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HomeMy WebLinkAboutVALLEY MAINTENANCE CORPORATION (4)City of Santa Ana rt Clerk of the Coy II COT- Office Use Only AGREEMENT TERMINATION FORM Please complete this form in its entirety when the attached agreement and all amendments (if any) are no longer in effect. Note: If your agreement is grant related, please ensure that all grant retention requirements have been satisfied prior to signing the termination form. Is the agreement(s) a permanent record? Yes No ✓ CLERK Cl T€)E CO NCIL JUL 2E522 P44:27 Return form to the Clerk of the Council Office (M-30). Call 647-1520 if you have any questions. The 0nraamant with A-2018-124-01 W l No. was completed on (List all amendments. Use space below if needed.) Revised: 10-18-16 Cafes rots i o" �?l j2fL and final payment has been made. Department: Phone/Ext.: �rpGj� Signature: Date:/3l �- A-2018-124-01 MAYOR 'np'INGE ON FILE 11 Miguel A. Pulido 011K M1 PROGEEO ,v;Xd�S'4 'y MAYOR PRO TEM r11L INSI RAN F EXPIRES �t w� Juan Villegas G COUNCILMEMBERS Cecilia Iglesias David Penaloza I fir ''1K Vacant Vicente Sanniento Jose Solorio n �g� [`' CITY OF SANTA ANA Parks, Recreation and Community Services Agency 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 www.santi-ana.org April 8, 2019 Valley Maintenance Corporation Attn: Mr. Bruce Hwang, Vice -President 3660 Wilshire Boulevard Los Angeles, California 90010 Re: Extension of Consultant Agreement No. A-2017-125 Dear Mr. Hwang: ACTING CITY MANAGER Steven A. Mendoza CITY ATTORNEY Sonia R. Carvaiho ACTING CLERK OF THE COUNCIL Norma Mitre -Ramirez Pursuant to Section 3 ("Terns") of Agreement No. A-2017-125 dated June 1, 2017, and amended by A- 2018-124 and A-2018-187, entered into by Valley Maintenance Corporation and the City of Santa Ana, the City hereby exercises its first one (1) year optional extension. The Agreement is hereby extended for a one (1) year period, from June 1, 2019 through May 31, 2020. The insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement as amended remain unchanged and in full force and effect. Sincerely, Yal,'d1off Executive Director, Parks, Recreation and Community Services Agency CITY OF SANTA ANA Steven Mendoza Acting City Manager ATTEST .�✓moo Norma Mitre Acting Clerk of the Council [Signatures continue on the next page] SANTAANA CITY COUNCIL Miguel A. Pulido Juan Villages Vicente Sarmianlo David Penaloza Jose Solono Mayor Mayor Pro Tern, Ward 5 Ward 1 Ward 2 Ward 3 maulldo(cJsanta-ana ore LvllegantUnanta-anagrg Warmientorrsanne-ana.o�cr doe teloza(nlsanta-ana as lad.d.se...nla-ene.oro Vacant cools Iglesas Word Ward Ugesl8s(10 ean(adna ore APPROVED AS TO FORM Sonia R. Carvalho City Attorney Laura A. Rossini, Senior Assistant City Attorney SANTA ANA CITY COUNCIL Miguel A. Pulitlo Juan villegas Wcame sarmiemo David Penaloza Jose Solorio vacant Cecilia Iglasias Mayor Maya, Pro Tem, Ward 5 Ward 1 Ward 2 Ward 3 Weal Ward 6 ntpulitlo2Jsanla-ana oro 'villeoas(drsanta-ana ora vsarmienfo@dsanm-ana nm Y2enalozaftaanla-arm ora Isolaflo(nlsama- ana ora C� AcoRbP CERTIFICATE OF LIABILITY INSURANCE DATE iMMIODIYYYY) ilw 11/29/2018 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 be endorsed. If SUBROGATION IB 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 endorsements). PRODUCER CONTANAME: ANA LEE INSURANCE LAND INSURANCE SERVICES PHONE 213-388-5505 ILAc,.ee):213_388-7148 _ 4032 WILSHIRE HLVD ADDRIESS: INSURANCELAND@GMAIL.COM SUITE 309 MEURERSJ AFFORDING COVERAGE NAICMLOS — ES CA 90010 INSURER A:EVANSTON INSURANCE COMPANY _ 35378 _ INSURED INSURER0; UNITED FINANCIAL_ CASUALTY CO. 11770 VALLEY MAINTENANCE CORPORATION INSURER C; UNITED STATES LIABILITY INS. CO .I _ 25895 INSURERDICW GROUP 27847 INSURER E:TRAVELERS CASUALTY AND BURETX COMPANY ANY 10002 PIONEER BLVD. SUITE 101 SANTA FE SPRINGS CA 90670 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. WWRT LTR A OL�UBft TYPE OFINSURANCE ... POLICY NUMBER NOLICTEFF— POLICY E%P (MMIOOf MMMD --' LIMITS COMMERCIAL GENERAL LIABILITY I J CLAIMS MADE OCCUR 69 08/13/2018, 108/13/2019 EACHOCCURRENCE $ 11000,000 hAMAiiE TO RENTS ---- PREMISFS(Eaowurrencel $ 100,000 MEDEXP(Anyonepereon) $ 51000 - __ X iPERSONAL&ADV INJURY $ 11000,000 A GEN'L ( AGGREGATE LIMIT APPLIES PER: POLICY jE ��_ _ LOC OTHER AGGREGATE $ 2,000,000 _GENERAL PRODUCTS-COMP/OP AGG $ INCL_U_DED_ [CORTRL.PROPRRTY OTHSABI $ 25, 000 AUTOMOBILE LIABILITY :062921851 11/02/20101, 11/02/2019I EeaBBINEDJSING LE LIMIT $ 2,000,000 BODILYINJURY(Perperson) S H _ - ! ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS R HIRED AUTOS I NON -OWNED AUTOS !' --'—'-- BODILY INJURY (Per accident)$ —PI PRO Per rAGGREGATE is 1,000,000 C UMSRSLLA LIAR II OCCUR EXCESS DAe l CLAIMS -MADE XL1578400A -D5/02/2018 05/02/20191 EACH OCCURRENCE � S 5, 000, OOD —.