Loading...
2020/12/01 Security Signal Devices, Inc.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 6/24/2021 License # 0M70471 10851 Security Signal Devices, Inc. 1740 N. Lemon Street Anaheim, CA 92801 16044 16045 1 A 1,000,000 X 51GL014081201 12/1/2020 12/1/2021 500,000 10,000 1,000,000 5,000,000 2,000,000 ERRORS OMMISSIO Included 1,000,000B X 51CAD00199201 12/1/2020 12/1/2021 10,000,000A 51CC005093201 12/1/2020 12/1/2021 10,000,000 10,000 C 5300003001201 12/1/2020 12/1/2021 1,000,000 Y 1,000,000 1,000,000 City of Menifee, its officers, agents and employees are included as Additional Insured per the terms of the attached CG2010 0413/CG2037 0413 and ECA 04 506 06 09 endorsements. City of Menifee Attn: Margarita Cornejo 29844 Haun Road Menifee, CA 92586 SECUSIG-01 PATRA2 Orion Risk Management Insurance Services, An Alera Group Insurance Agency, LLC 1800 Quail Street, Suite 110 Newport Beach, CA 92660 Brittany Campbell bcampbell@orionrisk.com Everest Indemnity Insurance Company Everest Denali Insurance Company Everest Premier Insurance Company X X X X X X X X DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. 51GL014081201 Blanket Where Required by Written Contract DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 ADDITIONAL INSURED – OWNERS, LESSEES OR CONTRACTORS – SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2.The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B.With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. 51GL014081201 Blanket Where Required by Written Contract DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13 C.With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 COMMERCIAL AUTO ECA 04 506 06 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ECA 04 506 06 09 Copyright, Everest Reinsurance Company, 2009 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. Page 1 of 5  COMMERCIAL AUTO ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The following is a summary of the Limits of Insurance and additional coverage provided by this endorse- ment. For complete details on specific coverage, please refer to policy language in this endors ement and the underlying Business Auto Coverage Form. Coverage Applicable Enhancement Subsidiaries As Insureds Broadened Newly Acquired Organizations As Insureds Broadened Blanket Additional Insureds Broadened Employees As Insureds (Non-Ownership) Broadened Supplementary Payments – Bail Bonds $3,000 Limit Supplementary Payments – Loss Of Earnings $1,000 per day Fellow Employee Bodily Injury Broadened Towing Coverage – All Covered Autos Broadened Glass Breakage Coverage – Waiver of Deductible Broadened Loss of Use Expenses $50 per day $1,000 Limit Stolen Vehicle Extra Expense Broadened Airb ag Discharge Broadened Electronic Equipment (Permanently Installed) Broadened Single Deductible Provision Broadened Notice To Company Broadened Blanket Waiver Of Subrogation Broadened Unintentional Failure To Disclose Hazards Broadened Bodily Injury Includes Mental Anguish Broadened Coverage Territory Extension - Mexico Broadened Policy number: 51CAD00199201DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 Page 2 of 5 Copyright, Everest Reinsurance Company, 2009 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. ECA 04 506 06 09  A.Who Is An Insured The following is added to Paragraph A.1. of Sec- tion II – Liability Coverage: d.Any: (1)Subsidiary which is a legally incorporated entity of which you own greater than 50% interest in the voting stock on the effective date of this Coverage Form. However, the insurance afforded by this provision does not apply to any subsidiary that is an "in- sured" under any other automobile liability policy, or would be an "insured” under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. (2)Organization you newly acquire or form, and over which you maintain majority inter- est. The coverage afforded by this provision: (a)Is effective on the acquisition date, and is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier; (b)Does not apply to "bodily injury" or "property damage" resulting from an "accident" that occurred before you ac- quired or formed the organization; and (c)Does not include any newly acquired or formed organization that is: (i)A joint venture or partnership; or (ii)An "insured" under any other auto- mobile liability policy or would be an "insured" under such policy but for the termination of such policy or the exhaustion of such policy's limits of insurance. e.Any person, organization or governmental entity with respect to the operation, mainte- nance, or use of a covered "auto" if you are re- quired to add such person, organization or go- vernmental entity to this policy as an add itional insured in order to comply with the terms of a written "insured co ntract" or written agreement. This does not apply when such contract or agreement: (1)Involves the owner or anyone else from whom you hire or borrow a covered “auto” unless it is a “trailer” connected to a cov- ered “auto” you own; or (2)Is executed after the date of loss. Paragraph e.(2) does not apply if: (1)The terms and conditions of the written “insured contract” had been agreed upon prior to the “accident” or “loss”; and (2)You can definitively establish that the terms and conditions of the written “insured con- tract” ultimately executed are the same as those which had been agreed upon prior to the “accident” or “loss”. f.Any of your “employees” while using a cov ered “auto” in your business or your personal affairs, provided you do not own, hire or borrow that “auto”. B. Coverage Extensions - Supplementary Payments Paragraphs A.2.a.(2) and A.2.a.(4) of Section II – Liability Coverage are replaced by the following: (2)Up to $3,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an “accident” we cover. We do not have to furnish these bonds. (4)All reasonable expenses incurred by the “in- sured” at our request, including actual loss of earnings up to $1,000 a day because of time off from work. C.Fellow Employee The following exception is added to exclusion 5. Fellow Employee under paragraph B. Exclu- sions of Section II – Liability Coverage: This exclusion does not apply if the “bodily injury” results from the use of a “covered auto” you own or hire. The coverage provided under this excep- tion is excess over any other collectible i nsurance. D.Towing Paragraph A.2. of Section III – Physical Damage Coverage is replaced by the following: 2.We will pay for towing and labor costs each time that a covered “auto” is disabled. All labor must be performed at the place of disablement of the covered “auto”. If the auto is not a pri- vate passenger type, a $250 deductible will apply to this coverage but it will not reduce the available limit of insur ance. For all types of “au- to”, the most we will pay under this coverage is $1,000 per disablement. “Autos” which are dis- abled do not include stolen vehicl es. DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 ECA 04 506 06 09 Copyright, Everest Reinsurance Company, 2009 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. Page 3 of 5  E.Glass Breakage – Hitting A Bird Or Animal – Falling Objects or Missiles The following is added to Paragraph A.3. of Sec- tion III – Physical Damage Coverage: Any deductible shown in the Declarations will not apply to glass breakage if such glass is repaired, in a manner acceptable to us, rather than re- placed. If the glass must be replaced and there is no other damage associated with the “loss”, the deductible will be $100 unless a lower deductible is shown in the Declarations applicable to this coverage. F.Loss Of Use Expenses Paragraph A.4.b. of Section III – Physical Dam- age Coverage is replaced by the following: b.Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes le- gally responsible to pay for loss of use of a ve- hicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use expenses if caused by: (1)Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2)Specified Causes Of Loss only if the Decla- rations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or (3)Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto". However, the most we will pay for any ex- penses for loss of use is $50 per day, to a maximum of $1,000. G.Extra Expense – Stolen Vehicle The following is added to Paragraph A.4. of Sec- tion III – Physical Damage Coverage: c.Stolen Vehicle We will pay for all reasonable and necessary expenses to return a stolen covered “auto” to you. H.Airbag Coverage The following exception is added to Paragraph B.3.a. of Section III – Physical Damage Cover- age: The accidental discharge of an airbag shall not be considered mechanical breakdown if it occurs in a covered “auto” for which Comprehensive coverage is purchased. This provision does not apply to “au- tos” you hire with a driver and is excess over any warranty specifically designed to provid e this cov- erage. I.Electronic Equipment Coverage The following exception is added to Paragraph B.4.c. of Section III – Physical Damage Cover- age: Exclusion 4.c. does not apply to permanently in- stalled “electronic equipment” within a covered “auto”. Permanently installed equipment includes equipment, which is: a.Removable from a housing unit which is per- manently installed in the covered “auto” at the time of the “loss”; and b.Designed to be solely operated by use of the power from the “auto” electrical system, in or upon the covered “auto’. The most we will pay in the event of a covered “loss” under this provision is the lesser of: a.The actual cash value of the “electronic equi p- ment” at the time of the “loss”; b.The cost of repairing or replacing the “elec- tronic equipment” with other “electronic equip- ment” of like kind or quality; or c.$3,000. No deductible will apply to this coverage prov ision. This provision shall not apply to “electronic equi p- ment” for which coverage is already provided by other primary collectible insurance. J.Single Deductible Provision The following is added to Paragraph D. of Section III – Physical Damage Coverage: If a Comprehensive or Specified Causes of Loss Coverage “loss” from “accident” involves two or more covered “autos”, only the highest deduct ible applicable to those coverages will be applied to the “accident”, if the cause of the loss is cov ered for those vehicles. This provision only applies to you carry Compre- hensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered “autos” for which you do not carry such coverage. If a “loss” covered under this Coverage Part also involves a “loss” to other property from the same “accident”, which is covered under a Commercial Property or Inland Marine Coverage Part issued by us to you, only the highest deductible applica- ble to those coverages will be applied to the “acc i- dent”. K.Notice To Company Paragraph A.2. of Section IV – Business Auto Conditions is amended as follows: 1.With respect to notification requirements, your obligation under Paragraph A.2.a. applies only when the “accident” or “loss” is known to: DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 Page 4 of 5 Copyright, Everest Reinsurance Company, 2009 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. ECA 04 506 06 09  a.You, if you are an individual; b.A partner, if you are a partnership; c.A member, if you are a joint venture or limited liability company; or d.An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability company. 2.With respect to the requirements pertaining to you providing us with document concerning a claim or “suit”, your obligation under Paragraph A.2.b. will not be considered breached unless the breach occurs after such claim or “suit” 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 joint venture or limited liability company; or d.An executive officer or insurance manager, if you are an organization other than a part- nership, joint venture or limited liability company. L.Blanket Waiver Of Subrogation The following is added to Paragraph A.5. of Sec- tion IV – Business Auto Conditions: a.However, we waive any right of recovery we may have against a person, organization or government entity when you have waived such right of recovery under a written “insured con- tract” that is: (1)Currently in effect or becoming effective during the term of this policy; and (2)Executed prior to the “accident” or “loss”, or executed after the “accident” or “loss” if: (a)The terms and conditions of the written “insured contract” had been agreed upon prior to the “accident” or “loss”; and (b)You can definitively establish that the terms and conditions of the written “in- sured contract” ultimately executed are the same as those which had been agreed upon prior to the “accident” or “loss”. b.We hereby waive any right of subrogation against any of your officers, directors or em- ployees which might arise by reason of any payment under the insurance afforded by the policy for the operation, maintenance, use, loading or unloading of a non-owned “auto”. This waiver extends only to payments in ex- cess of other valid and collectible insurance available to the officer, director or employee. M.Unintentional Failure To Disclose Hazards The following is added to Paragraph B.2. of Sec- tion IV – Business Auto Conditions: If you unintentionally fail to disclose any hazards existing on the effective date of this Coverage Form, we will not deny coverage under this Cov- erage Form because of such failure. However, this provision does not affect our right to collect addi- tional premium due to us as a result of these un- disclosed hazards in accordance with our filed rat- ing plans. N.Bodily Injury – Including Mental Anguish Paragraph C. of Section V – Definitions is re- placed by the following: C.“Bodily injury” means bodily injury, sickness or disease sustained by a person, including “men- tal anguish” or death resulting from any of these at any time. For the purpose of this provision, the term “mental anguish” shall mean any type of men- tal or emotional illness or distress. O.Mexico Coverage The coverage provided by this policy for covered “autos” you own or lease on a long term basis without drivers are extended to “accidents” or “losses” occurring in Mexico if: 1.The covered “auto” is in Mexico for a period not exceeding 10 days; and 2.The covered “auto” is principally garaged and used in the United States; and 3.The driver of the covered “auto” does not re- side in Mexico; For Liability Coverage to apply to “accidents” oc- curring in Mexico, the following must also apply: 1.Valid and collectible auto liability insurance for the covered “auto” has been purchased from a licensed Mexican Insurance Company and is in force at the time of the “accident”; and DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1 ECA 04 506 06 09 Copyright, Everest Reinsurance Company, 2009 Includes copyrighted material of Insurance Services Office, Inc. used with its permission. Page 5 of 5  2.The original “suit” for damages is brought with- in the United States. For “losses” payable under Physical Damage Coverage this additional restriction applies: We will pay “losses” under Physical Damage Cov- erage in the United States, not in Mexico. If the covered “auto” must be repaired in Mexico in order to be driven, then the most we will pay for “loss” is the lesser of the following: 1.The cost of repairing the “auto” or replacing its parts in Mexico; or 2.The cost of repair or replacement at the near- est point in the United States where the repairs or replacement could be made. Other Insurance: The insurance provided by this section will be ex- cess over any other collectible insurance. DocuSign Envelope ID: 15AD9BDF-20C4-45B7-8C82-B2A2249B13C1