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2019/05/01 IDS Group, Inc. Certificate of Liability Insurance (5)Risk Strateggies Company 2040 Main 5Ireet. Suite 450 Irvine, CA 92614 City of Menifee Attn: Joe Solano, Park Maintenance Superintendent Community Services Dept. 29995 Evans Rd., West Annex Menifee CA 92586 MAIL DOCUMENT fsure sl Sender: Sherry Young Phone: 949-242-9240 Subject: Cert No. 52359090 - IDS Group, Inc. - Renewal Certificate of Insurance Date: 11 /14/2019 No. of Pages: 10 URL: www.risk-strategies.com Attached is your renewal certificate of insurance. If you have any questions, please email Sherry Young at syoung@risk-strategies.com THIS MESSAGE IS INTENDED FOR THE USE OF THE INDMDUAL ORENTTTYTo WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROMOISMOSURE UNDERAPPLICARLE LAW. IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT, On THE EMPLOYEE 00 AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HEREBYNOTFIE0 THAT ANY DISSEMINATION. DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE NOTIFY US IMEDIATELY BYTELEF'HON-AND RETURN THE ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. Certificate of Insurance Delivered by ecertsonlineM Insurance Visions, Inc. All rights reserved. f11(✓(1xL! CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 11114.i2019 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(tes) nitist 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 Risk Strategies Company NAMEA T Risk Strateciles Cam an 2040 Main Street, Suite 450 rPHONE tf: 949-242-9240 1 A c Ito, Irvine, CA 92614 F..,e,l www.risk-strategies.com CA DOI License No. OF06675 iNSURERA! Travelers Proper Casualty Co, of America 25674 INSURED INSURERB: Travelers Indemnity Company 25658 IDS Peters p, IncCanyon INSURER C : Travelers Casualtyand SuretyCo America 31194 1 Peters Cal�yyQn Rd., Ste 130 Irvine CA 92606 INSURER D: INSURERE: INSURER F : II COVERAGES CERTIFICATE NUMBER: 52359090 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 TYPE OF INSURANCE A. L SU& POLJCY?rFF POLICYF](P LTR POLICYNUMBER MM/ODIYYYY MMIDDIYYYY LIMITS A ��/ COMMERCIAL GENERAL LIABILITY ✓ 6809H717919 5/1/2019 5/1/2020 EACHOCCURRENCE I S$00000000 CLAIMS -MADE OCCUR PRE�MISETSrEanrwwnnsa $31.000.000 MED EXP(Any one raen) $$10 000 PERSONAL & ADV INJURY s $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: OF NERAL AGGREGATE S$4,000,000 POLICY n jE PRODUCTS - COMPIOP AGG $ $4 000 000 LOC $ OTHER: A AUTOMOBILE LIABILITY ✓ BABF335897 5/1/2019 5/1/2.020 CGI eINEn1 IN LfMIT $$t p00 ao0 ✓ ANY AUTO _ BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS ONLY _ AUTOS HIRED NON -OWNED ✓ AUTOS ONLY ✓ AUTOS ONLY PR ERTY DAMAGE am $ $ B UMBRELLALIAB f OCCUR CUP7K299343 5/1/2019 5/1/2020 EACH OCCURRENCE $'$8000000 EXCESS LIAB CLAIMS -MADE I AGGREGATE S$9 000 000 DED ✓ RETENTION $0 B WORKERS COMPENSATION UB4K4t33295 5I1I2019 511 /2020 PER $ AND EMPLOYERS' LIABILITY Y / N ✓ SFA TE .Eft E-L,EACH ACCIDENT s$1000000 ANYPROPRIETOWPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A E L. tXSEASE- EA EMPLOYEE $ 0 (Mandatory in NN) If yyes describe under DE54�RIPTIONOFOPERATIONSbeloW Professional Liability y 107008332 11/12/2019 11/12/2020 E-L DISEASE-POLicy LIMIT Per Claim: S$.1 000000 $3,000,006 Aggregate: $3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Projects as on file with the insured including but not limited to New Restroom Building at the Audie Murphy Skate Park, City of Menifee and its officers, officials, employees, and authorized voluniieers are named as additional insureds and primarylrion-contributory clause applies to the general and auto liability policies and a waiver of subrogation applies to the work comp policy -see attached endorsements. CERTIFICATE HOLDER CANCELLATION City of Menifee SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: Joe Solano, Park Maintenance Superintendent ACCORDANCE WITH THE POLICY PROVISIONS. Community Services Dept. 29995 Evans Rd., West Annex Menifee CA 92586 AUTHORIZED REPRESENTATIVE M chael Christian �G ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 52359090 1 19-20 GL-AL-UL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 1 of 9 Insured: IDS Group, Inc, Policy No.: 68091-1717919 Effective Date:5/1/2019 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a "written contract requiring insurance" to include as an additional insured on this Coverage 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, or in connection with premises owned by or rented to you. The person or organization does not qualify as an additional insured: c. With respect to' the independent acts or omissions of such person or organization; or d. For "bodily injury", "property damage" or "personal injury" for which such person or organization has assumed liability in a contract or agreement. The insurance provided to such additional insured is limited as follows: e. This insurance does not apply on any basis to any person or organization for which coverage as an additional insured specifically is added by another endorsement to this Coverage Part. f. This insurance does not apply to the rendering of or failure to render any "professional services". g. In the event that the Limits of Insurance of the Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the additional insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement does not increase the limits of insurance described in Section III — Limifs Of Insurance. h. This insurance does not apply to "bodily injury" or "property damage" caused by "your work" and included in the "products - completed operations 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 occurs before the end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage or the end of the policy period, whichever is earlier. 2. The following is added to Paragraph 4.a. of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: The insurance provided to the additional insured 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. However, if you specifically agree in the "written contract requiring insurance" that this insurance provided to the additional insured under this Coverage Part must 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 organizations as a named insured for such loss, and we will not share with the other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal injury" for which coverage is sought arises out of an offense comrr9tted; after you have signed that "written contract requiring insurance". But this insurance provided to the additional insured still is excess over valid and collectible other insurance, whether primary; excess, contingent or on any other basis, that is available to the additional insured when that person or organization is an additional insured under any other insurance, CG D3 81 09 15 J 2015 The Travelers Indemnity Company. All rights reserved. Includes the copyrighted material of Insurance Services Office. Inc., with its permission Page 1 of 2 52359090 1 19-20 GL-AL-UL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 2 of 9 COMMERCIAL GENERAL LIABILITY 3. The following is added to Paragraph S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: We waive any right of recovery we may have against any person or organization because of payments we make for "bodily injury", "property damage" or "personal injury" arising out of "your work" performed by you, or on your behalf, done under a "written contract requiring insurance" with that person or organization. We waive this right only where you have agreed to do so as part of the "written contract requiring insurance" with such person or organization signed by you before, and in effect when, the "bodily injury" or "property damage" occurs, or the "personal injury" offense is committed. 4. The following definition is added to the DEFINITIONS Section: "Written contract requiring insurance" means that part of any written contract under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After you have signed that written contract; b. While that part of the written contract is in effect; and c. Before the end of the policy period. Page 2 of 2 �D 2015 The Travelers Indemnity Company. All rights reserved. Includes the copyrighted material of Insurance Services Office, Inc., with its permission CG D3 81 09 15 52359090 1 19-20 GL-AL-OL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 3 of 9 POLICY NO. :BA8F335897 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph A.1.c., Who Is An Insured, of SECTION II — LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph B.5., Other Insurance of SECTION IV — BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. Other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is the first named insured when the written contract or agreement between you and that person or organization, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CA T4 74 08 17 © 2016 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 52359090 1 19-20 GL-AL-OL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 4 of 9 IDS Group, Inc. BA8F335897 5/1/2019 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 Pori, and these ooverage broadening provisions do not apply to the extent that coverage Is excluded or limited by such an endorsement. The following listing Is a general cover- age description only. Limitations and exclusions may apply to these coverages, stead all the provisions 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 following Is added to Paragraph A.1., Who Is An Insured, of SECTION It — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- Ing the policy period over which you maintain 50% or more ownership Interest and that Is not separately Insured for Business Auto Coverage. Coverage under this provision Is afforded only un- til the 1001h day rafter you acquire or form the or- ganization or the 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 organizat[on 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 or organization qualifies as an "Insured" under the Who Is An Insured provision contained In Section II, C. EMPLOYEE HIRED AUTO 1. The following Is added to Paragraph AA., Who Is An Insured, of SECTION 11 -- 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, whfle performing duties related to the conduct of your busl- ness. 2. The following replaces Paragraph b. In B.6,, 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 "amployee" under a Contract In an "employee's" name, with your CA T3 63 0216 02016 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services office, Ino, with Its permission. COMMERCIAL AUTO permission, while performing duties (a) With respect to any claim made or "suit" related to the conduct of your bus€- brought outside the United States of ness, America, the ierritOries 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 set - The fallowing is added to Paragraph A.1., Who Is lie any such claim or "suit" and keep An Insured, of SECTION II —COVERED AUTOS us advised of all proceedings and ac- LIABILITY COVERAGE; tions. Any "employee" of yours Is an "Insured" while us- (11) Neither you nor any other Involved ing a covered "auto" you don't own, hire or borrow "Insured" will make any settlement In your business or your personal affairs, without our consent. E. SUPPLEMENTARY PAYMENTS -- INCREASED (ill) We may, at our discretion, participate LIMITS In defending the 'Insured" against, or 1. The following replaces Paragraph A.2.a.