— _—"'-t"--------' AGGREGATE 1 $ 51000, OOO DeD RETENTIONS PRODUCTS $ 51000,000 D(MandatoryFEF WORKERS COMPENSATION r AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE ❑i Y INIA� MIn NH) DESCRIPTION Under DIf yes, RIPTICe OF O OPERATIONS below ( WSA5037498 01 00/13/201808/13/2019��-B^2TA_T.(JrE�'. ( _ERH E, L. EACH ACCIDENT $ 11000,000 _. E.L. DISEASE -EA EMPLOYE $ 11000,000 EL DISEASE -POLICY LIMIT $ 11000,000 III E (CRIME 1105620659 05/24/2018I05/24/2019�1 i THIRD PARTY $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe allachad It more apace Is required) THE CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS, APRESENTATIT7ES ARE NAMED AS ADDITIONAL INSURED IN REGARDS TO GENERAL LIA&I ,uev 1AIR CITY OF SANTA ANA I �9, `BIE SHOULD ANY OF THE ABOVE Dpa IBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 CIVIC CENTER PLAZA ACCORDANCE WITH THE POLICY PROVISIONS. SANTA ANA CA 10163-4668I-4*11'.L" All rights reserved. ACORD 26 (2014101) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA183369 off RKEL° EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $ Included (Check box If fully earned.®) I A. Who Is An Insured Is amended to include as an additional Insured any person or entity to whom yoo are obligated by valid written contract to provide such coverage, but only with respect to negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted bylaw; and 2, If coverage provided to the additional Insured Is required by a contract or agreement, the Insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. Our agreement to accept an additional Insured provision in a contract Is not an acceptance of any gther provisions of the contract or the contract In total, When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional Insured. No coverage applies to the additional Insured shown In the Schedule of this endorsement for injury or damage of any type to any "employee" of the Named Insured or to any obligation of the additional Insured to Indemnify another because of damages arising out of such injury or damage, S. With respect to the Insurance afforded to these additional Insured, the following Is added to limits of insurance: If coverage provided to the additional Insured Is required by a contract or agreement, the most we will pay on behalf of the additional Insured is the amount of Insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of Insurance shown in the Declarations; whichever Is less. This endorsement shall not Increase the applicable limits of Insurance shown in the Declare tions �e a5 All other terms and conditions remain unchanged. S��yG�P�Pd MEGL 0009.01 05 10 Includes copyrighted material of Insurance Services O ice, Inc., Page 1 of 1 with Its permission. COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 3AA183369 gig MARKET EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.' BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHeoui_F Nama pf Person pr Organization: Any person(s) or organizatlon(s) with whom the Named Insured agrees, In a written contract executed prior to the 'occurrence", to waive rights of recovery Additional Premium: $ Included The following Is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us under Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown In the. Schedule of this endorsement. This waiver applies only to the person or organization shown In the Schedule of this endorsement All other terms and conditions remain unchanged. MEGL 0241.01 06 16 aay' ?-e��e Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 COMMERCIAL GENERAL LIABILITY CQ 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CARES ULLY. PRIMARY AND NONCONTRIBUTORY- OTHER INSURANCE CONDITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following Is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This Insurance Is primary to and will not seek contribution from any other Insurance available to an additional insured under your policy provided that: (1) The additional Insured is a Named Insured under such other Insurance; and (2) You have agreed in writing In' a contract or agreement that this insurance would be primary and would not seek contribution from any other Insurance available to the additional insured. i G\lp Q�GS CG 20 01 0413 0 Insurance Services Office, Inc,, 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8.00) 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 tolthe 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. n Person or Organization ANY PERSON OR ORGANIZATION WHEN REQUIRED BY WRITTEN CONTRACT 3 % of the total California Workers' Compensation premium Schedule Job Description ' ALL CA OPERATIONS This endorsement gg'�fianges the policy to.which