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PROOF OF INSURANCE (2019 - 2019) CLOSED M-1 page 2 of 14 Client#: 1255108 305A1 ENT ACORDT. CERTIFICATE OF LIABILITY INSURANCEDATE(MWDD/YYYY) 11/29/2018 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(les)must have ADDITIONAL INSURED pro IT visions 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER eo"TACTA'ME,'. Allie Mosier N of Orange County ervlces Xam sle�@b andt.co NW)' 16 714 77-297-11 ADDAEss, 2400 E Katella Ave Suite 1100 INSURER(S)AFFORDING COVERAGE NAIC# Anaheim, CA 92606 ' INSURER A:�n�River iure P ny j 2203 INSURED A-1 Enterprises Inc.InC. INSURER B.__cvpreeslneurenceComPanvfcAI 110855 .... D:NWI—Id.ln�. 125453 INSURER dba A-1 Fence Company an��ee,A�I� 2831 E. La Cresta Ave. Anaheim, CA 92806 INSURER E: INSURER F: 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 CONTRACTOR 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 pC��LAIMS. L_TRTYPE OF INSURANCE INSR WVP POLICY NUMBER MMIDIrYYF �.,fLVV1yYE'Y.Y, . NSR ADDL'tGBR POLL O I ) ( ) EACH OCCURRENCE LIMITS 0002027212 12/01/2018 12/01/2019, COMMERCIAL GENERAL LIABILITY $1,000,000 A ---X . .J 0 RENTED DAMAGE TOR D I, (Ea,occurrence) $50,000,,, CLAIMS-MADE X OCCUR PREMISES , SKI BUPDDed:5,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $17000,000—_ GEN'L AGGREGATE LIMIT APPLIES� PER: GENERAL AGGREGATE $2,000,000 PRO ' • POLICY I'X.l JECT LOCPRODUCT 5 COMP/OP AGG 1 62,000,000 OTH C.. 1 e LE LIABILITY ACPBAZ3007924950 08/29/2018 08/29/2019.4 MMN D 'BNLILC LIPAIT $1 000 AUTOMO $ 7000 X ANY AUTO I BODILY INJURY(Per person) Is .. OWNED AUTOS (, „$ X AUTOS ONLY BODILY ) nt) $ AUTOS ONLY „X AUTOS ONELDY 0901'4TY DAMAGEaccide $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE „ ..,...., , - AGG..REG ATE ... ,...,,S R O $ XrPER 10TH-B WORKERS COMPENSATION AOWC919638 1/01/201$ 01/01/2019 AND EMPLOYERIAILIT YlPSTA U E EH ANRIETOR/PART ERIEXECUTIVEE.LtEACHACCIDENT $ 1,000,00... 0 OFFICER/MEMBEREXCLDN/A If es,(Mandatony In under DESCRIPTION OF OP L ��� EASE-EA EMPLOYEE $1,000,000 In ER _ EASE-POLICY LIMIT $ 700 ,1 0,000 . OOPERATIONS below . ...., ...., .,,. . „ ., E L.DIS- DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: On Call Fence Repair Services on City-Owned Facilities(All Operations) City of EI Segundo, its officials,officers,agents and employees are named as additional insured as respects general and auto liability,this insurance is primary and noncontributory with any other insurance of the additional insured; waiver of subrogation applies as respects workers compensation as required by written contract, per endorsements attached. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION City of EI Segundo SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works Department ACCORDANCE WITH THE POLICY PROVISIONS. 350 Main Street EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ®1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) 1 of 2 The ACORD name and logo are registered marks of ACORD 633 #S22448374/M22448004 ACMOS page 3 of 14 _._ DESCRIPTIONS (Continued from Page 1 Should any policy be cancelled before the expiration date, BB&T Insurance Services will mail 30(thirty) days written notice to the certificate holders which require such action per written contract or agreement, except 10 days notice of cancellation for non-payment of premium. I SAG RTA 25.3(2016103) 2 of 2 #S22448374/M22448004 634 page 4 of 14 Policy No.: ACPBAZ3007924950 COMMERCIAL AUTO AC 70 05 03 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION GOLD This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds—Nonowned Autos D. Additional Insured by Contract, Permit or Agreement, E. Supplementary Payments—Bail Bonds F. Supplementary Payments—Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee—Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos—Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts—Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense—Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W Section IV— Business Auto Conditions—Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 7 with its permission 635 page 5 of 14 f COMMERCIAL AUTO AC 70 05 03 16 A. EFFECT OF THIS ENDORSEMENT If specifically required by the written contract or Coverage provided under this policy is modified agreement referenced in the paragraph above, by the provisions of this endorsement. If there any coverage provided by this endorsement to is any c onflict between t he pr ovisions o f this an additional insured shall be primary and endorsement and the provision(s) of any state- any other valid