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Vector Resources Inc dba VectorUSA; 2021-09-23;
23rd September 9/3/2021 VRN 106953-001 Date: Vector Resources, Inc. dba VectorUSA 20917 Higgins Court Torrance, CA 90501 P: (310) 436-1000 Cubicle Remodel Company Site City of Carlsbad 1200 Carlsbad Village Dr Carlsbad, CA 92008 City of Carlsbad (Faraday) 1635 Faraday Avenue Carlsbad, CA USA 92008 VectorUSA will use existing Data drop locations for each of the thirty (30) cubicles. VectorUSA will re-route existing Cat6 Data cables as per new modular furniture layout. New layout will require two (2) Cat6 Data cables per cubicle. VectorUSA will test Data cables and provide test results upon the completion of installation. VectorUSA will provide a total of thirty (30) Leviton 2-Port Data faceplates for Herman Miller modular furniture. VectorUSA will provide a total of sixty (60) Leviton Cat 6 cable inserts, 2ea. cubicle. All work shall be performed during normal business hours. VectorUSA can provide a written change- order for the additional labor cost, should this work need to be performed after-hours. Scope of Work 60 CAT6 Insert White 8.54 512.40 30 QuickPort Modular Furniture Faceplate, 2-Port, White (Herman Miller) 4.29 128.70 30 Misc. Installation Material 6.25 187.50 1 Installation & Testing Labor 0.00 0.00 1 Communications Superintendent 0.00 0.00 Qty Description Unit Price Extended Price Project Name QQ1 Change Name DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE $828.60Materials: Labor:$6,496.00 Tax:$64.22 $7,388.82Job Total Prepared For Gary Hornby Customer Signature Date Printed Name Prepared By Kyle Messinger VectorUSA Signature Date Printed Name DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 6/15/2021 License # 0E67768 (949) 297-5534 52029 (949) 297-5960 25674 Vector Resources, Inc. 20917 Higgins Court Torrance, CA 90501 A 1,000,000 X X 6306H947178 11/1/2020 11/1/2021 300,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000A X X BA0L893865 11/1/2020 11/1/2021 15,000,000A CUP9J207638 11/1/2020 11/1/2021 15,000,000 A X UB0L239923 11/1/2020 11/1/2021 1,000,000 1,000,000 1,000,000 Re: All Projects with the city Certificate Holder(s) is/are included as Additional Insured(s) with respect to General Liability (per form #CGD417) and Auto Liability (per form #CAT353); Policy is Primary and Non-Contributory as respects General Liability (per form #CGD425) and Auto Liability (per form #CAT474); Waiver of Subrogation applies as respects General Liability (per form #CGD417), Auto Liability (per form #CAT353), and Workers Compensation (per form #WC990376); All applicable as required by written contract. 30 Days Notice of Cancellation with 10 Days Notice for Non-payment of Premium in accordance with the policy provisions. SEE ATTACHED ACORD 101 City of Carlsbad/CMWD c/o EXIGIS Insurance Compliance Services P.O. Box 947 92564 VECTRES-01 BELENS IOA Insurance Services 130 Vantis Suite 250 Aliso Viejo, CA 92656 Cheryl Perkovich Cheryl.Perkovich@ioausa.com Travelers Property Casualty Company of America X X X X X X X DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. IOA Insurance Services VECTRES-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance License # 0E67768 0 SEE P 1 Vector Resources, Inc. 20917 Higgins Court Torrance, CA 90501 SEE PAGE 1 BELENS 1 Description of Operations/Locations/Vehicles: Certificate Holder(s) include: City of Carlsbad/CMWD DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMM RCI L G NERAL IAB LI YE A E L I T T IS ENDORSEMENT CHANGES T E POLICY. PL ASE READ IT CAREFULLY.H H E XTEND ENDORSEMENT FOR TECH OLOGYN GE ERAL D SCRIP ION O CO ERAGE –N E T F V Thi endorsem nt broadens cov rage. Howev r cov rage fo anys e e e , e r i ju y, dama e o me i al ex ense descri ed in any o the provn r g r d c p s b f i ion o th s e dorseme t mays s f i n n be ex luded orc l mted by anothe endorsem n to this Cov rage Pa t, and the e i i r e t e r s cov rage broadening prov sions do no ap ly toeit p the ex en tha cov rage is ex l ded or lim ted by such ant t t e c u i endorsem n . The folo ing li ti g i a e t l w s n s general cov rage de cript