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2020/06/01 Altec Industries, Inc. Certificate of Liability InsuranceCERTIFICATE OF LIABILITY INSURANCE DATE(MM/o7/z2/2020 Y) ozo 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 CERTIFICATE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURE BY THE POLICIES AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certlflcate 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 certiflc ite holder in lieu of such endofsement s . PRODUCER CONTACT !NAME: Bridgette Taul MCGRIFF, SEIBELS & WILLIAMS. INC. NE P O. Box 10265 PHONE Ex]]: 800-476-2211 fglC. koS Birmingham, AL 35202 E-MAIL.ADDRESS : btaul@mcgriff.com INSURERS AFFORDING COVERAGE NAIC p INSURER A :Lexin Son Inaurallce Company INSURER 9 :Hartford Fire Insurance Company 19437 19682 INSURED Altec Industries, Inc. INSURER C :AIG Specialty Insurance Corn n 26883 1450 CA 95620 N 1st Street Dixon,Dixo INSURER D:Trumbull Insuranca Comeany 27120 INSURER E :Hartford Casualty Insurance Company 29424 INSURER F - COVERAGES rF:PTIFIrATF NIIIMRF0•Dcu11 r•n%r 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 ADOLSUORI LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY E P INSIDWV0MMIOD/YYYY MMIMI0D LIMITS X COMMERCIAL GENERAL LIABILITY 013136097 06/0112020 06/01/2021 EACH OCCURRENCE $ 5.000,000 CLAIMS -MADE Fx7OCCUR _I71MVZM RENTED 3,000,U00 AREId_iSEB Ea rrence $ MED EXP (Any one peradn) $ N/A X PERSONAL & ADV INJURY $ 5,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 10,000,000 PRO-10,000,000 X POLICY UEOT LOC PRODUCTS -COMP/OP AGG $ OTHER: $ B AUTOMOBILE LIABILITY 21CSES27903 06/01/2020 06/01/2021 cOMBINEO I IN LE Li IT Ea,,.denl $ 3,000;00.0 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULEDBODILY Ix AUTOS ONLY AUTOS INJURY(Per accident) $ HIRED NON-OWNEDAUTOS ONLY P AUTOS ONLY PROPERTY accident $ C X UMBRELLA LIAB X OCCUR 18 5685 06/01/2020 06/01/2021 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 EXCESS LIAR CLAIMS -MADE DED RETENTIONS $ WORKERS COMPENSATION E21WNS27900 (AOS) 06/01/2020 061.0112021 PER OTH X E- AND EMPLOYERS' LIABILITY YIN T R E.L. EACH ACCIDENT $ 1,000,000 ANY PROPMP RIETORIRTNERIEXEf i7TIVE V 21XWES21902 (AL,MO,NC) OFFICERIMEMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1.000,000 (Mandatory In NH) If yes, desarltla under E,L DISEASE • POLICY LIMIT S 1,000.000 DESCRIPTION OF OPERATIONS below I S DESCRIPTION OF OPERATIONS I LOCATIONS I 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. CEKI IFIUAI E 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 Menifee AUTHORIZED REPRESENTATIVE 29844 Haun Rd. Menifee, CA 92586 v Page 1 of 6 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Altec, Inc. Policy No. 21 CSES27903 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 holders) 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 03 10 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 2 of 6 PSH3LC4V 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 li 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 PSH3LC4V 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 same. Authorized Representative Manuscript Form Page 2 of 2 Page 4 of 6 PSH3LC4V ENDORSEMENT # 038 Forms a part 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 follows: In the event that the Insurer cancels this policy for any reason other than non payment of premium, and 1. 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 Holderls)"); 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 emaliing 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/Wj_Ba4VW4A_ Authorized Representative OR Countersignature (in states where applicable) LEXD00O21 LX0404 Page 5 of 6 PSH3LC4V 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 03 10 06 11 on file with the agent of record will be sufficient proof of notice. Any notification rights provided by this endorsement apply ❑nly 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 PSH3LC4V