PROOF OF INSURANCE (2021) CLOSED8, DATE (MMIDD/YYYY)
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CERTIFICATE OF LIABILITY INSURANCE 06111/2020
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 Sharon Van Vels
Mar
h USA Inc
1125sOt Ottawa Avenue NW (ac No„ Ext); 616-233-4335 (A;C
C, Na).
Suite 400 EMAIL sha'rov varrvels as rrnarsh com
Grand Rapids, MI 49503 ADDR„ESG
Attn: grandrapids certrequest@marsh com INSURER(S) AFFORDING COVERAGE NAIC #
CN 1 08159189-MX-GAW-20-21 Brea INSURER A: HDI Global Insurance Company 41343
I INSURED Cosco Fire Protection, Inc INSURER B: ACE American Insurance Company 22667
1075 W Lambert Road, Bldg D INSURER C: N/A N/A
Brea, CA 92821 INSURER D
Y INSURER E
INSURER F
COVERAGES CERTIFICATE NUMBER: CHI-009510847-14 REVISION NUMBER: 4
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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
LTR INSD WVD POLICYNUMBER (MM/DD/V ) (MMIDDIYYYY)
A X COMMERCIAL GENERAL LIABILITY X GLD1447203 01/01/2020 01/01/2021 EACH OCCURRENCE S 2,000,000
X OAPuAGr,.J 1( RL' NYE'�D
OCCUR
CLAIMS-MADE PHE"08SE'S Ere orrua "C'eJ $ 1,000,000
MED EXP (Any one person) S 10,000
PERSONAL & ADV INJURY $ 2,000,000
GE'N'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000
POLICY X PRO LOC PRODUCTS - COMP/OPAGG $ 2,000,000
JE
OTI.O', N, S
B AUTOMOBILE LIABILITY X ISAH25289560 01101/2020 01/01/2021 00'P,18I1%1120.5WN1GLELlfAlT $ 1,000,000
tEtr ti..rid'ervSl
X ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
X HIRED X NON-OWNED PROPFRTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per ncci(,venl)
$
A X UMBRELLA LAB X OCCUR X CUD1447303 01/01/2020 01/01/2021 EACH OCCURRENCE S 8,000,000
EXCESS LIAB i CLAIMS-MADE AGGREGATE S 8,000,000
DED RETENTION $ S
B WORKERS COMPENSATION X WLRC66042492 01101/2020 01/01/2021 X PER OT'H-
AND EMPLOYERS' LIABILITY yNNSTATUTE �ER
Includes Stop Gap E L, EACH ACCIDENT S 1,000,000
Oa@JYPUTO'r°'a�IETOY"i'�Pn'"ANT'Td+JERIEXECUTIVE Ilrr"
d"SII-ICE�RI'MImd�ARERFXC�LUDED? NIA
(Mandatory in NH) E DISEASE- EA EMPLOYEE' S 1,000,000
11' ye,, de,: mibr, iuri0ol 1,000,000
DE'S(:F4CK' TION OV QP'ERA11ONS below EL DISEASE - POLICY LIMIT S
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
City of EI Segundo is/are included as additional insured (except workers' compensation) where required by written contract. Waiver of subrogation is applicable where required by written contract and subject to
policy terms and conditions with respect to Workers' Compensation
CERTIFICATE HOLDER CANCELLATION
City Of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
350 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
EI Segundo, CA 90245 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh USA Inc.
Scott Pell a f�
@ 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
Named Insured MX Holdings US, Inc.
Policy Symbol Policy Number
ISA H25289560
Issued By (Name of Insurance Company)
ACE American Insurance Company
JOINT VENTURE ENDORSEMENT
Policy Period
01/01/2020 To 01/01/2021
Endorsement Number
Effective bate of Endorsement
Insert the policy number. The remainder 0 the information as to Ibe completed o0y wheo this enaoruernenq os issued subsequent to the preparation of the po"ia.y.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY,
This Endorsement modifies insurance provided under the following:
Business Auto Coverage Form
Excess Business Auto Coverage Form
Auto Dealers Coverage Part
Schedule:
All of the following are called the "Scheduled Entities":
Cosco Fire Protection, Inc.
Firetrol Protection Systems, Inc.
CFP Fire Protection, CFP Inc.
Fire Call, Inc.
Firetrol Protection Systems, Inc. dba Arizona Fire & Security,
Flamex, Inc.
Predomont Sound & Signal, Inc.
Minimax Fire Solutions, Inc.
MX Holdings US, Inc.
The Named Insured shown in the Declarations is amended to read as follows:
The Scheduled Entities, and/or any entity over which any one or more of the Scheduled Entities has more than fifty
percent ownership interest, or over which any of the Scheduled Entities exercises active management control, during the
policy period.
Each of the Scheduled Entities is also a Named Insured as respects the interest of such Scheduled Entity in the
operations of any joint venture, co -venture, joint lease, joint operation agreement, limited liability company, partnership or
any other organization, other than a direct or indirect subsidiary, division or affiliate of the Scheduled Entity (hereinafter
collectively called "Joint Venture"), during the policy period, provided that:
(a) The insurance available under this Policy (A) shall be the product of (i) the Scheduled Entity's percentage interest in
the Joint Venture, and (ii) the Joint Venture's total liability to the claimant; and (B) shall be subject to the Limits of
Insurance.
(b) Notwithstanding the provisions of (a) above, if the Scheduled Entity has sole responsibility for the management or
operation of the Joint Venture, or if the Scheduled Entity has agreed by contract to provide the insurance coverage for
the Joint Venture, then this policy shall cover the Joint Venture in the same manner as the Scheduled Entity is
covered hereunder.
(c) Such coverage afforded for the Scheduled Entity in any Joint Venture, or for the Joint Venture itself if applicable under
(b) above, shall apply in excess of any other insurance specifically maintained by or on behalf of the Joint Venture.
(d) With respect to Joint Ventures that a Scheduled Entity newly forms or newly acquires an interest in during the policy
period, the Scheduled Entity will be a Named Insured for its interest in such Joint Venture to the extent specified in (a)
above, or the Joint Venture itself will be a Named Insured if so specified in (b) above, so long as you notify us of such
acquisition or formation not later than 60 days after the end of the policy period. No coverage will be provided for
such Joint Venture beyond 60 days after the policy period if you do not give us such notice. Such coverage afforded
for the Scheduled Entity in any Joint Venture, or for the Joint Venture itself if applicable under (b) above, shall apply in
excess of any other insurance specifically maintained by or on behalf of the Joint Venture.
DA -20420a (06/14) Page 1 of 2
(e) As respects entities newly formed or acquired during the policy period, other than a Joint Venture, and over which a
Scheduled Entity maintains ownership or a majority interest, or active management control, or has agreed by contract
to provide insurance, such entities are also Named Insured's, provided:
1) there is no other similar insurance available to that organization; and
2) you notify us of such formation or acquisition not later than 60 days after the end of the policy period. No
coverage will be provided for such newly formed or acquired entity if you do not give us such notice.
(f) As respects newly acquired or formed organizations, including Joint Ventures, no coverage is provided for, and this
policy does not apply to, any "bodily injury", "property damage" and/or "covered pollution cost or expense" that
occurred before you acquired or fonred the organization.
(g) The first Named Insured shown in the Declarations, by acceptance of this policy, is authorized to act and agrees to act
on behalf of all persons or organizations insured under the policy with respect to all matters pertaining to the
insurance afforded by the policy, including the giving or receipt of notice of cancellation, the payment of premiums and
the receiving of return premiums, if any.
Authorized Representative
DA -20420a (06/14) Page 2 of 2
POLICY NUMBER GLD1447203 IL At 4001 (06 11)
eff 1/1/20-21 HDI GLOBAL INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
The Named Insured is amended to read as follows:
MX HOLDINGS, US INC.
