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Insurance Certificates 2018/19 ViaTRON Systems, Inc
COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERT|F|CATE t{U BER: c11822609641 REVISION NUMBER: oz26t201a THIS CERTIFICATE IS ISSUED AS A IATTER OF Ii{FOR ATIOT OiILY AIIO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER. THIS CERTIFICATE DOES NOT AFFIR ANVELY OR NEGATTVELY A E D, EXTEiID OR ALTER THE COVERAGE AFFORDEO BY IHE POLICIES BELOW. THIS CERTIFICATE OF TiTSURANCE DOES t{OT CO STITUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZEO REPRESENTANVE OR PRODUCER, AND THE CERTIFICATE HOLOER IMPORTA T: lf the corlmc.b holder i. .n ADOITIONAL IISURED,tha pollcy(io.) murt hsvo AODITIOiIAL |]{SUREO provlslons or be sndorsod. lf SUBROGATIoN ls wAlvED, Bubioc{ to tho tgttia and condltlon3 ol tho polky, cart ln poltcbc mly requlro an endoEoment A st tomont on this ceilflcato do€3 not contor to tho cedmcato holdor in liou ot.uch endoBomonq8). Fred Dabiri (818)380-1391 (818)905-9385 idabiri@igainsurance comADDRESS: NSUNERS) AFFORDING COVERAGE lndependent Group Agency 21700 Oxnard Street Suite 1045 Woodland Hills.cA 91367 tNsuRER A . Sentinel lnsurance Company [{suRER B . Califomia Automobile lnsurance Company tiasURER c. Hartiord Fire lnsurance Company INSURER O Viatron Systems, lnc. cA 90248 INSUREO I 8233 S Hoover Street Gardena, I - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANC E LISTEO AELOWHAVE AEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOO INOICATED, NOTWTHSTANOING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOROED BY THE POLICIES OESCRIBED HEREIN IS SUBJECT TOALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOW! MAY II,A\€ BEEN REDUCEO BY PAID CLAIMS TYPE OF INSURANCE ll,lso POUCY NUT'AER UMITSxCOMMERCLAL GENERAI LIABILITY GEN'L AGGREGATE LIMITAPPLIES PER:x *.,"" l-l 5F"9 l-l .o" OTHER: 57 S8A 4V3417 1U20t2017 1012ot2018 E:ACH OCCURRENCE $ 1,000,000 PREM SES (Ea o@ren@l i 300,000 MEo EXP (any on. D€rson)$ 10,000 PERSONAL & AOV INJURY $ 1,000,00o GEN ERAL AGGREGATE $ 2,000,000 PROOUC'TS COMPOP AGG $ 2,000,000 s B AUTOiIOBILE UABIUTY AUIOS ONLY tllREO AUTOS ONLY SCHEOULEO AUIOS NON OWIEO AUTOS ONLY 8A040000015.173 ost22/2017 o5l2z201a $ 1,000,000 BOOTLY TNJURY (P6r ,€rs.n)s BOoILY INJURY (Per aeid€n0 S I sx EXCESS IIAB OCCUR CIAIMSMADE 57 SAA AV3417 10t20t20,17 10t2012414 EACH @CURRENCE 5'1,000,00o AGGREGCTE $ 1,000,000 OED RETENTON S $ WOR(ERS CO PENSANON AND EI{PLOERS' LIABIUfY ANY PROPRIETOR/PARTNER/EXECUT]!E OFFICER/VEMBER EXCLUDEO? OESCRIPTION OF OPERATIONS below STATUTE OTH ER EL EACH ACC DENT s EL OISEASE EAEMPLOYEE s E L OISEASE , POLICY L]MIT $ C ERRORS A OM[,IISSIONS LIABILITY 72rE 0294256 1a 011251201A 01125t2019 EACH CLAIM AGGREGATE 2,000,000 2,000,000 I,€SCRIPTIOi{ Of OPEFATTONS / lOCAnOilS / VEHICLE3 {A@it toi,ld.|trorrl R.mrr. Sclrda, lll., !..n d..t ll figt.fa b iqut|rd] Cily of La Quinta, lts employees, Oflioals, Agents and Member Agencjes, have been mmed as addtooal insured as respect to the cenerat Liability, per attached form 1H12001185. Waiver of Subrogation is induded for the Cenifcatq Hotder. CERTIFICATE HOLDER 1988-2015 ACORD CORPORATION. All rights rosorved. ABOVE OESCRIBED POLIqES AE CANCELLED BEFORE TE THEREOF, M)TICE WLL BE OELIVERED IN IHE POLICY PROVISIOI{S. SI{OULD AI{Y OF THE EXFIRA NKNcA 92253 Ciiy of La Quintia 78495 Calle Tampico La Ouinta I acoRD 2s (2016/03)The ACORD name and logo a]B ma*s ACORD I I- ] ",. ,*"-*o. [ *"r" POLICY NUMBER: s7 sBA Av3417 THIS ENDORSEMENT GHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDTTIONAL INSI'RED _ PERSON-ORGANI ZATION 750 N AIJA,}IEDA ST LOS ANGELES CA 90012 EMC CORPORATION 171 SOUTH STREET HOPKINTON, MASSACHUSETTS 0174 8 CAI,IFORNIA STATE I]NIVERSITY, LONG BEACI{, THE STATE OF CALTFORNIA, THE TRUSTEES OF THE CAIJIFORNIA STATE i'NIVERSITY, THE UNIVERSITY AND THE EMP],OYEES, OFFICERS AND AGENTS OF EACH OF THEM. 1250 BE],],FLOWER B],VD LONG BEACH, CA 90810 LOC 001 CDW LOGISTICS & AFFTLIATES & llIEIR OFFTCERS DIRECTORS AND EMPTJOYEES 2OO NORTH MIIJWAUKEE AVENUE VERMON HILLS, IL 50051 MAGUIRE/CERRITOS I, LLC, A DEI,AWARE LIMITED LIABILITY COMPANY, CREDIT SUISSE FIRST BOSTON, A SWTSS BANK OPERATING THROUGH ITS NEW YORK BRANCH, MAGUIRE PROPERTIES, L.P., A MARYI,AND LIMITED PARTNERSHIP, MAGUIRE PROPERTIES INC., A MARYLAND CORPORATION, AND THEIR RESPECTIVE