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PROOF OF INSURANCE (2017) CLOSED0 DATE .4C"�RE> CERTIFICATE OF LIABILITY INSURANCE 7/15/2016 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 CON7AC1` .,.. . PHONE 760-304-7151 ton 760-304-7362 Alliant Insurance Services, Inc. -San Marcos PHONE 1`_ „ License #: OC36861 J�C »N0 eadl ° ° EMAIL Kelsey TPleakston r@alliant.com 570 Rancheros Dr., Ste. 100 ADDRESS.. _ �.... . ... San Marcos CA 92069 INSURFRISI AFFORDING COVERAGE NAIC 9 INSURED HADRINC -01 Hadronex, Inc. 2067 Wineridge Place, Ste. E Escondido CA 92029 r;OVFRAr,F r FRTIFICATE NIIMRFFZ! 1975295743 Insurance ComDanv 110120 Nl_til►� e II IT:t -z l 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, �.- m. _., -_.._ .... - .. -.__ — INBR ADDL SUBR POLICY EFF POUCY EX'P LTR IN SD WVD POLICY NUMBER. MMIDDfYYYY MMPDDTYYYY.. LIMITS TYPE OF INSURANCE A X COMMERCIAL GENERAL LIABILITY Y Y CFlGL00119 -161 2/2/2016 2/212017 EACH OCCURRENCE .$1.000.00 0 AMWGE _6Rr TER .. .. ......... . .. .$100 CLAIMS -MADE OCCUR , P E r S IEacu(eng) 000 ................ WWWWWW........m,,.- - - -.. - MED EXP (Any one person) $10 „000 .... .........�......,..,.,.,..,..,. PERSONAL. &.ADV.LNJURY........., $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY jj .................. P�dO” LOC L........� JEC'r L.._..... PRODUCTS - COMP /OPAGG......$2, .. ... ...., ......$,,,;,,,,,,,,,,,,,,,,,,,, 000, 000........... ........,.,.,.,.,,.,.. _..,._........ OTHER: A TOMOBILE LIABILITY .A"... Y CF1CA00039 -161 51112016 2/2/2017 UWf4UL= Lit Ee accident 00 $1 0000 _ X ANY AUTO BODILY INJURY (Per person) $ AUTOS OWNED SCHEDULED BODILY INJURY (Per accident) _,...... $ AUTOS - NON -OWNED i�igiyY�6r�YY�SQIVYAC ... $ HIRED AUTOS AUTOS(Peracclden -,y„ ,m _ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE ...WW ......., .____.. __... —. AGGREGATE _,.,.... - - -- ,.-- .- ...._.,.,.....m.,. $ ... .. ....m., �. DED RETENTION$ $ WORKERS COMPENSATION PER 0' EMPLOYERS' LIABILITY YIN „ mSTA,TIJTE.m ER .. ECUTIVE OFFICER /M MBE R EXCLUDED? NIA ...r .:..DISEASE ................................... ............................... -IEA EMPLOYEE !".$ If yes, describe under DESCRIPTION OF OPERATIONS below E L DISEASE • POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate holder is named as additional insured as respects to General Liability when required by written contract or agreement, for services provided by the named insured for the certificate holder per the attached endorsement. CERTIFICATE HOLDER City of El Segundo 350 Main Street El Segundo CA 90245 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ©1988 -2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: CFlGL00119 -161 COMMERCIAL GENERAL LIABILITY CG 20 15 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - VENDORS 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 Organ ization s Vendor Your Products Any person or organization (vendor) that entered into a written contract with the Named Insured, requiring such vendor(s) to be named as an additional insured with respect to any of the Named Insured's products distributed or sold in the regular course of the vendor's business. Information required to com lete 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 any person(s) or vendors, the following additional exclusions apply: organization(s) (referred to throughout this 1. The insurance afforded the vendor does not endorsement as vendor) shown in the Schedule, apply to: pp y but only with respect to "bodily injury" or "property damage" arising out of "your products" shown in a. "Bodily injury" or "property damage" for the Schedule which are distributed or sold in the which the vendor is obligated to pay regular course of the vendor's business. damages by reason of the assumption of liability in a contract or agreement. This However: exclusion does not apply to liability for 1. The insurance afforded to such vendor only damages that the vendor would have in the applies to the extent permitted by law; and absence of the contract or agreement; 2. If coverage provided to the vendor is required b. Any express warranty unauthorized by you; by a contract or agreement, the insurance c. Any physical or chemical change in the afforded to such vendor will not be broader product made Intentionally by the vendor; than that which you are required by the contract or agreement to provide for such d. Repackaging, except when unpacked solely vendor. for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; CG 20 15 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 e. Any failure to make such inspections, (2) Such inspections, adjustments, tests or adjustments, tests or servicing as the servicing as the vendor has agreed to vendor has agreed to make or normally make or normally undertakes to make in undertakes to make in the usual course of the usual course of business, in business, in connection with the distribution connection with the distribution or sale or sale of the products; of the products. f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or C used as a container, part or ingredient of any other thing or substance by or for the vendor; or