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PROOF OF INSURANCE (2022 - 2023) CLOSEDGENTR-3 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 015105/2022 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 ri hts to the certificate holder in lieu of such endorsement; s , PRODUCER 909-980-4211 coNTAcT Kyle Visciglia Silverstone Insurance Services PHONE 909-980-4211 FAX 90-980.4785 Jetton 8. Associates, Inc 1A,C. No, Erla: mA O, NCI. PO BOX 1200 RANCHO CUCAMONGA, CA 91729 Brent Jetton, AAI, CIC INSURED Gentry General Engineering Inc 9277 Archibald) Avenue Rancho Cucamonga, CA 91730 James River Insurance Compaq Regent Insurance Co. Insurance Company of the West ............ Westchester Surplus Lines Ins 122 27847 10172 THISISTO 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. ....."".. .. _.. m..,_.... ..m . ...TYPE OF INSURANCE �.� p . POLICY NUMBER ,. „�.. P INSR .�mm ADDL SUBRI POLICY IEFr POLICY EXP LIMITS A X ! COMMERCIAL GENERAL LIABILITY EACH OCCUmR NCE ,e I $ -., DAMAGE TO RENTED 1,000,000 50 000 OCCUR X X 00086558-3 1011912021 10/19/2022 I'R & Yaf,S 41 r *rsre7x k 5 Ltd Contractual ; �X D FOP Reny anaq rxae.A. 5,000 X, CCL�Ms-MADE NOT EXCLUDED 6I Es,StiNd l_S A (rattIRY $ ..,,, ,000„000 ®n i. .. ...._C .., .,. I $ 2,0 00 00 " 0 GENT A G' GREGAmm UMITAPPLIES 1 m WrhA. f,fa09kR�e.«ATE. . ... POLICY X PRO- OC sarrr llcrs e�mrlar°, AGd _. $ JE T 2,0-- 000 _ � t L E L Ian ' SINGLE B 1 000,000 „mAUTOMOBILELIABILITY ,,,,_ ....$......... �BCA0005149-02 _ ANYAUTO 05/06/2022 05/0612023 ou itY INdJRY( �v r u„I $ _ X X X _ -��-- �n, .,9�ND6[ Y INJl9EiY (to'ew„„crdtYl1 $ ... XM OWNED :� SCHEDULED AUTOS ONLY AUTOS.,,,X .. Hid 1 � NON• Tw qCD PROPERTY DAMAGE ,� Pr a,; i �,�Ra.roi? _. AUTNIY �?S ONLY LN .,_ .._.. . , At ., , p A , UMBRELLA LIAB X OCCUR P EACH OCCURRENCE 3 ,000,000 X EXCESS LIAB CLAIMS MADE (�0096537-2 1�/19/2�21 ., 10/19/2022 AGGREGATE . ,,,.�,.$ .. .....� __... .... ,.m,.., ... DED „ X RETENTION $ C WORKERS COMPENSATION ( X I PT�T, TF X I ER H _ P X .E L EACH ACCIDENT $ AND EMPLOYERS' LIABILITY N NIA ANY PROPRIETORIPARTNERIEXECUTIVE a SA504815303 05/0612022=05106/2023 1 00000 „1� oPFICERIMEM6EREXCLUDEo? NH) E ,000,000 Iecrr f deQF scribeunder below F,I.DISEASE-POLICY LIMIT . 1"666,000DES�ReePERATIONS D POLLUTION LIAB G71564630 003 10119/2021 GG 2Y303,246 B PROPERTY ;PK0008360-02 05/0612022 5/06/2023'BLDG DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required( RE 400 BLOCK W. MARIPOSA AVE. AND 300 BLOCK W. PINE AVE. SIDEWALK CONSTRUCTION PROJECT PROJECT NO.. PW 21-07, City of El Segundo, its officers, officials, em loyees and volunteers are additional Insureds to and auto liability. Waiver of subrogation applies to general, auto ggeneral liability and workers comp. Coverage is primary/non-contrltrutory. CITELSE City of El Segundo 350 Main Street El Segundo, CA 90245 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 ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy No. 00086558-3 COMMER-CiAL GENERAL LiABUT Y CG 20 IQ 07 04 ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION v -"Jar Rkt`E SCHEDULE Nam, Of AIldiflon-M 1n,,:WYPd P(-YS0r1('-S) Or LOCMiorifli-:0 Of C()Vt0'8(1 0�)erl",t—jvMi -------------- cot. in Wle, DeclaeaIC A, Se-cfikm Vllho is An lnsu'emf t,.5 VW"' eR 011 k, 'S'.,J-tcv-;n zria �)niy d- Cr "pem. n ai a d'Hinentsing 2. 1-Inl, a;'t�s "'."a ai'li'nv In lance xk V, does not -appN, tu 'bodh'w in Ail Sg: �4' 4 for, of tbe ai 'Ile 4th' ca -ov-red b-'en 2� 7-ol 11'� r ou� u, da""",nqe use bv PW -a5 a pal" c)-' s-lme proiecl. Policy No. 00086558-3 Tl:: :: er,"k,)f ser ien' �,, jo.`,j jfips ��u ��e 1, 'A e IhpfiAD,?mq I i F�dr - , ( i Nam Of Additional InsuMd POrSOnOP,) --a COMMERCMAL GENERAL LIABILF: Y CG 20 37 07 04 Locat.1,tm Anti Descviption Of Cvmp��-t8d OVOM- No"'s I non etz}ii ..... ;il %;^r: k`3F;st'et. €nSUI CDs Secti[on H — Who Is ARI �n$ u rOd �s �-�'fWided 1,") as an pdrIlion.,"o of c slxr'vk 04- r "e a sT", r �C e I I t IMr I C" tf. t 1 i" t �XE.r ul a d about:btank 5;8/2 0 1 Policy No. 00086558-3 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4-10 Page 1 of 1 Policy No. 00086558-3 COWSPERMAL GENERAL UABM TY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Ms endosunell MOMS VSWMXP PK-,"Aderl iu,-,;d`e., Uhp, iJABILITY ,,.CJVE.�RAGE PART FED LW.3U1-( 0'.-,,VERA`E PART MKIIIARM Name Of Person Or Organization! where vkirm�-,.n con-,,3 urwniPer pgrep'new idumamn Mn" wlo lhii'S Schedule, f!, ric� ,h . ..... . I above sm 5 5 Ew I The hit MV is addwJ wa %w1yaph: B. Transkr Of Rit;bw Of Roscovery ApMst Mars To Us of Soctiosi iV T C andMons', we wan Mly AN Y re"MVful VVC may Me sphW to hl ONN8 "Myle q log so .a u09<0 "T wof D, Aw hi tpigs wyands: son; W�to POLICY NO. BCAqOO514B-02 COMMERCIALAUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ������������� 8�� ���������U�U AUTO COVERAGE �����y� CHANGES oo� ^�»��omxuno�~o^`�'x��"~ �"~~ " ~� .~~- ~ ~~. — '---- FORM �� This endorsement modifies insurance provided under the following: ParagraphA.1. Who IsmnInsured of SECTION -- LIABILITY COVERAGE isamended toinclude the fb|lowing: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own. Ne or borrow in your business or your personal affairs e. Any "employee" of yours is an "insured' while msim� an "auto" hired or rented under a contract or agreement in that "employ- ee's" name, with your pennissicm, while performing duties related to the conduct of your business, t Each person or Organization to whom you an.- myqm|ned by a vm4ten oontnmoL or agmaernem1 to rgowde additional insured status is an "insured" Under Liability Co* erage, but only to the extent that person or organization qualifies as an 'insuneU" un- der the Who is an Insured Pmvsion con- tained in Section || of the coverage form The written contract or agreement must be in effect during the policy period shown in the Declarations and must have been exe- cuted prior to the "bodily injury^ or"proper- ty damage." B. LIABILITY COVERAGE EXTENSIONS SDPPLE- &8ENTARYPAYMENTS Paragraphs A.2.m. (2) and A.2.m. (4) Coverage Extensions -- Supplementary Payments, of SECTION || -- LIABILITY COVERAGE are deleted and replaced with the fo||mwing� (2) Up to $5.000 for the cost of bail bonds (including bonds for related traffic law mo|at|ono)required because o[an^au- oident^ we come/ We do not have to furnish these bonds (4) All reasonable expenses incurred by the '^insmred'^ at our request,HmoimdinW actual |mm of earnings up to $50a day because oftime off from work C. FBLLOVVEK0PLOYEE COVERAGE Paragraph B.5. Fellow Employee Exclusion cmn- taimed in SECTION |f -- LIABILITY COVERAGE does not appLyifthe "bodily injury" results from the use of cuvered "auto" you own or h1re that is not a bms, motorcycle or van used to transport em- ployees This Fe||m* Employee Coverage is excess over any other collectible insurance D. POLLUTION LIABILITY -- BROADENED COV- ERAGE FOR COVERED AUTOS 1. Liability Coverage is changed osfo||ovws� o. Paragraph B.11'm. of the PmU|mtionExclu- sion inSECTION ||-- LIABILITY COV- ERAGE applies only to liability assumed under acontract oragreement. b. With nsopeo1 to the coverage afforded by Paragraph 1,m. Abowy, Exc|om,on &6, Care, Custody or Control ufSECTION || _ LIABILITY does not apply. 2. Changes in Definitions For the purposes of this endorsemenk. Para- graph D. of SECTION V -- DEFINITIONS is replaced bythe fol|mwinQi D. "Covered pollution cost or expense" means any cost orexpense arising outct 1Any request, demand,, ordei or stabuto- "insured" of others test rof, MOrlit0r, clean up, remove: contain. treat, de- toxify or neutralize, or in any way re- spond to. or assess the effects of "pol- lUtants": or Includes copyrighted material orInsurance Services Office, Inc AHCA859O8917 w�h�ape�i��n Poge1�8 2. Any Claim or "auif' by o/ on behalf of a 2. Unless you no1�' us to add coverage to your governmental authority for damages be pdicy, the coverage under this pr�,,)viopon is af- uauee of testing for. monitorinQ, cleaning forded only