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PROOF OF INSURANCE (2016) CLOSED304363 • DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE s /8/2016 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 pollcy(ies) 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 NAMEACT Nancy Assengsa Commercial Lines - (818) 464 -9300 PHONE 818 -464 -9386 FAX 866 475 -9866 d M, tier, W): -IaIC, No)• Wells Fargo Insurance Services, Inc. - CA Lic#: OD08408 E -MAIL nano a.assen a wellsfar o.com ADDRESS. ,.y 9 @ 9 15303 Ventura Boulevard, 7th Floor INSURERISI AFFORDING COVERAGE NAIC # _ .............. . Sherman Oaks, CA 91403 -3197 Starr Surplus Lines Ins. Co. 13604 INSURER A : P INSURED INSURER R • Starr Indemnity and Liability ComDanv 38318 - Federal ®' ®.. . ............., Ocean Blue Environmental Services., Inc. INSURER C . Insurance Company 20281 925 West Esther Street .......___.. I Long Beach, CA 90813 1 INSURER F: COVERAGES CERTIFICATE NUMBER: 10556857 REVISION NUMBER: See below 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. �.., ,,, 1 tNSFk %1DDL`SUB� ..... POLICY EFF' y POLICY EXP....... LTR - TYPE OF INSURANCE nJCn wvn POLICY NUMBER 1MM. IDDmYYI IMMIDDIYYYYI ........ ........ LIMITS X COMMERCIAL GENERAL LIABILITY A X 1000065767151 07/01/2015 07/0112016 EACH OCCURRENCE $ 1,000,000 .,, l DAMAG`r rbRLWE'D X CLAIMS -MADE NI� OCCUR PRFMISFR IF ca) $ 50 000 '.. MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 11,000,000 GEN'L AGGREGATE LIMIT APPLIES PER '.. GENERAL AGGREGATE $ 2,000,000 ® PfR POLICY X J JFC'r O- [] LOC PRODUCTS - COMPIOP AGG $ 2,000,000 X OTFIF.R: SIR: $20,000 $ B AUTOMOBILE LIABILITY SISIPCA08268415 07/01/2015 !. 07/01/2016 IF, aBI AaD SINGLE LIMIT .......... ._ .... ......_ $ . ..........................._ 1,000,000 ... (m... X ANY AUTO BODIL Y INJURY (Per person) $ ALL OWNED• SCHEDULED BODILY INJURY (Per accident $ AUTOS _ __ ,AUTOS 3 NON-OWNED X PROPERTY DAMAGE $ ,HIRED AUTOS ,x, ,AUTOS ,Par arr0P.ph MCS -90 $ A _v_.... UMBRELLA LWB JX OCCUR ........ 1000336613151 07/01/2015 , 07/01/2016 EACH OCCURRENCE $ 9000000.. X EXCESS LIAB CLAIMS -MADE AGGREGATE $ 9,000,000 DIED RETENTION S $ 'WORKERS COMPENSATION 07/01/2015 07/01/2016 C X 004 472796400 X STA IITF X �RH USL &H AND EMPLOYERS' LIABILITY _,_ „, .______ „- ANY PROPRIETORIPARTNER .ICXECUATIV'E. � E L. 64CH ACCIDENT $ 1.000-000 OFFICEN(MEMSER: EXCLUDED' NIA __,. 1000 000 (Mandatory In NH) E L DISEASE- EA EMPLOYE - $ If yyes descrube udder DF S ,RIPTION OF OPERA1IDNS below E L DISEASE POLICY LIMIT $ 1 � � A Pollution Liability 1000065767151 07/01/2015 07/01/2016 Limits: $1,000,000 Each Occurrence ''... Ded:$20,000; Occurence Form DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD II Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as additional insured as it relates to general liability & waiver of subrogation is granted as it relates to general liability in accordance with the terms and conditions of the policies. Umbrella follows form as it relates to additional insureds. The above coverage is primary and noncontributory where required by written contract. CERTIFICATE HOLDER CANCELLATION City of El Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its officials, and employees ACCORDANCE WITH THE POLICY PROVISIONS. City Clerk 350 Main Street, Room 5 AUTHORIZED REPRESENTATIVE El Segundo, CA 90245 The ACORD name and logo are registered marks of ACORD ©1988 -2014 / ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) ('Mis eerlalicnVe v.pri —i ­0­ 10 936047 7 l—ed .. M 412115u CID:304363 SID:10556857 POLICY NUMBER: 1000065767151 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS S - COMPLETED OPERATIONS S This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Location And Description Of Completed Organization(s): operations Where Required By Written Contract Where Required By Written Contract 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 required by the contract or agreement to include as an additional insured the person(s) or provide for such additional insured. organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or B. With respect to the insurance afforded to these "property damage" caused, in whole or in part, by additional insureds, the following is added to "your work",' ` at the location designated and Section III — Limits Of Insurance: described in the Schedule of this endorsement If coverage provided to the additional insured is performed for that additional insured and included required by a contract or agreement, the most we in the "products- completed operations hazard ". will pay on behalf of the additional insured is the However: amount of insurance: 1. The insurance afforded to such additional 1. Required by the contract or agreement; or insured only applies to the extent permitted by 2. Available under the applicable Limits of law; and Insurance shown in the Declarations; 2. If coverage provided to the additional insured is whichever is less. required by a contract or agreement, the insurance afforded to such additional insured This endorsement shall not increase the applicable will not be broader than that which you are Limits of Insurance shown in the Declarations. CG 20 37 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 1 COMMERCIAL GENERAL LIABILITY CG 20 33 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured 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 for the additional insured. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, 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, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage ", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. CG 20 33 04 13 0 Insurance Services Office, Inc., 2012 Page 1 of 2 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or b. 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. C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 04 13 µ; Starr Surplus Lines Insurance Company Chicago, IL 1- 646- 227 -6300 Primary and Non- contributory, Additional Insured and Waiver of Subrogation Policy Number: 1000065767151 Effective Date: July 1, 2015 at 12:01 A.M. Named Insured: Ocean Blue Environmental Services, Inc This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the Declarations page. Please read the endorsement and respective policy(ies) carefully. Commercial General Liability Coverage Form Owners and Contractors Protective Liability Coverage Form Products /Completed Operations Liability Coverage Form Contractors Pollution Liability Coverage Form Professional Liability Coverage Form Site Pollution Liability Coverage Form E- *@3:1 *111114 Where Required By Written Contract A. SECTION II - WHO IS AN INSURED is amended to include as an insured the person or organization shown in the schedule of this endorsement, but only with respect to liability arising out of "your work" for that insured by or for you. B. As respects additional insureds as defined above, this insurance also applies to "bodily injury" or "property damage" arising out of your negligence when the following written contract requirements are applicable: 1. Coverage available under this coverage part shall apply as primary insurance. Any other insurance available to these additional insured's shall apply as excess and not contribute as primary to the insurance afforded by this endorsement. 2. We waive any right of recovery we may have against these additional insured's because of payments we make for injury or damage arising out of "your work" done under a written contract with the additional insured. 3. The term insured is used separately and not collectively, but the inclusion of more than one insured shall not increase the limits or coverage provided by this insurance. Insureds and Agents are advised that certificates of insurance should be used only to provide evidence of insurance in lieu of an actual copy of the applicable insurance policy. Certificates should not be used to amend, expand or otherwise alter the terms of the actual policy. All other terms and conditions of this Policy remain unchanged. Signed for STARR SURPLUS LINES INSURANCE COMPANY -- Y Chartes H. Da Belo, President Nehemiah E. Ginsburg, Genera (/Counsel SL 023 (06/11) Page 1 of 1 Copyright © C. V. Starr 8 Company and Starr Surplus Linea Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with Its permission. u 's Starr Surplus Dines Insurance Company Chicago, IL 1- 646- 227 -6300 Contractor Pollution Liability — Completed Operations Coverage (Occurrence) Policy Number: 1000065767151 Effective Date: July 1, 2015 at 12:01 A.M. Named Insured:Ocean Blue Environmental Services, Inc This endorsement modifies the insurance coverage form(s) listed below that have been purchased by you and evidenced as such on the declarations page. Please read the endorsement and respective policy(ies) carefully. Contractors Pollution Liability Coverage Form (Occurrence) SECTION I — Coverage: Contractor's Pollution Liability is deleted in its entirety and replaced with; SECTION I - COVERAGE Coverage: Contractor's Pollution Liability 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury" or "property damage ", provided: (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the "coverage territory" resulting in a "pollution incident" arising out of "your work" performed, or "your product" delivered during the policy period; or out of the "products and completed operations hazard" of "your product" or "your work "; and (2) The "bodily