2021/12/01 Black Diamond Blade Co. Inc.BLACDIA-21
CERTIFICATE OF LIABILITY INSURANCE 11t30t2021
THIS CERTIFICATE IS ISSI,JED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEG,ATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE ISSU|NG TNSURER(S), AUTHORTZEDREPRESENTATIVE OR PROOUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: lI the certificate
If SUBROGATION IS WAIVED,
lhis certificate does not confer ri
TIONAL INSURED provisions or be endorsed.
may requiro an endorsement. A statement onbject
hholdeSDOTNAtoLt i st ADDpolv()to the term nd ht rtaipolv po
the hocertificate der uto s h dors
FmEss. dana.omalley@hubinternational.com
INSURER1SI AFFORDING COVERAGE NAIC 'tNsuRERA rThe Trav€lers lndemnlty Company oI Connecticut 25682
rNsuRER B :Travelers Property casualty company of America 25674
INSURER E:
INSURED
pRoDUcER License 0757776
[#. r"r,(714) el7-3186
Black Oiamond Blade Co. lnc.
234 E. "O" Street
Colton, CA 92324
Ht B lnternationallnsurance Seavices lnc.4695 MacArthur Court
Suite 600Newport Beach, CA 92660
fiR$Ilcr Dana o'MalleY' clSR
fJ3.NlrE , E,r), (zl+) 210-7903 7903
GES TE NUMBER R
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED, NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, THE INSURANCE AFFOROEO AY THE POLICIES DESCRIBEO HEREIN IS SUBJECTTO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REOUCEO 8Y PAID CLAIMS,
EACH OCQUSI1ENCE
OAMAGE TO RENTEOPREMISES (Ea oc.oden@)
MEO ExP tA.y d. p..soi)
PERSONA! A ADV iNJURY
GENERAI4qGREGA-TE
PROOUCTS . COMP/OP AGG
'r,000,000
300,000
5,000
1,000,000
2,000,000
2,000,000
6303L480394TCT21 9t30t202't 9t30t2022
OTHER
GEN'L AGGREGATE TIMIT APPLIES PER:
PoLrcY i[t [F Loc
A;1 co*xrncul eeNERAL LraBlLny
cLA'^rs-Maoe x occu8
X rxv auto
lL IlFLo" o^.r
coilElNEo stNGtE tlMtT
1E! lcadan$
g-ODlLY INJURY (Pd o?,-!on)
BODIY INJURY (P., .eidqn!)
1,000,000
B ABP 4246242114G 9t3012021 9130t2022
A rwonogtLe Lngurv
SCHEDUTED
Y NONOWNED
9,000,000
9,000,000
B X uxgneu-e uaa X occun
EXCESS LIAB CLAIMS.MADE
oao X *ara*ra"g 0
cuP3L48526't 2114 Sst30t2021 9130t2022
1,000,000
1,000,000
1,000,000
B wonxens compersrronAND EMPLOYERS' LIABILITY
ANY PROPRIETOFI/PARTNEF/EXECUTIVEOFFICEEIMEMBER EXCI (JDFD?
lMEnd.rory in NH)
v PER OTH.. STATUTE ER
E.L EACHACCLQEIIL . S
E,L OISEASE. EA EMPLOYEE 5
u84R7294002114G
E L DISEASE.DESCRIPTION OF OPERA
DESCRIPnON OF OPEI{AIIONS / LocATloNS / VEHICLES IACoRD I o 1 , Addirion.l R.6!rts sch.dul., m.y b. att.ch.d il nor. Ep... a. r.qun.dlRE: Operations of the named insured during the current policy t€rm. City of Menife6 and its officeB, imploy66s, ;gont3, and authorized volunteers areadditional insured with respect to gensralliability perCGD458 0219, CGD246 0419. Prlmaryand noncontributory locludod p6rCGT10OO219. S€paratioh Oflnsureds clause included, per CG000'l '1001. 30 days notice ot cancettatton apptles per policy proviston.
CERTIFICAT
City of Menifee and its officers, employees, agents, and
authorized vol\rnteers
298it4 Haun Road
Sun City, CA 92586
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED INACCORDANCE WTH THE POLTCY PROVISIONS.
