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PROOF OF INSURANCE (2016) CLOSEDA `OAR CERTIFICATE O LIABILITY INSURANCE DATE02 /DDI15 ��" ��a 10/02/2015 PRODUCER 818 247 4858 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Stepan Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 450 N Brand Blvd 6th Floor ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Glendale, CA 91203 .. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Karabuild Development, Inc. INSURERB UNITED FINANCIAL CASUALTY 17337 Ventura Blvd. #215 INSURERC Midwest Emloor CaBaalt Coma Encino, CA 91316 INSURERD: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L R DD` GENERAL LIABILITY POLICY NUMBER POLICYE.FFECTIVE'� POLICY EXPIRATION LIMITS EACH OCCURRENCE $ ri9su l�rye) COMMERCIAL GENERAL LIABILITY $ CLAIMS MADE OCCUR MED EXP (Any one person) e $ „ PERSONALBADVINJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS - COMP/OP AGG $ - - -. POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,500,000 V( ANY AUTO (Ea accident) B ALLOWNEDAUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS 02358067 08/24/2015 08/24/2016 BODILY INJURY $ NON -OWNED AUTOS (Peracc ident) . ............................................. ... PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EAACCIDENT $ ANYAUTO EAACC OTHER THAN ......... ....... $ ....... I AUTOONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ,CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ / WORKERS COMPENSATION AND V WC STA'I U OTH WORKS COMPENSATION " " ,T -ORYLIWTS., FIR,.. E Ci E. L. EACH ACCIDENT $ 1,000,000 ANY PROPRIETOR /PARTNER/EXECUTIVE BNUWC0133356 09/30/15 09/30/16 " " " " " " " "" " "" " " " " "" OFFICER/MEMBEREXCLUDED? E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below EL, DISEASE- POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS I VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS THE CITY, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS ARE NAMED AS ADDITIONAL INSURED. *10 days for nonpay, 30 days for all other. THIS INSURANCE IS PRIMARY AND NON - CONTRIBUTORY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY CLERK DATE THEREOF, THE ISSUING INSURER WILL GIDEAAN O MAIL *30 DAYS WRITTEN CITY OF EL SEGUNDO NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, 350 MAIN STREET EL SEGUNDO, CA 90245 AUTHORIZED REPRESENTATIVE Alhart gtanan P o°a ACORD 25 (2001/08) CiACORD CORPORATI 1988 ALBERT STEPAN PRUGREMW 450 N BRAND BL 6TH FL GLENDALE, CA 91203 Policy number: 02358067 -2 Underwritten by: United Financial Casualty Company Insured: KARABUILD DEVELOPMENT, IN KARABUILD DEVELOPMENT, IN August 13, 2015 17337 VENTURA BLVD Policy Period: Aug 24, 2015 - Aug 24, 2016 ENCINO, CA 91316 Mailing Address United Financial Casualty Company PO Box 94739 and i i l "Insure i en Cleveland, OH 44101 1- 800-4444487 For customer service, 24 hours a day, Name of Person or Organization 7 days a week CITY OF EL SEGUNDO 350 MAIN STREET EL SEGUNDO, CA 90245 The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page. limit of Liability Bodily Injury Not applicable Property Damage Not applicable Combined Liability $1,500,000 each accident All other terms, limits and provisions of this policy remain unchanged. This endorsement applies to Policy Number: 02358067 -2 Issued to (Name of Insured): KARABUILD DEVELOPMENT, IN Effective date of endorsement: 08/24/2015 Form 1198 (01/04) Policy expiration date: 08/24/2016 POLICY NUMBER: BNUWC0133356 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed. 04 -84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT CALIFORNIA (Blanket) 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 2 % of the California workers' compensation premium otherwise due on such remuneration. Schedule State Description CA Any party with whom the insured agrees to waive subrogation in a written contract. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Date: 09/30/2015 Policy Number: BNUWC0133356 Endorsement No.: Insured Name: Insurance Company: Midwest Employers Casualty Company Countersigned By �'"