and collectible insurance avail- specific endorsement also attached to this poli- able to the additional insured shall be non- cy, then the provision(s) of the state-specific contributory with this insurance. If the written endorsement shall appl y i nstead o f t he pr ovi- contract does not require this coverage to be sions o f this endo rsement t hat a re i n conflict, primary and the additional insured's coverage to but only to the extent of the conflict, and only to be non-contributory, then this insurance will be the a xtent necessary t o br ing such p rovisions excess over any other valid and collectible insur- into conformance with the state requirement(s) ance available to the additional insured. contained in the provision(s)of the state-specific endorsement. E. SUPPLEMENTARY P AYMENTS — BAIL B. NEWLY ACQUIRED OR FORMED ENTITIES BONDS The Named Insured shown in the Declarations is Supplementary Payments of SECTION II — amended to include any organization you newly COVERED AUTOS L IABILITY C OVERAGE is acquire or f orm, of her t han a par tnership,j oint revised as follows: venture, or I imited I iability company, a nd o ver (2) Up to $2,500 for cost of bail bonds (including which you maintain ownership or majority (more bonds for related traffic law violations) than 50%) interest; if there is no other similar in- required because of an "accident" we cover. surance available to that organization. Coverage We do not have to furnish these bonds. under t his provision is of forded un til the 180th F. SUPPLEMENTARY PAYMENTS — LOSS OF day after you acquire or form the organization or EARNINGS the end of the policy period, whichever is later. C. EMPLOYEES AS I NSUREDS — NONOWNED Supplementary Payments of the SECTION II — AUTOS COVERED AUTOS L IABILITY C OVERAGE is revised as follows: The following is added to paragraph A.1. Who Is (4) All reasonable expenses incurred by the "in- An Insured of SECTION II —COVERED AUTOS sured"at o ur request, including actual I oss LIABILITY COVERAGE: of ear nings u p t o$50 0 a da y because of d. Any "employee" of yours i s an " insured" time off from work while using a covered "auto" you don't own, G. PERSONAL EFFECTS AND PROPERTY OF hire or borrow in your business or your per- OTHERS EXTENSION sonal affairs. 1. The. Care, Custody or Control Exclusion of D. ADDITIONAL INSURED BY CONTRACT, SECTION II — COVERED A UTOS PERMIT OR AGREEMENT LIABILITY COVERAGE, does not apply to The following is added to A.1. Who Is An In- "property d amage"t o pr operty, o ther t han sured of SECTION II — COVERED AU TOS your property, up to an amount not exceed- LIABILITY COVERAGE: ing $250 in any one "accident". Coverage Any person or organization that you are re- is excess over any other valid and collectible quired to name as an additional insured in a insurance. written contract or agreement that is executed 2. The following paragraph is added to A.4.. or signed by you prior to a "bodily injury" or Coverage E xtensions of SECTION III — .,property damage" occurrence is an "insured" PHYSICAL DAMAGE COVERAGE: for Covered Auto Liability coverage. How- c, We will pay up to $500 for your property ever, with respect to covered "autos", such that i s I ost or dam aged as a r esult of a person or organization is an insured only to covered " loss", without ap plying a de- the extent that person or organization qualifies ductible. Coverage is excess over any as an "insured" under A.1. Who is an Insured of other valid and collectible insurance. SECTION II — COVERED AU TOS LIABILITY COVERAGE: Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc. AC 70 05 03 16 with its permission 636 page 6 of 14 COMMERCIAL AUTO AC 70 05 03 16 H. PREJUDGMENT INTEREST COVERAGE substitute for a covered "auto" you own that The following paragraph is added to SECTION II is out of service because of its: — COVERED AUTOS L IABILITY COVERAGE, a. Breakdown; 2. C overage Extensions, a . Supplementary b. Repair; Payments: c. Servicing; (7) Prejudgment interest awarded against the "insured" on that part of the judgment we d. "Loss"; or pay. If we make an offer to pay the appli- e. Destruction cable limit of insurance, we will not pay The coverage t hat applies i s t he same as any prejudgment interest based on that the coverage provided for the vehicle being period of time after the offer. replaced. I. FELLOW EM PLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS L. EXPANDED TOWING COVERAGE The Fellow Employee Exclusion in SECTION I 1 1. We will pay up to: —COVERED AUTOS LIABILITY COVERAGE is replaced as follows; a. $100 f or a c overed "auto" you o wn of the private passenger type, or A. "Bodily i njury"t o an y f ellow "employee" of b. $500 for a covered "auto" you own that the "insured" arising out of and in the course of the fellow "employee's" employment or is not of the private passenger type, while per forming dut ies r elated t o t he c on- for towing and labor c osts incurred eac h duct of your business. This exclusion does time the covered "auto" is disabled. Howev- not ap ply t o an " insured" w ho oc cupies a er, the labor must be performed at the place position as an officer, manager, or s upervi- of disablement. sor. 2. This c overage ap plies on ly f or an " auto" J. HIRED AUTO PHYSICAL DAMAGE covered on this policy for Comprehensive or If covered "auto"designation symbols 1 or 8 ap- Specified C auses of Los s C overage an d ply to Liability Coverage and if at least one "au- Collision Coverages. to" you own i s covered b y t his p olicy for C om- 3. Payment applies in addition to the otherwise prehensive, Specified C auses of Loss, or Colli- applicable amount of eac h c overage you sion c overages,t hen the P hysical D amage have on a covered"auto". coverages provided are extended to "autos" you M. AUTO LOAN OR LEASE COVERAGE lease, hire, rent or borrow without a dr Iver; and 1. In th e e vent of a t otal "loss"t o a covered provisions in the Business Auto Coverage Form "auto", we will pay any unpaid amount due applicable to Hired Auto Physical Damage apply on the loan or lease, including up to a max- up to a limit of$100,000. The deductible will be imum of$500 for early termination fees or equal to the largest deductible applicable to any penalties, for your covered "auto" less: owned"auto"f or t hat c overage. Any C ompre- ve deductible d oes not a pply t o f ire or a. The a mount pa id u nder SECTION III — hensi ensiPHYSICAL DAMAGE C OVERAGE of lightning. K. TEMPORARY SU BSTITUTE AUTOS — this policy; and PHYSICAL DAMAGE COVERAGE b. Any: The following is added to paragraph C. Certain 1) Overdue lease/loan payments at the Trailers, Mob ile Equipment A nd T emporary time of the"loss"; Substitute Autos of SECTION I - COVERED 2) Financial penalties imposed under a AUTOS: lease f or ex cessive us e, abnormal If Physical Damage Coverage is provided by wear and tear or high mileage; this C overage F orm, t he f ollowing t ypes of 3) Security deposits not refunded by a vehicles are also covered "autos" for Physi- lessor; cal Damage Coverage: 4) Costs of extended warranties, Credit Any "auto" you do not own while used with Life insurance, Health, Accident, or the permission of its owner as a t emporary Disability insurance purchased with the lease; and AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 7 with its permission 637 page 7 of 14 COMMERCIAL AUTO AC 70 05 03 16 5) Carry-over ba lances f rom pr evious No deductible applies to glass if the glass is re- leases. paired, in a manner acceptable to us, rather than 2. This coverage only applies to a "loss" which replaced. is al so c overed and er t his pol icy f or Com- P. RENTAL REIMBURSEMENT COVERAGE prehensive, Specified Causes of Loss, or 1, This coverage applies only to a covered "au- Collision coverage. to"for which Physical Damage Coverage is 3. Coverage d oes n of apply to a ny unpaid provided on this policy. amount due on a loan for which the covered 2. We will pay for rental reimbursement ex- "auto" is not the sole collateral. penses incurred by you for the rental of an N. ORIGINAL EQUIPMENT MANUFACTURER "auto" because of"loss"to a covered"auto". PARTS — LEASED PR IVATE P ASSENGER Payment applies in addition to the otherwise TYPES applicable amount of eac h c overage you Under Paragraph C. Limit of Insurance of have on a c overed"auto." N o ded uctibles SECTION III — PHYSICAL DAMAGE apply to this coverage. COVERAGE, Section 4 is added as follows: 3. We will pay only for those expenses incurred 4. We will use new original equipment vehicle during the policy period beginning 24 ho urs manufacturer parts for any private p assen- after the"loss"and ending, regardless of the ger t ype c overed"auto"w here r equired b y policy's ex piration, with t he I esser of t he the lease agreement which has a term of at following number of days: least six months. If a new original eq uip- a. The num ber of da ys r easonably ment vehicle manufacturer part is not in pro- required to repair or replace the covered duction or distribution w e may us e a I ike, "auto". I f"loss" i s c aused b y t heft, t his kind and quality replacement part. number of days is added to the number O. DEDUCTIBLE AMENDMENTS