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PROOF OF INSURANCE (2019) CLOSED ATE A�® CERTIFICATE OF LIABILITY INSURANCE I D10/122018D/YYYY) 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 (CONTACT Marsh Risk&Insurance Services NAME: PHONE FAX CA License#0437153 WC,No,Ext): (A/C,No): 633 W Fifth Street,Suite 1200 I EMAIL Los Angeles,CA 90071 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# CN102956307-STND-GAWU-18-19 FileK GLALWINSURER A:Travelers Property Casualty Co.of America 25674 File Keepers,LLC INSURED INSURER B:Travelers Indemnity Company of Connecticut 25682 Raleigh Enterprises,LLC I INSURER C: 6277 East Slauson Avenue I INSURER D: Los Angeles,CA 90040 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: LOS-002381132-06 REVISION NUMBER: 8 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY 660-8105A95A-18 10/01/2018 10/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE RETE CLAIMS-MADE IX I OCCUR PREM SESO(Ea occur ence) $ 100,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO ❑ LOC JECT PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY 810-8105A95A-18 10/01/2018 10/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 fEa accident) X ANY AUTO BODILY INJURY(Per person) $ OWNEDSCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY fPer accident) HComp./Coll Ded $ 1,000/1,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION UBgK062882-18-51K 10/01/2018 10/01/2019 X I PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) With the exception of Workers'Compensation&Employer's Liability,the City of EI Segundo,its officials,and employees are included as an additional insured,but only with respect to liability arising out of the operations performed for them by the named insured as required by written contract The insurance afforded by these policies are primary and non contributory with any insurance maintained by the additional insured as required by written contract. Waiver of subrogation is provided in favor of the certificate holder as required by written contract. CERTIFICATE HOLDER CANCELLATION City of EI Segundo Police Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Attn:Mr.Vincent Martinez THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 348 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. EI Segundo,CA 90245 AUTHORIZED REPRESENTATIVE of Marsh Risk&Insurance Services James L.Vogel ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Raleigh Enterprises, LLC. Policy No. 660-8105A95A-18 Policy Period: 10-1-18/19 COMMERCIAL GENERAL LIABILITY THIM ENDORSEMENT CHANGES THE POLIO". PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR SERVICE INDUSTRIES .This endorsement modifies insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE-This endorsement broadens coverage. However-,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or firnited by another endorsement to this Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsernent and the rest of your policy carefully to determine rights,duties, and what is and is not covered. A. Broadened Named Insured 1. Amended Bodily Injury Definition B. Blanket Additional Insured-Broad Form Vendors J. Bodily Injury To Co-Eryiployees And Co Volunteer C. Damage To Premises Rented To You Workers • Perils of fire, explosion, lightning, smoke, K. Aircraft Chartered With Crew water L. Non-Owned Watercraft.-Increased From 25 Feet • Limit increased to$300,000 To 50 Feet D. Blanket Waiver Of Subrogation M. Increased Supplementary Payments E. Blanket Additional Insured - Owners, Managers 6 Cost of bail bonds increased to$2,500 Or Lessors Of Premises 4 Loss of earnings increased to $500 per day F. Blanket Additional Insured - Lessors Of Leased N. Knowledge And Notice Of Occurrence Or Offense Equipment G. Incidental Medical Malpractice 0. Unintentional Omission H. Pensona I I njury-Asgurned By Contract P. Reasonable Force - Bodily Injury Cr Property Damage PROVISIONS B. BLANKET ADDITIONAL INSURED - BROAD A. BROADENED NAMED INSURED FORM VENDORS -1. 'The following is added to SECTION II-WHO The following is added to SECTION If -WHO IS IS AN INSURED: AN INSURED: Any person or organization that is a vendor and Any organization, other than a partnership or that you have agreed in a written contract or joint venture, over which you maintain owner- agreement to include as an additional insured on ship or majority interest on the effective date this Coverage Part is an insured, but only with re- of the policy qualifies as a Named Insured, spect to liability for "bodily injury" or "property However, Coverage for any such organization damage"that: will cease as of the date dudng the policy pe- a. Is caused by an"occurrence"that takes place riod that you no longer,maintain owner-ship of, after you have signed and executed that con- or majority interest in,such organization. tract or agreement;and 2. The following replaces Paragraph 