(2),suilhe In settlement of, any claim or of SECTION 11— COVERED AUTOS LIABIL- ITY COVERAGE: (Iv) We will reimburse the "insured" for (2) Up to $3,000 for cost of ball bonds (in- sums that the "Insured" legally must ciuding bonds for related traffic law viola- pay as damages because of "bodily Injury" or "property lions) required because of an "accident" damage" to which this Insurance applies, that the "in we cover. We do not have to furnish these bonds, - sured" pays with our consent, but 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 11 — COVERED AUTOS LIABIL- SECTION It -- COVERED AUTOS iTY COVERAGE: LIABILITY COVERAGE. (4) All reasonable expenses 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 investiga- cause of time off from wont, tion of such claims and your defense F. HIRED AUTO -- LIMITED WORLDWIDE COV- of the "Insured" against any such ERAGE -- INDEMNITY BASIS "suit", but only up to and Included The following replaces Subparagraph (5) In Para- within the limit described In Para- graph 8.7., Policy Period, Coverage Territory, of SECTION IV graph C., Limits OF Insurance, SECTION II —COVERED AUTOof S S — BUSINESS AUTO CONDI- TiONS: LIABILITY COVERAGE, and not in (5) .Anywhere In the world, except any country or addition to such limit, Our duty to make such payments ends when we Jurisdiction while any trade sanction, ern- have used up the applicable limit of bargo, or similar regulation Imposed by the Insurance in payments for damages, United Stales of America applies to and pro- settlements or defense expenses. hiblis the transaction of business with or within such country or jurisdiction, for Cov- (b) This insurance Is excess over any valid ered Autos I. -lability Coverage for any covered and collectible other Insurance available to the "insured" "auto" that you lease, hire, rant or borrow whether primary, excess, contingent or on any other basis. without a driver for a period of 30 days or less and that Is not an "auto" you lease, hire, rent (c) This Insurance Is not a substitute for re- ar borrow from any of your "employees", qulred or compulsory Insurance In any partners (if you are a par(nershlp), members country Outside the United States, its ter - (if you are a limited liability company) or ritorles and possessions, Puerto Rico and members of their households. Canada. Page 2 of 4 02015 The Travelers indemnity Company, Alliighis reserved. CA T3 53 0215 Includes copy►rghted material or Insurance Services Office, ino, with its permission. 52359090 1 19-20 GL-AL-UL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 6 of 9 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 requirements. (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. We assume no responsibility for (he furnishing of certificates 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 111 — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "au(o" will apply to glass damage If the glass Is repalred rather than replaced. 11. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III --PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". 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 cov- ered "auto" of the private passengertype, 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 $400 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 coverage applies only in the event of a total theft of your covered "auto", No deductibles apply to this Personal Property coverage, K. AIRBAGS The following Is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags In a covered "auto" you own that In- flate due to a cause other than a cause of "loss" set forth In Paragraphs AA.b, and A.1.c., but only; a. if that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not Intentionally Inflated, We will pay up to a maximum of $1,000 for any one "lass". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2,a., of - SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized represdnte- tive prompt notice of the "accident" or "toss" ap- plies only when the "accident" or "loss" 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- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or "loss". M. 13LANKET WAIVER OF SUBROGATION The following replaces Paragraph A.6., Transfer Of Rights Of Recovery Against Others To Us, Of SECTION IV — BUSINESS AUTO CONDI- TIONS: 6. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization 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 02 16 02015 The Travelers Indemnity Company, All rights ressrved. Page 3 of 4 Includes copyrighted malarial of Insurance Servlces ofl]ce, Inc, with 08 Permisslon, COMMERCIAL AUTO such contract. The waiver applies only to the The unintentional omission of, or unlntentivnai contra or organlzaUon designated in such contract. error in, any Inforrttalion given by you shall not Pfejuice your dghis under thissuran N. UNINTENTIONAL ERRORS OR OMISSIONS aver this provis on does not affeclnour right to col - The fallowing is added to Paragraph 8.2„ Con- lect additional premium or exercise our right of cealment, Misrepresentation, or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS, Page 4 of 4 0 2016 The travelers indemnity Company. All rdgllls reserved. Includes copyrlphled metmrlat or Insurance Services olka, Ino. "III) Its permisslon. CA T3 63 02 96 52359090 1 19-20 GL-AL-UL-WC-PL I Sherry Young 1 11/14/2019 2:33:26 PM (PST) I Page 8 of 9 9 TRAVELERS Insured: IDS Group, Inc. Policy No.: U134K463295 Effective Date: 5/1/2019 WORKERS COMPENSATION AND EMPLOYERS LIABILITY ENDORSEMENT WC 99 03 76 (00) 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. You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5.000% of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization ANY PERSON OR ORGANIZATION WITH WHOM YOU AGREE IN WRITING TO WAIVE YOUR RIGHT TO RECOVER AGAINST THEM. YOU MUST AGREE TO THIS WAIVER PRIOR TO THE DATE OF LOSS Job Description: Projects as on file with the insured. Authorized Representative 52359090 1 19-20 GL-AL-UL-WC-PL I Sh—ry Young 1 11/19/2019 2:33:26 PM (PST) I Page 9 of 9