of da ys i t t akes t o I ocate t he c overed The following are added to the Deductible provi- "auto" and return it to you. sion of SECTION III — PHYSICAL DAMAGE b. The number of days shown in the COVERAGE: Schedule. If another policy or coverage form that is not an 4. Our payment i s limited to t he I esser of the automobile policy or c overage f orm i ssued b y following amounts: this company applies to the same"accident", the a. Necessary a nd ac tual ex penses following applies: incurred 1. If the deductible un der this coverage i s the b. $75 for an y on a da y or for a maximum smaller (or smallest) deductible, it will be of 30 days. waived: 5. This c overage do es not apply while t here 2. If the deductible un der t his coverage i s not are spare or reserve"autos" available to you the smaller(or smallest)deductible, it will be for your operations. reduced b y t he amount o f t he s maller(or 6. If"loss" results from the total theft of a cov- smallest)deductible. ered "auto" of t he pr ivate pas senger t ype, If a Comprehensive or Specified Causes of Loss we will pa y u nder t his c overage o my t hat Coverage "loss" from one "accident" involves amount of your rental reimbursement ex- two or m ore c overed "autos", on ly the h ighest penses which is not already provided for un- deductible applicable to those coverages will be der SECTION III — PHYSICAL DAMAGE applied to the "accident," if the cause of the loss COVERAGE Coverage Extension. is covered for those vehicles.This provision only Q. EXPANDED TRANSPORTATION EXPENSE applies if you carry Comprehensive or Specified Paragraph AA.a. of SECTION III — PHYSICAL Causes of Loss Coverage for those vehicles, DAMAGE COVERAGE is replaced by the follow- and do es not extend coverage to an y c overed "autos"f or w hich you do n of c arty s uch ing. coverage. We will pay up to $50 per day to a maximum of $1500 for temporary transportation expense i n- curred by you bec ause of t he t otal t heft of a Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 03 16 with its permission. 638 page 8 of 14 Em COMMERCIAL AUTO AC 70 05 03 16 covered "auto" of t he pr ivate p assenger t ype. ment manufacturer or other s ources i n- We w ill only pay for t hose c overed "autos"f or eluding n on-original equipment m anu- which you carry Comprehensive or Specified facturers and Causes of Loss Coverage. We will pay for tem- b. If a repair or replacement results in bet- porary t ransportation ex penses incurred dur ing ter t han like k ind or qua[ity, we will not the period beginning 24 hours after the theft and pay f or the am ount of the net i mprove- ending, r egardless of t he po licy's ex piration, ment. when the covered "auto" is returned to use or we pay for its"loss". 5. If w e offer t o pa y the actual c ash v alue of the dam aged or s tolen property, we will R. EXTRA EXPENSE—STOLEN AUTOS value auto advertising wraps, paint customi- The f olloWing paragraph i s add ed t o Coverage zation, and similar business related advertis- Extensions of SECTION III — PHYSICAL ing m odifications, in a ddition t o the actual DAMAGE COVERAGE: cash value of the property. Auto advertising c, We will pay for up to$5,000 for the expense wraps, pa int c ustomization, an d s imilar of returning a s tolen covered"auto"to you. business r elated ad vertising m odifications We w ill pa y on ly f or t hose c overed "autos" will b e valued at the c ost t o r eplace t hem for which you carry Comprehensive or Spec- with an adjustment made for depreciation ified Causes of Loss Coverage and physical condition. S. PHYSICAL DAMAGE LIMIT OF INSURANCE T. NEW VEHICLE REPLACEMENT COST Under S ECTION III — PHYSICAL DAMAGE The following is added to the Limit of Insurance COVERAGE, Paragraph C., Limit of Insurance provision of SECTION III — PHYSICAL is replaced by the following: DAMAGE COVERAGE: C. Limit Of Insurance 5. The provisions of paragraphs 1. and 3. do 1 The most we will pay f or"loss" i n an y o ne not ap ply to a c overed"auto"of the private "accident" is the lesser of: passenger type or a v ehicle w ith a gr oss vehicle w eight rating of 20, 000 pounds or a. The actual c ash v alue of t he dam aged less which is a"new vehicle." or stolen property as of the time of the In the event of a total "loss" to your new ve- "loss", or hicle to which this coverage applies, we will b. Thee ost of repairing or replacing t he pay at your option: damaged or stolen property. a. The v erifiable "new v ehicle" purchase 2. $1500 i s t he m ost we will pa y for"loss" i n price you p aid f or your d amaged v ehi- any one"accident"t o al I electronic eq uip- cle, not i ncluding any i nsurance or war- ment that reproduces, receives or transmits ranties purchased; audio, visual or da to s ignals which, at t he time of"loss", is: b. If i t i s av ailable, t he purchase price, as negotiated by us, of a "new vehicle" of a. Permanently i nstalled i n or upon the the same make, model, and equipment covered "auto" in a housing, opening or or the most similar model available, not other location t hat is n of n ormally us ed including a ny f urnishings, par ts, or by t he"auto" m anufacturer for the in- equipment not installed by the manufac- stallation of such equipment. turer or manufacturers'dealership; or. b. Removable from a permanently installed c. The market value of your dam aged v e- housing unit as described in Paragraph hicle, not i ncluding an y f urnishings, 2.a. above or i s an integral p art of t hat parts, or equ ipment not i nstalled b y t he equipment; or manufacturer or manufacturer's d ealer- c. An integral part of such equipment. ship. 3. An adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases cash value in the event of a total"loss". As used i n t his en dorsement, a "new 4. The cost of repairing or replacing may: vehicle" means an " auto"of which you are a. Be based on an estimate which includes the or iginal o wner t hat ha s not been pr evi- parts f urnished b y t he or iginal equ ip- AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 7 with its permission 639 page 9 of 14 COMMERCIAL AUTO AC 70 05 03 16 ously t itled a nd which you pur chased I ess a. Your obligation in the Duties in the Event than 365 days before the date of the"loss". of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements U. PHYSICAL D AMAGE C OVERAGE applies only when the "accident" or EXTENSIONS "loss"is known to: Under SECTION III — PHYSICAL D AMAGE (1) You, if you are an individual; COVERAGE,A . C overage, Coverage E xten- (2) A partner, if you are a partnership; sions, b. Loss of Use Expenses is replaced by (3) A member, if you are a limited liability the following: company; or b. Loss of Use Expenses (4) An executive officer or insurance For Hired Auto Physical Damage, we will manager, if you are a corporation. pay expenses for which an "insured" be- b. Your obligation in the. Duties in the Event comes legally responsible to pay for loss of of Accident, Claim, Suit or Loss Condition use of a v ehicle r ented o r hi red without a relative to providing us with documents driver, and er a written r ental c ontract or concerning a claim or "suit" will not be agreement. We w ill pay for l oss of us e e x- considered breached unless the breach penses if caused by: occurs after such claim or"suit" is known (1) Other t han c ollision if t he D eclarations to: indicate t hat C omprehensive C overage (1) You, if you are an individual; is provided for any covered"auto"; (2) A partner, if you are a partnership; (2) Specified Causes of Loss only if the (3) A member, if you are a limited Declarations indicate that Specified liability company;or Causes of Los s C overage i s pr ovided for any covered "auto"; or (4) An ex ecutive o (ricer or insurance manager, if you are a corporation. (3) Collision only if the Declarations indicate that Collision C overage i s provided for any covered "auto." X. HIRED CAR—COVERAGE TERRITORY However, t he m ost w e will pa y f or an y Item (5) of the Policy Period, Coverage Territory expenses for loss of use is $50 per day, to a General Conditions is replaced by the following: maximum of$1,500. The insurance provided (5)Anywhere in the world if a covered "auto" is by t his pr ovision i s ex cess ov er an y of her leased, hired, rented or borrowed without a collectible insurance. driver for a period of 30 days or less; and V. TRANSFER OF RIGHTS OF RECOVERY Y. EMERGENCY LOCKOUT AGAINST OTHERS TO US We will reimburse you up to$100 for reasonable The following is added to the Transfer Of Rights expense incurred for the services of a locksmith Of Recovery Against Others To Us Condition: to gain entry into your covered "auto" subject to We waive any right of recovery we may these provisions: have aga inst an y person or organization to 1. Your d oor k ey, el ectronic k ey or k ey e ntry the extent required of you by a written con- pad has b een I ost, stolen or I ocked i n your tract executed prior to any "accident" be- covered "auto" an d you are un able to enter cause of pa yments we m ake f or da mages such "auto" , or under this coverage form. 2. Your k eyless ent ry d evice bat tery dies and W. NOTICE OF AND KNOWLEDGE OF you are unable to enter such "auto" as a re- OCCURRENCE sult, SECTION IV— BUSINESS AUTO 3. Your k ey, el ectronic k ey or k ey ent ry pa d CONDITIONS, Paragraph A is amended as has been I ost or stolen and y ou ha ve follows: changed the lock to prevent an unauthorized 6. NOTICE OF AND KNOWLEDGE OF entry; and OCCURRENCE Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 03 16 with its permission. 640 • page 10 of 14 COMMERCIAL AUTO AC 70 05 03 16 4. Original copies of receipts for services of a If we cancel for any reason other than non- locksmith must be pr ovided bef ore r eim- payment of premium, we will mail or deliver bursement is payable. to the First Named Insured written notice of Z. CANCELLATION CONDITION cancellation at least 60 days before the ef- fective dat a of c ancellation.T his pr ovision Paragraph A .2. of t he C OMMON P OLICY does not apply in t hose states t hat r equire CONDITION — CANCELLATION appl ies more than 60 da ys prior notice of cancella- except as follows: tion. AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., Page 7 of 7 with its permission 641 page 11 of 14 POLICY NUMBER: 0002027212 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED PERATIO S This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Opera- Or Organization(s): tions Where required by written contract or agreement All operations of the Named Insureds. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tions) shown in the Schedule, but only with respect to liability for"bodily injury" or"property damage" caused, in whole or in part, by"your work" at the location desig- nated and described in the schedule of this endorse- ment performed for that additional insured and included in the"products-completed operations hazard". CG 20 37 07 04 C ISO Properties, Inc., 2004 Page 1 of 1 0 642 page 12 of 14 POLICY NUMBER: 0002027212 COMMERCIAL GENERAL LIABILITY CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL, INSU C' - OWNERS, LESSEES O CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organlzatlon(s): Location(s)Of Covered Operations Where required by written contract or agreement All operations of the Named Insured's. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional exclu- organization(s) shown in the Schedule, but only sions apply: with respect to liability for "bodily injury", "property This insurance does nota I to "bodily injury" or damage" or "personal and advertising injury" apply y caused, in whole or in part, by: property damage occurring after: 1. All work, including materials, parts or equip- 1. Your acts or omissions; or ment furnished in connection with such work, 2. The acts or omissions of those acting on your on the project (other than service, maintenance behalf; or repairs) to be performed by or on behalf of in the performance of your ongoing operations for the additional insured(s) at the location of the the additional insured(s) at the location(s) desig- covered operations has been completed; or nated above. 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization oth- er than another contractor or subcontractor engaged in performing operations for a prin- cipal as a part of the same project. CG 20 10 07 04 ©ISO Properties, Inc., 2004 Page 1 of 1 13 643 page 13 of 14 Policy#0002027212 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NO CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Organization(s): Blanket as required by written contract ............................. If no entry appears above,this endorsement applies to all Additional Insureds covered under this p,oticy. ............... Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US 04-10 Page 1 of 1 644 page 14 of 14 , M WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 0410B (Ed.9-14) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA BLANKET BASIS 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.) The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such remuneration. The minimum premium for this endorsement is $350. This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. SCHEDULE BLANKET WAIVER Person/Organization Blanket Waiver—Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver. Job Description Waiver Premium All CA Operations 4221.00 This endorsement changes the policy to which it is attached and Is effective on the date Issued unless otherwise stated. (The Information below Is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective 01/01/2018 Policy No. AOWC919638 Endorsement No Insured Premium$ Insurance Company Cypress Insurance Company Countersigned by WC 99 04 10B (Ed.9-14) 645