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Insurance - Sancon - 2011-06-06 ACCPRED CERTIFICATE OF LIABILITY I D1ANCE 6/6/20111 PRODUCER (800)578-88C2 FAX (818)4.9-9321 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Pours & Associates Insurance Brokers Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CA License #0814733 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 5700 Canoga Ave #400 Woodland Hills CA 91367 INSURERS AFFORDING COVERAGE NAIC# INSURED v/f� 9`G� INSURER Travelers Prop Cas of Ameri 25674 /}r Jt'✓ Sancon Engineering Inc �M/ 0 EI�l INSURER B Travelers Indemnity Co of CT 25682 r )(.✓ 5841 Engineer Drive Aon,r G se ,11) INSURER C Starr Indemnity & Liab Co 38318 ✓ Huntington Beach CA 92649 INSURER D /� I INSURER E COVERAGES 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 OIBUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'U POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER I DATE(MM/DD/YYYYI I DATE IMM/DDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000,000 X COMMERCIAL GENERAL LIABILITY PREM E SaENTED _PREMI SES(Ea nce) $ 300,000 A ■ CLAIMS MADE X OCCUR DTE-CO-9181R93A-TIL 10 10/1/2010 10/1/2011 MED EXP(Any person) $ 5 000 PERSONAL SADVINJDRY $ 1 000 000 GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2 000 000 X POLICY I I JECT I1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1 DDD DDD B ALL OWNED AUTOS DT-810-9181R93A-TCT 10 10/1/2010 10/1/2011 BODILY INJURY SCHEDULED AUTOS (Per Pe I $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Pe acaaent) PROPERTY DAMAGE $ (Pe accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT I$ ANY AUTO OTHER THAN EA ACC I$ AUTO ONLY AGG I$ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE I$ 4 000 000 X OCCUR CLAIMS MADE AGGREGATE I$ 4 000 000 I$ A hF1 DEDUCTIBLE DTSM-CUP9181R93A-TIL-10 10/1/2010 10/1/2011 1 $ I X RETENTION $ 10,000 I S WORKERS COMPENSATION WCSTATU- 0TH- A AND EMPLOYERS'LIABILITY Y/N X TORY LIMITB ER ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT � $ 1,000 000 OFFICER/MEMBER EXCLUDED, (Mandatory In NH) DTJ-UB-9818R93A-10 10/1/2010 10/1/2011 EL DISEASE EA EMPLOYEE$ 1,000,000 If yes,describe under SPECIAL PROVISIONS below 1 E L DISEASE POLICY LIMIT I $ 1,000,000 C 0THERCONTRACTOR S 51S1B1L70o61310 10/1/2010 10/1/2012 LIMITS PER OCC: $2 000 000 POLLUTION LIABILITY AGGREGATE LIMIT $2 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re System Wide Sewer Reconstruction Phase 1 Project No 185 It is agreed that Costa Mesa Sanitary District is named as Additonal Insured per the attached endorsement. It is further agreed that insurance is Primary and that Waiver of Subrogation (GL and WC) apply per the attached endorsements and policy wording *10 Days Notice of Cancellation will apply for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Costa Mesa Sanitary District 628 West 19th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Costa Mesa CA 92627 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Mary Elea, Pavl.o/MARY_ ��-�� _�' ACORD 25(2009/01) (D. 1988-2009 ACORD CORPORATION All rights reserved. INS025;20De01)01 The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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) DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25(2009/01) INS025(200901)01 Sancon Enpineering Inc COMMERCIAL GENERAL LIA LITY Travelers Property Casualty Company of America Policy No DTE-C0-5181R93A-TIL-10 10/1/10 - 11 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1 WHO IS AN INSURED - (Section II) is amended c) The insurance provided to the additional in- to include any person or organization that you sured does not apply to 'bodily injury' or agree in a "written contract requiring insurance' 'property damage" caused by 'your work' to include as an additional insured on this Cover and included in the 'products-completed op- age Part, but: erations hazard' unless the 'written contract a) Only with respect to liability for 'bodily injury' requiring insurance' specifically requires you 'property damage' or 'personal injury' and to provide such coverage for that additional insured, and then the insurance provided to b) If, and only to the extent that, the injury or the additional insured applies only to such damage is caused by acts or omissions of 'bodily injury" or "property damage" that oc you or your subcontractor in the performance curs before the end of the period of time for of 'your work' to which the "written contract which the "written contract requiring insur- requiring insurance" applies. The person or ance' requires you to provide such coverage organization does not qualify as an additional or the end of the policy period, whichever is insured with respect to the independent acts earlier or omissions of such person or organization. 3. The insurance provided to the additional insured 2. The insurance provided to the additional insured by this endorsement is excess over any valid and by this endorsement is limited as follows: collectible "other insurance' whether primary a) In the event that the Limits of Insurance of excess, contingent or on any other basis, that is this Coverage Part shown in the Declarations available to the additional insured for a loss we exceed the limits of liability required by the cover under this endorsement. However if the "written contract requiring insurance' the in- "written contract requiring insurance' specifically surance provided to the additional insured requires that this Insurance apply on a primary shall be limited to the limits of liability re- basis or a primary and non-contributory basis, quired by that "written contract requiring in- this insurance is primary to 'other insurance' surance' This endorsement shall not in- available to the additional insured which covers crease the limits of insurance described in that person or organization as a named insured Section III-Limits Of Insurance. for such loss, and we will not share with that b) The insurance provided to the additional in- 'other insurance" But the insurance provided to sured does not apply provided "bodily iad the additional insured by this endorsement still is pp y y ' ry' 'prop- excess over any valid and collectible 'other in- erty damage" or "personal injury' arising out surance' whether primary excess, contingent or of the rendering of, or failure to render any on any other basis, that is available to the addi- professional architectural, engineering or sur- tional insured when that person or organization is veying services, including: an additional insured under such 'other insur- i. The preparing. approving, or failing to ance' prepare or approve, maps, shop draw- 4. As a condition of coverage provided to the ings, opinions, reports, surveys, field or- additional insured by this endorsement: ders or change orders, or the preparing, approving, or failing to prepare or ap- a) The additional insured must give us written prove, drawings and specifications; and notice as soon as practicable of an "occur- II. Supervisory inspection, architectural or rence" or an offense which may result in a claim. To the extent possible, such notice engineering activities. should include: CG D2 46 08 05 0 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY I. How when and where the 'occurrence' any provider of 'other insurance' which would or offense took place; cover the additional insured for a loss we ii. The names and addresses of any injured cover under this endorsement. However this persons and witnesses; and condition does not affect whether the insur- ance provided to the additional insured by III. The nature and location of any injury or this endorsement is primary to 'other insur- damage arising out of the 'occurrence' or ance" available to the additional insured offense. which covers that person or organization as a b) If a claim is made or 'suit" is brought against named insured as described in paragraph 3. the additional insured, the additional insured above. must: 5. The following definition is added to SECTION V i. Immediately record the specifics of the —DEFINITIONS: claim or 'suit' and the date received; and "Written contract requiring Insurance" means II. Notify us as soon as practicable. that part of any written contract or agreement The additional insured must see to it that we under which you are required to include a receive written notice of the claim or 'suit' as person or organization as an additional in- soon as practicable. sured on this Coverage Part, provided that the "bodily injury" and "property damage' oc c) The additional insured must immediately curs and the"personal injury" is caused by an send us copies of all legal papers received in offense committed: connection with the claim or "suit" cooperate a. After the signing and execution of the with us in the investigation or settlement of contract or agreement by you; the claim or defense against the 'suit' and otherwise comply with all policy conditions. b. While that part of the contract or d) The additional insured must tender the de- agreement is in effect; and fense and indemnity of any claim or 'suit" to e. Before the end of the policy period. Page 2 of 2 0 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 SANCON ENGINEERING, INC. Travelers Property Casualty Co of America Policy No DTE-C0-9181R93A-TIL-10 Policy Term 10/1/10 - 11 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY CONTRACTORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE -Provisions A.-H. and J.-N. of this endorsement broaden coverage, and provision I. of this endorsement may limit coverage. The following listing is a general coverage description only Limitations and exclusions may apply to these coverages. Read all the PROVISIONS of this endorsement carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured H. Additional Insured-State or Political Subdivisions B. Extension of Coverage-Damage To Premises I. Other Insurance Condition Rented To You J. Increased Supplementary Payments • Perils of fire, explosion, lightning, smoke, water • Cost of bail bonds increased to$2,500 • Limit increased to $300,000 • Loss of earnings increased to$500 per day C. Blanket Waiver of Subrogation K. Knowledge and Notice of Occurrence or Offense D. Blanket Additional Insured -Managers or Lessors L. Unintentional Omission of Premises M. Personal Injury-Assumed by Contract E. Incidental Medical Malpractice N. Blanket Additional Insured-Lessor of Leased F Extension of Coverage- Bodily Injury Equipment G. Contractual Liability- Railroads PROVISIONS 3. This Provision A. does not apply to any per- A. BROADENED NAMED INSURED son or organization for which coverage is ex- 1 The Named Insured in Item 1 of the Declara- cluded by endorsement. tions