Insurance Certificates 2019/20 Central CommunicationsClient#: 19579 MAPCO2
ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE {.51J.11DDNYYV)
01/0912020
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.
IINPORTANT: If the certificate holder Is an At]DITIDNAL IHSUREO, the Poflcy(les) must be endorsed. If SUBROGAT(t7HS Wct AIVED, subjeto
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 TACI
N �IER jdalcanton
ISU/Szerlip & Company, Inc. 973 467-Q400 I FAN
ArC lJu, Elf}: AC He 973-+467-0725
288 Main Street L dal�anton ..1-... }•
Millburn, NJ 07041-1031 ADDRES j _ -- —
INSURER($) AFFORDING COVERAGE NAICM
973 467-0400 -- — - --
... INSURER A : Han.wIr,urancc co. `22292
INSURED --
Central Communications
11830 Pierce Street
Suite 100
Riverside CA 92505
INSURER B:
INSURER C: _
INSURER 0 : _
INSURER E :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
...............
s ; iRD Ue POLICY EFi POLICY E%P
TR TYPE OF INSURANCE INS NFSiD POLICY NU :'8ER (MMlDDIYYYYI tµM;{ytyyyyyl _ LIMITS
A COMMERCIAL GENERAL LIABILITY ZDYD38472000 9130/2019 09/301202 EACH OCCURRENCE _ _ 511040.000 _
CLAIMS -MADE OCCUR Er'J,'
-
MEDEXP(AnVone tmracJ+i•,
S.10A00
PERSONAL&ATIVINJURY
$1,000,000
GEN'LAGGREGATErLIMIT APPLIES PER:
POLICY ❑ JEC7 LOC
GENERAL AGGREGATE ..
s21000,000
_
PRODUCTS-COMP/OPAGG
.S2,000,000^
OTHER
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S
A
AUTOMOBILE LIABILITY
--
ZDYD38472000
9/30/2019
0913012021]
co�'D1NEJ?SING. t1.IMPT
1Ea@CCldenl} —
!$: -
ANY AUTO _
BODILY INJURY (Per perscn)
,0Q0
11
ALL OWNED SCHEDULED
BODILY INJURY (Per accidonl)
AUTOS AUTOS
X HIRED AUTOS X AUUTNO-SNMF..D
! TY DAM ACIE
S
EACH OCCURRENCE
UHYD384172100
0913012019
' S20 OQU 000
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A
X UMBRELLA L1A13 X OCCUR
0913012024
EXCESS LIAR
- — . _ _. ......--.---....._......
DED ` XJ riFTENiION,tO
-
AGGREGATE _
-
s20,0.00j000 _
_
A
,
AND KERS
WHYD5620920
610112019
0610112020�pao
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EMPLOYERS'
AND>:MPLOYERS' LIABILITYANY PRTj�+I�IF f ORIPARTNCR11:kECU71VE V J N
OFF[CERTRIEMBER£%CLUUkDti [K
NIA
EL EACH ACCIDENT --
s1.000 000
(Mandatory In N under
dE
L DISEASE_ FAEMPLOY.E0
—
$1 000 000
.GR TFgN OF OPERATIDNw S below
— .__ _ _
_ _
_ .. -_- _
m
E L DISEASE -POLICY LIMIT
51,aa0,00.0
DESCRIPTION OF OPERATIONS J LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required)
City of La Quinta added as additional Insured as required by written contract. Coverage is primary an non
contributory. Waiver of subrogation where allowed by law
CERTIFICATE HOLDER CANCELLATION
City of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
78495 Calle Tampico ACCORDANCE WITH THE POLICY PROVISIONS.
La Quinta Ca 92253
AUTHORIZED REPRESENTATIVE
01988-201tirACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01) 1 of 1 The ACORD name and logo are registered marks of ACORD
#S291154/M291153 JDC
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL GENERAL LIABILITY BROADENING ENDORSEMENT
j This endorsement modifies insurance provided under the following
COMMERCIAL GENERAL LIABILITY COVERAGE PART
I
SUMMARY OF COVERAGES
Additional Insured by Contract, Agreement or Permit
Additional Insured — Primary and Non -Contributory
Blanket Waiver of Subrogation
Bodily Injury Redefined _
Broad Form Property Damage — Borrowed Equipment, Customers Goods & Use of Elevators
Knowledge of Occurrence
Liberalization Clause
Medical Payments — Extended Reporting Period
1.
