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HomeMy WebLinkAboutHaixin Flooring Inc dba Carpet Club; 2019-11-26; PWL20-947GS1' . ... RECORDED REQUESTED BY CITY OF CARLSBAD AND WHEN RECORDED PLEASE MAIL TO: City Clerk City of Carlsbad 1200 Carlsbad Village Drive Carlsbad, California 92008 DOC# 2020-004 7358 1111111111111111111111111111111I lllll 11111111111111111111111111111111I Jan 29, 2020 11 :39 AM OFFICIAL RECORDS Ernest J Dronenburg, Jr., SAN DIEGO COUNTY RECORDER FEES $0.00 (S82 Atkins $0.00) PAGES 1 Space above this line for Recorder's use. PARCEL NO: 203-353-06-00 NOTICE OF COMPLETION Notice is hereby given that: 1. The undersigned is owner of the interest or estate stated below in the property hereinafter described. 2. The full names of the undersigned are City of Carlsbad, a municipal corporation. 3. The full address of the undersigned is 1200 Carlsbad Village Drive, Carlsbad, California 92008. 4. The nature of the title of the undersigned is: In fee. 5. A work or improvement on the property hereinafter described was completed on December 9, 2019. 6. The name of the contractor for such work or improvement is Haixin Flooring, dba Carpet Club, Inc. 7. The property on which said work or improvementwas completed is in the City of Carlsbad, County of San Diego, State of California, and is described as follows: Project No. PWL20-947GS; Project Name: Elmwood House and Harding Center Carpet Repairs. 8. The street address of said property is 3096 Harding Street and 2955 Elmwood Street, Carlsbad, CA 92008 in the City of Carlsbad. .~ VERIFICATION OF CITY CLERK I, the undersigned, say: I am the City Clerk of the City of Carlsbad, 1200 Carlsbad Village Drive, Carlsbad, California, 92008; the City Manager of said City on J~nu 4t?c / L-J -t-h , 20 ao , accepted the above described work as completed and ordered that a No ce of Completion be filed. I declare under penalty of perjury that the foregoing is true and correct. Executed on Jtiovav /t-f fh, , 20d.il_, at Carlsbad, California. CITYOFC~ r ~ Jlec10, 6orrie2 Depu'J c,fj F" BARBARA ENGLESON / C Jen£ City Clerk Q:\Public Works\General Services\Agreements & Contracts\Haixin Flooring dba Carpet Club\Elmwood House and Harding Center Carpet Repairs -PWL20- 947GS\5. NOC\2.NOC -Elmwood House and Harding Center Carpet Repairs -PWL20-947GS.docx A .. -· CITY OF CARLSBAD ACCEPTANCE OF PUBLIC IMPROVEMENTS COMPLETION OF PUBLIC IMPROVEMENTS Haixin Flooring, Inc., dba Carpet Club, a California corporation has completed the contract work required for PWL20-947GS -Elmwood House and Harding Center Carpet Repairs. City forces have inspected the work and found it to be satisfactory. The work consisted of: IMPROVEMENTS Remove and replace approximately 175 square feet of carpet flooring. VALUE $3,348.00 CERTIFICATION OF COMPLETION OF IMPROVEMENTS John Ma~nager Date CITY MANAGER'S ACCEPTANCE OF PUBLIC IMPROVEMENTS The construction of the above described contract is deemed complete and hereby accepted. The City Clerk is hereby authorized to record the Notice of Completion and release the bonds in accordance with State Law and City Ordinances. The City of Carlsbad is hereby directed to commence maintaining the above described improvements. _'x;J Sco~k, City Manager Date APPROVED AS TO FORM: CELIA BREWER, City Attorney PWL20-947GS Elmwood House and Harding Center Carpet Repairs - 1 - City Attorney Approved 2/29/2016 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT ELMWOOD HOUSE AND HARDING CENTER CARPET REPAIRS This letter will serve as an agreement between Haixin Flooring, Inc., dba Carpet Club, a California corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to install new carpet, per Exhibit “A” and City specifications, for a sum not to exceed three thousand four hundred ninty nine dollars ($3,499.00). This work is to be completed within thirty (30) working days after issuance of a Purchase Order. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees, and volunteers from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney’s fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers’ Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Insurance is to be placed with California admitted insurers that have a current Best’s Key Rating of not less than “A-:VII”,; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4 California Labor Code) and the “Immigration Reform and Control Act of 1986” (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. __________ init __________ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding. _______ init _______ init 7. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. DocuSign Envelope ID: 772E5A83-C497-4325-BBCD-198738E899AC PWL20-947GS Elmwood House and Harding Center Carpet Repairs - 2 - City Attorney Approved 2/29/2016 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Robert Ferris, 760-802-5756 Contractor Contact: John Harris, 760-580-2594 CONTRACTOR HAIXIN FLOORING, INC., dba CARPET CLUB, a California corporation CITY OF CARLSBAD, a municipal corporation of the State of California 518 West Washington Ave. Escondido, CA 92025 P: 760-740-9545 F: 760-5802594 john@carpetclub.com By: By: (sign here) Huafang Mo/ President- CFO Paz Gomez, Deputy City Manager, Public Works as authorized by the City Manager (print name/title) By: Dated: (sign here) (print name/title) (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: Deputy City Attorney DocuSign Envelope ID: 772E5A83-C497-4325-BBCD-198738E899AC November 26, 2019 PWL20-947GS Elmwood House and Harding Center Carpet Repairs Page 3 of 3 City Attorney Approved 2/29/2016 EXHIBIT A SCOPE OF WORK AND FEE Provide all labor, equipment and materials to cut and remove and dispose of existing carpet necessary to install replacement carpet in damaged areas at both locations. Prepare wood subfloor and install/ fuse new to existing carpet. Provide color coordinated 4-inch top set base along all walls where needed. DESCRIPTION PRICE 2955 Elmwood Street- Elmwood House Carpet Repair. Install approximately 120 square feet of Shaw double knit 5A093 Serene Sky carpet (or equal). $2,399.00 3096 Harding Street - Harding Center Carpet Repair. Install approximately 55 square feet of Neyland III Iron Black 66510 commercial carpet (or equal). $1,100.00 TOTAL* $3,499.00 *Includes taxes, fees, expenses and all other costs. DocuSign Envelope ID: 772E5A83-C497-4325-BBCD-198738E899AC MOBICAR-01 BNIELSEN CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDYYYY)9/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THEPOLICIESBELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSUREDprovisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement onthiscertificatedoesnotconferrightstothecertificateholderinlieuofsuchendorsement(s). pRopucer License #0C36861 CONTACT Rosemary Bailey San Diego-Alliant InsuranceServices,Inc.PHONE exy:(619)238-1828 |FAX oy:(619)699-2100 San Diego,CA 92101 EMALgs,rosemary.bailey@alliant.com —_ACCORD Wee INSURER(S)AFFORDING COVERAGE NAIC # INSURERA:Colony Insurance Company 39993 INSURED INSURER B:Ohio Security Insurance Company 24082 Haixin Flooring,Inc.DBA Carpet Club INSURERC :518 W Washington Ave INSURER D: Escondido,CA 92025 INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIODINDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,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 REDUCEDBYPAID CLAIMS.ite TYPE OFINSURANCE inaee POLICYNUMBER (MMIDBIYYYY)|(MMIDDIYYYY)LIMITS A X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE|cLams-mave occur xX 1036001984302 9/5/2019 9/5/2020 PAMAGETORENTED| 1,000,000100,000 5,000 1,000,0002,000,000 2,000,000 pf}MED EXP (Any one person) a PERSONAL &ADV INJURY GEN'L AGGREGATELIMIT APPLIES PER:GENERAL AGGREGATE POLICY JECT Loc :PRODUCTS -COMP/OP AGG OTHER: $ $ $ $ $ $ $ | AUTOMOBILELIABILITY | HoeentNCLE LIMIT $ $ $ $ $ $ $ $ 1,000,000 X anyAUTO .BAS(20)58123383 -9/5/2019 9/5/2020 BopiILY INJURY (Perperson) OWNED SCHEDULEDAUTOSONLYAUTOS BODILY INJURY(Per accident)HIRED NON-OWNED PROPERTY DAMAGEAUTOSONLYAUTOSONLY(Per accident} UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE AGGREGATE DED ||RETENTION$ WORKERS COMPENSATION PER OTH-AND EMPLOYERS'LIABILITY STATUTE |ERYINANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENTOFFICER/MEMBER EXCLUDED?(Mandatory in NH)E.L,DISEASE -EA EMPLOYEE!If yes,describeunde;r DESCRIPTION OF OPERATIONSbelow E.L.DISEASE -POLICY LIMIT DESCRIPTION OFOPERATIONS/LOCATIONS /VEHICLES (ACORD101,Additional Remarks Schedule,may be attached if more spaceis required)RE:City of Carlsbad Public Works General Services Agreement NameOffice Carpet eplacementat Monroe ST Pool Agreement Number PWL18-98GS. Certificate Holder is included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULDANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED INCityofCarlsbadiCMWD;ACCORDANCEWITH THE POLICY PROVISIONS.c/o EXIGIS Insurance Compliance ServicesP.O Box 4668 -ECM #35050NewYork,NY 10163-4668 AUTHORIZED REPRESENTATIVE |Prityt Mien ACORD25 (2016/03)©1988-2015 ACORD CORPORATION.All rights reserved. :The ACORD nameandlogoare registered marks of ACORD POLICY NUMBER:103GL001984302 103GL001984302 COMMERCIAL GENERALLIABILITYCG20100413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READIT CAREFULLY. ADDITIONAL INSURED -OWNERS,LESSEES ORCONTRACTORS-SCHEDULED PERSON ORORGANIZATION This endorsement modifies insurance provided underthe following: SCHEDULE COMMERCIAL GENERALLIABILITY COVERAGE PART NameOf Additional Insured Person(s)Or Organization(s)Location(s)Of Covered Operations All persons or organizations as required by written contract with the Named Insured As designated in written contract with the NamedInsured. Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. CG 20 10 04 13 Section Il —Who Is An Insured is amended toincludeasanadditionalinsuredtheperson(s)or organization(s)shown in the Schedule,but onlywithrespecttoliabilityfor"bodily injury","property damage"or "personal and advertising injury"caused,in whole orin part,by: 1.Your acts or omissions;or 2.The acts or omissions of those acting on yourbehalf; in the performance of your ongoing operationsfortheadditionalinsured(s)at the designated above. However: location(s) 1.The insurance afforded to such additionalinsuredonlyappliestotheextentpermittedby law;and .If coverage providedto the additional insured is required by a contract or agreement,the insurance afforded to such additional insuredwillnotbebroaderthanthatwhichyouare required by the contract or agreement to provide for such additional insured. ©Insurance Services Office,Inc.,2012 With respect to the insurance afforded to theseadditionalinsureds,the following additional exclusions apply: This insurance does not apply to "bodily injury"or “property damage"occurring after: 1.All work,including materials,parts or equipment furnished in connection with suchwork,on the project (other than service, maintenance or repairs)to be performed by or on behalf of the additional insured(s)at thelocationofthecoveredoperationshasbeen completed;or .That portion of "your work"out of which the injury or damage arises has been put to its intended use by any person or organizationotherthananothercontractororsubcontractor engaged in performing operations for a principal as a part of the sameproject. Page 1 of 2 C.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 wewillpayonbehalfoftheadditionalinsuredisthe amountof insurance: 1.Required by the contract or agreement;or 103GL001984302 2.Available under the applicable Limits of Insurance shownin the Declarations; whicheveris less. This endorsement shall not increase the applicable Limits of Insurance shown in theDeclarations. Page 2 of 2 ©Insurance Services Office,Inc.,2012 CG 20 10 04 13 103GL001984302 POLICY NUMBER:103GL001984302 ,COMMERCIAL GENERALLIABILITYCG20370413 THIS ENDORSEMENT CHANGESTHEPOLICY.PLEASE READIT CAREFULLY. ADDITIONAL INSURED —OWNERS,LESSEES ORCONTRACTORS—COMPLETED OPERATIONS This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONSLIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations All persons or organizations as required by written As designated in written contract with the Named InsuredcontractwiththeNamedInsured Information required to complete this Schedule,if not shown above,will be shownin the Declarations. A.Section Il —Who Is An Insured is amended to B.With respect to the insurance afforded to theseincludeasanadditionalinsuredtheperson(s)or additional insureds,the following is added to organization(s)shownin the Schedule,but only SectionIll —Limits Of Insurance: with respect to liability for “bodily injury”or If coverage provided to the additional insured ispropertydamage"caused,in wholeorin part,by required by a contract or agreement,the most -we"your work"at the location designated and ill behalf of th dditi li d is th described in the Schedule of this endorsement amount ofinsurance:©acamonal insured is me performed for that additional insured and .included in the "products-completed operations 1.Required by the contract or agreement;or hazard".2.Available under the applicable Limits ofHowever:Insurance shownin the Declarations; 1.The insurance afforded to such additional whicheveris less. insured only applies to the extent permitted This endorsement shall not increase the applicable by law;and Limits of Insurance shownin the Declarations. .If coverage provided to the additional insuredisrequiredbyacontractoragreement,the insurance afforded to such additional insuredwillnotbebroaderthanthatwhichyouare required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 ©Insurance ServicesOffice,Inc.,2012 Page 1 of 1 103GL001984302 COMMERCIAL GENERAL LIABILITYCG20010413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -—OTHER INSURANCE CONDITION This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PARTPRODUCTS/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 becontrary:primary and would not seek contributionPrimaryAndNoncontributoryInsurancefromanyotherinsuranceavailabletothe ..additional insured.This insuranceis primary to and will not seekcontributionfromanyotherinsuranceavailable to an additional insured under your policyprovidedthat: (1)The additional insured is a Named Insuredundersuchotherinsurance;and CG 20 01 04 13 ©Insurance Services Office,Inc.,2012 Page 1 of 1 103GL001984302 DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT —RESTRICTED FORM This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All projects during the policy period. (If no entry appears above,information required to complete this endorsementwill be shown in the Declara- tions as applicable to this endorsement.), A.For all sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION |—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,and for all medical expenses caused by accidents under SECTION I —COVERAGE C MEDICAL PAYMENTS,which can beattributed only to ongoing operations at a single designated con- struction project shownin the Schedule above: 1.A separate Designated Construction Project General Aggregate Limit applies to each designated construction project,and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. .The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under SECTION |-COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGELIABILITY,except damages becauseof “bodily injury”or “property damage”included in the “products-completed operations hazard”,and for medical expenses under SECTION I — COVERAGE C MEDICAL PAYMENTSregardlessof the numberof: a.Insureds; b.Claims made or “suits”brought;or c.Persons or organizations making claims or bringing “suits”. Any payments made under SECTION |—COVERAGES,COVERAGEA BODILY INJURY AND PROPERTY DAMAGELIABILITY for damages or under SECTION |-COVERAGE C MEDICAL PAYMENTSshall reduce the Designated Construction Project General Aggregate Limit for that des- ignated construction project.Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shownin the Schedule above. The limits shownin the Declarations for Each Occurrence,Damages to Premises Rented to You and Medical Expense continue to apply.However,instead of being subject to the General Aggregate Limit shown in the Declarations,such limits will be subject to the applicable Designated Construction Project General Aggregate Limit. The most we will pay for the sum of all Designated Construction Project General Aggregate Limits combined and to whichthis insurance applies is $5,000,000. B.For all sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION |—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 1 of 2withitspermission. 103GL001984302 LIABILITY,and causedby accidents under SECTION I-COVERAGE C MEDICAL PAYMENTS,which cannotbeattributed only to ongoing operations at a single designated construction project shownin the Schedule above: 1.Any payments made under SECTION |-COVERAGES,COVERAGEA BODILY INJURY ANDPROPERTYDAMAGELIABILITYfordamagesorunderSECTION|-COVERAGE C MEDICAL PAYMENTSshall reduce the amountavailable under the General Aggregate Limit or the Products- Completed Operations Aggregate Limit,whicheveris applicable;and 2.Such payments shall not reduce any Designated Construction Project General Aggregate Limit. .When coveragefor liability resulting from the “products-completed operations hazard”is provided,any payments for damages because of “bodily injury”or “property damage”included in the “products- completed operations hazard’will reduce the Products-Completed Operations Aggregate Limit,and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. .Ifthe applicable designated construction project has been abandoned,delayed,or abandoned and then restarted,orif the authorized contracting parties deviate from plans,blueprints,designs,specifications or timetables,the project will still be deemed to be the sameconstruction project. E.The provisions of SECTIONIII —-LIMITS OF INSURANCEnototherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 2 of 2withitspermission. COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided underthe following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement,the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT,CLAIM,SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS(including employee hired auto)2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE-BROADENED COVERAGE 10 GLASS REPAIR -WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE(including employee hired auto and loss of use)6 HIRED AUTO COVERAGE TERRITORY 20 LOAN /LEASE GAP 14 PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE)16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 20 SECTIONII -LIABILITY COVERAGEis amended asfollows: 1.BROAD FORM INSURED SECTIONII -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSUREDis amended to include the following as an insured: d.Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period.However,"insured"does not include any organization that: (1)Isapartnership or joint venture;or (2)Is an insured under any other automobile policy;or (3)Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d.(2)of this provision does not apply to a policy written to apply specifically in excess of this policy. Any organization you newly acquire or form,other than apartnership or joint venture,of which you own more than 50 percent of the voting stock.This automatic coverage is afforded only for 180 days from the date of acquisition or formation.However,coverage under this provision does not apply: (1)If there is similar insurance or a self-insured retention plan available to that organization; ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 1 of 7 (2)If the Limits of Insurance of any other insurance policy have been exhausted;or (3)To "bodily injury"or "property damage"that occurred before you acquired or formed the organization. EMPLOYEES AS INSUREDS SECTION II -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSURED is amendedto include the following as an insured: f.Any “employee"of yours while using a covered "auto"you do not own,hire or borrow,but only for acts within the scope of their employment by you.Insurance provided by this endorse- ment is excess over any other insurance available to any “employee”. An "employee"of yours while operating an "auto"hired or borrowed under awritten contract or agreement in that "“employee’s”name,with your permission,while performing duties re- lated to the conduct of your business and within the scope of their employment.Insurance provided by this endorsement is excess over any other insurance available to the “employee”. ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT SECTIONII -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSUREDis amended to include the following as an insured: h.Any person or organization with respect to the operation,maintenance or use of a covered "auto",provided that you and such person or organization have agreed in awritten contract, agreement,or permit issued to you by governmental or public authority,to add such person,or organization,or governmental or public authority to this policy as an "insured". However,such person or organization is an “insured”: (1)Only with respect to the operation,maintenance or use of acovered “auto”; (2)Only for "bodily injury"or “property damage"caused by an “accident”which takes place after you executed the written contract or agreement,or the permit has been issued to you;and (3)Only for the duration of that contract,agreement or permit SUPPLEMENTARY PAYMENTS SECTION I!-LIABILITY COVERAGE,Coverage Extensions,2.a.Supplementary Payments,para- graphs (2)and (4)are replaced by the following:. (2)Up to $3,000 for cost of bail bonds (including bonds for related traffic 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 earn- ings up to $500 a day becauseof time off from work. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where,by law,fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule,or similar protection,the following provision is added: SECTION Il -LIABILITY,exclusion B.5.FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of acovered "auto"you own orhire. SECTIONIll -PHYSICAL DAMAGE COVERAGEis amended asfollows: 6.HIRED AUTO PHYSICAL DAMAGE Paragraph A.4.Coverage Extensions of SECTIONIll -PHYSICAL DAMAGE COVERAGE,is amended by adding the following: If hired "autos"are covered "autos"for Liability Coverage,and if Comprehensive,Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto"you own,then the Physical Damage coverages provided are extended to "autos": a.You hire,rent or borrow;or ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 2 of 7 b.Your "employee"hires or rents under a written contract or agreement in that “employee’s"” name,but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A.The most we will pay for "loss"in any one "accident"or "loss"is the smallest of: (1)$50,000;or (2)The actual cash value of the damaged or stolen property as of the time of the “loss";or (3)The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality,minus a deductible. The deductible will be equal to the largest deductible applicable to any owned “auto”for that coverage. Subject to the limit,deductible and excess provisions described in this provision,we will provide coverage equal to the broadest coverage applicable to any covered "auto"you own. Subject to a maximum *of $1,000 per "accident",we will also cover the actual loss of use of the hired "auto"if it-results from an "accident",you are legally liable and the lessor incurs an actual financial loss. This coverage extension does not apply to: (1)Any "auto"that is hired,rented or borrowed with adriver;or (2)Any “auto”that is hired,rented or borrowed from your "employee". For the purposes of this provision,SECTION V -DEFINITIONS is amended by adding the following: "Total loss"means a"loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. TOWING AND LABOR SECTIONIll -PHYSICAL DAMAGE COVERAGE,paragraph A.2.Towing,is amended by the addition of the following: We will pay towing and labor costs incurred,up to the limits shown below,each time a covered "auto"classified and rated as a private passenger type,"light truck”or "medium truck"is dis- abled: a.For private passenger type vehicles,we will pay up to $50 per disablement. b.For "light trucks",we will pay up to $50 per disablement."Light trucks"are trucks that have a gross vehicle weight (GVW)of 10,000 pounds orless. For "medium trucks",we will pay up to $150 per disablement."Medium trucks"are trucks that have agross vehicle weight (GVW)of 10,001 -20,000 pounds. However,the labor must be performed at the place of disablement. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a.,Coverage Extension of SECTIONIll -PHYSICAL DAMAGE COVERAGE,is amend- ed to provide alimit of $50 per day and amaximum limit of $1,500 ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 3 of 7 RENTAL REIMBURSEMENT SECTIONIII -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: a.We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto"because of "accident"or "loss",to an "auto"for which we also pay a “loss” under Comprehensive,Specified Causes of Loss or Collision Coverages.We will pay only for those expenses incurred after the first 24 hours following the "accident"or "loss"to the covered "auto." Rental Reimbursement will be based on the rental of a comparable vehicle,which in many cases may be substantially Jess than $75 per day,and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality,up to amaximum of 30 days. Wewill also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". This coverage does not apply unless you have a business necessity that other “autos”avail- able for your use and operation cannotfill. If "loss"results from the total theft of a covered "auto"of the private passenger type,we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4.Coverage Extension. f.No deductible applies to this coverage. For the purposes of this endorsement provision,materials and equipment do not include "personal ‘effects"as defined in provision 11. .EXTRA EXPENSE -BROADENED COVERAGE Under SECTIONIll -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,wewill pay for the expense of returning astolen covered "auto"to you.The maximum amount wewill pay is $1,000. .PERSONAL EFFECTS COVERAGE A.SECTION Ill -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an “auto”you own and that _“auto”is stolen,we will pay,without application of a deductible,up to $600 for "personal effects”stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance. SECTION V -DEFINITIONS is amended by adding the following: For the purposes of this provision,"personal effects"mean tangible property that is worn or carried by an insured.""Personal effects"does not include tools,equipment,jewelry,money or securities. .ACCIDENTAL AIRBAG DEPLOYMENT SECTIONIII -PHYSICAL DAMAGE COVERAGE,B.EXCLUSIONS is amended by adding the follow- ing: If you have purchased Comprehensive or Collision Coverage under this policy,the exclusion for "loss"relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty.However,we agree to pay any deductible applicable to the other cov-erage or warranty. .AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTIONIH -PHYSICAL DAMAGE COVERAGE,B.EXCLUSIONS,exception paragraph a.to exclu- sions 4.c.and 4.d.is deleted and replaced with the following: ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 4 of 7 Exclusion 4.c.and 4.d.do not apply to: a.Electronic equipment that receives or transmits audio,visual or data signals,whether or not designed solely for the reproduction of sound,if the equipment is permanently installed in the covered "auto"at the time of the "loss"and such equipment is designed to be solely operated by use of the power from the “auto’s"electrical system,in or upon the covered “auto”and physical damage coverages are provided for the covered "auto";or If the "loss"occurs solely to audio,visual or data electronic equipment or accessories used with this equipment,then our obligation to pay for,repair,return or replace damaged or stolen property will be reduced by a $100 deductible. 