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2019/11/24 NextRequest Co Certificate of Liability InsuranceDocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF �0 CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIY20 101231202❑ 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 NAME: Melissa Rivera The Cody Group, Inc. PHONE 212 641-0429 FAXX No: 150 W 28th Street pDD New York NY 10001 SS_ melissa@codygroupny.com INSURED NextRequest Co 433 Bryant St. San Francisco CA 941.07 INSURERA:Continental Casualty Company 20443 INSURER B: valleyForge Insurance Company 20508 INSURERC:Beazley insurance Company 37540 INSURER D : INSURER E : COVERAGES CERTIFICATE NUMBER: Cert ID 2578 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 ADDTYPE OF INSURANCE L POLICY NUMBER MM DWYYSUER POLICY FF MM ODY FXP LTR IYYYY LIMITS B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS -MADE Fx ] OCCUR Y Y 6020843282 11/24/201911/24/2020 pRE' MSES Ea€oxU ence $ 300,000 MED EXP [Any one person] $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY JET LOC PRODUCTS -COMPIOPAGG $ 4,000,000 $ OTHER: AUTOMOBILE LIABILITY Ea ccideD SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ A ANY AUTO 6020843282 11/24/201911/24/2020 ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acc[dent] $ X PROPERTY DAMAGE Per aceident $ NON -OWNED HIRED AUTOS X AUTOS UMBRELLA LIAO OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE DIED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRI€TORIPARTN€RIExECUTIVE PER OTH- STATUTE ER E.L. EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? ❑ NIA A [Mandatory In NH] E.L. DISEASE - EA EMPLOYEE S IF yS , describe under DESCRIPTION OF OPERATIONS below S E.L. DISEASE - POLICY LIMIT C Professional Liability & W24157200301 08/01/202008/01/2021Per $ 3,000,000 occurrence/agg Cyber/Network Liability Retro Date 811118 Retention $ 25,000 DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Menifee, and its officers, employees, agents, and authorized volunteers are included as additional insured as required and confirmed by written contract or agreement. Coverage is primary and non-contributory as required and confirmed by written contract or agreement. Waiver of subrogation applies as required and confirmed by written contract or agreement. Thirty (30) Day notice of cancellation; Ten (10) Day notice of cancellation in the event of non-payment of premium, 11159I:11-411a150711%11:9:r*T1AA: a_►:ra4iffir111r 1. 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 Menifee 29844 Haun Road AUTHORIZED REPRESENTATIVE Menifee CA 92586 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of i DocuSign Envelope 10: 234E9D9F-B37F-4EDB-ABE6-15DE603E75CF THE HARTFOR❑ BUSINESS SERVICE CENTER THE 3600 WISEMAN BLV❑ HARTFORD SAN ANTONIO TX 78251 City of Menifee and its officers, employees, agents and authorized volunteers 29844 HAUN RD MENIFEE CA 92586 Account Information: Policy Holder Details : JNEXTREQUEST CO October 26, 2020 %Q Contact Us Business Service Center Business Hours: Monday - Friday (7AM - 7PM Central Standard Time) Phone: (866) 467-8730 Fax: (888) 443-6112 Email: agency.services(cDthehartford.com Website: https://business.thehartford.com Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns. Sincerely, Your Hartford Service Team WLTRO05 Docl NDIyf1 CI IV CIUFIC IL1. L.YfC7 LP 7 r - D 0 F r-fCVD-HMCo- I J LP r-uu J C r JL.r .�►ca�a4° CERTIFICATE OF LIABILITY INSURANCE TE(MM/D NY DATE [MMIDDIYYYY] 20 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(lies) must be endorsed. If SUBROGATIONIS 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 NUTMEG INSURANCE AGENCY INC/PHS 46508229 NAME: PHONE (866)467-8730 (AIC, No, Ext): FAX (888)443-6112 (AfC, No): The Hartford Business Service Center E-MAIL 3600 Wiseman Blvd San Antonio, TX 78251 ADDRESS: INSURER($) AFFORDING COVERAGE NAICN INSURED INSURERA: Hartford Fire and Its P&C Affiliates 00914 NEXTREQUEST CO INSURER B : 460 BRANNAN ST UNIT 77208 INSURER C SAN FRANCISCO CA 94107 INSURER D : INSURER E : 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. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVO POLICY NUMBER POLICY EFF MM1DD POLICY EXP MMIDDN YYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE CLAIMS -MADE ❑ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence MED EXP (Any one person) PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY ❑ PRO- ❑ LOG JECT PRODUCTS - COMPIOP AGG OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT accidenfi ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) HIRED NON -OWNED PROPERTY DAMAGE AUTOS AUTOS (Per accident} UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAR CLAIMS- MADE AGGREGATE DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 ANY YIN A PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? NIA 46 WBG AP1337 04/21/2020 04/21/2021 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS below DESCRIPTrON OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Rama rks Schedule, may be attached it more space is required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION City of Menifee and its officers, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED employees, agents and BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED authorized Volunteers IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 29844 HAUN RD MENIFEE CA 92586 CJo� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF CNA SB-146932-E31 (Ed. 06/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION This endorsement modifies insurance provided under the following: BUSINESSOWNERS LIABILITY COVERAGE FORM Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered as an additional insured on any other endorsement now or hereafter attached to this Policy. 1. ADDITIONAL INSURED — BLANKET VENDORS WHO IS AN INSURED is amended to include as an additional insured any person or organization (referred to below as vendor) with whom you agreed, because of a written contract or agreement to provide insurance, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: 1. The insurance afforded the vendor does not apply to: a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have in the absence of the contract or agreement; b. Any express warranty unauthorized by you; c. Any physical or chemical change in the product made intentionally by the vendor; d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; f. Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; or h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omission or those of its employees or anyone else acting on its behalf. However, this exclusion does not apply to: (1) The exceptions contained in Subparagraphs d. or f.; or (2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products. 2. This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. 3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and made a part of this Policy. 4. This provision 2. does not apply if "bodily injury" or "property damage" included within the "products - completed operations hazard" is excluded either by the provisions of the Policy or by endorsement. 2. MISCELLANEOUS ADDITIONAL INSUREDS WHO IS AN INSURED is amended to include as an insured any person or organization (called additional insured) described in paragraphs 2.a. through 2.h. below whom you are required to add as an additional insured on this policy under a written contract or agreement but the written contract or agreement must be: 1. Currently in effect or becoming effective during the term of this policy; and 2. Executed prior to the "bodily injury," "property damage" or "personal and advertising injury," but Only the following persons or organizations are additional insureds under this endorsement and coverage provided to such additional insureds is limited as provided herein: a. Additional Insured — Your Work SB-146932-E31 Page 1 of 5 (Ed. 06111) DocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF SB-146932-E31 (Ed. 06/11) That person or organization for whom you do behalf for which the state or political work is an additional insured solely for liability subdivision has issued a permit. due to your negligence specifically resulting from your work for the additional insured This insurance does not apply to "bodily which is the subject of the written contract or injury," "property damage" or "personal and written agreement. Na coverage applies to advertising injury" arising out of operations liability resulting from the sole negligence of performed for the state or municipality. the additional insured. c. Controlling Interest The insurance provided to the additional Any persons or organizations with a insured is limited as follows: controlling interest in you but only with respect (1) The Limits of Insurance applicable to the to their liability arising out of: additional insured are those specified in (1) Their financial control of you; or the written contract or written agreement or in the Declarations of this policy, (2) Premises they own, maintain or control whichever is less. These Limits of while you lease or occupy these Insurance are inclusive of, and not in premises. addition to, the Limits of Insurance shown This insurance does not apply to structural in the Declarations. alterations, new construction and demolition (2) The coverage provided to the additional operations performed by or for such additional insured by this endorsement and insured. paragraph F.9. of the definition of "insured d. Managers or Lessors of Premises contract" under Liability and Medical Expenses Definitions do not apply to A manager or lessor of premises but only with "bodily injury" or "property damage" respect to liability arising out of the ownership, arising out of the "products -completed maintenance or use of that specific part of the operations hazard" unless required by the premises leased to you and subject to the written contract or written agreement. following additional exclusions: (3) The insurance provided to the additional This insurance does not apply to: insured does not apply to "bodily injury," (1) Any "occurrence" which takes place after "property damage," or "personal and advertising injury" arising out of the you cease to be a tenant in that premises; or rendering or failure to render any professional services. (2) Structural alterations, new construction or b. State or Political Subdivisions demolition operations performed by or on behalf of such additional insured. A state or political subdivision subject to the e. Mortgagee, Assignee or Receiver following provisions: (1) This insurance applies only with respect A mortgagee, assignee or receiver but only to the following hazards for which the with respect to their liability as mortgagee, assignee, or receiver and arising out of the state or political subdivision has issued a ownership, maintenance, or use of a premises permit in connection with premises you by you. own, rent, or control and to which this insurance applies: This insurance does not apply to structural (a) The existence, maintenance, repair, alterations, new construction or demolition operations performed by or for such additional construction, erection, or removal of insured. advertising signs, awnings, canopies, cellar entrances, coal holes, f. Owners/Other Interests — Land is Leased driveways, manholes, marquees, An owner or other interest from whom land hoistaway openings, sidewalk vaults, has been leased by you but only with respect street banners, or decorations and to liability arising out of the ownership, similar exposures; or maintenance or use of that specific part of the (b) The construction, erection, or land leased to you and subject to the following removal of elevators; or additional exclusions: (2) This insurance applies only with respect This insurance does not apply to: to operations performed by you or on your SB-146932-E31 Page 2 of 5 (Ed. 06111) DocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF SB-146932-E31 (Ed. 06/11) (1) Any "occurrence" which takes place after you cease to lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such additional insured. g. Co-owner of Insured Premises A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the co -owners liability as co- owner of such premises. h. Lessor of Equipment Any person or organization from whom you lease equipment. Such person or organization are insureds only with respect to their liability arising out of the maintenance, operation or use by you of equipment leased to you by such person or organization. A person's or organization's status as