMITS CIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS -MADE dsiSA D PERSONAL. & ADV INJURY $ AGGREGATE LIMIT APPLIES : GENERA A POLCECOC JT GGES TS - COMP/OP , $ OTHER $..._._._. AUTOMOBILE LIABILITY COM Y �BlNEDkl5lNGI.,E: LIMI'Il. ......V... ....... ,000,000 X.' ANY YSCHEDULED AUTO X BA040000051050 2/20/2020 2/20/2021 BODILY INJURY (Per person) OWNED AUTOS ONLY AUTOS BODILY INJURY (Per accident_ HIRED NGN ' �JJ (Y w,,,,,,„.......................................................... AUTOS ONLY AUTO 4 r (PerraccidentDAMAGE $ ........... UMBRELLA mmmCUR EACH OCCURRENCE $ EX SS L ABAB CLAIMS -MADE AGGREGATE $ ......................... --------------- DED -1 B RETENTION $ ..........__.�.�. $ B WORKERS EMPLOY RS' LI COMPENSATION PTR 0TH- ?IST � �, E(L — Y / N X WA002 $]403 2/26/2020 2/26/2021 000,000 ANDPROPRIEEORIPARTINERIEXECUTIVE PRO RIETOR ACH„ ACGI D ENT $ cy�'Y EXCLUDED'? N / A NH 1,000,000 (Man to in E L DISEASE - EA EMPLOYEE $ yes, TION _. 1,000,000 DESCRIPIf OF OPERATIONS below E L DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORO 101, Additional Remarks Schedule, may be attached if more space is required) *** Coverage is subject to policy terms, conditions and/or exclusions. Pursuant to all policy terms, exclusions and conditions the City of EI Segundo, its officials and employees are named as an Additional Insured with respects to attached Auto Liability MCA85100817-CA endorsement if required by written contract under Agreement Dated December 16, 2019. Auto Liability Primary Insurance included in attached MCA85100817-CA endorsement. Attached Workers Compensation Waiver of Subrogation WC 99 03 15 (Ed 10-07) endorsement applies to City of EI Segundo if required by written contract subject to all policy terms, exclusions and conditions. *PLEASE NOTE COPYRIGHT LAWS APPLY TO THE ACORD FORM PROHIBITING US FROM MODIFYING THE CANCELLATION CLAUSE. HOWEVER, PER UNITED AGENCIES, INC. PROCEDURES WILL NOTIFY YOU WITHIN 30 DAYS IF SAID POLICY CANCELS. Except 10 Days Notice Of Cancellation For Non -Payment Of Premium. CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cit of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Y 9 ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 90245..................................................................... AUTHORIZEEDD REPRESENTATIVE ACORD 25 2016/03 ©1988-20 C ORATION. All ( ) 15 ACORD CORP rights reserved. The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BA040000051050 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Business Auto Broadening Endorsement This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY (BROAD FORM NAMED INSURED) II. EMPLOYEES AS INSUREDS III. AUTOMATIC ADDITIONAL INSURED IV. EMPLOYEE HIRED AUTO LIABILITY V. SUPPLEMENTARY PAYMENTS VI. FELLOW EMPLOYEE COVERAGE VII. ADDITIONAL TRANSPORTATION EXPENSE VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE X. LOAN/LEASE GAP COVERAGE XI. GLASS REPAIR — DEDUCTIBLE WAIVER XII. TWO OR MORE DEDUCTIBLES XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS XIV. WAIVER OF SUBROGATION XV. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT XVIII. HIRED AUTO — COVERAGE TERRITORY XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 1 of 6 POLICY NUMBER: BA040000051050 BUSINESS AUTO COVERAGE FORM I. NEWLY ACQUIRED OR FORMED ENTITY (Broad Form Named Insured) SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: d. Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisition or formation of the business entity. Coverage under this provision is afforded only until the end of the policy period. Coverage does not apply to an "accident" which occurred before you acquired or formed the organization. II. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: e. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. III, AUTOMATIC ADDITIONAL INSURED SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: f. Any person or organization that you are required to include as additional insured on the Coverage Form in a written contract or agreement that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period is an "insured" for Liability Coverage, but only for damages to which this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. IV. EMPLOYEE HIRED AUTO LIABILITY SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who Is An Insured, the following is added: g. An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business. V. SUPPLEMENTARY PAYMENTS SECTION II — LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments, Subparagraphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We are not obligated to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 2 of 6 POLICY NUMBER: BA040000051050 VI.. FELLOW EMPLOYEE COVERAGE: SECTION II — LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee This exclusion does not apply if you have workers' compensation insurance in -force covering all of your "employees". Coverage is excess over any other collectible insurance. VII. ADDITIONAL TRANSPORTATION EXPENSE SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, a. Transportation Expenses, is replaced with the following: We will pay up to $50 per day to a maximum of $1000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". If your business shown in the Declarations is other than an auto dealership, we will also pay up to $1,000 for reasonable and necessary costs incurred by you to return a stolen covered auto from the place where it is recovered to its usual garaging location. VIII. HIRED AUTO PHYSICAL DAMAGE COVERAGE SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions, the following is added: C. If Liability Coverage is provided in this policy on a Symbol 1 or a Symbol 8 basis and Comprehensive, Specified Causes of Loss, or Collision coverages are provided under this coverage form for any "auto" you own, then the Physical Damage Coverages provided are extended to "autos" you hire, subject to the following limit: (1) The most we will pay for "loss" to any hired "auto" is $50,000 or Actual Cash Value or Cost of Repair, whichever is less (2) $500 deductible will apply to any loss under this coverage extension, except that no deductible shall apply to "loss" caused by fire or lightning Subject to the above limit and deductible we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own of similar size and type. This coverage extension is excess coverage over any other collectible insurance. IX. ACCIDENTAL AIRBAG DEPLOYMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, B. Exclusions, 3.a., is amended to add the following: This exclusion does not apply to the accidental discharge of an airbag. Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 3 of 6 POLICY NUMBER: BA040000051050 X. LOAN/LEASE GAP COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE C. Limit of Insurance, the following is added: 4. In the event of a "total loss" to a covered "auto" shown in the schedule or declarations for which Collision and Comprehensive Coverage apply, we will pay any unpaid amount due on the lease or loan for that covered "auto," less: a. The amount paid under the Physical Damage Coverage Section of the policy; and b. Any: (1) Overdue lease/loan payments at the time of the "loss"; (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage. (3) Security deposits not returned by the lessor; (4) Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and (5) Carry-over balances from previous loans or leases. The most we will pay under Auto Loan/Lease Gap Coverage for an insured auto is 25% of the actual cash value of that insured auto at the time of the loss. XI. GLASS REPAIR — DEDUCTIBLE WAIVER SECTION III - PHYSICAL DAMAGE COVERAGE, D. Deductible, the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. XII. TWO OR MORE DEDUCTIBLES SECTION III -PHYSICAL DAMAGE COVERAGE, D. Deductible, the following is added: If two or more "company" policies or coverage forms apply to the same accident: 1. If the applicable Business Auto deductible is the smallest, it will be waived; or 2. If the applicable Business Auto deductible is not the smallest, it will be reduced by the amount of the smallest deductible; or 3. If the loss involves two or more Business Auto coverage forms or policies the smallest deductible will be waived. For the purpose of this endorsement "company" means the company providing this insurance and any of the affiliated members of the Mercury Insurance Group of companies. XIII. AMENDED DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS The requirement in SECTION IV, BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties In The Event Of Accident, Claim, Suit, Or Loss, a., In the event of "accident", you must notify us of an "accident" applies only when the "accident" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 4 of 6 POLICY NUMBER: BA040000051050 XIV. WAIVER OF SUBROGATION SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights Of Recovery Against Others To Us, section is replaced by the following: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the extent required of you by a written contract executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of the operations contemplated by such contract. The waiver applies only to the person or organization designated in such contract. XV. UNINTENTIONAL ERROR, OMISSION, OR FAILURE TO DISCLOSE HAZARDS SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation, or Fraud, the following is added: Any unintentional omission of or error in information given by you, or unintentional failure to disclose all exposures or hazards existing as of the effective date or at any time during the policy period shall not invalidate or adversely affect the coverage for such exposure or hazard or prejudice your rights under this insurance. However, you must report the undisclosed exposure or hazard to us as soon as reasonably possible after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. XVI. EMPLOYEE HIRED AUTO PHYSICAL DAMAGE SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, b. For Hired Auto Physical Damage Coverage, is replaced by the following: b. For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: 1. Any covered "auto" you lease, hire, rent or borrow; and 2. Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing duties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". XVII. PRIMARY AND NONCONTRIBUTORY IF REQUIRED BY CONTRACT SECTION IV — BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance, the following is added and supersedes any provision to the contrary: e. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 5 of 6 POLICY NUMBER: BA040000051050 XVIII, HIRED AUTO - COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, e. Anywhere in the world if:, is replaced by the following: e. Anywhere in the world if: (1) A covered "auto" is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and (2) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico, or Canada or in a settlement we agree to. XIX. BODILY INJURY REDEFINED TO INCLUDE RESULTANT MENTAL ANGUISH SECTION V — DEFINITIONS, C. "Bodily Injury" is amended by adding the following: "Bodily injury" also includes mental anguish but only when the mental anguish arises from other bodily injury, sickness, or disease. Copyright 2017 Mercury Insurance Services, LLC. All rights reserved. MCA85100817-CA Includes copyrighted material of Insurance Services Office, Inc., with its Permission Page 6 of 6 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY 4 Paci �:�rMP WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - A CopperPoint Insurance Company BLANKET 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). The additional premium for this endorsement shall be otherwise due (minimum $100). Person or Organization Any person or organization for whom the named insured is required under written contract to furnish this waiver 2. 00 % of the California workers' compensation premium Schedule Job Description RE: All California Operations This endorsement changes the policy to which it is attached and is effective on the policy effective date unless otherwise stated. This endorsement, effective on 02-26-20 at 12:01 A.M. standard time, forms a part of Policy Number \PA -002874-03 of the Paci f i c Conpensat i on I nsur ance Company Policy Effective Date 02- 26- 20 to 02-26-21 NCCI Carrier Code 11555 Insured Name Mat r i x Audi o Vi sual Desi gns I nc Endorsement No. ISSUED 01/06/20 AT 07:37 AM BY SER Premium $ Countersigned at Thousand Oaks. CAon Ry: �r 1000-10-0005A Authorized representative WC 99 03 15 (Ed 10-07)