is as follows: B. EXTENSION OF COVERAGE - DAMAGE TO The person or organization named in Item 1 PREMISES RENTED TO YOU of the Declarations and any organization, 1 The last paragraph of COVERAGE A. BOD- other than a partnership, joint venture or lim- ILY INJURY AND PROPERTY DAMAGE LI- ited liability company of which you maintain ABILITY (Section I - Coverages) is deleted ownership or in which you maintain the major- and replaced by the following: ity interest on the effective date of the policy Exclusions c. through n. do not apply to dam- However coverage for any such additional age to premises while rented to you, or tem- organization will cease as of the date, if any porarily occupied by you with permission of during the policy period, that you no longer the owner caused by maintain ownership of, or the majority interest a. Fire; in, such organization. b. Explosion; 2. WHO IS AN INSURED (Section II) Item 4.a. is deleted and replaced by the following: c. Lightning; a. Coverage under this provision is afforded d. Smoke resulting from such fire, explosion, only until the 180th day after you acquire or lightning; or or form the organization or the end of the e. Water policy period, whichever is earlier A separate limit of insurance applies to this coverage as described in Section III Limits Of Insurance. C G D3 16 07 04 Copyright, The Travelers Indemnity Company 2004 Page 1 of 6 COMMERCIAL GENERAL LIABILITY 2. This insurance does not apply to damage to 5. This Provision B. does not apply if coverage premises while rented to you, or temporarily for Damage To Premises Rented To You of occupied by you with permission of the COVERAGE A. BODILY INJURY AND owner caused by PROPERTY DAMAGE LIABILITY (Section I— a. Rupture, bursting, or operation of pres- Coverages) is excluded by endorsement. sure relief devices; C. BLANKET WAIVER OF SUBROGATION b. Rupture or bursting due to expansion or We waive any right of recovery we may have swelling of the contents of any building or against any person or organization because of structure, caused by or resulting from wa- payments we make for injury or damage arising ter out of: premises owned or occupied by or rented c. Explosion of steam boilers, steam pipes, or loaned to you; ongoing operations performed steam engines, or steam turbines. by you or on your behalf, done under a contract with that person or organization; 'your work' or 3. Paragraph 6. of LIMITS OF INSURANCE "your products' We waive this right where you (Section III) is deleted and replaced by the have agreed to do so as part of a written contract, following: executed by you before the 'bodily injury' or Subject to 5. above, the Damage To Prem- 'property damage' occurs or the 'personal injury' ises Rented To You Limit is the most we will or 'advertising Injury' offense is committed. pay under COVERAGE A. for the sum of all D. BLANKET ADDITIONAL INSURED — MANAG- damages because of 'property damage" to ERS OR LESSORS OF PREMISES any one premises while rented to you, or temporarily occupied by you with permission WHO IS AN INSURED (Section II) is amended to of the owner caused by fire; explosion; light- include as an insured any person or organization ning; smoke resulting from such fire, explo- (referred to below as "additional insured") with Sion, or lightning; or water The Damage To whom you have agreed in a written contract, exe- Premises Rented To You Limit will apply to all cuted before the 'bodily injury' or 'property dam- 'property damage' proximately caused by the age' occurs or the 'personal injury" or "adve tis- same "occurrence' whether such damage ng injury" offense is committed, to name as an results from: fire; explosion; lightning; smoke additional insured, but only with respect to liability resulting from such fire, explosion, or light- arising out of the ownership, maintenance or use ning; or water or any combination of any of of that part of any premises leased to you, subject these causes. to the following provisions: The Damage To Premises Rented To You Limits of Insurance. The limits of insurance Limit will be the higher of: afforded to the additional insured shall be the limits which you agreed to provide in the writ- a. $300,000; or ten contract, or the limits shown on the Decla- b. The amount shown on the Declarations rations, whichever are less. for Damage To Premises Rented To You 2. The insurance afforded to the additional in- Limit. sured does not apply to: 4. Paragraph a. of the definition of 'insured con- a. Any 'bodily injury" or 'property damage' tract" (DEFINITIONS — Section V) is deleted that occurs, or 'personal injury' or 'adver- and replaced by the following: tising injury" caused by an offense which a. A contract for a lease of premises. How- is committed, after you cease to be a ten- ever that portion of the contract for a ant in that premises; lease of premises that indemnifies any b. Any premises for which coverage is ex- person or organization for damage to cluded by endorsement; or premises while rented to you, or tempo- rarily occupied by you with permission of c. Structural alterations, new construction or the owner caused by fire; explosion; demolition operations performed by or on lightning; smoke resulting from such fire, behalf of such additional insured. explosion, or lightning; or water is not an 3. The insurance afforded to the additional