14.LOAN /LEASE GAP COVERAGE A.Paragraph C.,LIMIT OF INSURANCE of SECTION Ill -PHYSICAL DAMAGE COVERAGEis amended by adding the following: The most we will pay for a "total loss"to acovered "auto"owned byor leased to you in any one "accident"is the greater of the: 1.Balance due under the terms of the loan or lease to which the damaged covered "auto"is subject at the time of the “loss"less the amount of: a.Overdue payments andfinancial penalties associated with those payments as of the date of the "loss", Financial penalties imposed under a lease due to high mileage,excessive use or ab- normal wear andtear, Costs for extended warranties,Credit Life Insurance,Health,Accident or Disability Insurance purchased with the loan orlease, Transfer or rollover balances from previous loans orleases, Final payment due under a"“Balloon Loan", The dollar amount of any unrepaired damage which occurred prior to the "total loss" of acovered “auto”, Security deposits not refunded by a lessor, All refunds payable or paid to you as a result of the early termination of a lease agreement or as aresult of the early termination of any warranty or extended service agreement on acovered "auto", i.Any amount representing taxes, j.Loan or lease termination fees;or 2.The actual cash value of the damage or stolen property as of the time of the "loss". An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the "loss".This adjustment is not applicable in Texas. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto"that incurred the loss serves ascollateral,or lease written on the covered "auto"that incurred the loss. SECTION V -DEFINTIONSis changed by adding the following: As used in this endorsement provision,the following definitions apply: "Total loss"means a “loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. A "balloon loan"is one with periodic payments that are insufficient to repay the balance over the term of the loan,thereby requiring alarge final payment. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 5 of 7 15.GLASS REPAIR-WAIVER OF DEDUCTIBLE Paragraph D.Deductible of SECTION II]-PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. .PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D.Deductible of SECTION Ill -PHYSICAL DAMAGE COVERAGEis amended by the addition of the following: The deductible does not apply to "loss"caused bycollision to such covered "auto"of the private passenger type orlight weight truck with agross vehicle weight of 10,000 Ibs.or less as defined by the manufacturer as maximum loaded weight the "auto"is designed to carry while it is: a.Inthe charge of an "insured"; b.Legally parked;and c.Unoccupied. The "loss"must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto"must exceed the deductible shown in the Declarations. This provision does not apply to any "loss"if the covered "auto"is in the charge of any person or organization engaged in the automobile business. 17.TWO OR MORE DEDUCTIBLES Under SECTIONIIl PHYSICAL DAMAGE COVERAGE,if two or more company policies or coverage forms apply to the same accident,the following applies to paragraph D.Deductible: a.If the applicable Business Auto deductible is the smaller (or smallest)deductible it will be waived;or b.If the applicable Business Auto deductible is not the smaller (or smallest)deductible it will be reduced by the amount of the smaller (or smallest)deductible;or If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest)deductible will be waived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS is amended asfollows: 18.UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS,Paragraph B.2.is amended by adding the following: If you unintentionally fail to disclose any hazards,exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form,the coverage afforded by this policy will not be prejudiced. However,you must report the undisclosed hazard of exposure as soon aspracticable after its discovery,and we have the right to collect additional premium for any such hazard or exposure. .AMENDED DUTIES IN THE EVENT OF ACCIDENT,CLAIM,SUIT,OR LOSS SECTION IV -BUSINESS AUTO CONDITIONS,paragraph A.2.a.is replaced in its entirety by the following: a.In the event of "accident",claim,"suit"or "loss",you must promptly notify us when it is known to: 1.You,if you are an individual; A partner,if you are apartnership;2 3.Member,if you are alimited liability company; 4 An executive officer or the “employee"designated by the Named Insured to give such notice,if you are a corporation. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 6 of 7 To the extent possible,notice to us should include: (1)How,when and where the "accident"or "loss"took place; (2)The "insureds"name and address;and (3)The names and addresses of any injured persons and witnesses. 20.WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERSTO US SECTION IV -BUSINESS AUTO CONDITIONS,paragraph A.5.,Transfer of Rights of Recovery Against Others to Us,is amended by the addition of the following: If the person or organization has waived those rights before an "accident"or "loss",our rights are waived also. .HIRED AUTO COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS,paragraph B.7.,Policy Period,Coverage Territory,is amended by the addition of the following: f.For "autos"hired 30 days or less,the coverage territory is anywhere in the world,provided that the insured’s responsibility to pay for damages is determined in a "suit",on the merits,in the United States,the territories and possessions of the United States of America,Puerto Rico or Canada or in asettlement we agree to. This extension of coverage does not apply to an "auto"hired,leased,rented or borrowed with a driver. SECTION V -DEFINITIONS is amendedasfollows: 22.BODILY INJURY REDEFINED Under SECTION V -DEFINTIONS,definition C.is replaced by the following: "Bodily injury"means physical injury,sickness or disease sustained by aperson,including mental anguish,mental injury,shock,fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23.EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS,paragraph A.-CANCELLATION condition applies except asfol- lows: If we cancel for any reason other than nonpayment of premium,we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation.This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 7 of 7 MOBICAR-01 BNIELSEN CERTIFICATE OF LIABILITY INSURANCE 0O19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZEDREPRESENTATIVEORPRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSUREDprovisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement onthiscertificatedoesnotconferrightstothecertificateholderinlieuofsuchendorsement(s). syACORITD | PRODUCER License #0036861 CONTACT Rosemary Bailey 7OTBStothAance ServicesIne.(Alc.No,Ext:(619)238-1828 |FA,noy:(619)699-2100 San Diego,CA 92101 EMAL<5,rosemary.bailey@alliant.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Colony Insurance Company 39993 INSURED INSURER B:Ohio Security Insurance Company 24082 Haixin Flooring,Inc.DBA Carpet Club INSURER C : 518 W Washington Ave INSURER D: Escondido,CA 92025 INSURER E : INSURERF : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS {S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEFOR THE POLICY PERIODINDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCEDBYPAID CLAIMS. INSR TYPE OF INSURANCE AooT SUB POLICY NUMBER (MIIDDIYYYY)(MIM/DDIVYYY)LIMITS 1,000,000 100,000 5,0001,000,000 2,000,0002,000,000 A X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE|cams-mane X occur x 103GL001984302 9/5/2019 9/5/2020 BAMAGETORENTEDos) MED EXP(Anyone person) PERSONAL &ADV INJURY GEN'LAGGREGATELIMITAPPLIES PER:GENERAL AGGREGATE POLICY FRO:Loc PRODUCTS-COMP/OP AGG OTHER: COMBINED SINGLELIMIT X ANYAUTO .BAS(20)58123383 :9/5/2019 9/5/2020 BoDILY INJURY (Perperson)OWNED SCHEDULEDAUTOSONLYAUTOS BODILY INJURY(Peraccident)HIRED NON-OWNED PROPERTY DAMAGE|AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE .AGGREGATE $ $ $ $ $ $ $ AUTOMOBILE LIABILITY |Raaccent)$1,000,000 $ $ $ $ $ $ $DED ||RETENTION $ WORKERS COMPENSATION PER OTH-AND EMPLOYERS’LIABILITY STATUTE |ERYINANYPROPRIETOR/PARTNERVEXECUTIVE E.L.EACH ACCIDENTOFFICER/MEMBER EXCLUDED?(Mandatory in NH)E.L.DISEASE -EA EMPLOYEE!Ifyes,describe underDESCRIPTIONOFOPERATIONSbelow E.L.DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD101,Additional Remarks Schedule,maybe attachedif morespaceis required)RE:Contract/Agreement #G1401. Certificate Holder is included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE.THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED INCityofCarlsbad/CMWD ;ACCORDANCEWITH THE POLICY PROVISIONS.c/o EXIGIS Insurance Compliance Services P.O Box 4668 -ECM #35050NewYork,NY 10163-4668 AUTHORIZED REPRESENTATIVE |Pring Mito ACORD25 (2016/03)©1988-2015 ACORD CORPORATION.All rights reserved. The ACORD nameandlogoare registered marks of ACORD POLICY NUMBER:103GL001984302 103GL001984302 COMMERCIAL GENERALLIABILITYCG20100413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READIT CAREFULLY. ADDITIONAL INSURED -OWNERS,LESSEES ORCONTRACTORS-SCHEDULED PERSON ORORGANIZATION This endorsement modifies insurance provided under the following: SCHEDULE COMMERCIAL GENERALLIABILITY COVERAGE PART NameOf Additional Insured Person(s) Or Organization(s)Location(s)Of Covered Operations All persons or organizations as required by written contract with the Named Insured As designated in written contract with the Named Insured Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A. CG 20 10 04 13 Section I!