Loading...
Insurance - GCI Construction, Inc. - 2018-01-18I A CERTIFICATE OF LIABILITY INSURANCE DAT (MMID01$) 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). CONT PRODUCER Compass Direct Insurance Services, Inc. NAMEACT Jeremy Seltzer 13681 Newport Ave., Ste 8#622 PHONE FAX Tustin, CA 92780 E4ANo.6d):IL 714-665-9800 (A/c,No): 714-665-9801 ADDRESS: le remyAcd isi.com IIS INSURERS)AFFORDING COVERAGE NAIC 0 www.cdisi.com License#OH16100 INSURER A: Great American Assurance Company' 26344 INSURED INSURER B: Wesco Insurance Company ' 25011 GCI Construction, INSURER c: Security National Insurance Company 19879 Ste. D S 1031 CalleRecodo, San Clemente CA 92673 INSURER D: RSUI Indemnity Company l 22314 INSURER E: AGCS Marine Insurance Company.' 22837 _ INSURER F: COVERAGES CERTIFICATE NUMBER: 39956371 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WD/YLIMITS LTR INSD VD POLICY NUMBER (MM/DD/YYYYL(MM/DYYY) A / COMMERCIAL GENERALLJABILITY ,./ / GLP 1552541 4/1/2017 4/1/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE / OCCUR PREMISES Es occurrence) $50,000 ✓ Owner's/Cont.Pro MED EXP(Any one person) $Excluded / XCU/Deductible$5,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY ✓ Ter LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: Employee Benifits $1,000,000 B AUTOMOBILE LIABILITY ✓ `/ WPP1516201 00 4/1/2017 4/1/2018 COMBINED tSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS PROPERTY ✓, HIRED AUTOS. ONLY ✓ AUTOS ONLY Comp/Coll Ded$1,000 (Per accident) DAMAGE $ No Liability Deductible $ D ,./ UMBRELLALIAB �/ OCCUR / NHA242287 4/1/2017 4/1/2018 EACH OCCURRENCE $4,000,000 EXCESSLIAB CLAIMS-MADE AGGREGATE $4,000,000 $0 Deductible DED RETENTION$ $ C WORKERS COMPENSATION ✓ SWC1146549 3/17/2017 3/17/2018 ✓ STATUTE ETH- AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YN/A E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? I I (Mandatory In NH) $0 Deductible E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 E IM-Eqp./Lesd-Hrd-R MXI 93 076 269 4/1/2017 4/1/2018 Sch/Per:481K/100K Deductible$1,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:CMSD Corporate Yard Expansion#325 Costa Mesa Sanitary District GCI Job No.527 Costa Mesa Sanitary District,their elected and appointed officials.agents.officers.volunteers,and employees are named as additional insured as per attached endorsements with respects to the operations of the named insured as per contract. CERTIFICATE HOLDER CANCELLATION GCI Job#527 Costa Mesa SanitaryDistrict SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 628 W. 19th Street ACCORDANCE WITH THE POLICY PROVISIONS. Costa Mesa CA 92627 - J �� '� AUTHORIZED REPRESENTATWE I Jeremy Seltzer ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenechlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 1 of 10 Great American Assurance Company CG 20 33 GLP 1552541 GCI Construction, Inc. (Ed. 07 04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. SECTION II - WHO IS AN INSURED is This insurance does not apply to: amended to include as an Additional Insured any person or organization for whom you are 1. "Bodily injury," "property damage" or "per- performing operations when you and such sonal and advertising injury" arising out of person or organization have agreed in writing the rendering of, or the failure to render, in a contract or agreement that such person any professional architectural, engineering or organization be added as an Additional In- or surveying services, including: sured on your policy. Such person or or- ganization is an Additional Insured only with a. the preparing, approving, or failing to respect to liability for "bodily injury," "prop- prepare or approve, maps, shop erty damage" or "personal and advertising in- drawings, opinions, reports, surveys, jury" caused, in whole or in part, by: field orders, change orders or draw- ings and specifications; or b. supervisory, inspection, architectural 1. your acts or omissions; or or engineering activities. 