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PROOF OF INSURANCE (2019 - 2020) CLOSEDSOUTBAY-15 KTEDFOR'D CERTIFICATE OF LIABILITY INSURANCE DATE 31(MMIDD (MMlDDlYYYY) 9 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 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 c nclorsement(s). _.. �....... PRODUCER License # 0148837 certificate does notconfer rights to a certificate holder In leu o su TACT NAME. SeaTech Insurance Agency ° Inc' Arc No Ext 310 370-5000 FAX , Ne):(310) 370-5454 dba: Pacific Unified Insurance Agency (EHOAN........_..). ......_ www .......................................... ........... 16'901 Hawthorne Blvd, Suite 200 � RISS: Lawndale, CA 90260 INSURER S AFFORDING COVERAGE NA1C # __�............... ....inl ,uBERA.:.Markel Insurance Company..............._........................................... 38970 INSURED INSURER B: Hartford Insurance Company ,_,•,•,• 38261 South Bay Children's Health Center Association, Inc. INSURER C; Center Association Inc. 410 So. Camino Real INSURER D: „— Redondo Beach, CA 90277INSURER E: INS ....... q COVERAGES CERTIFICATE NUMBER: _ITITIT____ 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 E BEEN RED CLAIMS. NSR TYPE OF INSURANCE INAD S_........•....•.• ....-..•_....• I.MCW EXP UeR' POLICY EFF PO .,YJ .......m LIMITS LTR. INAD .. ............ POLICY NUMBER f FOLIC YYVYI 0 ......... A X COMMERCIAL GENERAL LIABILITY EACH $ 1,000,000 _ � CLAIMS -MADE LI OCCUR X HUP1239-03 3/31/2019 3/31/2020 DAMAGE TO RENTS' �' .B�i�il :s.l���..vc�ur..w�rwk.__ $ � 1,000,000 _-J X SEXUAL MISCONDT-$1MM MED EXP (Anv one Person) $ 10,000 1,000,000 PERSONAL & ADV INJURY $ 3,000,ODU� GE'N1 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ X PRO -O POLICY[ LOC � PRODUCTS PR COMP/OP (3 3,000,000 JECT - AGG OTHER, $ 1 A AU-OMOBILELIABILITYAEJk..OS�'?�G0P I4N(rVl- WED SiC14" LE LIMIT N $ 1,000,000 ANY AUTO HUP1239-03 3/31/2019 3/31/2020 130DILYINJURY (Per•person),_�m�ITITITITITm•• OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident $ m X HIRED X NON -OWNED AMAGE S AUTOS ONLY AUTOS ONLY Iemmin14D $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1'000'000 EXCESS IAB �.... CLAIMS -MADE HUU1240-03 3/31/2019 3/31/2020 AGGREGATE $ 11000°000 .�......_..DED .m......„......... OX RETENTI $ 10,000 i $ _ B WORKERS COMPENSATION X PT� AND EMPLOYERS' LIABILITY X 72WECAC4JWJ 12/1/2018 12/1/2019 °fR........ --•-......•• °-•---� � 1'_ 0_00'000 ANY PROPRIETOR/PARTNERlEXECUTIVE ANY RIETOREXRTNER/? IYNN N/A I----� ACCIDENT E L. EACH ACCIDENT � _ PER OFF(Mandatory in NH) E L DISEASE - EA EMPLOYEE $ 1,000,000 un describe under 1,000,000 DESCRIPTION OPERATIONS below E L DISEASE - POLI Y LIMIT, $ m A Property HUP1239-03 3/31/2019 3/31/2020 LOC.#1/RC-POLICY ng 490,729 A General Liability HUP1239-03 3/3112019 3/31/2020 Loc. #11RC-Contents 101,981 DESCRIPTION OF OPERATIONS 1 LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) 'Medical Expense” coverage is EXCLUDED for Inmates, PATIENTS or prisoners, per form CG22521093."` :ertlficate Holder is included as Additional Insured per General Liability form MGL 1241 03 14 IE: Counseling of abused children and their families who are referred to the South Bay Youth Project. 'EE HOLDER NOTES FOR ADDITIONAL POLICY FORMS 8, CONDITIONS. :ertificate Holder Note: iEE ATTACHED ACORD 101 ........... CERTIFICATE HOLDER .................. CANCIELLATICit(•„••• SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Ci Of EI Segundo CDBG Grant City 9 ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Tina Gall 350 Main Street - EI Segundo, CA 90245 AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID:RD SOUTBAY15 KTEDF LOC #: 1 ACORD" ADDITIONAL REMARKS SCHEDULE I Page .._�.� °f .....1 ..... AGENCY License # 0148837 NAMED INSURED SouPOLICY NUMBER Agency, Inc. Centh B s ociatio n'I Health Center ASSOCIdtIOn, Inc. . __......._........,...mm __ _— Center Camino Re Inc. SeaTech Insurance410 So. Camino Real Redondo Beach, CA 90277 3EE PAGE 1 ......................................... _.. .......... . CARRIER NAIC CODE 3EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 -- ADDITIONAL REMARKS ............ THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ,.A99R9-25 FORM TITLE: Certificate of Liatalllt Insurance. ....... ...... ........... .. _._......a. Description of Operations/Locations/Vehicles: "Increased "Rented Premises" and "Medical Expense" coverage limits per the commercial general liability plus extension endorsement form#MGL242(03/14). "Medical Expense" coverage is EXCLUDED for inmates, PATIENTS or prisoners, perform CG 22 52 (10/93)."' Workers Compensation policy includes blanket waiver of subrogation per form WC 04 03 06 ............. ......................... ................ ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IIICOMMERCIAL GENERAL LIABILITY M W Markel Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ENHANCEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following coverages and extensions are added to this policy as detailed below. As respects any coverage provided by this endorsement, if higher limits are provided on any other schedule, declarations or endorsement attached to this policy, then the limits and coverage provided by this endorsement would not apply for that coverage. SCHEDULE Extended Property Damage — Expected Or Intended Injury Included Non -Owned Watercraft Increased To 51 Feet Long Non -Owned Aircraft If Rented Or Loaned With A Paid Crew Property Damage To Borrowed Equipment $10,000 Each Occurrence Property Damage To Customers' Goods $10,000 Each Occurrence Damage To Premises Rented To You Equal To The General Liability Each Occurrence Limit Property Damage From Elevator Use Included Personal And Advertising Injury From Televised Or Videotaped Material Included Supplementary Payments Bail Bonds Up To $2,500 Loss Of Earnings Up To $300 A Day Medical Personnel $100,000 Any One Person Broadened Definition Of Insured Included Automatic Additional Insureds Managers Or Lessors Of Premises Included Vendors Included Medical Payments $10,000 Any One Person (Unless Excluded) Each Location And Each Project Aggregates Equal To The General Aggregate Limit Duties In The Event Of Occurrence, Offense, Claim Or Suit Included Unintentional Failure To Disclose All Hazards Included Waiver Of Transfer Of Rights Of Recovery Against Others To Us Included Liberalization Included Mental Anguish Resulting From Bodily Injury Included Broadened Definition Of Mobile Equipment Included MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 1 of 8 Inc., with its permission. A. EXTENDED PROPERTY DAMAGE — EXPECTED OR INTENDED INJURY Exclusion 2.a. Expected Or Intended Injury under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. B. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT Exclusion 2.g. Aircraft, Auto Or Watercraft under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability is amended as follows: 1. Paragraph (2) is replaced by the following: (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons or property for a charge; 2. The following is added: (6) "Bodily injury" or "property damage" arising out of any aircraft not owned by any insured that is rented or loaned to you with a paid crew. If other insurance applies to a loss because of 'property damage' to non -owned watercraft or aircraft as described in Paragraphs (2) or (6) above, the insurance provided by this Coverage Form does not apply, whether the other insurance is primary, excess, contingent or issued on any other basis. C. PROPERTY DAMAGE TO BORROWED EQUIPMENT 1. The following is added to Exclusion 2.j. Damage To Property under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability: Paragraph (4) of this exclusion does not apply to "property damage" to borrowed equipment while that equipment is: a. Not being used to perform operations; and b. Away from an insured's premises. 2. The following is added to Section III — Limits Of Insurance: Subject to the General Aggregate Limit, the most we will pay for "property damage" to borrowed equipment is the amount shown in the Schedule of this endorsement for each "occurrence". 3. The insurance afforded by Paragraph 1. above is excess over any valid and collectible property insurance (including any deductible) available to the insured, whether primary, excess, contingent or issued on any other basis. D. PROPERTY DAMAGE TO CUSTOMERS' GOODS 1. The following is added to Exclusion 2.j. Damage To Property under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability: Paragraphs (3), (4) and (6) of this exclusion do not apply to "property damage" to "customers' goods" while on your premises. 2. The following is added to Section III — Limits Of Insurance: Subject to the General Aggregate limit, the most we will pay for "property damage" to "customers' goods" is the amount shown in the Schedule of this endorsement for each "occurrence". 3. The insurance afforded by Paragraph 1. above is excess over any valid and collectible property insurance (including any deductible) available to the insured, whether primary, excess, contingent or issued on any other basis. MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 2 of 8 Inc., with its permission. 4. The following definition is added: "Customers' goods" means tangible personal property belonging to your customers and left with you for storage, service or repair. "Customers' goods" does not include: a. Accounts, bills, currency, deeds, food stamps or other evidences of debt, money, notes or securities. Lottery tickets held for sale are not securities; b. Animals; c. Contraband, or property in the course of illegal transportation or trade; d. Personal property while airborne or waterborne; e. Property that is covered under another coverage form of this or any other policy in which it is more specifically described, except for the excess of the amount due (whether you can collect on it or not) from that other insurance; f. Vehicles or self-propelled machines that are licensed for use on public roads; aircraft; or watercraft; This paragraph does not apply to: (1) Vehicles or self-propelled machines, other than "autos", you hold for sale; or (2) Rowboats or canoes out of water at your premises; or g. The following property while outside of buildings: (1) Grain, hay, straw or other crops; and (2) Fences, radio or television antennas (including satellite dishes) and their lead-in wiring, masts or towers, trees, shrubs or plants (other than trees, shrubs or plants held for sale). E. DAMAGE TO PREMISES RENTED TO YOU The following applies only if Damage To Premises Rented To You is not excluded from the policy to which this endorsement is attached: 1. The first paragraph following Paragraph (6) of Exclusion 2.j. Damage To Property under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III — Limits Of Insurance. 2. The final paragraph of Paragraph 2. Exclusions under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance. 3. Paragraph 6. under Section III — Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the most we will pay under Coverage A for damages because of "property damage" to any one premises while rented to you, or in the case of damage by fire, lightning, explosion, smoke or sprinkler leakage, while rented to you or temporarily occupied by you with permission of the owner, is equal to the Each Occurrence limit shown in the Declarations. 4. Paragraph 4.b.(1)(a)(ii) under Section IV - Commercial General Liability Conditions is replaced by the following: (ii) That is fire, lightning, explosion, smoke or sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner; S. Paragraph a. of Definition 9. "insured contract" is replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 3 of 8 Inc., with its permission. F. PROPERTY DAMAGE FROM ELEVATOR USE 1. The following is added to Exclusion 2.j. Damage To Property under Section I — Coverages, Coverage A — Bodily Injury And Property Damage Liability: Paragraphs (3), (4) and (6) of this exclusion do not apply if such "property damage" arises out of the use of elevators at premises you own, rent, lease or occupy. 2. The insurance afforded by Paragraph 1. above is excess over any other valid and collectible insurance which applies to a loss because of "property damage" arising out of the use of elevators, whether such other insurance is primary, excess, contingent or issued on any other basis. G. PERSONAL AND ADVERTISING INJURY FROM TELEVISED OR VIDEOTAPED MATERIAL 1. Exclusions 2.b. and 2.c. under Section I — Coverages, Coverage B — Personal And Advertising Injury Liability are replaced by the following: b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral, written or professionally produced televised or videotaped publication, in any manner, of material, if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of oral, written or professionally produced televised or videotaped publication, in any manner, of material whose first publication took place before the beginning of the policy period. 2. Paragraphs d. and e. of the definition of "personal and advertising injury" are replaced by the following: d. Oral, written or professionally produced televised or videotaped publication, in any manner, of material that slanders or libels a person or organization, or disparages a person's or organization's goods, products or services; e. Oral, written or professionally produced televised or videotaped publication, in any manner, of material that violates a person's right to privacy; H. SUPPLEMENTARY PAYMENTS — BAIL BONDS AND LOSS OF EARNINGS Paragraphs 1.b. and 1.d. under Section I — Coverages, Supplementary Payments — Coverages A And B are replaced by the following: b. Up to the amount shown in the Schedule of this endorsement for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which Bodily Injury Liability Coverage applies. We do not have to furnish these bonds; d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to the amount shown in the Schedule of this endorsement because of time off from work; I. MEDICAL PERSONNEL The following applies only if no other similar coverage is included on or added to the policy to which this endorsement is attached: 1. Paragraph 2.a.(1)(d) under Section II — Who Is An Insured does not apply to any registered nurse, licensed practical nurse, certified emergency medical technician or certified paramedic who is employed by you to provide professional health care services, but only while acting within the scope and course of their duties as such. 2. The following is added to Section III — Limits Of Insurance: Subject to the General Aggregate limit, the most we will pay under Medical Personnel Coverage is the amount shown in the Schedule of this endorsement for all loss sustained by any one person from professional health services. J. BROADENED DEFINITION OF INSURED Section II — Who Is An Insured is amended as follows: MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 4 of 8 Inc., with its permission. 1. The following is added to Paragraph 2.a.: Paragraph (1) does not apply to managers at the supervisory level or above. 2. Paragraph 2. is amended to include the following as insureds: Any legally incorporated entity of which you own at least 51% of the voting stock on the inception date of this Coverage Form and on the date of any covered "occurrence", claim or "suit". This insurance shall not apply to any entity that is already insured under any other insurance provided by any company or that would be an insured but for the exhaustion of its limits of insurance. 3. Paragraph 3.a. is replaced by the following: a. Coverage for your newly acquired or formed organization shall be: (1) Effective on the date of acquisition or formation; and (2) Afforded until the end of the policy period of this Coverage Form. K. AUTOMATIC ADDITIONAL INSUREDS The following paragraphs are added to Section II —Who Is An Insured: 1. The following are also insureds under this policy, subject to the following provisions: a. Managers Or Lessors Of Premises Any person or organization who leases to you or manages property you rent or lease, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf in connection with that part of the premises leased or rented to you and shown on the Declarations. The following additional exclusions apply to such managers or lessors of premises: This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organization(s) who leases to you or manages property you rent or lease. b. Vendors Any vendor with whom you have agreed in a written contract or agreement to provide insurance, but only if the contract or agreement is in effect during the policy period shown in the Declarations and was executed prior to the "bodily injury" or "property damage", and only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business. (1) The following additional exclusions apply to such vendors: This insurance does not apply to: (a) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (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 such inspections, adjustments, tests or servicing as the vendor 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 vendor's premises in connection with the sale of the product; MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 5 of 8 Inc., with its permission. (g) Products which, after distributionmsale byyou, have been labeled or relabeled or used as container, part or ingredient of any other thing or substance by or for the vendor; (h) Any failure Um maintain the product inm merchantable condition; or (/) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor 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: <# The exceptions contained insubparagraphs (d)or(f);or UU Such inspections, adjuebnants, tests or servicing as the vendor has agreed to make ornormally undertakes to make in the usual course ofbusiness, in connection with the distribution orsale of the products. (2) This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, part or container entering into, accompanying or containing such products. (3) This insurance does not apply boany vendor included as an insured by an endorsement issued by um or otherwise made a part of this insurance. (4) This insurance does not apply if "bodily injury" or "property damage" included in the "prod ucts-completed operations hazard" is excluded either by the provisions of this insurance or by endorsement. 2. The insurance provided to such automatic additional insureds: a. Only applies to the extent permitted bylaw; and b. Will not be broader than that which you are required by the contract oragreement ho provide for such additional insureds. 3. With respect tothe insurance afforded tosuch automatic additional insureds, the following is added toSection III — Limits Of Insurance: If coverage provided to the additional insured he required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a. Required bythe contract oragreement; or b. Available under the applicable limits of insurance shown in the Declarations, whichever is less. The insurance afforded to the additional insured does not increase the applicable limits of insurance shown in the L MEDICAL PAYMENTS The following applies only if Medical Payments Coverage is not excluded from the policy to which this endorsement is Paragraph 7. under Section III—UmitsCf|nsurance isreplaced by the following: 7. Subject to Paragraph Si above the Medical Expense |knd is equal to the Medical Expense limit stated in the Declarations or the amount shown in the Schedule of this endorsement, whichever is greater, and iothe most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. M. EACH LOCATION AND EACH PROJECT AGGREGATES ThefoUowing}maddedboSectionMI—L/mds Of Insurance: I. For all sums which the insured becomes legally obligated to pay as damages caused by ^000unenneo^ under Coverage A.and for all medical expenses caused bvaccidents under Coverage C.which can beattributed only to operations at a single designated covered "location" or covered construction project: o' A separate Each Location or Each Project Aggregate limit applies to each covered ^|uoaUun^ or covered construction project, and that limit is equal to the General Aggregate limit shown in the Declarations. KKG1L12410314 includes copyrighted material ofInsurance Services Office, Page 6nf8 b. The Each Location or Each Project Aggregate limit is the most we will pay for the sum of all damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard", and for medical expenses under Coverage C, regardless of the number of: (1) Insureds; (2) Claims made or "suits" brought; or (3) Persons or organizations making claims or bringing "suits". c. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Each Location or Each Project Aggregate limit for each covered "location" or covered project for which payment is made. Such payments shall not reduce the General Aggregate limit shown in the Declarations nor shall they reduce any other covered "location" or covered project's general aggregate. d. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate limit shown in the Declarations, such limits will be subject to the applicable Each Location or Each Project Aggregate limit. 2. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Coverage A, and for all medical expenses caused by accidents under Coverage C, which cannot be attributed only to ongoing operations at a covered "location" or covered project: a. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate limit or the Products -Completed Operations Aggregate limit, whichever is applicable; and b. Such payments shall not reduce any Each Location or Each Project Aggregate limit. 3. When coverage for liability arising out of the "products -completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Aggregate limit, and not reduce the General Aggregate limit nor the Each Location or Each Project Aggregate limit. 4. If the applicable covered construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. 5. For the purposes of this section of this endorsement, "location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad. 6. The provisions of Section III — Limits Of Insurance not otherwise modified by this endorsement shall continue to apply as stipulated. N. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit under Section IV — Commercial General Liability Conditions: Your obligation to notify us as soon as practicable of an "occurrence", offense, claim or "suit" is satisfied if you send us written notice as soon as practicable after any of your "executive officers", directors, partners, insurance managers or legal representatives become aware of or should have become aware of such "occurrence", offense, claim or "suit". O. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Condition 6. Representations under Section IV — Commercial General Liability Conditions: If you unintentionally fail to disclose all hazards prior to the beginning of the policy period of the Coverage Form, we shall not deny coverage under this Coverage Form because of such failure. P. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to Condition B. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: MGL 1241 03 14 Includes copyrighted material of Insurance Services Office, Page 7 of 8 Inc., with its permission. We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization with whom you have agreed in a written contract prior to an "occurrence" to waive such rights. Q. LIBERALIZATION The following is added to Section IV — Commercial General Liability Conditions: Liberalization Clause If we adopt any revision that would broaden coverage under this Coverage Form without additional premium, the broadened coverage will immediately apply to this Coverage Form as of the day the revision is effective in your state. R. MENTAL ANGUISH RESULTING FROM BODILY INJURY Definition 3. "bodily injury" is replaced by the following: 3. "Bodily injury" means: a. Bodily injury, sickness or disease sustained by a person, including mental anguish or emotional distress resulting from any of these; and b. Death resulting from bodily injury, sickness or disease. S. BROADENED DEFINITION OF MOBILE EQUIPMENT The following is added to Paragraph f.(1) of Definition 12. "mobile equipment": This shall not apply to self-propelled vehicles of less than 1,000 pounds gross vehicle weight. All other terms and conditions remain unchanged. MGL 124103 14 Includes copyrighted material of Insurance Services Office, Page 8 of 8 Inc., with its permission. POLICY NUMBER: HUP1239-03 COMMERCIAL GENERAL LIABILITY CG 22 52 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION - MEDICAL PAYMENTS COVERAGE (INMATES, PATIENTS OR PRISONERS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Health Care Facilities Mission, Settlement or Halfway Houses Penal Institutions The following exclusions are added to paragraph 2., Exclusions of COVERAGE C — MEDICAL PAYMENTS (Sec- tion I — Coverages): We will not pay expenses for: 1. "Bodily injury" to any inmate, patient or prisoner who is being treated, cared for, detained or imprisoned in any of the facilities shown in the Schedule. 2. Medical services rendered to anyone by you or your "employees" or any person or organization under contract with you to provide these medical services. CG 22 52 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA Policy Number: 72 WEC AC4JWJ Endorsement Number: Effective Date: 12/01/18 Effective hour is the same as stated on the Information Page of the policy. Named Insured and Address: South Bay Children's Health Center Association Inc 410 CAMINO REAL REDONDO BEACH CA 90277 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: 12/03/18 Policy Expiration Date: 12/01/19