—Who is An Insured is amended toincludeasanadditionalinsuredtheperson(s)or organization(s)shown in the Schedule,but onlywithrespecttoliabilityfor"bodily injury","property damage"or "personal and advertising injury" caused,in wholeorin 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 fortheadditionalinsured(s)at the location(s) designated above. However: 1.The insurance afforded to such additionalinsuredonlyappliestotheextentpermittedby law;and .lfcoverage providedto the additional insuredis required by a contract or agreement,the insurance afforded to such additional insuredwillnotbebroaderthanthatwhichyouare required by the contract or agreement toprovideforsuchadditionalinsured. ©Insurance Services Office,Inc.,2012 With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to "bodily injury"or "property damage”occurring after: 1.All work,including materials,parts or equipment furnished in connection with suchwork,on the project (other than service, maintenance orrepairs)to be performed by oronbehalfoftheadditionalinsured(s)at the location of the covered operations has been completed;or 2.That portion of “your work"out of which the injury or damage arises has been putto itsintendedusebyanypersonororganization other than anothercontractor or subcontractorengagedinperformingoperationsfora principal as a part of the same project. Page 1 of 2 With respect to the insurance afforded to theseadditionalinsureds,the following is added to Section Il!—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 theamountofinsurance: 1.Required by the contract or agreement;or 103GL001984302 2.Available under the applicable Limits of Insurance shownin the Declarations; whicheveris less. This endorsement shall not increase the applicable Limits of Insurance shown in theDeclarations. Page 2 of 2 ©Insurance Services Office,Inc.,2012 CG 20 10 04 13 POLICY NUMBER:103GL001984302 103GL001984302 COMMERCIAL GENERALLIABILITYCG20370413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READIT CAREFULLY. ADDITIONAL INSURED —OWNERS,LESSEES ORCONTRACTORS—COMPLETED OPERATIONS This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONSLIABILITY COVERAGE PART SCHEDULE NameOf Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations All persons or organizations as required by written contract with the Named Insured As designated in written contract with the Named Insured Information required to complete this Schedule,if not shown above,will be shown in the Declarations. A.Section Il -Who Is An Insured is amended toincludeasanadditionalinsuredtheperson(s)or organization(s)shown in the Schedule,but onlywithrespecttoliabilityfor“bodily injury"or "property damage"caused,in wholeorin part,by"your work"at the location designated and described in the Schedule of this endorsement performed for that additional insured andincludedinthe"products-completed operations hazard". However: 1.The insurance afforded to such additionalinsuredonlyappliestotheextentpermitted by law;and .If coverage provided to the additional insuredisrequiredbyacontractoragreement,the insurance afforded to such additional insuredwillnotbebroaderthanthatwhichyouare required by the contract or agreement to provide for such additional insured. CG 20 37 04 13 B. ©Insurance Services Office,Inc.,2012 With respect to the insurance afforded to these additional insureds,the following is added to Section Ill —Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most wewillpayonbehalfoftheadditionalinsuredisthe amount of insurance: 1.Required by the contract or agreement;or 2.Available under the applicable Limits of Insurance shownin the Declarations; whicheveris less. This endorsementshall not increase the applicable Limits of Insurance shownin the Declarations. Page 1 of 1 103GL001984302 COMMERCIAL GENERALLIABILITYCG20010413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READIT CAREFULLY. PRIMARY AND NONCONTRIBUTORY—OTHER INSURANCE CONDITION This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PARTPRODUCTS/COMPLETED OPERATIONSLIABILITY 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 becontrary:primary and would not seek contribution from any other insurance available to thePrimaryAndNoncontributoryInsuranceadditionalinsured. This insuranceis primary to and will not seek contribution from any other insurance availabletoanadditionalinsuredunderyourpolicy provided that: (1)The additional insured is a Named Insuredundersuchotherinsurance;and CG 20 01 04 13 ©Insurance Services Office,Inc.,2012 Page 1 of 1 103GL001984302 DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATELIMIT —RESTRICTED FORM This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All projects during the policy period. (If no entry appears above,information required to complete this endorsementwill be shownin the Deciara- tions as applicable to this endorsement.) A.For all sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION |—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,and for all medical expenses caused by accidents under SECTION I —-COVERAGE C MEDICAL PAYMENTS,which can beattributed only to ongoing operations at a single designated con- struction project shown in the Schedule above: 1.A separate Designated Construction Project General Aggregate Limit applies to each designated construction project,and that limit is equal to the amount of the General Aggregate Limit shownin the Declarations. .The Designated Construction Project General Aggregate Limit is the most wewill pay for the sum of all damages under SECTION I -COVERAGES,COVERAGEA BODILY INJURY AND PROPERTY DAMAGE LIABILITY,except damages because of “bodily injury”or “property damage”includedin the “products-completed operations hazard”,and for medical expenses under SECTION |— COVERAGE C MEDICAL PAYMENTSregardless of the numberof: a.Insureds; b.Claims made or“suits”brought;or c.Personsor organizations making claimsor bringing “suits”. Any payments made under SECTION I —COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGELIABILITY for damages or under SECTION I -COVERAGE C MEDICAL PAYMENTSshall reduce the Designated Construction Project General Aggregate Limit for that des- ignated construction project.Such payments shall not reduce the General Aggregate Limit shownin the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shownin the Schedule above. .The limits shownin the Declarations for Each Occurrence,Damagesto Premises Rented to You and Medical Expense continue to apply.However,instead of being subject to the General Aggregate Limit shown in the Declarations,suchlimits will be subject to the applicable Designated Construction Project General Aggregate Limit. .The most wewill pay for the sum of all Designated Construction Project General Aggregate Limits combined andto whichthis insurance applies is $5,000,000. B.Forall sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION I —COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 1 of 2withitspermission. 103GL001984302 LIABILITY,and caused by accidents under SECTION I-COVERAGE C MEDICAL PAYMENTS,which cannotbeattributed only to ongoing operations at a single designated construction project shownin the Schedule above: 1.Any payments made under SECTION I -COVERAGES,COVERAGEA BODILY INJURY AND PROPERTY DAMAGE LIABILITY for damages or under SECTION I -COVERAGE C MEDICAL PAYMENTSshall reduce the amount available under the General Aggregate Limit or the Products- Completed Operations Aggregate Limit,whicheveris applicable;and , 2.Such paymentsshall not reduce any Designated Construction Project General Aggregate Limit. .Whencoverageforliability resulting from the “products-completed operations hazard”is provided,any payments for damages because of “bodily injury”or “property damage”included in the “products- completed operations hazard”will reduce the Products-Completed Operations Aggregate Limit,and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. .Ifthe applicable designated construction project has been abandoned,delayed,or abandoned and then restarted,or if the authorized contracting parties deviate from plans,blueprints,designs,specifications or timetables,the project will still be deemed to be the same construction project. E.The provisions of SECTIONIII —LIMITS OF INSURANCEnot otherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 2 of 2withitspermission. COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided underthe following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement,the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT,GLAIM,SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEESAS INSUREDS(including employee hired auto)2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE -BROADENED COVERAGE 10 GLASS REPAIR -WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE(including employee hired auto and loss of use)6 HIRED AUTO COVERAGE TERRITORY 20 LOAN /LEASE GAP 14 PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE)16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US 20 SECTION Il -LIABILITY COVERAGEis amended asfollows: 1.BROAD FORM INSURED SECTION II -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSURED is amended to include the following as an insured: d.Any legally incorporated entity of which you own more than 50 percent of the voting stock during the policy period.However,"insured"does not include any organization that: (1)Is apartnership or joint venture;or (2)Is aninsured under any other automobile policy;or (3)Has exhausted its Limit of Insurance under any other automobile policy. Paragraph d.