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HomeMy WebLinkAboutELECTRO CONSTRUCTION CORPCity of Santa - -1a Clerk of the Council AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes No Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. COTC Office Use Only City of Santa Ana '^ U0 02 n 2IJ Clerk of the Counu;l The agreement with4(iYY No. A-Y020-137 was completed on �31 /:)-o and final payment has been made. (LW, ame :,nmenis. Use space below if needed.) Department: lvd Mj1-L, I Phone/Ext.: Signature: ( OA— C"v-Q'Vy ) Date: -% bg L;LA i]agreementsVormsWorm- agreement termination form_goldenrod.dw INSURANCE ON'rn_: A-2020-137 WORK MAY PROCE_i) UNTIL INSURANCE .-IXPIRES 10/1/20 CLERK OF COUNCIL DATE: ( PRC5A(6) S:wt a FIRST AMENDMENT TO AGREEMENT WITH ELECTRO CONSTRUCTION CORP. -1 THIS FIRST AMENDMENT to the above -referenced Agreement is entered into on July 7, 2020, by and between Memo Construction Cgrp,, a California Corporation ("Consultant'), and the City of Santa Cn Ana, a cnatter city and mumcrpai corporation orgamzea and existing under we Constitution and laws of cli N the State of California ("City"). 0 N RECITALS A. The parties entered into Agreement No. N-2019-172 dated October 1, 2019 to provide for the purchase and installation of retrofit LED lighting at the Eddie West Stadium through On Board Financing ("OBF") with Southern California Edison ("Agreemenf'). B. The consultant has been unable to obtain the necessary parts and materials due to COVID-19. The parties therefore agree to amend the Agreement to extend the termination date from September 30, 2020 to December 31, 2020 to allow additional time to complete the services. The Parties therefore agree: 1. Section 3, TERM, is amended to extend the termination date from September 30, 2020 to December 31, 2020. 2. Except as modified by this First Amendment, all terms and conditions of the Agreement as extended shall remain in full force and effect. IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the Agreement on the date and year first written above. ATTEST Q�1_24; 1 1i DAMY G014EZ Clerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney LAURA A. ROSSINI Acting Chief Assistant City Attorney CITY OF SANTA ANA KRISTINE RIDGE City Manager CONSULTANT Mr. Rune Adam JenE CEO Electro Construction Page 10£2 RECOMMENDED FOR APPROVAL SA RUDLOFF Executive Director, Parks, Recreation and Community Services Agency [First Amendment -Agreement with Electro Construction Corp.] Page 2 of 2 nrr...... IIIia I.tK 111-IL ATE OF LIABILITY INSURANCE DATE(MM1DDNYW) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE 312019 BY CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED CERTIFICATETE THE POLICIES HOLDER. HIS 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 Bolton & Company cc C AME; 3475 E. Foothill Blvd ., Suite 100 PHONE Pasadena, CA 91107 EMAIL Nq iao f62 L79s 7000 _ a szs 5a3 z117 ADRE3Ji;_.----- ww.b0ltonCO.cOm __ INBURERIS)AFFOROING COVERAGE NAJC9 0008309 INSURER A: Zurich American Insurance Company -INSURED �, 16535 EleCtro Construction Corp. INsunER e: Travelers Property Casualty Co of Amer _ 25674 2225 North Windsor Avenue 9100 Altadena CA 9100INSuERrsc: TokiO Marine Specialty Insurance Company_ 23850 1 INSURE0.D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 51636441 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. MR Ap SUB LTR TYPE OF INSURANCE INSDIinvo POLICY EFf POLICY E%P POLICY NUMBER M DpM'Yy MMIDO LIMITS A ✓ COMMERCIAL GENERA. ✓ ✓ GL 4426516-00 10/1/2019 10/12020 CLAIMS -MADE ✓,OCCUR EACH OCCURRENCE $1000000 - PREMISES Ea acc mfiw S100000 MED EXP (Any one person $ 5 000 PERSONALBADVINJURY $1000000 GENt AGGREGATE LIMIT APPLIES PER: ',GENERAL AGGREGATE $2,000,000 POLICY jECT LOC I OTHER: PROOUCTS_COMP/OPAGG $2000,000 A AUTOMOSILELIASILITY S BAP 4426517-00 10/1/2019 1O/1/2020 COMBINamaaED SINGLE LIMIT ✓ 1 My quTo Ea n S 1 000 000 -{ BODILY INJURY Per OWNED SCHEDULED L. ( P°"1O^7 $ AUTOS ONLY AUTOS BODILY INJURY (Per aoc,o nl) $ --- AUTO NON-OWNEDSLY AUTOS ONLY ,_-: AUTOONLY L per, aori eryrlOAMAGE $ -----' I _ B / UMBRELLALIAB ✓ S occuR ZUP-51 M428B2-19-NF 10/1/2019 1011 /2020 EACHOCCURRENCE EXCESS LITgB_ _ I CLAIMS $8000000 I -IMDE j---- OED ✓ RETENTION 51 O,000 r'AGGREGATE $8000000 A WORKERS COMPENSADON WC 4426515-00 $ AND EMPLOYERS' LIABILITY YIN 10/1/2019 10/1/2020 ,/ STA STATUTE OTH. ANYPROPRIETOR:PARTNER�EXECUTIVEER OFFICERIMEMBEREXCLUDED9 ❑V N/A E.L. EACH Accinew $1000000 (menae.0 In NMI If yes, describe under E.L. DISEASE -EA EMPLOYE $ 0E tessioON OFO ling, SIR below I E.L.OISEASE-POUCYLIMIT S1000000 C (Professional Liability, SIR R $100 PPK2042448 10/1l2019 10/1/2020 Limit: $1,000,000; Aggregate: $2,000,000 C Contract Pollution Liab, SIR $10000 PPK2042448 10/1/2019 10l1/2020 Limit: $1,000,000; Aggregate: $2,00,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may 1. attached 11 more space a required) OGL Waiver of L Blanket Additional Insured & Primary and Non Contributory apply per UGL1175FCW0413 attached, only if required by written contract/agreement. Re: ECC 419 Ou City of Santation a Iies per A a, Lighting Retrofit attStadiium. Additional nsured(sice of j City Cancellation SantaaAnag Risk Managemenntt,, i s Offica , mp ogees had. agents, representatives, and volunteers. PFVIFWEII K APPPOVFll City of Santa Ana Risk Management Divi 20 Civic Center Plaza Santa Ana, CA 9270 1 2019 I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS- M. LAMBERT AUTHORIZEDREPRESENTATIVE rChau Tran ACORD 25 2016/03 ©1988-2015 ACORD CORPORATION. All rights ( ) The ACORD name and logo are registered marks of ACORD 516]6991 ¢LECCON-Ci 119-20 GL. AU- Qmb, a, 2rof & Poll 18olmn Cerci,cate Processing 1 1e/3/2019 1:33:2C PR fPDTI I p%ge 1 of 9 Additional Insured — Automatic — 011 iiers, Lessees Or Contractors ZURICH Policy No. Efr. Date ofPol. Exp. Date of Pol. Efr Date of I- d Produ er No Add I P x_ _ 4426516-00 01/10/2019 01/10/202D --- 75223000 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Named Insured: Electro Construction Corp. Address (Including ZIP Code): Altade25 na CA 91001 Avenue This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II — Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising Injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf, In the performance of your ongoing operations or "your work" as included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, the insurance afforded to such additional insured: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional Insureds, the following additional exclusion applies: This Insurance does not apply to: "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or falling to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", Involved the rendering of or the failure to render any professional architectural, engineering or surveying services. 