Include
Include
2.
3.
4.
Included
Included
j Included
Included
5.
6.
7.
Included
8.
Included
Included
9.
Newly Acquired or Formed Organizations - Covered until end of policy period
10.
Non -owned Watercraft
51 ft.
11.
Supplementary Payments Increased Limits
- Bail Bonds $2,500
Loss of Earnings $1000
12. Unintentional Failure to Disclose Hazards Included
13. Unintentional Failure to Notify Included
This endorsement amends coverages provided under the Commercial General Liability Coverage Part through
new coverages, higher limits and broader coverage grants.
1. Additional Insured by Contract, Agreement or
Permit
The following is added to SECTION II — WHO IS
AN INSURED:
Additional Insured by Contract, Agreement or
Permit
a. Any person or organization with whom you
agreed in a written contract, written agreement
or permit that such person or organization to
add an additional insured on your policy is an
additional insured only with respect to liability
for "bodily injury", "property 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, but only with respect to:
(1) "Your work" for the additional insured(s)
designated in the contract, agreement or
permit;
(2) Premises you own, rent, lease or occupy;
or
(3) Your maintenance, operation or use of
equipment leased to you.
b. The insurance afforded to such additional
insured described above:
(1) Only applies to the extent permitted by
law; and
(2) Will not be broader than the insurance
which you are required by the contract,
agreement or permit to provide for such
additional insured.
421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 4
(3) Applies on a primary basis if that is
required by the written contract, written
agreement or permit.
(4) Will not be broader than coverage
provided to any other insured.
(5) Does not apply if the "bodily injury",
"property damage" or "personal and
advertising injury" is otherwise excluded
from coverage under this Coverage Part,
including any endorsements thereto.
c. This provision does not apply:
(1) Unless the written contract or written
agreement was executed or permit was
issued prior to the "bodily injury", "property
damage", or "personal injury and
advertlsing Injury".
(2) To any person or organization included as
an insured by another endorsement
issued by us and made part of this
Coverage Part.
(3) To any lessor of equipment:
(a) After the equipment lease expires; or
(b) If the "bodily injury", "property
damage", "personal and advertising
injury" arises out of sole negligence of
the lessor
(4) To any:
(a) Owners or other interests from. whom
land has been leased which takes
place after the lease for the land ex-
pires; or
(b) Managers or lessors of premises if:
(i) The occurrence takes place after
you cease to be a tenant in that
premises; or
(ii) The "bodily injury", "property
damage", "personal injury" or
"advertising injury" arises out of
structural alterations, new con-
struction or demolition operations
performed by or on behalf of the
manager or lessor.
(5) To "bodily injury", "property damage" or
"personal and advertising injury" arising
out of the rendering of or the failure to
render any professional services.
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision,
hiring, employment, training or monitoring
of others by that insured, if the
"occurrence" which caused the "bodily
injury" or "property damage" or the offense
which caused the "personal and
advertising injury" involved the rendering
of or failure to render any professional
services by or for you.
d. With respect to the insurance afforded to
these additional insureds, the following is
added to SECTION III — LIMITS OF
INSURANCE:
The most we will pay on behalf of the
additional insured for a covered claim is the
lesser of the amount of insurance:
1. Required by the contract, agreement or
permit described in Paragraph a.; or
2. Available under the applicable Limits of
Insurance shown in the Declarations.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
2. Additional Insured — Primary and Non -
Contributory
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 4. Other insurance:
Additional Insured — Primary and Non -
Contributory
If you agree in a written contract, written
agreement or permit that the insurance provided to
any person or organization included as an
Additional Insured under SECTION II — WHO IS
AN INSURED, is primary and non-contributory,
the following applies:
If other valid and collectible insurance is available
to the Additional Insured for a loss covered under
Coverages A or B of this Coverage Part, our
obligations are limited as follows:
a. Primary Insurance
This insurance is primary to other insurance
that is available to the Additional Insured
which covers the
Additional Insured as a Named Insured. We
will not seek contribution from any other
insurance available to the Additional Insured
except:
(1) For the sole negligence of the Additional
Insured;
(2) When the Additional Insured is an
Additional Insured under another primary
liability policy; or
(3) when b. below applies.
