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Insurance - Gentry General Engineering - 2021-5-4 (2)GENTR-3 f-fC�R'Q �,,,r� CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDD/YYYY) 05104/2021 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED, 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 endorsements . PRODUCER 909-980-4211 Silverstone Insurance Services Jetton & Associates, Inc PO BOX 1200 RANCHO CUCAMONGA, CA 91729 House Account c AcT Brent Jetton, AAI, CIC PHONE 909-980-4211 FAX 909-980-4785 (Arc, No, Ext): WC, No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC # INSURERA:James River Insurance Cgwfipany 12203 INSURED Gentry General Engineering Inc 9277 Archibald Avenue Rancho Cucamonga, CA 91730 INSURER B : Regent Insurance Co. V 24449 Insurance Company of the West INSURER C : P Y 27847 INSURER D : Westchester Surplus Lines Ins 10172 INSURER E : INSURER F : rnr�e112TICII-ATC tuI IlasctCcr• RpyiSinN NiiMRFR- 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. ILTR TYPE OF INSURANCE NSDL SUB POLICY NUMBER POLICY EFF PMMIDDNYYYI OLICY D EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000►000 CLAIMS -MADE FX OCCUR X X 000865582 1011912020 10/19/2021 DAMAGE PREMISES (REN currrence $ 50'000 X Ltd Contractual MED EXP (Any one person) $ 5,000 X X, C, U NOT EXCLUDED PERSONAL & ADV INJURY $ 1,000,Q00 GEN'L AGGREGATE LIMIT APPLIES PER POLICY aX jECT 71 LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED a accidentSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X ANY AUTO X X BCA0005149-01 05106/2021 05/06/2022 BODILY INJURY Per accident OWNED SCHEDULED AUTOS ONLY AUTOS PROPERTY DAMAGE Per accident $ HIRED NON -OWNED X AUTOS ONLY X AUTOS ONLY A UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5'000'000 X EXCESS LIAB CLAIMS -MADE 000965371 10119/2020 10/1912021 AGGREGATE $ 5,000,000 DED I X I RETENTION $ 0 $ C' AWORKERS 1 COMPENSATION RS NSATI IOTNY AND PROPRIETORIPARTNERIEXECUTIVE Y J N OFFICER/MEMBER EXCLUDED? N❑ (Mandatory inNH) N I A X SA 5048153 OZ 0510612021 0510612022 X STATUTE X ER E.L. EACH ACCIDENT $ 1'000'000 E L DISEASE - EA EMPLOYEE $ 1'000'000 E.L. DISEASE - POLICY LIMIT 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below D POLLUTION LIAB G71564630002 � � 10/19/2020 10/19/2021 GEN AGG 2,000,000 B PROPERTY BPK0008360-00 05/06/2021 05/06/2022 BLDG 303,246 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Costa Mesa Sanitary District is named as additional insureds with respects o general liability and auto liability. Waiver of subrogation applies to general liability, auto liability and workers comp. Coverage is primarylnon-contributory. *30 Days NOC. Costa Mesa Sanitary District �j r k a 290 Paularino Avenue v v Costa Mesa, CA 92626 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Policy No. 000865582 COMMERCIAL GENERAL LIABILITY CG 20 '10 07 04 THIS ENDORSEMENT CHANGES THE POLICY., PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR9 CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION I T'.'-.:s endiofseirnent modifies -M-1sutance provided wider the. following, CC1,�-"v1MERQAL 03ENEIRAL LIABILiTY '%_'10V-E-_--R.AGE P.A1%RT SCHEDULE Name Of Addffi*nal Insured Parson(s) Loc ation(s) Of Covored Opra ions Wiere, rerquire;,_� by written rw* wrift.en agreement. Ai� o erat�li af, t. In '�p -is �te Named -sureds ------------------ - ------------- - ---------- - - - - - - - ---- - - - - - ---- - - - ----------- - -------- - ----------------- - ------- - -----_----------------- - - - - - — - - - - - - — — — - - ------------------------------------- 1 inf.-orniation re-quired tO corn plete thisSchediule. if i):otshovin above, wiii ". sh<wn in the, De.claratiCIrls. A, Section 11 — Who Is Art insurod is arnen.Jed :0 a. With rewec.1% R., tt­e insurance to the­s;e in-'lude as an addii-ional the pe-rsont's.) or ad&ional Nlswrelr�'S.' lhe ext-'Iu- shown, in tMe , Chedu-e. but OMY slbnsappivr: respe"t to, !p Ij for "InDdiiiy V., 0 This ins:vfanicti does nr.,st appiv to "bodily injvt r darn -age" or "personal air-d ar"Verlising y" ge" occurring after: Cause.d. in whole or in part, by: Y()-ur ac'ts of. or 1, All P<arls' or i-quip- !10 1. W-th $UC`:f! -v.'V_NR. Thi-, 0" 3_}f th(yse, ca-r-fifm ow: v(--;_4,q'- On the (c-illxx llb-ain <siat"Vice., behalf, or i-epairs'p, to be perk)rrned by or cxi belhlaff -,-)f fly Me perforrnaince of you..., ongoing operation-S for the adr-litional insured(s) a. the iocafir.;r. of the the a-ddillonal at tne localion(s') covered Operations h:as been completed'; or n, ated abovae. 