in- 'insured contract" sured is excess over any valid and collectible Page 2 of 6 Copyright, The Travelers Indemnity Company 2004 CG D3 16 07 04 COMMERCIAL GENERAL LIABILITY 'other insurance' available to such additional together with all related acts or omissions in insured, unless you have agreed in the writ- the furnishing of the services described in ten contract that this insurance must be pri- paragraph 1 above to any one person will be mary to, or non-contributory with, such 'other deemed one 'occurrence' insurance" 5. This Provision E. does not apply if you are in E. INCIDENTAL MEDICAL MALPRACTICE the business or occupation of providing any of 7 The following is added to paragraph 1 Insur- the services described in paragraph 1 above. ing Agreement of COVERAGE A. — BODILY 6. The insurance provided by this Provision E. INJURY AND PROPERTY DAMAGE LIABIL shall be excess over any valid and collectible ITY(Section I—Coverages): 'other insurance' available to the insured, 'Bodily injury" arising out of the rendering of, whether primary excess, contingent or on or failure to render the following will be any other basis, except for insurance that you deemed to be caused by an 'occurrence' bought specifically to apply in excess of the Limits of Insurance shown on the Declare- a. Medical, surgical, dental, laboratory x-ray tions of this Coverage Part. or nursing service, advice or instruction, or the related furnishing of food or Bever- F EXTENSION OF COVERAGE — BODILY IN- ages; JURY b. The furnishing or dispensing of drugs or The definition of 'bodily injury' (DEFINITIONS — medical, dental, or surgical supplies or Section V) is deleted and replaced by the follow- appliances; ing: c. First aid;or "Bodily injury" means bodily injury mental an- guish, mental injury, shock, fright, disability hu- d. "Good Samaritan services. As used in miliation, sickness or disease sustained by a per- this Provision E. 'Good Samaritan ser- son, including death resulting from any of these at vices" are those medical services ren- any time. dered or provided in an emergency and G. CONTRACTUAL LIABILITY—RAILROADS for which no remuneration is demanded or received. 1 Paragraph c. of the definition of 'insured con- 2. Paragraph 2.a.(1)(d) of WHO IS AN IN- tract' (DEFINITIONS — Section V) is deleted SURED (Section II) does not apply to any and replaced by the following: registered nurse, licensed practical nurse, c. Any easement or license agreement; emergency medical technician or paramedic 2. Paragraph f.(1) of the definition of 'insured employed by you, but only while performing contract" (DEFINITIONS — Section V) is de- the services described in paragraph 1 above leted. and while acting within the scope of their em- ployment by you. Any 'employees' rendering H. ADDITIONAL INSURED — STATE OR POLITI- 'Good Samaritan services" will be deemed to CAL SUBDIVISIONS—PERMITS be acting within the scope of their employ- WHO IS AN INSURED (Section II) is amended to ment by you. include as an insured any state or political subdi- 3. The following exclusion is added to paragraph vision, subject to the following provisions: 2. Exclusions of COVERAGE A. — BODILY 1 This insurance applies only when required to INJURY AND PROPERTY DAMAGE LIABIL be provided by you by an ordinance, law or ITY(Section I—Coverages): building code and only with respect to opera- (This insurance does not apply to:) 'Bodily in- tions performed by you or on your behalf for jury' or 'property damage' arising out of the which the state or political subdivision has is- willful violation of a penal statute or ordinance sued a permit. relating to the sale of pharmaceuticals com- 2. This insurance does not apply to: mitted by or with the knowledge or consent of a. "Bodily injury "property damage, "per- the insured. sonal injury' or 'advertising injury' arising 4. For the purposes of determining the applica- out of operations performed for the state ble limits of insurance, any act or omission or political subdivision; or CG D3 16 07 04 Copyright,The Travelers Indemnity Company 2004 Page 3 of 6 COMMERCIAL GENERAL LIABILITY b. 'Bodily injury' or 'property damage" in- insured under any other policy cluded in the 'products-completed opera- including any umbrella or excess tions hazard' policy I. OTHER INSURANCE CONDITION When this insurance is excess, we A. COMMERCIAL GENERAL LIABILITY CON- will have no duty under Coverages A DITIONS (Section IV), paragraph 4. (Other ar B to defend any the insured'other ther in- Insurance) is deleted and replaced by the fol- any 'suit' if any duty d defend'dtthe in- lowin surance' has a duty to defend the in- lowing: sured against that 'suit' If no pro- 4. Other Insurance eider of 'other insurance' defends, If valid and collectible 'other insurance' is we will undertake to do so, but we will available to the insured for a loss we be entitled to the videred's rights cover under Coverages A or B of this against all those providers of "other insurance' Coverage Part, our obligations are limited as follows: When this insurance is excess over a. Primary Insurance "other insurance' we will pay only our share of the amount of the loss, if This insurance is primary except any that exceeds the sum of: when b. below applies. if this insur- (1) The total amount that all such ance is primary our obligations are 'other insurance" would pay