injury" or "property damage" occurs during the policy period; and b. Progressive, indivisible "bodily injury" or "property damage" over a period of time caused by the same, continuous, repeated or related "pollution incident" shall be deemed to have occurred only on the date of the first exposure to such "pollution incident ". If the date of the first exposure is before the inception date of the first Contractor's Pollution Liability policy issued to you by us or an affiliate, or cannot be determined, but the progressive, indivisible "bodily injury" or "property damage" continues in fact to exist during the policy period, it will be deemed to have occurred only on the inception date of the first Contractor's Pollution Liability policy issued to you by us or an affiliate which is applicable to "your work" from which such "pollution incident" resulted. c. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages to which this insurance does not apply. We may, at our discretion, investigate any "pollution incident" and settle any "claim" or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in SECTION III - LIMITS OF INSURANCE; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments, settlements or supplementary payments under this policy. SL 724 (07111) Page 1 of 2 Copyright (D C. V. Starr & Company and Starr Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Starr Surplus Lines Insurance Company Chicago, IL 1- 646- 227 -6300 All other terms and conditions of this Policy remain unchanged. Signed for STARR SURPLUS LINES INSURANCE COMPANY Charles H. lea gelo, President Nehemiah E. Ginsburg, GeneraIVCounsel SL 724 (07/11) Page 2 of 2 Copyright © C. V. Starr S Company and Starr Surplus Lines Insurance Company. All rights reserved. Includes copyrighted material of ISO Properties, Inc., used with its permission. Public Burden Statement Ems A Federal Agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements for the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number The OMB Control Number for this information collection is 2126 -0008 Public reporting for this collection of information is estimated to be approximately 2 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and reviewing the collection of information. All responses to this collection of information are mandatory comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Motor Carrier Safety Administration, MC -RRA, Washington, De 2059D '"111W ENDORSEMENT FOR MOTOR CARRIER POLICIES OF INSURANCE FOR PUBLIC U.S. Department of Transportation LIABILITY UNDER SECTIONS 29 AND 30 OF THE MOTOR Federal Motor Carrier CARRIER ACT OF 1980 Safety Administration Issued to Oceyn Blue ,w v" on en al Servi gs I tc of 9' 5 '�"4"es _ "S S - , !�PJh: I<Settt kt. CA 90813 ; Dated at Nt,tv,' qK1� ,,Xt,) 'tn"tork this 1St day of July, zols Amending Policy No. $VJVI ,,F"l,tj#1 _Cl 4 j5.______ Name of Insurance Company Starr Indemnity & Liability Company Countersigned by Author #111d Representative Effective Date 7/1/2015. The policy to which this endorsement is attached provides primary or excess insurance, as indicated by "[X]," for the limits shown: [X ] This insurance is primary and the company shall not be liable for amounts in excess of m1m,,(1(1,llt' ➢f), for each accident. [ ] This insurance is excess and the company shall not be liable for amounts in excess of l for each accident in excess of the underlying limit of for each accident. Whenever required by the Federal Motor Carrier Safety Administration ( FMCSA), the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements. The company also agrees, upon telephone request by an authorized representative of the FMCSA, to verify that the policy is in force as of a particular date. The telephone number to call is: (215) 399 -2939 Cancellation of this endorsement may be effected by the company of the insured by giving: (1) thirty -five (35) days notice in writing to the other party (said 35 days notice to commence from the date the notice is mailed, proof of mailing shall be sufficient proof of notice), and (2) if the insured is subject to the FMCSA's registration requirements under 49 U.S.C. 13901, by providing thirty (30) days notice to the FMCSA (said 30 days notice to commence from the date the notice is received by the FMCSA at its office in Washington, D.C.). Form MCS -90 (page l of 3 ) POLICY NUMBER: SISIPCA08268415 COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LESSOR - ADDITIONAL INSURED IE AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Ocean Blue Environmental Services, Inc Endorsement Effective Date: 7/1/2015 SCHEDULE Insurance Company: Starr Indemnity & Liability Company Policy Number: SISIPCA08268415 Effective Date: 7/1/2015 