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PROOF OF INSURANCE (2013) CLOSEDPRODING -01 ESOKOLIK C7C-P DATE (MMIDDrMY) CERTIFICATE ®F LIABILITY INSURANCE /21/2012 . .. 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. the terms and conditions ioNf the policy, certain policies may INSURED, a an endorsement A statement on endorsed. this certificate Adoes not UconferDrights to the certificate holder In lieu of such endorsomrlent(s), 5000 Van Nuys Blom v ^n^^^ mm _ ._._.... PRODUCER e # 0814758 NAME: Hoffman Brawn C NAraroE. Company PI +ONT _ - ..-._. �_ FAx ._ Blvd tAf Nq f II (818 986 8200 I)r kr$ IBS 986 8510 6th Floor c Sherman Oaks, CA 91403 AoDRE RESs INSURER(S) AFFORDING COVER.._ ASE � NA)C 6 INSURED A ProDek, Inc. 4530 Brazil Street Los Angeles, CA 90039 INSURER C: Landmark Generallnsurran eConofA W _..__,._. .. ,. 33138 -erica 24732 ......,.... M �._........_ INSURER F .® ,....�.._.,..............W.., ....., «»........_ -._.._ ................ OV ERAGES' CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIAMUTY CLAIMS•MADE E OCCUR UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OCCUR CLAIMS -MADE YIN 0 NIA POLICY NUMBER, n. ... ._ "EACOCCURRENCE d cura�mm,m��.S LIMIT _ s 135947 3/8/2012 31812013 s MED EXP (Any One person) 5 PERSONAL BADVINJURY S ..GENERAL _AGGREGATE ................. ... _ S PRODUCTS -- COMPJOP AGG �S 0 8110/2011 811012012 BODILY INJURY (Per person} 5 BODILY INJURY (Poraccrdenp S PAI C dlwi5wd S S -EACH OCCuRACUCE .... ._ $ AGGREGATE S E.L, EACH POLICY YE S IMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addn)onat Remarks Schedule. If more space Is mqulrod) Certificate holder is Additional Insured per forms RSG 15017 1207 and CA 71 10 03 07 attached. WARNING: Additional Insured status is only valid if required by written contract executed prior to the loss Coverage is limited as per the terms and conditions of policy„ Jab Site: Recreation Park, 300 Pine Street, El Segundo, CA III innn o ©a ," 50,DOD� 1,000 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officials and Employee, ACCORDANCE WITH THE POLICY PROVISIONS, �"� c/o CI Clerk Pkp El 0 Main Street, Room 5 CA 0245- 813 .. AUTHORIZED REPRESENTATIVE " _ ..._ City SENTATNE ©1988 -2010 ACORD CORPORATION All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD GEN L AGGREGATE LIMIT APPLIES PER: 7-1 POLICY AUTOMOBILE LIABILITY B Kppp ANY AUTO ALL SCHEDULED p AUTOS AUTOS Ip HIREOAUTOS NON -OWNED AUTOS UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OCCUR CLAIMS -MADE YIN 0 NIA POLICY NUMBER, n. ... ._ "EACOCCURRENCE d cura�mm,m��.S LIMIT _ s 135947 3/8/2012 31812013 s MED EXP (Any One person) 5 PERSONAL BADVINJURY S ..GENERAL _AGGREGATE ................. ... _ S PRODUCTS -- COMPJOP AGG �S 0 8110/2011 811012012 BODILY INJURY (Per person} 5 BODILY INJURY (Poraccrdenp S PAI C dlwi5wd S S -EACH OCCuRACUCE .... ._ $ AGGREGATE S E.L, EACH POLICY YE S IMIT 5 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addn)onat Remarks Schedule. If more space Is mqulrod) Certificate holder is Additional Insured per forms RSG 15017 1207 and CA 71 10 03 07 attached. WARNING: Additional Insured status is only valid if required by written contract executed prior to the loss Coverage is limited as per the terms and conditions of policy„ Jab Site: Recreation Park, 300 Pine Street, El Segundo, CA III innn o ©a ," 50,DOD� 1,000 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of El Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Its Officials and Employee, ACCORDANCE WITH THE POLICY PROVISIONS, �"� c/o CI Clerk Pkp El 0 Main Street, Room 5 CA 0245- 813 .. AUTHORIZED REPRESENTATIVE " _ ..._ City SENTATNE ©1988 -2010 ACORD CORPORATION All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD "" REEPRINTEE, A TIi=_ ARWIVC TIis GRIGIIlAL TRhf;Sn�.TIOF7t,iB4Y If BCLUJ„ ftDt]f sL FORMS "" o COMMERCIAL AUTO CA 71 '100307 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, AUTO PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. EXTENDED CANCELLATION CONDITION BLANKET ADDITIONAL INSURED Paragraph 2.b. of the CANCELLATION Common SECTION II -- LIABILITY COVERAGE — AA, WHO Policy Condition is replaced by the following: IS AN INSURED provislon Is amended by the addition b. 60 days before the effective date of cancellation of the following: if we cancel for any other reason. e. Any person or organization for whom you are re- quired by an "insured contract" to provide insur- TEMPORARY SUBSTITUTE AUTO -- PHYSICAL ance is an "insured ", subject to the following DAMAGE COVERAGE additional provisions: Under paragraph C. —• CERTAIN TRAILERS, MO- BILE EQUIPMENT AND TEMPORARY SUBSTITUTE AUTOS of SECTION 1 -- COVERED AUTOS, the following is added: it Physical Damage coverage is provided by this Cov- erage Form, then you have coverage for: Any "auto" you do not own while used with the per- mission of its owner as a temporary substitute for a covered "auto" you own that Is out of service be- cause of its breakdown, repair, servicing, `loss" or destruction. BROAD FORM NAMED INSURED SECTION It — LIABILITY COVERAGE — A.1. WHO IS AN INSURED provision is amended by the addition of the following: d. Any business entity newly acquired or formed by you during the policy period provided you own 50% or more of the business entity and the business entity Is not separately insured for Business Auto Coverage. Coverage is extended up to a maximum of 180 days following acquisi- tion or formation of the business entity. Coverage under this provision is afforded only until the and of the policy period (1) The "insured contract" must be In effect during the policy period shown in the Decla- rations, and must have been executed prior to the "bodily injury" or "property damage ". (2) This person or organization is an "insured" only to the extent you are liable due to your ongoing operations for that Insured, whether the work Is performed by you or for you, and only to the extent you are held liable for an "accident" occurring while a covered "auto" is being driven by you or one of your em- ployees. (3) There is no coverage provided to this person or organization for "bodily injury" to its em- ployees, nor for "property damage" to its property. (4) Coverage for this person or organization shall be limited to the extent of your negli- gence or fault according to the applicable principles of comparative negligence or fault. (5) The defense of any claim or "suit" must be tendered by this person or organization as soon as practicable to all other insurers which potentially provide insurance for such claim or "suit ". Includes copyrighted material of Insurance Services Office, inc., with its permission. Copyright, Insurance Services office, Inc., 1997 u7fe n o,, ^,d IhC Sm!CCO 9aDo ma seJ °s!ercJ lrrdemlks a" opera Ccrlvlioa C/ 74 iD D3 07 Pane t al & PP ... RE RWMEO .e, 1, {C ®�RCHBV T 11r Os' 21GIIiA'_ TR,1F:Sr,CTIO14rIAYIFICLUDEADDI hL r0RM95 1 (6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE lesser of: A. SECTION III •-- PHYSICAL DAMAGE COVER - (a) The coverage and /or limits of this policy; AGE, AA. COVERAGE EXTENSIONS, is or amended by adding the following: (b) The coverage and /or limits required by c. Personal Effects Coverage the "insured contract (7) A person's or organization's status as an 'Insured" under this 'subparagraph d ends when your operations for that "insured" are completed. EMPLOYEE AS INSURED Under Paragraph A. of Section II — LIABILITY COV- ERAGE item f. is added as follows: Your "employee" while using his owned "auto ", or an "auto" owned by a member of his or her household, in your business or your personal affairs, provided you do not own, hire or borrow that "auto "., This coverage is excess to any other collectlble insurance coverage. FELLOW EMPLOYEE COVERAGE Exclusion 5. FELLOW EMPLOYEE of SECTION 11 — LIABILITY COVERAGE -- B. EXCLUSIONS is amended by the addition of the following: However, this exclusion does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire, and provided that any coverage under this provision only applies in excess over any other collectible insurance, t.