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2019/04/01 Battery Systems, Inc. Certificate of Liability InsuranceDATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE I 04/02/2019 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C6D�jTACT Aon Risk services Central, Inc, N E. Chicago IL office;loot ): (866) 283-7122 (800) 363-0105 200 East Randolph ci� Of mefllfec E-MAIL Chicago IL 60601 USA ADDRESS: City f I,, INSURED Battery systems Inc. 12322 Monarch St. Garden Grove CA 92841 USA APR U 6 f f� ReCel INSURERA: INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570075808927 INSURER(S) AFFORDING COVERAGE NAIC # Zurich American Ins Co 16535 American Zurich Ins co 40142 Travelers Property Cas Co of America 25674 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- Limits shown are as requested INSA LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF MWDDlYYYY POLICY EXP MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 4 4 1 EACH OCCURRENCE $1,000,000 CLAIMS -MADE ❑X OCCUR PREMISES Ea occurrence)$SOO, OOO MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GEMLAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2,00O,DOO X POLICY ❑ PRO- LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: SIR/Deductible $1 , 000 A AUTOMOBILE LIABILITY BAP 3487041-13 04/01/2019 04/01/2020 COMBINED SINGLE LIMIT E.a d n 1,000,000 $ BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per acciden C X UMBRELLALIAB X OCCUR ZUP81N1267019NF 04/01/2019 04/01/2020 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE Umb/Excess Follow Form AGGREGATE $5,000,000 IDED j1gjj B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE — Y WC348703913 04 01/2619 04 Ol/2020 X I PER OTH- SAT TE R E. L. EACH ACCIDENT $1,000,000 DED? OFFICER/MEMBER EXCLU (Mandatory in NH) N I A 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 I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The city of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy. The General Liability policy evidenced herein is Primary and Non-contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. The General Liability policy evidenced herein includes a severability of Interest provision. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. city of Meni fee and its officers. employees, agents, and authorized AUTHORIZED REPRESENTATIVE volunteers Attn: Margarita Cornejo 29714 Haun Road SflLir✓� na Menifee CA 92586 USA n N W 0 0 0 0 U) O Z w M V w 0f L) ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AC �s DATE(MM/DD/YYYY) eJ CERTIFICATE OF LIABILITY INSURANCE F 04/01/2019 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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Central, Inc. Chicago IL Office City of Menifee 200 East Randolph CI .. Chicago IL 60601 USA CONTACT NAME: �� Ho.Exq: (866) 263-7122 FAX(800) 363-0105 E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # 1 APR 0 9 + J 1 Q INSURED INSURER A: Zurich American Ins Co 16535 Battery Svstems Inc. e Monarch St. Garden Grove CA 92641 USA Received Gard INSURERB: American Zurich ins CO 40142 INSURERC: Travelers Property Cas CO of America 25674 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570075767218 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. Limits shown are as requested LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MWDDrYYYY MMIODIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GLO 4 7U4U1 EACH OCCURRENCE $1,000,000 CLAIMS -MADE �X OCCUR NA9A PREMISES Ea occurrence $500,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $2 , 000 , 600 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OPAGG $2,000,000 OTHER: SIR/Deductible $1 , 000 A AUTOMOBILE LIABILITY BAP 3487041-13 04/01/201904/01/2020 COMBINED SINGLE LIMIT $1,000,000 BODILY INJURY ( Per person) X ANYAUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP81NI267019NF Umb/EXceSS Follow Form 04/01/2019 04/01/2020 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 IDED RETENTION B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER/ EXECUTIVE WC348703913 04 01 2019 04/Dl 2020 PER OTH- X STATU.TE E L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A 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 I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City of Menifee and its officers, employees, agents, and authorized volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy. The General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional insured, but only in accordance with the policy's provisions. The General Liability policy evidenced herein includes a Severabiiity of Interest provision, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Meni fee and its officers. AUTHORIZED REPRESENTATIVE employees, agents, and authorized volunteers Attn: Margarita Cornejo 29714 Haun Road ❑i.2�� 7I61 Menifee CA 92586 USA HL� JU ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD