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PROOF OF INSURANCE (2015) CLOSEDCERTIFICATE OF LIABILITY INSURANCE DATE (MM /DDNYYY) 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(les) must 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 Suzie Marie Motes INSURED DFI - DiGerolamo Family Insurance Services 2027 Hamner Ave Norco, CA 92860 License #: OD26889 KNORR SYSTEMS, INC. 2221 S Standard Ave Santa Ana, CA 92707 A: I INSURER F COVERAGES CERTIFICATE NUMBER,: 00000000 - 6333766 951)735 -5335mm .mFAX 951 I _ .�,NoJ ;_(-....._ suzie@gfiinsyTnce.com INSURERS) AFFORDING COVERAGE REVISION NUMBER: 556 NAIC # 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. IN "R WILY& ,so li ......... .... , ,..06LICY EFF POL9C'' EXP LT TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYY MMID�DIYYYY -. -._ .. - -- -- ---- ---- _ LIMITS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE A " COMMERCIAL GENERAL LIABILITY Y HGL0038588 0612312014 06/23/2015 EACH OCCURRENCE $ 1 OOO OOO ..- ❑X DP,5 CLAIMS - MADE occuR WI4k Ira ocpyrrepCe) $ 50,000- - _X CONTRACTUAL.. MED EXP (Ao poe person) $ 62000 X XCU -BF PD -... ........ ....... ....... PERSONAL & ADV INJURY .. $ 11000,000 EN L AGGREGATE LIMIT APPLIES PER: G. GENERAL AGGREGATE $ 2,000,000 PRO POLICY � JECT P LOC PRODUCTS - COMP /OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y BA6923381 0612312014 0612312015 COMBINEDEELE LIM" $ .... X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) $ X NON -OWNED X.. PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident,)......... ..... P $ . ..... C UMBRELLA LAB X OCCUR BE017528054 06123/2014 06/2312015 EACH OCCURRENCE $ 3,000,000 X EXCESS LAB CLAIMS MADE AGGREGATE $ 3,000,000 DE D RETENTION $ $ D WORKERS COMPENSATION Y 3300067030 -141 06/06/2014 06/06/2015 X STATUTE 0R STATUTE ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/ EXECUTIVE E,L. EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? EXCLUDE (Mandatory in NH) N / A E DISEASE EA EMPL OYE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E DISEASE - POLICY LIMIT $ 1,000000 '.. DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required) CERTIFICATE HOLDER, ITS OFFICIALS AND EMPLOYEES ARE NAMED AS AN ADDITIONAL INSURED. INSURANCE IS PRIMARY AND NON - CONTRIBUTORY. WAIVER OF SUBORGATION APPLIES TO THE WORK COMP. 30 DAYS NOTICE OF CANCELLATION EXCEPT 10 DAYS NOTICE WILL BE SENT FOR NON - PAYMENT OF PREMIIUM. RE: EL SEGUNDO SPLASH taK I It-IUA I t NULULK " GANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Martin Whitehead" ACCORDANCE WITH THE POLICY PROVISIONS. 150 Illinois St AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 q, p U0 •afto SMM n 14 R.2n14 ACORn CORPORATION_ All rinh +R rPSPrvP_rtl ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Printed by SMM on October 17, 2014 at 10:08AM POLICY NUMBER: HGL0038588 COMMERCIAL GENERAL LIABILITY CG 2010 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anization s : Location(§J Of Covered Operations ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE Any and all covered locations AGREED IN A WRITTEN CONTRACT, THAT SUCH PERSON OR ORGANIZATION SHOULD BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY, PROVIDED SUCH WRITTEN CONTRACT IS FULLY EXECUTED PRIOR TO AN "OCCURRECE" IN WHICH COVERAGE IS SOUGHT UNDER THIS POLICY. Information required to complete this Schedule if not shown above will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", "property in y This insurance does not apply to "bodily injury" or damage" or "personal and advertising injury" "property damage" occurring after: y caused, in whole or in part, by: 1. All work, including materials, parts or 1. Your acts or omissions; or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs) to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the locatlon(s) location of the covered operations has been designated above. 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. CG 2010 07 04 0 180 Properties, Inc., 2004 Page 1 of 1 0 POLICY N UMBER: HGL0038588 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT AND GENERAL AGGREGATE FOR ALL CONSTRUCTION PROJECTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Each construction project described in a separate written contract. If multiple construction projects are grouped together under one written contract, all such projects will be considered one project and subject to a single general aggregate limit for that contract. Limits: Designated Construction Project General Aggregate Limit as shown in the Commercial General Aggregate Limit General Liability Declarations, IFG-G- 0002 -DL General Aggregate For All Projects $ 5,000,000 Combined (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the insured becomes legally 2. The Designated Construction Project General obligated to pay as damages caused by Aggregate Limit is the most we will pay for the "occurrences" under COVERAGE A (SECTION sum of all damages under COVERAGE A, 1), and for all medical expenses caused by except damages because of "bodily injury" or accidents under COVERAGE C (SECTION 1), "property damage" included in the "products - which can be attributed only to ongoing completed operations hazard ", and for operations at a single designated construction medical expenses under COVERAGE C project shown in the Schedule above; regardless of the number of: 1. A separate Designated Construction Project a. Insureds; General Aggregate Limit applies to each b. Claims made or "suits" brought; or designated construction project, and that limit is equal to the amount of the General c. Persons or organizations making claims or Aggregate Limit shown in the Declarations. bringing "suits ". IFG- G- 006502 09 Includes copyright material of Page 1 of 2 ISO Properties, Inc., with its permission. 