• BLANKET WAIVER OF SUBROGATION We waive the right of recovery we may have for pay- ments made for 'bodily injury" or "property damage" on behalf of the persons or organizations added as Insureds" under Section 11 —LIABILITY COVERAGE~ — A.I.D. BROAD FORM NAMED INSURED and A.9.e. BLANKET ADDITIONAL INSURED, PHYSICAL DAMAGE — ADDITIONAL TRANS- PORTATION EXPENSE COVERAGE The first sentence of paragraph A.4. of SECTION III — PHYSICAL DAMAGE COVERAGE is amended as follows: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense Incurred by you because of the total theft of a covered "auto" of the private passenger type. For any Owned ,auto" that is involved in a covered "loss", we will pay up to $50o for "personal effects" that are lost or damaged as a result of the covered "loss ", without applying a deductible• EXTRA EXPENSE — BROADENED COVERAGE Paragraph A. — COVERAGE of SECTION IiI — PHYSICAL DAMAGE COVERAGE is amended to add: S. We will pay for the expense of returning a stolen covered "auto" to you AIRBAG COVERAGE Under paragraph B. — EXCLUSIONS of SECTION III -- PHYSICAL DAMAGE COVERAGE, the following is added: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. NEW VEHICLE REPLACEMENT COST Under Paragraph C — LIMIT OF INSURANCE of Section III — PHYSICAL DAMAGE COVERAGE sec - Ilon 2 is amended as follows: 1 An adjustment for depreciation and physical con - ditlon will be made in determining actual cash value in the event of a total loss, However, In the event of a total loss to your "new vehicle" to which this coverage applies, as shown In the declarations, we will pay at your option: a. The verifiable "new vehicle" purchase price you paid for your damaged vehicle, not in- cluding any Insurance or warranties pur- chased; b. The purchase price, as negotiated by us, of a new vehicle of the same make, model and equipment, not including any furnishings, parts or equipment not installed by the manufacturer or manufacturer's dealership. If the same model is not available pay the purchase price of the most similar model available; REPf?I:JTfu ATHE°ARCHM TIfED r,[ GII; tI .TfiAI4SACT10141,VYltICLUDEA® ®I tL r0i3f.'.S c. The market value of your damaged vehicle, a. Actual cash value of the damaged or stolen not Including any furnishings, parts or equip- property as of the time of the "loss ", less an ment not installed by the manufacturer or adjustment for depreciation and physical manufacturer's dealership. condition; or This coverage applies only to a covered "auto" of the private passenger, light truck or medium truck type (20,000 Ibs or less gross vehicle weight) and does not apply to Initiation or set up costs associated with loans or leases. TWO OR MORE DEDUCTIBLES Under SECTION Ill — PHYSICAL DAMAGE COV- ERAGE, If two or more "company" policies or cover- age forms apply to the same accident, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deduct- ible Is the smaller (or smallest) deduct- ible it will be waived; or b. If the applicable Business Auto deduct- ible is not the smaller (or smallest) de- ductible it will be reduced by the amount of the smatter (or smallest) deductible; or c. If the loss Involves two or more Busi- ness Auto coverage forms or policies the smaller (or smallest) deductible will be waived, For the purpose of this endorsement "company" means: a. Safeco Insurance Company of America b. American States Insurance Company c. General Insurance Company of America d. American Economy Insurance Company e. First National Insurance Company of America f. American States Insurance Company of Texas b, Balance due under the terms of the loan or lease that the damaged covered "auto" is subject to at the time of the "loss ", less any one or all of the following adjustments: (1) Overdue payment and financial penalties associated with those payments as of the dale of the "loss" (2) Financial penalties imposed under a lease due to high mileage, exces- sive use or abnormal wear and tear (3) Costs for extended warranties, Cre- dlf Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease. (4) Transfer or rollover balances from previous loans or leases. (5) Final payment due under a 'Balloon Loan ". (6) The dollar amount of any un- repaired damage that occurred prior to the "total loss" of a covered "auto ". (7) Security deposits not refunded by a lessor. (8) All refunds payable or paid to you as a result of the early termination of a lease agreement or any war- ranty or extended service agree- ment on a covered "auto ". (9) Any amount representing taxes - (10) Loan or lease termination fees GLASS REPAIR — WAIVER OF DEDUCTIBLE g. American States Preferred Insurance under paragraph D. -- DEDUCTIBLE of SECTION III Company PHYSICAL DAMAGE COVERAGE, the following is h. Safeco Insurance Company of Illinois added: LOANILEASE GAP COVERAGE No deductible applies to glass damage if the glass is repaired rather than replaced, Under paragraph C — LIMIT OF INSURANCE of SECTION III -- PHYSICAL DAMAGE COVERAGE, AMENDED DUTIES IN THE EVENT OF ACCI- the following is added: DENT, CLAIM, SUIT OR LOSS 4. The most we will pay for a total "loss" in any one The requirement in LOSS CONDITIO14 2 °a. -- "accident" Is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM, to a $1,500 maximum limit: SUIT OR LOSS --- of SECTION IV -- BUSINESS AUTO CONDITIONS that you must notify us of an CA 71 t0 03 07 Pago 3 016 Fp "" REFR114Tl=•, l,TIEEARCRIVE 71i" pill• >I:dI.L TrvlhdSI�CTIJId 69P,1' 17:CLL)0'c kPCSi AL FDRKl "accident" applies only when the "accident" is known deductible and excess provisions, we will provide to: coverage equal to the broadest coverage applicable to any covered "auto" you own (1) You, if you are an individual; (2) A partner, if you are a partnership; or (3) An execulive officer or insurance manager, if you are a corporation UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV — BUSINESS AUTO CONDITIONS -- B.2. is amended by the addition of the following: if You unintentionally fall to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. HIRED AUTO -- LIMITED WORLD WIDE COVER- AGE Under Section IV — Business Conditions, Paragraph B- 7- b.e(1) is replaced by the following: (1) The "accident" or "loss" results from the use of an "auto" hired for 30 days or less. ' RESULTANT MENTAL ANGUISH COVERAGE SECTION V -- DEFINITIONS -- C. is replaced by the fallowing: "Badily injury" means bodily injury, sickness or dis- ease sustained by a person including mental anguish or death resulting from any of these. HIRED AUTO P14YSiCAL DAMAGE COVERAGE If hired "autos" are covered "autos" for Liability cov- erage and if Comprehensive, Specified Causes of Loss or Collision coverages are provided under this eo'verage Form for any "auto" you own, then the Physical Damage Coverages provided are extended to 'autos" you hire or borrow. The most we will pay for loss to any hired "auto" Is $50,000 or Actual Cash Value or Cost of Repair, whichever is smallest, minus a deductible. The de- dLictible will be equal to the largest deductible appil- Cat)le to any owned "auto" of the private passenger or light truck type for that coverage. Hired Auto Phy- sll�al Damage coverage is excess over any other col- lectible insurance- Subject to the above limit, HIRED AUTO PHYSICAL DAMAGE COVERAGE "- LOSS OF USE SECTION lit PHYSICAL DAMAGE A.4.b. Form does not apply. Subject to a maximum of $1,000 per accident, we will cover loss of use of a hired "auto" if it results from an accident, you are legally liable and the lessor in- curs an actual financial loss. RENTAL REIMBURSEMENT COVERAGE A. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" be- cause of a covered "loss" to a covered "auto ". Payment applies in addition to the otherwise ap- plicable amount of each coverage you have on a covered "auto No deductibles apply to this coverage. B" We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: 1. The number of days reasonably required to repair or replace the covered "auto ". If "loss" is caused by theft, this number of days is added to the number of days iI lakes to locate the covered "auto" and return it to you. 2. 30 days, C. Our payment Is limited to the lesser of the iol- lowing amounts: 1. Necessary and actual expenses incurred. 2. $50 per day. D. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. E. 