o only Read al the provsion o thie s i n . l i s f s endorsem n and the re t o yo r pole t s f u i y ca e ul y toc r f l de erm ne r gh s, dut es, and wha i and i not ov red.t i i t i t s s c e A.No - wned a e cra t – 75 Feet Long Or Le sn O W t r f s I.Bla ket Addi ional Insured – Mortgagee ,n t s Assi nee , Su ce so s O ece v rsg s c s r r R i eB.Wh I An Insured – Unnam d Subsi ia ieo s e d r s J.Bla ket Addi ional Insured – Gov rnmen aln t e tC.Wh I An Insured – Em loyee – Supe vsoryo s p s r i En it e – Pe m t O utho izat o s Rela i g ot i s r i s r A r i n t n TPo i ionss t Prem sei sD.Wh I An Insured – Newly Acqui ed O Form do s r r e Lim ted Liabil ty Com aniei i p s K.Bla ket Addi ional Insured – Gov rnmen aln t e t En it e – Pe m t O utho izat o s Rela i g ot i s r i s r A r i n t n TE.Wh I An Insured – Lia ili y For onduct Ofo s b t C Ope atio sr nUnnam d Partne ship O Jo nt Venturese r s r i L.Medcal Paym nts – In rea ed Lim ti e c s iF.Bla ket Addi ional Insured – Pe sons Orn t r O ganizat on Fo Your ngoi g pe ations Asr i s r O n O r M.Bla ket Wa v r f Sub ogationn i e O rRe ui ed By ri te Con ra t r greem ntq r W t n t c O A e N.Co tra tua iabil ty – Rai roadn c l L i l sG.Bla ket Addi ional Insured – Broad Form Vendo sn t r O.Da a e To Prem se Ren ed o Youm g i s t TH.Bla ket Addi ional Insured – Cont ol i g ntere tn t r l n I s P O ISIONR V S i re ponsible fo the use o a wate cra ts s r f r fA NON OWNED WATE CRAFT – 75 FEE L N. -R T O G that yo do not own that i :u sO L SR E S (1)75 fee lon o le s; andt g r s1.The folowing repla e Pa agraphlc s r (2)of g.,Ai craft, Auto O Watercraftrr,(2)No bei g used to arry any pe son ot n c r r i Pa agraphn r 2.of SE TION I –C prope ty o a ha ge.r f r c rCO ERAGES – CO ERAGE A – BODI YVVL B WH IS AN INSU ED – UNNAMED. O RINJU Y AND P OP RT DAMAGERR E Y SUBS DIARIEI SL ABI ITI L Y:The fol owing is ad ed told SE TION II – WHO ISC(2)A wa er ra t y u do not own t at i :t c f o h s AN INSU EDR: Any o y u sub idiar e , ot er than a partne shif o r s i s h r p(a)75 fee lon o le s; andt g r s or joint v nture that is not shown a a Nam de ,s e(b)No bei g used to arry any pe son ot n c r r In ured i the eclara ion i a am d Insured i :s n D t s s N e fprope ty o a ha ge;r f r c r a.Yo are the so e owner o , o ma ntai anul f r i n2.The folo ing repla e Pa agraphl w c s r 2.e.of ownership intere t o mo e than 50% in, suchs f rSE TI N II – WHO I AN INSU EDC O S R :subsidia y on the fi st day o the pol cy pe iodr r f i r ; ande.Any perso or o gani at on that, wi h yourn r z i t ex re s o im lie conse t, ei her use op s r p d n t s r b.Su h subsidiary i not an in ured undecss r si ila o her nsuran e.m r t i c CG 4 17 02 19D © 2017 T e Travelers Indemnity Company. All rights rheserved.Pa e 1 o 5g f Includes copyrighted material of nsurance Services OfIf ce, Inc. with its permis ion.i s This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Exclusion DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMM RCI L G NERAL LIA ILI YE A E B T No such subsidiary i a insured fo "bodily inju y organi ation in wris n r r "z ting to us wit ih n or "property dama e" tha o curred, o "perso al 180 ay a te yog t c r n d s f r u a qui e or o m it;c r f r and a v rt sing i ju y caused by an o fe sed e i n r "f n b.Cov ragee A does not apply to "bodilycom i ted:mt i ju y" o "property dama e that o curredn r r g " c a.Be o e you ma ntai ed an ownership intere t be o e you a qui ed or fof r i n s f r c r rmed the o mo e than 50% i such ub idiary; or organi ation; andf r n s s z b.Af e the date, i any duri g the poli y periot r f , n c d c.Cov ragee B doe not ap ly to "perso als p n that yo no longer ma ntain a ownershi and adv rti i g injury ariui n p e s n " sing out o af n i tere t o o e han 50% in such subsidia y.o fe se com i ten s f m r t r f n m t d be o e yo a qui ed of r u c r r fo med the o ganiza io .r r t nFo purpose o Pa agraphr s f r 1.o Se tionf c II – Who Fo t e purpose o Pa ag apr h s f r r h 1.o Se t onf c i IIIs An Insured, ea h such sub idiary will becs – Who Is An Insured, each such o ganiza ior t ndeem d to e de ignated in the Declarat on a :e b s i s s wil be deem d to be designated in thelea.A im ted l ab l ty company;l i i i i De la ation a :c r s sb.An o ganizat on o he than a pa tnership, jo ntr i t r r i a.A im ted l ab l ty company;l i i i iv nture or l m ted liab l ty om any; ore i i i i c p b.An organiza ion o her than a pa tnership,t , t rc.A rust;t jo n v nture or lim ted lia ili y com any;i t e i b t p a indi a ed in i s nam o the docum n s tha ors c t t e r e t t gov rn it stru ture.e s c c.A rust;t C. WH IS AN INSURED – EMP O EES –O L Y a indica ed i its nam or the do um ntss t n e c eS PE VISO Y PO I IO SU R R S T N that gov rn t structure.e i s The fol o ing is added to Paragraphl w 2.a.(1)of E. WH IS AN INSU ED – L ABIL TY FOOR I I RSE TI N II – WHO I AN INSUREDC O S :CONDU T O UNNAMED PARTNE SHIP OC F R S R JO NT VEN UREI T SPa ag aphsr r (1)(a),(b)and (c)abov do not applye to "bodi y injury to a co "em loyee while in thel " - p "The fo lo ing rep a es the la t paragraph ol w l c s f cour e o he co "em loyees" em loy en by yous f t - p ' p m t SE TI N II – WHO I AN INSU EDC O S R : ari ing out o work by any o your "em loy e "s f f p e s No person o organi ation is an insured wi hr z twho hol a superv so y po itio .d i r s n re pe t to the con uct o any current o pa ts c d f r s pa tnership o joi t v nture tha i not shown a ar r n e t s sD WH IS AN INSURED – N WLY ACQU RED. O E I Na e Insured in the Thism dO FO MED LIMIT D L ABIL T CO PANIESR R E I I Y M pa agraph doe not apply to any such partne shiprsrThe fo lowing repla e Pa agraphlc s r 3.of SECTI NO or joi t v nture tha ot erwi e qua i ie a an e t h s l f s s nII – WHO I AN IN U EDS S R :i sured under ectionS n II – Who I An I sured.s n3.Any o gani at on y u newly a qui e or fo mr z i o c r r ,F B ANKET ADDI IONAL IN URED – P RSON. L T S E Sot er than a partnershi or joi t v nture anhp n e , d O O GANIZATI N FO YOU ON O NR R O S R R G I Go whi h yo a e the so e owner o in whi hf c u r l r c OP RATION AS REQUIRED B WRI T NE S Y T Ey u ma nta n an owne ship intere t o m reo i i r s f o CON RACT R AGRE MENT O E Tthan 50%, wi l quali y a a Nam d Insured ifl f s e The fol owing is ad ed told SE TION II – WHO ISCthe e i no othe sim lar i surance av ila le tor s r i n a b AN INSU EDR:that organiz tio . owev r:a n H e Any person or o gani at on tha i no o herwi er z i t s t t sa.Cov rage unde thi prov sion i a fo dede r s i s f r an insured under this Cov rage Pa t and that yoe r uon yl :hav ag ee in a writ en cont a t o agreem nt toe r d t r c r e(1)Unt l the 180th day a ter you a quireif c i clu e as an a ditio al insured on thi Cov ragen d d n s eor fo m the organi ation o the end orz r f Pa t is an in ured, but only wi h re pe t to l abi ityr s t s c i lthe pol cy period whi hev r is earl er,i , c e i fo "bodi y i ju y" or "prope ty dama e" thatr l n r r g :i y u do not report such o ganizat of o r i n a.Occurs subse uent to the signi g o thatqn fi writ ng to us wi hin 180 days a ten i t f r contra t or ag ee ent; andc r my u a quire o fo m i ; oo c r r t r b.Is cause , in whole or in part by yo r acts od, u r(2)Unt l the end o the pol cy perio ,i f i d om ssions in the perfo ma ce o yo r ongoinir n f u gwhen that date is late than 180 dayrs a ter y u a qui e or fo m such operatio s to whi h tha contra t f o c r r n c t c or organi ation, i you report suchz f Pa e 2 o 5g f © 2017 T e Travelers Indemnity Company. All rights rheserved.CG 4 17 02 19D Includes copyrighted material of nsurance Services OfIf ce, Inc. with its permis ion.i s Declarations. DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMM RCI L G NERAL IAB LI YE A E L I T pe fo med a such v ndor' prem se inr r t e s i sagreement applies or the acts or omissions of connect on with the sale o "y uif o rany pe son o organi at on pe fo m ng suchr r z i r r i product "; orso eratio s on your behal .p n f The lim t o in urance prov ded to such insuredi s f s i (6)"Yo r product " that a te di tri ution ou s , f r s b r wil be the mnim m lim t that you ag ee to sale by you, hli u i s r d av bee labeled oe n r prov de i the wri ten cont act or agreem nt, oi n t r e r re abeled or used a a containe , part olsr r the lim t shown in the Declaratio s, whi hev ri s n c e i gredien o any o her thing or substancen t f t are le s.s by or on behal o uch v ndor.f f s e G B ANKET ADDIT ONAL IN URED – B OAD. L I S R Cov rage under thi p ov sion doe not apply toes r i s :F RM VENDO SOR a.Any pe son o o ganizat on from whom yor r r i uThe fol owing is ad ed told SE TION II – WHO ISC hav acqui ed "y ur produ ts", or anye r o cAN INSU EDR:i gredie t, part or containe enterin in o,n n r g t Any perso o organ zat on that i a v ndor an a com ann r i i s e d c p yng o contain ng such product ;i r i s orthat you have agreed in a written contract or ag ee ent to in lude a an addi ional insured onr m c s t b.Any v ndo fo whi h cov rage a ane r r c e sth s Cov rage Part i a in ured, but only wi hi e s n s t addi ional insured spe if ca ly i sche ule bytc i l s d dre pe t to lia il ty fo "bodily injury or "prope tys c b i r " r endo sem nt.r edama e thatg " :H B ANKET ADD T ONAL INSURED –. L I Ia.Occurs subse uent to the signi g o thatqn f CON RO L NG IN ERE TT L I T Sco tra t or agreem nt; andn c e 1.The fo lo ing is added tol w SE TI N II – WHOC Ob.Ari e out o "y ur products" that ares s f o IS AN INSURED:di tr buted o so d in the regula cou se os i r l r r f Any pe son or o gan zat on that ha fi ancialr r i i s nsuch v ndors busine s.e ' s cont ol o yo is an i sured wi h re pe t tor f u n t s cThe insura ce prov ded to such v ndor is subje tn i e c l ab l ty fo "bodily inj ry , "property dam gei i i r u "a "to the olowing provsion :f l i s or "pe sonal a d adv rti ing i ju y that a i er n e s n r " r s sa.The lim t o in urance prov ded to suchi s f s i ou o :t f v ndor wil be the m nim m li i s tha y ue l i u m t t o a.Su h i an ial cont ol orc f n c r ;ag ee to prov de in the writ en cont a t or d i t r c r b.Su h person's or o ganizat on'c r i sag ee ent, o the lim t shown in ther m r i s ownership, ma ntenance or use ofi prem se lea ed o or o cupied by y u.i s s t c ob.The in urance provded to such v ndor doesie s The i surance prov ded to such person onirno ap ly o:t p t organi ation does not apply to structuralz(1)Any ex ress warranty no authorized bypt al erat on , new con tru tion or dem li iot i s s c o t ny u or any di tribut on or sa e fo aos i l r operatio s pe fo me by or on behal o suchn r r d f fpu po e not authorized by yo ;r s u pe son or organizationr . (2)Any change i "y u products" m de byn o r a 2.The fo lowing is ad ed to Paragraphld 4.ofsuch v ndor;e SE TI N II – WHO I AN INSU EDC O S R : (3)Re a kagi g, unle s unpa ked so ely fop c n s c l r Thi pa agraph does not apply to anys rthe purpo e o i spectio , dem n tratio ,s f n n o s n prem se owner, manager or le sor tha hai s s t ste tin , o the sub tit tion o part undes g r s u f s r fi a cial o trol o yo .n n c n f ui struction fro the man fa ture , ann s m u c r d I. B ANKET ADD T ONAL INSURED –L I Ithen repackaged in the orig nal containe ;i r MO T A E S ASSIGN ES, SU CES O SR G G E , E C S R(4)Any fai ure to ma e such in pect on ,l k s i s O ECEI ERSR R V a justme t , te ts or se v cing ad n s s r i s The fol owing i added tol s SE TION II – WHO ISCv ndors agree to perfo m or no ma lyer r l AN INSU EDR:unde take to pe fo m in the regularr r r Any pe son o o ganiza io tha is a mo tgagee,r r r t n t rcour e o bu ine s, in connectio wi h thes f s s n t a signee succe so or re eiv r and tha yos , s r c e t udi trib tio or sale o "y ur p oduct ";s u n f o r s hav agreed i a writ en cont a t o agreem nt toe n t r c r e(5)De o stra ion instal a ion, se v ci g om n t , l t r i n r i clu e as an a ditio al insured on thi Cov ragen d d n s ere ai operatio s, ex ept such o e ationp r n c p r s Pa t is an insured, but on y with re pe t to itsrl s c CG 4 17 02 19D © 2017 T e Travelers Indemnity Company. All rights rheserved.Pa e 3 o 5g f Includes copyrighted material of Insurance Services Of ice, Inc. with its permis ion.f s Declarations, whichever are less. DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMM RCI L G NERAL LIA ILI YE A E B T l ab l ty a m rtgagee, a signee succe so o constru tion, erei i i s o s , s r r c ction or remov l o any o thea f f re e v r fo "bodi y i ju y , "property dam ge" o fo lowi g fo wc i e r l n r "a r l n r hi h that gov rnme tal enti y hac e n t s "pe sonal and adv rti ing i ju y" that i sue such perm t o aure s n r :s d i r thorizat o : adv rti ingi n e s si n , awni gs, canopie , cel ar entrance , coalg s n s l sa.Is "bo ily inju y or "prope ty dama e" thatd r " r g ho es, driv way , ma holes, marquees, hoi tl e s n so curs, o i "pe sonal an adv rti ing inju yc r s r d e s r "away open ng , sidewalk v ults, e ev tor , streeti s a l a scaused by an o f n e that is com it ed,f e s m t banners o de orat on .r c i ssubsequent to the si ning o that co tra t og f n c r ag ee ent; andr m K. B ANKET ADD T ONAL INSURED –L I IGO E N ENT L EN IT ES – P RMIT OV R M A T I E S Rb.Ari e out o the ownership, m in enance os s f a t r AU HO I ATI N RELATIN TO OP R-T R Z O S G Euse o the premse fo whi h that mo tgagee,f i s r c r ATIONSa signee succe so o re eiv r is requi eds , s r r c e r unde that cont act o agreem nt to be The fol owing is ad ed torr r e l d SE TION II – WHO ISC i clu ed a an a dit onal insured on thisn d s d i AN INSU EDR: Cov rage Parte .Any gov r men al enti y tha ha issued a perm te n t t t s i The insurance prov ded to such mo tgagee, or authoriza ion wit rirt h e pe t to ope ationss c r a signee succe so o re eiv r is subje t to the pes , s r r c e c rfo med by y u or on your behal and that yor o f u fo lowi g provsions:are required by any o dinance, law, buil ing cl n i r d ode or written cont act or agreement to incl de a anru sa.The lim t o in urance prov ded to suchi s f s i addi ional i sured on thi Cov rage Pa t is at n s e r nm rtgagee, a signee, succe so o re eiv ro s s r r c e i sured, but only wi h re pe t to liabi i y fo "bodilynt s c l t rwil be the m n m m l m t tha y u agreed tol i i u i i s t o i ju y", "prope ty dam ge" or "perso al andn r r a nprov de in the writ en con ra t or agreem nt,i t t c e adv rti ing inj ry" ari ing ou o uch operatio s.e s u s t f s n whi hev r are e s.The in uran e prov ded to such gov rnmen alc e l s s c i e t en ity doe not apply o:t s tb.The i surance prov ded to such person onir organi ation oe not apply to:z d s a.Any "bodi y inju y , "property dama e ol r "g " r "pe sonal and adv rti ing injury" a i ing o t ore s r s u f(1)Any "bodily inj ry or "property dam geu "a "operatio s perfo m d fo the gov r men aln r e r e n tthat occurs, or any "pe sonal andr en ity ort ;adv rti ing inju y ca sed by an o fe see s r " u f n that is com it ed, a ter such con ra t om t f t c r b.Any "bodily inj ry or "property dam geu "a " ag ee ent s no lon er in e fe t; o i clu ed in the "products-co plr m i g f c r n d m eted operatio s hazard".n(2)Any "bodi y inju y , "property dama e ol r "g " r "pe sonal and adv rti ing i ju y ari ingre s n r " s L MED CAL PAYMEN S – INCREASED LI IT. I T M ou o any structural al eratio s, newt f t n The fo lowing repla e Pa agraphlc s r 7.of SECTI NOconstru tion o dem li ion ope ationsc r o t r II – L MIT F INSURANCEI I S O :pe fo med by or on behal o suchr r f f 7.Su je t to Paragraphb c 5.abov , the Medicaelm rtgagee, assignee, succe so oos r r Ex ense Lim t is the mo t we will pay undep i s rre e v r.c i e Cov ragee C fo al me ical ex enser l d p sJ B ANKET ADD T ONAL INSURED –. L I I be ause o "bod ly i ju y sustained by anyc f i n r "GO E N ENT L EN IT ES – P RMIT OV R M A T I E S R one erson, and will be he ighe o :p t h r fAU HO I ATI N RELAT N O P E IS ST R Z O S I G T R M E a.$10, 00; or0The fol owing is ad ed told SE TION II – WHO ISC b.The am unt shown i the oonfAN INSU EDR:th s Cov rage Part fo Medi al Ex ensei e r c pAny gov r men al enti y tha ha issued a perm te n t t t s i Lim t.ior aut orizat o wit respe t to premse ownedh i n h c i s M. B ANKET WAIVER O SUB O ATIONLF R Gor o cupied by, o rented o loa ed to, y u ancr r n o d that yo a e requi ed by any ordi ance, law,u r r n The fo lowing is a ded to Parag aphl d r 8.,Tra sfen rO Righ s O Rec very Against O hers To Uf t f o t sbuilding code or written contract or agreement to , i clu e as an a ditio al insured on thi Cov ragen d d n s e of SE TION IV – CO MERCIAL GENERALCM Pa t is an insured, but on y with re pe t to lia il tyrl s c b i L AB LIT CO D TIONI I Y N I S: fo "bodi y inj ry , "prope ty dam ge or "perso alr l u " r a " n If the insured has a ree in a cont act og d r rand adv rti ing inj ry arising out o thee s u "f ag ee ent to waiv that i sured' righ or m e n s t fex stence owne ship, use mai tenance repai ,i , r , n , r re ov ry against any per on o o ganiza io , wec e s r r t n Pa e 4 o 5g f © 2017 T e Travelers Indemnity Company. All rights rheserved.CG 4 17 02 19D Includes copyrighted material of nsurance Services OfIf ce, Inc. with its permis ion.i s or the limits shown in the Declarations, Declarations DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMM RCI L G NERAL IAB LI YE A E L I T waiv our right o e ov ry against such pe son oe f r c e r r 2.Pa ag aphr r f. 1)(o the de init on o "i suredf f i f n organi a ion, but only fo pay ents we make cont a t" i thez t r m r c n D FIN TIONE I S Se tion isc be ause o :de eted.c f l a."Bo ily i ju y o "property dam ge" thatd n r " r a O DAMAGE TO P EMISE EN ED TO YOU.R S R T o curs; oc r The fol owing repla e the de i ition o "prem selc s f n f i sb."Pe so al and adv rti ing inj ry ca sed byr n e s u " u dama e in heg " t DEF NIT ONSI I Se tionc : an o fe se hat i comm ttedf n t s i ;"Pre i e dama e m a s "property damage to:m s s g " e n "subsequent to the ex cu ion o the cont a t oe t f r c r a.Any prem se whi e rented to y u oi s l o rag e ment.r e tem ora ily o cupied by you wi h pe m ssionp r c t r iN CON RACTUAL IABILIT – RAIL OAD. T L Y R S o he owne ; orf t r 1.The fol o ing repla e Pa agraphl w c s r c.o thef b.The co tent o any premi e whi e suchn s f s s lde i i ion o "insured cont act" i thef n t f r n prem se i rented to yo , i y u rent suchi s s u f oD FIN TIONE I S Se tion:c prem se fo a period o sev n or fewei s r f e rc.Any ea em nt or l cense agreem nt;s e i e conse utiv day .c e s CG 4 17 02 19D © 2017 T e Travelers Indemnity Company. All rights rheserved.Pa e 5 o 5g f Includes copyrighted material of Insurance Services Of ice, Inc. with its permis ion.f s DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMMERCIAL AUTO This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM CA T3 53 02 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT Page 1 of 4© 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. GENERAL DESCRIPTION OF COVERAGE – This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS F. HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE – GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi- tional insured is an "insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT I. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1.The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2.The following replaces Paragraph b. in B.5., Other Insurance, of SECTION IV – BUSI- NESS AUTO CONDITIONS: b.For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1)Any covered "auto" you lease, hire, rent or borrow; and (2)Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMMERCIAL AUTO CA T3 53 02 15Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II – COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS – INCREASED LIMITS 1.The following replaces Paragraph A.2.a.(2), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (2)Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2.The following replaces Paragraph A.2.a.(4), of SECTION II – COVERED AUTOS LIABIL- ITY COVERAGE: (4)All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work. F. HIRED AUTO – LIMITED WORLDWIDE COV- ERAGE – INDEMNITY BASIS The following replaces Subparagraph (5) in Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV – BUSINESS AUTO CONDI- TIONS: (5)Anywhere in the world, except any country or jurisdiction while any trade sanction, em- bargo, or similar regulation imposed by the United States of America applies to and pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a limited liability company) or members of their households. (a)With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i)You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii)Neither you nor any other involved "insured" will make any settlement without our consent. (iii)We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv)We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE. (v)We will reimburse the "insured" for the reasonable expenses incurred with our consent for your investiga- tion of such claims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para- graph C., Limits Of Insurance, of SECTION II – COVERED AUTOS LIABILITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the applicable limit of insurance in payments for damages, settlements or defense expenses. (b)This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c)This insurance is not a substitute for re- quired or compulsory insurance in any country outside the United States, its ter- ritories and possessions, Puerto Rico and Canada. DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMMERCIAL AUTO CA T3 53 02 15 Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. © 2015 The Travelers Indemnity Company. All rights reserved. You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d)It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE – GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III – PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE – LOSS OF USE – INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III – PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE – TRANSPORTATION EXPENSES – INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III – PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal property which is: (1)Owned by an "insured"; and (2)In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III – PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a.If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b.The airbags are not covered under any war- ranty; and c.The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV – BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- plies only when the "accident" or "loss" is known to: (a)You (if you are an individual); (b)A partner (if you are a partnership); (c)A member (if you are a limited liability com- pany); (d)An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e)Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV – BUSINESS AUTO CONDI- TIONS : 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMMERCIAL AUTO CA T3 53 02 15Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved . Includes copyrighted material of Insurance Services Office, Inc. with its permission. such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV – BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non-renewal. DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE © 2016 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1CA T4 74 02 16 This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1.The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION ll – COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2.The following is added to Paragraph B.5., Other Insurance of SECTION IV – BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE WORKERS COMPENSATION (BLANKET WAIVER) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS POLICY NUMBER: AND EMPLOYERS LIABILITY POLICY ENDORSEMENT – CALIFORNIA ENDORSEMENT WC 99 03 76 ( A) - UB-0L239923-20-I3-G HARTFORD CT 06183ONE TOWER SQUARE 001 Schedule Job DescriptionPerson or Organization 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. The additional premium for this endorsement shall be % of the California workers' compensation pre- mium. 2.00 THE INSURED INSTALLS INFORMATION TECHNOLOGY INFASTRUCTURE FOR TELECOMMUNICATION AND DATA LINES. ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. INCLUDING: CITY OF SAN DIEGO, ENTERTAINMENT CENTER L.L.C., CBRE, INC, ONE HUNDRED TOWERS, LLC, CREATIVE ARTISTS AGENCY, TASLIMI CONSTRUCTION COMPANY, INC. Countersigned byInsurance Company PremiumInsured Endorsement No.Policy No.Endorsement Effective 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.) ST ASSIGN: DATE OF ISSUE: Page of11-05-20 1 1 DocuSign Envelope ID: 1995F31E-712A-402D-9466-2158829FE5BE