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2019/07/01 U.S. Telepacific Holdings Corp. Certificate of Liability Insurance (3)ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? INSR ADDL SUBR LTR INSD WVD PRODUCER CONTACT NAME: FAXPHONE (A/C, No):(A/C, No, Ext): E-MAIL ADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY)(MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person)$ OWNED SCHEDULED BODILY INJURY (Per accident)$AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH- STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. 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). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 12/20/2019 License # 0757776 (310) 568-5977 25674 U.S.TelePacific Holdings Corp. DBA TPx Communications 515 South Flower Street, 47th Floor Los Angeles, CA 90071-2201 25682 22667 A 1,000,000 X H-660-9512B584-TIL-19 7/1/2019 7/1/2020 1,000,000 10,000 1,000,000 2,000,000 2,000,000 EMPLOYEE BENEFI 1,000,000 1,000,000B 810-7N397765 7/1/2019 7/1/2020 Comp Ded - $1,000 Coll Ded - $1,000 2,000,000A CUP-1J487871-19-I3 7/1/2019 7/1/2020 2,000,000 0 A UB-7K078349-19-I3-G 7/1/2019 7/1/2020 1,000,000 N 1,000,000 1,000,000 C General Liability G27124355007 7/1/2019 Each Claim 2,000,000 C Errors and Omissions G27124355007 7/1/2019 7/1/2020 Occurrence/Agg 1,000,000 Additional Insured applies City of Menifee, its officers, agents and employees for General Liability policy per attached form #CGD417 0112. City of Menifee Attn: Margarita Cornejo, Financial Services Manager 29844 Haun Road Menifee, CA 92586 USTELEP-01 SPRASAD1 Los Angeles, CA - Center Drive - HUB International Insurance Services Inc. 6701 Center Drive West, Suite 1500 Los Angeles, CA 90045 Ana Bello ana.bello@hubinternational.com Travelers Property Casualty Company of America The Travelers Indemnity Company of Connecticut ACE American Insurance Company X 7/1/2020 X X XX X X X X X X X X 645FMF1BDJGJD)PMEJOHT$PSQ 1PMJDZ/VNCFS)#5*-19 1PMJDZ5FSN920 COMMERCIALGENERALLIABILITY Page 2 of 6 CG D4 17 01 12©2012 The Travelers Indemnity Company. All rights reserv ed. Includes copyrighted material of Insurance Services Office,Inc. with its permission. I -COVERAGES -COVERAGEABODILYIN- JURY AND PROPERTY DAMAGE LIABILITY: This exclusion does not apply to an aircraft that is: (a) Chartered with a pilotto any insured; (b)Not owned byany insured; and (c) Not being used to carry any person or prop- erty for a charge. D. DAMAGE TO PREMISES RENTED TO YOU 1.Thefirst paragraph ofthe exceptions inEx- clusion j., Damage To Property,in Para- graph 2. of SECTION I -COVERAGES - COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY isdeleted. 2.Thefollowing replacesthe lastparagraphof Paragraph 2.,Exclusions,of SECTION I - COVERAGES -COVERAGE A BODILY IN- JURY AND PROPERTY DAMAGE LIABIL- ITY: Exclusions c.,g.and h.,and Paragraphs (1), (3) and (4)of Exclusion j.,do not apply to "premises damage". Exclusion f.(1)(a)does not apply to "premises damage" caused by fire unless Exclusion f.of Section I -Cover- age A -Bodily Injury And Property Damage Liability is replaced by another endorsement to this Coverage Part that has Exclusion - All Pollution Injury Or Damage or Total Pollution Exclusion in its title. A separate limit of insur- ance applies to "premises damage" as de- scribed in Paragraph 6.of Section Ill-Limits OfInsurance. 3. Thefollowing replaces Paragraph 6.of SEC- TION Ill-LIMITS OF INSURANCE: 6.Subject to 5.above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "premises damage" to any one premises. The Damage To Premises Rented To You Limit will be: a.The amount shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part; or b.$300,000 if no amount is shown for the Damage To Premises Rented To You Limit on the Declarations of this Coverage Part. 4.The following replaces Paragraph a.of the definition of "insured contract" in the DEFINI- TIONS Section: a.A contract for a lease of premises. How- ever, that portion of the contract for a lease of premises that indemnifies any person or organization for "premises damage" is not an "insured contract"; 5.The following is added to the DEFINITIONS Section: "Premises damage" means "property dam- age" to: a.Any premises while rented to you or tem- porarily occupied by you with permission of the owner; or b.The contents of any premises while such premises is rented to you,if you rent such premises for a period of seven or fewer consecutive days. 6.The following replaces Paragraph 4.b.(1)(b) of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: (b)That is insurance for "premises damage"; or 7. Paragraph 4.b.(1)(c) of SECTION IV - COMMERCIAL GENERAL LIABILITY CON- DITIONS isdeleted. E. INCREASED SUPPLEMENTARY PAYMENTS 1.The following replaces Paragraph 1.b.of SUPPLEMENTARY PAYMENTS - COVER- AGES A AND B of SECTION I -COVER- AGES: b.Up to $2,500 for cost of bail bonds re- quired because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to fur- nishthese bonds. 2.The following replaces Paragraph 1.d.of SUPPLEMENTARY PAYMENTS - COVER- AGES A AND B of SECTION I -COVER- AGES: d.All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work . COMMERCIAL GENERAL LIABILITY Page 3 of 6CG D4 17 01 12 ©2012 The Travelers Indemnity Company.All rights reserv ed. Includes copyrighted material ofInsurance ServicesOffice,Inc.with its permission. F.WHO IS AN INSURED -EMPLOYEES AND VOLUNTEERWORKERS - FIRSTAID 1.The following is added to the definition of "oc- currence" in the DEFINITIONS Section: Unless you are in the business or occupation of providing professional health care services, "occurrence" also means an act or omission committed by any of your "employees" or "volunteer workers" ,other than an employed or volunteer doctor ,in providing or failing to provide first aid or "Good Samaritan services" to a person. 2.The following is added to Paragraph 2.a.(1)of SECTION II- WHO ISANINSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1 )(a), (b),(c)and (d)above do not apply to "bodily injury" arising out of pro- viding or failing to provide first aid or "Good Samaritan services" by any of your "employ- ees" or "volunteer workers" ,other than an employed or volunteer doctor. Any of your "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samari- tan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing du- ties relatedto the conduct of your business. 3.The following is added to Paragraph 5.of SECTION Ill- LIMITSOFINSURANCE: For the purposes of determining the applica- ble Each Occurrence Limit, all related acts or omissions committed by any of your "employ- ees" or "volunteer workers" in providing or failing to provide first aid or "Good Samaritan services" to any one person will be deemed to beone"occurrence". 4.The following is added to the DEFINITIONS Section: "Good Samaritan services" means any emer- gency medical services for which no compen- sation is demanded or received. G.WHO IS AN INSURED -EMPLOYEES -SU- PERVISORYPOSITIONS The following is added to Paragraph 2.a.(1) of SECTION II-WHOISANINSURED: Paragraphs (1 )(a),(b) and (c)above do not apply to "bodily injury" or "personal injury" to a co- "employee" in the course of the co-"employee's" employment by you arising out of work by any of your "employees" who hold a supervisory posi- tion. H.WHO IS AN INSURED -NEWLY ACQUIRED ORFORMEDORGANIZATIONS The followingreplacesParagraph 4.ofSECTION II -WHO IS AN INSURED of the Commercial GeneralLiabilityCoverage Form,andParagraph 3. of SECTION II- WHO IS AN INSURED of the Global Companion Commercial General Liability Coverage Form,to the extent such coverage forms are part of your policy: Any organization you newly acquire or form, other than a partnership or joint venture, of which you are the sole owner or in which you maintain the majority ownership interest, will qualify as a Named Insured if there is no other insurance which provides similar coverage to that organiza- tion. However: a.Coverage under this provision is afforded only: (1)Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2)Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it, and we agree in writing that it will con- tinue to be a Named Insured until the end of the policy period; b.Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c.Coverage B does not apply to "personal in- jury" or "advertising injury" arising out of an offense committed before you acquired or formed the organization. I. BLANKET ADDITIONAL INSURED - OWNERS, MANAGERSOR LESSORS OF PREMIBES Thefollowingisaddedto SECTION II -WHOIS ANINSURED: Any person or organization that is a premises owner ,manager or lessor is an insured, but only with respect to liability arising out of the owner- ship, maintenance or use of that part of any prem- ises leased to you. The insurance provided to such premises owner , manager or lessor does not apply to: COMMERCIALGENERALLIABILITY Page 4 of 6 CG D4 17 01 12©2012 The Travelers Indemnity Company. All rights reserv ed. Includes copyrighted material of Insurance Services Office,Inc. with its permission. a.Any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" or "advertising injury" caused by an offense that is committed,after you ceaseto be a tenant inthat premises; or b.Structural alterations,new construction or demolition operations performed by or on be- half of such premises owner, manager or les- sor. J.BLANKETADDITIONAL INSURED - LESSORS OF LEASED EQUIPMENT The following is added to SECTION II- WHO IS ANINSURED: Any person or organization that is an equipment lessor is an insured, but only with respect to liabil- ity for "bodily injury", "property damage", "per- sonal injury" or "advertising injury" caused, in whole or in part, by your acts or omissions in the maintenance, operation or use by you of equip- ment leased to you by such equipment lessor. The insurance provided to such equipment lessor does not apply to any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" or "advertising injury" caused by an offense that is committed, after the equipment lease expires. K. BLANKET ADDITIONAL INSURED - PERSONS OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT ORAGREEMENT The following is added to SECTION II- WHO IS ANINSURED: Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Is caused by an "occurrence" that takes place after you have signed and executed that con- tract or agreement; and b.Is caused, in whole or in part, by your acts or omissions in the performance of your ongoing operations to which that contract or agree- ment applies or the acts or omissions of any person or organization performing such op- erations on your behalf. The limits of insurance provided to such insured will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. L.BLANKET ADDITIONAL INSURED - BROAD FORMVENDORS Thefollowingisaddedto SECTION II -WHOIS ANINSURED: Any person or organization that is a vendor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with re- spect to liability for "bodily injury" or "property damage"that: a.Is caused by an "occurrence" that takes place after you have signed and executed that con- tract or agreement; and b.Arises out of "your products" which are dis- tributed or sold in the regular course of such vendor's business. The insurance provided to such vendor issubject to the following provisions: a.The limits of insurance provided to such ven- dor will be the limits which you agreed to pro- vide in the written contract or agreement,or the limitsshown inthe Declarations,which- ever are less. b.The insurance provided to suchvendor does not apply to: (1)Any express warranty notauthorized by you; (2) Any change in "your products" made by such vendor ; (3) Repackaging,unless unpacked solely for the purpose of inspection,demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged inthe original container; (4)Any failure to make such inspections, ad- justments, tests or servicing as vendors agree to perform or normally undertake to perform inthe regular course of business, in connection with the distribution or sale of "your products"; (5)Demonstration,installation,servicing or repair operations, except such operations performed atsuch vendor's premises in connection with the sale of "your prod- ucts"; or (6)"Your products" which, after distribution or sale byyou,have been labeled or re- labeled or used as a container, part or in- gredient of any other thing or substance by or on behalf of such vendor. COMMERCIAL GENERAL LIABILITY Page 5 of 6CG D4 17 01 12 ©2012 The Travelers Indemnity Company.All rights reserv ed. Includes copyrighted material ofInsurance ServicesOffice,Inc.with its permission. Coverage under this provision does not apply to: a.Any person or organization from whom you have acquired "your products",or any ingre- dient,part or container entering into,accom- panying or containing such products; or b.Any vendor for which coverage as an addi- tional insured specifically is scheduled by en- dorsement. M.WHO IS AN INSURED -UNNAMED SUBSIDI· ARIES The following isadded to SECTION II -WHO IS AN INSURED: Any of your subsidiaries ,other than a partnership or joint venture, that is not shown as a Named In- sured in the Declarations is a Named Insured if: a.You maintain an ownership interest of more than 50% in such subsidiary on the first day of the policy period; and b.Such subsidiary is not an insured under simi- lar other insurance. No such subsidiary is an insured for "bodily injury" or "property damage" that occurred, or "personal injury" or "advertising injury"caused by an of- fense committed: a. Before you maintained an ownership interest of more than 50%in such subsidiary;or b.After the date,if any,during the policy period that you no longer maintainanownership in- terest of more than 50% insuch subsidiary. N.WHO IS AN INSURED -LIABILITY FOR CON· DUCT OF UNNAMED PARTNERSHIPS OR JOINTVENTURES The following replaces the last paragraph of SECTION II-WHO IS AN INSURED: No person or organization is an insured with re- spect to the conduct of any current or past part- nership or joint venture that is not shown as a Named Insured in the Declarations. This para- graph does not apply to any such partnership or joint venture that otherwise qualifies as an in- sured under Section II- Who Is An Insured . 0.MEDICAL PAYMENTS -INCREASED LIMITS The followingrep laces Paragraph 7.of SECTION Ill- LIMITSOF INSURANCE: 7.Subject to 5.above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: (a)$10,000; or (b) The amount shown on the Declarations of this Coverage Part for Medical Expense Limit. P. 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 t he DEFINITIONS Section is de- leted. Q. KNOWLEDGE AND NOTICE OF OCCUR- RENCEOROFFENSE The following is added toParagraph 2.,Duties In The Event of Occurrence, Offense, Claim or Suit,of SECTION IV -COMMERCIAL GEN- ERAL LIABILITYCONDITIONS: 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 to you (if you are an individual), any of your partners or members who is an indiv idual (if you are a partner shi p or joint venture) ,any of your managers who is an individual (if you are a limited liability company),any of your trustees who is an individual (if you are a trust),any of your "executive officers"or directors (if you are an organization other than a partnership, joint venture ,limited liability company or trust) or any "employee" authorized by you to give notice of an "occurrence"or offense. (2)If you are a partnership, joint venture,Iim- ited liability company or trust, and none of your partners,joint venture members, managers or trustees are indi v iduals,no- tice to us of such "occurrence"or offense must be g iven as soon as practicable only after the "occurrence"or offense is known by: (a)Any individual who is: (i)A partner or member of any part- nership or joint venture; (ii)A manager of any limited liability company; COMMERCIALGENERALLIABILITY Page 6 of 6 CG D4 17 01 12©2012 The Travelers Indemnity Company. All rights reserv ed. Includes copyrighted material of Insurance Services Office,Inc. with its permission. (iii)A trustee of any trust; or (iv) An executive officer or director of any other organization; that is your partner, joint venture member, manager or trustee; or (b)Any "employee" authorized by such partnership, joint venture, limited li- ability company, trust or other organi- zation to give notice of an "occur- rence" or offense. (3)Notice to us of such "occurrence" or of- fense will be deemed to be given as soon as practicable if it is given in good faith as soon as practicable to your workers' compensation insurer. This applies only if you subsequently give notice to us of the "occurrence" or offense as soon as prac- ticable after any of the persons described in Paragraphs e. (1) or (2) above discov- ers that the "occurrence" or offense may result in sums to which the insurance provided under this Coverage Part may apply. However, if this policy includes an endorse- ment that provides limited coverage for "bod- ily injury" or "property damage" or pollution costs arising out of a discharge, release or escape of "pollutants" which contains a re- quirement that the discharge, release or es- cape of "pollutants" must be reported to us within a specific number of days after its abrupt commencement ,this Paragraph e. does not affect that requirement. R.UNINTENTIONALOMISSION The following is added to Paragraph 6., Repre- sentations, of SECTION IV -COMMERCIAL GENERALLIABILITYCONDITIONS: The unintentional omission of, or unintentional er- ror in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect addi- tional premium or to exercise our rights of cancel- lation or nonrenewal in accordance with applica- ble insurance laws or regulations. S.BLANKETWAIVER OFSUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV -COMMERCIAL GENERAL LI- ABILITY CONDITIONS: 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" caused by an "occurrence" that takes place; or b."Personal injury" or "advertising injury" caused by an offense that is committed; subsequent to the execution of the contract or agreement.