4.a. of b. Arises out of "your products" which are dis- SECTION 11-WHO IS AN INSURED: tributed or sold in the regular course of such a. Coverage under this provision is afforded vendors business. only until the 180th day after you acquire The insurance provided to such vendor is subject or forrn the organization or the end of the to the following provisions: policy period, whichever is earlier, unless a. The limits of insurance provided to such ven-- reported in writing to us within 180 days. dor will be the limits which you agreed to pro- CG D4 67 07 ,13 V 2013 Tht� I ravMws indemmr y Company A I P ng r h L r us arved. Page 1 of 7 pndudps CopyrighLed maLefial r,f liisurance Ssn&A�s Office,Vric.Md'i as parmis,,'icri, COMMERCIAL GENERAL LIABILITY vide in the written contract or agreement, or Exclusions c.through n. do not apply to dam- the limits shown in the Declarations of this age to premises while rented to you, or tern.- Coverage Part, whichever are less. porarily occupied by YOU vvith permission of b. The insurance provided to such vendor does the owner,caused by: riot apply to: a. Fire; (1) "Bodily injury"" or "property damage" for b. Explosion; which the vendor is obligated to pay c. Lightning, damages by reason of the assumption of liability in a contract or agreement, This d. Smoke resulting from such fire, explosion, exclusion does not apply to liability for or lightning;or damages that the vendor would have in e. Water. the absence of'the rontract or agreement; (2) Any express warranty unauthorized by A separate limit of insurance applies to such you; damage to premises as described in Para- (3) Any physical or chemical change in "your graph 6.of Section III—Limits Of Insurance, products" made intentionally by such This Insurance does riot apply to damage to vendor, premises while rented to you, or temporarily (4) Repackaging, unless unpacked solely for occupied by you with per-mission of the the purpose of inspection, demonstration, owner, caused by. testing, or the substitution of pails Under a. Rupture, bursting, or operation of pres, instnictions from the manufacturer, and sure relief devices; then repackaged in the original contalner; b. Rupture or bursting due to expansion or (5) Any failure to make such inspections, ad.- swelling of the contents of any building or justments, tests or servicing as vendors structure, caused by or resulting from wa.- agree to perform or normally undertake to ter; perform in the regular course of business, c. Explosion of steam boilers, steam pipes, in Connection with the distribution or sale steam engines, or steam turbines. of"your products"; (6) Demonstration, installation, servicing or 2. The following replaces Paragraph 6. of SEC- repair operatif,)ns, except such operations TION III—LIMITS OF INSURANCE: performed at such vendor's premises in Subject to 5. above, the Damage To Prern- connection with the sale of "your prod- ices Rented 'To You Limit is the rnost we will ucls"; or pay under Coverage A for damages because (7) "Your products" which, after distribution of "property damage" to any one premises or sale by you, have been labeled or re- while rented to you, or temporarOy occupied labeled or used as a container, part or in- by you with permission of the owner, caused gradient of any other thing Or Substance by fire; explosion; lightning; sr-noke resulting by or for such vendor. from such fire, explosion, or lightning; or wa.- Coverage under this provision does not apply to: ter. The Damage To Premises Rented To a. Any person or organization from whom you You Limit will apply to all damage proximately caused by the same "occurrence", whether have acquired "your products"", or any ingre- such damage results from fire; explosion; dient, part or container entering into, accom.- lightning; smoke resulting from such fire, ex parrying or containing such products; or plosion, or lightning,, water; or any combina- b. Any vendor for which coverage as an addi- tion of any of these. tional insured specifically is scheduled by en- The Damage To Premises Rented To You dorsement. Limit will be the higher of: C. DAMAGE TO PREMISES RENTED TO YOU a. $300,000�or 1. The following replaces the last paragraph of b. The amount shown on the Declarations of Paragraph 2., Exclusions, of SECTION I — this Coverage Part for Damage To Prem- COVERAGES — COVERAGE A BODILY IN- JURY AND PROPERTY DAMAGE LIABIL- ices Rented To You Limit, JURY Page 2 of 7 2013 Ti'm Travelan-.Indenirilty curnpdny,Ail flght reserved, CG D4 67 07 13 rndudas copyrighied rnatari�r or insurwive,Servires Office,inc.math its parrrission, COMMERCIAL GENERAL LiABiL.JTY 1 The following replaces Paragraph a. of the a. Is"bodily injury"or"property damage"caused definition of"insured contract" in the DEFINI- by an "occurrence" that takes place, or "per- TIONS Section: social injury" or"advertising injury" caused by a. A contract for a lease of premises. How. an offense that is committed, after you have ever, that portion of the contract for as signed and executed that contract or agree.- lease of premises that indemnifies any meat; and person or organization for damage to b. Arises out of the ownership, maintenance or use of that part of any premises leased to prernises while rented to you, or ternpo- radly occupied by you with permission of you. the owner,caused by: 'The insurance provided to such premises owner, (1) Fire; Manager or lessor is subject to the following pro- visions, (2) Explosion, aThe limits of insurance provided to such (3) Lightning; premises owner, manager or lessor will be (4) Smoke resulting from such fire, ex- the lirnits which you agreed to provide in the plosion, or lightning;or written contract or agreement, or the limits shown on the Declarations of this Coverage (5) Water. Part,whichever are less, is not an "insured contract"; b, The insurance provided to such premises 4The following replaces Paragraph 4.b.(1)(b) owner,manager or lessor does not apply to: of SECTION IV—COMMERCIAL GENERAL (1) "Bodily injury" or "property darnage" LIABILITY CONDITIONS: caused by an "occurrence" that takes (b) That is insurance for premises rented to piace, or "personal injury" or "advertising you, or temporarily occupied by you with injury" caused by an offense that is gran-s' the permission of the owner; mitted, after you cease to be a tenant in D. BLANKET WAIVER OF SUBROGATION that premises;or The following is added to Paragraph 8., Transfer (2) Structural alterations, new construction or Of Rights Of Recovery Against Others To Us, demolition operations performed by or on of SECTION IV — COMMERCIAL GENERAL Ll- behalf of such premises owner, manager ABII ITY CONDITIONS: or,lessor. We waive any right of recovery we may have c. The insurance provided to such premises owner, manager or leSSDr is excess over any against any person or. organization because of valid and collectible other insurance available payments we make for injury or damage arising to such premises owner, manager or iessor, out of premises owned or occupied by or rented UMBSS YOU have agreed in a written contract or loaned to you; ongoing operations performed for this insurance to apply on a primary or by you or on your behalf, done under a contract contributory basis. with that person or organization,- "your work"; or F. BLANKET ADDITIONAL INSURED —LESSORS "your products", We waive this right where you OF LEASED EQUIPMENT have agreed to do so as part of a written contract, The following is added to SECTION 11 —WHO IS e,xecuted by you prior to loss. Ali INSURED: E. BLANKET ADDITIONAL INSURED —OWNERS, MANAGERS OR LESSORS OF PREMISES Any person or organation that is an equipment The following is added to SECTION 11 —WHO IS lessor and that you have agreed in a written con.- tract or agreement to include as an additional in- ANINSURED: seared on this Coverage Part is an insured, but Any person or organization that is a premises oMy with respect to liability for "bodily injury", owner, manager or lessor and that you have ""property damage", "personal injury" or "advertis- agreed in a written contract or agreement to Ing injury"that: name as an additional insured on this Coverage a. Is"bodily injury"or"property damage"caused Part is an insured, but only with respect to liability by an "OCCUrrenoa" that takes place, or "per- for "bodily injury", "property damage", "personal sonal injury" or"advertising injury" caused by injury"or"advertising injury"that: an offense that is committed, after you have CG D4 67 0713 020131he'Travek,,rs indernnity company.Al right reserved, Page 3 of 7 hrtjxjjec c Wal or Insurance Services offirce,im_willh its Penmh' io COMMERCAL.GENERAL LIABILITY signed and executed that contract or agree- "Good Samaritan services" means any emer- menti and gency medical services for which no cornpen- b. Is caused, in whole or in part, by your acts or cation is demanded or received. omissions in the maintenance, operation or 3. The following is added to Paragraph 2,a.(l)of use by you of equipment leased to you by SE TA 11—WHO IS AN INSURED: such equipment lessor. Unless you are in the business or occupation The insurance provided to such equipment lessor of providing professional health care services, is subject to the following provisions:: Paragraphs (1)(a), (b), (c) and (d) above do a. 'The limits of insurance provided to such not apply to any "bodily injury' arising out of equipment lessor will be the limits which you any providing or failing to provide "incidental agreed to provide in the written contract or medical services" by any of your "employ- agreement, or the limits shown on the Decla- ees", other than an employed doctor. Any nations of this Coverage Part, whichever are such "employees" providing or failing to pro- less, vide "incidental medical services" during their b. 'The insurance provided to such equipment work hours for you will be deemed to be act- lessor does not apply to any "bodily injury" Or frog within the scope of their employment by "property damage" caused by an "occur- you or perfon-ning duties related to the con- rence"that takes place, or"personal injury"or duct of your business, ""advertising injury" caused by an offense that 4. ]-he following exclusion is added to Para- is committed, after the equipment lease ex- graph 2., Exclusions, of SECTION I — COV pires. ERAGES.—COVERAGE A BODILY IN c. The insurance provided to such equipment AND PROPERTY DAMAGE LIABILITY: lessor is excess over any valid and collectible Sale Of Pharmaceuticals other insurance available to such equipment "Bodily injury" or "property damage" arising lessor, unless you have agreed in a written out of the willful violation of a penal statute or contract for this Insurance to apply on a pd- ordinance relating to the sale of pharTnaceuti- mary or contributory basis. call committed by, or with the knowledge or G. INCIDENTAL.MEDICAL MALPRACTICE consent of,the insured. 11. 'The following is added to the definition of"oc.- 5. The following is added to Paragraph 5. of currence"in the DEFINITIONS Section: SECTION III —LIMITS OF INSURANCE: Unless you are, in the business or occupation For the purposes of determining the applica of providing professional health care,services, ble Each Occurrence Limit, all related acts or 0,occurrence" also means an act or omission omissions committed in the providing or fall- committed in providing or failing to provide ing to provide "incidental medical services" to "incidental medical services"to a person. any one person will be considered one "oc-, 2. The following is added to the DEFINITIONS currence". Section: 6. The following is added to Paragraph 4.b., Ex- "Incidental medical services"means., cess Insurance, of Kcrm IV — COM- MERCIAL GENERAL LIABILITY CONDI.- a. Medical,surgical,dental, laboratory,x-ray TIONS: or nursing service or treatment, advice or, This insurance is excess over any valid and instruction, or the related furnishing of collectible other insurance, whether primary, food or beveragesi excess, contingent or on any other basis, that b. The furnishing or dispensing of drugs or is available to any of your "employees" for medical, dental, or surgical supplies or "bodily injury" that arises out of providing or appliances; failing to provide "incidental medical services" c. First aid;or to any person to the extent not subject to d. "Good Samaritan services". Paragraph 2.a.(I) of SECTION 11 — WHO IS ANINSURED, Page 4 of 92013 The Traveler,Indel,nity Gornpaiiy.All right.reserved, CG D4 67 07 13 Indude,r,copyrighWd rmakedl or hsk)rance Swvice�.,on.xi,Kw wm i[s perrm-,:;,ion. COMMERCIA1 GENERAL LIABILITY H. PERSONAL INJURY ASSUMED BY CON- 3. The -following replaces Paragraph 2.d. of TRACT SUPPLEMENTARY PAYMENTS — COVER- -1. The following replaces Exclusion e., Contrac- AGES A AND B: tual Liability, in Paragraph 2. of SECTION I d. The allegations in the "suit" and the in- - COVERAGES — COVERAGE B PER- formation we know about the "occur- SONAL AND ADVERTISING INJURY Ll- rence"or offense are such that no conflict ABILITY, appears to exist between the interests of e. Contractual Liability the insured and the interests of the in- "Personal injury"or"advertising injury"for demnitee; which the insured is obligated to pay 4. The following replaces the first subparagraph darnages by reason of the assumption of of Paragraph -f. of the definition of "Insured liability in a contract or agreement. This contract"in the DEFINITIONS Section: exclusion does not apply to: f. That part of any other contract or agree- (1) Liability for damages that the insured meant pertaining to your business (in&id- would have in the absence of the in an indemnification of a municipality in contract or agreement; or connection with work performed for a (2) Liability for damages because Of municipality) under which you assume the O°personal injury' assumed in a con- tort liability of another party to pay for tract or agreement that is an "insured "bodily injury," "property damage"or"per- contract", provided that the "personal sonal injury"to a third person or organiza- injury" is caused by an offense corn- tion. Tort liability means a liability that miKed subsequent to the execution of Would be imposed by law in the absence the contract or agreement. Solely for of any contract or agreement, the purposes of liability assumed in an "insured contract", reasonable 1. AMENDED BODII Y INJURY DEFINITION at- torneys fees and necessary litigation The following replacfn-, the definition of "bodily in- expenses incurred by or for a party jury" in the DEFINITIONS Section: other than an insured will be deemed to be damages because of "personal "Bodily injury" means bodily injury, mental an- - injury", provided that: guish, mental injury, shock, fright, disability, hu- (a) Liability to Such party for, or for miliation, sickness or disease sustained by a per- kie cost of, that party's defense son, including death resulting frorn any of these at has also been assumed in the any time. same"insured contract"; and J. BODILY INJURY TO CO-EMPLOYEES AND (b) Such attorney fees and litigation CO-VOLUNTEER WORKERS expenses are for defense of that The following is added to Paragraph 2.a.(I) of party against a civil or alternative SECTION 11—WHO IS AN INSURED. dispute resolution proceeding in which damages to which this in- Paragraph (1)(a) above does not apply to "bodily surance applies are alleged. injury"to a co-"employee" in the course of the co- 2. The following replaces the third sentence of "employee's" employment by you or performing Paragraph 2. of SUPPLEMENTARY PAY- duties related to the conduct of your business, or MENTS—COVERAGES A AND B, to"bodily injury"to your other"volunteer workers" while performing duties related to the conduct of Notwithstanding the provisions of Paragraph your business. 2..b.(2)of Section I—Coverage A—Bodily In- jury And Property Damage Liability or Para- graph 2.e. of Section I — Coverage B — Per..- The following is added to Exclusion g., Aircraft, somal and Advertising ln)ury Liability, such Auto Or Watercraft, in Paragraph 2. of SECTION payments will not be deemed to be damages I — COVERAGES — COVERAGE A BODILY IN- because of"bodily injury", "property damage" JURY AND PROPERTY DAMAGE LIABILITY: or "personal injury", and will not reduce the This exclusion does not apply to an aircraft that limits of insurance. is: GG 04 67 07 13 20 13 1 he T(avelers liiderrnfty Company.All right reserved. Page 5 of 7 1 nc I We s cup y r 1 p h led ma tp J W r�f R ri s Li r a n c-e SerAces Office,Inc,w0h its perrnl-�sion, COMMFRCIAL GENERAL LIABILITY (a) Chartered with crew to any insured; e. 'The following provisions apply to Paragraph (b) Not owned by any insured; and a. above, but only for the purposes of the in- surance provided under this Coverage Part to (c) Not being used to carry any person or, prop- YOU or any insured listed in Paragraph 11. or 2n erty for a charge. of Section 11—Who Is An Insured: L. NON-OWNED WATERCRAFT (1) Notice to us of such "occurrence" or of- 1. The following replaces Paragraph (2) of Ex- fense must be given as soon as practica- clusion g., Aircraft, Auto Or Watercraft, in ble only after the "occurrence" or offense Paragraph 2. of SECTION I — COVERAGES is known to you (if you are an individual), ,® COVERAGE A BODILY INJURY AND any of your paftners or members who is PROPERTY DAMAGE LIABII ITY: an individual (if you are a partnership or (2) A watercraft you do not own that is: joint venture), any of your managers who is an individual (if you are a limited liability (a) Fifty feet long or less, and company), any of your trustees who,is an (b) Not being used to carry any person or individual (if you are a trust), any of your property for a charge, ""executive officers"or directors (if you are 2. The following is added to Paragraph 2. of an organization other than a partnership, SECTION 11—WHO IS AN INSURED: joint venture, limited liability company or trust) or any "employee" authorized by Any person or organization that, with your ex- YOU to give notice of an "occurrence" or press or implied consent, either uses or is re offense. sponsible for the use of a watercraft that you do not own that is, (2) If you are a partnership,joint venture, lim- ited liability company or trust, and none of (1) Fifty feet long or less;and your partners, joint venture members, (2) Not being used to curry any person or managers or trustees are individuals, no- property for a charge. tice to us of such "occurrence" or offense M. INCREASED SUPPLEMENTARY PAYMENTS must be given as soon as practicable only after the"occurrence"or offense is known 1. The following replaces Paragraph 1.b. of by. SUPPLEMENTARY PAYMENTS — COVER- (a) Any individual who is: AGES A AND Brat SECTION I — COVER- AGE& (I) A partner or rnernber of any part.- b. Up to $2,500 for cost of bail bonds re- nership or joint venture; quired because of accidents or traffic law (I!) A manager of any limited liability violations arising out of the use of any company; vehicle to which the Bodily Injury Liability (M)A trustee of any trust,or Coverage applies. We do not have to fur- nish these bonds. (1v)An executive officer or director,of 2. The following replaces Paragraph I.d. of any other organization; SUPPLEMENTARY PAYMENTS .— COVER- Haat is your partner, joint venture AGES A AND B of SECTION I — COVER- member, manager or trustee;or AGES! (b) Any 'employee" authorized by such d. Ali reasonable expenses incurred by the partnership, joint venture, limited Ii- Insured at our request to assist us in the ability company, trust or other organk investigation or defense of the claim or nation to give notice of an `occur- '"suit"", including actual loss of earnings kip rence"or offense. to $500 a day because Of tune off from (3) Notice to us of such "occurrence" or of- work. fense will be deerned to be given as soon N. KNOWLEDGE AND NOTICE OF OCCUR- as practicable if it is given in good faith as RENCE OR OFFENSE soon as practicable to your workers' compensation insurer. This applies only if The following is added to Paragraph 2., Duties In you subsequently give notice to us of the 'The Event of Occurrence, Offense, Claim or occurrence" or offense as soon as prac- Suit, of SECTION IV — COMMERCIAL GEN- ticable after any of the persons described ERAL LIABILITY CONDITIONS: Page 6 of 7 2013 The Traverprs hidenindy Gixnpan,V.AH righl resvvcd. CG D4 67 07 13 ft1q.'flUdPS ci)pyrighlod malarial of piisl,Arance Survkes Offire, Ir a..m9ii pis COMMERCiAL GENERAL LIABILITY in Paragraphs e.(1) or (2) above discov- relied upon in issuing this policy will not prejudice ers that the "occurrence" or offense may your rights under this insurance, However, this result in surns, to which the lnWrance provision does not affect our right to collect addi- provided under this Coverage Part may tional premium or to exercise our rights of cancel- apply- lation or nonrenewal in accordance with applica.- However, if this policy includes an endorse- kala insurance laws or regulations. sent that provides firnited coverage for ""brad- P. REASONABLE FORCE — BODILY INJURY OR ily injury" or. "property damage" or pollution PROPERTY DAMAGE costs arising out of a discharge, release or The following replaces Exclusion a.. Expected Or escape of "pollutants" which contains a re- Intended Injury, in Paragraph 2. of SECTION I— quirement. that the discharge, release or es- COVERAGES — COVERAGE A BODILY IN- cape of "pollutants" must be reported to us JURY AND PROPERTY DAMAGE LIABILITY: within a specific number of days after its a. Expected or Intended Injury or Damage abrupt commenGement, this Paragraph e. does not affect that requirement, "Bodily injury" or"property damage"`expected OA UNINTENTIONAL OMISSION or intended from the standpoint of the in- sured, This exclusion does not apply to "bod- The following is added to Paragraph 6., Rere- ily injL1ryT1 or"property damage" resulting from sentations, of SECTION IV — COMMERCIAL the use of reasonable force to protect any GENERAL LIABILITY CONDITIONS: person or property. The unintentional ornission of, or unintentional er- ror in, any information provided by you which we CG D4 67 07 13 (('®013 The I ravolers I rid eron1y ccrimp any,Alt nght reserved. Page 7 of 7 tncfudes copyrighted males W of 4"Sumrice serosas 01fics,Ine.WWI ffi3 Raleigh Enterprises, LLC. Policy No.660-8105A95A-18 Policy Period: 10-1-18119 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However,coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part,and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages.Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights,duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE—INCREASED LIMIT B. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT C. EMPLOYEE HIRED AUTO J. PERSONAL EFFECTS D. EMPLOYEES AS INSURED K AIRBAGS E. SUPPLEMENTARY PAYMENTS— INCREASED L. NOTICE AND KNOWLEDGE OF ACCIDENT LIMITS OR LOSS F. HIRED AUTO — LIMITED WORLDWIDE M. BLANKET WAIVER OF SUBROGATION COVERAGE—INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED executed by you before the "bodily injury" or The following its added to Paragraph A.1.,Who Is "property damage" occurs and that is in effect An Insured, of SECTION II — LIABILITY COV- during the policy period, to be named as an addi- ERAGE: tional insured is an "insured" for Liability Cover- age, but only for damages to which this insurance Any organization you newly acquire or form dur- applies and only to the extent that person or or- ing the policy period over which you maintain ganization qualifies as an "Insured" under the 50% or more ownership interest and that is not Who Is An Insured provision contained in Section separately insured for Business Auto Coverage. II. Coverage under this provision Is afforded only un- C. EMPLOYEE HIRED AUTO til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- 1. The following is added to Paragraph A.1., ever is earlier. Who Is An Insured, of SECTION li — LI- B. BLANKET ADDITIONAL INSURED ABILITY COVERAGE: The following is added to Paragraph e. In A.1., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION II—LIABILITY operating an "auto" hired or rented under a COVERAGE: contract or agreement in that "employee's" name,with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness. that person or organization, that is signed and CA T3 53 03 10 02010 The Travelers Indemnity Company. Page t of 4 Includes copyrighted material of Insurance Services Office,Inc.with its permission COMMERCIAL AUTO 2. The following replaces Paragraph b. in B.5., within such country or jurisdiction,for Liability Other Insurance, of SECTION IV — BUSI- Coverage For any covered "auto" that you NESS AUTO CONDITIONS: lease, hire, rent or borrow without a driver for b. For Hired Auto Physical Damage Cover- a period of 30 days or less and that is not an age, the following are deemed to be cov- "auto" you lease, hire, rent or borrow from ered"autos"you own: any of your"employees", partners (if you are a partnership), members (if you are a limited (1) Any covered "auto" you lease, hire, liability company)or members of their house- rent or borrow;and holds. (2) Any covered "auto" hired or rented by (a) With respect to any claim made or "suit" your "employee" under a contract in brought outside the United States of that individual "employee's" name, America, the territories and possessions with your permission, while perform- of the United States of America, Puerto ing duties related to the conduct of Rico and Canada: your business. (i) You must arrange to defend the "in- However, any"auto"that is leased, hired, sured"against, and investigate or set- rented or borrowed with a driver is not a tle any such claim or"suit" and keep covered"auto". us advised of all proceedings and ac- D. EMPLOYEES AS INSURED tions. The following is added to Paragraph AA.,Who Is (ii) Neither you nor any other involved An Insured, of SECTION II — LIABILITY COV- "insured" will make any settlement ERAGE: without our consent. Any"employee" of yours is an"insured"while us- (iii)We may, at our discretion, participate ing a covered "auto"you don't own, hire or borrow in defending the "insured"against, or in your business or your personal affairs. in the settlement of, any claim or E. SUPPLEMENTARY PAYMENTS — INCREASED "suit". LIMITS (iv)We will reimburse the "insured" for 1. The following replaces Paragraph A.2.a.(2), sums that the "insured" legally must of SECTION II—LIABILITY COVERAGE: pay as damages because of "bodily injury"ar"property damage" to which (2) Up to $3,000 for cost of bail bonds (in- this insurance applies, that the "in- cluding bonds for related traffic law viola- cured" pays with our consent, but tions) required because of an "accident" only up to the limit described in Para- we cover. We do not have to furnish graph C., Limit Of Insurance, of SEC- these bonds. TION 11—LIABILITY COVERAGE. 2. The following replaces Paragraph A.2.a.(4), (v) We will reimburse the "insured" for of SECTION 11—LIABILITY COVERAGE: the reasonable expenses incurred (4) Ali reasonable expenses incurred by the with our consent for your investiga- "insured" at our request, Including actual tion of such claims and your defense loss of earnings up to $500 a day be- of the "insured" against any such cause of time off from work. "suit", but only up to and included within the limit described in Para- F. HIRED AUTO — LIMITED WORLDWIDE COV- graph C., Limit Of Insurance, of El4AGE—INDEMNITY BASIS SECTION II — LIABILITY COVER- 'I he folilowing replaces Subparagraph (5)in Para- AGE,and not in addition to such limit. graph B.7., Policy Period, Coverage Territory, Our duty to make such payments of SECTION IV — BUSINESS AUTO CONDI- ends when we have used up the ap- TIONS: plicable limit of insurance in pay- (5) Anywhere in the world, except any country or ments for damages, settlements or jurisdiction while any trade sanction, em- defense expense& bargo, or similar regulation Imposed by the (b) This insurance is excess over any valid United States of America applies to and pro- and collectible other insurance available hibits the transaction of business with or Page 2 of 4 ,inn 2010 The Travelers Indemn ty Company. CA T3 53 03 14 Indkid vogy ighted material of Insurance Services Office,Inc with its permission COMMERCIAL AUTO to the "insured" whether primary, excess J. PERSONAL EFFECTS contingent or on any other basis. The following is added to Paragraph AA., Cover- (c) This insurance is not a substitute for re- age Extensions, of SECTION Ili — PHYSICAL quired or compulsory insurance in any DAMAGE COVERAGE: country outside the United States, its ter- Personal Effects ritolies and possessions, Puerto Rico and Canada. We will pay up to $400 for "loss" to wearing ap- You agree to maintain all required or panel and other personal effects which are: compulsory insurance in any such coun- (11 Owned by an"insured";and try up to the minimum limits required by (2) In or on your covered"auto". local law. Your failure to comply with This coverage applies only in the event of a total compulsory insurance requirements will theft of your covered"auto". not invalidate the coverage afforded by this policy,but we will only be liable to the No deductibles apply to this Personal Effects same extent we would have been iPiable coverage. had you complied with the compulsory in- K. AIRBAGS surance requirements. The following is added to Paragraph B.3., Exclu- (d) It is understood that we are not an admit- sions, of SECTION III — PHYSICAL DAMAGE ted or authorized insurer outside the COVERAGE: United States of America, its territories (exclusion 3.a. does not apply to "loss" to one or and possessions, Puerto R'i'co and Can- more airbags in a covered "auto"you own that in- ada. We assume no responsibility for the flate due to a cause other than a cause of "loss" furnishing of certificates of insurance, or set forth in Paragraphs A.1.b. and A.1.c., but for compliance in any way with the laws of other Gauntries relating t0 insurance. only: G. WAIVER OF DEDUCTIBLE—GLASS a. if that "auto" is a covered "auto"for Compre- hensive Coverage under this policy; The following is added to Paragraph D., Deducti- b. The airbags are not covered under any war- ble, of SECTION III — PHYSICAL DAMAGE rarity; and COVERAGE: No deductible for a covered "auto" will apply to c. The airbags were not intentionally inflated. glass damage if the glass is repaired rather than We will pay up to a maximum of $1,000 for any replaced. one"loss". H. HIRED AUTO PHYSICAL DAMAGE—LOSS OF L. NOTICE AND KNOWLEDGE OF ACCIDENT OR USE—INCREASED LIMIT LOSS The following replaces the past sentence of Para- The following is added to Paragraph A.Za., of graph AA.b., Loss Of Use Expenses, of SEC- SECTION IV—BUSINESS AUTO CONDITIONS: TION III—PHYSICAL DAMAGE COVERAGE: Your duty to give us or our authorized re prese nta- However, the most we will pay for any expenses Live prompt notice of the "accident" or "loss" ap- for loss of use is $65 per day, to a maximum of plies only when the "accident" or"loss" is known $750 for any one"accident", to: I. PHYSICAL DAMAGE -- TRANSPORTATION (a) You (if you are an individual); EXPENSES—INCREASED LIMIT (b) A partner(if you are a partnership); The "ollowing replaces the first sentence in Para- (c) A member (if you are a limited liability com- graph A.4.a., Transportation Expenses„ of pany); SECTION III — PHYSICAL DAMAGE COVER- (d) An executive officer, director or insurance AGE' manager('rf you are a corporation or other or- We will pay up to $50 per day to a maximum of ganization);or $1,500 for temporary transportation expense in- (ej Any"employee" authorized by you to give no- curred by you because of the total theft of a cov- tice of the"accident"or"loss". ered"auto"of the private passenger type. CA T3 53 03 10 0 2010 The Travelers Indemndy Company. Page 3 of 4 Incudes copyrghted material of Insurance Services Office„Inc.with its permission. COMMERCIAL_AUTO M. BLANKET WAIVER OF SUBROGATION such contract. The waiver applies only to the The fallowing replaces Paragraph A.5., Transfer person or organization designated in such Of Rights Of Recovery Against Others To Us, contract. of SECTION IV — BUSINESS AUTO CONDI- N. UNINTENTIONAL ERRORS OR OMISSIONS TIONS: The following is added to Paragraph B.2., Con- s. Transfer Of Rights Of Recovery Against cealment, Misrepresentation, Or Fraud, of Others To Us SECTION IV—BUSINESS AUTO CONDITIONS: We waive any right of recovery we may have The unintentional omission of, or unintentional against any person or organization to the ex- error in, any information given by you shall not tent required of you by a written contract prejudice your rights under this insurance. How- signed and executed prior to any "accident" ever this provision does not affect our right to col- or"loss",provided that the"accident"or"loss" lett additional premium or exercise our right of arises out of operations contemplated by cancellation or non-renewal. Page 4 of 4 0 2014 The Travelers Indemnity Company, CA T3 53 03 10 Includes copyrighted material of Insurance Services Office,Inc with its permission Aaft WORKERS COMPENSATION TRAVELERSJ AND ONE TOWER SQUARE EMPLOYERS LIALMLITY POLICY HMFORD, CT 06183 ENDORSEMENT WC 99 03'76( A)— 001 POLICY NUMBER. UB-9K062882-18-51-K WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CAL�FORNIIIA (BLANKET WAIVER) We have the right to recover our payrnents frorn anyone liable for, an injury covered by this p6lcy., We, wN riot enforce our right aga inst the person or organization n amed i n the Schedu�e, The additional prernhim for this endorsernent shaUl be 0.0 % of the California workers' compensation pre- iniumin. Schedule Person or Organization Job Description ANY PKRSON OR ORGANIZATION :FOR WHICH THE INSURED HAS AaREED BY WRITTEN CONTRACT EXEC :PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the pol�cy to which R is attached and is effective on the date issued u0ess otheRMse stated. (The fnforirnatlon below is required only when Oils endorsement is issued subsequent to preparation of the policy.� Endorsement Effective Policy No, Endorsement No, Insured Premium Insurance Company Countersigrued by DATE OF ISSUE: 10-1-18 ST ASSIGN- Page 1 of 1