AUTHORIZEO REPRESENTAIIVE
@ 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORO nams and logo are registored marks of ACORO
---ACORD"
INSU RED,
conditions
!
I
I
I
I
t
EACH OCCURRENCE
AGGREGAIE
1211t2021 12t1t2022
*,,ru,^,-
ACORD 2s (2016/03)
POLICY NUMBER: 6303L480394TCT2 I
COMMERCIAL GENERAL LIABILIry
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ rI CAREFULLY.
XTEND ENDORSEMENT FOR MANUFACTURERS AND
WHOLESALERS
This endorsement modifies insurance provided under the follq/r,ing:
COI\,'IMERCIAL GENERAL LIABILIry COVERAGE PART
GENERAL DESCRIPTION OF COVERAGE - This endorsement brodens coverage. However, coverage for any
injury, damage or medical elpenses described in any of the provisions of this endorsement may be excluded orlimited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply tothe extent that coverage is excluded or limited by such an endorsement. The following listing is a generalcoverage description only. Read all the provisions of this endorsement and the rest of your policy carefully todetermine rights, duties, and what is and is not covered.
A Who ls An lnsured - Unnamed Subsidiaries
B. Who ls An lnsured - Emdoyees And Volunteer
Workers - Bodily lnjury To Co-Emptoyees And
Cqvolunteer Workers
C. Who ls An lnsured - Newly Acquired Or Formed
Limited Liability Companies
D- Blanket Additional lnsured - Broad Form Vendors
E. Blanket Additjonal lnsured - Controlling lnterest
F. Blanket Additional lnsured - Mortgagees,
Assignees, Successors Or Receivers
G. Blanket Additional lnsured - Governmental
Entjties - Permits Or Authorizations Relating To
Premises
PROVISIONS
A. WHO IS AN INSURED - UNNAMED
SUBSIDIARIES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any of your subsidiaries, other than a partnership
or joint venture, that is not shown as a Named
lnsured in the Declarations is a Named lnsured if:a. You are the sole owner of, or maintain an
ownership interesl of more than 50% in, such
subsidiary on the first day ofthe policy period;
andb- Such subsidiary is not an insured undea
similar other insurance.
No such subsidiary is an insured for "bodily injuty''
or "property damage" that occurred, or "personaland advertising injury" caused by an offense
committed:
H. Blanket Additional lnsured - Governmental
Entities - Permits Or Authorizations Relating To
Operations
l. Blanket Additional lnsured - Grantors Of
Franclr ises
J. lncidental Ny'edical Malpractice
K. Medical Payments - lncreased Limit
L. Blanket Wai\r'er Of Subrogation
M. Contraciual Liabitity - Railroads
a. Before you maintained an ownership interest
of more than 50o/o in such subsidiary; or
b. After the date, if any, during the poliqy period
that you no longer maintain an ownership
interest of more than 50% in such subsidiary.
For purposes of Paragraph l. of Seclion ll - Whols An lnsured, each such subsidiary will be
deemed to be designated in the Declarations as:
a. A limited liability company;
b. An organization other than a partnership, joint
\r'enture or limited liability companyi or
c. A trust;
as indicated in its name or the documents that
govern its strudure.
cG Dt 58 02 19 @ 2017 The Travelers lndemnity Company. Att rights reserved.
lncludes copyrighted malerial or lnsurance Services Ofnce, tnc. wilh its permission
Paqe 1 of 5
COMMERCIAL GENERAL LIABILITY
B. WHO IS AN INSURED - EMPLOYEES AND
VOLUNTEER WORKERS - BODILY INJURY TOCO+MPLOYEES AND CGVOLUNTEER
WORKERS
The follo/ving is added to Paragraph 2.a.(1) of
SECTION II - WHO IS AN INSURED;
Paragraphs (1Xa), (b) and (c) above do not apptyto "bodily injury" to a co-"emdoyee" while in the
course of the co-"emdoyee's" emdoyment by you
or performing duties related to the conduct of your
business, or to "bodily injuly'' to your other"\dunteer workers" while performing duties
related to the conduct of yoJr bu$ness.
C. WHO IS AN INSURED - NEWLY ACQUIRED
OR FORMED LIMITED UABILTTY COMPANIES
The following replaces Paragraph 3. of SECTION
II-WHO IS AN INSURED:
3. Any organizatjon you newly acquire or form,
other than a partnership or joint venture, and
of whicfi y(rJ are the sde owner q in whictr
) cu maintain an ownership interesl of more
than 50%, will qualify as a Named lnsured if
there is no other similar insurance available to
that organizaton. However:
a. Coverage under this provision is afforded
only
(1) Until the 180th day after you acquire
or form the organization q the end of
the policy period, whiche\r'er is earlier,
if you do not report such organization
in wriling to us within 180 days after
,ou acquire or form iti or
(2) Until the end of the poliry period,
when that date is later than 180 da!€after )/Icu aquire or form such
organization, if you report such
organizalion in writing to us within
180 da)6 after ydJ acquire or form it;
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 ''perso.tal
and advertising injury" arising out of an
offense committed before you acquired or
formed the organization.
For the purposes of Paragraph 1. of Section ll
- Who ls An lnsured, each such organization
will be deemed to be designated in the
Declarations as:
a, A limited liability company:
b. An organization, other than a partnership,
joinl venture or limited liability company;
or
c. A trust:
as indicated in its name or the documents
that govsn its structure.
D. BTANKET ADDITIONAL INSURED - BROAD
FORM VENDORS
The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organization that is a \€ndor ard
that lou have agreed in a written contrac, c
agreernent to include as an additional insured on
this Coverage Part is dt insured, but only with
rqspect to liability fs "bodily injury" or "property
damage' that
a. Occurs subsequent to the Sgning cf that
contrei or agreement; and
b. Arises out c,f "!our products" that are
digributed or sdd in the regular @urse of
such vendor's business.
The insurance provided to such vendor is subject
to the fdlowing provisions:
a. The limits of insurance provided to such
\,endor will be the minimum limits that )^cu
agreed to provide in the written conhact q
agreement, or lhe limiE shown in the
Declarations, whichever are less.
b. The insurance provided to such vendor does
not apply to:
(1) Any epress warranty not authorized by
lou or any distribution or sde for a
purpose not authorized by you;
(2) Any change in "!our products" made by
such vendor;
(3) Repackaging, unless unpacked solely fq
the purpose of inspection, demorEtration,
testirE, or the substitution of parts under
instructions from the manufacturer, and
then repackaged in the original container;
(4) Any failure to make such inspections,
adjustments, tests or servicing as
\Endors agree to perform or normally
undertake to perform in the regular
course of business, in conneclion with the
distribution or sale of ")our products';
Page 2 of 5 @ 2017 Tho Travelers Indemnily Company. All rights reserued.
Includes copyrightsd malerial of lnsurance Sgrvices Office, lnc. with its psrmissioh
cG D4 58 02 19
(5) Demmstranon, installation, servicing q
repair operations, except such @erationsperformed at such vendo/s premises inconnection with the sale of ',)our
products"; or
(6) "Your producls" that, after diSribution orsale by you, have been labeled or
relabeled or used as a container, part or
ingredient of any other thing or substance
by or on behalf cf such \r'endor.
Coverage under this provision does not apply to:
a. Any person or organization from whom youhave acquired ")(cur produds", or any
ingredient, part or container entering into,
rccompanying or containing such products;
or
b. Any vendor for which co\r'erage as an
additional insured specifcally is scheduled by
endqsement.
E BLANKET ADDITIONAL INSURED
CONTROLLING INTEREST
1. The following is added to SECTION tl - WHO
IS AN INSURED:
Any person or qganization that has finarrcial
control cf you is an insured with respec{ to
liability for "bodily injuly'', "property damage"
or "personal and advertising injury" that arises
out of:
a. Sucfi financialcontrol; or
b. Such person's or trganization's
ownership, maintenance or use of
premises leased to or @cupied by you.
The insurance provided to such person o.
organization does not apply to structural
alterations, new construction or demolition
operations performed by or on behalf of such
person or organization.
2. The following is added to paragraph 4. of
SECTION II-WHO IS AN INSURED:
This paragraph does not apply to any
premises owner, manager or lessor that has
financial control of yorJ.
F. BI-ANKET ADD]TIONAL INSURED
MORTGAGEES, ASSIGNEES, SUCCESSORS
OR RECEIVERS
The following is added to SECTION ll - WHO IS
AN INSURED:
Any person or organization that is a mortgagee,
assignee, successot or receiver 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 wih respeci to its
CON,4I\,4ERCIAL GENERAL LIABILI ry
liability as mortgagee, assignee, successq d
recd\,/er for "bodily injuty'', "property damage,' or"personal and advertising injury" that;
a. ls "bodily injuly'' or "property damage" that
o@urs, or is "personal and adlertisjng injury,'caused by an offense that is committed,
subsequent to the signing of that contract cr
agreement; and
b. Arises out of the ownership, mainlenance or
use of the premises for which that mortgagee,
assignee, successor or .e@iver is required
under that contract or agreement to be
included as an additional insured on this
Coverage Part
The insurance proMded to such mortgagee,
assignee, successor or re@iver is subjecl to the
following provisions:
a. The limits of insurance provided to such
mortgagee, assignee, successor s re@iver
will be the minimum limits that ,ou agreed toprovide in the written @ntraci or agreement,or the limits shown in the Declarations,
whichever are less.
b. The insurance provided to such person cr
organization does not apply to:
(1) Any "bodily injuqy'' or "property damage'that occurs, or any "personal and
advertising injuly'' caused by an offense
that is committed, after such contracl or
agreement is no longer in effeci: or
(2) Any "bodily injuqy'', "property damage' or
"personal and advertising injury" arisngout of any structural alterations, newconstrudion q demdition operationsperformed by or on behalf of suchmortgagee, assignee, successor or
recei\r'er.
G. BLANKET ADDITIONAL INSUREO
GOVERNMENTAL ENTITIES - PERMITS OR
AUTHOREATIONS RELATING TO PREMISES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any govemmental entity that has issued a permit
or authorization with respect to premises owned
or occupied by, or rented or loaned to, you and
that ycu are required by any ordinance, law,
building code or writen confaci or agreement lo
include as an additional insured on this Coverage
Part is an insured, but only with respect to liability
for "bodily injury", "property damage' or "personaland advertising injury" arising out of the
existence, ownership, use, maintenance, repair,
construdion, eredion or removal of any of the
following for which that governmenlal entity has
cG tx 58 02 19 O 2017 The Travelers lndemnity Company. Alt rights reserved.
lncludes copyrighled malerial ol lnsuranc€ Services Office, tnc. with its permission
Page 3 of 5
COMMERCIAL GENERAL UABILITY
services", first aid or "Good Samaritan
services" to a person, unlqss yq] are in
the busness or occupation of providing
professional health care services.
2. The fdlowing replaces the last paragraph of
Paragraph 2a.(1) of SECTION ll - WHO lS
AN INSURED:
Unless ycu are in the business or occupation
of providing profe$sional health care services,
Paragraphs (1Xa), (b), (c) and (d) above donot apply to "bodily injury" arising out of
providing or failing to provide:
(a) "lncidental medical services" by any of
your "employees'who is a nurse, nurse
assistant, eme.gency medical technician,
paramedic, athletic trainer, audiologisl,dietician, nutritionist, occupational
therapist or occupational therapy
assistant, physical therapisl c speech-
language pathologist; or
(b) First aid or "Good Samaritan services" by
any of ycr-lr "emdoyees" or "volunteer
workers", other than an employed or
volunteer dodor. Any such "emdoyees"
or "!olunleer wtrkers" providing or failing
to provide first aid or "Good Samaritan
servic€s" during their work hours for you
will be deemed to be acting within the
scope of their employrnent by you or
performirg duties related to the conduct
of your business.
3. The fdlowing replaces the las{ sentence of
Paragraph 5. cf SECTION lll - LIMITS OF
INSURANCE:
For the purposes of determining the
applicable Eadr Occurrence Limit, all related
acts or omissions committed in providing qfailirE to provide ''incidental medical
services", first aid or "Good Samaritan
services" to any one persqr will be deerned to
be one "@currence".
4. The following exclusion is added to
Paragraph 2., Exclusions, of SECTION I -COVERAGES - COVERAGE A - BODILYINJURY AND PROPERTY DAMAGE
LIABIL]TY:
Sale Of Pharmaceuticals
"Bodily injuty'' or "property damage" arbingont of the violation of a penal statute orordinance relating to the sale of
pharmaceuticals committed by, q with the
lslowledge or consent of, the insured.
Page 4 of 5 @ 2017 The Travelers lndemnity Company. All rights reserved_
lncludes copyrighted malerialof lnsurance S€Nices Office, lnc. with its permission
cG t}l 58 02 19
issued such permit or authorization: advertising
signs, awnings, canopies, cellar entrances, @alholes, drivq/,/a!6, manholes, marquees, hoisl
away openings, sidewalk vaults, devators, street
banners or decorations.
H BLANKET ADD]TIONAL INSURED
GOVERNMENTAL E}ITITES - PERMITS ORAUTHORIZATIONS RELATING TO OPER-
ATIONS
The following is added to SECTION ll - WHO lS
AN INSURED:
Any govemmental entity that has issued a permitor authorization with respect to operations
performed by )Du or on your behalf and that yorJ
are required by any ordinance, law, building code
or written @ntract or agreement to include as an
additional insured on this Coverage Part is an
insured, but only with resped to liability for "bodily
injucy'', "property damage" or "personal and
advertising injury" arising out of such operations.
The insurance proviCed to such govemmental
entity does not apply to:
a. Any "bodily injuqy'', "property damage" or
"personal and ad\r'ertigng injury" arising ci.it of
operations performed for the govemmental
entity; or
b. Any "bodily injuly'' or "property damage"included in the "products-cornpleted
operations hazard'.
I. BLANKET ADD]TIONAL INSURED
GRANTORS OF FRANCHISES
The following is added to SECTION ll - WHO lS
AN INSURED:
Any person or organizatim that grants a franchise
to you is an insured, but only with respect to
liability for "bodily injuqy'', "property damage" cr
"personal and ad\,ertising injury" arising oJt of
)'our operations in the franchise granted by that
person or organization.
lf a written contraci o agreement exjsts between
)ou and such addilional insured, the limits of
insuran@ provided to such insured will be the
minimum limits that you agreed to provide in the
writen contrac{ or agreement, or the limits shown
in the Declarations. whichever are less.
J. INCIDENTAL MEDICAL MALPRACTICE
1, The following replaces Paragraph b. of thedefinition of "occurrence" in the
DEFINIIIONS Section:
b. An ad or omission committed in providing
or failing to provide 'incidental medical
5. The following is added to the DEFINIIIOiIS
Sedion:
"lncidental medical services" means:
a. Medical, surgical, dental, laboratory, x-ray
or nursing service or treatment, advice or
instruction, o( the related fumishing of
food or beveragesi or
b. The furnishing or dispensing of drugs o.
medical, dental, or siJrgical supplies o.
appliances.
6. The follo\rr'ing is added to Paragraph 4.b.,Excess lnsurance, of SECTION lV -COMMERC!qL GENERAL LIABILfi
CONDITIONS:
This insurance is excess over any valid and
collec{ible other insurance, whether primary.
excess, contingent or on any other basis, thatjs available to any of your "emdoyees" for
''bodily injury" that arises out of providing or
failirE to provide "incidental medical services"to any persofl to the extent not subjecl to
Paragraph 2.a.(1) of Sedion ll - Who ls An
lnsured.
K. MEDICAL PAYMENTS - INCREASED LIMIT
The following replac€ Paragraph 7. of SECTION
III - LIMITS OF INSIJRANCE:
7. Subjec{ to Paragraph 5. above, the Medical
Expense Limit is the most we will pay under
Coverage C for all medical e&enses
because of "bodily injuly'' sustained by any
one person, and will be the higher of:
COMMERCIAL GENERAL LIABILITY
a. $10,000; or
b. The amount shown in the Declarations of
this Coverage Part for Medical beense
Limit.
L. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 8., Transfer
Of Rights Of Recovery Against Others To Us,of SECTION lV - COMMERCIAL GENERAL
LIABILITY CONDITIONS:
lf 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 agajnst such person or
organization, but only for payments we make
because cf:
a. "Bodily injury" or "property damage" that
o@ursl cr
b. "Persorul and advertising injury" caused by
an offense that is committed;
subsequent to the execution cf the contacl q
agreement.
M. CONTRACTUAL UABILITY - RAILROADS
1. The follo&ing replaces Paragraph c, of the
definition of "insured contract" in the
DEFINITIONS Section:
C, Any easement or license agreement:
2. Paragraph f.(1) of the definition of "insured
contract" in the DEFINITIONS Section is
deleted.
cG D4 58 02't9 O 2017 The Travelers lndemnity Company. All rights reserved.
lncludes copynghted malerial of lnsurance Services Ofllce, lnc- with its permission
Page 5 of 5
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED
(lncludes Products-Completed Operations !f Required By Contract)
PROV1SIONS
The following is added to SECTION ll - WHO lS AN
INSURED:
Any person or organization that yoJ agree in a
written cprtract 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
injuty''caused by an offense that is committed,
subsequent to the signing of that contract or
agreement and while that part d the contra(tr or
agreement is in effect: and
b. lf, and only to the extent that, such injury or
damage is caused by acts or omissiorE of ycr,l q
your subcontrador in the performace d "yDur
work" to which the written contrac{ or agreement
applies. Such person or organization does not
qualify as an additional insured with r€spect tothe independent acls or omissions of such
person or organization.
The insurance provided to such additional insured is
subject to the following provisions:
a, lf the Limits of lnsurarrce of this Coverage Part
shown in the Declarations e)ceed the minimumlimits required by the written contracl oragreement, the insurance provided to the
additional insured will be limited to such
mininum required limits. For the purpGes of
determining whether this limitation applies, the
minirrum limits required by the written cmtract or
agreement will be considered to include the
mininum limits of any Umbrella or E)@ess
liability co\,erage required for the additional
insured by that written contract q agreement.This provision will not increase the limits of
insurance described in Sectim lll - Limits Of
lng:rance.
b. The insurance provided to such additional
insured does not apply to:
(1) Any "bodily iniury", "property damage" or
"personal injury" arising out of the providing,or fa'lure to provide, any professional
architeclural, engineering or strveying
services, including:
(a) The preparing, approving, or faiting to
prepare or approve, maps, shop
drawings, opinions, reports, surve)6,
field orders or change orders, or the
preparing, approving, or failing topreparo or approve, drawings and
specifications; and
(b) Superviscy, inspeclion, architecturat or
engineering adivities.
(2) Any "bodily injuly'' or 'property damage'
caused by "\our work" ard induded in the
"producls-completed operations hazard"
unless the written contract or agreement
specifically requires l{cu to provide such
co\€rage for that additional insured during
the rclicy period.
The additional insured
following duties:
must comply with the
(1) Give us written notice as soon as practicable
of an "occunence'or an offense which may
result in a claim. To the extent possible, such
notice should include:
(a) How, when and where the "occurence"
or offense took place;
(b) The names and addresses of any injured
persons and witnesses; and
(c) The nature and loc€tion of any injury or
damage arising out of the "occurrence"
or offense.
(2) lfa claim is made or "suif is brought against
the additional insured:
c
cG D2 46 0419 @ 2018 Th6 Travelers lndemnity Company. Allrights r636N€d Pageld2
COIT,4MERCIAL GENERAL LIABILITY
This endorsement modifies insurance provided under the follq,'r'ing:
COI\,4MERCIAL GENERAL LIABILITY COVERAGE PART
COI\,4MERCIAL GENERAL LIABILITY
(a) lmmediately re.ord the specifics €f the
claim or "suit'and the date receiyed; and
(b) Nctify us as soon as practbable and s€e
lo it that we receive written notice cf the
claim or "suif' as soon as praclicable.
(3) lmmediately send us copies d all legat
papers received in connec.tion with the claimor "suit', cooperate wit1 us in the
investigation q settlement of the claim or
defense against the "suit', and otherwise
comply wih 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 fq a loss we co\ier. However, this
condition does not affect whether theinsurance 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 lnsurance, of Section lV - Commercial
General Liability Conditions.
Paq,e2cf 2 O 2018 The Travelers lnd€mnity Company. Att rights reserved cG D2 46 04 19
POLICY NUMBER: 6303L480394TCT2 I
COMI\.4ERCIAL GENERAL LIABILITY
c, Method Of Sharing
lf all of the other insurance permits cmtihltim
by equal shares, we will follolv this rnethod also.
Under this approach eah insurer cmtributes
equd amoJnts until it has paid its applicable
limit of insurance or nqle of the loss remains,
whichever comes flrst.
lf any of the other insurrrce does not permit
contributiar by equal shaes, we will cmtritule
by limits. Under this method, eah insure/s
shae is based on the ratio cf its apdicdle limit
of insurance to the total applicat e limits of
insurance of all insurers.
d. Prinary And Non-Contributory lnsurance lf
Required By Wriuen Contract
lf yqr specificdly agree in a written cmtrd or
agreqnent that the insurarce afforH to an
insured under lhis Co€rage P t must apply ona prim y b6is, c a primay ad norF
contributory basis, this insurance is primry to
olller insurance lhat is a\aildle tosuch insured
which co€rs such irEured as a narned insured,
and we will not share with that ottEr insurarce,
provided that:
(1) The "bodily injuty'' or "property danBge" for
which co\,erage is sought occurs; atd
(2) The 'pesmd and ad\€rtising injuly'' for
whicft co\,€r4e is sought is caJsed by an
offense tha is cqnmitted;
subsequent to the signing of that cqtract or
agreernenl by )(ri.5. fternium Audit
a. We will ccrnpJte dl prerniums fq this Co€rage
Part in rccqdance with qJr rules d rdes.
b. Prernium shcir,m in this Co\€rage Pa-t as
advance premium is a deposit prernium only. At
the close of e4h audit period we will cqnpJte
the eaned premium for that period and serd
notice to the flrst Named lnsured. The due date
for audit ad retospedi\e prerniums is tfte date
sho&n as the due date on the bill. lf the sum of
the ad\ance and audit prerniums paid for thepdiq/ pericd is greater than the eaned
premium, we will return the ercess to the flrsl
Narned lnsJred.
c. The first Named lnsured must keep records ofthe infqrnatjm we ne€d for prerrium
cqnpJtatirr, and send us cofies at such times
as we may request.
6. Reprcsentations
By accepting this pdicy, lou Aree;
a. The statements in the Declarations are
accurate ad cdnd€te;
b. Thce s{aternents are b6ed uptrl
representatirs l(rJ made to us; and
c. We ha\r issJ€d this pdicy in reliance upon
lcur representatim s.
The unintortiTlal ornission of, or unintefltiond erroa
in, any inforrndim pro\,ided by )ou which we relied
upon in issuing this policy will nct prejrdice )irrir
rights undtr this insurance. Ho /q€r, this pro/isimdG nd affect our right to cdlect additional
premium or to elErcise our rights of cacdlatjm or
nmrena/vd in acordance with applicable insurance
laws c r€guldiqrs.
7. Separation Of hsurcds
Except with resp6:t to the Limi6 of lrsur:ince, and
any rllhts c ddies specifically assigned in this
Co\,s'ag€ Part to the first Named lnsur€d, this
insurance appli€s:
a. As if each Narn€d lnsured were the otly
Narned lnsured; and
b. Sepaatdy to e*h insured agdnsl whdn claim
is rnade c "suif is brcught.
8. Transfer Of Rights Of Recot/ery Against Olhers
To Us
lf the insured has rights to reco/€r all or p t of any
payment we ha\€ mde under this Co\,€r4e Part,
ttrce rights are tra$ered to us. The insured must
do nothing afts lcs to impair them. At oJr requesl,
the insured will brir€ "suif' or trtrlsfer tho6e rights
to us ard help us enfqce thern.