2. "Bodily injury," or "property damage" oc- 2. the acts or omissions of those acting on curring after: your behalf; a. all work, including materials, parts or equipment furnished in connection in the performance of your ongoing oper- with such work, on the project (other ations for the Additional Insured. than service, maintenance or repairs) to be performed by or on behalf of the Additional Insured(s) at the location A person's or organization's status as an Ad- of the covered operations has been ditional Insured under this endorsement ends completed; or when your operations for that Additional In- b. that portion of "your work" out of sured are completed. which the injury or damage arises has been put to its intended use by any person or organization other than an- B. With respect to the insurance afforded to other contractor or subcontractor en- these Additional Insureds, the following addi- gaged in performing operations for a tional exclusions apply: principal as a part of the same project. Copyright, ISO Properties, Inc., 2004 CG 20 33 (Ed. 07/04) XS 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenachlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 2 of 10 Great American Assurance Company GLP 1552541 CG 20 37 GCI Construction, Inc. (Ed. 07 04) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Schedule Name of Additional Insured Persons} or Organization(s): Location and Description of Completed Operations: Any person or organization that Per Certificate ( s ) of Insurance "you" and such person or organiza- tion have agreed in writing in a contract or agreement that such "Your work" performed during this policy person or organization be added as period . an additional insured on "your " policy , but only for "your work" performed during this policy period . Additional Premium: Included Information required to complete this Schedule, if not shown above, will be shown in the Declarations. SECTION II - WHO IS AN INSURED is amended to include as an Additional Insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" 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 and included in the "products-completed operations hazard." Copyright, ISO Properties, Inc., 2004 CG 20 37 (Ed. 07/04) PRO (Page 1 of 1) 39956371 I 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenschlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 3 of 10 Great American Assurance Company CG 24 04 GLP 1552541 GCI Construction, Inc. (Ed. 05 09) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART Schedule Name of Person or Organization: Any person or organization for whom or on whose behalf "you" are performing operations when "you" and such person or organization have agreed in writing in a contract or agreement to waive any right of recovery "we" may have against such person or organization . Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to paragraph 8. Transfer of Rights of Recovery Against Others to Us of SECTION IV - CONDITIONS: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the"products—completed operations hazard." This waiver applies only to the person or organization shown in the Schedule above. Copyright, ISO Properties, Inc., 2008 CG 24 04 (Ed. 05/09) PRO (Page 1 of 1) 39956371 117/18 GL AU UMB WC IME/LHR I Nina Lautenschlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 4 of 10 Great American Assurance Company GLP 1552541 GAC 3649CG GCI Construction, Inc. (Ed. 11 06) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY NON-CONTRIBUTORY INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM This insurance is primary to any other insurance held by third parties with respect to work performed by you under written contractual agreements with such third parties and any other insurance which may be available to such third parties shall be non—contributory. GAC 3649CG (Ed. 11/06) XS 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenechlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 5 of 10 Great Americanm52541 Assurance Company GLPGCI Construction, Inc. (EC25 03 (Ed. 03 97) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Projects: Any construction project where "you" are performing operations when "you" have agreed in writing in a contract or agreement that a separate General Aggregate Limit shall apply to such construction project , but only if "your work" on or at the construction project is performed during the period of this policy . (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. For all sums which the Insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A. (SECTION I), and for all medical expenses caused by accidents under COVERAGE C. (SECTION I), which can be attributed only to ongoing operations at a single designated construction 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 shown in the Declarations. 2. The Designated Construction Project General Aggregate Limit is the most we will pay for the sum of all damages under Coverage A. except damages because of "bodily injury" or "property damage" included in the "products—completed operations hazard," and for medical expenses under Coverage C. regardless of the number of: a. Insureds; b. claims made or "suits" brought; or c. persons or organizations making claims or bringing "suits." Copyright, Insurance Services Office, Inc., 1996 CG 25 03 (Ed. 03/97) PRO (Page 1 of 2) 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Iautenechlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 6 of 10 3. Any payments made under Coverage A. for damages or under Coverage C. for medical expenses shall reduce the Designated Construction Project General Aggregate Limit for that designated 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 shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Fire Damage 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. B. For all sums which the Insured becomes legally obligated to pay as damages caused by "occurrences" under COVERAGE A. (SECTION IL and for all medical expenses caused by accidents under COVERAGE C. (SECTION I), which cannot be attributed only to ongoing operations at a single designated construction project shown in the Schedule above: 1. any payments made under Coverage A. for damages or under Coverage C. for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. such payments shall not reduce any Designated Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Designated Construction Project General Aggregate Limit. D. If the 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 LIMITS OF INSURANCE (SECTION III) not otherwise modified by this endorsement shall continue to apply as stipulated. Copyright, Insurance Services Office, Inc., 1996 CG 25 03 (Ed. 03/97) PRO (Page 2 of 2) 39956371 1 17/18 GL AU UMH WC IME/LHR 1 Nina Lautenachlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 7 of 10 WPP1516201 00 COMMERCIAL AUTO CA 20 48 02 99 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form.This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 4/1/2017 Countersigned By: '�/ 1,1 Named Insured: GCI Construction, Inc. /� (Authorized Representative) SCHEDULE Name of Person(s)or Organization(s): Blanket as required by written contract. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 Page 1 of 1 D 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenschlager 1 1/18/2018 3:23:16 PM (PST) Page 8 of 10 WPP1516201 00 COMMERCIAL AUTO CA 04 44 03 10 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: GCI Construction, Inc. Endorsement Effective Date: 4/1/2017 SCHEDULE Name(s)Of Person(s)Or Organization(s): Blanket as required by written contract Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Oth- ers To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "ac- cident" or the "loss" under a contract with that person or organization. CA 04 44 0310 ©Insurance Services Office, Inc., 2009 Page 1 of 1 O 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenechlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 9 of 10 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2.00%of the California workers'compensation premium otherwise due on such remuneration. Schedule Person or Organization Job Description Any person or organization as required by written contract II This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. Endorsement Effective 3/17/2017 Policy No.SWC1146549 Endorsement No. WC 04 03 06 Insured GCI Construction,Inc. Premium$ Insurance Company Security National Insurance Company 39956371 1 17/18 GL AU UMB WC IME/LHR 1 Nina Lautenschlager 1 1/18/2018 3:23:16 PM (PST) 1 Page 10 of 10 Company Profile Page 1 of 2 CA[IFORNIA DEPARTMENT OF INSURANCE 1 COMPANY PROFILE Company Profile Company Search Company Information Company Search Results GREAT AMERICAN ASSURANCE COMPANY Company 301 E. FOURTH STREET Information CINCINNATI, OH 45202-4201 Old Company 800-545-4269 Names Agent for Service Old Company Names Effective Date Reference Information AGRICULTURAL INSURANCE COMPANY 12/04/2000 NAIC Group List AMERICAN EMPIRE INSURANCE COMPANY OF SOUTH DAKOTA 08/11/1972 Lines of Business QUEEN CITY INSURANCE COMPANY 06/23/1960 Workers' Compensation Agent For Service Complaint and Request for Vivian Imperial Action/Appeals 818 WEST SEVENTH STREET Contact Information SUITE 930 LOS ANGELES CA 90017 Financial Statements PDF's Annual Statements Reference Information Quarterly Statements NAIC#: 26344 Company Complaint California Company ID #: 1472-0 Company Performance& Date Authorized in California: 03/01/1955 Comparison Data Company License Status: UNLIMITED-NORMAL Enforcement Action Composite Company Type: Property&Casualty Complaints Studies State of Domicile: OHIO Additional Info Find A Company back to top Representative In Your Area View Financial Disclaimer NAIC Group List NAIC Group #: 0084 American Financial Grp Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 1/30/2018 Great American Assurance Company - Company Profile - Best's Credit Rating Center Page 1 of 3 A.M. Best Rating Services Great American Assurance Company (?) A.M.Best#:002004 NAIC#:26344 FEIN#:156020948 Domiciliary Address pay 301 E.Fourth Street Cincinnati,OH 45202 .ICtel M United States Assigned to insurance companies that have,in our opinion,a superior ability to Web: meet their ongoing insurance obligations. www.greatamericaninsurancegroup.com Phone:513-369-5000 Fax:513-369-3600 View additional news, reports and products for this company. Based on A.M.Best's analysis,058317-American Financial Group,Inc is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A+(Superior) Affiliation Code: r(Reinsured) Financial Size Category: XIV($1.5 Billion to$2 Billion) Outlook: Stable Action: Affirmed Effective Date: August 11,2017 Initial Rating Date: September 30, 1908 Long-Term Issuer Credit Rating View Definition Long-Term: aa- Outlook: Stable Action: Affirmed Effective Date: August 11,2017 Initial Rating Date: June 17,2005 u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Issued by:A.M.Best Rating Services,Inc. Senior Financial Analyst:Gregory Dickerson Director:Jennifer Marshall,CPCU,ARM Disclosure Information Disclosure Information Form View A.M.Best's Rating Disclosure Form Press Release A.M.Best Affirms Credit Ratings of American Financial Group,Inc.and Most of Its Insurance Subsidiaries August 11,2017 Rating History A.M.Best has provided ratings&analysis on this company since 1908. Financial Strength Rating http://ratings.ambest.com/SearchResults.aspx?URatingld=2588176&b1=0&AltSrc=9&PPP... 1/30/2018 Wesco Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 3 A.M. Best Rating Services Wesco Insurance Company (?) A.M.Best#:002468 NAIC#:25011 FEIN#:850165753 Administrative Office View Additional Address Information p_id Ratbsg 59 Maiden Lane 6th Floor 1.BEST New York,NY 10038 A United States Assigned to insurance companies that have,in our opinion,an excellent ability Web:www.amtrustgroup.com to meet their ongoing insurance Phone:212-220-7120 obligations. Fax:212-220-7130 View additional news,reports and • products for this company. Based on A.M.Best's analysis,051002-AmTrust Financial Services, Inc is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A u(Excellent) Affiliation Code: g(Group) Financial Size Category: XV($2 Billion or greater) Implication: Negative Action: Under Review Effective Date: November 06,2017 Initial Rating Date: June 30, 1964 Long-Term Issuer Credit Rating View Definition Long-Term: a u Implication: Negative Action: Under Review Effective Date: November 06,2017 Initial Rating Date: June 22,2005 u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Issued by:A.M.Best Rating Services, Inc. Director:Jennifer Marshall,CPCU,ARM Senior Director:Michael J.Lagomarsino,CFA,FRM Disclosure Information Disclosure Information Form View A.M.Best's Rating Disclosure Form Press Release A.M.Best Places Credit Ratings of AmTrust Financial Services,Inc.and Subsidiaries Under Review With Negative Implications November 06,2017 Rating History A.M.Best has provided ratings&analysis on this company since 1964. http://ratings.ambest.com/CompanyProfile.aspx?ambnum=2004&URatingId=2588176&bl... 1/30/2018 Company Profile Page 1 of 2 CALIFORNIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results WESCO INSURANCE COMPANY Company 59 MAIDEN LANE Information NEW YORK, NY 10038 Old Company 866-203-3037 Names Agent for Service Old Company Names Effective Date Reference Information NAIC Group List Agent For Service Lines of Business KARISSA LOWRY Workers' 2710 GATEWAY OAKS DRIVE Compensation SUITE 150N Complaint and SACRAMENTO CA 95833 Request for Action/Appeals Contact Information Reference Information Financial Statements PDF's NAIC#: 25011 Annual Statements California Company ID #: 4378-6 Quarterly Statements Date Authorized in California: 09/24/1996 Company Complaint License Status: UNLIMITED-NORMAL Company Performance& Company Type: Property&Casualty Comparison Data Company State of Domicile: DELAWARE Enforcement Action Composite back to top Complaints Studies Additional Info Find A Company NAIC Group List Representative In Your Area • View Financial NAIC Group#: 2538 AmTrust NGH Grp Disclaimer Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 1/30/2018 Security National Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 3 A.M. Best Rating Services Security National Insurance Company (?) A.M.Best#:002522 NAIC#:19879 FEIN#:756020448 Mailing Address View Additional Address Information RunoY P.O.Box 650771a Dallas,TX 75265-0771 A United States Assigned to insurance companies that have,in our opinion,an excellent ability Web:www.amtrustgroup.com to meet their ongoing insurance Phone:800-777-2249 obligations. Fax:214-360-8097 View additional news,reports and products for this company. Based on A.M.Best's analysis,051002-AmTrust Financial Services, Inc is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A u(Excellent) Affiliation Code: g(Group) Financial Size Category: XV($2 Billion or greater) Implication: Negative Action: Under Review Effective Date: November 06,2017 Initial Rating Date: June 30, 1927 Long-Term Issuer Credit Rating View Definition Long-Term: a u Implication: Negative Action: Under Review Effective Date: November 06,2017 Initial Rating Date: April 28,2006 u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Issued by:A.M.Best Rating Services, Inc. Director:Jennifer Marshall,CPCU,ARM Senior Director:Michael J.Lagomarsino,CFA,FRM Disclosure Information Disclosure Information Form View A.M.Best's Rating Disclosure Form Press Release A.M.Best Places Credit Ratings of AmTrust Financial Services,Inc.and Subsidiaries Under Review With Negative Implications November 06,2017 Rating History A.M.Best has provided ratings&analysis on this company since 1927. http://ratings.ambest.com/CompanyProfile.aspx?ambnum=2522&URatingld=25 8 8176&bl... 1/30/2018 Company Profile Page 1 of 2 • CAIIFOANIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results SECURITY NATIONAL INSURANCE COMPANY Company 800 SUPERIOR AVENUE Information CLEVELAND, OH 44114-2613 Old Company 800-777-2249 Names Agent for Service Old Company Names Effective Date Reference Information SECURITY NAT'L F INS CO 12/20/1954 NAIC Group List Lines of Business Agent For Service Workers' KARISSA LOWRY Compensation 2710 GATEWAY OAKS DRIVE • Complaint and SUITE 150N Request for SACRAMENTO CA 95833 Action/Appeals Contact Information Financial Statements Reference Information PDF's Annual Statements NAIC#: 19879 Quarterly California Company ID #: 0857-3 Statements Company Complaint Date Authorized in California: 09/27/1943 Company Performance& License Status: UNLIMITED-NORMAL Comparison Data Company Company Type: Property&Casualty Enforcement Action State of Domicile: DELAWARE • Composite Complaints Studies Additional Info back to top Find A Company Representative In NAIL Group List Your Area View Financial Disclaimer NAIC Group #: 2538 AmTrust NGH Grp Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AUTOMOBILE BURGLARY COMMON CARRIER LIABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER SURETY TEAM AND VEHICLE WORKERS'COMPENSATION https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 1/30/2018 RSUI Indemnity Company - Company Profile - Best's Credit Rating Center Page 1 of 3 A.M. Best Rating Services RSUI Indemnity Company (?) A.M.Best#:012603 NAIC#:22314 FEIN#:160366830 Administrative Office View Additional Address Information p_w,_► 945 East Paces Ferry Road Suite 1800 .BEST 0,1bil Atlanta,GA 30326-1160 A♦., tivorior United States Assigned to insurance companies that have,in our opinion,a superior ability to Web:www.rsui.com meet their ongoing insurance obligations. Phone:404-231-2366 Fax:404-231-3755 View additional news,reports and products for this company. Based on A.M.Best's analysis,058309-Alleghany Corporation is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure.View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A+(Superior) Financial Size Category: XIV($1.5 Billion to$2 Billion) Outlook: Stable Action: Affirmed Effective Date: September 29,2017 Initial Rating Date: July 01,2003 Long-Term Issuer Credit Rating View Definition Long-Term: aa- Outlook: Stable Action: Affirmed Effective Date: September 29,2017 Initial Rating Date: November 16,2005 u Denotes Under Review Bests Rating Best's Credit Rating Analyst Rating Issued by:A.M.Best Rating Services,Inc. Senior Financial Analyst:Scott Mangan Director:Steven M.Chirico,CPA Disclosure Information Disclosure Information Form View A.M.Bests Rating Disclosure Form Press Release A.M.Best Affirms Credit Ratings of Transatlantic Reinsurance Company and Alleghany Corporation September 29,2017 Rating History A.M.Best has provided ratings&analysis on this company since 2003. Financial Strength Rating http://ratings.ambest.com/CompanyProfile.aspx?ambnum=2522&URatingld=2588176&bl... 1/30/2018 Company Profile Page 1 of 2 CALIFORNIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results RSUI INDEMNITY COMPANY Company 945 EAST PACES FERRY RD,SUITE 1800 Information ATLANTA, GA 30326 Old Company Names Old Company Names Effective Date Agent for Service Reference BUFFALO REINSURANCE COMPANY 12/28/1987 Information UNDERWRITERS REINSURANCE COMPANY 02/06/2004 NAIC Group List Lines of Business Agent For Service Workers' KARISSA LOWRY Compensation 2710 GATEWAY OAKS DRIVE Complaint and SUITE 150N Request for SACRAMENTO CA 95833 Action/Appeals Contact Information Financial Statements Reference Information PDF's Annual Statements NAIC#: 22314 Quarterly Statements California Company ID #: 2269-9 Company Complaint Date Authorized in California: 01/01/1978 Company Performance& License Status: UNLIMITED-NORMAL Comparison Data Company Company Type: Property&Casualty Enforcement Action Composite State of Domicile: NEW HAMPSHIRE Complaints Studies Additional Info back to top Find A Company Representative In Your Area NAIC Group List View Financial Disclaimer NAIC Group #: 0501 Alleghany Grp Lines Of Business The company is authorized to transact business within these lines of insurance. For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BOILER AND MACHINERY BURGLARY COMMON CARRIER LIABILITY CREDIT DISABILITY FIRE • LIABILITY MARINE MISCELLANEOUS PLATE GLASS https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 1/30/2018 AGCS Marine Insurance Company - Company Profile - Best's Credit Rating Center Page 1 of 3 A.M. Best Rating Services AGCS Marine Insurance Company (?) A.M.Best#:002268 NAIC#:22837 FEIN#:366033855 Domiciliary Address p,r10y 225 W.Washington Street Suite 1800 <BEST> Chicago,IL 60606-3484 ,�; United States Assigned to insurance companies that have,in our opinion,a superior ability to Web:www.agcs.allianz.com meet their ongoing insurance obligations. Phone:888-466-7883 Fax:312-641-3797 View additional news,reports and products for this company. Based on A.M.Best's analysis,085449-Allianz SE is the AMB Ultimate Parent and identifies the topmost entity of the corporate structure. View a list of operating insurance entities in this structure. Best's Credit Ratings Financial Strength Rating View Definition Rating: A+(Superior) Affiliation Code: g(Group) Financial Size Category: XV($2 Billion or greater) Outlook: Stable Action: Affirmed Effective Date: August 03,2017 Initial Rating Date: June 30, 1962 Long-Term Issuer Credit Rating View Definition Long-Term: aa Outlook: Stable Action: Upgraded Effective Date: August 03,2017 Initial Rating Date: July 22,2005 u Denotes Under Review Best's Rating Best's Credit Rating Analyst Rating Issued by:A.M.Best Rating Services, Inc. Financial Analyst:Michael Martin Associate Director:Raymond Thomson,CPCU,ARe,ARM Disclosure Information Disclosure Information Form View A.M.Best's Rating Disclosure Form Press Release A.M.Best Upgrades Issuer Credit Ratings of Allianz SE and Most of Its Rated Subsidiaries August 03,2017 Rating History A.M.Best has provided ratings&analysis on this company since 1962. Financial Strength Rating http://ratings.ambest.com/CompanyProfile.aspx?ambnum=2268&URatingld=2588176&bl... 1/30/2018 Company Profile Page 1 of 2 CAI IFORNIA DEPARTMENT OF INSURANCE COMPANY PROFILE Company Profile Company Search Company Information Company Search Results AGCS MARINE INSURANCE COMPANY Company 225 W.WASHINGTON STREET,STE. 1900 Information CHICAGO, IL 60606 Old Company 800-234-2474 Names Agent for Service Old Company Names Effective Date Reference Information INTERSTATE INDEMNITY COMPANY 05/07/2009 NAIC Group List Lines of Business Agent For Service Workers' Vivian Imperial Compensation 818 WEST SEVENTH STREET Complaint and SUITE 930 Request for LOS ANGELES CA 90017 Action/Appeals Contact Information Financial Statements Reference Information PDF's Annual Statements NAIC#: 22837 Quarterly California Company ID#: 2461-2 Statements Company Complaint Date Authorized in California: 10/22/1981 Company Performance& License Status: UNLIMITED-NORMAL Comparison Data Company Company Type: Property&Casualty Enforcement Action State of Domicile: ILLINOIS Composite Complaints Studies Additional Info back to top Find A Company Representative In NAIL Group List Your Area View Financial Disclaimer NAIC Group #: 0761 ALLIANZ INS GRP Lines Of Business The company is authorized to transact business within these lines of insurance. • For an explanation of any of these terms, please refer to the glossary. AIRCRAFT AUTOMOBILE BURGLARY COMMON CARRIER LIABILITY FIRE LIABILITY MARINE MISCELLANEOUS PLATE GLASS SPRINKLER TEAM AND VEHICLE back to top https://interactive.web.insurance.ca.gov/companyprofile/companyprofile?event=companyP... 1/30/2018