It is attached and Is effective on the date issued unless ,otherwlse stated. (The Informatiori`below Is required only when this endorsement Is Issued subsequent to preparation of the policy,) Endorsement Effective 08/1.3/2018 Policy No. WSA 5037498 01 Endorsement No. Insured VALLEY MAINTENANCE CORPORATION Premium $ INCL, Insurance CompanylNSURANCE COMPANY OF THE WEST Countersigned WC 99 08 34 (Ed, 8-00) INSURED .qco' CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 09/27/2019 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: fi ftto celtiflcatl� }1Dldor is an m'.)nF IONAi_ INSURED, the 1501Icy(ies) must bo 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 sj. PRODUCER NAME: MIA JEON INSURANCE LAND INSURANCE SERVICES PHONE 213-388-5505 �,213-388-7148 Its, ski) 4032 WILSHIRE BLVD n OLRESSt INSURANCELANDOGMAIL.COM SUITE 309 _ INSURE 8 AFFORMNG COVFRAGE NAIC q LOS ANGELES CA 90010 _ _!INSURER A'.EVANSTON INSURANCE COMPANY 35378 INSURED IN$URFRe;UNITED FINANCIAL CASUALTY CO 11770 VALLEY MAINTENANCE CORPORATION INSURERC:UNITED STATES LIABILITY INS, CO. 25895 INSURER D ICW GROUP 27847 10002 PIONEER BLVD. SUITE 101 INSURERB;TRAVELERS CASUALTY AND SURETY CO. 19038 SANTA FE SPRINGS CA 90670 INSURERF: COVERAGES CERTIFICATE NUPABER: REVISION NUMBER,. 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, Gvrri i Iclnnl.c ANn rONnITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL7p TYPE OF INSURANCE INsn B WVD POLICY NUMBER r<uwc:r crr MMR7Dl1' Y 0 B / 13 /2 01 COMMERCIAL GENERAL LIABILITY 3AA353541 n CLAIMS -MADE IZI OCCUR PRIMARY NON-CONTRIBUTORY _ A X X 6514t AGGREGATE LIMIT APPLIES PER: POLICY � jF � Lr J LOC pTHER: AUTOMOBILE LIABILITY 062921851 11/02 /201 ANY AUTO B ALL OWNED SCHEDULED X x _. _ AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS OCCUR XL1578400B 05/02/20, C CLAIMS -MADE H NTIONS w6RnERSCOMPENSATION WSA 5037498 02 08/13/20 AND EMPLOYERS' LIABILITY YIN ANY PROMIRrONPARTNEtlEXECUNVE — NIA D OFFICER7WEMBCR E><CLUDER7 Y X (Mandelnry In NH) If S. dascriba under DESCRIPTION OF OPERATIONS bale _ E CRIME 105620659 05/24/20 u r f_n_r LIMITS OfYYY EACH OCCURRENCE $ 1, 0 0 0, 0 0 0 OB/13/2020 TOE- PREMISES [Ea aac� e MED EXP I one. PERSONAL III. ADVINJURY GENERAL AGGREGATE PRODUCTS-COMPlOPAUG $ 100, OQ,O $ 5,000 $ 1,OD0,000 $ 2,000,000 $ INCLUDEIr $ $25,000 MBINED,SINGLELI T 0 11/02/2019 Eaagc eel $ 2,000,.000 $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) R DAt1RAGr fFar a AGGREGATE ^ $cclaentl -- - $ 1,000,000 .9 05/02/2020 EACFiOCCURRENCE $ 5, 000, 000 AGGREGATE 6 5,000,000 $ 11000,000 PRODUCTS-COM/OP AGO P R DTRH• L9 08/13/2020 „v ST�,jj E L. EACH ACCIDENT - $ 1,000,000 E.L DISEASE - EA EMPLOY_ $ 1,000,000 E-L.DISEASE -POLICY l.lIr11T S 11000,000 L9I05/24/20201 THIRD PARTY $1, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) CERTIFICATE HOLDER IS AS AN ADDITIONAL INSURED. CERTICATE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION. REVIEWED & APPROVED CERTIFICATE CELLATION CITY OF SANTA ANA T (�� SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1 V THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT DIVISION $5 ACCORDANCE WITH THE POLICY PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH �RICINE R. VILI..ARE THORI$EDREPRESENTAnVE SANTA ANA CA 92702 © 1988-204ACORD CORPORATION. )I-H hg deserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL. LIABILITY POLICY NUMBER: 3AA353541 EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY! AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM � I SCHEDULE Name Of Person Or Organization: T Any person(s) or organization(s) with whom the Named Insured agrees, In a written contract executed prior to the 'occurrence", to waive rights of recovery Additional Premium: $ Included The following Is added to Condition 8. Transfer Of Rights Of Recovery Against Others To Us underil Section IV — Commercial General Liability Conditions: We waive any right of recovery we may have against any person or organization shown In the Schedule of this endorsement. This waiver applies only to the person or organization shown In the Schedule of this endorsement. All other terms and conditions remain unchanged. REVIEWED & APPROVED By RISK MANAgEMENT DIVISION O �UI FIZANC N 'R. V1L1 AREAL MEGL 0241-01 05 16 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. COMMERCIAL GENERAL LIABILITY POLICY NUMBER' 3AA353541 MUKEr EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. i BLANKET ADDITIONAL INSURED This endorsement modifies insurance provided under the following: COMMERCAL GENERAL LIABILITY COVERAGE FORM LIQUOR LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTSICOMPLETED OPERATIONS LIABILITY COVERAGE FORM SCHEDULE Additional Premium: $Included (Check box if fully earned ®) Please refer io each Coverage Form to determine which terms are defined, Words shown in quotations on this ,endorsement may or may riot be defined In all Coverage Forms, A. Who Is An Insured is amended to Include as an additional Insured any person or entity to whom you are required by valid written contract or agreement to provide such coverage, but only with respect to "bodily injury", "property damage" (Including "bodily Injury" and "property damage" included in the "products -completed operations hazard"), and "personal and advertising Injury" caused, in whole or in part, by the negligent acts or omissions of the Named Insured and only with respect to any coverage not otherwise excluded in the policy. However`. 1. The Insurance afforded to such additional Insured only applies to the extent permitted bylaw; and 2. The Insurance afforded to such additional insured will not be broader than that which you are required by the valid written contract or agreement to provide for such additional Insured. Our agreement to accept an additional Insured provision In a valid written contract or agreement is not an acceptance of any other provisions of such contract or agreement or the contract or agreement in total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the additional insured. No coverage applies to such additional Insured for injury or damage of any type to any "employee" of the Naamed Insured or to any obligation of the additional insured to Indemnify another because of damages arising out of Such injury or damage. B. With regmct to the Insurance afforded to these additional Insured, the following Is added to limits of Insurance: The mos'l we will pay on behalf of the additional Insured Is the amount of insurance: 1. Req�iired by the valid written contract or agreement; or 2. Available under the applicable limits of Insurance shown In the Declarations; whlchevOr Is less. This endorsement shall not Increase the applicable limits of Insurance shown In the Declarations. All otherterms and conditions remain unchanged. MEGL 000�-01 09 18 Includes copyrighted material of Insurance Services Office Inc. Page 1 of 1 with Its permiQ�IEWED & APPROVED i By RISK MANAGEMENT DIVISION FRANCINE R. VILLAREAL COMMERCIAL GENERAL. LIABILITY CG 20 01 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONIJITION This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PAIN PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following Is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This Insurance is prlmary to and will not seek contribution from any other Insurance available to an additional Insured under your policy provided that, (1) The additional insured is a Named Insured under such other Insurance; and CG 20 0104 13 (2) You have agreed in writing in a;contract or agreement that this lnsurance, v'tould be primary and would not seek contribution from any other insurance available to the additional Insured. REVIEWED & APPROVE[ By RISk MANAGEMENT DiviSiON © Insurance Services Office, Inc., 20012 Page 1 of 1 FRA DINE R. VILLAREAL WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 99 06 34 (Ed. 8.00) 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 wil not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the xtent 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 / ORG WHEN REQUIRED BY WRITTEN CONTRACT 3 % of the total California Workers' Compensatil' n premium Schedule Job Description ALL CA OPERATIONS This endorsement changes the policy to which it is attached and is effective on the date issued unless otherllwlse stated. (The Inf6mration below is required only when this endorsement is issued subsequent to preparation of thie policy.) Endorsement Effective 08/13/2019 Policy No. WSA 5037498 02 Endorsement Na,i Insured V-XLLEY MAINTENANCE CORPORATION Premium $ IgCL. Insurance 0ompany INSURANCE COMPANY OF THE WEST Countersigned By WC 99 06 34 (Ed, a-oo) REVIEWED & APPROVED w,sen+ r> By Risk MAWIEMENT DiViq ON OCT- FRANC E R, VILL4REAiL WAIVER OF SUBROGATION 15NDOWMENT This endorsement modifies insurance:provlded under the. following.: ,Commercial Auto Policy Motor Truck Cargo Legal Liability Coverage Endorsement Commercial General Liability Coverage Endorsement, We agree to walvei any and al.l subro:gatlan claims against the person or organization designated below except .for losses that are due Iri whole or -part to the negligance or errors and o.m.issi:o.ns of the designated person or organization, PRIME DEVELOPMENT NV LLC TU:NG'S LLC CHARLES DUNN REAL ESTATE SERVICES INC 800 W 6TH $T 6TH FLOOR LOS ANGELES CA 90017, This endorsement applies to Policy Number: p6292185.1. Issued to; VALLEY MAINTENANCE CORP. Endorsement Effective: 03/01/2019 Expiration: 11/02/2019 All other terms, limits and provisions of this policy remain unchanged. Form 8610(OS/09) REVIEWED & APPROVED By R"k /NANAGEjytNi pivisjoN OCT 02 2019 — ---- — - — — - AR A4R. VILI�4f?EAL MIMIUMIF" Additional Insured Endorsement Name of Person or Organization PRIME MVELOPMENTNV LLO TUNC'S LLC CHARILES DUNN REAL ESTATE -SERVICES INC imo W GTH ST OTH FLOOR LOS ANMES CA 90017. The person or, orgariizatInn named above Is an Insured with respect to such liability coverage as,is afforded by,the policy but this Insurance applies to said Insured only as a person liable for the conduct of another insured and then.only to the extent_of that liability. We also agree with you that insurance provided by thl's endorsement will be primary for any power unit specifically described on the Declarations Page, Limit of Liability nodily Injury $2,000;000 each person/ $2.000,000 each accident property Damage $2,000,000 each accident Combined Liability '$2,000,000 each accident All otherterms, limits and:provislons of this policy remain unchanged, .This endorsement applies to Policy. Number: 06292185-1, i :Issued to (Name of Insured): VALLEY MAINTENANCE CORP. 1Effective date of endorsement; 03/01/2019 Policy expiration date: 11/02/2019 I ;Form 1198.(.01/04) REVIEWED & APPROVED By Risk MANACEMFNT DiViSION 0 022019 FR NCINE ►d. LlRFA- - - COMMERCIAL GENERAL LIABILITY III MMKEr EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRODUCTS -COMPLETED OPERATIONS INCLUDED IN GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Paragraph 2. under Section III — Limits Of Insurance is replaced by the following: 2. The General Aggregate Limit Is the most we will pay for the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, including damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. B. Paragraph 3. under Section III— Limits Of Insurance is deleted in its entirety. C. Paragraph b.(3) of Definition 16. "Products -completed operations hazard" under Section V — Definitions is deleted in its entirety. All other terms and conditions remain unchanged. REVIEWED $ APPROVED By Risk MANAGvMFNT Divisi0N 022019 Ff?ANCINE . VIL REAL MEGL 0172 10 14 Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1 with its permission. `Rff CERTIFICATEF LIABILITY INSURANCE DATE(MWDMYYYY1 10/28r/ 019 THIS CERTIFICATE IS ISSUED AS A FATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH S 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 certlflcato holder Is an ADDITIONAL INSURED, the polley{los) must be ondorsod. If SUBROGATION IS WAIVED, subject to the Corms and conditions of the policy, certain pollcles may require an Ghdorsem ant. A statement on this bortiflcate does not confer rights to the certificate holder In llou of such ondorsomont(s), PRCOUa ER CONTACT NAME: NIA JEOIN INSURANCE LAND INSURANCE SERVICES jAgC 213 388-55i15 _ rAx �. il3-3 5-"7148 4032 IaTLE"tiIRE BLED E.MrIL iNSU C %ANDid IL ..COM _ DDRESS; _... _.._ T SUITS 3 09 I vsua S�Ftora[ �No Cc c g � w Hnic tr L OS ANGELES _.. CA v90010 INSURERAi i A TSTON INSURANCE COMPANY 3 5 3 713 Nsu aBD �.w CO 117 7 0 L"_..., VALLEY MAINTENANCE CORPORATION TIO INSURER UNITED STATES CASUALTY� ICI CO t '� 8 9 5__ ir�^L°aRiacr: INSURFRBUNIT�iS PIATANCIAL TCW GROUP 27847 10 102 PSONRSR SLAXii, SUITE 101 INSURERS; TRAVELERS CASUALTY AND SURETY CO.' 19038 SANTA F'ESPRINGS CA 90670 IN5UREAFF COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: TH S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY" PERIOD INDICATED NOT IATTISTAIwt2I' O ANY REQUIREMENT, TEPID ON CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH T'Hts CERTIFICA11 MAY BE ISSUtD OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS ANN CONDITIONS OF SUCH POLICIES. LIMITS SHOWNMAYHAVE BEEN REDUCED BY PAID CLAIMS SY ] PDLICVEFE P c-EAF s t ra TYPE OF INSURANCE POLICY NUMBER IMML)DdYYYY' MM"U"YYI = LIMITS t COMMERCIAL 0. NERAL LIABILITY 2n20 •....� 353541: 08/13/201F9 08 3'3 BA•�6iOCC,LdRf2ENGE .r S 1,00() ,OOt� 4"'LPriEti�u-MrxTd J OCCURi t-1 1 . k__fi�*�E$LE�"�+:C�rr�ncs,�� ._ NON-CONTRIBUTORY FRTtLARY NONS. . KED Exw(Any_ ,n 5, 000 X x P¢ RSexvnL AOV I NJURY s 1 00 01 0 00 i IkN L A6GRLGA1L; L1MfT A£"PLIES PER CESIEra L AGGREGATE �a 2 000 , Q tl 0 t I POLICY _._...: LE�Pr 3.._ _L PR C7uJC 0 • OMP1C/ AC% INCLUDED r ETHER 25, 000 AI1TUMrr1 LE LIAl3tlLlPV wtOMBINEDSIN "LE LIMI I I� 2, O 0 O fl 0 0 i062S2185-2 � /a /aces aip¢aar E�aa E 1 ...._. ANY AUTO BODILY INJURY (Per cson) ALL OWNED 1 LHEE'VLED x x t AW OS _ i AUTOS IaOf3�LY INJURY: (Per Irddara9) � S h uilCt?A4JTCJS ttiC�I9-I"- 1t;i: Ctc f'I�'T`��TrANYA�,R ,w AUTOS w I. m...._ AGGREGATE $ 11 000, 000 UMBRELLA LIAL3 (OUCUR XL1578400 05/02/2019 05/02/ 0201 EACHOCCURRENCE s 5, 000,:000 C rx2r9s LIAR Al Ts-nrAdc . ACAECATf m r 0 0 O it 0 0 __. . .. oED d raEx NTI is T i PRODUCTS-COX/OP Aocl L 1 000,000 rcRRERs Co PCNSATION PrR ri fi A:CSEMPLO`FI;RS'LIA13ILWTY YtN `WSA 5037498 02 08/13/2019,00/13/202C "t�,.I !ANY 1 kE;3i�REl'OR�PARTCERYE.AECUTI4IE L^ 1r FiCERWEMBER RncLLDE.c N r A l xas EACH ACCIDENT 0" ndatary In NH) L � TASFASF• FA EMP OYEd' a 1,000, 000 18 m ns dwq- kNe una,nr......,...... I s2CSCt31111ION (IF OPIRALIONS 1*111 o e L,. DISEASE PCUGY LIMIT ` 5 1,000, .000 CRIME �105620659 � �CE/24/2015'05124/202C THIRD PART I � $7., 000,, 000 DESCRIPTION OF OPERATIONS t LOCATIONS I VEHICLES IACORD ID1, AddlHonai Reinardr ScYsad.rFu, veasy to attsRa©d if �nra sE,7acn ¢s asqu;reag CERTIFICATE HOLDER IS AS AN ALI ITIQ�Al INSURED. CERTIFICATE OF INSURANCE SHALL PROVIDE THIRT (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION REVIEWED & APPROVED By Risk MANA(4F.,Mt.,NT DivisioN CERTIFICATE HOLDER CANCELLATION CITY OF SANT]§ ANA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE RISX MANAGEMENT c I:rT DIVISION N 1tz1=V—'TNE WEXPIRATION DATE NOTICE WILL BE tEilrtREa INCI :R. I [,AC O DANEWITH THE POLICY THEREOF, PROVISIONS. 20 CIVIC CENTER PLAZA, 4TH FLOOR AUTHORIZED REPRESENTATIVE j SA3vt'TA. ANA CA 92702 CO 1'988-2014 ACORD CORPORATI N; I tights reserved.. ACORD 25 (2014101) The ACORD name and Ingo are registered mares of ACORD ahp Efri1G Smdmcaus a'rx al ._ CERTIFICATE OF LIABILITY INSURANCE Ohs 2 T f 201 THIS CERTIFICATE IS ISSUED AS A MATTER. OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE CUES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW4 THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: NT: It tho certificate holder is an ADDITIONAL INSURED, fire polleyhesj must be endorsod, If SUBROGATION ATION IS WAIVED, soBject to , the terns and Conditions of the policy, certain policies may require an endorsement. A statement on this certificate dons not center rights to the certificate holder In lieu of such ondorse r ont . PraODUCEa RAv Fin 'TEON W 213-388-5505 INSU ANCE LAND 4032RyFZLSHItf BLVL INSURANCE SERVICES IT All % �IN�"TiliANC LA DOOM IL. C'O t 3 _21 BS 1 5' SUITS 309 rNSi1RERIFf atFatNoERAGaw TING _.. LOS ,ANGELES CA 90010 INSUXTERA EVANSTON INS URANC V COMPANY 35378 N ttFLrTsam IT iI FINANCIAL CASUALTY CO li 10 mm v VrALL Y MAINTENANCE CORPORATION rNStIRYrJTt UtdTTETI STATES LIABILITY INS. CC. 25$g a 11111110ICW GROUP mm 2 TE47 10002 PIONEER" BLVD. SUITE 101 INSVRErRE TRAVELERS CASUALTY AND SURETY CO,, 19038 SANTA F'E SPRINGS CA 90670 AtaR�R�a COVERAGES CERTIFICATE NUMBER- REVISION NUMBER,. THIS IS TO CERTIFY' THAT THE POLICIES OF INSURANCE LISTED BELOWiIAVE: SEEN ISSUED TO THE INSURED NAMED AtYCaVE FCTR THE POLICY PERICiI�—. INDICATED, NOIWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VAIICH 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 SEEN REDUCED BY PAID CLAIMS � T -_w. -_ _. _..•AUVERMA ... POLICY EF" 600[dhII LIMITS LTA TYPE OF aNSURANCE am ICY j POLICY NU MwOoryMy4jMMnSffy: €ir-Nwct fRt COMMERCIALGENEGENERAL EACt# CiUdr�" 1, 000000 el/ 3 353541 06/13/201,9 00/13/2D20 HA"CPieJI#IAYIYi.. _ -_ CLAIN,'84AOP OCCUR Fri Tt IT;tYr ytnLTn�t-. s 100,000 P!IMARB NON CONTRTBUTO1R 5,000' A X XPERSrNAY a itPV IN URY s 1 0 0 0 O:I 0 WWI AGGREGATE LIMIT A0XIES PFR2,000, I'UL4CY El zpj 21 LOC �' $_. , , Y is .z �. , , INCLUDED dTHLR: S $ 2 5, 0 0 0 ��: _._ .�.. sR :EIELA sIlsL,r. I,iAYt AUTOMOSILELIASILITV' s:sTa /aoaa xzldT' /adla.r C:A :k.Az+�19__ 3 2,000 000 062921851 ANYAUTO BOVILY INJURY (Pot ponen) S ITrtL"f INJURY IPaw acaldw,tp S AUTOS AUTOS NON Du ,Era Ra rdTrYbANA& .. HIREOAUTOS Yi AUTOS AC3tfTtRCtA7'f I 1, 000, 000 UhitRELLALie cr tR TCL157300B rs calacsPlLsl z/Se e I:teLlc salst�Itlr.° s 5,000,000 C EXCESS LtAa rre AdM, NAfibr vrR;r°nFrxrrL _ T.. 5, Q 0 0, 0 0 0 PRODUCTS CO)4/OP AGO 1 tlT 0 tl , L7Il. IA RrTPrn*aaaf ,�.�.-.�.•; _._.�__� _ _> T RT zoYststuraSLenrR.w AAdON wtBA 50174 8 02 oa/zar�dri� iYIl13/2Ratl STATRIgE 1 I Ia AND EhMLO'YERS LIAeIUTY 'YIN EI d;pudaARrt�AIraI s 11000,000 I"'T.MtEM11errEErustYro� �y�NrA _ 1,�OG10,00Ci (Ma-lptory I,, NIII °o- " Y" I fNSEASr -EA FMi t IDYFr ;: es, II tea, drasmsz�r xtds .: Iyt° I. Lr �r..AEL. POLICY LIMIT L 1. „ 0 0 di 0 0 0 CRIMP, 105620659 05/24/201,9 05/24/2020 THIRD PARTY $1„000,0 0 DESCRIPTION Or OPERATIONS t LOCATIONS I VEHICLES ;ACtTRTS 9DY, Ad lCtlaxsxl R�M�N�a Sat,advia, my &ss satARr�and it rir�Rs spaca I✓a e�RAstrndt CERTIFICATE HOLDER TE AS AN ADDITIONAL INSURED. CERTIC,I TE OF INSURANCE SHALL PROVIDE THIRTY (30) DAY PRIOR WRITTEN NOTICE OF CANCELLATION. REVIEWED & APPROVED CERTIFICATE HOLDER�F I NCELLATIC� � CITY OF SANT"i ANA4 f THE EXPIRATION DATE THEREOF, NOTICE WILL RE DELIVERED I� � � SHOULD ANY OF THE ABOVE DESCRMETT POI-011S BE CANCELLED BEFORE CI: ItTSY tIAFIACRfSNT DIIfISI10N; dSCCORDANCEWITH THE POLICY PRDVV$SIONS . 20 CIVIC CENTER PLAZA, 4TH T'" CI . VILLARb' 714OLAE1arzrnPRESFN1ArIVF w„ SANTA ANA CA 92702 i 1988a20 ACCJRG CCSFtFC7RATIC7N. II tAUttfu.rczse r rcrrJ, ACORD 25 (20141`01) The ACORD name and logo are registered marks of ACORD COMMERCIAL G>E:NERAL:6IABILITY POLICY NUMI3K 3AA3ti354t g1l � 1 fflmia e. EVANSTON INSURANCE COMPANY f` I THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I ; BLANKET WAIVER OF TRANSFER OF RIGHTS OF RE.COVEW AGAINST OTHERS TO US This endorsement modlfles Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE FORM it _ SCHEDULE Name Of Person Or Organlzatton: Any persons} or orgenlzatlon(s) with wham the Named Insured agrees, In a written contract executed prior to the 'Occurrence", to waive rights of recovery Addltlonal Premlum: $ Included The (allowing is added to Condition 8. Transfer Of Rights Of Recovery Against Others To us under) Sgc Commercial General Liability Conditions: We waive any right of recovery we may have against any parson or organization shown In the Sc6edu endorsement, This waiver applies only to the parson or organization shown in the Schedule of this endorsement. All other terms and conditions remain unchanged REVIEWED:&APPROVED By Risk MANAgEN1ENT DI WON I o zo i� FRANCIN R. VIL REAL go of this MEGL 0241.01 0516 Includes copyrighted 'material of Insurance Services Offlce, Inc., Page 1 of 1 with Its permission. ; ° I COMMERCIAL GENERAL LIABILITY POLICY NUMBER:3AA353541 f NARKErl EVANSTON INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, j BLANKET ADDITIONAL INSURED This endorseineht'mod lfles insurance provided under the following: COMMERCI 14 GENERAL LiABIUTY COVERAGE FORM LIQUOR;LIABILITY COVERAGE FORM OWNERS MID 00NT CTORS.;PROTECTIVr LIAB1LI-rY'EOVERAGE FORM PRODUCTSICOMPLE- TEq 0PtRATIONS'1.IABILITY,'ddVERAGE FORM I SCHEDULE, i Additional Premium: $Included (Check box If fully earned ®) Please refer to each Coverage Form to determine which terms are defined. Words shown In quotations on this endorsement may or may riot be defined In all Coverage Forms. A. Who Is qqn Insured is amended to include as an additional Insured any person or entity to whom you an) required by valid written.conlractor.abreoment to provide such coverage, but only with respect'to "bodily injury", "property damage" (Includin'o'"bodlly Injury".and "prcipo ty_darnage" Included In the "products -completed operations hazard"), and "personal and advertising injury" caused,:In wNhole or in pari, by the negltgont acts or omissions of the Named Insured and only with resp Eect to any coverage not otharwlse excluded In the policy. However 1, The Iinsurance ' afforded to such additional Insured only applies to the extent permitted by law; and 2, The Insurance afforded to such additional Insured will not be broader than that which you are required by the valid wrIII16n contract or agreement to provide for such additional Insured, i Our agreement to accept an additional Insured provision In a valid written contract or agreement 1s not an acceptance of any other provlslons of such contract or agreement or the contract or agreement In total. When coverage does not apply for the Named Insured, no coverage or defense will apply for the addltlonal insured. No coverage applies to such additional Insured for Injury or damage of any type to any "employee" of the Named Insured or to any obligation of the addlllonal Insured to Indemnify another because of damages arising out of Much Injury or damage. f3. With respeato the Insurance afforded to these additional Insured, the following Is added to Ilmits of insurance: I The most'we will pay on behalf of the additional insured Is the amount of Insurance: 1. Requlred by the valid written contractor agreement; or 2. Avallable under the applicable Itmlls of Insurance shown In the Declarations; whlchev�r Is less. This endbrsament shalt not Increase the applicable Ilmits of Insurance shown in the Declarations All otharterms and conditions remain unchanged, MEGL 000i-01 0818 Includes copyrighted material of Insurance Servlces:Off[ce inc. IPag- 1 of 1 with Its permIREiM EWED. & APPROVED By Risk MANAGEMENT DiviSiON I FRANCINE R. VILLAREAL COMMERCIAL GENEwRA J LIABILITY Cc 20'o1 a413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY— OTHER INSURANCE CONIJITION 4 This endorsement modifies Insurance provided under the following; ii LITY COVERAGE -PART PRO UC 5l C MPI.ETEL) OPAL bt4blRAL ERATIONS IONS LIABILITY OVERAGE PART ! i i f l The following Is added to the Other Insurance i Condition and supersedes arty Provision to the (z1 You have agreed in writing In alchdul l e contrary; agreement that this Insurance) Mould be primary and would not seek contribution Primary And,Noncontrlbutory Insurance from any other Insurance evall#b o to the This Insuren'ce l 'ptlmary.•to-and will no sock addRlonal Insured. E �: contributlnn.,from any other;lnsurance avallbbie to an addltionol Insursd' under your- ;policy I provided liiht' r (i) The additions! Insured is a Named insured under such other Insurance; and I Et I REVIEWED & APPROVED By Risk MANAGEMENT DIVISION �CG 2U t)7 Q4 t3 OO By Services Office, Inc., 2 12 "M Rk - FRA CINE R. VILLAREAL f 'I t pvb61 of 1 WORkERS'COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY I i WC 99 06 34 (Ed, 8-00) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - BLANKET We have fhe right to recover our payments from anyone liable for an injury covered by this policy, We t not enforce our right against the person or organization named In the Schedule. (This agreement apn wplies only to the Vol(xtent that You perronork under a written contract that requires you to obtain this agreement from e The additional premium for this endorsement shall be 3 % of the total California Workers' Compensatl�n premium 'otherwise due. I Schedule Person or Organization Job 17escrlption I ANY PERSON / ORC ALL CA OPERATIONS WHEN REQUIRED BY WRITTEN CONTRACT 1 i This endorsement changes the Palley 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 t G policy.) Endorsement Effective 08/13/2019 Policy No. WSA 5037498 02 Endorsement No Insured V21LEY MAINTENANCE CORPORATION Premium $ IqCL . Insurance f;ompany INSURANCE COMPANY OF THE WEST s Countersigned ey WC 99 06 3' (Ed.. gnu) BEV! QED & APPROVED Y Risk Mn�vn��iwa,vr Di i' FRANC R. V1L1AREgt WAIVER O.F—SUBROCtiATiQN El- DORSIMENT This endorsement Modifies insurance: provided under the, following.. Motor Trock Cargo Legal Lability Coverage Endorsement Commercraf General Llatallity COveragt Endarsement We agree tOVaiveahybnd ail:subroSation claians-againstthe person or organization desrgnated below -except far losses that are due 16 whole or.part to the" negligence, or errors and amisslans of the d:eslgnated person or organization, PRiN TE DEVELOPMENT NV LLC TUN8'S LLC CHARLDS DUNN•REAL ESTATE SERVICES INC 900 Val 6TH ST STH r-LbOA LOS AWELES. CA 90017, t This endor-sementappll-es to Policy Number: 06292166-1. Issued to: VALLEY MAINTENANCE CORP, Endorsement Effective: 03/01/20,19 Expiration: 1t/02/2b19 All other terms, Ilmlts and pruvislons of this policy remain unchanged. I i r s F Form e610105J09j REVIEIVED & APPROVED BY Risk MnNNEMI:Nt DivisioN OCT 02 2019 V—FAG LAR EAL 4 .Pli98RFiJI E n Additional insured Endorsement Jarneief Peman or Organintlen 1,R1ME 0WELOPIVISIAi`IUV LL•O NG'S'LLG HAEgL1 S,D7 NN REAL ESTATE•3ERVICES INC 00 VV 6' H1'ST 8.V1f L00R If ',OS ANGLES GA 90011. The person or organization named alcove Is an Insured with respect to such liability coverage as -Is .atfforded by,the Voilty hut this: insurance applles to said Insured orilyas a person liable for tho conduct of anotherinsun�d and then -only to the oxtent.of that Ilablllty. We also agree with you thatinsurance provlded bythis endorsement will -be petmaryfbr any power urlt speatfically described on the Declarations Page. f Omit of Llablll'ty 6odlly Injury $2,000,000 each per§on/ $2,000,000 each accldtnt I DpertyDamage $2,000,1300 each accident Combined Uabll[ty $2,000,000 each acrfdent Aftotherterms, llmlts and pro slons.of this policy remain unchanged. This endarsementappIles to Policy. Number: 062€ 2165.1. issued to (Name of Insured}, VALLEY MAINTENANCE CORP. kffective•date of endorsement; 03/01/2019 Policy expiration date: 1V02/2019 ;Form 1198.(01/04) REVIEWED & APPROVED By Risk MANAQEMr:NT Dftri5lON OC 0 2 2Q19 4RNC-1NE-*R.AkE_QA_tL___ �k I COMMERCIAL GENERAL LIABILITY ,nn V EVANSTON 'INSURANCE COMPANY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ T CAREFULLY. � I PRODUCTS -COMPLETED OPERATIONS INCLUDED IN GENERAL AGGREGATE LIMIT This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A, Paragraph 2. under Section III —Limits Of Insurance is replaced by the following: 2. The General Aggregate Limit Is the most we will pay for.the sum of: a. Medical expenses under Coverage C; b. Damages under Coverage A, including damages because of "bodily Injury" or "property "products -completed operations hazard"; and c. Damages under Coverage B. B. Paragraph 3. under Section III — Limits Of Insurance Is deleted In Its entirety. 'Included In the C. Paragraph b.(3) of Definition 16. "Products -completed operations hazard" under Section V — Definitions is deleted In Its entirety. All other terms and conditions remain unchanged. MEGL 0172 10 14 REVIEWED & APPROVED By Risk MANArjEMFNT DMSi0N 0 0 2 Z019 FRANCINE . VIL REAL I Includes copyrighted material of Insurance services Office, Inc., Page 1 of 1 with its permission. i l