40Hq U-GL-1175-F CW (04/13) Includes copyrighted matedal of Insurance Services Office, Inc., with its permission. Page 1 of 2 536]69A3 i ¢:.ECWN_C: I :9 20 GL, AO. 'mb. WC. PZOf 6 poll 1801[On C[ILif iCete ProCeselvu n/i/in.a ..... _.. .___ Page 3 of 9 C. The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions; The additional insured must see to it that: 1. We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; 2. We receive written notice of a claim or "suit' as soon as practicable; and 3. A request for defense and Indemnity of the claim or "suit' will promptly be brought against any policy issued by another insurer under which the additional Insured may be an Insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. For the purposes of the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and It. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.15. of the Other Insurance Condition of Section IV —Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy Providing coverage for the same 'Occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that Identified additional insured. F. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the written contract or written agreement referenced in Paragraph A. of this endorsement; or 2. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms and conditions of this policy remain unchanged. IU-GL-1175-F CW (04/13) IncludeqcOPYri edmate is In urance Services office, Inc., with its permission. Page 2 of 2 51636441 P:.6CLpN-CI 19-24 GL, AJ. Oab, WC, of & poll I Bolton co.fiate Pxacesaia^ 1G/l/3019 1:33:11 PM. (_ T, 1 Page 3 of 9 POLICY NUMBER: GL 4426516-00 WAIVER OF TRANSFER OF RIGHT: AGAINST OTHERS TO This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 OF RECOVERY us Name Of Person Or Organization: ANY PERSON OR ORGANIZATION THAT REQUIRES YOU TO WAIVE YOUR RIGHTS OF RECOVERY, IN A WRITTEN CONTRACT OR AGREEMENT WITH THE NAMED INSURED THAT IS EXECUTED PRIOR TO THE ACCIDENT OR LOSS. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Condidons: We waive any right of recovery we ma have against the person or organization shown in the Schedule above 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 shown in the Schedule above. CG 24 04 05 09 U4n.1044.j Office, Inc., 2008 Page 1 of 1 ❑ 51636491 I ELECCON-C1 1 19 ]. G. AO, Urtb, NC, Prof 6 Poll I Bolcov Cezxifica[e ?_Cc SB,: ]{ 0N19 :: 1]:21 PM ;PD, 1 � Page 4 of 9 GL 4426516-00 IL 02 70 09 12 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE BEAD IT CAREFULLY. CALIFORNIA CHANGES - CANCELLATION AND N®NRENEWAL This endorsement modifies insurance provided under the following: CAPITAL ASSETS PROGRAM (OUTPUT POLICY) COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART COMMERCIAL GENERAL LIABILITY COVERAGE PART COMMERCIAL INLAND MARINE COVERAGE PART COMMERCIAL PROPERTY COVERAGE PART CRIME AND FIDELITY COVERAGE PART EMPLOYMENT -RELATED PRACTICES LIABILITY COVERAGE PART EQUIPMENT BREAKDOWN COVERAGE PART FARM COVERAGE PART LIQUOR LIABILITY COVERAGE PART MEDICAL PROFESSIONAL LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART A. Paragraphs 2. and 3, of the Cancellation Common Policy Condition are replaced by the 3. All Policies In Effect For More Than 60 Days following: a. If this policy has been in effect for more 2. All Policies In Effect For 60 Days s Or Less than 60 days, or is a renewal of a policy we If this policy has been in effect for 60 days or issued, we may cancel this policy only upon the occurrence, after the effective date of less, and is not a renewal of a policy we have the policy, of one or more of the following: previously issued, we may cancel this policy by mailing or delivering to the first Named insured, (1) Nonpayment of premium, including at thle mailing address shown in the policy, and payment due on a prior policy we issued and due during the current term to tproducer of record; advance written notice of cancellation, stating the reason for policy covering the same risks. cancellation, at least: (2) Discovery of fraud or material a. 10 days before the effective date of misrepresentation by: cancellation if we cancel for: (a) Any insured or his or her (1) Nonpayment of premium; or representative in obtaining this (2) Discovery of fraud by: insurance; or (a) Any insured or his or her (b) You or your representative in pursuing a claim under this policy. representative in obtaining this Insurance; or (3) A judgment by a court or an (b) You or your representative in administrative tribunal that you have violated a California or Federal law, pursuing a claim under this policy, having as one of its necessary elements b. 30 days before the effective date of an act which materially increases any of cancellation if we cancel for any other the risks insured against. reason. IL 02 70 0912 L4sr c> OerYia 10ce, Inc., 2012 Page 1 of 4 51636{il ELEC =-C] 1 19-20 CL, AU, Omb, NC, prof & poll J Bolton Certificaxe Pxocessiro, 1a/]/2019 1:33:31 PM. (PDT) I pa, 5 of 9 (4) Discovery of willful or grossly negligent acts or omissions, or of any violations of state laws or regulations establishing safety standards, by you or your representative, which materially increase any of the risks insured against. (5) Failure by you or your representative to implement reasonable loss control requirements, agreed to by you as a condition of policy issuance, or which were conditions precedent to our use of a particular rate or rating plan, if that failure materially increases any of the risks Insured against. (6) A determination by the Commissioner of Insurance that the: (a) Loss of, or changes in, our reinsurance covering all or part of the risk would threaten our financial integrity or solvency; or (b) Continuation of the policy coverage would: (i) Place us in violation of California law or the laws of the state where we are domiciled; or (ii) Threaten our solvency. (7) A change by you or your representative in the activities or property of the commercial or industrial enterprise, which results in a materially added, increased or changed risk, unless the added, increased or changed risk is included in the policy. b. We will mail or deliver advance written notice of cancellation, stating the reason for cancellation, to the first Named Insuredat the mailing address shown in the policy, and to the producer of record, at least: (1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium or discovery of fraud; or (2) 30 days before the effective date of cancellation if we cancel for any other reason listed in Paragraph 3.a. B. The following provision is added to the Cancellation Common Policy Condition: 7. Residential Property This provision applies to coverage on real property which is used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household personal property in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Farm a. If such coverage has been in effect for 60 days or less, and is not a renewal of coverage we previously issued, we may cancel this coverage for any reason, except as provided in b. and c. below. b. We may not cancel this policy solely because the first Named Insured has: (1) Accepted an offer of earthquake coverage; or (2) Cancelled or did not renew a policy issued by the California Earthquake Authority (CEA) that included an earthquake policy premium surcharge. However, we shall cancel this policy if the first Named Insured has accepted a new or renewal policy issued by the CEA that includes an earthquake policy premium surcharge but fails to pay the earthquake Policy premium surcharge authorized by the CEA: c. We may not cancel such coverage solely because corrosive soil conditions exist on the premises. This restriction (c.) applies only it coverage Is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or {2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss —Special. Page 2 of 4 u ce s cJs qGG, Inc , 2012 IL 02 70 0912 5163644] 1 nEcc '-C': I -"" GL, AIL Job, WC, Pmf 6 Poll I Bolmrt CezCificate o_vicesaln., 1,]3 21 -v- ip T) I Page 6 of 9 C. The following is added and supersedes any provisions to the contrary: Nonrenewal 1. Subject to the provisions of Paragraphs C.2. and C.3. below, if we elect not to renew this policy, we will mail or deliver written notice, stating the reason for nonrenewal, to the first Named Insured shown in the Declarations, and to the producer of record, at least 60 days, but not more than 120 days, before the expiration or anniversary date. We will mail or deliver our notice to the first Named Insured, and to the producer of record, at the mailing address shown in the policy. 2. Residential Property This provision applies to coverage on real property used predominantly for residential purposes and consisting of not more than four dwelling units, and to coverage on tenants' household property contained in a residential unit, if such coverage is written under one of the following: Commercial Property Coverage Part Farm Coverage Part — Farm Property — Farm Dwellings, Appurtenant Structures And Household Personal Property Coverage Form a. We may elect not to renew such coverage for any reason, except as provided in b, c. and d, below. b. We will not refuse to renew such coverage solely because the first Named Insured has accepted an offer of earthquake coverage. However, the following applies only to insurers who are associate participating insurers as established by Cal. Ins. Code Section 10089.16. We may elect not to renew such coverage after the first Named Insured. has accepted an offer of earthquake coverage, if one or more of the following reasons applies: (1) The nonrenewal is based on sound underwriting principles that relate to the coverages provided by this policy and that are consistent with the approved rating plan and related documents filed with the Department of Insurance as required by existing law; (2) The Commissioner of Insurance finds that the exposure to potential losses will threaten our solvency or place us in a hazardous condition. A hazardous condition includes, but is not limited to, a condition in which we make claims payments for losses resulting from an earthquake that occurred within the Preceding two years and that required a reduction in policyholder surplus of at least 25% for payment of those claims; or (3) We have: (a) Lost or experienced a substantial reduction in the availability or scope of reinsurance coverage; or (b) Experienced a substantial increase In the premium charged for reinsurance coverage of our residential property insurance policies; and the Commissioner has approved a plan for the nonrenewals that is fair and equitable, and that is responsive to the changes in our reinsurance position. c. We will not refuse to renew such coverage solely because the first Named Insured has cancelled or did not renew a policy, issued by the California Earthquake Authority, that included an earthquake policy premium surcharge. d. We will not refuse to renew such coverage solely because corrosive soil conditions exist on the premises. This restriction (d.) applies only if coverage is subject to one of the following, which exclude loss or damage caused by or resulting from corrosive soil conditions: (1) Commercial Property Coverage Part — Causes Of Loss — Special Form; or (2) Farm Coverage Part — Causes Of Loss Form — Farm Property, Paragraph D. Covered Causes Of Loss — Special. We are not required to send notice of nonrenewal in the following situations: a. If the transfer or renewal of a policy, without any changes in terms, conditions or rates, is between us and a member of our insurance group. IL 02 70 09 12 ce Servvillo co, Inc., 2012 Page 3 of 4 5163644= 1 BLeCCON-C I :930 G A., p WC, prof 4 Poll Bol[on Cecclf lcace Pioceealny 10/3/30:9 1:33:]1 PM (PpT} page ] of 9 b. If the policy has been extended for 90 days or less, provided that notice has been given In accordance with Paragraph C.I. c. If you have obtained replacement coverage, or if the first Named Insured has agreed, in writing, within 60 days of the termination of the policy, to obtain that coverage. d. If the policy is for a period of no more than 60 days and you are notified at the time of issuance that it will not be renewed, e. If the first Named Insured requests a change in the terms or conditions or risks covered by the policy within 60 days of the end of the policy period. f. If we have made a written offer to the first Named Insured, in accordance with the fimeframes shown In Paragraph C.f., to renew the policy under changed terms or conditions or at an increased premium rate, when the Increase exceeds 25%. Page 4 of d ncer56rJiCe3Ice, Inc., 2012 IL 02 70 09 12 Si636993 £L.=1-11 1 39-30 6L, AJUmb, WC, Pm[ s Poll 0o3[on C[n[1[iCa[e PID[eeginq "/3/3019 _;M:d3 M. iPUT� Doge 8 c[ > WC 4426515-00 WORKERS COMPENSATION AND EMPLOYERS LIABILITY IN:! TRANCE POLICY WC 0406 01 A CALIFORNIA CANCELATION ENDORSEMENT This endorsementapplies only to the insurance provided by the policy because California is shown in Item 3.A. of the information page. The cancelation condition in Part Six (Conditions) of the policy is replaced by these conditions: Cancelation I. The occurrence of a material change in the 1. You may cancel this policy. You must mail or deliv- ownership of your business; er advance written notice to us stating when the cancelation is to take effect. j• The occurrence of any change in your busi- ness or operations that materially increases the 2. We may cancel this policy for one or more of the hazard for frequency or severity of loss; following reasons: a. Non-payment of premium; b. Failure to report payroll; c. Failure to permit us toaudit payroll as required by the terms of this policy or of a previous Policy issued by us; d. Failure topay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us; e. Material misrepresentation made by you or your agent; f. Failure tocooperate with us in the investigation of a claim; g. Failure to comply with Federal or State safety orders; h. Failure to comply with written recommen- dations of our designated loss control repre- sentatives; k The occurrence of any change in your busi- ness or operation that requires additional or different classification for premium calculation; I. The occurrence of any change in your busi- ness or operation which contemplates an activ- ityexcluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in (a) through (f), we will give you 10 days advance written notice, stating when the cancel- ation is to take effect. Mailing that notice to you at your mailing address shown in item 1 of the Infor- rnationPage willbe sufficient to prove notice. If we cancel your policy for any of the reasons listed in items (g) through (q, we will give you 30 days advance written notice; however, we agree that In the event of cancelation and reissuance of a policy effective upon a material change in ownership or operations, notice will not be provided. 4. The policy period will end on the day and hour stated in the cancelation notice. t '� i1616131 iL6CCON-C_ _1-20 GL, AGr • . MC. PIOZ 6 Po11 I -a:. CeilifScaCe� ce g=: _ 10�3/20.3 t:33:2: PM. IPL�I ' Page 3 O( 3 CERTIFICATE OF LIH&,M 146M. DN: cn=Sama ha M. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONL AND CONFERS NO RIGHTS UPOII Ty'Ei`i�'fC%YE`HiJL'D'EiY'.'T!H-I�$I� CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND EUfrJMHE COVEF.AG�.� P1RWEa�StL�E3'S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONS TITU WEEN TH_ ISS&MiMbW6l4(0;0A;Ph0RfhD 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). CONTACT PRODUCER Bolton & Company NAME: Chau Tran 3475 E. Foothill Blvd., Suite 100 AICNNo Ezt: AIC No: Pasadena, CA 91107 E-MAIL _ _ www.boltonco.com 0008309 INSURER A: Zurich American Insurance INSURED INSURER B: Travelers Property Casual Electro Construction Corp. INSURER C: Tokio Marine Specialty Insu 2225 North Windsor Avenue Altadena CA 91001 INSURER D: COVERAGES CERTIFICATE NUMBER: 97R1¢Ra1 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 LTR TYPE OF INSURANCE INSD SUBR POLICYNUMBER POLICY EFF MMIDDYYYY POLICYEXP MMIDDYYYY LIMITS A �/ COMMERCIAL GENERAL LIABILITY �/ �/ GLO 4426516-01 10/1/2020 10/1/2021 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR -DAMAGE TO -RENTED PREMISES Ea occurrence) $100,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY PEP �LOC PRODUCTS -COMP(OP AGO $2,000,000 $ OTHER: A AUTOMOBILE UABIUnY ✓ BAP 4426517-01 10/1/2020 10/1/2021 COMBINED INEDISINGLE LIMIT $1,000,000 ✓ BODI LY I NJURY(Per person) $ ANY AUTO BODI LY I NJURY(Per accident) $ OWNED SCHEDULED AUTO$ONLY AUTO$ HIRED NON -OWNED AUTO$ ONLY AUTO$ ONLY PROPERTYDAMAGE Per accident $ $ B �/ UMBRELLA LIAB �/ OCCUR ZUP-51 M42882-20-NF 10/1/2020 10/1/2021 EACH OCCURRENCE $8,000,000 AGGREGATE $8,000,000 EXCESS LAB CLAIMS -MADE DED ✓ RETENTION$10,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN OFFIC RANYPROPMEMBEREXCLU ED9 ECUTIVE ] (Mandatory in NH) NIA WC 4426515-01 10/1/2020 10/1/2021 �/ TPERSTATUTE ERH E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,0Q0,Q00 If as, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 C Professional Liability, SIR $10000 PPK2184904 10/1/2020 10/1/2021 $1,000,000 per incident; $2,000,000 agg C Contract Pollution Liab, SIR $10000 PPK2184904 10/1/2020 10/1/2021 $1,000,000 per incident; $2,000,000 agg DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) GL Blanket Additional Insured & Primary and Non Contributory apply per UGL2162ACW0219 attached, only if required by written contract/agreement. GL and Auto Waivers of Subrogation applies per CG24040509 and UCA424FCW0414 attached. GL, Auto and WC Notice of Cancellation clauses apply per I1-00171198 & WC040601A attached. Re: ECC #1960, Santa Ana Stadium Retrofit. Additional Insured(s): City of Santa Ana, Risk Management, it's officers, employees, agents, representatives and volunteers. CERTIFICATE HOLDER CANCELLATION ECC #1960 City of Santa Ana Risk Management Division Cente 20 Civic r Plaza, 4th floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE Chau Train ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 57813841 1 ELECCON-Cl 1 20-21 GL, AU, Umb, WC, Prof & Poll I Angel Jimenez 1 9/26/2020 1D:50:24 AM (PDT) I Page 1 of 11, RIakMMMgaMttDh�fion REvIEWED&APPROvEDBr � IIlI I I rCr,� �+cnw-� c �ae*LanX ®, ® Risk Management Supervisor Coverage Extension Endorsement 0 ZURICH Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer No. Addl. Prem Retum Prem. BAP 4426517-01 1 10/1/2020 10/1/2021 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: Business Auto Coverage Form Motor Carrier Coverage Form A. Amended Who Is An Insured 1. The following is added to the Who Is An Insured Provision in Section II —Covered Autos Liability Coverage: The following are also "insureds": a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any "employee" of yours is also an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business. b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don't own, hire or borrow to transport your clients or other persons in activities necessary to your business. c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement. d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less. 2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form: Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form. B. Amendment —Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II — Covered Autos Liability Coverage are replaced by the following: (2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work. 57813841 1 ececcvx-c3 1 20-21 cr., Au, ,VcWe�A9py%gte4 ��id�(�t�l�ey"�74Eri�z9'i�&:�Atlde�l4fmsiNi)h�i��grr�is�ion RWtMvugwndDMdon REVIEWED 6 APPRovm BY., ® Risk Managemen[Supervisar C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II — Covered Autos Liability Coverage does not apply. D. Driver Safety Program Liability and Physical Damage Coverage 1. The following is added to the Racing Exclusion in Section II — Covered Autos Liability Coverage: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. 2. The following is added to Paragraph 2. in the Exclusions of Section III — Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in the Exclusions of Section IV — Physical Damage Coverage of the Motor Carrier Coverage Form: This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations. E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Lease Or Loan Gap Coverage In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less: a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form, and b. Any: (1) Overdue lease or loan payments at the time of the "loss", (2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage, (3) Security deposits not returned by the lessor, (4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease, and (5) Carry-over balances from previous leases or loans. F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following: We will pay up to $75 for towing and labor costs incurred each time a covered "auto" of the private passenger type is disabled. However, the labor must be performed at the place of disablement. G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section: If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced. H. Hired Auto Physical Damage — Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following: Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by: 57813841 1 ELECCCN-Cl 120-21 GL, AU, V,cWegAgpyY�qqtey q�t.,.riqlgQ sll r'�f/1�&��Q I�&.����CP�� nq,,`vi�hjt$pgrips^jon RWtMvwgwientDMdon REviEWED&APPRcvED5r ® Risk Management Supervisor (1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto", or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000. I. Personal Effects Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section: Personal Effects Coverage a. We will pay up to $750 for "loss" to personal effects which are: (1) Personal property owned by an "insured"; and (2) In or on a covered "auto". b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of: (1) The reasonable cost to replace; or (2) The actual cash value. c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto". No deductible applies to this coverage. However, we will not pay for 'loss" to personal effects of any of the following: (1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value. (2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones. (3) Paintings, statuary and other works of art. (4) Contraband or property in the course of illegal transportation or trade. (5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. Any coverage provided by this Provision is excess over any other insurance coverage available for the same 'loss". J. Tapes, Records and Discs Coverage 1. The Exclusion in Paragraph B.4.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.2.c. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply. 2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section: We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices: (a) Are the property of an "insured"; and (b) Are in a covered "auto" at the time of "loss". The most we will pay for such 'loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such loss". 57813841 1 ececcvx-c3 1 20-21 cc, Au, eVcWe�A9py%qteY��iri�(�t���sy"�74�i�zU"i�&:�Atlde��4fmTWifhd����a�4s$S°n RWtMvwgmientDMdon �I ® Risk Managemen[Supervlsnr K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III — Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV — Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag. L. Two or More Deductibles The following is added to the Deductible Provision of the Physical Damage Coverage Section: If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis: 1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. M. Physical Damage — Comprehensive Coverage — Deductible The following is added to the Deductible Provision of the Physical Damage Coverage Section: Regardless of the number of covered "autos" damaged or stolen, the maximum deductible that will be applied to Comprehensive Coverage for all 'loss" from any one cause is $5,000 or the deductible shown in the Declarations, whichever is greater. N. Temporary Substitute Autos — Physical Damage 1. The following is added to Section I —Covered Autos: Temporary Substitute Autos — Physical Damage If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage: Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its: 1. Breakdown; 2. Repair; 3. Servicing; 4. "Loss"; or 5. Destruction. 2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section: Temporary Substitute Autos — Physical Damage We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party. The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces. O. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following: a. In the event of "accident', claim, "suit' or "loss", you must give us or our authorized representative prompt notice of the "accident', claim, "suit' or 'loss". However, these duties only apply when the "accident', claim, "suit' or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any 57813841 1 ececcvx-c3 1 20-21 cc, Au, ,VcWe�A9py%gteQ��iri���t���sy"�74�i�zU"i�&:�Atlde��4fmTWifhd����Rd4s�s�°n RWtMvwgmientDMdon REviEWED & AP PRovED 9 c �ae*i;anX �I ® Risk Management Supervlsnr agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy. Include, as soon as practicable: (1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit", (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons and witnesses. If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you. P. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract. O. Employee Hired Autos —Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance — Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following: For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official's duties as respect their obligations to you. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". R. Unintentional Failure to Disclose Hazards The following is added to the Concealment, Misrepresentation Or Fraud Condition: However, we will not deny coverage under this Coverage Form if you unintentionally: (1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or (2) Make an error, omission, improper description of "autos" or other misstatement of information. You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy. S. Hired Auto —World Wide Coverage Paragraph 7a.(5) of the Policy Period, Coverage Territory Condition is replaced by the following: (5) Anywhere in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, T. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following: "Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease. 57813841 1 ececcvx-c3 1 20-21 cc, Au, eVcWe�A9py%qteQ��iri�(�t���sy"�74�i�zU"i�&:�Atlde��4fmTWifhd����Rd4s�s�°n RWtMvwgmientDMdon �I ® Risk Managemen[Supervlsnr U. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II — Covered Auto Liability Coverage is replaced by the following: 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. V. Physical Damage —Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III — Physical Damage Coverage is replaced by the following: 4. Coverage Extensions a. Transportation Expenses We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". W. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section: In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement. To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source. X. Return of Stolen Automobile The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section: If a covered "auto" is stolen and recovered, we will pay the cost of transport to return the "auto" to you. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. All other terms, conditions, provisions and exclusions of this policy remain the same. 57813841 1 ececcvx-c3 1 20-21 cc, Au,,VcWe�A9py%qteQ��iri���t���sy"�74�i�zU"i�&:�Atlde��4fmTWifhd����iRd4s�s�°n RWtMvwgmientDMdon �I ® Risk Managemen[Supervlsnr I -f-Al U11151 151 P1101972railI COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or de- livering to us advance written notice of cancel- lation. 2. We may cancel this policy by mailing or deliv- ering to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of pre- mium; or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rate. If the first Named Insured cancels, the refund may be less than pro rate. The cancellation will be ef- fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suf- ficient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declara- tions is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and rec- ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; IL 00 17 11 98 b. Give you reports on the conditions we find; and c. Recommend changes 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes insurance inspections, surveys, reports or recommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom- mendations we may make relative to certifica- tion, under state or municipal statutes, ordi- nances or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay- F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named in- sured. If you die, your rights and duties will be trans- ferred to your legal representative but only while acting within the scope of duties as your legal rep- resentative. Until your legal representative is ap- pointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 11 98 Copyright, Insurance Services Office, Inc., 1998 57813841 1 ececcox-Cl 120-21 cL, AO, r , we, Prof s Poll I angel Jimenez 19/2B/2020 10:50:24 A (PDT) I Page t 11 RWtMvwgmientDMdon REviEWED&APPRcvED5r 9 c �ae*i;anX Risk Management Supervo or 0 Additional Insured — Automatic — Owners, Lessees Or Z U RI C H Contractors THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Policy No. GLO 4426516-01 Effective Date: 10/1/2020 This endorsement modifies insurance provided under the: Commercial General Liability Coverage Part A. Section II —Who Is An Insured is amended to include as an additional insured any person or organization whom you are required to add as an additional insured under a written contract or written agreement executed by you, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' and subject to the following: 1. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (10/01 edition); or b. The ISO CG 20 37 (10/01 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury', "property damage" or "personal and advertising injury' arises out of: (1) Your ongoing operations, with respect to Paragraph 1.a. above; or (2) "Your work", with respect to Paragraph 1.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 1., insurance afforded to such additional insured: (a) Only applies if the "bodily injury', "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (b) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 2. If such written contract or written agreement specifically requires that you provide that the person or organization be named as an additional insured under one or both of the following endorsements: a. The Insurance Services Office (ISO) ISO CG 20 10 (07/04 edition); or b. The ISO CG 20 37 (07/04 edition), such person or organization is then an additional insured with respect to such endorsement(s), but only to the extent that "bodily injury', "property damage" or "personal and advertising injury' is caused, in whole or in part, by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, Includes copyrighted material of Insurance services Office, Inc., with its permission 57813841 1 ELECCON-Cl 1 20-21 GL, AU, U , WC, Prof & Poll I Angel Jimenez 19/2B/2020 10:50:24 AM (PDT) I Page 9 of 15 RWtMvwgmientDMsIon �l ® Risk Managemen[Supervlsar in the performance of: (a) Your ongoing operations, with respect to Paragraph 2.a. above; or (b) "Your work" and included in the "products -completed operations hazard", with respect to Paragraph 2.b. above, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 2., insurance afforded to such additional insured: (1) Only applies if the "bodily injury', "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (ii) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. 3. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 10 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to ongoing operations (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury', "property damage" or "personal and advertising injury' is caused, in whole or in part by: (1) Your acts or omissions; or (2) The acts or omissions of those acting on your behalf, in the performance of your ongoing operations, which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 3., insurance afforded to such additional insured: (a) Only applies to the extent permitted by law; (b) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; and (c) Only applies if the "bodily injury', "property damage" or "personal and advertising injury" offense occurs during the policy period and subsequent to your execution of the written contract or written agreement. 4. If neither Paragraph 1. nor Paragraph 2. above apply and such written contract or written agreement requires that you provide that the person or organization be named as an additional insured: a. Under the ISO CG 20 37 (04/13 edition, any subsequent edition or if no edition date is specified); or b. With respect to the "products -completed operations hazard" (if no form is specified), such person or organization is then an additional insured only to the extent that "bodily injury' or "property damage" is caused, in whole or in part by "your work" and included in the "products -completed operations hazard", which is the subject of the written contract or written agreement. However, solely with respect to this Paragraph 4., insurance afforded to such additional insured: (1) Only applies to the extent permitted by law; (2) Will not be broader than that which you are required by the written contract or written agreement to provide for such additional insured; (3) Only applies if the "bodily injury" or "property damage" occurs during the policy period and subsequent to your execution of the written contract or written agreement; and (4) Does not apply to "bodily injury" or "property damage" caused by "your work" and included within the "products -completed operations hazard" unless the written contract or written agreement specifically requires that you provide such coverage to such additional insured. Includes copyrighted material of Insurance services Office, Inc., with its permission 57813841 1 ELECMN-Cl 1 20-21 GL, AU, U , WC, Prof & Poll I Angel Jimenez 19/2B/2020 10:50:24 AM (PDT) I Page 10 of 15 RWtMvwgmientDMsIon �l ® Risk Managemen[Supervlsar B. Solely with respect to the insurance afforded to any additional insured referenced in Section A. of this endorsement, the following additional exclusion applies: This insurance does not apply to "bodily injury', "property damage" or "personal and advertising injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services including: 1. The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. C. Solely with respect to the coverage provided by this endorsement, the following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of Section IV — Commercial General Liability Conditions: The additional insured must see to it that: (1) We are notified as soon as practicable of an "occurrence" or offense that may result in a claim; (2) We receive written notice of a claim or "suit" as soon as practicable; and (3) A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured if the written contract or written agreement requires that this coverage be primary and non-contributory. D. Solely with respect to the coverage provided by this endorsement: 1. The following is added to the Other Insurance Condition of Section IV — Commercial General Liability Conditions: Primary and Noncontributory insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured provided that: a. The additional insured is a Named Insured under such other insurance; and b. You are required by written contract or written agreement that this insurance be primary and not seek contribution from any other insurance available to the additional insured. 2. The following paragraph is added to Paragraph 4.b. of the Other Insurance Condition under Section IV — Commercial General Liability Conditions: This insurance is excess over: Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit'. This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by a written contract or written agreement to provide coverage to the additional insured on a primary and non- contributory basis. E. This endorsement does not apply to an additional insured which has been added to this Coverage Part by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured. F. Solely with respect to the insurance afforded to an additional insured under Paragraph A.3. or Paragraph A.4. of this endorsement, the following is added to Section III — Limits Of Insurance: Additional Insured — Automatic — Owners, Lessees Or Contractors Limit The most we will pay on behalf of the additional insured is the amount of insurance: Includes copyrighted material of Insurance services Office, Inc., with its permission 57813841 1 ELECMN-Cl 1 20-21 GL, AU, U , WC, Prof & Poll I Angel Jimenez 19/2B/2020 10:50:24 AM (PDT) I Page 11 of 15 RWtMvwgmientDMdon �l ® Risk Managemen[Supervlsar 1. Required by the written contractor written agreement referenced in Section A. of this endorsement; or 2. Available underthe applicable Limits of Insurance shown in the Declarations, whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. All other terms, conditions, provisions and exclusions of this policy remain the same. Includes copyrighted material of Insurance services Office, Inc., with its permission 57813841 1 ELECMN-Cl 1 20-21 GL, AU, U , WC, Prof & Poll I Angel Jimenez 19/2B/2020 10:50:24 AM (PDT) I Page 12 of 15 RWtMvwgmientDMdon �l ® Risk Managemen[Supervlsar POLICY NUMBER: GLO4426516-01 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: ANY PERSON OR ORGANIZATION THAT REQUIRES YOU TO WAIVE YOUR RIGHTS OF RECOVERY, IN A WRITTEN CONTRACT OR AGREEMENT WITH THE NAMED INSURED THAT IS EXECUTED PRIOR TO THE ACCIDENT OR LOSS. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV —Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 shown in the Schedule above. CG 24 04 05 09 O Insurance Services Office, Inc., 2008 57813841 1 ELECCGN-Cl 1 20-21 GL, AU, U , WC, Prof & Poll I Angel Jimenez 19/2B/2020 10:50:24 AN (PDT) I Page 13 of 15 RWtMvwgwientDMdon ® Risk Managemen[Supervlsar GLO 4426516-01 COMMON POLICY CONDITIONS All Coverage Parts included in this policy are subject to the following conditions. A. Cancellation 1. The first Named Insured shown in the Declara- tions may cancel this policy by mailing or deliv- ering to us advance written notice of cancella- tion. 2. We may cancel this policy by mailing or deliver- ing to the first Named Insured written notice of cancellation at least: a. 10 days before the effective date of cancel- lation if we cancel for nonpayment of premi- um: or b. 30 days before the effective date of cancel- lation if we cancel for any other reason. 3. We will mail or deliver our notice to the first Named Insured's last mailing address known to US. 4. Notice of cancellation will state the effective date of cancellation. The policy period will end on that date. 5. If this policy is cancelled, we will send the first Named Insured any premium refund due. If we cancel, the refund will be pro rata. If the first Named Insured cancels, the refund may be less than pro rata. The cancellation will be ef- fective even if we have not made or offered a refund. 6. If notice is mailed, proof of mailing will be suffi- cient proof of notice. B. Changes This policy contains all the agreements between you and us concerning the insurance afforded. The first Named Insured shown in the Declarations is authorized to make changes in the terms of this policy with our consent. This policy's terms can be amended or waived only by endorsement issued by us and made a part of this policy. C. Examination Of Your Books And Records We may examine and audit your books and rec- ords as they relate to this policy at any time during the policy period and up to three years afterward. D. Inspections And Surveys 1. We have the right to: a. Make inspections and surveys at any time; IL 00 17 11 98 b. Give you reports on the conditions we find; and c. Recommend changes. 2. We are not obligated to make any inspections, surveys, reports or recommendations and any such actions we do undertake relate only to in- surability and the premiums to be charged. We do not make safety inspections. We do not un- dertake to perform the duty of any person or organization to provide for the health or safety of workers or the public. And we do not warrant that conditions: a. Are safe or healthful; or b. Comply with laws, regulations, codes or standards. 3. Paragraphs 1. and 2. of this condition apply not only to us, but also to any rating, advisory, rate service or similar organization which makes in- surance inspections, surveys, reports or rec- ommendations. 4. Paragraph 2. of this condition does not apply to any inspections, surveys, reports or recom- mendations we may make relative to certifica- tion, under state or municipal statutes, ordi- nances or regulations, of boilers, pressure ves- sels or elevators. E. Premiums The first Named Insured shown in the Declara- tions: 1. Is responsible for the payment of all premiums; and 2. Will be the payee for any return premiums we pay. F. Transfer Of Your Rights And Duties Under This Policy Your rights and duties under this policy may not be transferred without our written consent except in the case of death of an individual named insured. If you die, your rights and duties will be transferred to your legal representative but only while acting within the scope of duties as your legal representa- tive. Until your legal representative is appointed, anyone having proper temporary custody of your property will have your rights and duties but only with respect to that property. IL 00 17 1198 Copyright, Insurance Services Office, Inc., 1998 57813841 1 ELECCUN-Cl 1 20-21 GL, AU, Umb, WC, Prof & Poll i Angel Jimenez i 9/2B/2020 10:50:24 AM (PDT) I Page 14 of 15 RWtMvwgmientDMdon Ell ® Risk Managemen[Supervlsnr WC 4426515-01 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 0406 01 A CALIFORNIA CANCELATION ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in Item 3.A. of the information page. The cancelation condition in Part Six (Conditions) of the policy is replaced by these conditions: Cancelation i. The occurrence of a material change in the 1. You may cancel this policy. You must mail or deliv- ownership of your business, er advance written notice to us stating when the j. The occurrence of any change in your busi- cancelation is to take effect. ness or operations that materially increases the 2. We may cancel this policy for one or more of the hazardfor frequency orseverity of loss, following reasons: a. Non-payment of premium, b. Failure to report payroll, c. Failure to permit us toaudit payroll as required by the terms of this policy or of a previous policy issued by us, d. Failure topay any additional premium resulting from an audit of payroll required by the terms of this policy or any previous policy issued by us, e. Material misrepresentation made by you or your agent, f. Failure tocooperate with us in the investigation of a claim, g. Failure to comply with Federal or State safety orders, h. Failure to comply with written recommen- dations of our designated loss control repre- sentatives, k. The occurrence of any change in your busi- ness or operation that requires additional or different classification for premium calculation, I. The occurrence of any change in your busi- ness or operation which contemplates an activ- ity excluded by our reinsurance treaties. 3. If we cancel your policy for any of the reasons listed in (a) through (f), we will give you 10 days advance written notice, stating when the cancel- ation is to take effect. Mailing that notice to you at your mailing address shown in item 1 of the Infor- mation Page will be sufficient to prove notice. If we cancel your policy for any of the reasons listed in items (g) through (I), we will give you 30 days advance written notice, however, we agree that in the event of cancelation and reissuance of a policy effective upon a material change in ownership or operations, notice will not be provided. 4. The policy period will end on the day and hour stated in the cancelation notice. RWeMvwgwwdDW m RWIi ED&APPRovmlh- �S.ili1.11.IP'.L' Sn+*nmX�a (.sm.LanX ®, ® Rlsk Managemen[Supennsor s7613611 1 ELECCON-Cl 1 20-21 AL, A7, 7mb, WC, 3iof 6 loll I Angel Jimenez 1 9/26/2020 10:,0:21 _AM ('DT) I Sege 1, of 15