If this insurance is primary, our obligations are
not affected unless any of the other insurance
is also primary. Then, we will share with all
that other insurance by the method described
in c. below.
421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 4
b. Excess Insurance
(1) This insurance is excess over any of the
other insurance, whether primary, excess,
contingent or on any other basis:
(a) That is Fire, Extended Coverage,
Builder's Risk, Installation Risk or
similar coverage for "your work";
(b) That is Fire insurance for premises
rented to the Additional Insured or
temporarily occupied by the Additional
Insured with permission of the owner;
(c) That is insurance purchased by the
Additional Insured to cover the
Additional Insured's liability as a
tenant for "property damage" to
premises rented to the Additional
Insured or temporarily occupied by the
Additional with permission of the
owner; or
(d) If the loss arises out of the
maintenance or use of aircraft, "autos"
or watercraft to the extent not subject
to Exclusion g. of SECTION I —
COVERAGE A — BODILY INURY
AND PROPERTY DAMAGE
LIABILITY.
(2) When this insurance is excess, we will
have no duty under Coverages A or B to
defend the insured against any "suit" if any
other insurer has a duty to defend the
insured against that "suit". If no other
insurer defends, we will undertake to do
so, but we will be entitled to the insured's
rights against all those other insurers.
(3) When this insurance is excess over other
Insurance, we will pay only our share of
the amount of the loss, if any, that
exceeds the sum of:
(a) The total amount that all such other
insurance would pay for the loss in the
absence of this insurance; and
(b) The total of all deductible and self
insured amounts under all that other
insurance.
We will share the remaining loss, if any,
with any other insurance that is not
described in this Excess Insurance
provision and was not bought specifically
to apply in excess of the Limits of
Insurance shown in the Declarations of
this Coverage Part.
insurer contributes equal amounts until it has
paid its applicable limit of insurance or none of
the loss remains, whichever comes first. If any
of the other insurance does not permit
contribution by equal shares, we will contribute
by limits, Under this method, each insurer's
share is based on the ratio of its applicable
limit of insurance to the total applicable limits
of insurance of all insurers
3. Blanket Waiver of Subrogation
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 8. Transfer Of Rights
Of Recovery Against Others To Us:
We waive any right of recovery we may have
against any person or organization with whom you
have a written contract that requires such waiver
because of payments we make for damage under
this coverage form. The damage must arise out of
your activities under a written contract with that
person or organization. This waiver applies only to
the extent that subrogation is waived under a
written contract executed prior to the "occurrence"
or offense giving rise to such payments.
4. Bodily Injury Redefined
SECTION V — DEFINITIONS, Definition 3. "bodily
injury" is replaced by the following:
3. "Bodily injury" means bodily injury, sickness or
disease sustained by a person including death
resulting from any of these at any time. "Bodily
injury" includes mental anguish or other
mental injury resulting from "bodily injury".
5. Broad Form Property Damage — Borrowed
Equipment, Customers Goods, Use of
Elevators
a. SECTION I — COVERAGES, COVERAGE A —
BODILIY INJURY AND PROPERTY
DAMAGE LIABILITY, Paragraph 2.
Exclusions subparagraph j. is amended as
follows:
Paragraph (4) does not apply to "property
damage" to borrowed equipment while at a
jobsite and not being used to perform
operations.
Paragraphs (3), (4) and (6) do not apply to
"property damage" to "customers goods" while
on your premises nor do they apply to the use
of elevators at premises you own, rent, lease
or occupy.
b. The following is added to SECTION V —
DEFINTIONS:
c. Method Of Sharing 24. "Customers goods" means property of
If all of the other insurance permits your customer on your premises for the
contribution by equal shares, we will follow this purpose of being:
method also. Under this approach each
421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 4
a. worked on; or
b. used in your manufacturing process.
c, The insurance afforded under this provision is
excess over any other valid and collectible
property insurance (including deductible)
available to the insured whether primary,
excess, contingent
6. Knowledge of Occurrence
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 2. Duties in the Event
of Occurrence, Offense, Claim or Suit:
e. Notice of an "occurrence", offense, claim or
"suit" will be considered knowledge of the
insured if reported to an individual named
insured, partner, executive officer or an
"employee" designated by you to give us such
a notice.
7. Liberalization Clause
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS:
Liberalization Clause
If we adopt any revision that would broaden the
coverage under this Coverage Form without
additional premium, within 45 days prior to or
during the policy period, the broadened coverage
will immediately apply to this Coverage Part.
8. Medical Payments — Extended Reporting
Period
a. SECTION I —COVERAGES, COVERAGE C —
MEDICAL PAYMENTS, Paragraph 1.
Insuring Agreement, subparagraph a.(3)(b)
is replaced by the following:
(b) The expenses are incurred and reported
to us within three years of the date of the
accident; and
b. This coverage does not apply if COVERAGE
C — MEDICAL PAYMENTS is excluded either
by the provisions of the Coverage Part or by
endorsement.
10. Non -Owned Watercraft
SECTION I — COVERAGES, COVERAGE A
BODILY INJURY AND PROPERTY DAMAGE
LIABILITY, Paragraph 2. Exclusions,
subparagraph g.(2) is replaced by the following:
g. Aircraft, Auto Or Watercraft
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used to carry persons or
property for a charge;
This provision applies to any person who,
with your consent, either uses or is
responsible for the use of a watercraft.
11. Supplementary Payments Increased Limits
SECTION I — SUPPLEMENTARY PAYMENTS
COVERAGES A AND B, Paragraphs 1.b. and
1.d. are replaced by the following:
1.b.Up to $2,500 for cost of bail bonds required
because of accidents or traffic law violations
arising out of the use of any vehicle to which
the Bodily Injury Liability Coverage applies.
We do not have to furnish these bonds.
1.d.All reasonable expenses incurred by the
insured at our request to assist us in the
investigation or defense of the claim or "suit",
including actual loss of earnings up to $1000 a
day because of time off from work.
12. Unintentional Failure to Disclose Hazards
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 6. Representations:
We will not disclaim coverage under this Coverage
Part if you fail to disclose all hazards existing as of
the inception date of the policy provided such
failure is not intentional.
13. Unintentional Failure to Notify
The following is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY
CONDITIONS, Paragraph 2. Duties in the Event
of Occurrence, Offense, Claim or Suit:
9. Newly Acquired Or Formed Organizations Your rights afforded under this policy shall not be
SECTION II —WHO IS AN INSURED, Paragraph prejudiced if you fail to give us notice of an
SE
SE is replaced by the following: "occurrence", offense, claim or "suit", solely due to
your reasonable and documented belief that the
a. Coverage under this provision is afforded until "bodily injury" or "property damage" is not covered
the end of the policy period. under this policy,
ALL OTHER TERMS, CONDITIONS, AND EXCLUSIONS REMAIN UNCHANGED.
421-2915 06 15 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 4
Hanover
Ittsu,artrr rrnup_
WORKERS COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE POLICY
03 EXTENSION OF INFORMATION PAGE FOR ITEM #4 - RENEWAL POLICY
RENEWAL OF WHY-D562092
PP61Tcy ff5`m_ ber Policy Period
From To
_WHY-D562092-01 06/01/2019 06/01/2020
ITEM 1. Named Insured and Address
MAP COMMUNICATIONS HOLDINGS
INC
840 GREENBRIER CIRCLE STE 202
CHESAPEAKE VA 23320
NCCI COMPANY NO. 13633
Coverage is Provided in ffi a Agency Cade j
THE HANOVER INSURANCE COMPANY 4108644 1
Agent Telephone: 973-4f7-0400
SZERLIP & CO., INC.