MINIMAX FIRE SOLUTIONS, INC.
COSCO FIRE PROTECTION, INC.
FLAMEX, INC.
CFP, INC.
MINIMAX CHINA FIRE PROTECTION SYSTEM, INC. LIMITED
FIRETROL PROTECTION SYSTEMS CO.,
CFP FIRE PROTECTION SYSTEMS, INC. DBA ARIZONA FIRE AND SECURITY
KLISTER, LLC.
FIRE CALL, INC.
FIRETROL PROTECTION SYSTEMS, INC.
FIRETROL PROTECTION SYSTEMS, INC DB/A ARIZONA FIRE & SECURITY
PREDOMONT SOUND & SIGNAL, INC.
CFP FIRE PROTECTION, INC.
All ether terms and conditions remain the same.
THIS ENDORSEMENT MUST BE ATTACHED TO A CHANGE ENDORSEMENT WHEN ISSUED AFTER THE POLICY
IS WRITTEN.
Page 1 of 1 IL At 4001(0611)
1
ADDITIONAL INSURED —
DESIGNATED PERSONS OR ORGANIZATIONS
Named Insured MX Holdings US, Inc. Endorsement Number
16
Policy Symbol Policy Number Policy Period Effective Date of Endorsement
ISA H25289560 01/01/2020 To 01/01/2021
Issued By (Name of Insurance Company)
ACE American Insurance Company
Insert tete po66c�' MLIMIaef. The rem aodet of the inlormition is Ic be completed only when this endorsement is issued subsequent to the preparation of the policy
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
AUTO DEALERS COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
EXCESS BUSINESS AUTO COVERAGE FORM
Additional Insured(s): Anv oerson or oroanization whom you have agreed to include as an additional insured
under a written contract, provided such contract was executed o,rior to the date of loss.
A. For a covered "auto," Who Is Insured is amended to include as an "insured," the persons or organizations
named in this endorsement. However, these persons or organizations are an "insured" only for "bodily
injury" or "property damage" resulting from acts or omissions of:
1. You.
2. Any of your "employees" or agents.
3. Any person operating a covered "auto" with permission from you, any of your "employees" or agents.
B. The persons or organizations named in this endorsement are not liable for payment of your premium.
Authorized Representative
DA-9U74c (03/16) Page 1 of 1
Policy Number
GLD1447203
ENDORSEMENT
HDI Global Insurance Company
Named Insured MX HOLDINGS US, INC. Effective Date: 01-01-20
12:01 A.M., Standard Time
Agent Name MARSH USA INC. OF MI ( GRAD )
Agent No. P02082030
This Endorse►rent Changes The Policy. Please Abad It Carefully.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR
CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION
CG 201010 01 VERSION
AS PER THE 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
PERFORMED FOR THAT INSURED.
B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE
ADDITIONAL INSUREDS, THE FOLLOWING EXCLUSION IS ADDED:
2. EXCLUSIONS
THIS INSURANCE DOES NOT APPLY TO "BODILY INJURY" 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 ADDITIONAL INSURED(S) AT THE SITE OF THE COVERED 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 CONTRACTOR OR SUBCONTRACTOR ENGAGED
IN PERFORMING OPERATIONS FOR A PRINCIPAL AS A PART OF THE SAME
PROJECT.
MAN -GL (01 /02)
Policy Number
GLD1447203
ENDORSEMENT
HDI Global Insurance Company
Named Insured MX HOLDINGS US, INC. Effective Date: 01-01-20
12:01 A.M., Standard Time
Agent Name MARSH USA INC. OF MI ( GRAD )
Agent No. P02082030
This Endorsement Changes The Policy. Please Abad It Carefully.
BLANKET ADDITIONAL INSURED - OWNERS, LESSEES, OR
CONTRACTORS - COMPLETED OPERATIONS
CG 203710 01
AS PER THE WRITTEN CONTRACT
(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".