MEMBERS, MANAGERS, PARTNERS, OFFICERS, DIRECTORS, AFFIIJTATES, AGENTS, EMPLOYEES, SUCCESSORS AND ASSIGNEES ARE ADD]TTONAL INSI'REDS. -:- CITY OF ],A QUINTA ITS EMPT.OYEES, OFFICIAIS, 78495 CALLE TAMPICO I,A QUINTA, CA 92253 STATE OF NEVADA, DIVISION ATTN: CONTRACT SERVICES 1470 COLLEGE PARKWAY CARSON CITY, NV 89706 Form lH 12 00 ll 85 T SEQ. NO. 001 Process Date: 08 / 03 / 1'7 AGENT AND MEMBER AGENCIES OF WELFARE & SUPPORTTVE SERVICES Printedin U.S.A. iage oO2 (CONTINUED oN NEXT pAGEi ' Expiration Date: ao / 20 / 18 COUNTY OF KERN, KERN COI]NTY ' S BOARD MEMBERS, OFFICIA-LS, OFFICERS, AGENTS AND EMPI,OYEES 1115 TRIIXTT'N AlE 3RD FLOOR ,,*_:.. POLICY NUMBER: s7 sBA AV3417 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF SUBROGATION EMC CORPORATION 171 SOIITH STREET HOPKTNTON, MASSACHUSETTS 0174 8 CDW LOGISTICS, ITS AFFILIATES AND ITS OFFICERS, DIRECTORS AND EMPLOYEES 2OO NORT{ MILWAUKEE AVE}II'E VERMON HILLS, IL 5 0061 l,OC : 0 01 BI:DG:001 COUNTY OF KERN, KERN COI'NTY ' S BOARD MEMBERS, OFFICIATS, OFFICERS AGENTS AND EMPLOYEES 11]-5 TRIXTUN AVE 3RD FLOOR BAKERSFIELD, CA 93301 CITY OF BAKERSFIELD ITS MAYOR, COUNCIL, OFFTCERS, AGENTS, EMPI,OYEES 15 OO TRIIXT'UN AVENUE BAKERSFIEI,D, CAIIFORNIA 93301 LOC 001/001 THE CITY OF PASADENA POLICE DEPARTMENT 207 N. GA]IFIELD AVE PASADENA, CA 91101 LOC OO2 BLDG OO1, CLARK COUNTY NEVADA C/O PI'RC}IAS ING GOVERNMENT CENTER 4TH FTJ 5OO S GRAND CENTRAL PKI{AY LAS rEGAS NE 8 9l-55 - 1217 Form lH 12 00 ,'l 85 T SEQ. ilo. 003 Process Date: aB / 03 / 11 & CONTRACT DIV Printed in U.SA. Page 001 ( COI,IIIINUED ON NEXT PAGE ) Expiration Date: to / 20 / L8 tr -7, CTA\ OF LAQUINTA 78495 CAI,],B TAMPICO I,AQUINTA, CA 92253 BUSINESS LIABILITY COVERAGE FORM When this insurance is excess over olher insurance, we will pay only our share of the amount of the loss, if any, lhat exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and setf- 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 lnsurance proMsion and was not bought specifically to apply in excess of fte Limits of lnsurance shown in the Declarations of his Coverage Part. c. Method Of Sharing lf all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounb until it has paid its applicable limit of Insurance or none of the loss remains,' whichever comes flrst. lf any of the other insumnce does not permit contribution by equal shares, we will confibub by limits. Under ttis method, each insure/s share is based on he ratio of its applicable limit of insurance to the total apdicable limits of insurance of all insurers. 8. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery ..lf the insured has rights to recovd atl orpart of any payment, incfuding Supplementary Payments, we 'have made under this Coverage Part, those righis are transfened to us. The insured must do nothing aner loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does nol apply to Medical Expenses Coverage. b. Walver Of Rights Ot Recovery (Waiver Od Subrogation) lf the insured has waived any rights of recovery against any person gr organization for all or part of any payment, including Supplemenlary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. Form SS 00 08 04 05 Page 17 ot 24 (6) When You Are Added As An Additional lnsured To Other lnsurance That is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or (7) When You Add Others As An Additional lnsured To This lnsurance That is other insurance available to an additional insured. However, the following provisions apply to other insurance available to any person or organization who is an additional insured under lhis Coverage Part: (a) Primary lnsurance When Required By Contract This insurance is primary if you have agreed in a written conlract, written agreement or permit that this insurance be primary. lf other insurance is also primary, we will share with all that other insuranc€ by the method described in c. below. (b) Primary And Non-Contributory To Other lnsurance When Required By Contract lf you have agreed in a written contract, written agreement or permit that this insurance is primary and non-confibutory withthe additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not appty to other insurance to which the additional insured has been added as an additional insured. When this insurance is excess, we will have no .duty under this Coverage Part to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". lf no other insurer defends, we will underEke