2� 7htot portion of "your worle" oWt. of which the. injury or darnage apses has beery put t-C-) its in- tended use by ally per � on or organization oth- ;. er thn aanother contractor or subc.anlf-cactcf­ engaged in pe-lonning operatirins for a ;).,,..,,.- pal as a: part saine pfmipec;t. 0 Policy No. 000865582 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ?_.send -of,.. enk modifies3 ,:,..-e Provided under the €ollowing: lyJ ti�S1'!:_- Ll l•'^. Gl__NE 1AL- LIA-81i€-1 S S '101CiVE-RI Y'St's., E PART SCHEDULE LE Name Of Addiftnal insured Porson(s) i Location And D scription 04 Completed Opera - Or organization " ! too?-ss i 's ; ' Where required by a'e er: ron r c€ orwritten ( Ail •of the Named insured— E i i i i re :; red tQ compiete this &chedOe, :f not sh y n above, wiil in the Section If —ems`M Is .An Insured S aimemded :) in'c€ude as an additif}rFc^-i ins-uredthe person(s) or orga.ri a- ti i (s): shot,.w.: in the Schedule, r t i t rS to, li billy .or i; odiv injury or prop ► y --d-a- age caused, in whod'e of- in yak b >;your at the €oc".at,;u; r<'- �] sd and described ');•z)' d ii the �r')[ �/+; i e of [y r(_} 4. r? � or nLt��N :.it S�f +.3<J,V�L.VtIyM� ~ •iY�).! �4'C •i �-'�LI V���/ 1fl#'.t 4•'r j�/. L1 :Je- rr3crIf fa €"fit it onai insured and in chid d r•r• �..n ope, ations ",azz#r . about:blank 5/8/20 Policy No. 000865582 COMMERCIAL GENERAL LIABILITY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS T'::i enocrsemcr3l: rnlodifies =r.surancc prvvidcd u.:dle. the f+3l1umr'bii':g: PRt"� # 7 � ► `P �ETED OPERAT€�: N a LIAR€S TY <� AVERAGE PART SCHEDULE Name Of Person Or Orgnr#ivation: ©c r r ;.t r }r" §a b�Ss`?3>vi'� r�f`.;�ai?t,e� �V '!�%#'t�.�f3 ..C:rE:3 c�+ � s::: i�,. ,.�.#`t c''.gfe p-:'#'3Ci2#: Ifr ,n -:"- r• r.. f•�r� :r : r r;f�4 �'.r ., l »r' :f I•fJ `r -'t: Ir(:br tia:;s.)n • :,.:a::. r.' ..} corn- )•ele Ihi's , ,c.hedu€e, i? � iC n„ ab'o e.. � I: €fie S• tC:.f3 in i• �., ice.;.,€ r�u The is adf#t:.d 1<_t p?, S. ra#lsfor O:. Rights Or Recovery Again'st. Others, To Us ed' K .s wt,iSr , �)r#y rig #I of re, eery vve � ,• r , 4 �a #3i `tc3 f...`:�'d 1. : €?'.E3 p'.r: cln of. in ffic- sr."h'.duk-t fso• i�Li3 f� -Xft Of }3t�<,3 tCi���:ic�'s3t�£3Er or Sri aG�.��::.#S �.Z 4r�::f� bal •�C)1-<:f�r: Ma i ti.. t../•. included ?? 'tie cf�.#�:€�:.,: c}�:•�.,s#c3;k.� .,t<,zrci ."hi.. wuuf s7}i.µs Policy No. 000865582 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON CONTRIBUTORY ENDORSEMENT This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS Name Of Additional Insured Person(s) Or Oraanization(s): j If no entry appears above, this endorsement applies to all Additional Insureds covered under I this policy. Any coverage provided to an Additional Insured under this policy shall be excess over any other valid and collectible insurance available to such Additional Insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. AP5031 US O4-10 Page 1 of 1 POLICY NO. BCA0005149-01 COMMERCIAL AUTO AH CA 85 90 0917 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1 11111 .... 111­111� ­v­i­u:4;N ��� 1­11 lr� 11 0 0, I[e] Z1 Ji I This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. BROADENED WHO IS AN INSURED (4) All reasonable expenses incurred by Paragraph A.I. Who Is an Insured of SECTION 11 the "insured" at our request, including — LIABILITY COVERAGE is amended to include actual loss of earnings up to $500 a the following: day because of time off from work. d. Any "employee" of yours is an "insured" C. FELLOW EMPLOYEE COVERAGE while using a covered "auto" you don't Paragraph B.5. Fellow Employee Exclusion con - own, hire or borrow in your business or tained in SECTION II — LIABILITY COVERAGE your personal affairs. does not apply if the "bodily injury" results from the e. Any "employee" of yours is an "insured" use of a covered "auto" you own or hire that is not while using an "auto" hired or rented under a bus, motorcycle or �n used to transport em- a contract or agreement in that "employ- ployees. ee's" name, with your permission, while This Fellow Employee Coverage is excess over any performing duties related to the conduct of other collectible insurance. your business. D. POLLUTION LIABILITY — BROADENED COV- f. Each person or Organization to whom you ERAGE FOR COVERED AUTOS are required by a written contract or 1. Liability Coverage is changed as follows: agreement to provide additional insured status is an insured under Liability Cov= a. Paragraph B.11.a. of the Pollution Exclu- erage, but only to the extent that person or sion in SECTION II —LIABILITY COV- organization qualifies as an "insured" un- ERAGE applies only to liability assumed der the Who is an Insured Provision con- tained in Section 11 of the coverage form. b. With respect to the coverage afforded by The written contract or agreement must be Paragraph 1.a. Above, Exclusion B.6. in effect during the policy period shown in Care, Custody or Control of SECTION II the Declarations and must have been exe- cuted prior to the "bodily injury" or "proper- LIABILITY does not apply. ty damage." 2. Changes in Definitions B. LIABILITY COVERAGE EXTENSIONS SUPPLE- For the purposes of this endorsement, Para- MENTARY PAYMENTS graph D. of SECTION V — DEFINITIONS is Paragraphs A.2.a. (2) and A.2.a. (4) Coverage replaced by the following: Extensions — Supplementary Payments of D. "Covered pollution cost or expense" means SECTION II — LIABILITY COVERAGE are deleted any cost or expense arising out of: and replaced with the following: 1. Any request, demand, order or statuto- 2 U to $5,000 for the cost of bail bonds () p ry or regulatory requirement that any (including bonds for related traffic law "insured" or others test for, monitor, violations) required because of an "ac- clean up, remove, contain, treat, de- cident" we cover. We do not have to toxify or neutralize, or in any way re- fumish these bonds. spond to, or assess the effects of "pol- lutants"; or Includes copyrighted material of Insurance Services Office, Inc., AH CA 85 90 09 17 with its permission. Page 1 of 6 2. Any claim or "suit" by or on behalf of a governmental authority for damages be- cause of testing for, monitoring, cleaning up, removing, containing, treating, detoxify- ing or neutralizing, or in any way respond- ing to or assessing the effects of "pollu- tants". "Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dis- persal, seepage, migration, release or escape of "pollutants": a. Before the "pollutants" or any property in which the "pollutants" are contained are moved from the place where they are accepted by the "insured" for movement into or onto the covered "auto"; or b. After the "pollutants" or any property in which the "pollutants" are contained are moved from the covered "auto" to the place where they are finally deliv- ered, disposed of or abandoned by the "insured". Paragraphs a. and b. above do not apply to "accidents" that occur away from prem- ises owned by or rented to an "insured" with respect to "pollutants" not in or upon a covered "auto" if: (1) The "pollutants" or any property in which the "pollutants" are con- tained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto"; and (2) The discharge, dispersal, seep- age, migration, release or escape of the "pollutants" is caused di- rectly by such upset, overturn or damage. This Pollution Liability Coverage is subject to an Annual Aggregate Limit of Liability of $100,000. E. NEWLY ACQUIRED OR FORMED ORGANIZATIONS Throughout this policy, the words you and your al- so refer to any organization you newly acquire or form, other than a partnership, joint venture or lim- ited liability company, and over which you maintain ownership or majority interest, but only if there is no similar insurance available to that organization. However: 1. The coverage does not apply to an "accident" which occurred before you acquired or formed the organization. 2. Unless you notify us to add coverage to your policy, the coverage under this provision is af- forded only until: a. The 120th day after you acquire or form the organization, or b. The end of the policy period, whichever is earl ier. Paragraph A.2. Towing of SECTION III — PHYS- ICAL DAMAGE COVERAGE is deleted and re- placed with the following: We will pay for towing and labor costs each time a covered "auto" is disabled. All labor must be per- formed at the place of disablement. If the "auto" is of the private passenger type, there will be no de- ductible. If the "auto" is other than a private pas- senger type, a $100 deductible will apply. The most we will pay under this EXTENDED TOW- ING coverage is $750 per occurrence. G. PHYSICAL DAMAGE COVERAGE EXTENSIONS Paragraph A.4. — Coverage Extensions of SEC- TION III — PHYSICAL DAMAGE COVERAGE is amended as follows: a. Transportation Expenses The amount we will pay for temporary transportation expense is increased to $50 per day to a maximum of $3,000. b. Loss of Use Expenses The amount we will pay for loss of use is increased to $75 per day and to a maxi- mum limit of $1,000. la111fJW.T=fl r=if lz�-141l=.yI 1. This coverage applies only to a covered "auto" described or designated in the Schedule or in the Declarations as carrying physical damage coverage. 2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" be- cause of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of coverage you have on each covered "auto". 3. We will pay only for those expenses incurred during the policy period beginning 24 hours af- ter the "loss" and ending, regardless of the pol- icy's expiration, with the lesser of the following number of days: Includes copyrighted material of Insurance Services Office, Inc., Page 2 of 6 with its permission. AH CA 85 90 0917 a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and re- turn it to you; or b. 30 days. 4. Our payment is limited to the lesser of the fol- lowing amounts: a. Necessary and actual expenses incurred; or b. $50 per day 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided for under the paragraph A.4. Coverage Extensions in SECTION III — PHYSICAL DAMAGE COVERAGE. No Deductible applies to this coverage. 1. AIRBAG COVERAGE Exclusion B.3. in SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: This exclusion does not apply to the accidental discharge of an airbag. J. AUDIO, VISUAL AND DATA ELECTRONIC EQUI PM ENT 1. Cove rage a. We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any electronic equipment that receives or transmits audio, visual or data signals and that is not designed solely for the repro- duction of sound. This coverage applies only if the equipment is permanently in- stalled in the covered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the covered "auto" at the time of the "loss", and such equipment is de- signed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto". b. We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any accessories used with the electronic equipment described in Paragraph 1.a. above. However, this does not include tapes, records or discs. 2. Exclusions The exclusions that apply to SECTION III — PHYSICAL DAMAGE, except for the exclusion relating to Audio, Visual and Data Electronic Equipment, also apply to coverage provided by this endorsement. In addition, the following ex- clusions apply: We will not pay, under this endorsement, for either any electronic equipment or accessories used with such electronic equipment that is: a. Necessary for the normal operation of the covered "auto" or the monitoring of the covered "auto's" operating system; or 1mlffa.mffl (1). An integral part of the same unit hous- ing any sound reproducing equipment designed solely for the reproduction of sound if the sound reproducing equip- ment is permanently installed in the covered "auto"; and (2). Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio. 3. Limit Of Insurance With respect to coverage under this endorse- ment, the Limit Of Insurance provision of SECTION III — PHYSICAL DAMAGE COV- ERAGE is replaced by the following: a. The most we will pay for all "loss" to audio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of: (1). The actual cash value of the damaged or stolen property as of the time of the "loss": (2). The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or (3). $1,500. b. An adjustment for depreciation and physi- cal condition will be made in determining actual cash value at the time of the "loss". c. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. 4. Deductible No deductible applies to this coverage. The insurance provided by this extension is excess over any other collectible insurance. Includes copyrighted material of Insurance Services Office, Inc., AH CA 85 90 0917 with its permission. Page 3 of 6 K. TAPES, RECORDS AND DISCS COVERAGE Exclusion B.4.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: a. Tapes, records, discs or other similar au- dio, visual or data electronic devices de- signed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar au- dio, visual or data electronic devices.- (1) Are your property or that of a family member, and (2) Are in a covered "auto" at the time of "loss". (a). The most we will pay for "loss" is $200. No Physical Damage Cou erage deductible applies to this coverage. This extension provides coverage only to a covered "auto". L. PHYSICAL DAMAGE DEDUCTIBLE — SINGLE DEDUCTIBLE AND GLASS REPAIR Paragraph D. Deductible in SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following- D. Deductible For each covered "auto," our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable de- ductible shown in the Declarations. Any Com- prehensive Coverage deductible shown in the Declarations does not apply to "loss" caused by fire or lightning. When two or more covered "autos" sustain "loss" in the same occurrence, the total of all the "loss" for all the involved covered "autos" will be reduced by a single deductible, which will be the largest of all the deductibles apply- ing to all such covered "autos." No deductible applies to glass damage if the glass is repaired rather than replaced. M. PERSONAL EFFECTS COVERAGE 1. If you purchase Comprehensive Coverage on this policy for a stolen owned "auto", we will pay up to $600 for "personal effects" stolen with the "auto". 2. "Personal effects" as used in this extension means tangible property that is worn or carried by the "insured". "Personal effects" does not include tools, jewelry, money, securities, radar or laser detectors, or tapes, records, discs or similar audio, visual or data electronic equip- ment. No Deductible applies to this extension. The insurance provided by this extension is excess over any other collectible insurance. N. LOAN/LEASE PAYOFF COVERAGE The SECTION III — PHYSICAL DAMAGE COV- ERAGE is amended by the addition of the follow- ing: In the event of a total "loss" to a covered "auto" shown in the Declarations, we will pay any unpaid amount due on the lease or loan for a covered "au- to", less: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue lease/loan payments at the time of the "loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage. c. Security deposits not returned by the les- sor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. O. CUSTOM SIGNS AND DECORATIONS In the event of a total loss to a vehicle insured for auto physical damage coverage on this policy, in addition to the ACV of the vehicle, we will pay the actual cost to repair or replace signage or custom paint details up to $5,000. P. HIRED AUTO PHYSICAL DAMAGE If hired "autos" are covered "autos" for Liability Coverage and if Physical Damage Coverage of Comprehensive, Specified Causes of Loss, or Col- lision are provided under this Coverage Form for any "auto" you own, then the Physical Damage Coverage's provided are extended to "autos" you hire of like kind and use subject to the following limit: The most we will pay for any one loss is the lesser of the following: 1. $50,000 per accident, Includes copyrighted material of Insurance Services Office, Inc., Page 4 of 6 with its permission. AH CA 85 90 09 17 2. Actual Cash Value, or 3. The cost of repair. The deductible will be equal to the largest deducti- ble applicable to any owned "auto" for that cover- age. No deductible applies to "loss" caused by fire or lightning. This Hired Auto Physical Damage cov- erage is excess over any other collectible insur- ance. Subject to the above limit, deductible and excess provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. Q. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraphs A.2.a. of SECTION IV — BUSI- NESS AUTO CONDITIONS is deleted and re- placed by: a. In the event of "accident", claim, "suit" or "loss", you, your insurance manager or any other person you designate must give us or our authorized representative prompt notice of such "accident" or "loss". Include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insureds" name and address; and (3) To the extent possible, the names and ad- dresses of any injured persons and wit- nesses. Knowledge of an "accident" or "loss" by your agent, servant or "employee" shall not be consid- ered knowledge by you unless you, your insurance manager or any other person you designate has received notice of the "accident" or "loss" from your agent, servant, or "employee." R. WAIVER OF SUBROGATION SECTION IV — BUSINESS AUTO CONDI- TIONS— A. 5. Transfer of Rights of Recovery Against Others to Us is amended as follows: This condition does not apply to any person or or- ganization to which you waived this condition by written contract or agreement, but only to the ex- tent that subrogation is waived prior to the "acci- dent" or "loss" under a contract with that person or organization. S. UNINTENTIONAL FAILURE TO DISCLOSE HAZ- ARDS Any unintentional failure to disclose all exposures or hazards existing as of the effective date of the Business Auto Coverage Form or at any time dur- ing the policy period will not invalidate or adversely affect the coverage for such exposure or hazard. However, you must report the undisclosed expo- sure or hazard to us as soon as reasonably possi- ble after its discovery. T. EXTENDED EMPLOYEE HIRED AUTO PHYSICAL DAMAGE Paragraph B.5.b. Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS is deleted and replaced by the following: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: 1. Any covered "auto" you lease, hire, rent or borrow; and 2. Any covered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your permission, while performing du- ties related to the conduct of your business. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". U. POLICY PERIOD, COVERAGE TERRITORY Paragraph B.7. Policy Period, Coverage Territo- ry of SECTION IV — BUSINESS AUTO CONDI- TIONS is deleted and replaced by: 7. Policy Period, Coverage Territory Under this Coverage Form, we cover "acci- dents" and "losses" occurring: a. During the policy period shown in the Dec- larations; and b. Within the coverage territory. The coverage territory is: a. The United States of America; b. The territories and possessions of the United States of America, c. Puerto Rico; d. Canada; and e. Anywhere in the world if: Paragraph B.2. Concealment, Misrepresentation (1) A covered "auto" is leased, hired, Or Fraud in SECTION IV — BUSINESS AUTO rented or borrowed for a period of 30 CONDITIONS is amended by adding the following: days or less; and Includes copyrighted material of Insurance Services Office, Inc., AH CA 85 90 09 17 with its permission. Page 5 of 6 (2) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and posses- sions of the United States of America, Puerto Rico, or Canada or in a settle- ment we agree to. We also cover "loss" to, or "accidents" involving, a covered "auto" while being transported between any of these places. V. DEFINITION OF BODILY INJURY AMENDED Paragraph C. of SECTION V — DEFINITIONS is amended to include: "Bodily Injury" includes mental anguish or other mental injury resulting from "bodily injury." Howev- er, no coverage is provided for mental anguish or mental injury absent physical injury. None of the extensions provided under this cover- age endorsement apply if coverage is more specifi- cally identified elsewhere in the policy or endorse- ments, for which a premium charge is made or a higher limit is identified. Under no circumstances is any limit provided under this extension to be com- bined with a limit provided elsewhere in the policy or endorsements. Includes copyrighted material of Insurance Services Office, Inc., Page 6 of 6 with its permission. AH CA 85 90 09 17 WORKERS COMPENSATION AND LOYERS LIABILITY INSURANCE POLICY WC 99 06 34 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET 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). The additional premium for this endorsement shall be otherwise due. Person or Organization ANY PERSON/ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT 3 % of the total California Workers' Compensation premium Schedule Job Description ALL CALIFORNIA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 05/06/20 2:1 Policy No. WSA 5048153 02 Endorsement No. Insured GENTRY GENERAL ENGINEERING INC Premium $ INCL . Insurance Company INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed. 8-00) INSURED