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2019/03/01 DBX, Inc. Certificate of Liability Insurance­--li a ACORIJ CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 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 CONTACT GMGS Risk Management & Insurance Services NAME Charise Ferguson 6201 Oak Canyon, Suite 100 PH°fAIO ko'E (949)559-3367 _ �uyc.tuo): Irvine, CA 92618 P-MAIL__ www.gmgs.com OB84519 INSURED DBX Inc. 42024 Avenida Alvarado, Suite A Temecula CA 92590 INSURER B : Travelers INSURER C : F: of rnVFRArFC rFRTIFIrATF NIIMRFR• r,'iftl:rnis REVISION NUMBER: 2 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. I RTYPE OF INSURANCE JasaAVoL 9fvD POLICY NUMBER MML-PbI DY/YYYY MMD0/YYYY LIMITS LTR, A f COMMERCIALGENERALLIABILITY CLAIMS -MADE 121 OCCUR i(CU; Contractual Liability 4T22-CO-7202P439-TCT-19 1 3/1/2019 3/1/2020 EACHOCCURRENCE $1000000 DAMAGETORENTEO P irtl Ems•{ $ 30O 000 MED EXP (An one person) s5,000 PERSONAL & ADV INJURY $ 1 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: POLICY P� LOC 13 OTHER GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG s2,000,000 $ B AUTOMOBILE LIABILITY ANY AUrO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 4T-810.2K982444-TIL-19 3/1/2019 3/1/2020 ESefSINGLE uMIT $1,000,000 BODILY INJURY (Per person) St BODILY INJURY (Per accident) $ PROP DAMAGE $ B �/ UMBRELLALIAB EXCESS LIAB OCCUR CLAIMS -MADE CUP-1J930129-19-2S 3/1/2019 3/1/2020 EACH OCCURRENCE $10000000 AGGREGATE $ 1 O 000.000 DED ✓ RETENTION $10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE � OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A U13-9N101481-19-26—G 10/1/2019 10/1/2020 �/ PTAT LL ER E.L, EACH ACCIDENT $ 1 000 000 E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT S1,000000 1 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CIP 1 7-fly; Citywide ADA and Pedestrian Safety Improvements This certificate may be relied Upon only if the certificate addendum referred to herein is attached hereto. r"CF]TICIP`ATF Llnl nFR CANCELLATION Cityy of Menifee 2 W414 Haun Road Menifee CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Calvin Sistrunk V 1y$t5-ZU10 AGUKU IiUKF Ur[A I Ivry. All nynw ICaVF V WU. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD S3966014 1 19-20 A/G/U/W-R&L I Charise Ferguson 1 1/30/2020 11:40:13 AM (PST) I Page 1 of 11 AGENCY CUSTOMER ID: LOC #: AC R" ADDITIONAL REMARKS SCHEDULE Page of AGENCY GMGS Risk Management & Insurance Services � NAMED INSURED 420 Inc. 42024 Avenida Alvarado, Suite A Temecula CA 92590 POI ICY NUMRFR CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability (03/16) HOLDER: City of Menifee ADDRESS: 29844 Haun Road Menifee CA 92586 RE: CIP 17-05; Citywide ADA and Pedestrian Safety Improvements As respects General Liability coverage, City of Menifee and its elected officials, officers, employees, agents, representatives,consultants, contract employees and volunteers are added as Additional Insured and this insurance is primary, per CGD2460805 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included per CGD3161111 attached. As respects General Liability coverage, a $5,000 Property Damage Deductible applies per Occurrence. As respects Automobile Liability coverage, City of Menifee and its elected officials, officers, employees, agents, representatives, consultants, contract employees and volunteers are added as Additional Insured, per CAT3530215 attached. As respects Automobile Liability coverage, No Deductible applies. As respects Workers' Compensation coverage, a Waiver of'Subrogation is hereby included per WC990376 attached. ACORD 101 (2008/01) © 200B ACORD CURPURA I IUN. All rlgnrs reservea. The ACORD name and logo are registered marks of ACORD ADDENDUM S3066014 1 19-20 A/G/U/W-A&L I charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 2 of 11 DBX Inc. COMMERCIAL GENERAL LIABILITY 4T22-CO-7202 P439-TCT-19 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. WHO IS AN INSURED — (Section II) is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Cover- age Part, but: a) Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b) If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the additional insured by this endorsement isilirnited as follows: a) In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the in- surance provided to the additional insured shall be limited to the limits of liability re- quired by that "written contract requiring in- surance". This endorsement shall not in- crease the limits of insurance described in Section III — Limits Of Insurance. b) The insurance provided to the additional in- sured does not apply to "bodily injury", "prop- erty damage" or "personal injury" arising out of the rendering of, or failure to render, any professional architectural, engineering or sur- veying services, including: i. The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, drawings and specifications; and ii. Supervisory, inspection, architectural or engineering activities. CG D2 46 08 05 c) The insurance provided to the additional in- sured does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products -completed op- erations hazard" unless the "written contract requiring insurance" specifically requires you to provide such coverage for that additional insured, and then the insurance provided to the additional insured applies only to such "bodily injury" or "property damage" that oc- curs before the end of the period of time for which the "written contract requiring insur- ance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 3. The insurance provided to the additional insured by this endorsement is excess over any valid and collectible 'other insurance", whether primary, excess, contingent or on any other basis, that is available to the additional insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to 'other insurance" available to the additional insured which covers that person or organization as a named insured for such loss, and we will not share with that "other insurance". But the insurance provided to the additional insured by this endorsement still is excess over any valid and collectible 'other in- surance", whether primary, excess, contingent or on any other basis, that is available to the addi- tional insured when that person or organization is an additional insured under such 'other insur- ance". 4. As a condition of coverage provided to the additional insured by this endorsement: a) The additional insured must give us written notice as soon as practicable of an "occur- rence" or an offense which may result in a claim. To the extent possible, such notice should include: © 2005 The St. Paul Travelers Companies, Inc. Page 1 of 2 53866014 119-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 3 of 11 COMMERCIAL GENERAL LIABILITY i. How, when and where the 'occurrence" or offense took place; ii. The names and addresses of any injured persons and witnesses; and ill. The nature and location of any injury or damage arising out of the "occurrence" or offense. b) If a claim is made or "suit' is brought against the additional insured, the additional insured must: i. Immediately record the specifics of the claim or "suit' and the date received; and ii. Notify us as soon as practicable. The additional insured must see to it that we receive written notice of the claim or "suit' as soon as practicable. c) The additional insured must immediately send us copies of all legal papers received in connection with the claim or "suit', cooperate with us in the investigation or settlement of the claim or defense against the "suit', and otherwise comply with all policy conditions. d) The additional insured must tender the de- fense and indemnity of any claim or "suit' to Page 2 of 2 any provider of "other insurance" which would cover the additional insured for a loss we cover under this endorsement. However, this condition does not affect whether the insur- ance provided to the additional insured by this endorsement is primary to 'other insur- ance" available to the additional insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V. — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional in- sured on this Coverage Part, provided that the "bodily injury" and "property damage" oc- curs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. © 2005 The St. Paul Travelers Companies, Inc. CG D2 46 08 05 53B66014 119-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 4 of 11 DBX Inc. 4T22-CO-7202P439-TCT 19 COMMERCIAL GENERAL LIABILITY by any ordinance, law or building code to include (ii) A manager of any limited liability as an additional insured on this Coverage Part is company; or an insured, but only with respect to liability for (iii) An executive officer or director of "bodily injury", "property damage", "personal in- any other organization; jury" or advertising injuryarising out of such op - that is your partner, joint venture erations. member or manager; or The insurance provided to such state or political subdivision does not apply to: a. Any "bodily injury," "property damage," "per- sonal injury" or "advertising injury" arising out of operations performed for that state or po- litical subdivision; or b. Any "bodily injury" or "property damage" in- cluded in the "products -completed operations hazard". J. KNOWLEDGE AND NOTICE OF OCCUR- RENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or Suit, of SECTION IV — COMMERCIAL GEN- ERAL LIABILITY CONDITIONS: e. The following provisions apply to Paragraph a. above, but only for the purposes of the in- surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section II — Who Is An Insured: (1) Notice to us of such "occurrence" or of- fense must be given as soon as practica- ble only after the "occurrence" or offense is known by you (if you are an individual), any of your partners or members who is an individual (if you are a partnership or joint venture), any of your managers who is an individual (if you are a limited liability company), any of your "executive offi- cers" or directors (if you are an organiza- tion other than a partnership, joint venture or limited liability company) or any "em- ployee" authorized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture or limited liability company, and none of your partners, joint venture members or man- agers are individuals, notice to us of such "occurrence" or offense must be given as soon as practicable only after the "occur- rence" or offense is known by: (b) Any "employee" authorized by such partnership, joint venture, limited li- ability company or other organization to give notice of an "occurrence" or offense. (3) Notice to us of such "occurrence" or of an offense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your work- ers' compensation insurer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as practicable after any of the persons de- scribed in Paragraphs e. (1) or (2) above discovers that the "occurrence" or offense may result in sums to which the insurance provided under this Coverage Part may apply. However, if this Coverage Part includes an en- dorsement that provides limited coverage for "bodily injury" or "property damage" or pollution costs arising out of a discharge, release or es- cape of "pollutants" which contains a requirement that the discharge, release or escape of "pollut- ants" must be reported to us within a specific number of days after its abrupt commencement, this Paragraph G. does not affect that require- ment. K. UNINTENTIONAL OMISSION The following is added to Paragraph 6., Repre- sentations, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not preju- dice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. L. BLANKET WAIVER OF SUBROGATION (a) Any individual who is: The following is added to Paragraph B., Transfer (i) A partner or member of any part- Of Rights Of Recovery Against Others To Us, nership or joint venture; of SECTION IV — COMMERCIAL GENERAL LI- ABILITY CONDITIONS: CG D3 16 11 11 © 2011 The Travelers Indemnity Company. All rights reserved Page 5 of 6 53866014 1 19-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 5 of 11 COMMERCIAL GENERAL LIABILITY If the insured has agreed in a contract or agree- ment to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organiza- tion, but only for payments we make because of: a. "Bodily injury" or "property damage" that oc- curs; or b. "Personal injury" or "advertising injury" caused by an offense that is committed; subsequent to the execution of that contract or agreement. M. AMENDED BODILY INJURY DEFINITION The following replaces the definition of "bodily injury" in the DEFINITIONS Section: 3. "Bodily injury" means bodily injury, mental anguish, mental injury, shock, fright, disability, humiliation, sickness or disease sustained by a person, including death resulting from any of these at any time. N. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINI- TIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is de- leted. Page 6 of 6 © 2011 The Travelers Indemnity Company. All rights reserved. CG D3 16 11 11 53866014 1 19-20 A/C/U/W-R&L i Charise Ferguson 1 1/30/2020 11:40:13 AM (PST) i Page 6 of 11 DBX Inc. 4T-81.0-2K982444-T I L-19 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies Insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage, However, coverage for any Injury, damage or medical expenses described In any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage Is oxcludod or limited by such an endorsement. The following listing Is a general cover- age description only, Limitations and exclusions may apply to these coverages, Read all the provislons of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what Is and Is not covered, A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E, SUPPLEMENTARY PAYMENTS - -INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The fcllo 1119[ Is addad4o-Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 60% or more ownership Interest and that is not separately insured for Business Auto Coverage. Coverage under this provision Is afforded only un- ill the 180ih day after you acquire or form the or- ganizatlon or (fie end of the policy period, which- ever Is earlier, B. BLANKET ADDITIONAL INSURED The following Is added to Paragraph c. In A.1., Who Is An Insured, of SECTION II —COVERED AUTOS LIABILITY COVERAGE: Any person