unUi up, nemoving, uontaining, treating, detoxify- s. The 120h day after You ooqui�ur�rm the ing or neutralizing, or in any way respond- op]anizaLion, or ing to or assessing the effects «f"pol|«- b. The end of the policy period. whichever is tanie"earlier "Comared pollution cost or expense" does not include any cost orexpense arising out of the actua|, alleged or threatened discharge, dia- peraa| seepege, migration, release orescape of "pollutants": m. Before the "Pollutants" or any property in which the "pollutants'' are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto-, or b. After the "poUutants''mrany property |n which the "pollutants" are contained are moved from the covered "auto' to the place where they are finally deliv- ered, disposed of or abandoned by the "insured" Paragraphs m' and b. above don��apply to "accidents" that occur away from prem- ises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if. (1) The "pollutants" or any property in which the "pollutants" are con- tained are upset, overturned or damaged as o result of the maintenance or use of covered "autz'�and (2) The discharge, dispemal, aeep- age, miQration, release or escape of the "pollutants" is caused di- rectly by such upse, overturn or damage This Pollution Liability Coverage is subject to an Annual Aggregate Limit of Liability of $100,000 E. NEWLY ACQUIRED OR FORM ES ORGANIZATIONS Throughout this policy. the words you and your al- so refer to any organization you newly acquire or honn, other than n portnersh|p, joint venture or|im- ited liability oompony, and over which you maintain ownership or majority inteest, but only if there is nosimilar insurance available tothat organization. Hov,/ever 1, The coverage does not apply toon"socident" which occurred before you acquired or formed the organization F. EXTENDED TOW |NG Paragraph A.2. Towing of SECTION III --PHyS~ ]!CAL DAMAGE COVERAGE �s deleted and re- placed with the following: VVewill pay for towing and labor costs each time a covered "auto" is disabled. All labor must beper- formed at the plane of disablement. If the "auto" is of the pewae passenger type, there will be node- dmctib|eIf the "auto" is other than a private pam- oemQertype, o$1UOdeductible will apply, The most wewill pay under this EXTENDED TOW- ING coverage is $750 per Occurrence G. PHYSICAL DAMAGE COVERAGE EXTENSIONS Paragraph A.4. — Coverage Extensions of SEC- TION x|-- PHYSICAL DAMAGE CC'ii/EFWtGEis amended as follows: a. Transportation Expenses The amount we will pay for temporary transportation expense mincreased to $50 per day to a maximum of S3,000 b. Loss of Use Ex pe nses The amount wewill pay for loss ofuse is increased to $75 per day and to o maxi- mum limit uf$1 OOO, i. This ooverageapplies only toacovered "auto" described or des�iQnoted in the Schedule or in the Declarations as carrying physical damage coverage 2. VVe wN| pay For rental oehmbursemepiexPemmes |nouned by you for the nantall of an '^au8m° be- cause of~Ioas" to a covered^,autd` Payment applies in a�,Jdlflon to the otkerwseoppkable amount ofcoverage you have oneach c�**aed .auto". 3. We will pay only for those expenses incurred during the poboy period beginning 24 hmucs, af- ter ihe''|oas" and ending, reQao6emeofthe pol- icy's expirat|on, with the lesser ofthe following number of days: |no|mdea copyrighted material o|Insurance Services Office, Ino- a. The number of days reasonably required to repair or replace the cored "auto". If 1"lass" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and re- turn it to you, or b. 30 days 4. Our payment is limited to the lesser of the fol- lowing amounts: a. Necessary and actual expenses incurred, or b. $50 per day 5. This coverage does not apply while there are spare or reserve ''autos" available to you for your operations, 6. If ''loss" results from the total theft of a covered .'auto" of the private passenger type, we will pay under this coverage only that amount of your rental reirribursernent expenses v0l�ch