9. When W€ Do Not Rsner r
lf we decide not to rena/v this Cc ,€rage Ptrt, we will
mail q deli\€r to the first Named lnsured shc
^/n
in
the DedaatiorE written nctice of the nmrens^/d
nct less than 30 dA/s b€fae the oeireion date.
lf notice is mdled, procf of rnailing will be sutficient
prod cf nc{ice.
SECTION V- DEFIN]TIONS
1. 'Ad\€rti-ment" means a notice thA is bloadcad q
published to the general public tr specific market
segments aboJt ),qJr goods, products q servicesfor the purpose of attractirE custmErs or
supporters. For ttle purpces of this definition:
a. Notices that are published include mderial
plaed on th6 lnbrnet o( on simibr electronic
rnearE cf, ccrnmunicatim; and
b. RegErding websites, only that part cf a website
that is abcut ),our goods, products or services
for the purpGes of atts*ling customers or
supporters is cmsidered dl d\€rlisernent.
Page 16 of 21 O 2017 The Travslers lndBmnity Company. All rights reseNed.
lncludes copyrighled materiEl of lnsurance Services Oftice, lnc. with ats permission
cG T1 00 02 19
COMMERCIAL GENERAL LIABILITY
a. The statements in the Declarations are
accurate and complete;
b. Those statemenls are based upon
representations )/ou made to us; and
c. We have issued this policy in reliance upon
)our 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 lnsureds
Except with respect to the Limits of lnsurance, and
any rights or duties specifically assigned in this
Coverage Part to the first Named lnsured, this
insurance applies:
a. As if each Named lnsured were the only
Named lnsured: and
b. Separately to each insured against whorn claim
is made or "suit' is brought.
8. Transfer Of Rights Of Recovery Against Others
To Us
lf 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
lf we decide not to renew this Co\€rage Part, we will
mail or deliver to the first Named lnsured shown in
the Declarations written notice of the nonrenewal
not less than 30 days before the expiration date.
lf notice is mailed, proof of mailing will be sufficient
proof of notice.
SECTION V - DEFINITIONS
1. "Ad\€rtisemenf' means a notice that is broadcast or
published to the general public or specillc market
segments about your goods, products or servicesfor the purpose of attracting customers or
supporters. For the purposes of this definition:
a. Notices that are published include material
placed on the lnternet 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 lndemnity Company. All rights reserved.
hcludes copyighted material of lnsurance Services Offce, tnc. with its permission
cG T1 00 02 19
POLICY NUMBER: 6303L480194TCT21
c. Method Of Sharing
lf all of the other insurance permits contributim
by equal shares, we willlollow 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.
lf any of the other insurance does not p€rmit
contribution by equal shares, we will contribute
by limits. Under this method, each insurefs
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 lnsurance lf
Requircd By Written Contract
lf you speciflcally agree in a written contracl or
agreement that the insurance afforded to an
insured under this Coverage Pad must apply ona 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 Co\,erage
Part in accordance with oJr rules and rates.
b. Premium shown in this Co\erage Part as
advance premium is a deposit premium only. At
the close of each audit period we will compute
the earned premium for that period and send
notice to the first Named lnsured. The due date
for audit and retrospective prefiliums is the date
sho,.vn as the due date on the bill. lf the sum of
the advance and audit premiums paid for thepolicy period is greater than the earned
premium, we will retum the excess to the first
Named lnsured.
c. The first Named lnsured must keep records ofthe inforrnation we ned for premium
computation, and send us copies at such times
as we may request.
6. Representations
By accepting this policy, yor agree:
HUB INTERNATIONAL INSURANCE SERVICES INC
4695 MACARTHUR COURT STE 600
NEWPORT BEACH CA 92660.,1861
CIry OF MENIFEE AND ITS OFFICERS, EMPLOYEES, AGENTS, AND
AUTHORIZED VOLUNTEERS
29844 HAUN RD
SUN CITY CA 92586.6539
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