(2)of this provision does not apply to a policy written to apply specifically in excess of this policy. Any organization you newly acquire or form,other than apartnership or joint venture,of which you own more than 50 percent of the voting stock.This automatic coverage is afforded only for 180 days from the date of acquisition or formation.However,coverage under this provision does not apply: (1){f there is similar insurance or aself-insured retention plan available to that organization; ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 1 of 7 (2)If the Limits of Insurance of any other insurance policy have been exhausted;or (3)To "bodily injury"or "property damage"that occurred before you acquired or formed the organization. EMPLOYEES AS INSUREDS SECTION II -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSUREDis amended to include the following as an insured: f.Any “employee”of yours while using a covered "auto"you do not own,hire or borrow,but only for acts within the scope of their employment by you.Insurance provided by this endorse- ment is excess over any other insurance available to any “employee”. An "employee"of yours while operating an "auto"hired or borrowed under awritten contract or agreement in that "employee’s"name,with your permission,while performing duties re- lated to the conduct of your business and within the scope of their employment.Insurance provided by this endorsement is excess over any other insurance available to the "employee". ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT SECTION II -LIABILITY COVERAGE,paragraph A.1.-WHO IS AN INSURED is amended to include the following as an insured: h.Any person or organization with respect to the operation,maintenance or use of a covered "auto",provided that you and such person or organization have agreed in a written contract, agreement,or permit issued to you by governmental or public authority,to add such person,or organization,or governmental or public authority to this policy as an "insured". However,such person or organization is an "insured": (1)Only with respect to the operation,maintenance or use of acovered "auto"; (2)Only for "bodily injury"or "property damage"caused by an "accident"which takes place after you executed the written contract or agreement,or the permit has been issued to you;and (3)Only for the duration of that contract,agreement or permit SUPPLEMENTARY PAYMENTS SECTION II -LIABILITY COVERAGE,Coverage Extensions,2.a.Supplementary Payments,para- graphs (2)and (4)are replaced by the following: (2)Up to $3,000 for cost of bail bonds (including bonds for related traffic violations )required because of an "accident"we cover.We do not haveto furnish these bonds. (4)All reasonable expenses incurred by the insured at our request,including actual loss of earn- ings up to $500 a day because of time off from work. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where,by law,fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule,or similar protection,the following provision is added: SECTION Ii -LIABILITY,exclusion B.5.FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of acovered "auto"you ownorhire. SECTIONIll -PHYSICAL DAMAGE COVERAGEis amended asfollows: 6.HIRED AUTO PHYSICAL DAMAGE Paragraph A.4.Coverage Extensions of SECTIONII]-PHYSICAL DAMAGE COVERAGE,is amended by adding the following: if hired "autos"are covered "autos"for Liability Coverage,and if Comprehensive,Specified Causes of Loss or Collision coverage are provided under the Business Auto Coverage Form for any "auto"you own,then the Physical Damage coverages provided are extended to “autos”: a.You hire,rent or borrow;or ©2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission.Page 2 of 7 b.Your "employee"hires or rents under a written contract or agreement in that "employee's" name,but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A.The most we will pay for "loss"in any one "accident"or "loss"is the smallest of: (1)$50,000;or (2)The actual cash value of the damaged or stolen property as of the time of the "loss";or (3)The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality,minus a deductible. The deductible will be equal to the largest deductible applicable to any owned "auto"for that coverage. Subject to the limit,deductible and excess provisions described in this provision,we will provide coverage equal to the broadest coverage applicable to any covered “auto”you own. Subject to a maximum of $1,000 per "accident",we will also cover the actual loss of use of the hired “auto”if it results from an "accident",you are legally liable and the lessor incurs an actual financial loss. This coverage extension does not apply to: (1)Any “auto”that is hired,rented or borrowed with adriver;or (2)Any "auto"that is hired,rented or borrowed from your "employee". For the purposes of this provision,SECTION V-DEFINITIONS is amended by adding the following: "Total loss"means a"loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. TOWING AND LABOR SECTION lil -PHYSICAL DAMAGE COVERAGE,paragraph A.2.Towing,is amended by the addition of the following: We will pay towing and labor costs incurred,up to the limits shown below,each time a covered "auto"classified and rated as a private passenger type,“light truck"or "medium truck"is dis- abled: a.For private passenger type vehicles,we will pay up to $50 per disablement. b.For "light trucks",we will pay up to $50 per disablement.“Light trucks"are trucks that have a gross vehicle weight (GVW)of 10,000 pounds orless. For "medium trucks",we will pay up to $150 per disablement."Medium trucks"are trucks that have agross vehicle weight (GVW)of 10,001 -20,000 pounds. However,the labor must be performed at the place of disablement. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a.,Coverage Extension of SECTIONIII -PHYSICAL DAMAGE COVERAGE,is amend- ed to provide alimit of $50 per day and amaximum limit of $1,500 ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 3 of 7 RENTAL REIMBURSEMENT SECTIONIIl -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: a.Weill pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto"because of "accident"or "loss",to an “auto"for which we also pay a "loss" under Comprehensive,Specified Causes of Loss or Collision Coverages.We will pay only for those expenses incurred after the first 24 hours following the “accident”or "loss"to the covered "auto." Rental Reimbursement will be based on the rental of a comparable vehicle,which in many cases may be substantially less than $75 per day,and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality,up to amaximum of 30 days. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". This coverage does not apply unless you have a business necessity that other "autos"avail- able for your use and operation cannotfill. If “loss”results from the total theft of a covered "auto"of the private passenger type,we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4.Coverage Extension. f.No deductible applies to this coverage. For the purposes of this endorsement provision,materials and equipment do not include "personal effects"as defined in provision 11. .EXTRA EXPENSE -BROADENED COVERAGE Under SECTIONIll -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,we will pay for the expense of returning astolen covered "auto"to you.The maximum amount wewill pay is $1,000. .PERSONAL EFFECTS COVERAGE A.SECTIONIIl -PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: if you have purchased Comprehensive Coverage on this policy for an “auto"you own and that "auto"is stolen,we will pay,without application of a deductible,up to $600 for "personal effects"stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance. SECTIONV -DEFINITIONS is amended by adding the following: For the purposes of this provision,"personal effects"mean tangible property that is worn or carried by an insured.""Personal effects"does not include tools,equipment,jewelry,money or securities. .ACCIDENTAL AIRBAG DEPLOYMENT SECTIONIII -PHYSICAL DAMAGE COVERAGE,B.EXCLUSIONSis amended by adding the follow- ing: If you have purchased Comprehensive or Collision Coverage under this policy,the exclusion for "loss"’relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty.However,we agree to pay any deductible applicable to the other cov- erage or warranty. .AUDIO,VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION Ill -PHYSICAL DAMAGE COVERAGE,B.EXCLUSIONS,exception paragraph a.to exclu- sions 4.c.and 4.d.is deleted and replaced with the following: ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 4 of 7 Exclusion 4.c.and 4.d.do not apply to: a.Electronic equipment that receives or transmits audio,visual or data signals,whether or not designed solely for the reproduction of sound,if the equipment is permanently installed in the covered "auto"at the time of the "loss"and such equipment is designed to be solely operated by use of the power from the "auto's"electrical system,in or upon the covered “auto”and physical damage coverages are provided for the covered "auto";or If the "loss"occurs solely to audio,visual or data electronic equipment or accessories used with this equipment,then our obligation to pay for,repair,return or replace damaged or stolen property will be reduced by a $100 deductible. 