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PROOF OF INSURANCE (2018 - 2019) CLOSED BABCLAB-01 BSURESH CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) llk� 1 03/29/2018 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 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 rights to the certificate holder in lieu of such endorsement(s). PRODUCER License#0757776 CONTACT Patricia Finnerty N/.#MF6 HUB International Insurance Services Inc. PHONE ) FAX Ri.Box CA 92517 (A/C,No E (9551 779-8545 IAIC,No):(951)231-2572 � s Cal,CPUehublinternatiorial.com INSURER(S)_AFFORDINGCOVERAGENAIC,9 INSURER A The Travelers Indemnity.Company„of Connecticut 25682 INSURED INSURER B:Travelers Property Casualty Company of America 25674 Babcock Laboratories,Inc. INSURER C:Protective Insurance Com anv 12416 Edward S.Babcock&Sons Inc. INSURER D:AXIS Surplus Insurance COmpan P.O.Box 432 A y 261320 Riverside,CA 92502 INSURER E! INSURER F: COVERACa'E ... ._..............._......�...................................wCERTIFICATE 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 POLIr,IES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS EXP 1L� TYPE OF INSURANCE... ....� o SWVD POLICY NUMBER (M&ypp=_AWpPOLICY EFF YL. ..... LIMITS DAMAGE 1,000,000 A X coMMLAIMS-MADEX I OCCUR 6307F65965ATCT17 05/28/2017 05/28/2018 T O EN $ I GENERAL X PRCAAI$�,CCURRENCE $ .,„ EACHO..., lost) 100,000 MED EXP,(Any 29p person), $ 5,000 PERSONAL a nPM!NJURY $ 1,000,000 AGGREGATE $ 2,000,000 GC:I�' iC:LIMIT APPLIES PER: PRODUCT G011.AGGREGATE.A, POLICY X F LOC 2,000,OUO JECOT S COMPIOPAGG, $, OTHER $ _ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO 8A7F65965A17CAG 05/28/2017 05/28/2018 BODILY,INJURY(Per person)„ $ BO IL INJURY(Per accident), $ AUTOS ONLY AWNED S B X... AUTOS ONLY X. A�Op ONLYY P ere a tlent�DAMAGE $ S $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS L IAB CLAIMS-MADE AGGREGATE $ DED �,RETENTI ry ON$ II$ C OFOFCERIMEREXC �Y! N/A SW"2305541-01 0110212018 01/0212019 E I PER ACCIDENT H- AND 1,000,000' 0 OFFICE(MandaPROPRIETOR/PARTNER/EXECUTIVE EXCDY E L DISEASE L EACH A FMPI.,(.IYEE, $ 1'000'000 If yes,describe under DESCRIPTION OF OPERATIONS below E L DISEASE„,_,-,,,POLICY_LIMIT $ 1,000 000 D Professional Llab ECN000030551701 05/28/2017 05/28/2018 Ded$100?UEach$1M/Agg 1,000,000 .__............................... DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be alt'acbed if more space is required Revised 3/29/2018-This certificate rescinds and supersedes any and all prior certificates'dssued on behalf of the required Insured. City of EI Segundo its officials and employees are Additional Insured with regard to General Liability when required by written contract per the attached endorsement form CGD414 04/08.Primary&Non-Contributory wording applies with regard to General Liability when required by written contract per the attached endorsement form CGD037 04/05. Should the policies be cancelled before the expiration date,Hub International Insurance Services Inc.(Hub),independent of any rights which may be afforded within the policies to the certificate holder named below,will provide to such certificate holder notice of such cancellation within thirty(30)days of the SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ci of EI Segundo THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City 9 ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Anthony Esparza Water Division ..... 400 Lomita St. AUTHORIZED REPRESENTATIVE EI Segundo,CA 90245 41VI ACORD 25 2016/03 ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:BABCLAB-01 BSURESH 1 LOC#: 0 C ADDITIONAL REMARKS SCHEDULE Page .--I of 1 ............................... AGENCY License#0757776 NAMED INSURED UB International Insurance Services Inc. Babcock Laboratories,Inc.Edward S,Babcock&Sons,Inc. .....�............._..................................................................... POLICY N .............. UMBER P.O.Box 432 EE PAGE 1 Riverside,CA 92502 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE SEE PAGE 1 .. ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: J PPRP 25 FORM TITLE Cq Ifl AA of L�q!)lily!Insurance Description of Operations/Locations/Vehicles: cancellation date,except in the event the cancellation is due to non-payment of premium,in which case Hub will provide to such certificate holder notice of such cancellation within ten(10)days of the cancellation date. ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD INSURED: Babcock Laboratories, Inc. POLICY NUMBER:6307F65965ATCT17 EFFECTIVE DATE:05-28-2017 to 05-28-2018 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLAN�KET ADDITIONAL INSURED - WRITTEN CONTRACTS (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II —WHO IS plies only to such "bodily injury" or "property AN INSURED: damage"that occurs before the end of the pe- Any person or organization that you agree in a riod of time for which the "written contract re- written contract requiring insurance" to include as quiring insurance" requires you to provide an additional insured on this Coverage Part, but: such coverage or the end of the policy period, whichever is earlier. a. Only with respect to liability for"bodily injury", "property damage"or"personal injury"; and 2. The following is added to Paragraph 4.a. of SEC- TION IV—COMMERCIAL GENERAL LIABILITY b. If, and only to the extent that, the injury or CONDITIONS: damage is caused by acts or omissions of you or your subcontractor in the performance The insurance provided to the additional insured of "your work" to which the "written contract is excess over any valid and collectible "other in- requiring insurance" applies. The person or surance", whether primary, excess, contingent or organization does not qualify as an additional on any other basis, that is available to the addi- insured with respect to the independent acts tionai insured for a loss we cover. However, if you or omissions of such person or organization. specifically agree in the "written contract requiring insurance" that this insurance provided to the ad- The insurance provided to such additional insured ditional insured under this Coverage Part must is limited as follows: apply on a primary basis or a primary and non- c. In the event that the Limits of Insurance of contributory basis, this insurance is primary to this Coverage Part shown in the Declarations "other insurance" available to the additional in- exceed the limits of liability required by the sured which covers that person or organization as "written contract requiring insurance", the in- a named insured for such loss, and we will not surance provided to the additional insured share with that 'other insurance". But this insur- shall be limited to the limits of liability required ance provided to the additional insured still is ex- by that "written contract requiring insurance". cess over any valid and collectible "other insur- This endorsement shall not increase the limits ance", whether primary, excess, contingent or on of insurance described in Section III — Limits any other basis, that is available to the additional Of Insurance. insured when that person or organization is an d. This insurance does not apply to the render- additional insured under any"other insurance". ing of or failure to render any "professional 3. The following is added to SECTION IV — COM- services" or construction management errors MERCIAL GENERAL LIABILITY CONDITIONS: or omissions. Duties Of An Additional Insured e. This insurance does not apply to "bodily in- As a condition of coverage provided to the addi- jury" or "property damage" caused by "your tional insured: work" and included in the "products- completed operations hazard" unless the a. The additional insured must give us written "written contract requiring insurance" specifii- notice as soon as practicable of an "occur- cally requires you to provide such coverage rence" or an offense which may result in a for that additional insured, and then the insur- claim. To the extent possible, such notice ance provided to the additional insured ap- should include: CG D4 14 04 08 0 2008 The Travelers Companies. Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY 1. How, when and where the "occurrence" any provider of other insurance which would or offense took place; cover the additional insured for a loss we !I. The names and addresses of any injured cover. However, this condition does not affect persons and witnesses; and whether this insurance provided to the addi- Ill. The nature and location of any injury or tional insured is primary to that other insur- damage arising out of the"occurrence"or ance available to the additional insured which offense. covers that person or organization as a named insured. b. If a claim is made or "suit" is brought against the additional insured, the additional insured 4. The following is added to the DEFINITIONS Sec- must: tion: I. Immediately record the specifics of the 'Written contract requiring insurance" means that claim or"suit"and the date received;and part of any written contract or agreement under fl. Notify us as soon as practicable. which you are required to include a person or or- ganization as an additional insured on this Cover- The additional insured must see to it that we age Part, provided that the "bodily injury" and receive written notice of the claim or"suit" as "property damage" occurs and the "personal in- soon as practicable. jury"is caused by an offense committed: c. The additional insured must immediately send a. After the signing and execution of the contract us copies of all legal papers received in con- or agreement by you; nection with the claim or"suit",cooperate with b. While that part of the contract or agreement is us in the investigation or settlement of the in effect; and claim or defense against the "suit", and oth- erwise comply with all policy conditions. c. Before the end of the policy period. d. The additional insured must tender the de- fense and indemnity of any claim or "suit" to Page 2 of 2 0 2008 The Travelers Companies,Inc. CG D4 14 04 08 INSURED: Babcock Laboratories, Inc. POLICY NUMBER:6307F6596SATCT1 7 EFFECTIVE DATE:O6'28-DD17tmO5-28'2O10 COMMERCIAL GENERAL LIABILITY THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ Ul[ CAREFULLY. OTHER INSURANCE — ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS b. The"personal injury"or"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage is sought arises out ofan of- (Section |V). Paragraph 4. (Other |nmurmmom), is fenoeuommitted amended aofollows: subsequent to the signing and execution ufthat 1. The following is added to Paragraph o' primary contract oragreement byyou. Insurance: 2. The first Subparagraph (2) of Paragraph b. Em- Howevar. ifyou specifically agree inawritten con- mess Insurance regarding any other primary in- tract orwritten agreement that the insurance pro- sumnue available toyou iadeleted. vidad to on additional insured under this 3. The following is added to Paragraph b. Excess Coverage Port must apply on a primary basis, or |nsunance, as an additional subparagraph under o primary and non-contributory basis, this inxur- Subparagraph (1): anne is primary to other insurance that is u«ei|' That isavailable tothe insured when the insured able oosuch additional insured which covers such isadded aoanadditional insured under any other additional insured as m named insured, end we policy, including any umbrella orexcess policy. will not share with that other insurance, provided that: a. The "bodily injury" or "property damage" for which coverage issought occurs; and CG 0D 37 04O8 Copyright 2005 The SL Paul Travelers Companies, Inc.All rights nooemod. Page 1 of 1