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2020/03/01 DBX, Inc.Ica CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 2r2712020 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). CONTAPRODUCER GMGS Risk Management & Insurance Services rl.�Mo. Charise, Ferguson 6201 Oak Canyon, Suite 100 1 PHONES'; fs4s)55s 3367 FAX No Irvine, CA 92618 -MAIL .._. ... .... NAIC N www.gmgs.com OB84519 INSURER A: Travelers Indemnity Company of Connecticut 25682 INSURED INSURER B: Travelers Property Casualty Cc of America 25674 DBX Inc. 42024 Avenida Alvarado, Suite A INSURER C: Temecula CA 92590 INSURER D: INSURER E.: INSURER F : COVERAGES CERTIFICATE NIIMRFR' rAwzi Tnn RFVISIONI NIIMRFP- 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 LTR A DL SUER POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MMIDDIYYYy LIMITS A COMMERCIAL GENERAL LIABILITY . CLAIMS -MADE �✓ OCCUR d XCU Contractual Liabslity GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n LflC OTHER CO7202P439 3/1/2020 3/1/2021 EACH OCCURRENCE $1 OOOOOO P TO (Ea qLe�. $ 300 000 MED EXP (Any one person) $ 5 000 PERSONAL & ADV INJURY $ 1 00O 000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS -COMP/OP AGG $ 2.000000 $ A AUTOMOBILE LIABILITY J ANY AUTO 1 OWNOSED ONLY AUTOS SCHEDULED AUT HIRED NON -OWNED AUTOS ONLY AUTOS ONLY 8102P785885 3/1/2020 3/1/2021 CORNED NNGEEL ��a strode $ 1 000 000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR PERTY iAer acclddnl $ B UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE CUPIJ930129 3/1/2020 3/1/2021 EACH OCCURRENCE $10000000 AGGREGATE $ 10 000,000 DED I ✓ I RETENTION$10,000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ OFFI CERIMEM8ER EXCLUDED? (Mandatory in NH) I[ yyes- describe under DFSCRIPT[ON OF OPERATIONS below N / A UB-9N101481-19-26—G 10/1/2019 10/1/2020 STATUTE ER E.L. EACH ACCIDENT $ 1 000 000 EL DISEASE - EA EMPLOYE $ 1. EL DISEASE - POLICY LIMIT 1 000 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CIP 17-05; Citywide ADA and Pedestrian Safety Improvements This certificate may be relied upon only if the certificate addendum referred to herein is attached hereto. UtK I IrIL;A I t NL)LUtK L;ANL;LLLA I IUN c 11-V � ! �=' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Menifee THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 29844 Haun Road ACCORDANCE WITH THE POLICY PROVISIONS. Menifee CA 92586 r�a AUTHORIZED REPRESENTATIVE �., !r ! e Calvin Sistrunk ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 54331100 1 20-21 A/G/U/W-R&L l Charise Ferguson 1 2/27/2020 2:07:38 PM (PST) I Page 1 of 11 AGENCY CUSTOMER ID: LOC #: ACORO� AnnITMNAI REMARKS -Rr- IFIII II F Paae of AGENCY NAMED INSURED GMGS Risk Management & Insurance Services DBX Inc. 42024 Avenida Alvarado, Suite A POLICY NUMBER Temecula CA 92590 CARRIER I NAIC CODE EFFECTIVE DATE: H 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 per CGD2460419 attached, and this insurance is primary per CGT1000219 attached. As respects General Liability coverage, a Waiver of Subrogation is hereby included, per CGD3160219 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) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ADDENDUM S4331100 120-21 A/G/G/W-R&L I Charise Ferguson 12/27/2020 2:07:38 PM (PST) I Page 2 of 11 DBX Inc. CO 7202P439 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided underthe following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that you agree in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only: a. With respect to liability for "bodily injury" or "property damage" that occurs, or for "personal injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement and while that part of the contract or agreement is in effect; and b. If, and only to the extent that, such 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 or agreement applies. Such person or organization does not qualify as an additional insured with respect to the independent acts or omissions of such person or organization. The insurance provided to such additional insured is subject to the following provisions: a. If the Limits of Insurance of this Coverage Part shown in the Declarations exceed the minimum limits required by the written contract or agreement, the insurance provided to the additional insured will be limited to such minimum required limits. For the purposes of determining whether this limitation applies, the minimum limits required by the written contract or agreement will be, considered to include the minimum limits of any Umbrella or Excess liability coverage required for the additional insured by that written contract or agreement. This provision will not increase the limits of insurance described in Section III — Limits Of Insurance. (1) Any "bodily injury", "property damage" or "personal injury" arising out of the providing, or failure to provide, any professional architectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property damage" caused by "your work" and included in the "products -completed operations hazard" unless the written contract or agreement specifically requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the following duties: (1) Give us written notice as soon as practicable of an "occurrence" or an offense which may result in a claim. To the extent possible, such notice should include: (a) How, when and where the "occurrence" or offense took place; (b) The names and addresses of any injured persons and witnesses; and (c) The nature and location of any Injury or damage arising out of the "occurrence" or offense. b. The insurance provided to such additional (2) If a claim is made or "suit" Is brought against insured does not apply to: the additional insured: CG D2 46 0419 ® 2018 The Travelers Indemnity Company. All rights reserved. Page 1 of 2 54331100 1 20-21 A/G/U/W-R&L I Charise Ferguson 12/27/2020 2:07:38 PM (PST) I Page 3 of 11 COMMERCIAL GENERAL LIABILITY (a) Immediately record the specifics of the claim or "suit" and the date received; and (b) Notify us as soon as practicable and see to it that we receive written notice of the claim or "suit" as soon as practicable. (3) 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. (4) Tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover such additional insured for a loss we cover. However, this condition does not affect whether the insurance provided to such additional insured is primary to other insurance available to such additional insured which covers that person or organization as a named insured as described in Paragraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. Page 2 of 2 ® 2018 The Travelers Indemnity Company. All rights reserved. CG D2 46 0419 54331100 120-21 A/G/U/W-R&L I Charise Ferguson 12/27/2020 2:07:38 PM (PST) I Page 4 of 11 D13X Inc. COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contract or agreement that the insurance afforded to an insured underthis Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. 5. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the clue of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: CO 7202P439 a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and c. We have issued this policy in reliance upon your representations. The unintentional omission of, or unintentional error 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 additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. 8. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement. Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CG T1 00 02 19 54331100 1 20-21 A/G/U/W-R&L I Charise Ferguson 12/27/2020 2:07:38 PM (PST) I Page 5 of 11 DBX Inc. CO 7202P439 COMMERCIAL GENERAL LIABILITY C. INCIDENTAL MEDICAL MALPRACTICE 1. The following replaces Paragraph b. of the definition of "occurrence" in the DEFINITIONS Section: b. An act or omission committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: 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 providing or failing to provide: (a) "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician or paramedic; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph 6. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". pharmaceuticals committed by, or with the knowledge or consent of, the insured. 6. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. D. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; 4. The following exclusion is added to subsequent to the execution of the contract or Paragraph 2., Exclusions, of SECTION I — agreement. COVERAGES — COVERAGE A — BODILY E. CONTRACTUAL LIABILITY — RAILROADS INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph c. of the ,ale Of Pharmaceuticals definition of "insured contract" in the "Bodily injury" or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or c. Any easement or license agreement; ordinance relating to the sale of Page 2 of 3 ® 2017 The Travelers Indemnity company. All rights reserved. CG D3 16 0219 Includes copyrighted material of Insurance services Office, Inc -,with its permission. 54331100 1 20-21 A/G/U/W-R&L I Charise Ferguson 1 2/27/2020 2:07:38 PM (PST) I Page 6 of 11 DBX Inc 810 2P785885 COMMERCIAL AUTO THiS ENDORSEMENT CHANCES 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, damttge or mWical 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 excluded or limited by such an endorsement. The following Ilsting Is a general cover- age description only, Limitations and exclusions may apply to these coverages, Read all the provisions of this en- dorsement and the rest of your Polley carefully to determine rights, duties, and what Is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF B. BLANKET ADDITIONAL INSURED USE — INCREASED LIMIT C. EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS -- INCREASED K. AIRBAGS LIMITS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR F. HIRED AUTO — LIMITED WORLDWIDE COV- LOSS ERAGE — INDEMNITY BASIS M. BLANKET WAIVER OF SUBROGATION G. WAIVER OF DEDUCTIBLE — GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A, BROAD FORM NAMED INSURED The following Is added to 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 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 180th day after you acquire or form the or-, ganizatlon or the end of the policy period, which - over Is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION It — 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 effecl during the Polley period, to be named as an addi- tfonai Insured is an "Insured" for Covered Autos Liability Coverage, but only for damages to which 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, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b, In 13,6„ 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 "employee" under a contract In an "employee's" name, with your CA T3 63 0215 ® 2015 The Travetors Indemnity company. All rights reserved, Pago 1 of 4 Inoludes copyrighted material or Insurance 5ervfces WOO, Inc. with its permisslon. 54331100 120-21 A/G/U/W-R&L I Chari Se Ferguson 1 2/27/2020 2:07:38 PM (PST) I Page 7 Of 11 COMMERCIAL AUTO permission, while performing duties related to the conduct of your busl- n ess, However, any "auto" that is leased, hired, rented or borrowed with a driver Is not a covered "auto". D, EMPLOYEES AS INSURED The following Is added to Paragraph A,1,, Who Is An Insured, of SECTION fl — COVERED AUTOS LIABILITY COVERAGE; Any "employee" of yours is an "Insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS -- INCREASED LIMITS 1. The following replaces Paragraph A,2,a.(2), of SECTION 11— COVERED AUTOS LIABIL- ITY COVERAGE; (2) Up to $3,000 for cost of ball bonds (In- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION Il — COVERED AUTOS LIABIL- iTY COVERAGE; (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day be- cause of time off from work, F, HIRED AUTO -- LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS The following replaces Subparagrakh (6) In Para- graph B.7., Policy Period, Coverage Territory, of SECTION IV -- BUSINESS AUTO CONDI- TIONS; (6) Anywhere In the world, except any country or jurlsdic(lon while any trade sanction, em- bargo, or similar regulation imposed by the Unitod States of America applies to find pro- hibits the transaction of business with or within such country or jurisdiction, for Cov- ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that Is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (If you are a limited liability company) or members of their households, (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possesslons of the United Slates of America, Puerto Rica and Canada: (1) You must arrange to defend the "In- sured" against, and Investigate or set- tle any such claim or "suit" and keep us advised of ali procoodings and ac- tions, (it) Neither you nor any other involved 'insured" will make any settlement without our consent, (111) We may, at our d Ise reIton, part lclpate in defending the "Insured" against, or In the settlement of, any claim or "suit (fv) We will reimburse the "Insured" for sums that the "Insured" legally must pay as damages because of "bodlly injury" or "property damage" to which this Insurance applies, that the "In- sured" pays with our consent, but only up to tile limit described In Para- graph C., Limits Of Insurance, of SECTION II -- COVERED AUTOS LIABILITY COVERAGE. (v) We will reimburse the "insured" for the reasonable expenses Incurred with our consent for your Investiga- tion of such claims and your defense of the "Insured" against any such "suit", but only up to and Included within the limit described in Para- graph C., Limits Of Insurance, of SECTION Il — COVERED AUTOS LIABILITY COVERAGE, and not In addition to such limit, Our duty to make such payments ends when we have used up the applicable limit of Insurance In payments for damages, settlements or defense expenses. (b) This Insurance Is excess over any valid and collectible other insurance available to the 'Insured" whether primary, excess, contingent or on any other basis, (c) This Insurance is not a substitute for re- quired or compulsory insurance in airy country outside the United States, Its ter- ritories and possessions, Puerto Rico and Canada, 1 Pago 2 of 4 0 2016 The Travelers indemnity Company, All rights reserved. CA T3 63 02 16 includes copyrighted material of insurance Servloes office, lno, vmh its permission, 54331100 1 20-21 A/G/U/W-R&L I Charise Ferguson 1 2/27/2020 2:07:38 PM (PST) I Page 8 of 11 You agroo to mainlaln all f❑quired or compulsory insurance In any such coun- try up to the minimum limits rcqulrcd by locat law, Your fnllure to comply with compulsory Insurance requhements will riot 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 the furnishing of certificates of Insurance, or for compliance In any way with the laws of othercountries relating to Insurance. G. WAIVER OF DEDUCT113LE — 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 Mass damage If the glass is repalrod rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4,15., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: Howover, the most we will pay for any expenses for loss of use is $66 per 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 $1,600 for temporary transportation expense In- curred by you because of the total theft of a cov- ered "auto" of the private passenger type, J. PERSONAL PROPERTY The following Is added to Paragraph AA., Cover - ago Extensions, of SECTION III -- PHYSICAL DAMAGE COVERAGE; Personal Property We will pay up to $400 for "loss" to wearing ap- parel and other personal properly 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 thoff of your covered "auto", No deductibles apply to this Personal Property coverage. K, AIRBAGS The following Is added to Paragraph 13,3., Exclu- slons, of SECTION III — PHYSICAL DAMAGE COVERAGE: Excluslon 3,a, does not apply to "less" to one or more airbags In a covered "auto" you own that in- flRto due to a cause other than 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.2,a„ of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or cur authorized representa- live prompt notice of the "accident" or "loss° ap- plies only when Ilia "accldont" 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- ganlzaiion); or (a) Any "employee" authorized by you to give no- tice of the "accident" or "loss", M. BLANKET 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: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may huvo against any person or organixatlon to the ex- tent requ)red of you by a written contract signed and executed prlor to any "accldont" or "loss", provided that the "accident" or "foss" arises out of operations contemplated by CA T3 63 02 16 02015 The Travelers Indemnky Company. Alf tlghls reserved, Page 3 of 4 Includes copyrighted material of Insurance services Office, Inc. with Its permisslon. S4331100 120-21 A/G/U/W-R&L I Chari Se Ferguson 12/27/2020 2:07:38 PM (PST) I Page 9 of 11 COMMERCIAL AUTO such contract, The waiver applies only to the The unintentional omission of, or unintentional person or organization designated In such error in, any infomlatlon given by you shall not r4)ntract. prejudice your rights under this Insurance, How- N. UNINTENTIONAL_ ERRORS OR OMISSIONS ever this provlalon does not affect our right to cot - The following is added to Paragraph E3.2., Coll- Iect additional premiuni or exercise our right of cealmont, Misrepresentation. Or Fraud, of cancellation or non -renewal. SECTION IV — BUSINESS AUTO CONDITIONS: Page 4 of 4 ® 2015 The Travelers Indemnity Company, All rights reserved, CA T3 53 02 15 Includes copyrighted material of Insurance Services Office, Inc, with its permission,, 54331100 120-21 A/G/U/W-R&L I Charise Ferguson 12/27/2020 2:07:38 PM (PST) I Page 10 of 11 � ��r�I C�r'�k WORKERS COMPENSATION Y LG 7 AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: 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 i 0/1/2019 Insured DBX Inc. Insurance Company Policy No. UB-9N101481-19-26—G Endorsement No. Premium DATE OF ISSUE: 03-14-19 ST ASSIGN: Countersigned by Page 1 of 1 54331100 120-21 A/G/U/W-R&L 1 Charise Ferguson 1 2/27/2020 2:07:38 PM (PST) 1 Page 11 of 11