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2021/10/01 Hillcrest Contracting, Inc.; Ros Mar Equipment Co., Inc. (3)ACC)RD-HILLCREST. CERTIFICATE OF LIABILITY INSURANCE 9t23t2021 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 POLICIESBELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTR,ACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an AOOITIONAL INSURED, the policy(ies) must have ADOITIONAL INSURED provisions or be endorsed. It SUBROGATION lS wAlVED, subiect to the terms and conditions of the policy, certain policies may requiie an endorcement. A statement onthis certilicate does not confer rights to the certificate holder in lieu ot such endorsement(s). Hillcrest Contracling, lnc.; Ros Mar Equipment Co., lnc '1467 Circie City Drive Corona, CA 92879 INSURED pany lnsurance Serylces, lnc 400 The Wooditch Com'l Park Plaza, Suite lrvine, CA 92614 tNsuRER c : lndian Harbor lnsurance com A,Executive Risk lndemnity, lnc. . N"),(949) 553.0670 n l.I3.n^i, .,0, ts+sl 553-9800 INSURER(S}AFFORDING COVERAGE Federal lnsurance Com COVERAGES ION NUMBER: THIS IS TO CERT]FY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ]SSUED TO THE INSURED NAA,IED ABOVE FOR THE POLICY PERIODINDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDIT]ON OF ANY CONTRACTOR OTHER DOCUMENTWITH RESPECTTOWHICH THIS CERTIFICATE I\4AY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIVS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAII[,IS, UMITSryPE OF INSURANCE xA $ $ $ $ $ COMMERCIAI. GENERAL LIABILITY EACH OCCURRENCE X 54310295 10t1t202'l rorvzozz ffiffi ffi El)1fiD.,"., GENERAL AGGREGAIE Deductible x PROOUCTS. COMP/OP AGG $ CLA MS.MADE X occuR GEN'L AGGREGA'TE LI[I TAPPLIES PER 1,000,000 5,000 100,000 1,000,000 10,000 2,000,000 2,000,000 MEo ExP [Any on€ pe6on) PERSONAL & ADV INJURY "o.,"" f 55"o; [ ,o" OTHER B X 54310294 2,000,000 BODILY INJURY {Per accide.t) $ S s s 'tot'12021 101'v2022 BODILY INJURY (Per pe6on) $ COMBINEDSINGLEL MIT UMBRELLA LIAB EXCESS LIAB OED RETENTON $ OCCUR CLAIMS-MAOE s $ $ EACH OCCURRENCE A6GREGAIE x ANY PROPRIETOR/PARTNEFYEXECUTIVE OFFICEFI/MEIVgER EXCLUOEO? DESCRIPTION OF OPERATiONS below X 543'10296 E L EACH ACCIDENT EL OISEAi]E- EA EI\IPLOYEE S 1,000,000 B N S10t't2021 101'12022 1,000,000 1,000,000 WORKERS COMPENSATION AND EMPLOYERS' LIABILITY c c Pollution Liability Pollution Liability PEC004859s-0s PEC0048595-05 101112021 10t112021 101'12022 101'12022 x Per Claim/Agg, stR 1,000,000 10,000 OESCRIPTION OF OPERATIONS / LOCATIONS / VEHICIES (ACORD 101 , Additional R.marts Sch.dul., may b6 .tt.ch.d il moE !p.c. i. roquned)RE: All operations performed by tho Named lnsured during the current policy period. glaipwv/auai/wcwv/pollai City of Menifee and its officers, employees, agents and authodzed volunteers are included as Additional lnsureds as respects General Liability, Auto Llability and Pollution Liability per attached endorsements, This insurance shallapply as P.imary and Non-Contributory per attached endorsement. Waiver of Subrogation for General Llabllily and Workers' Compensation: See Atrached Endorsements. City ot Menifee and its office.s, employees, agents and aulhorized volunteets 29844 Haun Road Sun City, CA 92586 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, T{OTICE WILL 8E OELIVERED IN ACCORDANCE wlTH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE@-- CERTIFICATE HOLDER ACORD 2s (2016/03) 35181 2028'l 36940 I INSURER D I II INSURER E : cPl D('- o""o,,-.]ow"Eo - scHFDrn Fo AUIOS ONLY AUTOSX !1fi%0. o*,,, x lSia'"t*,t? c iRTIFICATE NUMBE O'1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo arc registered marks ofACORD AGENCY CUSTOMER ID. HILLCREST. LOC #: 1 ADDITIONAL REMARKS SCHEDU LE CPALMER ACORD' Hlllcresl Contracting, lnc.i Ros Mar Equipment Co., lnc1467 Circle Citv DriveCorona, cA 92879 SEE PAGE 1 NAIC CODE SEE PAGE 1 SEEPl EFFECIVE DArE sEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORO FORM, FORM NUMBER: acoRD 25 FORM TITLE:Certificaie of Liabilitv lnsurance Cancellation*Except 10 Days Notice of Cancellation for Non-Payment of Premium.*Should this policy be cancelled before the expiration date, The Wooditch Company will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contracl ot agreement.* @ 2008 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered ma.ks of ACORD ACORD 101 (2008/01) Page 1 ol 1 POLICY NUMBER: 54370294 COMMERCIAL AUTOMOBILE THIS ENDORSEMEI{T CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GOMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage FormI. EXTENDEDCANCELLATIONCONDITION Paragraph 4.2.b. - CANCELLATION - of the COMMON POLICY CONDITIONS form lL 00 17 is deleted and replaced with the following:b. 60 days before the effective date of cancellation if we cancel for any other reason.2, BROAD FORM I SUREDA Subsidiaries and Newly Acquired or Formed Organizations As lnsureds The Named lnsured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of lhe Coverage Form. However, the Named lnsured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit of lnsurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named lnsured does not include any newly formed or acquired organization: (a) That is an "insured" under any other automobile policy. (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more atter its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred before you formed or acquired the organization. B. Employees as lnsureds Paragraph 4.1 . WHO lS AN INSURED - of SECTION ll - LIABILITY COVERAGE is amended to add the following:d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. G, Lessors as lnsuleds Paragraph 4.1. - WHO lS AN INSURED - of SECTION ll - LIABILITY COVERAGE is amended to add the following:e. The lessor of a covered "auto" while the "auto'is leased to you under a written agreement if: ('l) The agreement requires you to provide direct primary insurance for the lessor; and (2) The'auto" is leased without a driver. Such leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 'l . You;2. Any of your "employees" or agents; or3. Any person, except the lessor or any "employee" or agent of the lessor, operating an'auto" with the permission of any of 1. and/or 2. above.D. Persons And Organlzations As lnsureds Under A Writlen lnsuled ContIact Paragraph A. l - WHO lS AN INSURED - of SECTION ll - LIABILITY COVERAGE is amended to add the following:f. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "insured contract", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an "insured". However, such person or organization is an "insured" only: Form: 16-02-0292 (Rev. 11-16) Page '1 of 3 "lncludes copyrighted material of lnsurance Services Office, lnc. with its permission" This endorsement modifies insurance provided under the following: (1) with respect to the operation, maintenance or use of a covered "auto"; and (2) for "bodily injury" or "property damage" caused by an "accident" which takes place after: (a) You executed the "insured contract" or written agreement; or(b) The permit has been issued to you.3. FELIOW EMPLOYEE COVERAGE EXCLUSION 8,5. - FELLOW EI\,4PLOYEE , Of SECTION ll - LIABILITY COVERAGE does not apply.4. PHYSICAL DAMAGE - ADDITIONAL TEIUPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a. - TRANSPORTATION EXPENSES - Of SECTION III _ PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000.5. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4. - COVERAGE EXTENSIONS - of SECTION III _ PHYSICAL DAI,IAGE COVERAGE iS amended to add the following: c. Unpaid Loan or Lease Amounts ln the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease for a covered "auto" minus:1. The amount paid under the Physical Damage Coverage Section of the policy; and2. Any:a. Overdue loan/lease payments at the time of the "loss";b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;c. Security deposits not returned by the lessor:d. Costs for extended warranties, Credit Life lnsurance, Health, Accident or Disability lnsurance purchased with the loan or lease; ande. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on the loan or lease if caused by:1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto";2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes ol Loss Coverage is provided for any covered "auto"; or3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. 6. REiITAL AGENCY EXPENSE Paragraph A. 4. - COVERAGE EXTENSIONS - of SECTION III_ PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your "employees" are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT:'1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or "loss" of, that vehicle, including income lost due to absence of that vehicle for use as a replacementl2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered "loss'; and3. $2,500 for administrative expenses incuned by the rental agency, as stated in the contract or agreement.4. $7,500 maximum lotal amount for paragraphs 1., 2. and 3. combined.7. EXTRA EXPENSE - BROADEI{ED GOVERAGE Paragraph A.4. - COVERAGE EXTENSIONS - of SECTION lll - PHYSICAL DAI\iIAGE COVERAGE is amended to add the following:e. Recovery Expense We will pay for the expense of returning a stolen covered "auto" to you. 8. AIRBAG COVERAGE Paragraph 8.3.a. - EXCLUSIONS - of SECTION lll - PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage.9. AUD|O, VTSUAL AND DATA ELECTRONTC EqUIPMENT - BROADENED COVERAGE Parasraph C.1.b. - Lll\4lT OF INSURANCE - of SECTION lll - PHYSICAL DAMAGE is deleted and replaced with the following: b. $2,000 is the most we will pay for "loss" in any one "accident" lo all electronic equipment that reproduces, receives or lransmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently inslalled in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipmenl; or (3) An integral part of such equipment. 