Expiration Date: 711/2016 Named Insured: Ocean Blue Environmental Services, Inc Address: 925 West Esther Street Long Beach, CA 90813 Additional Insured (Lessor): Blanket where required by a written contract. Address: Blanket where required by a written contract. Designation Or Description Of "Leased Autos ": Blanket where required by a written contract. CA 20 01 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 2 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Comprehensive $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Collision $ Deductible For Each Covered "Leased Auto" Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus Specified Causes Of Loss $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto ", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto ". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor. Page 2 of 2 0 Insurance Services Office, Inc., 2011 CA 20 01 10 13 DEFINITIONS AS USED IN THIS ENDORSEMENT Accident includes continuous or repeated exposure to conditions or which results in bodily injury, property damage, or environmental damage which the insured neither expected nor intended. Motor Vehicle means a land vehicle, machine, truck, tractor, trailer, or semi- trailer propelled or drawn by mechanical power and used on a highway for transporting property, or any combination thereof. Bodily Injury means injury to the body, sickness, or disease to any person, including death resulting from any of these. Property Damage means damage to or loss of use of tangible property. Environmental Restoration means restitution for the loss, damage, or destruction of natural resources arising out of the accidental discharge, dispersal, release or escape into or upon the land, atmosphere, watercourse, or body of water, of any commodity transported by a motor carrier. This shall include the cost of removal and the cost of necessary measures taken to minimize or mitigate damage to human health, the natural environment, fish, shellfish, and wildlife. Public Liability means liability for bodily injury, property damage, and environmental restoration. The insurance policy to which this endorsement is attached provides automobile liability insurance and is amended to assure compliance by the insured, within the limits stated herein, as a motor carrier of property, with Sections 29 and 30 of the Motor Carrier Act of 1980 and the rules and regulations of the Federal Motor Carrier Safety Administration (FMCSA). In consideration of the premium stated in the policy to which this endorsement is attached, the insurer (the company) agrees to pay, within the limits of liability described herein, any final judgment recovered against the insured for public liability resulting from negligence in the operation, maintenance or use of motor vehicles subject to the financial responsibility requirements of Sections 29 and 30 of the Motor Carrier Act of 1980 regardless of whether or not each motor vehicle is specifically described in the policy and whether or not such negligence occurs on any route or in any territory authorized to be served by the insured or elsewhere. Such insurance as is afforded, for public liability, does not apply to injury to or death of the insured's employees while engaged in the course of their employment, or property transported by the insured, designated as cargo. It is understood and agreed that no condition, provision, stipulation, or limitation contained in the policy, this endorsement, or any other endorsement thereon, or violation thereof, shall relieve the company from liability or from the payment of any final judgment, within the limits of liability herein described, irrespective of the financial condition, insolvency or bankruptcy of the insured. However, all terms, conditions, and limitations in the policy to which the endorsement is attached shall remain in full force and effect as binding between the insured and the company. The insured agrees to reimburse the company for any payment made by the company on account of any accident, claim, or suit involving a breach of the terms of the policy, and for any payment that the company would not have been obligated to make under the provisions of the policy except for the agreement contained in this endorsement. Il is further understood and agreed that, upon failure of the company to pay any final judgment recovered against the insured as provided herein, the judgment creditor may maintain an action in any court of competent jurisdiction against the company to compel such payment. The limits of the company's liability for the amounts prescribed in this endorsement apply separately to each accident and any payment under the policy because of any one accident shall