14.LOAN /LEASE GAP COVERAGE A.Paragraph C.,LIMIT OF INSURANCE of SECTION III -PHYSICAL DAMAGE COVERAGEis amended by adding the following: The most we will pay for a "total loss"to a covered "auto"owned by or leased to you in any one "accident"is the greater of the: 1.Balance due under the terms of the loan or lease to which the damaged covered "auto"is subject at the time of the "loss"less the amount of: a.Overdue payments and financial penalties associated with those payments as of the date of the "loss", b.Financial penalties imposed under a lease due to high mileage,excessive use or ab- normal wear and tear, Costs for extended warranties,Credit Life Insurance,Health,Accident or Disability Insurance purchased with the loan orlease, Transfer or rollover balances from previous loans or leases, Final payment due under a"Balloon Loan", The dollar amount of any unrepaired damage which occurred prior to the “total loss” of acovered "auto", Security deposits not refunded by lessor, All refunds payable or paid to you as a result of the early termination of a lease agreement or as aresult of the early termination of any warranty or extended service agreement on acovered "auto", i.Any amount representing taxes, j-Loan or lease termination fees;or 2.The actual cash value of the damage or stolen property as of the time of the "loss". An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the "loss".This adjustment is not applicable in Texas. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto"that incurred the loss serves ascollateral,or lease written on the covered "auto"that incurred the loss. SECTION V -DEFINTIONSts changed by adding the following: As used in this endorsement provision,the following definitions apply: "Total loss"means a "loss"in which the cost of repairs plus the salvage value exceeds the actual cash value. A "balloon loan"is one with periodic payments that are insufficient to repay the balance over the term of the loan,thereby requiring alarge final payment. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 5 of 7 15. 17. GLASS REPAIR -WAIVER OF DEDUCTIBLE Paragraph D.Deductible of SECTION Ill -PHYSICAL DAMAGE COVERAGEis amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. .PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D.Deductible of SECTION Ill -PHYSICAL DAMAGE COVERAGEis amended by the addition of the following: The deductible does not apply to "loss"caused by collision to such covered "auto"of the private passengertype orlight weight truck with agross vehicle weight of 10,000 Ibs.or less as defined by the manufacturer as maximum loaded weight the "auto"is designed to carry while it is: a.Inthe charge of an "insured"; b.Legally parked;and c.Unoccupied. The "loss"must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto"must exceed the deductible shown in the Declarations. This provision does not apply to any "loss"if the covered "auto"is in the charge of any person or organization engaged in the automobile business. TWO OR MORE DEDUCTIBLES Under SECTION IIl PHYSICAL DAMAGE COVERAGE,if two or more company policies or coverage forms apply to the same accident,the following applies to paragraph D.Deductible: a.If the applicable Business Auto deductible is the smaller (or smallest)deductible it will be waived;or If the applicable Business Auto deductible is not the smaller (or smallest)deductible it will be reduced by the amount of the smaller (or smallest)deductible;or If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest)deductible will be waived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS is amended asfollows: 18. 19. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS,Paragraph B.2.is amended by adding the following: If you unintentionally fail to disclose any hazards,exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form,the coverage afforded by this policy will not be prejudiced. However,you must report the undisclosed hazard of exposure as soon as practicable after its discovery,and we havethe right to collect additional premium for any such hazard or exposure. AMENDED DUTIES IN THE EVENT OF ACCIDENT,CLAIM,SUIT,OR LOSS SECTION IV -BUSINESS AUTO CONDITIONS,paragraph A.2.a.is replaced in its entirety by the following: a.In the event of “accident”,claim,“suit”or "loss",you must promptly notify us when it is known to: You,if you are an individual; A partner,if you are a partnership; Member,if you are limited liability company; An executive officer or the "employee"designated by the Named Insured to give such notice,if you are a corporation. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 6 of 7 To the extent possible,notice to us should include: (1)How,when and where the “accident”or "loss"took place; (2)The "insureds"name and address;and (3)The names and addresses of any injured persons and witnesses. 20.WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV -BUSINESS AUTO CONDITIONS,paragraph A.5.,Transfer of Rights of Recovery Against Others to Us,is amended by the addition of the following: If the person or organization has waived those rights before an “accident”or “loss",our rights are waived also. .HIRED AUTO COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS,paragraph B.7.,Policy Period,Coverage Territory,is amended by the addition of the following: f.For "autos"hired 30 days or less,the coverage territory is anywhere in the world,provided that the insured’s responsibility to pay for damages is determined in a"suit",on the merits,in the United States,the territories and possessions of the United States of America,Puerto Rico or Canada or in asettlement we agreeto. This extension of coverage does not apply to an “auto”hired,leased,rented or borrowed with a driver. SECTION V -DEFINITIONS is amended asfollows: 22.BODILY INJURY REDEFINED Under SECTION V -DEFINTIONS,definition C.is replaced by the following: "Bodily injury"means physical injury,sickness or disease sustained by a person,including mental anguish,mental injury,shock,fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23.EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS,paragraph A.-CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium,we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation.This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. ©2013 Liberty Mutual InsuranceCA88100113IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,with its permission.Page 7 of 7 —— ACORED Ne CERTIFICATE OF LIABILITY INSURANCE MOBICAR-01 BNIELSEN DATE (MMIDDIYYYY) 9/19/2019 REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERSNO RIGHTS UPON THE CERTIFICATE HOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSUING INSURER(S),AUTHORIZED IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,thepolicy(ies)must have ADDITIONAL INSUREDprovisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement onthiscertificatedoesnotconferrightstothecertificateholderinlieuofsuchendorsement(s). propucer License #0036861 San Diego-Alliant Insurance Services,Inc.701 B St 6th FSanDiego,CA 92101 contact Rosemary Bailey neWo,Ext)(619)238-1828 RMLs,rosemary.bailey@alliant.com INSURER(S)AFFORDING COVERAGE |FAXwoy:(619)699-2100 NAIC # INSURER A:Colony Insurance Company 39993 INSURED Haixin Flooring,Inc.DBA Carpet Club518WWashingtonAve Escondido,CA 92025 INSURER B :Ohio Security Insurance Company 24082 INSURER C : INSURER D: INSURER : INSURERF : COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENTWITH RESPECT TO WHICH THISCERTIFICATEMAYBEISSUEDORMAYPERTAIN,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 REDUCEDBYPAID CLAIMS. INSRLTR TYPE OF INSURANCE ADDL.SUBR|INSD |WVD POLICY NUMBER POLICY EFF{MM/DDIYYYY)POLICY EXP(MM/DD/YYYY)LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS-MADE [x]OCCUR x 103GL001984302 GEN'L AGGREGATELIMITAPPLIES PER: POLICY FRO:Loc OTHER: 1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000 EACH OCCURRENCE DAMAGETO RENTEDPREMISES(Ea occurrence) MED EXP(Any one person) PERSONAL&ADV INJURY GENERAL AGGREGATE PRODUCTS -COMP/OP AGG 9/5/2019 9/5/2020 AUTOMOBILELIABILITY X ANYAUTO - OWNEDAUTOSONLY HIRED__}AUTOS ONLY BAS(20)58123383SCHEDULEDAUTOS NON-OWNEDAUTOSONLY COMBINED SINGLELIMIT |(Ea accident) BODILY INJURY (Perperson) BODILY INJURY(Peraccident)PROPERTY DAMAGE(Per accident) 1,000,000 9/5/2019 9/5/2020 . UMBRELLA LIAB EXCESS LIAB DED ||RETENTION $ OCCUR CLAIMS-MADE EACH OCCURRENCE AGGREGATE win©ilffAjnfFmH©A[wm&11H WORKERS COMPENSATIONANDEMPLOYERS'LIABILITY YINANYPROPRIETOR/PARTNEREXECUTIVEOFFICER/MEMBER EXCLU(Mandatory in NH} Ifyes,describe underDESCRIPTIONOFOPERATIONSbelow PER |OTH-STATUTE ER E.L.EACH ACCIDENT E.L.DISEASE -EA EMPLOYEE) E.L.DISEASE -POLICY LIMIT. DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)Re:Agreement #PWL20-833GS,Agreement Name:Heritage Hall Bathroom Floor Replacement Certificate Holderis included as additional insured as required by written contract. CERTIFICATE HOLDER CANCELLATION City of Carlsbad/CMWDc/o EXIGIS Insurance Compliance ServicesP.O Box 4668 -ECM #35050NewYork,NY 10163-4668 | SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHEEXPIRATIONDATETHEREOF,NOTICE WILL BE DELIVERED INACCORDANCEWITHTHEPOLICYPROVISIONS. AUTHORIZED REPRESENTATIVE Poatyt Mee ACORD25(2016/03)©1988-2015 ACORD CORPORATION.All rights reserved. The ACORD nameandlogoare registered marks ofACORD POLICY NUMBER:103GL001984302 103GL001984302 COMMERCIAL GENERALLIABILITYCG20100413 THIS ENDORSEMENT CHANGESTHEPOLICY.PLEASE READIT CAREFULLY. ADDITIONAL INSURED -OWNERS,LESSEES ORCONTRACTORS-SCHEDULED PERSON ORORGANIZATION This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s)Location(s)Of Covered Operations All persons or organizations as required by written contract with the Named Insured As designated in written contract with the Named Insured Information required to complete this Schedule,if not shown above,will be shownin the Declarations. A. CG 20 10 04 13 Section Il —Who Is An Insured is amended to include as an additional insured the person(s)ororganization(s)shown in the Schedule,but only with respectto liability for "bodily injury","propertydamage"or "personal and advertising injury" caused,in whole orin 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 fortheadditionalinsured(s)at the location(s)designated above. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law;and .If coverage provided to the additional insured is required by a contract or agreement,theinsuranceaffordedtosuchadditionalinsured will not be broader than that which you are required by the contract or agreement toprovideforsuchadditionalinsured. B.With respect to the insurance afforded to-theseadditionalinsureds,the following additional exclusions apply: This insurance does not apply to "bodily injury"or "property damage”occurring after: 1.All work,including materials,parts or equipment furnished in connection with suchwork,on the project (other than service, maintenanceor repairs)to be performed by or on behalf of the additional insured(s)at thelocationofthecoveredoperationshasbeen completed;or : 2.That portion of "your work"out of which theinjuryordamageariseshasbeenputtoits intended use by any person or organizationotherthananothercontractororsubcontractor engaged in performing operations for a principal as a part of the sameproject. ©Insurance Services Office,Inc.,2012 Page 1 of 2 C.With respect to the insurance afforded to these additional insureds,the following is added to SectionIll —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 theamountofinsurance: 1.Required by the contract or agreement;or 103GL001984302 2.Available under the applicable Limits of Insurance shownin the Declarations; whicheveris less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. Page 2 of 2 ©Insurance Services Office,Inc.,2012 CG 20 10 04 13 POLICY NUMBER:103GL001984302 103GL001984302 COMMERCIAL GENERALLIABILITYCG20370413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READ IT CAREFULLY. ADDITIONAL INSURED —OWNERS,LESSEES ORCONTRACTORS—COMPLETED OPERATIONS This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE NameOf Additional Insured Person(s) Or Organization(s)Location And Description Of Completed Operations All persons or organizations as required by written contract with the Named Insured As designated in written contract with the Named Insured Information required to complete this Schedule,if not shown above,will be shownin the Declarations. A.Section Il —WhoIs An insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule,but onlywithrespecttoliabilityfor“bodily injury"or "property damage"caused,in whole or in part,by"your work"at the location designated and described in the Schedule of this endorsement performed for that additional insured andincludedinthe"products-completed operations hazard”. However: 1.The insurance afforded to such additional insured only applies to the extent permitted by law;and .If coverage providedto the additional insured is required by a contract or agreement,the insurance afforded to such additional insuredwillnotbebroaderthanthatwhichyouare required by the contract or agreement toprovideforsuchadditionalinsured. CG 20 37 04 13 B. ©Insurance Services Office,Inc.,2012 With respect to the insurance afforded to these additional insureds,the following is added toSectionIll—Limits Of Insurance: If coverage provided to the additional insured isrequiredbyacontractoragreement,the most we will pay on behalf of the additional insured is theamountofinsurance: 1.Required by the contract or agreement;or 2.Available under the applicable Limits of Insurance shownin the Declarations; whicheveris less. This endorsement shall not increase the applicableLimitsofInsuranceshownintheDeclarations. Page 1 of 1 103GL001984302 COMMERCIAL GENERAL LIABILITYCG20010413 THIS ENDORSEMENT CHANGESTHE POLICY.PLEASE READIT CAREFULLY. PRIMARY AND NONCONTRIBUTORY—OTHER INSURANCE CONDITION This endorsement modifies insurance provided underthefollowing: COMMERCIAL GENERALLIABILITY COVERAGE PARTPRODUCTS/COMPLETED OPERATIONSLIABILITY 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 becontrary:primary and would not seek contribution from any other insurance available to thePrimaryAndNoncontributoryInsuranceadditionalinsured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policyprovidedthat: (1)The additional insured is a Named Insuredundersuchotherinsurance;and CG 20 01 04 13 ©Insurance Services Office,Inc.,2012 Page 1 of 1 103GL001984302 DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT —RESTRICTED FORM This endorsement modifies insurance provided underthe following: COMMERCIAL GENERALLIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: All projects during the policy period. (If no entry appears above,information required to complete this endorsementwill be shownin the Declara- tions as applicable to this endorsement.) A.For all sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION |—COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY,and for all medical expenses caused by accidents under SECTION I —COVERAGE C MEDICAL PAYMENTS,whichcan beattributed only to ongoing operations at a single designated con- struction project shown in the Schedule above: 1.A separate Designated Construction Project General Aggregate Limit applies to each designated construction project,and that limit is equal to the amount of the General Aggregate Limit shownin the Declarations. .The Designated Construction Project General Aggregate Limit is the most wewill pay for the sum of all damages under SECTION I -COVERAGES,COVERAGEA BODILY INJURY AND PROPERTY DAMAGELIABILITY,except damages becauseof “bodily injury”or “property damage”included in the “products-completed operations hazard”,and for medical expenses under SECTION |— COVERAGE C MEDICAL PAYMENTSregardlessof the numberof: a.Insureds; b.Claims madeor“suits”brought;or c.Persons or organizations making claims or bringing “suits”. Any payments made under SECTION |-COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGELIABILITY for damages or under SECTION |-COVERAGE C MEDICAL PAYMENTSshall reduce the Designated Construction Project General Aggregate Limit for that des- ignated construction project.Such payments shall not reduce the General Aggregate Limit shownin the Declarations nor shall they reduce any other Designated Construction Project General Aggregate Limit for any other designated construction project shownin the Schedule above. The limits shownin the Declarations for Each Occurrence,Damages to Premises Rented to You and Medical Expense continue to apply.However,instead of being subject to the General Aggregate Limit shown in the Declarations,suchlimits will be subject to the applicable Designated Construction Project General Aggregate Limit. .The most we will pay for the sum of all Designated Construction Project General Aggregate Limits combinedandto which this insurance applies is $5,000,000. B.For all sums which the insured becomeslegally obligated to pay as damages caused by “occurrences” Under SECTION I —COVERAGES,COVERAGE A BODILY INJURY AND PROPERTY DAMAGE UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 1 of 2withitspermission. 103GL001984302 LIABILITY,and caused by accidents under SECTION I —-COVERAGE C MEDICAL PAYMENTS,which cannotbeattributed only to ongoing operations at a single designated construction project shownin the Schedule above: 1.Any payments made under SECTION |-COVERAGES,COVERAGEA BODILY INJURY AND PROPERTY DAMAGELIABILITY for damages or under SECTION I -COVERAGE C MEDICAL PAYMENTSshall reduce the amount available under the General Aggregate Limit or the Products- Completed Operations Aggregate Limit,whicheveris applicable;and 2.Such payments shall not reduce any Designated Construction Project General Aggregate Limit. .When coverage for liability resulting from the “products-completed operations hazard”is provided,any payments for damages becauseof “bodily injury”or “property damage”included in the “products- completed operations hazard”will reduce the Products-Completed Operations Aggregate Limit,and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. .Ifthe applicable designated construction project has been abandoned,delayed,or abandoned and then restarted,orif the authorized contracting parties deviate from plans,blueprints,designs,specifications or timetables,the projectwill still be deemed to be the sameconstruction project. E.The provisions of SECTIONIll -LIMITS OF INSURANCEnototherwise modified by this endorsement shall continue to apply as stipulated. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. UCG2503-1013 Includes copyrighted material of Insurance Services Office,Inc.,1996 Page 2 of 2withitspermission.