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PROOF OF INSURANCE (2014) CLOSEDClient#: 311540 BABCLABO ACORD,. CERTIFICATE OF LIABILITY INSURANCE ''.. DATE (MM /DD /YYYY) 07/31/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 N Patricia Finnerty Hub Internationale Ex t): 877 -825 -2681 Nr +. 951 - 231 -2572 HUB Int'I Insurance Serv. Inc. Cal.CPU@hubinternational.com 4371 Latham St, Ste #101 INSURER (S AFFORDING COVERAGE NAIC p Riverside, CA 92501 INSURE.. Peerless Insurance Company 24198 INSURED Babcock Laboratories, Inc. P.O. Box 432 Riverside, CA 92502 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 AFFOR ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, INSURER B: Golden Eagle Insurance Company TR 999999 INSURER C: Sentinel Insurance Company Ltd "N.B 11000 ..................w o AXIS S�pIU a�. ......� Insurance C ompany INSUR �_��....�E_. RD D: ur MMIQilYIYY: Y,) 26620 INSURER E: Golden Eagle Insurance ... Corporat ............................. ...�..........�..._10836..�.�_� 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 AFFOR ED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY AVE BEEN REDUCED BY PAID CLAIMS. TR .................._.... TYPE mOF INSURANCE ........................� . "N.B ......._......_POLICYmN .. B. ER ..._........._.L:MM/D[]YIYYYY, MMIQilYIYY: Y,) .............................. LIMITS�.,, A GENERAL LIABILITY CBP8283714 D512812013 05/28/2014 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY a( aRCNTIwid '��i�i..y rsmacrd�rrd�mucr3 $500,000 ._ CLAIMS -MADE ® OCCUR - -- MED EXP j ny one person $10,000 PERSONAL &ADV INJURY ,$1,000 000 GENERAL AGGREGATE s2,000,000 PRODUCTS - COMP /OP AGG $2,000,0 00 GEN'L AGGREGATE LIMIT APPLIES PER: �_ POLICY . M _ LOC $ E AUTOMOBILE LIABILITY BA8283614 5/28/2013 G N�L �a%p�N„ L � M(. 1 r 000,00,,0 ,, X ANY AUTO '.BODILYINJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS ........ .... '.. BODILY INJURY (Per acciderl $ ._ m.__..__ .� ....... .......___ X NON- OWNED HIRED AUTOS X AUTOS ROt''ER'rY DAG'AC)7 t"mxm nm °adldond $ B X UMBRELLA LIAB X OCCUR CU8284114 512$12013 05/28/2014 EACH OCCURRENCE _S1110901,000 EXCESS LIAB 171 CLAIMS -MADE AGGREGATE S11,000,000 OED X'' RETENTION $0 _ s �� �� _ WORKERS COMPENSATION 72WECEV86O5 1/02/2013 01/02/201 _ WC STATU_ 0TH - XL YIN EACHACCIDE _, _�,,,,mm,_,,,,„,_,NT $1�000j000 ANY PROPRIETOR! ABILITY EXECUTIVE OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) I, E-L, DISEASE - EA EMPLOYEE $Y000,000 IFyea, describe under DESCRIPTION OF OPERATIONS. below E.L. DISEASE -POLICY LIMIT X1,000,000 D Professional Liab ECN000030551301 5/28/2013 05/28/201 Limits:$1,000,000 Agg regate:$1,000,000 Deductible:$100 000 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES (Attach ACORD 107, Additional Remarks Schedule, if more spare is required) Re:UCMR 3 Sampling and Analysis. City of El Segundo is additional insureds with respects to the general liability policy per the attached endorsement form GECG602 (01111). Workers Compensation Waiver of Subrogation applies per attached endorsement form WC 040306. City of El Segun 350 Main Street EI Segundo, CA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S23575281M2357527 DS41 Babcock Laboralories, Inc, D. .A. 5,8, Rabwnli & sons, Inc, Policy NumberMECEV8605 Policy Torm:0 1102120 1 3 to 01/0212014 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARIEFUI.I.Y. WAIVE R OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA We have the right to recover our paymenic fran anyque llabie for ail. Injury covoroo �y ihls policy. We will not enforce our right against the person or organization named in the 5oliedule. (This o-grcernent applies only to the exlerit that you perfmn work irnder a written contract that requlres you to obtain this agreement frbm us.) YOU must maintain payroll records accurately segrecdaling the remuneration of your amployeas while engaged In the work described in the Schedule. The additional premium for this endorsement shall he % of the California workers' oattlpensation premium otherwise duo on such remunerallom SCI- ltl]UI.E Person or Organlxatlon Job Dosctiption Any person or organization from Itlat n you are required b titte �oontraot or agrooment to o� thi waiver of rights from us, 14 I i� f d� M f Counteraicincd by 1 Authorized Representative For M WC 04 03 06 (1) Printod in U.S.A. 1 1 1710C."sS Bats: Policy PxjAration Dater i I i i