not operate to reduce the liability of the company for the payment of final judgments resulting from any other accident. THE SCHEDULE OF LIMITS SHOWN ON THE REVERSE SIDE DOES NOT PROVIDE COVERAGE. The limits shown in the schedule are for information purposes only. Form MCS -90 (page 2 of 3) SCHEDULE OF LIMITS -- PUBLIC LIABILITY Type of carriage Commodity transported Jan. 1, 1985 For -hire (In interstate or Property (nonhazardous) $ 750,000 foreign commerce, with a gross vehicle weight rating of 10,000 or more pounds). (2) For -hire and Private (In Hazardous substances, as defined in 49 CFR 171.8, $5,000,000 interstate, foreign or transported in cargo tanks, portable tanks, or intrastate commerce, with a hopper -type vehicles with capacities in excess of 3,500 gross vehicle weight rating water gallons; or in bulk Division 1.1., 1.2, and 1.3 of 10,000 or more pounds). materials. Division 2.3, Hazard Zone A, or Division 6.1, Packing Group I, Hazard Zone A material; in bulk Division 2.1 or 2.2; or highway route controlled quantities of a Class 7 material, as defined in 49 CFR (3) For -hire and Private (In 173.403., interstate or foreign commerce, in any quantity, Oil listed in 49 CFR 172.101; hazardous waste, $1,000,000 or in intrastate commerce, hazardous materials, and hazardous substances in bulk only; with a gross defined in 49 CFR 171.8 and listed in 49 CFR vehicle weight rating of 172.101, but not mentioned in (2) above or (4) below. 10,000 or more pounds). (4) For -hire and Private (In interstate or foreign commerce, with a gross Any quantity of Division 1.1, 1.2, or 1.3 material; any $5,000,000 vehicle weight rating of less quantity of a Division 2.3, Hazard Zone A, or Division than 10,000 pounds). 6.1, Packing Group 1, Hazard Zone A material; or highway route controlled quantities of a Class 7 material as defined in 49 CFR 173.403. Form MCS -90 (page 3 of 3) VV� k1M' {M I�*k �M Starr Indemnity & Liability Company Dallas, TX 1- 866- 519 -2522 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy Number: SISIPCA08268415 Effective Date: 7/1/2015 at 12:01 AM Named Insured: Ocean Blue Environmental Services, Inc ADDITIONAL INSURED -WHERE REQUIRED UNDER CONTRACT OR AGREEMENT This policy is amended as follows: BUSINESS AUTO COVERAGE FORM SCHEDULE ADDITIONAL INSURED ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE CONTRACTUALLY BOUND TO PROVIDE ADDITIONAL INSURED STATUS BUT ONLY TO THE EXTENT OF SUCH PERSON OR ORGANIZATIONS LIABILITY ARISING OUT OF THE USE OF A COVERED "AUTO" SECTION 11 — LIABILITY COVERAGE A. Coverage, 1. Who is Insured, is amended to add: d. Any person or organization, shown in the schedule above, to whom you become obligated to include as an additional insured under this policy, as a result of any contract or agreement you enter into which requires you to furnish insurance to that person or organization of the type provided by this policy, but only with respect to liability arising out of use of a covered "auto ". However, the insurance provided will not exceed the lesser of: (1) The coverage and /or limits of this policy, or (2) The coverage and /or limits required by said contract or agreement. SICA 1016 (02/12) Page 1 of 2 Copyright © C. V. Starr & Company and Starr Indemnity & Liability Company. All rights reserved. Includes copyrighted material of 180 Properties, Inc., used with its permission. POLICY NUMBER: SISIPCA08268415 COMMERCIAL AUTO CA 04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS S TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following„ AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement„ This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Ocean Blue Environmental Services, Inc Endorsement Effective Date: 7/1/2015 SCHEDULE Name(s) Of Person(s) Or Organization(s): Blanket where required by a written contract. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident' or the "loss" under a contract with that person or organization. CA 04 44 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 99 03 04 (Ed. 7- 08) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need to be completed only when thls endorsement Is Issued subsequent to preparation of the policy.) This endorsement, effective on: 07/0112015 (DATE) Policy No.004472786400 of the issued to: Endorsement No. at 12:01 A. M. standard time, forms a part of Federal Insurance Company .......... _. Authorized Representative 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 the blanket waiver offered by this endorsement shall be 1.00 % of total California premium. Person or Organization Blanket where required by a written contract. WC 99 03 04 (Ed. 7 -08) Schedule Job Description Blanket where required by a written contract.