to do so, but we will be entitled to the insured's rights against all those other insurers. BUSINESS LIABILITY COVERAGE FORM F. OPTIONAL ADDITIONAL INSURED COVERAGES lf listed or shown as applicable in the Declarations, one or more of the following Oplional Additional lnsured Coverages also apply. When any ofthese Optional Additional lnsured Coverages apply, Paragraph 6. (Additional lnsureds When Required by Written Contract, Written Agreement or Permit) of Section C., Who ls An lnsured, does not apply to the person or organization shown in the Declarations. These coverages are subiecl to the terms and conditions applicable to Business Liabiljty Coverage in this policy, except as provided below: 1. Additional lnsured - Designated Person Or Organization WHO lS AN INSURED under Section C. is amended lo include as an additional insured the person(s) or organization(s) shown in the Declarations, but 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: a. ln the performance of your ongoing operations; or b. ln connection with your premises owned by or rented to you. 2. Additional lnsured - Managers Or Lessors Of Premises a. wHo ls AN INSURED under Seclion C. is amended lo include as an additional insured the person(s) or organization(s) shown in he Declarations as an Additional lnsured - Designated Person Or Organization; but only with respeci to liability arising out of llle ownership, maintenance or use of that part of the premises leased to you and shown in he Declarations. b. With respect to lhe insurance afforded to these addilional insureds, the following additional exclusions apply: This insurance does not apply to: ('l) Any "occurrence' which takes place after you cease to be a tenant in that premisesi or (2) Structural alterations, new conskuction or demolition operations performed by or on behalf of such person or organization. 3. Additional lnsured - Grantor Of Franchise WHO lS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organization(s) shown in the Declarations as an Additional lnsured - Grantor Of Franchise, but only with respect to their liability as grantor of franchise to you. 4. Additional lnsured - Lessor Of Leased Equipment a. WHO lS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organization(s) shown in the Declarations as an Additional lnsured - Lessor of Leased Equipment, but only with respect to liability for "bodily injury", 'property damage" or 'personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). b. With respect lo the insurance afforded to these additional insureds, this insurance does not apply lo any "occurrence" which takes place after you cease to lease that equipment. 5. Additional lnsured - Owners Or Other lnterests From Whom Land Has Been Leased a. WHO lS AN INSURED under Section C. is amended to include as an aciditional insured the person(s) or organization(s) shown in the Declarations as an Additional lnsured - Owners Or Other lnterests From Whom Land Has Been Leased, but only with respect to liability arising out of the ownership, maintenance or use of that paI of the land leased to you and shown in lhe Declarations. b. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply tol (l) Any "occurrence" that takes place afler you cease lo lease that land; or (2) Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. 6. Additional lnsured - State Or Political Subdivision - Permits a. lvHO lS AN INSURED under Section C. is amended to include as an additional insured lhe state or political subdivision shown in the Declarations as an Additional Page 18 of 24 Form SS 00 08 04 05 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) INSURER(S) AFFORDING COVERAGE NAIC # PRODUCER INSURED INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : COVERAGES TYPE OF INSURANCE POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: LOCPOLICY OTHER: EACH OCCURRENCE MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ $ $ $ $ $ AUTOMOBILE LIABILITY ANY AUTO HIRED AUTOS $ $ $ $ OCCUR CLAIMS-MADE DED RETENTION $ EACH OCCURRENCE AGGREGATE E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION $ $ $ $ $ Y/N CONTACTNAME: PHONE(A/C, No, Ext): E-MAIL ADDRESS: FAX(A/C, No): CERTIFICATE NUMBER:REVISION NUMBER: $ UMBRELLA LIAB EXCESS LIAB AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01)The ACORD name and logo are registered marks of ACORD $ INSURER F : $ N/A SCHEDULEDAUTOS NON-OWNED AUTOS ALL OWNED AUTOS THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADDL INSD POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY) PRO- JECT DAMAGE TO RENTED PREMISES (Ea occurrence) COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE(Per accident) WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below PERSTATUTE OTH-ER SUBR WVD 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 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). SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 08/17/2017 AUTOMATIC DATA PROCESSING INSURANCE AGCY INC 1 ADP BLVD MS 625 ROSELAND, NJ 07068 (877) 677-0428 (877) 677-0428 (877) 677-0430 spcbicadp@travelers.com VIATRON SYSTEMS INC 18233 HOOVER ST GARDENA, CA 90248 TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA 090017014451922 A X UB-6H27048A-17 09/08/2017 09/08/2018 X 1,000,000 1,000,000 1,000,000 AS RESPECTS TO WORKERS COMPENSATION COVERAGE, WC 04 03 06 - WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA HAS BEEN ATTACHED TO THE POLICY. CITY OF LA QUINTA IS LISTED IN THE ENDORSEMENT SCHEDULE AS A DESIGNATED PERSON OR ORGANIZATION. CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA, CA 92253 insured - State Or Political Subdivision - Permits, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a Permit. b. With respect to the insurance afforded to these additional insureds, the following additional exclusions apPly: This insurance does not apply to: (1) 'Bodily injury', "property damage" or "personal and advertising injury" arising out of operations performed for the state or municiPality; or (2) "Bodily injury" or 'property damage" included in the "product-completed oPerations" hazard. 7. Additional lnsured - Vendors a. WHO lS AN INSURED under Section C. is amended to include as an additional insured lhe person(s) or organization(s) (referred to below as vendoo shown in the Declarations as an Additional lnsured - Vendor, bul only with respect to 'bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendods business and only if this Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products-completed operations hazard'. b. The insurance afforded to the vendor is subjecl to the following additional exclusrons: (l ) This insurance does not apply to: (a) "Bodily iniury" or "Property damage" for which the vendor is obligated to PaY damages bY reason of the assumption of liability in a contract or agreemenl. This exclusion does not aPPIY to liability for damages that the vendor \,/vould have in the absence of the contract or agreemenl; (b) Any express warranty unauthorized bY You; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) Repackaging, unless unpacked solely for the purpose of insPclion, demonslration, tesling, or the substitution of Parts under inslructions ftom the manufaclurer, and then repackaged in the original container: (o) Any failure to make such inspeclions, adjustrnents, tesb or servicing as the vendor has agreed to make or normally underlakes to make in the usual course of business, in connection with the disfibution or sale ofthe products; (0 Demonstration, installation, servicing or repair oPerations, except such operations Performedat the vendoas Premises in connection with lhe sale of the product; (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance bY or ior the vendor; or (h) "Bodily injury" or "Property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf However, this exclusion does not aPPIY to: (i) The excePtions contained in SubParagraPhs (d) or (f); or (ii) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normallY undertakes to make in the usual course of business, in connection with the distribution or sale of the producls. (2) This insurance does not apply to any insured person or organization from whom you have acquired such products, or any ingredient, Part or container, entering into, accompanying or conlaining such products. 8. Additional lnsured - Controlling lnterest WHO lS AN INSURED under Section C. is amended to include as an additional insured the person(s) or organization(s) shown in the Declarations as an Additional lnsured - Controlling lnteresl, but only with respect to their liability arising out of: a. Their financial control of you; or b. Premises they own, maintain or control while you lease or occupy these premises Form SS 00 08 04 05 Page '19 of 24 BUSINESS LIABILITY COVERAGE FORM