for not affected unless any of the "other the loss in the absence of this in- insurance' is also primary Then, we surance; and will share with all that 'other insur- ance° by the method described in c. (2) The total of all deductible and below. self-insured amounts under that b. Excess Insurance other insurance' We will share the remaining loss, if This insurance is excess over any of the 'other insurance' whether pri- any with any 'other insurance' that is Insur- mary excess, contingent or on any not described in this Excess Insur- ance provision. other basis: (1) That is Fire, Extended Coverage, c. Method Of Sharing Builder's Risk, Installation Risk, If all of the 'other insurance' permits or similar coverage for 'your contribution by equal shares, we will work' follow this method also. Under this approach each provider of insurance (2) That is Fire insurance for prem- contributes equal amounts until it has ises rented to you or temporarily paid its applicable limit of insurance occupied by you with permission or none of the loss remains, which- of the owner ever comes first. (3) That is insurance purchased by If any of the "other insurance' does you to cover your liability as a not permit contribution by equal tenant for "property damage' to shares, we will contribute by limits. premises rented to you or tempo- Under this method, the share of each rarity occupied by you with per- provider of insurance is based on the mission of the owner or ratio of its applicable limit of insur- (4) If the loss arises out of the main- ance to the total applicable limits of tenance or use of aircraft, insurance of all providers of insur- 'autos" or watercraft to the ex- ance. tent not subject to Exclusion g. of B. The following definition is added to DEFINITIONS Section I — Coverage A — Bodily (Section V): Injury And Property Damage Li- ability' or "Other insurance' (5) That is available to the insured a. Means insurance, or the funding of losses, when the insured is an additional that is provided by through or on behalf of: Page 4 of 6 Copyright, The Travelers Indemnity Company 2004 CG D3 16 07 04 COMMERCIAL GENERAL LIABILITY (1) Another insurance company 2. Notice of an "occurrence' or of an offense (2) Us or any of our affiliated insurance corn- which may result in a claim will be deemed to panies, except when the Non cumulation be given as soon as practicable to us if it is of Each Occurrence Limit section of given in good faith as soon as practicable to Paragraph 5 of LIMITS OF INSURANCE your workers' compensation insurer This ap- (Section III)or the Non cumulation of Per- plies only if you subsequently give notice of sonal and Advertising Injury limit sections the "occurrence' or offense to us as soon as of Paragraph 4 of LIMITS OF INSUR- practicable after you, one of your 'executive ANCE (Section III)applies; officers' Of you are a corporation), one of your (3) Any risk retention group; partners who is an individual (if you are a partnership), one of your managers (if you are (4) Any self-insurance method or program, a limited liability company), or an 'employee' other than any funded by you and over (such as an insurance, loss control or risk which this Coverage Part applies; or manager or administrator) designated by you (5) Any similar risk transfer or risk manage- to give such notice discovers that the 'occur- ment method. rence' or offense may involve this policy b. Does not include umbrella insurance, or ex- 3. This Provision K. does not apply as respects cess insurance, that you bought specifically to the specific number of days within which you apply in excess of the Limits of Insurance are required to notify us in writing of the shown on the Declarations of this Coverage abrupt commencement of a discharge, re- Part. lease or escape of 'pollutants' that causes J. INCREASED SUPPLEMENTARY PAYMENTS 'bodily injury' or 'property damage' which may otherwise be covered under this policy Paragraphs 1.b. and 1.d. of SUPPLEMENTARY L. UNINTENTIONAL OMISSION PAYMENTS—COVERAGES A AND B (Section —Coverages)are amended as follows: The following is added to COMMERCIAL GEN- 1 In paragraph 1.b. the amount we will pay for ERAL LIABILITY CONDITIONS (Section IV), the cost of bail bonds is increased to$2500. paragraph 6. (Representations): The unintentional omission of, or unintentional 2. In paragraph 1.d. the amount we will pay for error in, any information provided b loss of earnings is increased to$500 a day y P by you which h we relied upon in issuing this policy shall not K. KNOWLEDGE AND NOTICE OF OCCUR- prejudice your rights under this insurance. How- RENCE OR OFFENSE ever this Provision L. does not affect our right to 1 The following is added to COMMERCIAL collect additional premium or to exercise our right GENERAL LIABILITY CONDITIONS (Section of cancellation or nonrenewal in accordance with (V), paragraph 2. (Duties In The Event of Oc applicable state insurance laws, codes or regula- currence, Offense, Claim or Suit): lions. Notice of an "occurrence' or of an offense M. PERSONAL INJURY — ASSUMED BY CON- which may result in a claim must be given as TRACT soon as practicable after knowledge of the 1 The following is added to Exclusion e. (1) of "occurrence' or offense has been reported to Paragraph 2. Exclusions of Coverage B. you, one of your 'executive officers' (if you Personal Injury Advertising Injury, and are a corporation), one of your partners who Web Site Injury Liability of the Web XTEND is an individual (if you are a partnership), one Liability endorsement: of your managers (if you are a limited liability Solely for the purposes of liability assumed in company), or an 'employee' (such as an in- an "insured contract" reasonable attorney surance, loss control or risk manager or ad- fees and necessary litigation expenses in- ministrator) designated by you to give such curred by or for a party other than an insured notice. are deemed to be damages because of "per- Knowledge by any other 'employee' of an sonal injury"provided: "occurrence' or offense does not imply that (a) Liability to such party for or for the cost you also have such knowledge. of, that party's defense has also been as- C3 D3 16 07 04 Copyright, The Travelers h,dernnity Company 2004 Page 5 of 6 COMMERCIAL GENERAL LIABILITY sumed in the same 'insured contract' N. BLANKET ADDITIONAL INSURED — LESSOR and OF LEASED EQUIPMENT (b) Such attorney fees and litigation ex- WHO IS AN INSURED (Section II) is amended to penses are for defense of that party include as an insured any person or organization against a civil or alternative dispute reso- (referred to below as 'additional insured") with lution proceeding in which damages to whom you have agreed in a written contract, exe- which this insurance applies are alleged. cuted before the 'bodily injury' or 'property dam- 2. Paragraph 2.d. of SUPPLEMENTARY PAY age' occurs or the 'personal injury' or 'advertis- MENTS — COVERAGES A AND B (Section I ing injury" offense is committed, to name as an — Coverages) is deleted and replaced by the additional insured, but only with respect to their li- following: ability for 'bodily injury' 'property damage' 'per sonal injury' or 'advertising injury' caused, in d. The allegations in the 'suit' and the in- whole or in part, by your acts or omissions in the formation we know about the "occur- maintenance, operation or use of equipment rence"or offense are such that no conflict leased to you by such additional insured, subject appears to exist between the interests of to the following provisions: the insured and the interests of the in- demnitee; 1 Limits of Insurance. The limits of insurance afforded to the additional insured shall be the 3. The third sentence of Paragraph 2 of SUP- limits which you agreed to provide in the writ- PLEMENTARY PAYMENTS — COVERAGES ten contract, or the limits shown on the Decla- A AND B (Section I — Coverages) is deleted rations, whichever are less. and replaced by the following: 2. The insurance afforded to the additional in- Notwithstanding the provisions of Paragraph sured does not apply to any 'bodily injury " 'property of Section I— Coverage A— Bodily In- pp y c y"personal ry jury And Property Damage Liability or the property damags' that occurs, or perso injury' or 'advertising injury" caused of- provisions d by an of- provisions of Paragraph 2.e.(1) of Section I — Tense which is committed, after the equipment Coverage B — Personal Injury Advertising In- lease expires. jury And Web Site Injury Liability such pay- ments will not be deemed to be damages for 3. The insurance afforded to the additional in- "bodily injury' and 'property damage" or sured is excess over any valid and collectible damages for "personal injury" and will not re- other insurance' available to such additional duce the limits of insurance. insured, unless you have agreed in the writ- ten contract that this insurance must be pri- 4. This provision M. does not apply if coverage mary to, or non-contributory with, such 'other for "personal injury' liability is excluded by insurance" endorsement. Page 6 of 6 Copyright, The Travelers Indemnity Company 2004 CG D3 16 07 04 Sancon Engineering Inc Travelers Indemnity Company of CT COMMERCIAL AUTO Policy No DT-810-9181R93A-TCT-10 10/1/10 - 11 THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. 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 H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE—INCREASED LIMIT B. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT C. EMPLOYEE HIRED AUTO J. PERSONAL EFFECTS D. EMPLOYEES AS INSURED K. AIRBAGS E. SUPPLEMENTARY PAYMENTS — INCREASED L. NOTICE AND KNOWLEDGE OF ACCIDENT LIMITS OR LOSS F HIRED AUTO — LIMITED WORLDWIDE M. BLANKET WAIVER OF SUBROGATION COVERAGE—INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED executed by you before the 'bodily injury" or The following is added to Paragraph A.1. Who Is "property damage' occurs and that is in effect An Insured, of SECTION II — LIABILITY COV- during the policy period, to be named as an addi- ERAGE: tional insured is an 'insured" for Liability Cover- age, but only for damages to which this insurance Any organization you newly acquire or form dur- applies and only to the extent that person or or- ing the policy period over which you maintain ganization qualifies as an "insured' under the 50% or more ownership interest and that is not Who Is An Insured provision contained in Section separately insured for Business Auto Coverage. II Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- C. EMPLOYEE HIRED AUTO ganization or the end of the policy period, which- 1 The following is added to Paragraph A.1 ever is earlier Who Is An Insured, of SECTION II — LI- B. BLANKET ADDITIONAL INSURED ABILITY COVERAGE: The following is added to Paragraph c. in A.1 An "employee' of yours is an 'insured" while Who Is An Insured, of SECTION II — LIABILITY operating an 'auto' hired or rented under a COVERAGE: contract or agreement in that "employee's" name, with your permission, while performing Any person or organization who is required under duties related to the conduct of your busi- a written contract or agreement between you and ness. that person or organization, that is signed and CA T3 53 06 09 02009 The Travelers Companies Inc. Paoo 1 of 4 Includes the copynghted material of Insurance Services Office, Inc.with es permission. COMMERCIAL AUTO 2. The following replaces Paragraph b. in 8.5. United States of America applies to and pro- Other Insurance, of SECTION IV — BUSI- hibits the transaction of business with or NESS AUTO CONDITIONS: within such country or jurisdiction, for Liability b. For Hired Auto Physical Damage Cover- Coverage for any covered "auto" that you age, the following are deemed to be cov- lease, hire, rent or borrow without a driver for ered 'autos"you own: a period of 30 days or less and that is not an (1) Any covered "auto' you lease, hire, 'auto' you lease, hire, rent or borrow from rent or borrow; and any of your 'employees" partners (if you are a partnership), members (if you are a limited (2) Any covered 'auto" hired or rented by liability company) or members of their house- your 'employee' under a contract in holds, that individual 'employee's' name, (1) With respect to any claim made or 'suit' with your permission, while perform- brought outside the United States of ing duties related to the conduct of America, the territories and possessions your business. of the United States of America, Puerto However any 'auto' that is leased, hired, Rico and Canada: rented or borrowed with a driver is not a (a) You must arrange to defend the covered 'auto' 'insured' against, and investigate D. EMPLOYEES AS INSURED or settle any such claim or 'suit" The following is added to Paragraph A.1. Who Is and keep us advised of all pro- An Insured, of SECTION II — LIABILITY COV- ceedings and actions. ERAGE: (b) Neither you nor any other in- Any 'employee' of yours is an 'insured' while us- volved "insured' will make any ing a covered 'auto' you don't own, hire or borrow settlement without our consent. in your business or your personal affairs. (c) We may, at our discretion, par E. SUPPLEMENTARY PAYMENTS — INCREASED ticipate in defending the 'insured' LIMITS against, or in the settlement of, any claim or"suit' 1. The following replaces Paragraph A.2.a.(2), (d) We will reimburse the 'insured' of SECTION II —LIABILITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- (I) For sums that the 'insured' cluding bonds for related traffic law viola- legally must pay as damages tions) required because of an "accident' because of 'bodily to wh or we cover We do not have to furnish 'property dammagee'' to which these bonds. this insurance applies, that the "insured' pays with our 2. The following replaces Paragraph A.2.a.(4), consent, but only up to the of SECTION II—LIABILITY COVERAGE: limit described in Paragraph C. Limit Of Insurance, of (4) All reasonable expenses incurred by the SECTION II — LIABILITY 'insured' at our request, including actual COVERAGE; loss of earnings up to $500 a day be- cause of time off from work. (II) For the reasonable expenses F HIRED AUTO — LIMITED WORLDWIDE COV- incurred with our consent for ERAGE— INDEMNITY BASIS your investigation of such claims and your defense of The following replaces Subparagraph e. in Para- the 'insured' against any graph B.7 Policy Term, Coverage Territory of such "suit' but only up to and SECTION IV—BUSINESS AUTO CONDITIONS: included within the limit de- e. Anywhere in the world, except any country or scribed in Paragraph C. Limit jurisdiction while any trade sanction, em- Of Insurance, of SECTION II bargo, or similar regulation imposed by the — LIABILITY COVERAGE, Page 2 of 4 ©2009 The Travelers Companies.Inc. CA 73 53 06 09 Includes the copvnghled material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO and not in addition to such I. PHYSICAL DAMAGE — TRANSPORTATION limit. Our duty to make such EXPENSES—INCREASED LIMIT payments ends when we The following replaces the first sentence in Para- have used up the applicable graph A.4.a. Transportation Expenses, of SEC- limit of insurance in payments TION III—PHYSICAL DAMAGE COVERAGE: for damages, settlements or defense expenses. We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- (2) This insurance is excess over any valid curred by you because of the total theft of a cov- and collectible other insurance available ered 'auto' of the private passenger type. to the "insured' whether primary excess PERSONAL EFFECTS J.contingent or on any other basis. (3) This insurance is not a substitute for re- The following is added to Paragraph A.4. Cover quired or compulsory insurance in any age Extensions, of SECTION III — PHYSICAL country outside the United States, its ter DAMAGE COVERAGE: ritories and possessions, Puerto Rico and Personal Effects Canada. We will pay up to $400 for 'loss' to wearing ap- You agree to maintain all required or parel and other personal effects which are: compulsory insurance in any such coun- (1) Owned by an 'insured' and try up to the minimum limits required by (2) In or on your covered 'auto' local law. Your failure to comply with compulsory insurance requirements will This coverage applies only in the event of a total not invalidate the coverage afforded by theft of your covered 'auto" this policy but we will only be liable to the No deductibles apply to this Personal Effects same extent we would have been liable coverage. had you complied with the compulsory in- K. AIRBAGS surance requirements. The following is added to Paragraph B.3. Exclu- (4) It is understood that we are not an admit- slons, of SECTION III — PHYSICAL DAMAGE ted or authorized insurer outside the COVERAGE: United States of America, its territories Exclusion 3.a. does not apply to 'loss" to one or and possessions, Puerto Rico and Can- more airbags in a covered 'auto' you own that in- ada. We assume no responsibility for the flate due to a cause other than a cause of loss' furnishing of certificates of insurance, or set forth in Paragraphs A.1.b. and A.1.c. but for compliance in any way with the laws only of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE—GLASS a. If that 'auto' is a covered 'auto' for Compre- hensive Coverage under this policy; The following is added to Paragraph D. Deduct'. b. The airbags are not covered under any war- ble, of SECTION III — PHYSICAL DAMAGE ranty and COVERAGE: e. The airbags were not intentionally inflated. No deductible for a covered "auto' will apply to We will pay up to a maximum of $1,000 for any glass damage if the glass is repaired rather than one "loss" replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF L. NOTICE AND KNOWLEDGE OF ACCIDENT OR USE—INCREASED LIMIT LOSS The following is added to Paragraph A.2.a. of The following replaces the last sentence of Para- SECTION IV—BUSINESS AUTO CONDITIONS: graph A.4.b. Loss Of Use Expenses, of SEC- TION III—PHYSICAL DAMAGE COVERAGE: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or "loss" ap- However the most we will pay for any expenses plies only when the 'accident" or 'loss" is known for loss of use is $65 per day to a maximum of to: $750 for any one "accident" (a) You (if you are an individual); CA T3 53 06 09 ®2009 The Traveler: Companies,Inc Page 3 of 4 Includes the copyrighted material of Insurano:Services Office, Inc.with tts permission. COMMERCIAL AUTO (b) A partner Of you are a partnership); tent required of you by a written contract (c) A member Of you are a limited liability com- signed and executed prior to any 'accident"pany); or 'loss' provided that the "accident"or 'loss' arises out of operations contemplated by (d) An executive officer director or insurance such contract. The waiver applies only to the manager Of you are a corporation or other or- person or organization designated in such ganization); or contract. (e) Any 'employee' authorized by you to give no- N. UNINTENTIONAL ERRORS OR OMISSIONS tice of the 'accident' or"loss' M. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph B.2. Con- cealment, Misrepresentation, Or Fraud, of The following replaces Paragraph A.5. Transfer SECTION IV—BUSINESS AUTO CONDITIONS: Of Rights Of Recovery Against Others To Us, The unintentional omission of, or unintentional of SECTION IV — BUSINESS AUTO CONDI- error in, any information given by you shall not TIONS: prejudice your rights under this insurance. How- 5. Transfer Of Rights Of Recovery Against ever this provision does not affect our right to col- Others To Us lect additional premium or exercise our right of We waive any right of recovery we may have cancellation or non-renewal. against any person or organization to the ex- Page 4 of 4 C 2009 The Travelers Companies Inc CA 13 53 06 09 Includes the copyrighted material of Insurance Services Office,Inc.with its permission. TRAVELERS J� WORKERS COMPENSATION Sancon Engineering Inc AND Travelers Property Casualty Company of America EMPLOYERS LIABILITY POLICY Policy No DTJ-UB-9818R93A-10 ENDORSEMENT WC 99 03 10 (A) 10/1/10 - 11 POLICY NUMBER: CALIFORNIA ADDITIONAL DEFENSE OBLIGATION In consideration of additional premium paid, we will defend a claim or proceeding against you for increased workers'compensation benefits because of an alleged violation of California Labor Code Sections 132a or 4553 and 4553.1 provided: A. You are represented by defense counsel who are acceptable to us; B. Defense counsel have substantial experience representing employers in workers' compensation claims; and C. Our obligation is limited to reasonable fees and costs of defense counsel at billing rates actually paid by us to attorneys we usually retain to defend workers'compensation claims in your community The most which we will pay under this endorsement is $100,000, for defense costs regardless of the number of claims or proceedings against you. Any dispute concerning this endorsement shall be resolved by final and binding arbitration before a single impartial arbitrator selected by the parties to the dispute. We have no duty under this endorsement to pay any increased workers compensation benefits on your behalf. All other terms and conditions of this policy remain in effect. Additional Wording The Contractor shall waive all rights of subrogation against the District its directors officers engineers employees or authorized agents to the Workers Compensation policy captioned above DATE OF ISSUE. ST ASSIGN: Page 1 of 1