MAN -GL (01102)
EXTENSION OF INFORMATION PAGE
Named Insured Endorsement Number
MX HOLDINGS US, INC.
153 TECHNOLOGY DRIVE, SUITE 200 Policy Number
IRVINE CA 92618Symbol: WLRNumber: C66042492
_------ .....
Policy Period Effective Date of Endorsement
01-01-2020 TO 01-01-20_21 .... 01-01-2020
YC Name of Insurance...ComP
Issued B ............................ ._
any )
ACE AMERICAN INSURANCE COMPANY
information is to be completed only when this ...d subseeruent to the prpp edioru of the potrcy.
Insert the pol'lctP number. I kYE; rernobndr nT the ,.........m.... endorsement is issue _. _.......... ..................
11111q K 14 • • 8
NAMED INSURED FEIN
MX HOLDINGS US, INC. 202356604
CFP FIRE PROTECTION, INC. 562302929
COSCO FIRE PROTECTION, INC. 954208955
FIRETROL PROTECTION SYSTEMS, INC. 870405034
FLAMEX, INC. 561814722
MINIMAX FIRE SOLUTIONS, INC. 263288050
For the state of CA refer to state specific endorsement.
,Authorized Representative
WC 99 99 99 A (10/06) Page 1 of 2
EXTENSION OF INFORMATION PAGE
Named Insured Endorsement Number
MX HOLDINGS US, INC.
153 TECHNOLOGY DRIVE, SUITE 200 Policy Number
IRVINE CA 92618 Symbol: WLRNumber: C66042492
Policy Period Effective Date of Endorsement
01-01-2020 TO 01-01-2021 01-01-2020
Issued By (Name of Insurance Company)
ACE AMERICAN INSURANCE COMPANY
tnsert 1h pqI.icy nurng!ej, The remainder. of the: information is to bre completed only, when this endorsement is issued subsequent to the preparation of the policy,
SCHEDULE OF NAMED INSURED
ITEM 1., NAMED INSURED, OF THE INFORMATION PAGE IS EXTENDED AS FOLLOWS:
NAMED INSURED FEIN
For the state of CA refer to state specific endorsement.
Aulhorized Representative
WC 99 99 99 A (10/06) Page 2 of 2
Workers' Compensation and Employers' Liability Policy
Named gnsureo Endorsement Number
MX HOLDINGS US, INC.
153 TECHNOLOGY DRIVE SUITE 200 m...h5acy u ' e1. r.....P141Ufrrr _.........____._......
IRVINE CA 92618 Syrmbol:WLR Number: C66042492
........ w.................................................................................................................... _
Poiacy Penod Effective Date of Endorsement
01-01-2020 TO o1-01-2021 01-01-2020
..................................................................................................................................................... --- _........... .......................................................................................................
Issued By (Name of Insurance Comoanv)
ACE AMERICAN INSURANCE COMPANY
IrrserC the 71ic+ number. The remainder of the information is to be conju leted only when this endorsement is issued s
..Y.'........................................................... ubse §uemuA to the preparatNorn ct tltroe taoluclt......................
CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of
the Information Page.
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, but this waiver applies only with respect
to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract
to obtain this waiver from us.
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the
work described in the Schedule.
Schedule
1. ( ) Specific Waiver
Name of person or organization:
(X) Blanket Waiver
Any person or organization for whom the Named Insured has agreed by written contract to furnish this
waiver.
2. Operations:
ALL OPERATIONS CONDUCTED BY AN INSURED PURSUANT TO SUCH WRITTEN CONTRACT
3. Premium:
The premium charge for this endorsement shall be 1.0 percent of the California premium developed on
payroll in connection with work performed for the above person(s) or organization(s) arising out of the
operations described.
4. Minimum Premium: $0
.............................................
Authorized Representative
WC 90 03 75 (05/18)