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2019/06/01 Altec Industries, Inc. Certificate of Liability InsuranceA4C" V CERTIFICATE OF LIABILITY INSURANCE DAT00812D/YYYY) 1/8/2019 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 NA CBridgette Taut MCGRIFF, SEIBELS & WILLIAMS, INC. PHONE g00.476 22i1 P.O. Box 10265 iA(G,.Hu Ltg__ Birmingham, AL 35202 E'MA1L . btaul@mcgriN.com INSURED Altec Industries, Inc. 1450 N 1 st Street Dixon, CA 95620 A4pRES5• .. _ _ INSAFFORDING COVERAGE_ I NA1C N INSURER A :Lexington Insurance Company I 15437 INSURER B;Harl(orU Fire Insurance Company _ 19682 INSURER_C :AIG Specialty Insurance Company 26883 INSURER D ;Trumbull Insurance Compaf!y 27120 INSURER E :Hartford Casualty Insurance Company 29424 INSURER f : COVERAGES CERTIFICATE NUMBER;UVNA6246 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. r^+Sp AOOL.sUBR pOLICY EFF POLICY EXP •;, TYPE OF INSURANCE p;SD 4YVp POUCYNUMBER IMMfD¢A'YYYI 1MMrD4lr1YY1 LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I "' 1 OCCUR X �GENTL AGGREGATE LIMIT APPLIES PER X 1 POLICY n E� n LOG AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED . AUTOS ONLY AUTOS ONLY UMBRELLA LIAR I X OCCUR EXCESS LIAB II{ 1) WORKERS COMPENSATION E AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? N / (Mandatory In NH) If yes, describe under 1B 01110112020 EACH OCCURRENCE $ 6,000,000 t7AMAGEAENTEG 3,000,000 PREMISES S 168 oteurrence; . $ _ MED EXP (Arty ant person) $ NIA PERSONAL S ADV INJURY 1 $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 PRODUCTS - COMP/OP AGG �'$ 10,000,000 19 0670T72020 _ - 1,000,000 .r BODILY INJURY (Per person) $ BODILY INJURY (Per accident) i S PFiIiPERTY OAMA412 I_�Per eccidenl)-- - - ' S 19 06/0112020 EACH OCCURRENCE 1 $ 10,000.000 AGGREGATE g 10,000,000 S 06/0112019 i 06/01/2020 1XWES27902(AL,MO,NC) `E.L.EACH ACCIDENT _ $ 1,000,000 EL. DISEASE - EA EMPLOYEE $ 1,000,000 ` 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) City of Menifee and its officers, employees, agents, and authorized volunteers are Additional Insured under General Liability on a primary and non-contributory basis as required by written contract. See cancellation endorsement form attached. CERTIFICATE BOLDER 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 Menifee AUTHORIZED REPRESENTATIVE 29714 Haun Road Ir Menifee, CA 92586 Page 1 of 6 ©1988-2015 ACORD CORPORATION. All rightt3 raservaL ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Altec, Inc. Policy No. 21CSES27903 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional on file with the agent of record will be sufficient Conditions: proof of notice. If this policy is cancelled by the Company, other Any notification rights provided by this than for nonpayment of premium, notice of such endorsement apply only to active certificate cancellation will be provided to the certificate holder(s) who were issued a certificate of holder(s) with mailing addresses on file with the insurance applicable to this policy's term. agent of recorei. Such notice will be provided Failure to provide such notice to the certificate within 30 days of the Company's receipt of holder(s) will not amend or extend the date the certificate holder(s) information from the agent of cancellation becomes effective, nor will it negate record. cancellation of the policy. Failure to send notice If notice is mailed, proof of mailing to the last shall impose no liability of any kind upon the known mailing address of the certificate holder(s) Company or its agents or representatives. Form IH 0310 06 11 Page 1 of 1 ® 2011, The Hartford Page 2 of 6 UVNA6246 ENDORSEMENT Forms a part of Policy No.: 013136094 Issued to: Altec, Inc. Attn: Mark Bertovic By: LEXINGTON INSURANCE COMPANY ADDITIONAL INSURED REQUIRED BY WRITTEN CONTRACT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY POLICY A. Section II — Who Is An Insured is amended to include any person or organization you are required to include as an additional insured on this policy by a written contract or written agreement in effect during this policy period and executed prior to the "occurrence" of the "bodily injury" or "property damage." B. The Insurance provided to the above described additional insured under this endorsement is limited as follows: 1. COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE (Section I - Coverages) only. 2. The person or organization is only an additional insured with respect to liability arising out of "your work" or "your product" for that additional insured. 