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Insurance Certificates 2019/20 ViaTRON Systems, Inc
o.Go"CERTIFICATE OF LIABILITY INSURANCE OATE (I/lM/DOIYYYY) 031111202A THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER- THIS CERNFICATE DOES NOT AFFIRMATIVELY OR NEGANVELY AMENO. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEIWEEN TIIE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLOER. IMPORTANT: lf the certificate holder is an ADDITIONA L INSURED, the policy(ies) must have ADOITIONAL INSUREO provisions or be endorsed. lf SUBROGATION lS WAIVEO, subject to ths terms and conditions of the policy, certain policies may require an endo6emenL A statoment on this certiticats does not conf€r rights to tho certificato holder in liou ofsuch ondo6emont(s). PROOUCER lndependent Group Agency 21700 Oxnard Slreet Suite 1045 \rJoodland Hills.cA 91367 CONTACT Fred Dabiri E (018) 380 1391 (818)290-7497 E fdab rl@igainsurance comAODRESS rNsu RER(S) AFFOROTNG COVERAGE tNsuRERA. Senlinel lnsurance Company I SUREO Viatron Systems lnc 18233 S Hoover Street Gardena cA 90248 INSURER B Califomia Automobile lnsurance Company tNSURERc, Hartford Fire lnsurance Company INSURER D INSt-IRER E INSI]RER F COVERAGES CERTIFICATE NUMBEP; CL2O311'13875 REVISION NUMBER THIS IS TO CERIIFY IHAT THE POLICIES OF INSURANCE LISIED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR iHE POLICY PERIOD INOICATED NOTWTHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTII RESPECT TO WlIICH TBIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TIIE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUEJEClTOALLTHE TERMS EXCLUSIONS AND CONOITIONS OF SUCH POLICIES. LiMITS SHO\AA MAY HAVE BEEN REOUCED BY PAID CLAIMS LTR POLICY NUMBER LIMITS COMMERCIAL GENERAL LIABILITY cLArMs-MAoE E o""r" GEN'LAGGREGATE LIMIT APPLIES PER OTHER E!i& E.* 57 SBAAV3417 1012012019 1012012020 EACN OCCURRENCE $ 1,000,000 OAMAGE TO RENIED PREMISES (Ea o@rc@)s 1.000,000 MED EXP (Any one pe.son)$ 10 000 PERSONAL&AOV NJURY $ 1 000 000 GENERALAGGREGAIE s 2 000,000 PROOUCTS. COMP/OPAGG s 2.000 000 5 I AUIOMOAILE LIABILITY OVVNED AUTOSONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY 8A040000015173 4512212019 05t2z2a2a COMBINEDSINGLE LIMIT s 1,000 000 BOO LY NJURY (Per oerson)s BOO LY NJURY (Per accderr)5 s sxU,.BRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MAOE 57 SBAAV3417 1Al2At2A19 1012012020 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 oEo RETENT ON S s WORKERS COMP€NSANON AND ET'PIOYERS' LIABILIIY ANY PROPR ETOR/PARTNEREXECUTIVE OFFICER/MEMBER EXCLUOEO? OESCRIPTiON OF OPERATIONS bel@ STATL]TE OTH E L EACH ACCIOENT s EL OISEASE, EA EMPLOYEE S E L DISFASF. POL CY ]IUIT S c ERRORS & OMMISSIONS LIABII Iry 0112512020 4112512021 EACH CLAIM AGGREGATE 1 000 000 s 000.000 DESCRIPIION OF OPERATIOIiIS / TOCATIONS / VEHICIES (ACORO 1Ol, Addltidll Rm.dG S.h.dul€, m.y bc riached r morc space Ir Equicd) City of La Quinta, lts employees, Olicials, Agents and l\Iember Agencies, have been named as additional insured as respect to the General Liabihty per attached form 1H12001185. Vvaiver of Subrogation is included for the Certificate Holder. CERTIFICATE HOLDER CANCELLATION ABOVE OESCRIBED