10. GLASS REPAIR - WAIVER OF DEDUCTIBLE Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "lncludes copyrighted material of lnsurance Services Offlce, lnc. with its permission" Under Paragraph D. - DEDUCTIBLE of SECTION III _ PHYSICAL DAMAGE COVERAGE the following is added: No deduclible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE - of SECTION lll -PHYSICAL DAMAGE COVERAGE is amended to add the following: lf this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident", the following applies:1. lf the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or2. lf the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMEI{DED DUTIES IN THE EVEI{T OF acctDEltT, GLAIV|, SUtr OR LOSS Paragraph 4.2.a. - DUTIES lN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS Of SECTION lV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following:a. ln the event of'accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is known to: (1) You or your aulhorized representative, if you are an individual: (2) A partner, or any authorized representalive, if you are a partnershipi (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an "accident", claim, "suit" or "loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the "accident" or "loss" occurred; (2) The "insured's'name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. ,3. WAUEN OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION lV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following:5. We will waive the righl of recovery we would otherwise have against another person or organization for "loss" to which this insurance applies, provided the "insured" has waived their rights of recovery against such person or organization under a contract or agreement that is entered into before such "loss". To the extent that the "insured's" rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do eveMhing necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. At our request, the insured will bring suil or kansfer those rights to us and help us enforce them. 14. UNINTENTIONAL FALURE TO DISCLOSE HAZARDS Paragraph 8.2. - CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION lV - BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: lf you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will nol void coverage under lhis Coverage Form because of such failure. I5. AUTOS REI{TED BY EMPLOYEES Paragraph 8.5. - OTHER INSURANCE of SECTION IV _ BUSINESS AUTO CONDITIONS - is amended to add the following:e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. lf an "employee's" personal insurance also applies on an excess basis to a covered .auto" hired or rented by your "employee" on your behalf and at your direction, this insurance will be primary to the "employee's" personal insurance. 16. HIRED AUTO - COVERAGE TERRITORY Paragraph 8.7.b.(5). - POLICY PERIOD, COVERAGE TERRITORY of SECTION lV BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (5) A covered "auto" of the private passenger type is Ieased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17- RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V - DEFINITIONS is deleted and replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the "bodily injury" sustained by lhat person. Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "lncludes copyrighted material of lnsurance Services Offlce, lnc. with its permission" THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following COI\,,tI\,4ERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE A. Seclion ll - Who ls An lnsured 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 "properly 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 hazatd" . However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. lf coverage provided to the additional insured is required by a contract or agreement, the insurance afforded lo such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. COMMERCIAL GENERAL LIABILITY cG 20 37 12 19 B. With respect to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of lnsurance: lf 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 lnsurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations. Name Of Additional lnsured Person(s) Or Organization(s)Location And Description Of Completed Operations WITERE REQUIRED BY WRITTEN CONTRACT, BUT ONLY WIIEN TTIE CONTRACT SPECIFIES COVERAGE FOR COMPLETED OPERATIONS A],L LOCATIONS I{IIERE REQUIRED BY WRITTEN CONTAACT lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations. cG 20 37 12 19 O lnsurance Services Office, lnc.,2012 POLICY NUMBER: 54310295 Page 1 of I POLICYNUMBER: 5431029iI THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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 lnsured Person(s) Or Organization(s)Location(s) Of Covered Operations 9|HERE REQUIRED BY WRITTEN CONTRACT AIL LOCATIONS }IHERE RTQUIRED BY WRITTEN CONTRACT lnformation required to complete this Schedule, if not shown above, will be shown in the Declarations A. Section ll - Who ls An lnsured 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 forthe additional insured(s) at the location(s) designated above. However: l. The insurance afforded to such additional insured only applies