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Insurance - Sancon Engineering Inc - 2015-05-26 ACERTIFICATE OF LIABILITY INSURANCE DATE ) 5/26/2015 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Pamela De Guzman NAME: Poms & Associates Insurance Brokers, Inc. PHONE.ExtL (800)578-8802 (aC,No):(810)449-9321 CA License #0814733 E-MAIL ADDRESS: unman PDeg@P omsassoc.corn 5700 Canoga Ave. #400 INSURER(S)AFFORDING COVERAGE NAIC# Woodland Hills CA 91367 INsuRERA:Travelers Indemnity Co of CT 25682 INSURED INSURERB:TravelerS Prop Cas Co of Amer 25674 Sancon Engineering, Inc. INSURERC: 5841 Engineer Drive INSURER D: INSURER E: Huntington Beach CA 92649 INSURERF: COVERAGES CERTIFICATE NUMBER:14-15 MASTER NO 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 WLIMITS LTRINSR VD POLICY NUMBER (MMIDD/YYYY) IMM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE X COMMERCIAL GENERAL LIABILITY PREM SESO(Ea occurrence) $ 300,000 A CLAIMS-MADE X OCCUR X Y DT22-C0-9181R93A-TCT-14 10/1/2014 10/1/2015 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE _ $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 nPOLICY n PECOT- n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 • X ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULEDX BA9181R93A-14-CNS 10/1/2014 10/1/2015 BODILYINJURY(Peraccident) $ AUTOS u AUTOS _ X -- NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS _ AUTOS (Per accident) _ X Comp$1000 X Coll$1000 $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 DTSM-CUP-9181R93A-TIL-14 10/1/2014 10/1/2015 $ B WORKERS COMPENSATION Y X WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? N/A (Mandatory in NH) DTJ-UB-9181R93A-TIL-14 10/1/2014 10/1/2015 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) RE: CMSD Project #194 Pump Station Coating and Manhole Rehabilitation The Costa Mesa Sanitary District and its Employees and Agents are Included as Additional Insured. Said Insurance is Primary Non-Contributory. Waiver of Subrogation for the General Liability and Workers Comp applies in favor of same entities. Endorsements per attached. (30) Day Notice of Cancellatio, (10) Day Notice for Non-Pay Premium CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Costa Mesa Sanitary District // ACCORDANCE WITH THE POLICY PROVISIONS. Attn: General Manager 51 1 628 W. 19th Street AUTHORIZED REPRESENTATIVE Costa Mesa, CA 92627-2716 Pamela De Guzman/CHAR ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 ioninn.sl ni This ArnPn name.anrd Inns arc rcnicfe.rsrd markt of A(:nRrl COMMERCIAL GENERAL LIABILITY POLICY NUMBER: DT22-CO-9181R93A-TCT-14 ISSUE DATE:5 -26- 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON(S) OR ORGANIZATION(S): The Costa Mesa Sanitary District, Its Employees and Agents 628 W. 19th Street Costa Mesa, Ca 92627-2716 PROJECT/LOCATION OF COVERED OPERATIONS: CMSD Project #194 Pump Station Coating and Manhole Rehabilitation 1. WHO IS AN INSURED — (Section II) is amended b) The insurance provided to the additional in- to include the person or organization shown in the sured does not apply to "bodily injury", "prop- Schedule above, but: erty damage" or "personal injury" arising out a) Only with respect to liability for"bodily injury", of the rendering of, or failure to render, any "property damage" or"personal injury"; and professionaleying seryarces,hitectu al,engineering or sur- ncluding: b) If, and only to the extent that, the injury or i. The preparing, approving, or failing to damage is caused by acts or omissions of prepare or approve, maps, shop draw- you or your subcontractor in the performance Ings, opinions, reports, surveys, field or- of "your work" on or for the project, or at the ders or change orders, or the preparing, location, shown in the Schedule. The person or organization does not qualify as an addi- approving, or failing to prepare or ap- tional insured with respect to the independent prove, drawings and specifications; and acts or omissions of such person or organiza- ii. Supervisory, inspection, architectural or tion. engineering activities. 2. The insurance provided to the additional insured c) The insurance provided to the additional in- by this endorsement is limited as follows: sured does not apply to "bodily injury" or a) In the event that the Limits of Insurance of "property damage" caused by "your work" this Coverage Part shown in the Declarations and included in the "products-completed op- exceed the limits of liability required by a erations hazard" unless a "written contract "written contract requiring insurance" for that requiring insurance" specifically requires you additional insured, the insurance provided to to provide such coverage for that additional the additional insured shall be limited to the insured, and then the insurance provided to limits of liability required by that "written con- the additional insured applies only to such tract requiring insurance". This endorsement "bodily injury" or "property damage" that oc- shall not increase the limits of insurance de- curs before the end of the period of time for scribed in Section III—Limits Of Insurance. which the "written contract requiring insur- ance" requires you to provide such coverage CG D2 47 08 05 ©2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 COMMERCIAL GENERAL LIABILITY or the end of the policy period, whichever is i. Immediately record the specifics of the earlier. claim or"suit"and the date received; and 3. The insurance provided to the additional insured ii. Notify us as soon as practicable. by this endorsement is excess over any valid and The additional insured must see to it that we collectible "other insurance", whether primary, receive written notice of the claim or"suit"as excess, contingent or on any other basis, that is soon as practicable. available to the additional insured for a loss we cover under this endorsement. However, if a c) The additional insured must immediately "written contract requiring insurance" for that ad- send us copies of all legal papers received in ditional insured specifically requires that this in- connection with the claim or "suit", cooperate surance apply on a primary basis or a primary with us in the investigation or settlement of and non-contributory basis, this insurance is pri- the claim or defense against the "suit", and mary to "other insurance" available to the addi- otherwise comply with all policy conditions. tional insured which covers that person or organi- d) The additional insured must tender the de- zation as a named insured for such loss, and we fense and indemnity of any claim or "suit" to will not share with that "other insurance". But the any provider of"other insurance"which would insurance provided to the additional insured by cover the additional insured for a loss we this endorsement still is excess over any valid cover under this endorsement. However, this and collectible "other insurance", whether pri- condition does not affect whether the insur- mary, excess, contingent or on any other basis, ance provided to the additional insured by that is available to the additional insured when this endorsement is primary to "other insur- that person or organization is an additional in- ance" available to the additional insured sured under such"other insurance". which covers that person or organization as a 4. As a condition of coverage provided to the named insured as described in paragraph 3. additional insured by this endorsement: above. a) The additional insured must give us written 5. The following definition is added to SECTION V. notice as soon as practicable of an "occur- —DEFINITIONS: rence" or an offense which may result in a "Written contract requiring insurance" means claim. To the extent possible, such notice that part of any written contract or agreement should include: under which you are required to include a 1. How, when and where the "occurrence" person or organization as an additional in- or offense took place; sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- ii. The names and addresses of any injured curs and the "personal injury" is caused by an persons and witnesses; and offense committed: Iii. The nature and location of any injuor a. After the signing and execution of the damage arising out of the "occurrence"or contract or agreement by you; offense. isb. While that part of the contract or b) If a claim is made or"suit" brought against agreement is in effect; and the additional insured, the additional insured must: c. Before the end of the policy period. Page 2 of 2 ©2005 The St. Paul Travelers Companies, Inc. CG D2 47 08 05 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" ices 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 s_. 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: explosion; light- include as an insured any person or organization Hing; 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- „ n age” occurs or the -"personal injury" or "adverbs- property damage proximately caused by the ing injury" offense is committed, to name as an. same "occurrence", whether such damage .. 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 You1. L►mits 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 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 g: ex- person or organization for lama e to eluded by endorsement;or premises while rented to you, or tempo- c. Structural alterations, new construction or ranly occupied by you,with permission= of 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 b. "Bodily injury" or "property damage" in- insured under any other policy, eluded 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 or 'B to defend the insured against DITIONS (Section IV), paragraph 4. (Otheranyy "suit" if any provider of "other in- Insurance) is;deleted and replaced by the fol- 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 forea loss we be entitled to the insureds rights against cover under Coverages A or B of.this allcthose providers of "other - _ insurance" Coverage Part, ourobligations are limited . as follows: When this insurance is excess over "other insurance we will pay only a. Primary Insurance 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 This insurance is excess° We will share the remaining loss, if over any of the "other 'insurance", whether pri any with any"other insurance"that is mary, excess, contingent-or o -n. any not described in this Excess lnsur- otherbasis: ' ance provision. c. Method Of Sharing (1) That is Fire, Extended Coverage, If all of the "other insurance" permits Builder's Risk, Installation Risk, or similar coverage for "your contribution by equal shares, we will follow this method, also. Under this work"; approach each provider of insurance (2) That is Fire insurance for prem- contributes equal amounts until it has ises rented to you,or temporarily occupied by you with permission paid its applicable limit of insurance 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 rarily occupied by you with per- provider of insurance is based o_n 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 Sancon Engineering, Inc. Travelers Indemnity Company of CT COMMERCIAL AUTO Policy#BA9181R93A-14-CNS Eff:10/01/2014 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 ©2009 The Travelers Companies,Inc. Page 1 of 4 Includes the copyrighted material of Insurance Services Office,Inc.with its permission, COMMERCIAL AUTO 2. The following replaces Paragraph b. in B.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 coy- 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 "auto" you lease, hire, rent or borrow from (1) Any covered "auto" you lease, hire, any of your "employees", partners (if you are rent or borrow; and 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 covered "auto". (a) You must arrange to defend the "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: (I) For sums that the "insured" (2) Up to $3,000 for cost of bail bonds (in- legally must pay as damages eluding bonds for related traffic law viola- because of "bodily injury" or tions) required because of an "accident" "property damage" to which we cover. We do not have to furnish this insurance applies, that these bonds. 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 incurred with our consent for F. HIRED AUTO — LIMITED WORLDWIDE COV- your investigation of such ERAGE—INDEMNITY BASIS 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 It bargo, or similar regulation imposed by the — LIABILITY COVERAGE, Page 2 of 4 ©2009 The Travelers Companies,Inc. CA T3 53 06 09 Includes the copyrighted 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, excessJ. PERSONAL EFFECTS 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 local law. Your failure to comply with (2) In or on your covered "auto". 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. a. If that "auto" is a covered "auto"for Compre- G. WAIVER OF DEDUCTIBLE—GLASS hensive Coverage under this policy; The following is added to Paragraph D., Deducti- b. The airbags are not covered under any war- ble, of SECTION III — PHYSICAL DAMAGE ranty; and COVERAGE: c. 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 LOSS USE—INCREASED LIMIT The following replaces the last sentence of Para- The following is added to Paragraph A.2.a., of 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 Travelers Companies,Inc. Page 3 of 4 Includes the copyrighted material of Insurance Services Office, Inc.with its permission. COMMERCIAL AUTO (b) A partner(if you are a partnership); tent required of you by a written contract (c) A member (if you are a limited liability corn- 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(if 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 ©2009 The Travelers Companies,Inc. CA T3 53 06 09 Includes the copyrighted material of Insurance Services Office,Inc.with its permission. . WORKERS COMPENSATION AND EMPLOYERS LIABILITY POUCY WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA (BLANKET WAIVER) We have the light to recover our payments from anyone liable for an Injury covered by this policy. We wilt not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 2 %of the California workers'compensation pre- mium. Schedule Person or Organization Job Description Any person for whom the Named Insured Blanket Waiver has agreed by written contract to furnish this waiver. This endorsement changes the policy to which It Is attached and is effective on the date Issued unless otherwise stated. (The`lnfo tudion below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 10/01/2013 Policy NoDTJ-UB-9181 R93A-TIL-13 ent No. insured Sancon Engineering, Inc. p INCL. insurance Company Travelers Property Casualty Countersigned by Company of America DATE OF ISSUE: ST ASSIGN: CA Page 1 of 1