is not already piovided for widej, the paragraph A.4. Coverage Extensions in SECTION III PHYSICAL DAMAGE COVERAGE. No Deductible applies to this coverage. I. AIRBAG COVERAGE Exclusion B.3. in SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: This exclusion does not apply to the accidental discharge of an airbag. J. AUDIO, VISUAL AND DATA ELECTRONIC EQUI PM ENT Coverage a We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the repro- duction of sound. This coverage applies only if the equipment is permanently in- stalled in the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss", and such equipment is de- signed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto". b. We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any accessories used with the electronic equipment described in Paragraph 1.a. above However, this does not include tapes, records or discs, 2. Exclusions The exclusions that apply to SECTION III PHYSICAL DAMAGE, except for the exclusion relating to Audio, ViSLIHI and Dwa Electronic EqUrpfflerlt, aisf.a apply to cover-:tge proa4&,d by this endomernent In addition ffie frAovving ex. cluslons apply: Ve will not pay. under this endorsement, for eithef. any electronic eqwpnient or accessories Used with Such elech-cink; eClUiPMent that is: a. Necessary for the normal operatior,i of the cmered "auto" or the monitoring of the covered "autos" operating system. or b. Both: (1). An integral part of the same unit hOL5- [fig any sound reprOdUbrIg equipment designed solely for the reprodUCtion of sound if the sound reproducing equip- ment is permanently installed in the covered "auto",. and (2). Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio. V'10th, respect to coverage under ',,Ns endorse. merit, the Limit Of Insurance provision of SECTION III - PHYSICAL DAMAGE COV- ERAGE is replaced by the following: a. The most we will pay for all "loss" to audio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of: (1). The actual casPn value of the damaged of stolen psaperty as of the tirine of the .,loss",, (2)a The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality-, or (3). $1,500, b. An adjustnient, for depreciation and physi- cal condition will be made in determining actual cash value at the time of the "loss", cm If a repair or replacement results in better than like kind or quWity, we will not pay for the amount of betterment 4. Deductible No deductible applies to this coverage. The insurance provided ded by this extension is excess over any other collectible insurance. Includes copyrighted material of insurance Services Office, Inc , Page 3 of 6 AH CA 85 90 09 17 with its permission 2 X am TAPES, RECORDS AND DISCS COVERAGE Exclusion B.4.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following. a. Tapes. records, Uiyom or other e|milarou- dio, visual or data electronic devceode- signed for use with audio, visual or data electronic equipment except when the tapes, recorde, discs or other similar au- dio, msual or data electronic devices� (1) Are your property or that of a family member. and (2)Are inacowered "auto"atthe time of (o). The most we will pay for ^los " is $200 No Physical Damage Cov- erage deductible applies to this coverage This extension provides coverage only toacovered "auto" PHYSICAL DAMAGE DEDUCTIBLE -- SINGLE DEDUCTIBLE AND GLASS REPAIR Paragraph D. Deductible in SECTION !}! -- PHYSICAL DAMAGE COVERAGE is deleted and replaced bythe following: D. Deductible For each covered ''auto." our obligation to pay for, repair, return or replace damaged orstolen property will be reduced bythe applicable de- ductible shown inthe Declarations AnyCom- pnehene|ve [overage deductible shown in the Declarations does not apply to "loss" caused byfire orlightning When two or more covered "auhos" sustain "|oma^ in the same ocour/ence, the total of all the "|oee" for all the involved covered ''uutoe" will be reduced by a single Ueduobb|e, which will be the largest of all the deductibles apply- ing