h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Sub- paragraphs d. or f.; or 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. With respect to the insurance afforded to these vendors, the following is added to Section III — Limits Of Insurance: If coverage provided to the vendor is required by a contract or agreement, the most we will pay on behalf of the vendor is the amount of insurance: 1. Required by the contract or agreement; 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 15 0413 POLICY NUMBER: CFIGL00119 -161 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: CF1 GL00119 -161 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 SCHEDULEw " Name Of Person Or Organization: ALL PERSONS OR ORGANIZATIONS AS REQUIRED BY WRITTEN CONTRACT WITH THE NAMED INSURED. THE WRITTEN CONTRACT MUST BE SIGNED PRIOR TO THE DATE OF THE "BODILY INJURY ", "PROPERTY DAMAGE ", OR "PERSONAL AND ADVER- TISING INJURY". 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 — Conditions: We waive 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. CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1 13 COMMERCIAL AUTO ECA 04 506 02 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverage provided by this endorsement. For complete details on specific coverage, please refer to policy language in this endorsement and the underlying Business Auto Coverage Form. Coverage Applicable Enhancement Subsidiaries As Insureds Broadened Newly Ac uired Organizations As Insureds Broadened Blanket Additional Insureds Broadened Employees As Insureds (Non-Ownership) Broadened _§upplementary Payments — Bail Bonds $3,000 Limit Supplementaq Payments — Loss Of Earnin s $1,000 per day Fellow Employee Bodily In'u Broadened Towing Coverage —All Covered Autos Broadened Glass Breakage Coverage —Waiver of Deductible Broadened Loss of Use Expenses $50 per day $1,000 Limit Stolen Vehicle Extra Expense Broadened Airbaq Discharge Broadened Electronic Equipment Permanent) Installed Broadened Single Deductible Provision Broadened Notice To Company Broadened Blanket Waiver Of Subrogation Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental An uish Broadened Coverage Territory Extension - Mexico Broadened ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. A. Who Is An Insured The following is added to Paragraph A.I. of Section II — Covered Autos Liability Coverage: d. Any: (1) Subsidiary which is a legally incorporated entity of which you own greater than 50% interest in the voting stock on the effective date of this Coverage Form. However, the insurance afforded by this provision does not apply to any subsidiary that is an "insured" under any other automobile liability policy, or would be an "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. (2) Organization you newly acquire or form, and over which you maintain majority interest. The coverage afforded by this provision: (a) Is effective on the acquisition date, and is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, (b) Does not apply to "bodily injury" or "property damage" resulting from an "accident" that occurred before you acquired or formed the organization; and (c) Does not include any newly acquired or formed organization that is: (i) A joint venture or partnership; or (ii) An "insured" under any other automobile liability policy or would be an "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. e. Any person, organization or governmental entity with respect to the operation, maintenance, or use of a covered "auto" if you are required to add such person, organization or governmental entity to this policy as an additional insured in order to comply with the terms of a written "insured contract" or written agreement. This does not apply when such contract or agreement: (1) Involves the owner or anyone else from whom you hire or borrow a covered "auto" unless it is a "trailer" connected to a covered "auto" you own; or (2) Is executed after the date of loss. Paragraph e.(2) does not apply if: (1) The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or "loss "; and (2) You can definitively establish that the terms and conditions of the written "insured contract" ultimately executed are the same as those which had been agreed upon prior to the "accident" or "loss ". f. Any of your "employees" while using a covered "auto" in your business or your personal affairs, provided you do not own, hire or borrow that "auto ". B. Coverage Extensions -Supplementary Payments Paragraphs A.2.a.(2) and A.2.a.