to lhe extent permitted by law; and 2. lf 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 prolect (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 iniury 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. cG 20 10 12 19 @ lnsurance Services Office, |nc.,2018 Page 'l of 2 COMMERCIAL GENERAL LIABILITY cG 20 10 12 19 C. With respecl to the insurance afforded to these additional insureds, the following is added to Section lll - Limits Of lnsurance: lf 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 amounl of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 ol 2 @ lnsurance Services Office, lnc., 20'18 cG 20 101219 POLTCYNUMBER. s4310295 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY INSURANCE FOR SCHEDULED ADDITIONAL INSURED This endorsement modifles insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART Additional lnsured: SCHEDULE Location Of Covered Operations: Where required by written contract (lf no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional lnsured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION lV - COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other lnsurance and supersedes any provision to the contrary: Primary And Noncontributory lnsurance This insurance is primary to and will not seek conlribution from any other insurance available to the Additional lnsured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional lnsured is a named insured under such other insurance: and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution fromany other insurance available to the Additional lnsured. 10-02-246'l (Ed.7-15) lncludes copyrighted material of Insurance Services Office, lnc., with its permission. Page 1 of 1 Policy No. 54310295 c. Method Of Sharing lf all of the other insurance permits contribution by equal shares, we will follow this method al- so. Under this approach each insurer contrib- utes equal amounts until it has paid its appli- cable limit of insurance or none of lhe loss remains, whichever comes first. lf 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 lim- it of insurance to the total applicable limits of insurance of all insurers. 5. Premium Audit a. We will compute all premiums for this Cover- age Part in accordance with our rules and rates. b. We may audit your books and records as they relate to this insurance at any time during the term of this policy and up to three years after- wards. c, The first Named lnsured must keep records of the information we need for premium computa- tion, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accu- rate and complete; b. Those statements are based upon representa- tions you made to us; and c. We have issued this policy in reliance upon your rePresentations. 7. Soparation 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 in- surance applies: a. As if each Named lnsured were the only Named lnsured; and b. Separately to each insured against whom claim is made or "suit" is brought. L Transfer Or Waiver Ot Rights Of Recovery Against Others To Us We will waive the\- erwise have had a right of recovery we would oth- gainst another person or organ-/ izalion, for loss to which this insurance applies, provided the insured has waived their rights of re- covery against such person or organization in a contract or agreement that is executed before such loss. To the extent that the insured's rights to recover all or part of any payment made under this Cover- age Part have not been waived, those rights are transferred to us. The insured must do nothing af- ter loss to impair them. At our request, the insured will bring "suit" or lransfer lhose rights to us and help us enforce them. This condition does not apply to Coverage C. 9. When We Do Not Renew lf we decide not to renew this Coverage 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 expi- ration date. lf notice is mailed, proof of mailing will be sufficient proof of notice. SECTION V - DEFINITIONS '1. "Advertisement" means an electronic, oral, written or other notice, about goods, products or services, designed for the specific purpose of attracting the general public or a specific market segment to use such goods, products or services. "Advertisement" does not include any e-mail ad- dress, lnternet domain name or other electronic address or metalanguage. 2. "Advertising injury" means injury, other than "bodi- ly injunf, "property damage" or "personal injury', sustained by a person or organization and caused by an offense of infringing, in that particular part of your "advertisement" about your goods, products or services, upon lheir: a. Copyrighted "advertisement"; or b. Registered collective mark, registered service mark or other registered trademarked name, slogan, symbol or title. 3. "Asbestos" means asbestos in any form, including its presence or use in any alloy, by-product, com- pound or other material or "waste". 4. "Auto" means: a. A land motor vehicle, trailer or semitrailer de- signed for travel on public roads, including any attached machinery or equipment; or b. Any other land vehicle that is subject to a com- pulsory or financial responsibility law or other motor vehicle insurance law in the state where it is licensed or principally garaged. However, "auto" does not include "mobile equip- ment". 5."Bodily injury" means physical: a. lniury; b. Sickness; or c, Disease; lncludes copyrighted material of ISO Properties, lnc., with its permission Page 12 of 16 Form 10-02-'1800 (Rev. 6-09) Policy Number: PEC004859504 lnsured to remove an action to the United States District Court, regardless of the jurisdiction in which, an action is commenced. G. Decla rations and Representations By acceptance of this Policy, you agree that the statements, declarations and information contained in the Application, submitted for this Policy and executed by you, and any other supplemental materials submitted to us are: 2.such statements and information are material to our undeMriting of this Policy; 3. that this Policy has been issued by us in reliance upon the truth, correctness and completeness of such statements, declarations and information, and 4.the Application, submitted for this Policy and executed by you, and any other supplemental materials submitted to us are incorporated in and made part of this Policy. H.Design Professional's lnsurance You shall require that each Design Professional, with whom you enter into a written agreement, carry professional liability insurance. l. Headings The descriptions in the headings of this Policy are solely for convenience and form no part of th e terms and conditions of this Policy. J.lnspection and Audit We shall be permitted, but not obligated, to examine, audit, monitor and inspect on a continuing basis any of your books, records, servces, properties and activities at any time, as far as they relate to the subject matter of this Policy. Neither our right to examine, audit, monitor and make inspections, or the actual undertaking thereol or any report thereon, neither constitutes an undertaking to determine or warrant that property or operations are safe, healthful, or conform to acceptable engineering practice, or are in compliance with any law, rule or regulation. Any inspections shall be coordinated through the broker or agent of the First Named lnsured. K. Other lnsura nce Unless expressly stated to the contrary, this Policy is excess orer the Self-lnsured Retention Amount and any other valid and collectible insurance whether such other insurance is stated to be primary, contributory, excess, contingent or otherwise, unless such other insurance is written specifcally excess ofthis Policy by reference in such other policy to this Policy Number in this Policy's Declarations. When any other insurance has a duty to defend a Claim, we shall ha\E no duty to defend the Claim; ifthe other insurance does not defend the Claim, we shall ha\e the right, but not the duty to defend the Claim. With regard to SECTION I - INSURING AGREEIVENTS, B. Pollution Coverages, when you are required by written agreement, executed prior to the first commencement of the Pollution Condition, to include any person or entity as an additional lnsured, such co\,e rage shall be provided on a primary and non- contributory basis to the extent required by the written agreement. @ 2018 X.L. America, lnc. All Rights Reserved May not be copied without permission. EVPCPoCCP 06 '18 vsET'10/13/2019 Page 27 ol 28 L true, correct and complete; Endorsement NumberNarned lnsured Hillcrest Contracting, lnc Policy Number5431U296Symbol: Number: Policy Period 1 0 I 0 I t2021 - 1 0 I 0 I t2022 Effective Date of Endorsement 10t01t2021 lssued By (Name of lnsurance Company) Federal lnsurance Company lnsen lhe pol cy number. The remainder of the lntormation s lo be completed only when this endorsemenl s ssued subsequent 1o lhe preparatron of the polLcy Workers' Compensation and Employers' Liability Poli CALIFORNIA WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement applies only to the insurance provided by the policy because California is shown in ltem 3.A. of the lnformation Page. 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, but this waiver applies only with respect to bodily injury arising out of the operations described in the Schedule, where you are required by a written contract to obtain this waiver from us. You must maintain payroll records accuralely segregating the remuneration of your employees while engaged in the work described in the Schedule. Schedule ( ) Specific Waiver Name of person or organization (X) Blanket Waiver Any person or organization for whom the Named lnsured has agreed by written contract to furnish this waiver. 2. Operations: 3. Premium: The premium charge for this endorsement shall be 1.0 percent of the California premium developed on payroll in conneclion with work performed for the above person(s) o. organization(s) arising out of lhe operations described. 4. Ivlinimum Premium: $0 wc 90 03 75 (05/18) Authorized Representative