toall Such covered "autos .' No deductible applies to glass damage if the glass is repaired rather than replaced PERSONAL EFFECTS COVERAGE 1' if you purchase Comprehensive Coverage on this policy for o stolen owned "auto". we will pay up to $OOO for "personal effects" stolen with the "auto'' 2� "Personal effects" as used in this extension means, r)gjbie property that �sp,�ornurcarried by the °imaurec' "Persmne� elects" does not induda�omls. Nmwehp/. moiiey, eecuritias, radar or laser detectors, or tapes, reoorde, discs or similar audio, msual or data electronic equip- ment No Deductible applies to this extension. The insurance pnovdedbythis extension |eexcess over any other collectible insurance, N. LOAN/LEASE PAYOFF COVERAGE The SECTION I\| -- PHYSICAL DAMAGE COV- ERAGE is amended by the addition ofthe follow- ing: In the event of o total "loss" to a covered "auto" shown inthe Declarations, we will pay any unpaid amount due on the lease or loan for ucovered ^au- td' less� 1. The amount paid under the Physical Damage Coverage Section ofthe policy-, and m. Overdue |eame|oan payments at the time ofthe "|oas � b. Financial penalties lnupOaed undera lease for excessive use, abnormal wear and tear orhigh mileage c. Security deposits not returned by the les- sor, d. Costs for extended warranties, Credit Life Insurance, Health, Accident orDisability Insurance purchased with the loan or lease, and e. Carry-over balances from prevnua loans or leases 0. CUSTOM SIGNS AND DECORATIONS in the event of mtota| loss to mvehiole insured for auto physical damage umwer�Qe on this policy, in addition to the ACV of the wehide, we will pay the actual cost torepair o/replace signageorcustom paint details upto$5.000. P. HIRED AUTO PHYSICAL DAMAGE If hired "autoe"are covered "mutos''for Liability and �f Phys[cai 0acma0e CoVer-age Of �ompns�mme��. Specified Causes (fLoss. or Col' |ia|on are pnowdad under this Coverage Furnn for apy ',,auto" you ovm7, then thm pbysio,a| Damage CoveraiQe`s pmwded are extended to ^atkom`, yOu hire of like Kind and use subject �Im thehol|mkn0 |imit� The most we will pay for any one |oeo is the lesser ofthe following � 1. $50,000 per accident, Includes copyrighted material o[Insurance Services Office, Inc' 2. Actual Cash Value. or 3. The cost of repair The deductible will be equal to the |argestdeducti- ble applicable to any owned "auto" for that cover- age No deductible applies to ''|oee" caused by fire m/lightning This Hired Auto Physical Damage cov- erage is excess over any other collectible insur- ance- Sub�ct to the above ||mit, deductible and excess pmvisione, we will provide coverage equal to the broadest coverage applicable to any cowered '`outo''YOU own Q. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraphs A.2.a. of SECTION |V -- BUSI- NESS AUTO CONDITIONS is deleted and re- placed by� a. In the event of "accident", claim, "suit" or "|oss", you, your insurance manager or any other person you designate must give uocrour authorized representative prompt notice of such ''000ideni" or "loss" |no|ud& (1) How, when and where the "aoc|denC' or "|ooa" occurred-, (2) The "insureds" name and addreaa�and (3) Tmthe extent possible, the names and ad- dresses of any injured persons and wit- nesses Knowledge of on "accident" or ^|ooe" by your agent. servant or "employee" shall not beoone\d- ered knowledge by you unless you, your insurance manager or any other person you designate has received notice n[the "aooident" or"\oea'from your agent, servant: or "employee." R. WAIVER OF SUBROGATION SECTION |V -- BUSINESS AUTO CONDI- TIONS— A. 5. Transfer of Rights of Recovery Against Others to Usiaamended aofollows: This condition does not apply toany person oror- ganization towhichyouwaivedLhisconditionby written contract oragreement, but only tothe ex- tent that subrogation is waived prior to the "acci- dent" or "loss" under acontract with that person o/ organization & UNINTENTIONAL FAILURE TO DISCLOSE HAZ- ARDS Paragraph B.2.Concealment, Misrepresentation Or Fraud in SECTION |V -- BUSINESS AUTO CONDITIONS ieamended byadding the following: Any unintentional failure to disclose all exposures or hazards existing asofthe effective date of the Business Auto Coverage Form or at any time dur- ing the policy period will not invalidate or adversely affect the coverage for such exposure or hazard However, YOU muat report the undisclosed expo- sure orhazard to us as soon as reasonably possi- ble after its discovery T. EXTENDED EMPLOYEE HIRED AUTO PHYSICAL DAMAGE Paragraph B.5.b. Other Insurance of SECTION |V --BUSINESS AUTO CONDITIONS iedeleted and replaced bythe foUmwing� b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: 1. Any covered ^eutn' you |eoaa` h|na, rent or borrow-, and 2. Any covered ''auto' hired or rented by your "employee" under a contract in that indimdua|^emp\oyee'a''name, with your pennission, while performing du- ties related to the conduct of your business Hcwvever, any "auto" that isleased, hired, rented or borrowed with m driver is not covered "auto", U. POLICY PERIOD, COVERAGE TERRITORY Paragraph B.7. Policy Period, Coverage Territo- ry of SECTION IV --BUSINESS AUTO CONDI- TIONS |sdeleted and nyp|aoeUby� 7. Policy Period, Coverage Territory Under this Coverage Form, we cover "acci- dents" m. During the policy period shown in the Dec- larations-, and b. Within the coverage territory. The coverage territory m a. The United States ofAmerioa� b. The territories and possessions of the United States of America, c. Puerl:oRioo d. Canada, and e. Anywhere inthe world if: (1) A covered "auto" is leased, hired, rented or burrowed for period cf3D days or less: and Includes copyrighted material of Insurance Services Office, Inc., (2) 1 he "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and posses sions of the United States of America, Puerto Rico, or Canada or in a settle rnent we agree to We also cover "loss" to, or "accidents" invDiving, a covered "auto" while being transported between any of these places V. DEFINITION OF BODILY INJURY AMENDED Paragraph C. of SECTION V — DEFINITIONS is amended to include: "Bochly Injury" indUdeF menial angWsll or other mental Injury resi-iffing fWM "bodily rqury." Howev- er, 1-In ��overage is provAded for mental anguish or mental injury absent physical injury. None of the extensions provided under this cover- age endorsernent apply if coverage is nwre specifl- cally udentified elsewhere in tine poky or endorse• rrients, for which a prerTl,rUm charge is made a,, a higher fimft i,,s identified Under no circll.ifrstances is any lint promded under this extension to be corn- bined with a lirnit prrMded elsewhere In the policy or endorsements Includes copyrighted material of Insurance Services Office, Inc , Page 6 of 6 \(k(ith its permission AH CA 85 90 09 17 COMMERCIAL AUTO CA 04 49 1116 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary: This Coverage F'orm's Covered Autos Liability Coverage is primary to and will not seek contribution from any ether 'insurance available to an "Insured" under your policy provided that: 1. Such "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 such "insured". B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary: This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not; seek contribution from any other insurance available to an "insured" under your policy provided that: 1. Such "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 avaiilable to such "insured". CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have the right to recover our peyr-rnts fron'i 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. Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER 2 % of the total California Workers' Compensation premium Job Description CALIFORNIA OPERATIONS ONLY This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/06/2022 Policy No. WSA 5048153 03 Endorsement No. Insured GENTRY GENERAL ENGINEERING INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED