Loading...
HomeMy WebLinkAboutAAA OIL, INC. (2) WUFl "r' -DIN FiLL A-2022-248-01 XIAVOR ValPiiE• 01[ FiA(l r;p iil••ras•,rr,aa� MAYOR PRO t 1:h1 Penramin Vazgiror t;lT I rr,FF>r Phil DareI-a ro.,r.+fir# Hari Johnnihar,Bonn r ernan&7 Jessie t-ore7 Davtd Penalo.a Thai Vier Phan CITY OF SANTA ,DNA PUBLIC WORKS AGENCY 220,9 Daisy Avenue M-85 Sanla Ana Califorma 92j'01 Y, Sar)la ana oo(g iNowilher 14. 20-1ti 1 1(121 1i cstmin,tcr Ave Garden (il-ON C. CA U2843 A11E1; Nit. 1 rain I)a�ali,,, Jr. Ile: Extension of Agreement A-2fl22-24,S for Gasoline and Diesel Supph and Dchverti 5erVi—CC S Ptrr,uant to Scction 3 f"I crin")ol'thc ahanc-ref renced Ag-rccnicn(,enteral in14i ll} AAi1 ()it, Inc.. and the Cit-\ of Sanla All, clatcif f>ec'cnihcr�l1" �02— the tinic paii,cl of the tlL,,rccilmit is herchy extended for in additic+n:ll I«,i-year 11060cd, di•i,nl I)ccclilhcr- i0, 2025 through Dceenihcr 19. 2027. Ail% in,urancc certificate, arc reLltrirc:d ti, he c\lcnciccl ancl'„r rc1lC\\ :cd 14, wkcr Ellis cxicn,ion. Ml r¢ther tcrins and ccmdition of tlic ALrccment rclllain unchan�,Icd and in full furcc and rficct. Sincerely, �r idoIfo Riosas. ;Actin,I Xecutive Directol-, PuJ)IIC Works A,ency CITY OF ANTr1 ANA ATTEST Mvaro Nunez c11111f'el I[a City Manager Ciry Clerk APPROVED AS TO FORM AAA OIL, II'Cl_ Sonia R. Car vailio City Attorney Kvfe Nclfescn " f;' ;.I: rain DaVulos. .k . Assistant C'ir} Annie} Title; C' =f l at I Sccm,1w SANTA ANA CITY COUNCIL AC V CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/1/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAC Churchill&Associates Insurance Services Inc NAME: 31248 Oak Crest Drive, Suite 140 (Atc •805-372-2200 FAX No): Westlake Village CA 91361 a'DDRess: certificates churchilirisk.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:GuideOne Mutual Insurance Company 15032 INSURED CAFUELS-01 INSURER B:Insurance Company of the West 27847 AAA Oil, Inc. California Fuels and Lubricants; FOPCO, Inc,11621 Westminster Avenue wsuRERc:General Star Indemnity Company Garden Grove CA 92843 IN5URERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:591827883 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR POUCYNUMBER MMIDDIYYYY MMIDDlYYYY LIMITS A X COMMERCIAL GPM ERAL LIABILITY Y Y 62P100999-04 5/1/2025 5/1/2026 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE Ifl OCCUR PREMISES Ea occurrence $100,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY ff] JECTPRO- LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 62PI00999-04 511/2025 5/1/2026 COMBINED SINGLE LIMIT $1.000,000 X ANY AUTO BODILY INJURY(Per Person) $ OWNEAUTOS SCHEDULED BODILY INJURY Per accident) $ AUTOS ONLY AUTOS ( X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident)$ X CA9948 Pollu X MCS 90 $ C UMBRELLALIAB X OCCUR IXG671934D 511/2025 5/1/2026 EACH OCCURRENCE $5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ I $ B WORKERS COMPENSATION Y WSD 5060563 05 5/1/2025 5/1/2026 X I S qT E ERH AND EMPLOYERS'LIABILITY Y 1 N ANYPROPRIETORIPARTNERlEXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBEREXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Motor Truck Cargo 62P100999-04 51112025 5/1/2026 Umi1 $50,000 B USL&H WSD 5060563 05 5/1/2025 5/1/2026 Statutory $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS[VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Worksite locations:Various locations in Santa Ana Description of Job:Facilities of HVAC,Maintenance and Repairs City it's officers,employees,agents,and representatives are Additional Insured as respects to General Liability per attached endorsement form.Waiver of Subrogation applies to General Liability and Workers Compensation per attached endorsement farm. by Tu Tyslgned APPROVED Tu Tran by 7u Tran Nguyen Nguyen�Zfi26AA�4 By Tu Tran Nguyen at 7:25 am,May 14,2025. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works 215 S Center St. AUTHORIZED REPRESENTATIVE Santa Ana CA 92703 �� �, �ifal�LrSl4X.5 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA 99 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS -- BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. Cornered Autos Liability Coverage is changed as "Covered pollution cost or expense" does not follows: include any cost or expense arising out of the 1. Paragraph a. of the Pollution Exclusion actual, alleged or threatened discharge, applies only to liability assumed under a dispersal, seepage, migration, release or contract or agreement. escape of"pollutants": 2. With respect to the coverage afforded by a. Before the"pollutants"or any property in Paragraph A.1. above, Exclusion 13.6. Care, which the "pollutants" are contained are Custody Or Control does not apply. moved from the place where they are accepted by the "insured" for movement B. Changes In Definitions into or onto the covered"auto'; or For the purposes of this endorsement, Paragraph b. After the "pollutants" or any property in D. of the Definitions Section is replaced by the which the "pollutants" are contained are following: moved from the covered "auto" to the D. "Covered pollution cost or expense" means any place where they are finally delivered, cost or expense arising out of: disposed of or abandoned by the 1. Any request, demand, order or statutory or "insured". regulatory requirement that any"insured"or Paragraphs a. and b. above do not apply to others test for, monitor, clean up, remove, "accidents" that occur away from premises contain, treat, detoxify or neutralize, or in owned by or rented to an "insured" with any way respond to, or assess the effects respect to "pollutants" not in or upon a of"pollutants"; or covered"auto" if: 2. Any claim or "suit" by or on behalf of a (1) The "pollutants" or any property in governmental authority for damages which the "pollutants" are contained because of testing for, monitoring, cleaning are upset, overturned or damaged as UP, removing, containing, treating, a result of the maintenance or use of detoxifying or neutralizing, or in any way a covered"auto'; and responding to or assessing the effects of (2) The discharge, dispersal, seepage, "pollutants", migration, release or escape of the "pollutants" is caused directly by such upset,overturn or damage. I I i CA 99 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER:62P100999 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name Of Additional Insured Persons)Or Organization(s): BLANKET AS PERWRITTEN CONTRACT Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s)shown in the Schedule, 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: 1. In the performance of your ongoing operations;or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contractor agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; 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. CG 20 26 0413 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 13 COMMERCIAL.GENERAL LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 0413 ©insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY 62PI00999 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 PROD UCTSICOMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: BLANKET AS PER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 ©Insurance Services Office, Inc., 2008 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be 2 %of the total California Workers'Compensation premium otherwise due. Schedule Person or Organization Job Description ANY PERSON OR CALIFORNIA ORGANIZATION FOR OPERATIONS ONLY WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Policy No. WSA 5060563 Endorsement No. Insured AAA OIL INC Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED DATE(MM/DD/YYYY) A�" CERTIFICATE OF LIABILITY INSURANCE 6/18/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Brie McConnell Patriot Growth Insurance Services, LLC PHONE FAX 7777 Center Avenue, Suite 600 A/C No Ext: 714-733-6223 A/C,No: E-MHuntington Beach CA 92647 ADDRESS: brie.mcconnell@patriotgis.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: GuideOne Insurance Company 15032 INSURED CAFUELS-01 INSURER B: Insurance Company of the West 27847 AAA Oil, Inc. California Fuels and Lubricants; FOPCO, Inc. INSURERC: Gemini Insurance Company 10833 11621 Westminster Avenue Garden Grove CA 92843 INSURERD: GENERAL STAR IND CO 37362 INSURERE:Ascot Speciality Insurance Company 45055 INSURER F: COVERAGES CERTIFICATE NUMBER:201910562 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY Y Y 62P100999-05 5/1/2026 5/1/2027 EACH OCCURRENCE $1,000,000 CLAIMS-MADE � OCCUR PREMISES DAMAGE TO PREMISES Ea occurrence) ccurrence $100,000 MED EXP(Any one person) $0 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY� PECOT- LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ A AUTOMOBILE LIABILITY Y Y 62P100999-05 5/1/2026 5/1/2027 COMBINED SINGLE LIMIT $1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED LXX NON-OWNED FIR ERTYDAMAGE $ AUTOS ONLY AUTOS ONLY Per accidentX Poll Liab MCS 90 Motor Truck Cargo $$50,000 C UMBRELLALIAB X OCCUR GVE100367001 5/1/2026 5/1/2027 EACH OCCURRENCE $2,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $2,000,000 DED RETENTION$ $ B WORKERS COMPENSATION Y WSD506056306 5/1/2026 5/1/2027 X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E Pollution Liability ENPM2510001758-01 9/24/2025 9/24/2026 Limit $1,000,000 B USL&H WSD506056306 5/1/2026 5/1/2027 Statutory $1,000,000 D Excess(2nd Layer) IXG671934E 5/1/2026 5/1/2027 OCC/AGG $3,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) RE: Facilities of HVAC, Maintenance and Repairs,Various locations in Santa Ana. City of Santa Ana, it's officers,officials,employees and volunteers are Additional Insured as respects to General Liability&Auto Liability per the terms of the attached endorsement forms.Waiver of Subrogation applies to General Liability,Auto and Workers Compensation per the terms of the attached endorsement form. APPROVED By Tu Tran Nguyen at 2:32 pm,Jun 18,2026 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Public Works 215 S Center St. AUTHORIZED REPRESENTATIVE Santa Ana CA 92703 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO CA99481013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLLUTION LIABILITY - BROADENED COVERAGE FOR COVERED AUTOS - BUSINESS AUTO AND MOTOR CARRIER COVERAGE FORMS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. Covered Autos Liability Coverage is changed as "Covered pollution cost or expense" does not follows: include any cost or expense arising out of the 1. Paragraph a. of the Pollution Exclusion actual, alleged or threatened discharge, applies only to liability assumed under a dispersal, seepage, migration, release or contract or agreement. escape of"pollutants": 2. With respect to the coverage afforded by a. Before the "pollutants" or any property in Paragraph A.1. above, Exclusion B.6. Care, which the "pollutants" are contained are Custody Or Control does not apply. moved from the place where they are accepted by the "insured" for movement B. Changes In Definitions into or onto the covered "auto"; or For the purposes of this endorsement, Paragraph b. After the "pollutants" or any property in D. of the Definitions Section is replaced by the which the "pollutants" are contained are following: moved from the covered "auto" to the D. "Covered pollution cost or expense" means any place where they are finally delivered, cost or expense arising out of: disposed of or abandoned by the 1. Any request, demand, order or statutory or "insured". regulatory requirement that any "insured" or Paragraphs a. and b. above do not apply to others test for, monitor, clean up, remove, "accidents" that occur away from premises contain, treat, detoxify or neutralize, or in owned by or rented to an "insured" with any way respond to, or assess the effects respect to "pollutants" not in or upon a of"pollutants"; or covered "auto" if: 2. Any claim or "suit" by or on behalf of a (1) The "pollutants" or any property in governmental authority for damages which the "pollutants" are contained because of testing for, monitoring, cleaning are upset, overturned or damaged as up, removing, containing, treating, a result of the maintenance or use of detoxifying or neutralizing, or in any way a covered "auto"; and responding to or assessing the effects of (2) The discharge, dispersal, seepage, "pollutants". migration, release or escape of the "pollutants" is caused directly by such upset, overturn or damage. CA 99 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 POLICY NUMBER:62P100999 COMMERCIAL GENERAL LIABILITY CG 20 26 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name Of Additional Insured Person(s)Or Organization(s): BLANKET AS PER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, 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: 1. In the performance of your ongoing operations;or 2. In connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; 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. CG 20 26 04 13 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 0 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY 62P100999 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: BLANKET AS PER WRITTEN CONTRACT Information required to complete this Schedule, if not shown above,will be shown in the Declarations. 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 © Insurance Services Office, Inc., 2008 Page 1 of 1 0 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-BLANKET We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). The additional premium for this endorsement shall be 2 % of the total California Workers' Compensation premium otherwise due. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED IS REQUIRED UNDER WRITTEN CONTRACT TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement: Policy No. WSD 5060563 Endorsement No. Insured AAA OIL, INC. Premium $ INCL. Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED 3 E 2 _ e 2 � � t 3 ± 3 a / J � .[ 7 k . U t \ 06 e / \ / \ � / / � ƒ ƒ 7 E ' 9 ƒ y c // / \ : ± e U E 2 / / 3 © k / ■ •' n _ k _ 0 / n 2 LL LA � LAQ 0 I / CL g S ai 0 Cf CL O ' �! r CL ' cfC E L: ¢ 0 V 7 VJ (D 41 O w f} C- OL F N !if[3 w 0 0 It m 0 L 0ru 0 N I 13J o +J ru a--J 0 Q 4a p — y 0 LA ► I► . — 7 0 L] Cr3 w # t7 O C o p� 0 s= _� q 11 .a O O _ 'c C3 0 � (D 9 , � E C G* i� O O C) C 0 O;rt LJ • al � i =5 CO4l1 / to `y " 0 [� 0 Q [� 1 p � �7 Cn L LLJJ o _ 4a to ;C ti 4b O L] 4} I 0 > CL I '" C C as E (D 0 m -0 Q ILL U U 2 2 .g .g 0 0 (3) (3) 0 0 0 0 U U U U 3 3 C6, C6, 3 3 U) U) 0 0 U U (3) G >%7 27 E J 2 o r E 2 cu A 7 � \ c E _ 'e 2 9 2 / / \ E ■ S k \ 00 O o E et 7 _ 7 � 2 k k 70 % $ @ e = % 2 u @ (1 @ [ 7 2 ¢ ■ ) E 2 u A q 0) o Q ■ Q = @ Q = u = _ ® E ® E '\ $ / = Q U) o $ U) o ) E 2 » n E 0 k 0 2 0 0 c 2 " c f 2 = 2 2@ E q ¥ E o o@ @@ ( C ■ c- 2 2 c 2 % § / R cn � 0) � 2 \ : o E q o@ o f — � � @ \ 7 A ( 2 % % \ A •§ / @ @ ■ _ _ C E O k •� 7 2 0 cn 2 0 = e 2 -0u � cr •\ / } \ / U 2 � U 0 � 2 CO2 3 v R 2 \ @ 2 ƒ \ / 0 7 @ k @ @ k _ » 2 # E Q 2 2 I 2 = E E ¢ � C 0- e $ > .. / aj x " � \ \ q 7 e 4 LU LL. (A w u