POLICIES BE CANCELLED BEFORE THEREOF, NOTICE wlLL BE OELIVEREO IN ACCORDAiIC WTH THE POLICY PROVISIONS SHOULD ANY OF THE EXPIRA City of La Quinta cA 92253 78495 Calle Tampico La Ouinla O 1988-2015 ACORO CORPORATION. All rights reserved. ACORO 25 (2016/03)The ACORD name and logo aro registsred marks ofACORD TYPEOF INSURANCE tr 72 rE 0294256-20 POLICY NUMBER: 57 SBA Av3417 ADDITIONAT, TNSTIRED PERSON- ORGANT ZATION 750 LOS N ALAMEDA ST ANGELES CA 90012 EMC CORPORATION 171 SOUTH STREET HOPKINTON, MASSACIruSETTS 0174 8 CAIIFORNIA STATE I,INIVERSITY, LONG BEACH, THE STATE OF CA',IFORNIA, THE TRUSTEES OF THE CA',IFORNIA STATE I'NIVERSITY, THE I]NIVERSITY AND THE EMPLOYEES, OFFICERS AND AGENTS OF EACH OF THEM. 1250 BELLFLOWER BTJVD LONG BEACI{, CA 90810 LOC 001 CDW IJOGISTICS & AFFILIATES & THEIR OFFICERS DIRECTORS AND EMPLOYEES 2OO NORTH MILWAI'(EE AVENUE VERMON HI],LS, IL 50051 MAGUIRE/CERRITOS I, LLC, A DEI]AWARE I,IMITED LIABIi,ITY COMPANY, CREDIT SUISSE FIRST BOSTON, A SWISS BANK OPERATING TIIROUG}I ITS NEW YORK BRANCH, MAGUIRE PROPERTTES, L.P., A MARYLAND LIMITED PARTNERSHIP, MAGUIRE PROPERTIES INC.., .A MARY],AIID CORPORATION, AND THEIR RESPECTI\,E MEMBERS, MANAGERS, PARINERS, OFFTCERS, DIRECTORS, AFFI],IATES, AGENTS, EMPLOYEES, SUCCESSORS AND ASSIGNEES ARE ADDITIONAI, INSUREDS. CITY OF I,A QUINTA ITS EMPLOYEES, OFFICIAIS, 78495 CATJIJE TAMPICO LA QUTNTA, CA 92253 STATE OF NEVADA, DIVISION ATTN: CONTRACT SERVICES 1470 COIJIJEGE PARKWAY CARSON CITY, NV 89?06 Form lH 12 00 1l 85 T SEQ. NO. 001 Process Date: oB / 01'/1'9 AGENT AND MEMBER AGENCIES OF WELFARE & SUPPORTIVE SERVICES COI'NTY OF KERN, KERN COI]NTY'S BOARD MEMBERS, OFFICIAI,S, OFFICERS, AGENTS AND EMPLOYEES 1115 TRIIXTI]N AVE 3RD FT,OOR Printedin U.S.A. Page 002 (CONTTNUTD oN NEXT PAGE) Expiration Date: Lo /20 /20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. I POLICY NUMBER: 57 sBA AV3417 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 'IAIVER OF SUBROGATION EMC CORPORATION 171 SOU'TH STREET HOPKINTON, MASSACHUSETTS 0174 8 -> c7"ty oF T,AQUINTA ?8495 CA],LE TAMPICO I,AQUIMTA, CA 92253 CDW LOGISTICS, ITS AFFILIATES AND ITS OFFICERS, DIRECTORS AND EMPLOYEES 2OO NORTH MIITWAUKEE AVENUE VERMON HILLS, IL 50051 l,oc 002 BLDG 001 CI,ARK COI]NTY NEVADA C/O PI'RCTASING GOVERNMENT CENTER 4TH FL 5OO S GRAND CENTRAI, PKWAY I,AS VEGAS NE 89155-1217 & CONTRACT DIV PTiNtEdin U.S.A. Page OO1 (CONTINI,ED ON NEXT PAGE) Expiralion Date: Lo /20 /20 LOC: 001 BLDG:001 COUNTY OF KERN, KERN COI]NTY' S BOARD MEMBERS, OFFICIAI,S, OFFICERS AGENTS AND EMPLOYEES 1115 TRIIXTUN AVE 3RD FLOOR BAKERSFIE],D, CA 93301 CITY OF BAKERSFIEIJD ITS MAYOR, COUNCIT', OFFICERS, AGENTS, EMPI,OYEES 1600 TRI,rXTI'N AVENI'E BAKERSFIELD, CA],IFORNIA 93301 LOC 001,/ 0 01 THE CITY OF' PASADENA POLICE DEPARTMENT 207 N. GARFIEIID A1/E PASADENA, CA 91101 Form lH 12 00 'l'l 85 T SEQ. NO. 003 Process Date: oB / 01,/ 1,9 tr I --!.ACORD-DAIE {MIII/DD/YYM 1011512019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTTFICATE HOLDER. THIS CERNFICATE DOES NOT AFFIRMATIVELY OR NEGANVELYAMENO, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, ANO THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIONAL INSUREO, th€ policy(i6s) must have AODITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS WAlvED, subject to th€ terms and conditions of tho policy, certain policies may require an ondorsemenl A statement on this cortiticate does not confer rights to the coatificato holder in liou of such endo.seme nt(s) PROOUCER lndependent Group Agency 21700 Oxnard Sfeet Suile 1045 Wbodland Hills,cA 91367 ft8lHcr Fred Dabin PHONE (818)380-1391 (818) 290-7497 AODRESS fdabiri@igainsurance.com tNsuRERls) AFFOROTNG COVERAGE INSUREO \4atron Systems, lnc 18233 S Hoover Street Gardena,cA 90248 lilsuRERB. CalifomiaAutomobile lnsurancs Company lilsURERc. Hartford Fire lnsurance Company INSURER O INSURER E CERT|F|CATE NUMBER: cl1s101513012COVERAGES REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INOICATED, NOTWTHSIANDING ANY REOUIREMENI TERM OR CONDITION OFANY CONTRACT OR OTHER OOCUMENTWTH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOW! MAY HAVE EEEN REDUCED 8Y PAID CLAIMS. INSR TYPE OF II.ISURANCE INSD POLICY ETP LIMITS EACH OCCURRENCE s 1 000 000 DAMAGE TO RENTED PREM SES (Ea oc(lrf€ncs)r 1,000,000 MED EXP (An, ore peMn)$ 10,000 PERSONAL &AOV INJURY s 1 000,000 GENERALAGGREGATE i 2,000,000 PROOUCTS. COMP/OPAGG $ 2,000,000 COI'iIERCIAL GEIi/ERAL L|AAILITY .LATMS MA.E ffi o""r^ GEMLAGGREGATE LIMIT APPLIES PER POLICY LOCJECT 57 SBA AV3417 14t20t2419 1At2at2A20 S $ 1 000,000 BODILY INJURY (Per pe6on)S BODILY INJURY (PeI a@d€n0 S S B OV\tlED AUTOS ONLY HIREO AUTOS ONLY SCHEDULED AUTOS NONl\lll{€O AUTOS ONLY AUI(IEE.E LIABIUIY 8A040000015173 05t2212019 05l2z2a2a SxE:ACH OCCURRENCE 5 2,000,000UI'BRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE AGGREGATE s 2,000,000 DED 57 SBAAV3417 14t24t2019 1012012020 5 STATUTE E L EACHACCIO€NT as E L OISEASE. EAEMPLOYEE WORKERIS COIIPE SANON ANO EiIPLOYERS' LIAB|LITY ANY PROPRIETOR/PARINER/EXECUTIVE OFFICER/lTEMBER EXCLUOED' OESCRIPTION OF OPERAT ONS b€lor E L DISEASE. POLICY LIMIT s C 72 rE 0294256 19 o112512019 01t25t2020 EACH CLAIM AGGREGATE 1,000,000 , 5,000,000 DEgCnPnON OF OPERAIIOIIS / LOCAIIONS / VEHICLES IACOiD l0l, A.ldldoml R. tl(. S.rr.dule, m.y b..ttrdr.d It tlFn.p.@ b r.qulnd) City of La Quinta, lts employees, Offcials, Agents and MemberAgencies, have been nafied as additional insured as resp€ct to the General Liability, per aftacned form 1H12001185 l.6iver of Subrogation is included to. the Cenrfcate Holder. --------!- CERTIFTCATE HOLDER CANCELLATION -./- sHouLo ANy oExd-aBovE oEscRtBED polrcrEs aE caNcELLED BEFoRE THE ExprRAI6N DATE THEREoF, NoTtcE wLL BE DELtvERED tN wlT},I THE POLICY PROVISIONS .(*\"'City of La Ouinla cA 922s3 78495 Calle Tampico La Ouinta, I RIZEO NIA O t988-2015 ACORD CORPORAnON. All righG AGORD 25 (20r6i03) CERTIFICATE OF LIABILITY INSURANCE tNsuRERA. Senlinel lnsurance Company T- ERRORS & OMMISSIONS LIABILITY EIIEE] lwvo f coMEr\ED sr-NGiE Uirrr f I I OTH.IER I f I I".';";.* I F lx - lxIi lx F \\A TheACORD name and logo are regigtered narks ofACORD POLICY NUMBER: s7 sBA AV341? ADDITIONAL INSURED PERSON ORGANIZATION EMC CORPORATION 1?1 SOU?II STREET HOPKINTON, MASSACI{USETTS O1?4 8 r,oc 0 0 r. CDW LOGISTICS & AFFILIATES & TI{EIR OFFICERS DIRECTORS AND EMPLOYEES 2OO NORTH MILWAUKEE AVENUE VERMON HI],LS, I], 50061 MAGUIREi/CERRITOS I, ],LC, A DE],AWARE LIMITED LIABILITY COMPANY, CREDIT SUISSE FIRST BOSTON, A SWISS BANK OPERATING THROUGH TTS NEW YORK BRANCI{, MAGUIRE PROPERTIES, I,.P., A MARYLAND LTMITED PARTNERSHIP, MAGUIRE PROPERTIES INC.,,A MARYI,AND CORPORATION, AND TI{EIR RESPECTIVE MEMBERS, MANAGERS, PARTNERS, OFFICERS, DIRECTORS, AFFILIATES, AGENTS, EMP],OYEES, SUCCESSORS AND ASSIGNEES ARE ADDITIONAI INSUREDS. CITY OF LA QUINTA ITS EMPLOYEES, OFFICIA],S, 78495 CALLE TAMPICO LA QUTNTA, CA 92253 STATE OF NEVADA, DIVISION ATTN: CONTRACT SERVICES 1470 COLLEGE PARKT^IAY CARSON CITY, NV 89706 Form lH 12 00 11 85 T SEQ. NO. 001 Process Date: oa / 01/ 79 AGENT AND MEMBER AGENCIES OF WE],FARE & SUPPORTIVE SERVICES COUNTY OF KERN, KERN COI]NTY'S BOARD MEMBERS, OFFICIA],S, OFFICERS, AGENTS AND EMPT,OYEES 11]-5 TRI,TXT'UN AVE 3RD F],OOR Printedin U.S.A. Page 002 (CoNTINITED oN NEXT PAGE) ExPiration Date: to /2o /20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 750 N ALAMEDA ST T,OS ANGELES CA 90012 CA],IFORNIA STATE UNIVERSITY, LONG BEACH, THE STATE OF CAI]TFORNIA, THE TRUSTEES OF THE CALIFORNIA STATE UNIVERSITY, THE UNIVERSITY AND THE EMPLOYEES, OFFICERS AND AGENTS OE EACH OF THEM. 1250 BELLFLOWER BLVD ' LONG BEACH, CA 90810 POLICY NUMBER: s7 SBA AV3417 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF STIBROGATION EMC CORPORATTON 171 SOIITH STREET HOPKINTON, MASSACHUSETTS 0174 8 -> CI.IY OF LAQUINTA 78495 CAI,I,E TAMPICO LAOUINTA, CA 92253 CDW LOGISTICS, ITS AFFIIIATES AND 1TS OFFICERS, DIRECTORS AND EMP],OYEES 2OO NORTH MILWAUKEE AVENUE VERMON HIIJIJS, IL 60061 LOC OO2 BLDG OO1 CLARK COUNTY NEVADA C/O PT'RCEAS ING GOIERNMENT CENTER 4TI{ FL 5OO S GRAND CENTRAL PKWAY LAS VEGAS NE 8915s-1217 & CONTRACT DIV Printed in U.S.A. Page 001 (CoiITINUED oN NEXT PAGE) Expiration Oalei 1o /20 /20 r,oc : 0 01 BLDG:001 COUNTY OF KERN, KERN COUNTY'S BOARD MEMBERS, OFFICIALS, OFFICERS AGENTS AND EMPLOYEES 1115 TRIIXTI'N AlE 3RD FTJOOR BAKERSFIELD, CA 93301 CITY OF BAKERSFIEI,D ITS MAYOR, COIJNCIL, OFFICERS, AGENTS, EMPLOYEES 15OO TRT,XTI'N AVENIJE BAKERSFIELD, CAfJIFORNIA 93301 LOC 001/oo1 THE CITY OF PASADENA POLICE DEPARTMENT 207 N. GARFIELD AVE PASADENA, CA 91101 Form lH l2 00 11 85 T SEQ. NO. 003 Process Date: a8 / oL/L9 tr I I CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 10/14/2019 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 ADDITIONAL 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 AUTOMATIC DATA PROC INS 1 ADP BLVD # 625 ROSELAND, NJ 07068 CONTACT NAME: PHONE (A/C, No, Ext): (888) 661-3938 FAX (A/C, No): (888) 872-8921 E-MAIL ADDRESS: spcbicadp@travelers.com INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA INSURED VIATRON SYSTEMS INC 18233 HOOVER ST GARDENA, CA 90248 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 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. INSTR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ EACH OCCURRENCE AGGREGATE $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/N N/A UB-5N337853-19-42 09/08/2019 09/08/2020 X PER STATUTE OTH- ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION CITY OF LA QUINTA 78495 CALLE TAMPICO LA QUINTA, CA 92253 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD