Loading...
PROOF OF INSURANCE (2019) CLOSED ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) I 11/15/2018 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 (CONTACT RBN Insurance Services PHONE FAX 303 E Wacker Dr Ste 650 I WC.No.Extl: 312-856-9400 (A/C,No):312-856-9425 Chicago IL 60601 I E-MAIL ADDRESS: InOrtZ@rbninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Continental Casualty Company 20443 INSURED LEXILLC-01 INSURER B: Continental Insurance Company 35289 Lexipol Holding Company Lexipol, LLC I INSURER C: Hartford Ins Co of the Midwest 37478 16755 Von Karman Ave.#250 I INSURER D: Hiscox Insurance Co. Inc. 10200 Irvine CA 92606 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:413535501 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYYI (MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY Y Y 6043284498 8/20/2018 8/20/2019 EACH OCCURRENCE $1,000,000 � OCCUR DAMAGE TO RENTED CLAIMS-MADE PREMISES(Ea occurrence) $300,000 MED EXP(Any one person) $15,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY JECTPRO ❑ LOC PRODUCTS-COMP/OP AGG $Excluded X PRO- OTHER: $ A AUTOMOBILE LIABILITY 6043284484 8/20/2018 8/20/2019 COMBINED SINGLE LIMIT $1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNEDSCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED I X I NON-OWNED PROPERTYDAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) B X UMBRELLA LIAB H OCCUR Y 6043284520 8/20/2018 8/20/2019 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED I X I RETENTION$in nnn $ C WORKERS COMPENSATION Y 83WECBZ5648 8/20/2018 8/20/2019 X SPER TATUTE EORH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N 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 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 D Professional Liability/ US ULA 2688184.18 8/20/2018 8/20/2019 Each Claim 5,000,000 Multimedia Liability Aggregate 5,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The City of EI Segundo,its officers,officials,employees and volunteers are Additional Insureds as respects General Liability on a primary and non-contributory basis as required by a written contract or written agreement. A Workers Compensation Waiver of Subrogation in favor of the Additional Insured applies as required by a written contract or written agreement. Umbrella policy is follow form. CERTIFICATE HOLDER 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. City of EI Segundo 350 Main Street AUTHORIZED REPRESENTATIVE EI Segundo CA 90245-3895 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CNA CNA PARAMOUNT General Liability Extension Endorsement It is understood and agreed that this endorsement amends the COMMERCIAL GENERAL LIABILITY COVERAGE PART as follows. If any other endorsement attached to this policy amends any provision also amended by this endorsement, then that other endorsement controls with respect to such provision, and the changes made by this endorsement with respect to such provision do not apply. TABLE OF CONTENTS 1. Additional Insureds 2. Additional Insured -Primary And Non-Contributory To Additional Insured's Insurance 3. Bodily Injury—Expanded Definition 4. Broad Knowledge of Occurrence/Notice of Occurrence 5. Broad Named Insured 6. Estates, Legal Representatives and Spouses 7. Expected Or Intended Injury—Exception for Reasonable Force 8. In Rem Actions 9. Incidental Health Care Malpractice Coverage 10. Joint Ventures/Partnership/Limited Liability Companies 11. Legal Liability—Damage To Premises 12. Medical Payments 13. Non-owned Aircraft Coverage 14. Non-owned Watercraft 15. Personal And Advertising Injury—Discrimination or Humiliation 16. Personal And Advertising Injury-Contractual Liability 0 17. Property Damage -Elevators 0 N O 18. Supplementary Payments 19. Unintentional Failure To Disclose Hazards 20. Waiver of Subrogation—Blanket CNA74879XX(1-15) Policy No: 6043284498 Page 1 of 13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/2018 Insured Name: LEXIPOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Liability Extension Endorsement 1. ADDITIONAL INSUREDS a. WHO IS AN INSURED is amended to include as an Insured any person or organization described in paragraphs A. through K. below whom a Named Insured is required to add as an additional insured on this Coverage Part under a written contract or written agreement, provided such contract or agreement: (1) is currently in effect or becomes effective during the term of this Coverage Part; and (2) was executed prior to: (a) the bodily injury or property damage; or (b) the offense that caused the personal and advertising injury, for which such additional insured seeks coverage. b. However, subject always to the terms and conditions of this policy, including the limits of insurance, the Insurer will not provide such additional insured with: (1) a higher limit of insurance than required by such contract or agreement; or (2) coverage broader than required by such contract or agreement, and in no event broader than that described by the applicable paragraph A. through K. below. Any coverage granted by this endorsement shall apply only to the extent permissible by law. A. Controlling Interest Any person or organization with a controlling interest in a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. such person or organization's financial control of a Named Insured; or 2. premises such person or organization owns, maintains or controls while a Named Insured leases or occupies such premises; provided that the coverage granted by this paragraph does not apply to structural alterations, new construction or demolition operations performed by, on behalf of, or for such additional insured. B. Co-owner of Insured Premises A co-owner of a premises co-owned by a Named Insured and covered under this insurance but only with respect to such co-owner's liability for bodily injury, property damage or personal and advertising injury as co-owner of such premises. C. Grantor of Franchise Any person or organization that has granted a franchise to a Named Insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury as grantor of a franchise to the Named Insured. D. Lessor of Equipment Any person or organization from whom a Named Insured leases equipment, but only with respect to liability for bodily injury, property damage or personal and advertising injury caused, in whole or in part, by the Named Insured's maintenance, operation or use of such equipment, provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior to the termination of such lease. CNA74879XX(1-15) Policy No: 6043284498 Page 2 of 13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/2018 Insured Name: LEXIPOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Liability Extension Endorsement E Lessor ofLand Any person or organization from whom o Named Insured leases land but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out ofthe mwnemhip, maintenance or use of such |and, provided that the occurrence giving rise N such bodily injury or property domoge, or the offense giving rise to such personal and advertising injury, takes place prior to the termination of such lease. The coverage granted by this paragraph does not apply N structural a|ieraiions, new construction or demolition operations performed by, onbehalf of, orfor such additional insured. F. Lessor ofPremises An owner or lessor of premises leased to the Named Insured, or such owner or lessor's real estate manager, but only with respect to liability for bodily injury, property damage or personal and advertising injury arising out of the ownership, maintenance or use of such part of the premises leased to the Named Insured, and provided that the occurrence giving rise to such bodily injury, property damage or the offense giving rise to such personal and advertising injury takes place prior N the termination of such lease. The coverage granted by this paragraph does not apply N structural a|ieraiions, new construction or demolition operations performed by, on behalf of, orfor such additional insured. G. Mortgagee,Assignee orReceiver A modgogee, assignee or receiver of premises but only with respect to such modgogee, assignee or receiver's liability for bodily injury, property damage or personal and advertising injury arising out of the Named |nmured'mownership, maintenance, oruse ofopremises byoNamed Insured. The coverage granted by this paragraph does not apply N structural a|ieraiions, new construction or demolition operations performed by, onbehalf of, orfor such additional insured. H. State orGovernmental Agency orSubdivision or Political Subdivimionm—pennitm Asiaie or governmental agency or subdivision or political subdivision that has issued o permit or auihorizaiion, but only with respect N such state or governmental agency or subdivision or political subdivision's liability for bodily injury, property damage or personal and advertising injury arising out of: 1. the following hazards in connection with premises o Named Insured mwns, renis, or controls and N which this insurance applies: a. the existence, mainienance, repair, construcdon, erecdon, or removal of advertising signs, mwnings, canopies, cellar entrances, coal ho|es, dhveways, manho|es, morquees, hoisiawayopenings. sidewalk vaults, street banners, ordecorations and similar exposures; or b. the consinuciion, ereciion, or removal of elevators; or � c. the ownership, maintenance or use of any elevators covered by this insurance; or 2. the permitted or authorized operations performed by a Named Insured or on a Named Insured's behalf. The coverage granted bythis paragraph does not apply to: a. Bodily injury, property damage or personal and advertising injury arising out of operations performed for the state or governmental agency or subdivision or political subdivision; or ~~~~ b' Bodily injury or property damage included within the prod ucts-com pleted operations hazard. ~~~~ With respect to this provision's requirement that additional insured status must be requested under o written eeem contract oragreement, the Insurer will treat as o written contract any governmental permit that requires the Named Insured Nadd the governmenio| entUYasonadditional insured. NA74879XX(1-15) Po|icyNo: 6043284498 Page 3of13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/20I8 Insured Name: LEXIeOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Liability Extension Endorsement I. Trade Show Event Lessor 1. With respect to a Named Insured's participation in a trade show event as an exhibitor, presenter or displayer, any person or organization whom the Named Insured is required to include as an additional insured, but only with respect to such person or organization's liability for bodily injury, property damage or personal and advertising injury caused by: a. the Named Insured's acts or omissions; or b. the acts or omissions of those acting on the Named Insured's behalf, in the performance of the Named Insured's ongoing operations at the trade show event premises during the trade show event. 2. The coverage granted by this paragraph does not apply to bodily injury or property damage included within the products-completed operations hazard. J. Vendor Any person or organization but only with respect to such person or organization's liability for bodily injury or property damage arising out of your products which are distributed or sold in the regular course of such person or organization's business, provided that: 1. The coverage granted by this paragraph does not apply to: a. bodily injury or property damage for which such person or organization is obligated to pay damages by reason of the assumption of liability in a contract or agreement unless such liability exists in the absence of the contract or agreement; b. any express warranty unauthorized by the Named Insured; c. any physical or chemical change in any product made intentionally by such person or organization; d. repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. any failure to make any inspections, adjustments, tests or servicing that such person or organization has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. demonstration, installation, servicing or repair operations, except such operations performed at the such person or organization's premises in connection with the sale of a product; g. products which, after distribution or sale by the Named Insured, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for such person or organization; or h. bodily injury or property damage arising out of the sole negligence of such person or organization 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 Subparagraphs d. or f. above; or (2) such inspections, adjustments, tests or servicing as such person or organization has agreed with the Named Insured to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This Paragraph J. does not apply to any insured person or organization, from whom the Named Insured has acquired such products, nor to any ingredient, part or container, entering into, accompanying or containing such products. CNA74879XX(1-15) Policy No: 6043284498 Page 4 of 13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/2018 Insured Name: LEXIPOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Liability Extension Endorsement 3. This Paragraph J. also does not apply: a. to any vendor specifically scheduled as an additional insured by endorsement to this Coverage Part; b. to any of your products for which coverage is excluded by endorsement to this Coverage Part; nor o. if bodily injury or property damage included within the prod uctm-comp|eted operations hazard is excluded byendorsement Nthis Coverage Part. K. Other Person (]rOrganization Any person or organization who is not on additional insured under Paragraphs A. through J. above. Such additional insured is on Insured solely for bodily injury, property damage or personal and advertising injury for which such additional insured is liable because of the Named Insured's acts or omissions. The coverage granted by this paragraph does not apply to any person or organization: 1. for bodily injury, property domoge, or personal and advertising injury arising out ofthe rendering or failure Nrender any professional service; 2. for bodily injury or property damage included within the prod ucts-com pleted operations hazard; nor 3. who is specifically scheduled as an additional insured on another endorsement to this Coverage Part. 2. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY TO ADDITIONAL INSURED'S INSURANCE A. The Other Insurance Condition in the COMMERCIAL GENERAL LIABILITY CONDITIONS Section is amended Nadd the following paragraph: If the Named Insured has agreed in writing in o contract or agreement that this insurance is primary and non- contributory relative to on additional insured's own insurance, then this insurance is primory, and the Insurer will not seek contribution from that other insurance. For the purpose of this Provision 2., the additional insured's own insurance means insurance on which the additional insured is a named insured. B. With respect to persons or organizations that qualify as additional insureds pursuant to paragraph 1.K. of this endorsement, the following sentence isadded Nthe paragraph above: (}ihenwise, and notwithstanding anything N the contrary elsewhere in this Condiiion, the insurance provided N such person or organization is excess of any other insurance available to such person or organization. 3. BODILY INJURY—EXPANDED DEFINITION Under DEFINITIONS the definition of bodily injury is deleted and replaced bythe following: Bodily injury means physical injury, sickness or disease sustained by o pemon, including deoih, humiliation, shock. � mental anguish or mental injury sustained by that person at any time which results as o consequence of the physical injury, sickness ordisease. 4. BROAD KNOWLEDGE OFOCCURRENCE/NOTICE OFOCCURRENCE Under CONDITIONS, the condition entitled Duties in The Event of Occurrence, Offense, Claim or Suit is amended Nadd the following: A. BROAD KNOWLEDGE OF OCCURRENCE The Named Insured must give the Insurer orthe Insurer's authorized representative notice of an occurrence. ==== offense orclaim only when the occurrence offense is known N o natural person Named Insured, N o . . eeem partner, executive officer, manager or member of a Named Insured, or to an employee designated by any of the aboveNgivesuchnoiice . B. NOTICE OF OCCURRENCE NA74879XX(1-15) Po|icyNo: 6043284498 Page 5of13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/20I8 Insured Name: LEXIeOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. CNA CNA PARAMOUNT General Liability Extension Endorsement not be deemed N be damages for personal and advertising injury and will not reduce the limits of insurance. D. This PERSONAL AND ADVERTISING INJURY - L|D8|TEO CONTRACTUAL LIABILITY Provision does not apply if Coverage B —Personal and Advertising Injury Liability is excluded by another endorsement attached Nthis Coverage Part. 17. PROPERTY DAMAGE—ELEVATORS A. Under COKERAGES, Coverage A — Bodily Injury and Property Damage Liobi|ity, the paragraph entitled Exclusions is amended such that the Damage to Your Product Exclusion and subparagraphs (3), (4) and (6) of the Damage to Property Exclusion do not apply to property damage that results from the use of elevators. B. Solely for the purpose of the coverage provided by this PROPERTY DAMAGE — ELEVATORS Provision. the Other Insurance conditions isamended Nadd the following paragraph: This insurance is excess over any of the other insurance, whether primory, excess, contingent oron any other basis that is Property insurance covering property of others damaged from the use of elevators. 18. SUPPLEMENTARY PAYMENTS The section entitled SUPPLEMENTARY PAYMENTS—COVERAGES A AND B is amended as follows: A. Paragraph 1.b. is amended to delete the $250 limit shown for the cost of bail bonds and replace it with a $5,000. limit; and B. Paragraph 1.d. is amended N delete the limit of $250 shown for daily loss ofearnings and replace it with o $1,000. limit. 19. UNINTENTIONAL FAILURE TODISCLOSE HAZARDS If the Named Insured unintentionally fails N disclose all existing hazards at the inception dote of the Named Insured's Coverage Part, the Insurer will not deny coverage under this Coverage Part because of such failure. 2O. WAIVER OF SUBROGAT|ON -BLANKET Under CONDITIONS, the Transfer Of Rights Of Recovery Against Others ToUoCondition isamended Nadd the following: The Insurer waives any right of recovery the Insurer may have against any person or organization because of payments the Insurer makes for injury ordamage arising out of: 1. the Named |nmured'mongoing operations; or 2. your work included inthe prod uctm-comp|etedoperations hazard. � However, this waiver applies only when the Named Insured has agreed in writing to waive such rights of recovery in � owritten contract orwritten agreement, and only ifsuch contract oragreement: 1. isineffect orbecomes effective during the term ofthis Coverage Part; and 2. was executed prior to the bodily injury, property damage or personal and advertising injury giving rise to the claim. All other terms and conditions ofthe Policy remain unchanged. This endorsemeni, which forms o part ofand isfor attachment N the Policy issued by the designated Insurers, takes effect on the effective date of said Policy at the hour stated in said Po|icy, unless another effective date is shown below, | and expires concurrently with said Policy. | ==== CNA74879XX(1-15) Po|icyNo: 6043284498 Page 13of13 Endorsement No: 4 CONTINENTAL CASUALTY COMPANY Effective Date: 08/20/20I8 Insured Name: LEXIeOL, LLC Copyright CNA All Rights Reserved. Includes copyrighted material of Insurance Services Office,Inc.,with its permission. .0-rut THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 83 WEC BZ5648 Endorsement Number: Effective Date: 08/20/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: LEXIPOL, LLC LEXIPOL HOLDING COMPANY 2801 NETWORK BLVD STE 500 FRISCO TX 75034 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 shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE Any person or organization from whom you are required by contract or agreement to obtain this waiver from us. Endorsement is not applicable in KY, NH, NJ or for any MO construction risk Countersigned by Authorized Representative Form WC 00 03 13 Printed in U.S.A. Process Date: 08/30/18 Policy Expiration Date: 08/20/19 .0-rut THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 83 WEC BZ5648 Endorsement Number: Effective Date: 08/20/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: LEXIPOL, LLC LEXIPOL HOLDING COMPANY 2801 NETWORK BLVD STE 500 FRISCO TX 75034 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 Person or Organization Job Description Any person or organization from whom you are required by written contract or agreement to obtain this waiver of rights from us Countersigned by Authorized Representative Form WC 04 03 06 (1) Printed in U.S.A. Process Date: 08/30/18 Policy Expiration Date: 08/20/19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. TEXAS WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT Policy Number: 83 WEC BZ5648 Endorsement Number: Effective Date: 08/20/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: LEXIPOL, LLC LEXIPOL HOLDING COMPANY 2801 NETWORK BLVD STE 500 FRISCO TX 75034 This endorsement applies only to the insurance provided respect to bodily injury arising out of the operations by the policy because Texas is shown in Item 3.A. of the described in the Schedule where you are required by a Information Page. written contract to obtain this waiver from us. We have the right to recover our payments from anyone This endorsement shall not operate directly or indirectly liable for an injury covered by this policy. We will not to benefit anyone not named in the Schedule. enforce our right against the person or organization The premium for this endorsement is shown in the named in the Schedule, but this waiver applies only with Schedule. Schedule 1. ( ) Special Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: All Texas Operations 3. Premium: The premium charge for this endorsement shall be 2 percent of the premium developed on payroll in connection with work performed for the above person(s)or organization(s) arising out of the operations described. 4. Advance Premium: Form WC 42 03 04 B Printed in U.S.A. Process Date: 08/30/18 Policy Expiration Date: 08/20/19