or organization who Is required under a written contract or agreement between you and that person or organization, that Is signed and executed by you before the "bodily Injury" or "property damage" occurs and that Is in effect during the policy period, to be named as an addi- tional Insured Is an "Insured" for Covered Autos Liability Coverage, but only for damages to which H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES —INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N, UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person, os organization qualifies as an "insured" under the Who Is An Insured provision contained In Sectlon II, C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.i., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours Is an "Insured" while operating an "auto" hired or rented under a contract or agreement In an "employee's" name, with your permission, while performing dulles related to the conduct of your busi- ness. 2. The following replaces Paragraph b, In MS„ Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow, and (2) Any covered "auto" hired or rented by your "employee" under a contract In an "employee's" name, with your CA T3 63 02 15 02016 The Travelers Indemnfty Company, All rights reserved, Page 1 of 4 tnoludes copyrighted material of Insurance services Office, Inc, With Its pormisslon. S3866014 119-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 7 of 11 COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your bust- brought outsido tho United elates of ness. America, the territories and possessions However, any "auto" that is leased, hired, of the United States of America, Puerto rented or borrowed with a driver Is not a Rico and Canada: covered "auto". (1) You must arrange to defend the "in- D. EMPLOYEES AS INSURED sured" against, and investigate or sel- Tlie following is added to paragraph A.1., Who Is tle any such claim or "suit" and keep An Insured, of SECTION 11 -- COVERED AUTOS us advised of all proceedings and tic, LIABILITY COVERAGE: dons. Any "employee" of yours is an "Insured" while us- "auto" (11) Neither you nor any other involved"insured" will make any settlement Ing a covered you don't own, hire or borrow without our consent. In your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED {iti) may, at our participate LIMITS In in defending the "Insured" against, or "Insudiscrered" In the settlement of, any claim or 1. The following replaces Paragraph A,2.a.(2), "suit". of SECTION 11— COVERED AUTOS LIABIL- ITY COVERAGE: (1v) We will reimburse the "Insured" for sums that the "Insured" legally must (2) Up to $3,000 for cost of bail bonds (In- pay as damages because of "bodlly cluding bonds for related traffic law vlola- injury" or "property damage" to which tions) required because of an "accident" this Insurance applies, that the "In - we cover. We do not have to furnish sured" pays with our consent, but these bonds, only up to the limit described In Para- 2. The following replaces Paragraph A,2.a.(4), graph C., Limits Of Insurance, of of SECTION II — COVERED AUTOS LIABIL- SECTION II — COVERED AUTOS ITY COVERAGE: LIABILITY COVERAGE. (4) All reasonable. r�xpenses Incurred by the (v) We will reimburse the "Insured" for "insured" at our request, Including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our Consent for your invesllga- cause of time off from work. tion of such claims and your defense F. HIRED AUTO —LIMITED WORLDWIDE COV- of the "Insured' against any such"suit", but only up to and included ERAGE — INDEMNITY BASIS within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of insurance, of graph B.Y., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not In TIONS: addition to such limit, Our duty to (6) Anywhere in the world, except any country or make such payments ends when we jurisdiction while any tra(ia sanction, em- have used up the applicable limit of bargo, or similar regulation imposed by the insurance In payments for damages, United States of Amorica applies to and pro- settlements or defense expenses. hiblts the transaction of business with or (b) This Insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "Insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis, without a driver for a period of 30 days or less (c) This Insurance is not s substitute for re- and that Is not an "auto" you lease, hire, rent or borrow from any of your "employees", quired or compulsory insurance In any partners (if you are a partnership), members country outside the United States, Its ter - diodes and possessions, Puerto Rico and (if you are a limited liability company) or Canada. members of their households. Page 2 of 4 02015 The Travelers Indemnity Company. All rights reserved. CA T3 53 02 16 Includes oopyrtphted material of Insurance services othee, (no. ► ah Its permission. 53666014 119-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) 1 Page 8 of 11 You agree to maintain all required or compulsory Insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory Insurance requirements will not Invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you compiled with the compulsory In- surance requfrements. (d) It Is understood that we are not an admit- ted or authorized Insurer outside the United States of America, Its territories and possessions, Puerto Rico and Can- ada. Wo assume no responsibility for the fumishing of cerlifleates of Insurance, or for compliance In any way with the laws of other countries relating to Insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following Is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE; No deductible for a covered "auto" will apply to glass damage If the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph AA.b., Loss Of .Use Expenses. of SEC- TION fit -- PHYSICAL bAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is S85 port day, to a maximum of $750 for any one "accident". I, PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence In Para- graph A.4.a„ Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: ' We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense In- curred by you because of the total theft of a coo ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following Is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE; Personal property We will pay up to 5400 for "loss" to wearing ap- parel and other personal property which Is; (1) Owned by an "Insured"; and COMMERCIAL AUTO (2) In or on your covered "auto", This coveraUo applies urlly In the event of a total thoft of your covered "auto", No deductibles apply to this Personal Property coverage. K. AIRBAGS The following Is added to Paragraph B.3., Exclu- slons, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3,a, does not apply to "loss" to one or mare airbags In a covered "auto" you own that in- flate due to a cause other titan a cause of "loss" set forth In Paragraphs A.1.b, and A.1.c., but only; a. If that "auto" Is a covered "auto" for Compre- hensive Coverage under this policy; b. The alrbags are not covered under any war- ranty; and c. The alrbags were not intentionally Inflated. We will pay up to a maximum of $1,000 for any one "loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.z.a., of SECTION IV — BUSINESS AUTO CONDITIONS; Your duty to give us or our authorized reprosente- live prompt notice of the "aoofdent" or "loss" ap- plies c+rriy ►Y. sr!, the "&czIJt nt" of "its;;" is known to: (a) You (if you are an Individual); (b) A partner (If you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or Insurance manager (if you are a corporation or other or- ganizallon); or (a) Any "employee" authorized by you to give no- tice of the "acotdent" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.b„ Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS, S. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organizatlon to the ex- tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by CA T3 53 0215 02015 The Travelere lndemnhy Company. All rights reearved, Page 3 of 4 Includes copydghted material or Insurance services office. Inc. with Its parmisslon, 53866014 1 19-20 A/G/U/W-R&L I Charise Ferguson 1 1/30/2020 11:40:13 AM (PST) I Page 9 of 11 COMMERCIAL AUTO such contract, The walver applies only to the person or organization designated In such contract, N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2,, Con- cealment, Misrepresentation, Or Fraud, of SECTION IV -- BUSINESS AUTO CONDITIONS; The unintentional omisslon of, or unintentional error In, any information glven by you shall not prejudice your rights under this Insurance. How- ever this provision does not affect our right to col- lecl addillonal premium or exercise our right of cancellation or non -renewal. Page 4 of 4 020t5 The Travelers Indemnhy Company, All rights reserved. CA T3 53 02 15 Includes copyrighted materiel of Insurance Services Ol&e, Inc. With its. permts.slon,, 53866014 119-20 A/G/U/W-R&L I Charise Ferguson 11/30/2020 11:40:13 AM (PST) I Page 10 of 11 AOW TR►4VELFRSWORKERS COMPAND ENSATION ONE TOWER SOtrARE EMPLOYERS LIABILITY POLICY HARTFORD, CT 06103 ENDORSEMENT WC 99 03 76 ( A) — 001 POLICYNUMBER: UB-9N101481-19-26—G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy 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 the policy.) Endorsement Effective 10/1/2019 Policy No. U13-9N101481-19-26—G Endorsement No. Insured DBX Inc. Premium Insurance Company Countersigned by DATE OF ISSUE: ST ASSIGN: Page 1 of 1 53866014 119-20 A/G/U/W-R&L i Charise Ferguson 1 1/30/2020 11:40:13 AM (PST) I Page 11 of 11