(4) of Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $3,000 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 earnings up to $1,000 a day because of time off from work. C. Fellow Employee The following exception is added to exclusion 5. Fellow Employee under paragraph B. Exclusions of Section 11 — Covered Autos Liability Coverage: This exclusion does not apply if the "bodily injury" results from the use of a "covered auto" you own or hire. The coverage provided under this exception is excess over any other collectible insurance. D. Towing Paragraph A.2. of Section III — Physical Damage Coverage is replaced by the following: 2. We will pay fortowing and labor costs each time that a covered "auto" is disabled. All labor must be performed at the place of disablement of the covered "auto ". If the auto is not a private passenger type, a $250 deductible will apply to this coverage but it will not reduce the available limit of insurance. For all types of "auto ", the most we will pay under this coverage is $1,000 per disablement. "Autos" which are disabled do not include stolen vehicles. Page 2 of 4 Copyright, Everest Reinsurance Company, 2014 ECA 04 506 0214 13 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. E. Glass Breakage — Hitting A Bird Or Animal — Falling Objects or Missiles The following is added to Paragraph A.3. of Section III — Physical Damage Coverage: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than replaced. If the glass must be replaced and there is no other damage associated with the "loss ", the deductible will be $100 unless a lower deductible is shown in the Declarations applicable to this coverage. F. Loss Of Use Expenses Paragraph AA.b. of Section III — Physical Damage Coverage is replaced by the following: b. Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto "; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto "; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto ". However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,000. G. Extra Expense — Stolen Vehicle The following is added to Paragraph A.4. of Section III — Physical Damage Coverage: c. Stolen Vehicle We will pay for all reasonable and necessary expenses to return a stolen covered "auto" to you. H. Airbag Coverage The following exception is added to Paragraph B.3.a. of Section III — Physical Damage Coverage: The accidental discharge of an airbag shall not be considered mechanical breakdown if it occurs in a covered "auto" for which Comprehensive coverage is purchased. This provision does not apply to "autos" you hire with a driver and is excess over any warranty specifically designed to provide this coverage. I. Electronic Equipment Coverage Section III — Physical Damage Coverage is amended as follows: 1. The sublimit in Paragraph C.1.b. of the Limit Of Insurance Provision is increased to $3,000. 2. No Physical Damage Coverage deductible applies to the first $3,000 of "loss" to electronic equipment described in Paragraph C.1.b. of the Limit Of Insurance Provision. J. Single Deductible Provision The following is added to Paragraph D. of Section III — Physical Damage Coverage: If a Comprehensive or Specified Causes of Loss Coverage "loss" from "accident" involves two or more covered "autos ", only the highest deductible applicable to those coverages will be applied to the "accident ", if the cause of the loss is covered for those vehicles. This provision only applies if you cant' Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. If a "loss" covered under this Coverage Part also involves a "loss" to other property from the same "accident ", which is covered under a Commercial Property or Inland Marine Coverage Part issued by us to you, only the highest deductible applicable to those coverages will be applied to the "accident ". K. Notice To Company Paragraph A.2. of Section IV — Business Auto Conditions is amended as follows: 1. With respect to notification requirements, your obligation under Paragraph A.2.a. applies only when the "accident" or "loss" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or d. An executive officer or insurance manager, if you are an organization other than a partnership, joint venture or limited liability company. 2. With respect to the requirements pertaining to you providing us with document concerning a claim or "suit ", your obligation under Paragraph A.2.b. will not be considered breached unless the breach occurs after such claim or "suit" is known to: a. You, if you are an individual; b. A partner, if you are a partnership; c. A member, if you are a joint venture or limited liability company; or d. An executive officer or insurance manager, if you are an organization other than a partnership, joint venture or limited liability company. ECA 04 506 02 14 Copyright, Everest Reinsurance Company, 2014 Page 3 of 4 13 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. L. Blanket Waiver Of Subrogation The following is added to Paragraph A.S. of Section IV — Business Auto Conditions: a. However, we waive any right of recovery we may have against a person, organization or government entity when you have waived such right of recovery under a written "insured contract" that is: (1) Currently in effect or becoming effective during the term of this policy; and (2) Executed prior to the "accident" or "loss ", or executed after the "accident" or "loss" if: (a) The terms and conditions of the written "insured contract" had been agreed upon prior to the "accident" or "loss "; and (b) You can definitively establish that the terms and conditions of the written "insured contract" ultimately executed are the same as those which had been agreed upon prior to the "accident" or "loss ". b. We hereby waive any right of subrogation against any of your officers, directors or employees which might arise by reason of any payment under the insurance afforded by the policy for the operation, maintenance, use, loading or unloading of a non -owned "auto ". This-waiver extends only to payments in excess of other valid and collectible insurance available to the officer, director or employee. M. Unintentional Failure To Disclose Hazards The following is added to Paragraph B.2. of Section IV — Business Auto Conditions: If you unintentionally fail to disclose any hazards existing on the effective date of this Coverage Form, 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 due to us as a result of these undisclosed hazards in accordance with our filed rating plans. N. Bodily Injury Includes Mental Anguish Paragraph C. of Section V — Definitions is replaced by the following: C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including "mental anguish" or death resulting from any of these at any time. For the purpose of this provision, the term "mental anguish" shall mean any type of mental or emotional illness or distress. O. Mexico Coverage The coverage provided by this policy for covered "autos" you own or lease on a long term basis without drivers are extended to "accidents" or "losses" occurring in Mexico if: 1. The covered "auto" is in Mexico for a period not exceeding 10 days; and 2. The covered "auto" is principally garaged and used in the United States; and 3. The driver of the covered "auto" does not reside in Mexico; For Liability Coverage to apply to "accidents" occurring in Mexico, the following must also apply: 1. Valid and collectible auto liability insurance for the covered "auto" has been purchased from a licensed Mexican Insurance Company and is in force at the time of the "accident "; and 2. The original "suit" for damages is brought within the United States. For "losses" payable under Physical Damage Coverage this additional restriction applies: We will pay "losses" under Physical Damage Coverage in the United States, not in Mexico. If the covered "auto" must be repaired in Mexico in order to be driven, then the most we will pay for "loss" is the lesser of the following: 1. The cost of repairing the "auto" or replacing its parts in Mexico; or 2. The cost of repair or replacement at the nearest point in the United States where the repairs or replacement could be made. Otherinsurance: The insurance provided by this section will be excess over any other collectible insurance. Page 4 of 4 Copyright, Everest Reinsurance Company, 2014 ECA 04 506 02 14 ❑ Includes copyrighted material of Insurance Services Office, Inc. used with its permission. AMJ DATE (MM/DD /YYYY) CERTIFICATE OF LIABILITY INSURANCE R054 7/13/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsement(s). PAYCHEX INSURANCE AGENCY INC /PHS (A//C No, EN): qn) .N.): (888) 443 -6112 210756 Po F® (888) 443 °6112 E -MAIL ADDRESS: �t -I PO BOX 33015 INSURER(S) AFFORDING COVERAGE NAIC# SAN ANTONIO TX 78265 INSURER A: Harford Accident and Indemnity 22.357 INSURED INSURER B INSURER C HADRONEX INC IN:,IUIRIERD 2067 WINERIDGE PL ST E INSURERE: ESCONDIDO CA 92029 INSURER COVERAGES 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. INSR TYPE OF INSURANCE ADDL SUDR _ POLICYNUMRER JGZ _ „L D PULICYEFF POLICYEXP LIMITS QNM/DD/YYYYI �T9 iN?l GENERAL LIABILITY EACH OCCURRENCE _COMMERCIAL CLAIMS -MADE OCCUR I 0 DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GEN 9.. AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE F,, LIC.,,y JECT PRO- LOG PRODUCTS - COMP /OP AGG OTHER: AUTOMOBILE LIABILITY COMSINEO SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) ; AUTOS ONLY AUTOS HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB =CLAIMS-MADE .. EACH OCCURRENCE EXCESS LIAB AGGREGATE DED RETENTION $ WORKERS COMPENSATION X PER OTH- ANDEMPLOYERS'LIARILITY .STATUTE ER ANY PROPRIETOR/PARTNER /EXECUTIVE YIN E.L.. EACH ACCIDENT °1, 0 0 0 , 000 A OFFICER /MEMBER EXCLUDED? (Mandatory in NH) F-1 NIA X 76 WEG GH3220 10/01/2015 10/07./2016 EL DISEASE -EA EMPLOYEE 11,000,000 If yes, describe under E L DISEASE - POLICY LIMIT ° 1 0 0 0 0 0.0. DESCRIPTION OF OPERATIONS below v r DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) Those usual to the Insured's Operations. Blanket Waiver of Subrogation applies in favor of the Certificate Holder per the Waiver of Our Right to Recover from Others Endorsement WC040306, attached to this policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE City of El Segundo DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attention: Julie Hegvold AUTHORIZED REPRESENTATIVE 350 MAIN ST EL SEGUNDO, CA 90245 x71988.2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 76 WEG GH3220 Endorsement Number: WC040306 ) Effective Date: 10/01/15 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: HADRONEX INC 2067 WINERIDGE PL ESCONDIDO, CA 92029 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.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be premium otherwise due on such remuneration. Person or Organization ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US. SCHEDULE 2 % of the California workers' compensation Job Description BLANKET OPERATIONS Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 08/17/15 Policy Expiration Date: 10/01/16