268 MAIN ST,
MILLBURN, NJ 07041
Federal ID No. 541782601 NJTIN 223064901 00 0 Bureau File No. 918102310
POLICY ** S C H E D U L E O F O P E R A T I O N S ** SCHEDULE
PAGE 13 PAGE 5
ITEM 4. CLASSIFICATION OF OPERATIONS EST RATE EST
ST LOCT CODE TYP TOT-ANN PER$100 ANNUAL
Y NO RSK REMUNERATION PREMIUM
-- ------------------------------------ ------------------
0930 PREMIUM FOR WAIVER OF SUBROGATION I ,050I 401
WMMA-
9740VRORISM .020 650
INSURANCE GUARANTEE ASSOCIATION $0
USER FUNDING ASSESSMENT $267
UNINSURED EMPLOYERS BENEFITS TRUST FUND ASSESSMENT $15
SUBSEQUENT INJURIES BENEFITS TRUST FUND ASSESSMENT $51
ANTI -FRAUD SURCHARGE $53
OCCUPATIONAL SAFETY AND HEALTH FUND $70
LABOR ENFORCEMENT AND COMPLIANCE FUND $63
--------------------------------------------------------------------------
Form 331-0226(9-03)
Date Issued: 06/21/2019 ORIGINAL/INSURED Payment Type: DIRECT BILL
WC000001A
ACDECI
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
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, (This agreement applies only to the extent that you perform
work under a written contract that requires you to obtain this agreement from us.)
You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 5
due on such remuneration.
Person or Organization
CITY OF LA QUINTA
LA QUINTA, CA 92253
% of the California workers' compensation premium otherwise
Schedule
Job Description
78495 CALLE TAMPICO
This endorsement changes the policy to which it is attached and is effective on the d;ite issued unless otherwise stated
(The information below is required only when this endorsement Is issued subsequent to preparation of the policy.)
Endorsement Effective Policy No. WHY-D S 62 0 9 2 - 01 Endorsement No.
Insured
Insurance Company THE HANOVER INSURANCE COMPANY
Countersigned By
WC 04 03 06 (Ed 04-84)
1 lie
Hanover
InsrAr:ntrr t:rrnipr
WHYD562092 4108644
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA
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. (This agreemeni applies only to the extent that you perform
work tinder a written contract that requires you to obtain this agreement from us.)
You most maintain payroll records accurately segregating the remuneration of your employees while engaged in the work
described in the Schedule.
The additional premium for this endorsement shall be 5
due on such remuneration.
Person or Organization
CITY OF LA QUINTA
LA QUINTA, CA 92253
% of the California workers' compensation premium otherwise
Schedule
Job Description
78495 CALLE TAMPICO
This endorsement chances the poticy to which it is attached and Is ertecirve on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issue.rl subsequent to proparation of the policy.)
Endorsement Effective Policy No. WHY-D562092-01 Endorsement No.
Insured
Insurance CompanyTHE HANOVER INSURANCE COMPANY
Countersigned By
...............
WC 04 03 06 (Ed 04-84)
MAP COMMUNICATIONS COMMUNICATIONS HOLQjNGS
Location: 1
Owners Lessees Or Contr-CM-0 7
IC Industrial REIT c/o
Business Credentialing Service
Inc PO Box 1055
Morristown NJ 07960
Location: 1
Owners Lessees Or Contr CG2037
CBRE
3015 Coastline Dr
Orlando FL 32808
Location: 1 .
Designated Person/Org CG2026
City Of La Quinta
78495 Calle Tampico
La Quinta CA 92253
Location: 1
Owners I_e;sspes Or Contr CG2037
Washington Square Associates
see change endt # 221-0163
PO Box 1055
Morristown NJ 07960
Location: 30
Masraraers or Lessors CG2011
Olympia Bendix One LLC
272 Bendix Road Ste 200
Virginia Beach VA 23452
ZDY D384720 02
SZERLIP & CO., INC.
General Liability of Additional Interest
Location: 1
Owners Lessees Or Contr CG2010
CBRE
3015 Coastline Dr
Orlando FL 32808
Location: 1
Owners Lessees Or Conk CG2010
Washington Square Associates
see change endt # 221-0163
PO Box 1055
Morristown NJ 07960
LQ.cation: 1
Owners Lessees Or COT11T CG2010
IC Industrial REIT c/o
Business Credentialing Service
Inc PO Box 1055
Morristown NJ 07960
LQcat io n : 1
Managers or. Lessors CG2011
JL Dyer LLC
Attn: Juan Moreno
12223 Kings Eagle Street
Las Vegas NV 89141
Loccation: 32
Managers or Lessors CG2011
EOS at Ridgewood Corporate
Center I
PO Box 1055
Morristown NJ 07960
Hanover
ltis�.rranrt• [
401-0153 01/05 Page 27 Issued 10/07/2019
i,;'.?
Original Insured
002692