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shown in the Schedule above. 4. 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 Designated Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents under COVERAGE C (SECTION 0, which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. 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 or the Products - Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. The most we will pay as damages caused by "occurrences" for all Construction Projects whether designated or not is the General Aggregate For All Construction Projects Combined Limit shown in the Schedule above. D. 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, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. E. 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. F. The provisions of Limits Of Insurance (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. IFG -G -0066 02 09 Includes copyright material of Page 2 of 2 180 Properties, Inc., with its permission. POLICY HGL0038588 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (PRIMARY AND NON - CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided underthefdlowing: COMMERCIAL GENERAL L [ABILITY COVERAGE PART PRODUCTS - COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule Name of Additional Insured Person(s) or Organization (a): Any person or organization with whom you have agreed, in a written contract, that such person or organization should be added as an additional insured on your policy, provided such written contract is fully executed prior to an "occurrence" in which coverage is sought under this policy. A. Who Is An Insured (Section II) is amended to include as an insured the person(s) or organization (s) shown in the Schedule, but only with respect to liability arising out of "your work' for that insured byor for you. B. With respect to the insurance afforded to the additional insured(s) scheduled above, Paragraph 4.Other Insurance of Section IV - Conditions is deleted and replaced by the following: 4. Other Insure rice Notwithstanding other valid and collectible insurance available to the additional insured for a loss we cover under the Coverage Part, this insurance is primary and non - contributory if such claim, loss or liability is due to the sole negigence of the Named Insured. However, this endorsement applies only when you are required by contract, agreement or permitto provide primary and non - contributory coverage for th e additional insured, provided such written contract, agreement or permit is fully executed prior to an "occurrence" in which coverage is sought under this policy. IFG -G -0055 0110 Includes copyrighted material of Pagel of 1 ISO Properties, Inc., with permission, POLICY HGL0038588 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AM EN DME NT - OTH E R I NSU RANCE (PRIMARY AND NON- CONTRIBUTORY COVERAGE) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS - COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule of Additional Insured(s): Any person or organization named in an Additional Insured endorsement attached to this policy with whom you have agreed, in a written contract, that such person or organization should be provided primary and non - contributory coverage, but only when such written contract Is fully executed prior to an "occurrence" in which coverage Is sought under this policy. A. Paragraph C. of this endorsement replaces cover under the applicable Coverage Part to paragraph 4. Other Insurance of Section IV- which this endorsement is modifying, this Commercial General Liability Conditions, but insurance is primary and non - contributory. only with respect to the insurance afforded to the However, this endorsement: additional! nsured(s) scheduled above. 1. Applies only when you are required by contract, agreement or permit to provide B. Paragraph C. of this endorsement replaces primary and non - contributory coverage for paragraph 4. Other Insurance of Section IV- the additional insured, provided such written Product s- Completed Operations Liability contract, agreement or permit is fully Conditions, but only with respect to the executed prior to an "occurrence" in which insurance afforded to the additional insured(s) coverage is sought under this policy, and scheduled above. 2. Does not apply to any claim, loss or liability due to the sole negligence of the additional C. Other Insurance insured. Notwithstanding other valid and coll ectible insurance available to the insured for a loss we IFG -G -0064 02 12 Includes copyrighted material of Page 1 of 1 ISO Properties, Inc., with permission POLICYNUMBER: HGL0038588 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization with whom you have agreed, In a written contract to waive the transfer of rights of recovery against others to us, provided such written waiver is fully executed prior to an 'occurrence" in which coverage is sought under this policy. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV— Condit ions: We walve any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products - completed operations hazard ", This waiver applies only to the person or organization shown in the Schedule above. CO 2404 05 09 0 Insurance Services Office, Inc:, 2008 Page 1 of 1 G POLICY BA 6923381 b. Any other electronic equipment that is: (1) Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system; or (2) An integral part of the same unit housing any sound reproducing equipment described in a. above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. 5. We will not pay for "loss" to a covered "auto" due to "diminution in value ". C. Limit Of Insurance 1. The most we will pay for "loss" in any one "accident" is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the "loss'; or b. The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. 2. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss ". 3. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of the betterment. D. Deductible For each covered "auto ", our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable deductible shown in the Declarations. Any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. SECTION IV — BUSINESS AUTO CONDITIONS The following conditions apply in addition to the Common Policy Conditions: A. Loss Conditions 1. Appraisal For Physical Damage Loss If you and we disagree on the amount of "loss ", either may demand an appraisal of the "loss ". In this event, each party will select a competent appraiser. The two appraisers will select a competent and impartial umpire. The appraisers will state separately the actual cash value and amount of "loss ". If they fail to agree, they will submit their differences to the umpire. A decision agreed to by any two will be binding. Each party will: a. Pay its chosen appraiser; and b. Bear the other expenses of the appraisal and umpire equally. If we submit to an appraisal, we will still retain our right to deny the claim. 2. Duties In The Event Of Accident, Claim, Suit Or Loss We have no duty to provide coverage under this policy unless there has been full compliance with the following duties: a. In the event of "accident ", claim, "suit" or "loss ", you must give us or our authorized representative prompt notice of the "accident" or "loss ". Include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. b. Additionally, you and any other involved "insured" must: (1) Assume no obligation, make no payment or incur no expense without our consent, except at the "insured's" own cost. (2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the claim or "suit ". (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit ". © ISO Properties, Inc., 2000 Page 8of13 CA 00 01 10 01 INSURED COPY crnwal nisi icvi rno�na (4) Authorize us to obtain medical records or other pertinent information. (5) Submit to examination, at our expense, by physicians of our choice, as often as we reasonably require. c. If there is "loss" to a covered "auto" or its equipment you must also do the following: (1) Promptly notify the police if the covered "auto" or any of its equipment is stolen. (2) Take all reasonable steps to protect the covered "auto" from further damage. Also keep a record of your expenses for consideration in the settlement of the claim. (3) Permit us to inspect the covered "auto" and records proving the "loss" before its repair or disposition. (4) Agree to examinations under oath at our request and give us a signed statement of your answers. 3. Legal Action Against Us No one may bring a legal action against us under this Coverage Form until: a. There has been full compliance with all the terms of this Coverage Form; and b. Under Liability Coverage, we agree in writing that the "insured" has an obligation to pay or until the amount of that obligation has finally been determined by judgment after trial. No one has the right under this policy to bring us into an action to determine the "insured's" liability. 4. Loss Payment — Physical Damage Coverages At our option we may: a. Pay for, repair or replace damaged or stolen property; b. Return the stolen property, at our expense. We will pay for any damage that results to the "auto" from the theft; or c. Take all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss ", our payment will include the applicable sales tax for the damaged or stolen property. 5. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured ", at any time, intentionally conceal or misrepresent a material fact concerning: a. This Coverage Form; b. The covered "auto "; c. Your interest in the covered "auto "; or d. A claim under this Coverage Form. 3. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. 4. No Benefit To Bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any person or organization holding, storing or transporting property for a fee regardless of any other provision of this Coverage Form. © ISO Properties, Inc., 2000 CA 00 01 10 01 Page 9 of 13 anolaQ01 KIM icvi r^nlyann INSURED COPY � . , , �., ..,,„ —r �.J 5. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insurance. For any covered "auto" you don't own, the insurance provided by this Coverage Form is excess over any other collectible insurance. However, while a covered "auto" which is a "trailer" is connected to another vehicle, the Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a motor vehicle you do not own. (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Coverage, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto ". c. Regardless of the provisions of Paragraph a. above, this Coverage Form's Liability Coverage is primary for any liability assumed under an "insured contract ". d. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis. 6. Premium Audit a. The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy began. We will compute the final premium due when we determine your actual exposures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective premium is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. b. If this policy is issued for more than one year, the premium for this Coverage Form will be computed annually based on our rates or premiums in effect at the beginning of each year of the policy. 7. Policy Period, Coverage Territory Under this Coverage Form, we cover "accidents" and "losses" occurring: a. During the policy period shown in the Declarations; and b. Within the coverage territory. The coverage territory is: a. The United States of America; b. The territories and possessions of the United States of America; c. Puerto Rico; d. Canada; and e. Anywhere in the world if: (1) A covered "auto" of the private passenger type 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. We also cover "loss" to, or "accidents" involving, a covered "auto" while being transported between any of these places. © ISO Properties, Inc., 2000 Page 10 of 13 INSURED COPY a00QQo1 KIM icvirn"nr CA 00 01 10 01 COMMERCIAL AUTO GOLD ENDORSEMENT THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SECTION II — LIABILITY COVERAGE A. COVERAGE 1. WHO IS AN INSURED The following is added: d. Any organization, other than a partnership or joint venture, over which you maintain ownership or a majority interest on the effective date of this Coverage Form, if there is no similar insurance available to that organization. e. Any organization you newly acquire or form other than a partnership or joint venture, and over which you maintain ownership of a majority interest. However, coverage under this provision does not apply: (1) If there is similar insurance or a self- insured retention plan available to that organization; or (2) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. f. Any volunteer or employee of yours while using a covered "auto" you do not own, hire or borrow in your business or your personal affairs. Insurance provided by this endorsement is excess over any other insurance available to any volunteer or employee. g. Any person, organization, trustee, estate or governmental entity with respect to the operation, maintenance or use of a covered "auto" by an insured, if: (1) You are obligated to add that person, organization, trustee, estate or governmental entity as an additional insured to this policy by: (a) an expressed provision of an "insured contract ", or written agreement; or (b) an expressed condition of a written permit issued to you by a governmental or public authority. (2) The "bodily injury" or "property damage" is caused by an "accident" which takes place after: (a) You executed the "insured contract" or written agreement; or (b) the permit has been issued to you. 2. COVERAGE EXTENSIONS a. Supplementary Payments. Subparagraphs (2) and (4) are amended as follows: (2) Up to $2500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "Insured" at our request, including actual loss of earning up to $500 a day because of time off from work. Includes copyrighted material of Insurance Services Offices, Inc. with its permission GECA 701 (01/07) Page 1 of 3 dlYw J!tin!*'. A o„ Q01 '4104 Kici ievi rnlana INSURED COPY �.,,_n �_A "Mn, .0 ^A^4 A—A o..,.,, .,,, SECTION III — PHYSICAL DAMAGE COVERAGE A. COVERAGE The following is added: 5. Hired Auto Physical Damage a. Any "auto" you lease, hire, rent or borrow from someone other than your employees or partners or members of their household is a covered "auto" for each of your physical damage coverages. b. The most we will pay for "loss" in any one "accident" is the smallest of: (1) $50,000 (2) The actual cash value of the damaged or stolen property as of the time of the "loss "; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality. If you are liable for the "accident ", we will also pay up to $500 per "accident" for the actual loss of use to the owner of the covered "auto ". c. Our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by an amount that is equal to the amount of the largest deductible shown for any owned "auto" for that coverage. However, any Comprehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. d. For this coverage, the insurance provided is primary for any covered "auto" you hire without a driver and excess over any other collectible insurance for any covered "auto" that you hire with a driver. 6. Rental Reimbursement Coverage We will pay up to $75 per day for up to 30 days, for rental reimbursement expenses incurred by you for the rental of an "auto" because of "loss" to a covered "auto ". Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for a period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your materials and equipment from the covered "auto ". 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 reimbursement expenses which is not already provided under paragraph 4. Coverage Extension. 7. Lease Gap Coverage If a long -term leased "auto" is a covered "auto" and the lessor is named as an Additional Insured — Lessor, In the event of a total loss, we will pay your additional legal obligation to the lessor for any difference between the actual cash value of the "auto" at the time of the loss and the 'outstanding balance" of the lease. "Outstanding balance" means the amount you owe on the lease at the time of loss less any amounts representing taxes; overdue payments; penalties, interest or charges resulting from overdue payments; additional mileage charges; excess wear and tear charges; and lease termination fees. B. EXCLUSIONS The following is added to Paragraph 3 The exclusion for "loss" caused by or resulting from mechanical or electrical breakdown does not apply to the accidental discharge of an airbag. Includes copyrighted material of Insurance Services Offices, Inc. with its permission GECA 701 (01/07) Page 2 of 3 ^91.'1.11. 4A M 9011101 KIM ICVI (Inli n INSURED COPY ,, ,Mw �„1,. �,n r. � ^, MMkl ^A^4 Aa Aa o.,,.,, AR Paragraph 4 is replaced with the following: 4. We will not pay for "loss" to any of the following: a. Tapes, records, disks or other similar audio, visual or data electronic devices designed for use with audio, visual or data electronic equipment. b. Equipment designed or used for the detection or location of radar. c. Any electronic equipment that receives or transmits audio, visual or data signals. Exclusion 4.c does not apply to: (1) Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, if the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto "; or (2) Any other electronic equipment that is: (a) Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's "operating system; or (b) An integral part of the same unit housing any sound reproducing equipment described in (1) above and permanently installed in the opening of the dash or console of the covered "auto" normally used by the manufacturer for installation of a radio. D. DEDUCTIBLE The following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. SECTION IV, BUSINESS AUTO CONDITIONS A. LOSS CONDITIONS Item 2.a. and b. are replaced with: 2. Duties In The Event of Accident, Claim, Suit, or Loss a. You must promptly notify us. Your duty to promptly notify us is effective when any of your executive officers, partners, members, or legal representatives is aware of the accident, claim, "suit ", or loss. Knowledge of an accident, claim, "suit ", or loss, by other employee(s) does not imply you also have such knowledge. b. To the extent possible, notice to us should include: (1) How, when and where the accident or loss took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the accident or loss. The following is added to 5. We waive any right of recovery we may have against any additional insured under Coverage A. 1. Who Is An Insured g., but only as respects loss arising out of the operation, maintenance or use of a covered "auto" pursuant to the provisions of the "insured contract ", written agreement, or permit. B. GENERAL CONDITIONS 9. is added 9. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Your unintentional failure to disclose any hazards existing at the effective date of your policy will not prejudice the coverage afforded. However, we have the right to collect additional premium for any such hazard. COMMON POLICY CONDITIONS 2.b. is replaced by the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. Includes copyrighted material of Insurance Services Offices, Inc. with its permission GECA 701 (01/07) Page 3 of 3 INSURED COPY nclnnlnnAA RA RD794R� MCI ICYI /'I'1'7Ql1a nnnn�nn_nn in -.non nnnrnnki nnn44n nr D- 44 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410A (Ed 07 -07) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA BLANKET BASIS 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.) premium for this endorsement shall be The additional p 2.00 % of the total policy premium otherwise due on such , remuneration. The minimum premium for this endorsement is $ grn no Schedule Person or Organization Job Description ALL ORGANIZATIONS FOR WHOM THE WAIVER OF SUBROGATION IS ALL CALIFORNIA OPERATIONS ISSUED 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 06/06/2014 Policy No. 3300067030 -141 Endorsement No. 1 Insured KNORR SYSTEMS, INC. Premium $ Insurance Company Countersigned by Cypress Insurance Company WC 99 0410A (Ed 07 -07) Shillin , Mona From: Garcia, Angelina Sent: Monday, September 29, 2014 9:08 AM To: Hegvold, Julie Cc: Shilling, Mona; Katsouleas, Stephanie; King, David Subject: RE: Knorr Agmt - (El Segundo Splash) Hi Julie, The insurance looks good. However, in reviewing the contract, this contract is for a 12 month period, but the amount not to exceed covers only 6 months and is for the maximum allowed under municipal code ($25,000) without having to go out for bid or to council. Did you check with David to see if this was ok? ;..�In Y Angelina Garcia � ' , , .... . �'d el From: Hegvold, Julie Sent: Monday, September 29, 2014 8:14 AM To: Garcia, Angelina Cc: Shilling, Mona; Katsouleas, Stephanie; Whitehead, Martin; Fajardo, Ron Subject: Knorr Agmt - (El Segundo Splash) Good Morning Angie, Attached for your review is the agreement and insurance cert /endorsements with Knorr Systems for daily service at the pool. Please let me know if acceptable and I will bring the originals by your office for initials. Thanks. Ju ie egvo.l , Matigement Anuiyst CITY OF EL SEGUNDO I Public Works Dept. 350 Main Street, El Segundo, CA 90245 Tel. (310) 524 -2365 1 jhe�lse ndo.org C IIITY I Illm LL IS C.LOS F ,D ON 1"RII) Vi(I",