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 al- ready provided for under the PHYSICAL DAM- AGE COVERAGE Coverage Extension, F. The Rental Reimbursement Coverage described above does not apply to a covered "auto" that is described or designated as a covered "auto" on ✓>j "" REPRIKTEr. m THE ;ARCHIVE THC CIiIGIld4t, 7F;,F,S / <:YIDI<F,q.AY IIJCf.0 ® „iJa rc MI :S ' ­ Rental Reimbursement Coverage Form the manufacturer for the installation of a CA 99 23 radio. AUDIO, VISUAL. AND DATA ELECTRONIC EQUIPMENT COVERAGE A, Coverage We will pay with respect to a covered "auto” for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the reproduction of sound. This coverage applies only if the equipment is permanently installed 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 designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto" 2. We will pay with respect to a covered "auto" for "loss" to any accessories used with the electronic equipment described in paragraph A.I. above, However, this does not include tapes, records or discs. 3, If Audio, Visual and Data Electronic Equip- ment Coverage form CA 99 60 or CA 99 94 Is attached to this policy, then the Audio, Vi- sual and Data Electronic Equipment Cover- age described above does not apply. S. Exclusions The exclusions that apply to PHYSICAL DAM- AGE COVERAGE, except for the exclusion relat- ing to Audio, Visual and Data Electronic Equipment, also apply to this coverage. In addi- tion, the following exclusions apply, We will not pay for either any electronic equip- ment or accessories used with such electronic equipment that is: 1. Necessary for the normal operation of the covered "auto" for the monitoring of the covered "auto's" operating system; or 2. Both: a. an integral part of the same unit housing any sound reproducing equipment de- signed solely for the reproduction of sound if the sound reproducing equipment is permanently installed in the covered "auto "; and b. permanently installed in the opening of the dash or console normally used by C. Limit of insurance With respect to this coverage, the LIMIT OF IN- SURANCE provision of PHYSICAL DAMAGE COVERAGE is replaced by the following: 1. The most we will pay for "loss" to audio, vi- sual or data electronic equipment and any accessories used with this equipment as a result of 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. C. $1,000 2. An adjustment for depreciation and physical condition will be made In determining actual cash value at the time of the "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 7. If "loss" to the audio, visual or data elec- tronic equipment or accessories used with this equipment is the result of a "loss" to the covered "auto" under the Business Auto Coverage Form's Comprehensive or Colli- sion Coverage, then for each covered "auto" our obligation to pay for, repair, return or re- place damaged or stolen property will be re- duced by the applicable deductible shown in the Declarations. Any Comprehensive Cov- erage deductible shown in the Declarations does not apply to "foss" to audio, visual or data electronic equipment caused by fire or lightning. 2- If "loss" to the audio, visual or data elec- tronic equipment or accessories used with this equipment Is the result of a "loss" to the covered "auto" under the Business Auto Coverage Form's Specified Causes of Loss Coverage, then for each covered "auto" our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a $100 deductible. 3. If "loss" occurs solely to the audio, visual or data electronic equipment or accessories used with this equipment, then for each cov- ered "auto" our obligation to pay for, repair, CA 71 10 03 07 Pago 5 of 6 EP I'll RCF3IIOM-c a14WEARCRIVE: THC ONIGINAL T1t%.H5ACT1G76dHW11RCLUDE ACL, 4AL nPIMS " "' return or replace damaged or stolen properly will be reduced by a $10D deductible. 4. In the event that there Is more than one ap- plicable deductible, only the highest deduct- ible will apply. In no event will more than one deductible apply. SECTION V — DEFINITIONS Is amended by adding the following: Q. "Personal effects" means your tangible properly that is worn or carried by you, ex- cept for tools, jewelry, money, or securities. R. "New vehicle" means any "auto" of which you are the original owner and the "auto" has not been previously tilled and is less than 365 days past the purchase date. ZMEM, LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy Please Read It Carefully. c This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Any person or organization to whom or to which you are obligated by virtue of a written contract or by the issuance or existence of a written permit, to provide insurance such as is afforded by this policy.. A. SECTION It - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE, but only with respect to liability for "bodily injury ", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations; and /or "your work" defined for the additional insured(s) designated above included in the "products- completed operations hazard" B. If you are required by a written contract to provide primary insurance, this policy shall be primary and SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance does not apply, but only with respect to coverage provided by this policy. This endorsement effective 3/8/2012 forms part of Policy Number LHA135947 issued to PRODEK INC by Landmark American Insurance Company RSG 15017 1207 Includes copyrighted material of Insurance Services Office, Inc 1984 (1 185) with its permission LANDMARK AMERICAN INSURANCE COMPANY This Endorsement Changes The Policy. Please Read It Carefully. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Name of Person or Organization: Any Person or Organization As Required By Written Contract The following is added to SECTION IV — CONDITIONS, 8. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHER TO US: We waive any right of recovery we may have against the person or organization shown in the SCHEDULE above because of payment we make for injury or damage arising out of your ongoing operations, "your product" or "your work" done under a written contract with that person or organization and included in the "product- completed operations hazard ", This waiver applies only to the person or organization shown in the SCHEDULE above This endorsement effective 3/8/2012 forms part of Policy Number LHA135947 issued to PRODEK INC by Landmark American Insurance Company RSG 14048 1008 Includes copyrighted material of Insurance Services Office, Inc 1992 with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. AMENDMENT -AGGREGATE LIMITS OF INSURANCE (PER PROJECT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The General Aggregate Limit under LIMITS OF INSURANCE (SECTION 111) applies separately to each of your projects away from premises owned by or rented to you CG 25 03 11 85 Copyright, Insurance Services Office, Inc, 1984 Page 1 of 1 C1 CERTHOLDER COPY SC P.O BOX 420807, SAN FRANCISCO,CA 94142 -0807 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE ISSUE DATE: 06- 21-2012 CITY OF EL SEGUNDO DEPT. OF BUILDING & SAFETY 350 MAIN ST EL SEGUNDO CA 90245 -3813 GROUP: POLICY NUMBER: 1966208 -2012 CERTIFICATE ID: 118 CERTIFICATE EXPIRES: 02 -01 -2013 02- 01- 2012/02 -01 -2013 SC JOB :RECREATION PARK 300 PINE ST, EL SEGUNDO CA This is to certify that we have issued a valid Workers' Compensation insurance policy in a form approved by the California Insurance Commissioner to the employer named below for the policy period indicated This policy is not subject to cancellation by the Fund except upon 30 days advance written notice to the employer We will also give you 30 days advance notice should this policy be cancelled prior to its normal expiration. This certificate of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by the policy listed herein„ Notwithstanding any requirement, term or condition of any contract or other document with respect to which this CWOicater of insurance may be Issued or to which it may pertain, the insurance afforded by the, policy described herein is subject to all the terms exclusions. and conditions. of such policy. Authorized Representative President and CEO EMPLOYER'S LIABILITY LIMIT INCLUDING DEFENSE COSTS: $1,000,000 PER OCCURRENCE,. ENDORSEMENT #1600 - SLOAN E BUNTING PRIES - EXCLUDED, ENDORSEMENT #1600 - BRIAN L ANDERSEN SEC,TRES - EXCLUDED. ENDORSEMENT #2065 ENTITLED CERTIFICATE HOLDERS' NOTICE EFFECTIVE 02 -01 -2011 IS ATTACHED TO AND FORMS A PART OF THIS POLICY, t EMPLOYER PRO DEK, INC SC 4530 BRAZIL STREET LOS ANGELES CA 90039 [B 17.SC] (REV B -201D) PRINTED : 06 -21 -2012