an insured under this endorsement ends when their written contract or agreement with you for such leased equipment ends. With respect to the insurance afforded these additional insureds, the following additional exclusions apply: This insurance does not apply: (1) To any "occurrence" which takes place after the equipment lease expires; or (2) To "bodily injury," "property damage" or "personal and advertising injury" arising out of the sole negligence of such additional insured. Any insurance provided to an additional insured designated under paragraphs b. through h. above does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard." 3. The following is added to Paragraph H. of the BUSINESSOWNERS COMMON POLICY CONDITIONS: H. Other Insurance 4. This insurance is excess over any other valid and collectible insurance naming the additional insured as an insured whether primary, excess, contingent or on any other basis unless a written contract or written agreement specifically requires that this insurance be either primary or primary and noncontributing. 4. LEGAL LIABILITY — DAMAGE TO PREMISES A. Under B. Exclusions, 1. Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is replaced by the following: k. Damage To Property "Property damage" to: 1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; 2. Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; 3. Property loaned to you; 4. Personal property in the care, custody or control of the insured; 5. That particular part of any real property on which you or any contractors or subcontractors working directly or indirectly in your behalf are performing operations, if the "property damage" arises out of those operations; or 6. That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs 1, 3, and 4, of this exclusion do not apply to "property damage" (other than damage by fire or explosion) to premises: (1) rented to you; (2) temporarily occupied by you with the permission of the owner, or (3) to the contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D — Liability and Medical Expenses Limits of Insurance. Paragraphs 3, 4, 5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement. Paragraph 6 of this exclusion does not apply to "property damage" included in the "products -completed operations hazard." SB-146932-E31 (Ed. 06111) Page 3 of 5 DocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF SB-146932-E31 (Ed. 06/11) B. Under B. Exclusions, 1. Applicable to Business 7 Liability Coverage, the last paragraph of 2, Exclusions is deleted and replaced by the following: Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, do not apply to damage by fire to premises while rented to you or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section D. Liability And Medical Expenses Limits Of Insurance. C. The first Paragraph under item 5. Damage To Premises Rented To You Limit of Section D. Liability And Medical Expenses Limits Of Insurance is replaced by the following: The most we will pay under Business Liability for damages because of "property damage" to any one premises, while rented to you, or temporarily occupied by you, with the permission of the owner, including contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to Premises Rented to You limit shown in the Declaration. 5. Blanket Waiver of Subrogation We waive any right of recovery we may have against: a. Any person or organization with whom you have a written contract that requires such a waiver. 6. Broad Knowledge of Occurrence The following items are added to E. Businessowners General Liability Conditions in the Businessowners Liability Coverage Form: e. Paragraphs a. and b. apply to you or to any additional insured only when such "occurrence," offense, claim or "suit" is known to: (1) You or any additional insured that is an individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or insurance manager, if you or an additional insured is a corporation; (5) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This paragraph e. applies separately to you and any additional insured. Bodily Injury Section F. Liability and Definitions, item 3. "Bodily replaced with the following: Medical Expenses Injury" is deleted and "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death, humiliation, shock, mental anguish or mental injury by that person at any time which results as a consequence of the bodily injury, sickness or disease. S. Expanded Personal and Advertising Injury Definition a. The following is added to Section F. Liability and Medical Expenses Definitions, item 14. Personal and Advertising Injury, in the Businessowners General Liability Coverage Form: h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only if such discrimination or humiliation is based solely on either disparate impact (as opposed to disparate treatment) or vicarious liability, and: 1. Not done intentionally by or at the direction of: a. The insured; or b. Any "executive officer," director, stockholder, partner, member or manager (if you are a limited liability company) of the insured; and 2. Not directly or indirectly related to the employment, prospective employment, past employment or termination of employment of any person or person by any insured. b. The following is added to Exclusions, Section B.: (15) Discrimination Relating to Room, Dwelling or Premises Caused by discrimination directly or indirectly related to the sale, rental, lease or sub -lease or prospective sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any insured. (16) Fines or Penalties Fines or penalties levied or imposed by a governmental entity because of discrimination. c. This provision (Expanded Personal and Advertising Injury) does not apply if Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by endorsement. SB-146932-E31 (Ed. 06111) Page 4 of 5 DocuSign Envelope ID: 234E9D9F-B37F-4EDB-ABE6-15DE6D3E75CF SB-146932-E31 (Ed. 06/11) 9. Personal and Advertising Injury Re -defined room dwelling or premises that a person or Section F. Liability and Medical Expenses Definitions, organization occupies committed by or on behalf item 14, Personal Advertising Injury, Paragraph c. is of it's owner, landlord or lessor. replaced by the following: c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a SB-146932-E31 Page 5 of 5 (Ed. 06111)