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Insurance Certificates 2018/19 Party PalsPARTPAL-01 NG UL CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDYYYY) 4� 1213/2018 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 ADD111ONA. L 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). PRODUCER' License # OL42969 CONTACT C3 Risk 8, Insurance Services PHONE FAX 404 Camino: Del Rlo S. STE 410 (AIC, No, Ext): (619) 233-8000 (AIC, No):(619) 864-7106 San Diego, CA 92108, AODRLss: policy@c3lnsurance.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Admiral Insurance Cio m INSURED Party Pals, General Partnership INSURERB : Nationwide Mutual Insurance Company 23787 Juegos Y Mas Inc., Party Pals Inc. INSURER C : Party Pals North, General Partnership INSURERD : 10427 Roselle Street San Diego, CA 92121 INSURERE : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION Nl1MIRF=R- 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 CONDFFION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERT]FIC.ATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU BJECT TO ALL THE TER M S, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE DDL INSO UBR YIMD POLICY NUMBER POLICY EFF MMIppNVW POLICY EXP MMIDDIYYYY LIMITS A X COMMERCiALGENERAL LIABILITY CLAIMS -MADE OCCUR X X CA000031380-01 7115/2018 7/15/2019 EACH 1,000,000 aOCCURRENCE DAMAGETOENTID , M5ER occurrnncO $ 100,000 MED EXP Any one person) $ 5,000 PERSONAL & ADV. INJURY 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER' X POLICY ❑ i8T ❑ LOC GENERALAGGREGPTE $ 2,000,000 PRODUCTS -coMProPArG $ 2,000,0.00 $ OTHER, _ B AUTOMOBILE LIIIBIUTY Ea aixCOMSINGLE LIMIT tcderiflX $ 1,000,000 ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X X CP7865282020 12/16/2017 12/16/2018 BODILY INJURY (Perperson) $ BB�ODIL INJURYPer accident) $ A.01511%nt) MAGE $ AUTOSPd1T ONLY OS NLDY EACH OCCURRENCE 17000,000 A UMBRELLA LIAB X OCCUR X AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE GX000001486-01 7/15/2018 7/15/2019 DED I I RETENTION 3 $ WORKERS COMPENSATION! AND EMPLOYERS' LIABIL€7Y YIN ANY PRO PR€ETORIPARTNER1ExECUTIYc OFF10ERlME1NBcREXCLUDED? ❑ {Mandatory n ) it der, ibs under DESCRIPTION 0F'OPERATIONS below NIA PER I OTH- STATUTE I iER E.L_EACH ACC !DENT $ E.L. DISEASE - EA EMPLOYEE $ E.L_DISEASE- POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddltIonal Remarks Schedule may be attached If more space is required) Additional insureds are listed as/wh6re required by written contract as respects General Liability, Auto Liability, General Liability waiver of subrogation, Auto Liability waiver of subrogation, General Liability Primary Non -Contributory wording, Auto Liability Primary Non -Contributory wording, but limited to the operations of the Insured under said contract, and always subject to all the policy terms, conditions and exclusions per endorsements attached. The City of La Quinta, its officers, officials, employees and agents are included, as additional insured, per attached form. Waiver of subrogation applies to Workers Compensation, per attached forms. CERTIFICATE HOLDER CANCELLATION City of La Qulnta 78450 Avenida La Fonda La Quintet, CA 92253 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICIE WILL BE DELIVERED IN ACCORDANCE" WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988=2015 ACORD CORPORATION. All :rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL AUTO AC 70 05 03 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT "CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds— Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments —Bail Bonds F: Supplementary Payments— Loss of Earnings G. Personal Effects and Property .of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee — Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos — Physical Damage Coverage L. Expanded Towing Coverage. M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types O. Deductib.le Amendments P. Rental Reimbursement Coverage 0. Expanded Transportation Expense R.. Extra Expense — Stolen Autos S. Physical Damage Limit. of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions — Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Errmergency Lock Out Z. Cancellation Condition AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc. with its permission ACP BA 78-5-5282020 L78C 163,11 INSURED COPY AC7005031600 0001 Page 1 of 7 47 0026935 COMMERCIAL AUTO AC 70 05 03 16 A. EFFECT OF THIS: ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this, endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar in- surance available to that organization. Coverage under this provision is afforded until the 180" day after you acquire or -form the organization or the end of the policy period, whichever is later: C: EMPLOYEES. AS INSUREDS - NO.NOWNED AUTOS The following is added to paragraph A.1. Who Is An Insured of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D: ADDITIONAL. INSURED BY %CONTRACT, PERMIT OR AGREEMENT The following is added to A.1. Who Is An In- sured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are re- quired to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury" or "property damage" occurrence is an "insured' for Covered Auto Liability coverage. How- ever; with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.1. Who is an Insured of SECTION 11 — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance avail- able to the additional insured shall be non- contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non-contributory, then this insurance will be excess over any other valid and collectible insur- ance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500for cast 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. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The, Care, Custody or Control Exclusion of SECTION II — COVERED .AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE. c. We will pay up to $500 for your property that is last or damaged as a result of a covered "loss", without applying a de- ductible. Coverage is excess over any other valid and collectible insurance. Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc. AC 70=05 0316 with its permission ACP BA 78-5-5282020 L78C 16318 INSURED COPY A07005011600 0001 47 0026936 H. PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION I I — COVERED AUTOS LIABILITY COVERAGE, 2: Coverage Extensions, a. Supplementary Payments: (7) Prejudgment interest awarded against the "insured" on that :part of the judgment we :pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. I. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND,SUPERVISORS The Fellow Employee Exclusion in SECTION II —COVERED AUTOS LIABILITY COVERAGE is replaced as follows; A "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the con- duct of your business. This exclusion does not apply to an "insured" who occupies a :position as an officer, manager, or supervi- sor. J, HIRED AUTO PHYSICAL DAMAGE If covered "auto" designation symbols 1 or 8 ap- ply to Liability Coverage and if at least one "au- to" you own is covered by this policy for Com- prehensive, Specified Causes of Loss, or Colli- sion coverages, then the Physical Damage cove rages: provided are, extended to "autos" you lease, hire, rent or borrow without a driver, and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage apply up to e limit of $100,000. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Compre- hensive deductible does not apply to fire or lightning. K. TEMPORARY SUBSTITUTE .AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I - COVERED AUTOS: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary AC 70 05 0316 ACP BA 78-5-5282020 COMMERCIAL AUTO' AC 70 05 03 16 substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. L. EXPANDED TOWING COVERAGE 1. We Will p.ay up to: a. $10.0 for a covered "auto" you own of the private passenger type, or b. $500 for a covered "auto" you own that is. not of the private passengertype, for towing and labor costs incurred each time the covered "auto" is disabled. Howev- er, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount. of each coverage you have on a covered "auto". M. AUTO LOAN ;OR.LEASE COVERAGE 1,; In the event. of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease, including up to a max- imurn of $500 for early termination fees or penalties, for your covered "auto" less' a. The amount paid under SECTION III — PHYSICAL DAMAGE COVERAGE of this policy; and b. Any:. 1) Overdue, leasedoan payments at the time of the "loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not refunded by a lessor; 4) Costs of extended warranties, Credit Life insurance, Health, Accident, or Disability iinsurance purchased with the lease; and Includes copyrighted material of Insurance Services Office, Inc., with its permission L79C 16313 INSURED COPY A07005031600 0001 Page 3of7 47 0026937 COMMERCIAL AUTO AC 70 0.5 03 16 5) Carry-over balances from previous No deductible applies to glass if the glass is re" leases. paired, in a manner acceptable to us, rather than 2: This coverage only applies to a "loss" which replaced. is also covered under this .policy for Com- P. RENTAL REIMBURSEMENT COVERAGE prehensive, Specified Causes of Loss, or 1. This coverage applies only to a covered "au - Collision coverage. to" for which Physical Damage Coverage is 3. Coverage does not apply to any unpaid provided on this: policy. amount due on a loan for which the covered 2. We will pay for rental reimbursement ex- "auto" is not the sole collateral. penses incurred by you for the rental of an N. ORIGINAL EQUIPMENT MANUFACTURER "auto" because of "loss" to a covered "auto". PARTS — LEASED PRIVATE PASSENGER Payment applies in addition to the otherwise TYPES applicable amount of each coverage you Under Paragraph C. Limit of Insurance of have on a covered "auto." No deductibles SECTION III — PHYSICAL DAMAGE apply to this coverage. COVERAGE, Section 4 is added as follows: 3. We will pay only for those expenses incurred 4. 1Ne will use new original equipment vehicle during the policy period beginning 24 hours manufacturer parts for any private passen- after the "loss" and ending, regardless of the ger type covered. "auto" where required by policy's; expiration; with the lesser of the the lease agreement which has a term of at following; number of days: least six months. If a new original equip- a. The number of :days reasonably ment vehicle. manufacturer part is not in pro- required to repair or replace the covered duction or distribution we may use a like, "auto". If "loss" is caused by theft, this kind and quality replacement part. number of days is added to the number O. DEDUCTIBLE AMENDMENTS of days it takes to locate the covered The following are added to the Deductible provi- auto and return it to you. s.ion of SECTION III — PHYSICAL DAMAGE b, The number of days shown in the COVERAGE: Schedule. If another policy or coverage form that is not an 4. Our payment is limited to. the lesser of the automobile policy or coverage form issued by following amounts: this company applies to the same "accide.01", the a. Necessary and actual expenses following applies: incurred. 1. If the deductible under this coverage is the b. $75 for any one day or for a maximum smaller (or smallest) deductible, it will be of 30 days. waived: 5. This coverage does not apply while there 2. If the deductible underthis coverage is not are spare or reserve "autos'' available to you the smaller.( or smallest) deductible, it will .be for your:ope.rations. reduced by the amount of the smaller (or 6. If "loss" results from the total theft of a cov- stmallest) deductible. ered "auto" of the private passenger type, If a Comprehensive:or'Specified Causes :of Loss we will pay under this coverage only that Coverage ``loss" from one "accident" involves amount of your rental reimbursement ex - two or more covered "autos", only the highest penes which is not already provided for un- deductible applicable to those coverages will be der SECTION III — PHYSICAL DAMAGE applied to the 'accident," if the cause of the loss COVERAGE Coverage Extension. is covered for those vehicles. This. provision.only Q. EXPANDED TRANSPORTATION EXPENSE: applies if you carry Comprehensive or Specified Paragraph A.4.a. of SECTION III — PHYSICAL Causes of. Loss Coverage for those vehicles, DAMAGE COVERAGE is replaced by the follow - and does not extend coverage to any covered "autos" for which you do not carry such ing: coverage. We will pay up to$50 per day to a maximum of $1500 for temporary transportation expense in- curred by you because of the total theft of a Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 0316 with its permission. ACP BA 785-5282090 L78c 163i3 JNSURED COPY AC7005031600 0001 47 0026938 covered "auto" of the private passenger type. We will only :pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage We will pay for tem- porary transportation expenses incurred during the period beginning 24 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". R. EXTRA EXPENSE—. STOLEN AUTOS The following paragraph is added to Coverage Extensions oil SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec- ified Causes of Loss Coverage S. PHYSICAL DAMAGE LIMIT OF INSURANCE T Under SECTION III — PHYSICAL DAMAGE COVERAGE, Paragraph C., Limit of Insurance is replaced by the following: C. Limit Of Insurance 1. The most we will pay for '`loss" in any one "accident" is the lesser of: a, The actual cash value of the damaged or stolen property as of the time of the "`boss"; or b. The cost of repairing or replacing the damaged or stolen property. 2. $1500 is the most we will pay for "loss" in any one "accident" to all electronic equip- ment that reproduces, receives or transmits Audio, visual or data signals which; at the time of "loss", is; a. Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the in- stallation of such equipment. b. Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment;:or c. An integral part of such equipment. 3. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event:of a total "loss". 4. The cost of repairing or replacing may: a. Be based on an estimate which includes parts furnished by the original equip - COMMERCIAL AUTO AC 70 05 03 16 ment manufacturer or other sources in- cluding non -original equipment manu- facturers and b. If a repair or replacement results in bet- ter than like kind or quality, we will not pay for the: amount of the net improve- ment. 5. If we .offer to pay the actual cash value of the damaged or stolen property, we will value auto advertising wraps, paint customi- zation, and similar business related :advertis- ing modifications, in addition to the actual cash value of the property. Auto advertising wraps, paint customization, and similar business related advertising modifications will be valued at the cost to replace them with an :adjustment made for depreciation and physical condition. NEW VEHICLE REPLACEMENT COST The following is added to the Limit of Insurance provision of SECTION III — PHYSICAL DAMAGE COVERAGE: 5. The provisions of paragraphs 1. and 3. do not apply to a covered "auto" of the private passenger type or a vehicle with a gross vehicle weight rating of 20,000 pounds or less which is a "new vehicle." In the event of a total "loss" to .your new ve- hicle to which this coverage applies, we will pay at your option: a. The verifiable "new vehicle" purchase price you paid for your damaged vehi- cle, not including any insurance or war- ranties purchased, b. If it is available, the purchase price, as negotiated by :us, of a "new vehicle" of the same make, model, and equipment or the most similar model available, not including any furnishings, parts, or equipment not installed by the manufac- turer or manufacturers' dealership; or. c. The market value of your damaged ve- hicle, not including any furnishings, parts, or equipment not installed by the manufacturer or manufacturer's dealer- ship. We will not pay for initiation or set up costs associated with loans or leases As used in this endorsement, a "new vehicle" means an "auto" of which you are the original owner that has not been previ- AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission ACP BA 78-5-5282020 L78C 16313 INSURED COPY A07005031600 0001 Page 5 of 7 47 0026939 COMMERCIAL AUTO AC 70 0.5 03 16 ously titled and which you purchased less a. Your obligation in the Duties in the Event than 365 days before the date of the "loss". of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements U. PHYSICAL DAMAGE COVERAGE applies only when the "accident" or EXTENSIONS "loss" is known to: Under SECTION III —. PHYSICAL DAMAGE (1) You, if you are an individual; COVERAGE, A. Coverage, Coverage Exten- (2) A partner, if you are a partnership; sions, b. Loss of Use Expenses is replaced by (3) A member, if you are a limited liability thefollowing; company; or b. Loss of Use Expenses (4) An executive officer or insurance For Hired Auto Physical Damage; we will manager, if you are a corporation. pay expenses for which an "insured" be- b: Your obligation in the. Duties in the Event comes legally responsible to pay for loss of of Accident, Cla. im, Suit or Loss.Condition use of a vehicle rented or hired without a relative to providing us with documents driver, under a written rental contract or concerning a claim or "suit" will not be Agreement. We will pay for loss of use ex- considered breached unless the breach penses if caused by: occurs after such claim or "suit" is known (1 } Other than collision if the Declarations to: indicate that Comprehensive Coverage (1) You, if you are an individual; is provided for any covered "auto"; (2) A partner, if you are a partnership; (2.) Specified Causes of Loss only if the (3) A member, if you are a limited Declarations indicate that Specified liability company; or Causes of Loss Coverage is provided (4) An executive officer or insurance for any covered:"auto'; or manager, if you are a corporation. (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto." X. HIRED CAR — COVERAGE TERRITORY However, the most we will pay for any Item (5) of the Policy Period, Coverage Territory expenses for loss of use is ;$50 per day, to a GeneralConditionss replaced by the following: maximum of $1,500. The insurance provided (5) Anywheren theworldif a covered"auto" is by this provision is excess over any other leased,.hired, rented or borrowed without a :collectible insurance. driverfor a period of 30 days or less' and V. TRANSFER OF RIGHTS OF RECOVERY Y. EMERGENCY LOCKOUT AGAINST OTHERS TO US We will reimburse you up to $100 for reasonable The following is added to the Transfer Of Rights expense incurred for the services of a locksmith Of Recovery Against Others To Us Condition: to gain entry into your covered "auto" subject to We waive any right of recovery we may these provisions: have against any person or organization to 1. Your door key, electronic key or key entry the extent required of you by'a written con- pad has. been lost, stolen or locked: in your tract executed prior to any "accident" be- covered "auto" and you are unable to enter cause of payments we make for damages such "auto?', or under this coverage form. 2. Your keyless entry device battery dies and W. NOTICE OF AND KNOWLEDGE OF you are unable to enter such "auto" as a re - OCCURRENCE sult, SECTION IV — BUSINESS AUTO 3. Your key, electronic key or key entry pad CONDITIONS, Paragraph A is amended as has been lost or stolen and you have follows: changed the lock to prevent an unauthorized entryand 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE Page 6 of 7 Includes copyrighted material of Insurance Services Office, Inc AC 70 05 0316 with its permission. ACP'BA 78-5-5282020 L78C 16313 INSURED COPY AC7005031600 0001 47 0026940 4. Original copies of receipts for services of a locksmith must be provided before reim- bursement is payable. Z. CANCELLATION .CONDITION Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION appiies except as follows: AC 70 05 03 16 ACP'BA 78-5-5A2020 COMMERCIAL AUTO AC 70 :05 03 16 If we cancel for any reason other than non- payment oft premium, we will mail or deliver to the Ffrst Named Insured written notice of cancellation at feast 60 days before the ef- fective date. of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancella= tion. Includes copyrighted material of Insurance Services Office, Inc., with its permission L78C 116313.. JNSURED COPY A07005031660 0001 Page 7of7 47 0026941 POLICY NUMBER: COMMERCIAL GENERAL LIABILITY CG 20 11 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES This endorsement modifies insurance provided under the following.: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designation Of Premises (Part Leased To You): All premises leased to you and covered by thi's insurance Name Of Person(s) Or Organization(s) (Additional Insured): Any person or organization that is manager or lessor of real property. but if only coverage as an additional insured is required by written contract or written agreement that is an "insurance contract", and provided by the "bodily injury" or "property damage" first occurs, or the "personal and advertising injury" offense is first committed, subsequent to the execution of the contract or agreement Additional Premium: $ 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 arising out of the ownership, maintenance or use of that part of the premises leased to you and shown in the Schedule and subject to the following additional exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in .that premises. 1 Structural alterations, new construction or demolition operations performed by or on behalf of the person(s) or organizations) shown in the Schedule. However: 1. The insurance afforded insured' only applies to by law; and to such additional the extent permitted 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. CG 20 11 04 13 © Insurance Services Office, Inc., 2012 Page 1 :of 1 Policy Number: CA000031,380-0.1 AD 06 57 12.03 Effective: Date: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY/NON-CONTRIBUTING INSURANCE ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE It is agreed that Commercial General Liability Coverage Form'CG 00 01 Section IV paragraphs 4.b. and 4.c. do not apply with respect to other valid and collectible Commer- cial General. Liability insurance, whether primary or ex- cess, available to the person or organization sliown in the Schedule and: 1) Who is an insured under an Additional Insured - Owners, Lessees, or Contractors: ,endorsement at- tached to this policy;,.and 2) Who requires by specific written: contract that this insurance is to be.. primary and/or non-contributory to other valid and collectible insurance available to that person or organization. This endorsement does not change the scope of coverage provided to the person .or organization by airy Additional Insured endorsement. All other terms and conditions remain unchanged. AD 06 57 12 03 Page 1 of 1 Policy Number: CA000031380-.01 CG 24 04 05 09 Effective Date: 7/15/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WIVER. OF TRANSFER OF RIGHTS OF` RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided:under the following; COl1M ERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS,LMBILITY COVERAGE PART ;ZIN.I�1 1 M Name Of Person Or Organization: Per written contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph $: Transfer Of Rights Of Recovery Against Others To Us of Section 1V — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage aris- ing out of your ongoing: operations or "your work" done under a contract with that person: or organization and included in the "products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04'05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 13 Policy Number: CA000031380-01 CG 2018:0413 Effective Date: 7/15/2018 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ. IT CAREFULLY. ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR RECEIVER This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Person{s) Or Organization(s) Designation Of Premises Any person or organization that is a mortgagee, -as- All.premises covered by this insurance. signee or receiver for a premises shown in this Sched- ule, but only if coverage as an additional insured is re- quired by a written contract or written agreement that is an "insured contract."I and provided the "bodily in- jury" or "property damage" first occurs, or the "per- sonal and advertising injury" offenso is first commit- ted, subsequent to the execution of the contract or agreement. 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-asan additional.insured the person(s);or organiza- tion(s) shown in�the Schedule, but only with respect to their liability as mortgagee, as or receiver and arising out of the ownership, maintenance, or use of the premises by you and shown in the Schedule. However: 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and CG 2018 0413 © Insurance Services Office, Inc., 2012 Page 1 of 2 13 2. If coverage provided to the additionai insured is,requ1red by a contract or agreement, the insurance af- forded to such additional insured will not be b.roaderthan that which you are required by the contract or agreement to provide for such additional insured. B. This insurance does. not apply to structural alterations, new construction and demolition operations per- formed by orfor that person or organization. C. With respect to the insurance afforded to:these additional insureds, the foilowing is added to;Section III — Limits Of"Insurance: If coverage provided to the additional insured is required by a contractor agreement,; the most we will pay on behalfbf.'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. CG"20 IS 0413 © Insurance Services Office, Inc., 2012 Page 2 of 2 13 COMMERCIAL GENERAL LIABILITY CG 20 26 0.413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(%) Or Organization(s): Any person or or when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. I 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 respectto liability for "bodily injury", "propert;y damage" or "personal and advertising injury' caused, in whole or in part, by ,your acts or omissions or the acts:or omissions of those acting on your behalf: 1. In the performance of your ongoing operations; or 2. In connection with your premises owned by or rented to you. 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 applicable Limits of Decla rations: shall not increase the Insurance .shown in the CG 20 26.0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE DATE (M MIDD/YYYY) 7P27/2018 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(les) must be endorsed. If SUBROGRAT ION 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). IRODUCER Willis Towers Watson 2980 Metcalf Ave Suite 500 )verland Park KS 66213 INSURED Barrett Business Services, Ind. UC/F PARTY PALS G.P. 10427 ROSELLE STREET SAN DIEGO, CA 92121 CONTACT NAME: San Diego PHONE (A/C, No Ext): (858) 314-1100 FAX (A/C, NO): (360) 828-0699 EMAIL ADDRESS: EIke.Wohlgemuth@_bbsihq.com INSURERS) AFFORDING COVERAGE NAIC# INSURER A: ACE American Insurance Company 22667 INSURER B: INSURER .C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUES 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 AODL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR YWD IMMIDWMY) (MMIDD/YYYY) GENERAL LIABILITY EACH CC. JFPE.%C:= $ DAMAGE TO RENTED PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAlV5-MA0E_ F1 OCCUR IMED EXP (Any one person) PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIESPER: PRODUCTS-COMPIOPAGG $ POLICY ECT LOC CT `•6 AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ LODILY INJURY (Per person) $ ALL OVWEDAUTOS SCHEDULED AUTOS BODILY INJURY (Per accident) $ MIRED AUTOS NON-OVMED AUTOS e PROPERTY DAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS LIAB OCCUR. AGGREGATE $ DEQ RETENTIOt4 $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YM C55195975 08MVIB 08/01/2019 f WC STATU- TORYLIMIT S OTH- ER EL EACH ACCIDENT S2,000,000 ANY PR0FRIET0R/PARTNER/EXECUTIVE Y OFFICER/MEMBER EXCLUDED? N/ A Covered states: EL DISEASE- EAEMPLOYEE $2,00000 (Mandatory In NH) If yes. describe.under DESCRIPTION OF OPERATIONS below CA E.L DISEASE -POLICY LIMIT $:pG0,OG0 DESCRIPTION OF OPERATIONS / LOCATIONS [VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE General.Proof of WorkersCompensation Coverage EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Authorized Rep c) 1988-.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD. A«R" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 1 V2712018 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 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 be endorsed. If SUBROGRATION IS WAIVED.; :subject to theterms 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). PRODUCER Willis Towers Watson CONTACT NAME: San Diego 12980 Metcalf Ave Suite 500 PHONE (A/C. No Ext): (858) 314-1100 FAX (A/C, NO): (380) 828-0699 Overland Park KS 66213 EMAIL ADDRESS: EIke.WohlgemuthCD_bbsihq.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A, ACE American Insurance Company 22667 INSURER B: INSURED Batrett Business Services, Inc. L/C/F INSURER C PARTY PALS G.P. 10427 ROSELLE STREET INSURER D: SAN DI EGO, CA S2121 INSURER E: INSURER R COVERAGES CERTIFICATE NUMBER: REV151ON NUMbt:K: 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 ISSUES OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES. DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND17IONs OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. $NSR LTR TYPE OF INSURANCE ACIOL 1NSR SUBR VWD (POLICY NUMBER POLICY EFF (MMMCIrYYYY) POLICY RKP (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ (DAMAGE TO RENTED PREMISES (Ea occurence) $ COMMERCIAL GENERAL LIABILITY CLAIMS -MADE DOCCUR N1ED E7il' (iu,y❑ne person} :$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE: $ GEN'L AGGREGATE:LIMIT APPLIES PER:: PRODUCTS - COMP/OPAGG $ POLICY PROJ- LOC �ECT � S AUTOMOBILE LIABILITY API Y MiTQ COMBINED 51ROLE LIMIT (Ea Occident) $ INJURY (Per person) $ ALL OVMJEDAUTOS SCHEDULEDAUTOSBODILY BODILY INJURY (Per accident) $ HIRI77 AUTOS NON-OVvNED AUTOS !PROPERTY DAMAGE $ ;6 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR OCCUR. .AGGREGATE $ DED RETENTION g $ A WORKERS COMPENSATION AND EMPLOYERS' LIpBILITY YM 065195S75 08/01/18 08/0112019 WC STATU• TORY LIMITS OTH- ER E.L. EACH ACCIDENT $2,0.00.000 ANY PROPRIETOR/PARTNER/ EXECUTIVE OFFICER/MEMBER EXCLUDED Y N I A X Covered states: E.L DISEASE -EA EMPLOYEE $2,000,000 (Mand0ory In NH) If yes, de5oba under DESCRIPTION OF OPERATIONS below CA E.L. DISEASE -POLICY LIMIT $2.A00.000 DESCRIPTION OF OPERATIONS ILOCATIONS (VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if mare space is required) In the event.of any payment under this poli.icyfor a Loss for which the named Insured has waived the right of<recovery in a Written contract entered into prior to the Loss, Insurer hereby agrees to also waive our right of recovery but onlyw[th respect to such Loss. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATA THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE City of La Quinta POLJCY PROVISIONS. 78450 Avenida La Fonda AUTHORIZED REPRESENTATIVE La Quinta Ca k253 Authorized Rep c) 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010)05) The ACORD name and logo are registered marks of ACORD. Workers' Compensation and Employers' Liability Policy Named Insured Endorsement Number BARRETT BUSINESS SERVICES, INC. UC/F PARTY PALS G.P. Policy Number 8100 NE PARKWAY DRIVE, STE. 200 VANCOUVER WA 98662 Symbol: RWC Number: C65195975 Policy Period Effective pate of Endorsement 08-01-18 TO 08;01-19 08-01-18 Issued By (Name of Insurance Company) ACE AMERICAN INSURANCE COMPANY Insert the poitcy number: The; remainder of the information Is to be completed only when this andorsoment is issued subsequent to the preparation nfths pcAny. 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 Item 3.A. of the Information 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 accurately segregating the remuneration of your employees while engaged in the work described in the. Schedule. Schedule Specific Waiver Name of person or organization: ( X .); BlanketWaiver Any person .or organization for whom the Named Insured has agreed by written contract to furnish this waiver. 2. Operations: ALL CALIFORNIA OPERATIONS 3'. Premium: The premium charge for this endorsernentshall be 2.0 percent of the California premium developed on payroll ih connection with work;performed for the above persons) or organization(s) arising out of the operations described. 4. Minimum Premium: $ 0 Authorized Agent 99 03 22