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PROOF OF INSURANCE (2024 - 2024) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 GMGS Risk Management & Insurance Services 6201 Oak Can on, Suite 100 Irvine, CA 926 8 www.gmgs.com OB84519 INSURED Alcorn Fence Company (LA Office) Alcorn Fence Company dba: Altas Fence Company 9901 Olenoaks Boulevard Sun Valley CA 91352 F: of America COVERAGES CERTIFICATE NUMBER: 73082322 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 A� FS _ ... POLIC`P £FF � POLICY EXP .....................IT ..- IT�.ITITITITITITITITITIT. TYPEOFINSURANCE POLICY NUMBER tMMfDPMXyIYy LIMITS A COMMERCIAL GENERAL LIABILITY DT22-CO-2394A522-TCT-23 2/28/2023 2/28/2024 EACH OCCURRENCE $2,000,000ITITITITITITITm_ �,,... CLAIMS -MADE D OCCUR 'PREMISES (Ea occurrence) $ 30O QOO MED EXP (An one person) _ s 5, OOO PERSONAL.&ADV INJURY s2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $4,000,000 POLICY E PRO JECT LOC PRODUCTS - COMP/OP AGG s4.000,000 OTHER: $ A AUTOMOBILE LIABILITY 810-908OX583-23-26-G 2/28/2023 2/28/2024 C6MSINE0 SINGLE LIMIT zncac(act�...... -- $ 1 000,000........ ANY AUTO BODILY INJURY (Per person) ..,.,�. $ ........ mmITmm OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED LNON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Comp Ded $1,000 Per accident •--•-,,._. Call Ded $1,000 1 $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ....._ EXCESS LIAB CLAIMS MADE ............. ...........,-.................................... AGGRE_.GATE .....E ._.._.._-......�.... s ..........._.......-.., DED RETENTION$ s B WORKERS COMPENSATION UB-31<109874-22-26-G 4/1/2022 4/1/2023 PER OTH AND EMPLOYERS' LIABILITY YIN UB-3K109874-23-26G - 4/1/2023 4/1/2024 "� STAT TE ER „„„„„ •••••° E,L EACH ACCIDENT $1 000 000 a""" OFFICE MEMB REXC UDED?ECUTIVE ❑ OFFICER/MEMBEREXCLUDED? """ _ " (Mandatory in NH) E.L.. DISEASE - EA EMPLOYEE' $ �II If yes, describe under DESCRIPTION OF OPERATIONS below �NIA .............._ IT E.L.. DISEASE - POLICY LIMIT .0.0,.01.1�.________. $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: AFC# L4009; 22-29: On -Call Fence Repair & Installation Services; Various Locations; El Segundo, CA 90245 This certificate may be relied upon only if the certificate addendum reibrred to herein is attached hereto. CERTIFICATE HOLDER CANCELLATION AFC# L4009 Clty Ot Ei Se U'nd0 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 350 Main Street ACCORDANCE W THTHE EXPIRATIONDATE THE POLICY PROVISIONS.E WILL BE DELIVERED IN El Segundo CA 90245 AUTHORIZED REPRESENTATIVE Slew Mosier ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD 73082322 1 23-24 A-PD/G/W/U35/Eq-RL I Charise Ferguson 1 2/21/2023 12:43:08 PM (PST) I Page 1 of 11 AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page of AGENCY NAMED INSURED GMGS Risk Management & Insurance Services Alcorn Fence Company (LA Office)...... Alcorn Fence Company dba: Altas Fence Company POLICY NUMBER 9901 Glenoaks Boulevard Sun Valley CA 91352 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability 03/16 HOLDER: City of El Segundo ADDRESS: 350 Main Street El Segundo CA 90245 RE: AFC# L4009; 22-29: do -Call Fence Repair & Installation Services; Various Locations; El Segundo, CA 90245 As respects General Liability coverage, City of El Segundo, its officials, and employees are added as Additional Insured per CGD2460419 attached, and this insurance is primary per CGT1000219 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included, per CGD3160219 attached. As respects Automobile Liability coverage, City of El Segundo, its officials, and employees are added as Additional Insured per CAT3530215, and this insurance is primary, per CAT4990216 attached, As respects Automobile Liability coverage, a Waiver of Subrogation is hereby included, per CAT353 0215 attached. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included, per WC990376 (A)-001 attached. ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 73082322 1 23-24 A-PD/G/W/U35/Eq-RL I Charise Ferguson 1 2/21/2023 12:43:OB PM (PST) I Page 2 of 11 AGENCY CUSTOMER ID: LOC X: ACCORV ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED GMGS Risk Management & Insurance Services Alcorn Fence Company (LA Office) -.2 mlb!� ivT!! Alcorn Fence Company dba: Altas Fence Company POLICY NUMBER 9901 Glenoaks Boulevard Sun Valley CA 91352 CARRIER NAIC CODE EFFECTIVE DATE: AUUN I IVNAL Kr-nnAKKb THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of HOLDER: City of El Segundo ADDRESS: 350 Main Street El Segundo CA 90245 RE: AFC# L3996; Douglas Street Fence; Douglas St PW-22-12 Page of & Transit Center; El Segundo, CA 90245 As respects General Liability coverage, City of El Segundo is added as Additional Insured per CGD2460419 attached, and this insurance is primary per CGT1000219 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included, per CGD3160219 attached. As respects Automobile Liability coverage, City of El Segundo is added as Additional Insured per CAT3530215, and this insurance is primary, per CAT4990216 attached. As respects Automobile Liability coverage, a Waiver of Subrogation is hereby included, per CAT353 0215 attached. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included, per WC990376 (A)-001 attached. M,-Umu IU-I Iifuumul) @ 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 73082321 1 23-24 A-PD/G/W/035/Eq-RL I Charise Ferguson 1 2/21/2023 12:43:08 PM (PST) I Page 2 of 11 AGENCY CUSTOMER ID: ACC>REP ADDITIONAL REMARKS SCHEDULE Page of — le�ll AGENCY NAMED INSURED GMGS Risk Management & Insurance Services ...................... Alcorn Fence Company ('LA Office) . ....... Alcorn Fence Company dba: Altas Fence Company POLICYNUMBER 9901 Glenoaks Boulevard Sun Valley CA 91352 CARRIER NAIC CODE EFFECTIVE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) ............................ HOLDER: City of El Segundo ADDRESS: 350 Main Street El Segundo CA 90245 ject; PW 21-02, El Segundo, CA 90245 As respects General Liability coverage, The City, its officers, officials, employees, agents, and volunteers are added as Additional Insured per CGD2460419 attached, and this insurance is primary per CGT1000219 attached. As respects General Liability coverage, a $5,000 Property Damage Deductible applies Per Occurrence. As respects Automobile Liability coverage, The City, its officers, officials, employees, agents, and volunteers are added as Additional Insured per CAT3530215, and this insurance is primary, per CAT4990216 attached. As respects Automobile Liability coverage, a $1,000 Property Damage Deductible applies Per Accident. As respects Workers' Compensation coverage, a Waiver of Subrogation is hereby included, per WC990376 (A)-001 attached. ACORD 101 (2008101) @ 2008 ACORD CORPORATION. All rights, reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM 7 3082119 a Z3 ?4 A. ?D/G/W/U15/Eq RL I Chariier.qus— [ 2/21/2023 12a43:,00 PM (1??,TI Page 2 f 8 Alcorn Fence Company (LA Office Alcorn Fence Company c ence Company DT22-CO-23 94A 522-TCT-23 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any injury or damage arising out of the "occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" is brought against insured does not apply to: the additional insured: CO D2 46 0419 ® 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 `t3082322 123....24 A--PD/G/Gd/U35/Gq-RL I Cha.rise Ferguson 1 2/21./2023 12.43zOG PM (PST) I Page 3 of 11 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) Immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 0 201E The Travelers Indemnity Company. AN rigids reserved. CG D2 46 0419 7.3062322 1 23-24 A-PD/G/W/U35/Eq-RL I Cbarise Ferguson 1 2/21/2023 12;,43:08 PM (PST) I Page 4 of. 11 Alcom Fence Company (LA Office) Alcorn Fence Company dba: Altas Fence Company COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury"or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured_ c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request, 6. Representations By accepting this policy, you agree: DT22-CO-2394A522-TCT-23 a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. CG T1 OO 02 19 .Includes copyrighted material of Insurance Services Office, Inc. with its permission. 73082322 1 23-24 A-PD/G/W/U35/Eq-RL I Char.ise F'e.rgu.o 1 2/21/2023 1.2:43:06 PM (PST) I Page 5 of U. Alcorn Fence Company (LA Office) Alcorn Fence Company dba: Altas Fence Company COMMERCIAL GENERAL LIABILITY C. INCIDENTAL MEDICAL MALPRACTICE 1. The following replaces Paragraph b. of the definition of "occurrence" in the DEFINITIONS Section: b. An act or omission committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO 13 AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: (a) "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician or paramedic; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph S. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". DT22-CO-2394A522-TCT-23 pharmaceuticals committed by, or with the knowledge or consent of, the insured. S. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. D. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against. Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the Insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; 4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I — agreement. COVERAGES — COVERAGE A — BODILY E. CONTRACTUAL LIABILITY— RAILROADS INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph c. of the Sale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury" or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of Page 2 of 3 ® 2017 The Travelers Indemnity Company. All rights reserved. CG D3 16 0219 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. 730B2322 1 23--26 A-PD/G/W/U35/Eq-RI, I Cheri— Fergus— 1 2/21/2023 12:43�00 PM (PST) I Page 6 of 11 Alcorn Fence Company (LA Office) 810-9080X583-23-26-G COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided underthe following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only, Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COW ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION 11— COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Il — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by ,you before the "bodily injury"' or ""property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS 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. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is 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 busi- ness. 2. The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "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 an "employee's" name, with your CA T3 53 02 15 ® 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. 73082322 1 23-24 A-PD/G/W/V35/cy-RL I Cha.ri.se Ferguson 1 2/21./2023 12243,oe &M (PST) I Page 7 of 11 COMMERCIAL AUTO Alcom Fence Company (LA Office) Alcom Fence Company dba: Alters Fence Company 810-9080X583-23-26-G THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. g • . W-W • • •I Z This endorsement modifies insurance provided underthe following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement, that is signed by you before the "bodily injury' or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the e)dent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph B.S., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part S. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is a named insured when a written contract or agreement with you, that is signed by you before the "bodily injury" or "property damage" occurs and that is In effect during the policy period, requires this insurance to be primary and non- contributory. CA T4 99 02 16 u 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission, 73082322 1 23-L24 A--PC7/G/W/U35(Ec{....RL ( Char.ise F'ergil ( 2/21../202.3 127 d3:08 PM (PST) ( Page. 8 of :I.1.. Alcorn Fence Company (LA Office) 810-9080X58 3-23-26-G You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It Is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada, We assume no responsibility for the furnishing of certificates of Insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass Is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph AA a., Transportation Expanses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense In- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following Is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags In a covered "auto" you own that In- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.e., but only: a. If that "auto" Is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident"' or "loss"ap- plies only when the "accldeor or "I is known to: (a) You (f you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (a) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS: The following is added to Paragraph AA., Cover- 5. Transfer Of Nights Of Recovery Against age Extensions, of SECTION III — PHYSICAL Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex - We will "loss" tent required of you by a written contract pay up to $400 for loss to wearing ap- signed and executed prior to any "accident'" parel and other personal property which is: or "lose", provided that the "accident" or "loss" (1) Owned by an "insured"; and arises out of operations contemplated by CA T3 53 02 16 02015 The Travelere Indemnity Company. All rlghb reserved. Page 3 of 4 Includes copyrighted material of insurance Senrlces Office, Inc. with Its permlealon. 73082322 ( 23-24 A-PD/G/W/035/Eq-RL I Ch.ri.. Ferguson. 1 2/21/2023 1.2.93.06 P1H (PST) ( Page 9 of 11 COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unintentional person or organization designated in such error in, any information given by you shall not contract. prejudice your rights under this insurance. How- N. UNINTENTIONAL ERRORS OR OMISSIONS ever this provision does not affect our right to col - The following Is added to 'Paragraph B.2., Con- led additional premium or exercise our right of cealmen t Misrepresentation, Or Fraud, of cancellation or non -renewal. SECTION N — BUSINESS AUTO CONDITIONS: Page 4 of 4 02015 The Traveler: Indemnity Company. All rights reserved. CA T8 53 02 15 Includes copyrighted material of Insurance Services Office, Inc. with Its permission. 73OB2322 123-24 A-PD(G(W/U35(C;q--RL I Charise Ferguson 12/21/2023 :1.2:43 �06 PM (PST) I Page 10 of 11 Aft �����WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 ( A) POLICY NUMBER: UB-3K109874-22-26-G UB-3K10987423-26-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2 . 0 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER 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 4/1/2022 Policy No. UB-3K109874-22-26-G Endorsement No. Insured Alcorn Fence Company (LA Office) Premium Alcorn Fence Company dba: Altas Fence Company Insurance Company Countersigned by ATE OF ISSUE: ST ASSIGN: Page 1 of 1 04/W/2022 73062322 1 23-24 A-PO/G/W/U35/rq-RL I Charise Ferguson 1 2/21/2023 12:43:08 PM (PST) I Page 11 of 11