3. In the event that the Limits of Insurance provided by this policy exceed the Limits of Insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the Limits of Insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Insurance stated in the Declarations under Item 3. Limits of Insurance pertaining to the coverage provided herein. 4. The insurance provided to such an additional insured does not apply to "bodily injury" or "property damage" arising out of an architect's, engineer's or surveyor's rendering of or failure to render any professional services including: i The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders, or drawings and specifications; and II Supervisory, inspection, architectural or engineering activities. 5. This insurance does not apply to "bodily injury" or "property damage" arising out of "your work" or "your product" included in the "products -completed operations hazard" unless you are required to provide such coverage by written contract or written agreement. 6. Any coverage provided by this endorsement to an additional insured shall be excess over any other valid and collectible insurance available to the 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 non-contributory basis. Manuscript Form Page 1 of 2 Page 3 of 6 UVNA6246 C. In accordance with the terms and conditions of the policy and as more fully explained In the policy, as soon as practicable, each additional insured must give us prompt notice of any "occurrence" which may result in a claim, forward all legal papers to us, cooperate in the defense of any actions, and otherwise comply with all of the policy's terms and conditions. All other terms and conditions of the policy remain the some. Authorized Representative Manuscript Form Page 2 of 2 Page 4 of 6 UVNA6246 ENDORSEMENT # 038 Forms apart of policy no.: 013136094 Issued to: ALTEC, INC. ATTN: MARK BERTOVIC By: LEXINGTON INSURANCE COMPANY ADVICE OF CANCELLATION TO ENTITIES OTHER THAN THE NAMED INSURED LIMITED TO E-MAIL NOTIFICATION This policy is amended as foilows: in the event that the Insurer cancels this policy for any reason other than non payment of premium, and i. The cancellation effective date is prior to this policy's expiration date; 2. The First Named insured is under an existing contractual obligation to notify a certificate holder when this policy is canceled (hereinafter, the "Certificate Holders)"): and'has provided to the Insurer, either directly or through Its broker of record, the emall address of the contact at such entity, and the Insurer received this information after the First Named Insured receives notice of cancellation of this policy and prior to this policy's cancellation effective date, via an electronic spreadsheet that Is acceptable to the Insurer, the Insurer will provide advice of cancellation (the 'Advice') via e-mail to such Certificate Holders. Proof of the Insurer emailing the Advice, using the Information provided by the First Named Insured, will serve as proof that the insurer has fully satisfied Its obligations under this endorsement. This endorsement does not affect, in any way, coverage provided under this policy or the cancellation of this policy or the effective date thereof, nor shall this endorsement Invest any rights in any entity not insured under this policy. The following Definitions apply to this endorsement: 1. First Named Insured means the Named Insured shown on the Declarations Page of this policy. 2. Insurer means the Insurance company shown in the header on the Declarations Page of this policy. All other terms and conditions remain unchanged. D/W_j 3040041- Authorized Representative OR Countersignature (in states where applicable) LEXD00O21 LX0404 Page 5 of 6 UVNA6246 Altec, Inc. Policy No. 21 WNS27900 ' THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: If this policy is cancelled by the Company, other than for nonpayment of premium, notice of such cancellation will be provided to the certificate holder(s) with mailing addresses on file with the agent of record. Such notice will be provided within 30 days of the Company's receipt of certificate holder(s) information from the agent of record. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) Form IH 0310 06 11 on file with the agent of record will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. © 2011, The Hartford Page 1 of 1 Page 6 of 6 UVNA6246