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Insurance Certificates 2024/25 LQ Hospitality Group, LLC
SUNRPRO-01 CUER01 ,4coR0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 9/27/2024 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 Southwest Risk Management, LLC 4801 E McKellips Mesa, AZ 85215 CONTACT NAME: PHONE FAX (A/C, No, Ext): (480) 924-1200 (A/C, No):(480) 924-1211 ADDRESS: service@southwestrisk.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: ALLIED Insurance Company of America 10127 INSURED INSURER B ; ACE Property and Casualty Insurance Company 20699 INSURER C : Underwriters at Lloyd's London 15792 LQ Hospitality Group, LLC INSURER D : Trisura Specialty Insurance Company 16188 79675 Highway 111 La Quinta, CA 92253 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. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM DD YYY POLICY EXP MM DD YYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR X ACP GLA03110419585 9/23/2024 9/23/2025 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP (Any oneperson) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L X AGGREGATE LIMIT APPLIES PER: POLICYEl PECOT- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 EMPLOYEE BENEFI $ 2,000,000 A AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ACP GLA03110419585 9/23/2024 9/23/2025 COMBINED SINGLE LIMIT Ea accident 1,000,000 $ BODILY INJURY Perperson) $ BODILY INJURY Per accident $ X PROPERTY DAMAGE Per accident $ B X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE HLI24-A-G7487213A 9/23/2024 9/23/2025 EACH OCCURRENCE $ 25,000,000 AGGREGATE $ 25,000,000 DED X RETENTION $ 0 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ C D Earthquake Cyber Liability B1180D24062600525 AB61568103 1/13/2024 12/11/2023 1/13/2025 12/11/2024 5,000,000 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The City of La Quinta, CA Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 78-495 Calle Tampico La Quinta, CA 92253 AUTHORIZED REPRESENTATIVE �lat� ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG72121216 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY COVERAGE ENHANCEMENT ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SECTION I — COVERAGES, COVERAGE A with permission of the owner. A separate limit of BODILY INJURY AND PROPERTY DAMAGE insurance applies to this coverage as described LIABILITY, 2. Exclusions is amended as follows: in Section III - Limits of Insurance. 1. Paragraph (2)(a) of Exclusion g. Aircraft, Auto Or Watercraft is replaced with: (a) Less than 51 feet long; and 2. The following is added to Exclusion j. Damage To Property: (a) Paragraphs (3) and (4) does not apply to "property damage" to borrowed equipment while not in use, while at the insured's premises or a job site; or (b) Paragraph (4) does not apply "property damage" to customers goods while on the insured's premises for the purpose of being worked on or used in a manufacturing process. Limit of Insurance - The most we will pay for damages for "property damage" coverage provided by this coverage in any one "occurrence" is $10,000. Deductible - Our obligation to pay for a covered loss applies only to the amount of loss in excess of $500. We will pay the deductible amount to effect settlement of any claim or "suit" and, upon notification of this action having been taken, you shall promptly reimburse us for the deductible as has been paid by us. This insurance is excess over any other valid and collectible insurance. 3. The last paragraph of 2. Exclusions is replaced with: If Damage To Premises Rented To You is not otherwise excluded, exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or sprinkler leakage to premises while rented to you or temporarily occupied by you rented to you or temporarily occupied by you SECTION I — COVERAGES, SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is amended as follows: 1. Paragraph 1. b. is replaced with: 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. 2. Paragraph 1. d. is replaced with: 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 $500 a day because of time off from work. SECTION II — WHO IS AN INSURED is amended as follows: 1. Paragraph 3. a. is replaced with: a. Coverage under this provision is afforded only until the 1801" day after you acquire or form the organization or the end of the policy period, whichever is earlier; 2. The following is added: 4. Additional Insured — Automatic Status When Required In An Agreement With You Who Is An Insured includes person(s) or organization(s) described in Paragraphs a. — i. below with whom you have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. a. Co -Owners Of Insured Premises — with respect to their liability as co-owner of the premises. CG 72 12 12 16 Includes copyrighted material of ISO Properties, Inc., with its Page 1 of 5 permission. CG 72 12 12 16 However, their status as additional insured under this policy ends when you cease to co-own such premises with that person or organization. b. Controlling Interest — with respect to their liability arising out of their financial control of you; or premises they own, maintain, or control while you lease or occupy these premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or for that person or organization. However, their status as additional insured under this policy ends when they cease to have such controlling interest. c. Grantor of Franchise or License — with respect to their liability as grantor of a franchise or license to you. However, their status as additional insured under this policy ends: (1) when their contract or agreement with you granting the franchise or license ends or expires; or (2) when your license is terminated or revoked prior to expiration of the license as stipulated by the contract or agreement. d. Lessors of Leased Equipment — with respect to their 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). This insurance does not apply to any "occurrence" which takes place after the equipment lease expires. However, their status as additional insured under this policy ends when their lease, contract, or agreement with you for such leased equipment ends. e. Managers, or Lessors of Premises — with respect to liability arising out of the ownership, maintenance, or use of that part of the premises leased to you. This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. Structural alterations, new construction, or demolition operations performed by or on behalf of the person or organization. However, their status as additional insured under this policy ends when you cease to be a tenant of such premises. f. Mortgagee, Assignee, or Receiver — with respect to their liability as mortgagee, assignee, or receiver and arising out of the ownership, maintenance, or use of the premises by you. This insurance does not apply to structural alterations, new constructions, and demolition operations performed by or for that person or organization. However, their status as additional insured under this policy ends when their status as mortgagee, assignee, or receiver ends. g. Owners or Other Interest from Whom Land has been Leased — with respect to their liability arising out of the ownership, maintenance, or use of that part of the land leased to you. This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to lease the land; or (2) Structural alterations, new construction, or demolition operations performed by or on behalf of the person or organization. However, their status as additional insured under this policy ends when you cease to lease that land. h. State or Political Subdivisions — Permits Relating to Premises — with respect to the following hazards for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization in connection with premises you own, rent, or control and to which this insurance applies: (1) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal Page 2 of 5 Includes copyrighted material of ISO Properties, Inc., with its CG 72 12 12 16 permission. CG72121216 holes, driveways, manholes, manufacturer, and then marquees, hoist away openings, repackaged in the original sidewalk vaults, street banners or container; decorations and similar exposures; (e) Any failure to make such or inspections, adjustments, tests (2) The construction, erection, or or servicing as the vendor has removal of elevators; or agreed to make or normally (3) The ownership, maintenance or use undertakes to make in the usual of any elevators covered by this course of business, in insurance. connection with the distribution This insurance does not apply to: or sale of the products; (1) "Bodily injury" or "property damage" (f) Demonstration, installation, or "personal or advertising injury" servicing, or repair operations, arising out of operations performed except such operations performed at the vendor's for the state or municipality; or premises in connection with the (2) "Bodily injury" or "property damage" sale of the product; included within the "products- (g) Products which, after completed operations hazard". distribution or sale by you, have However, such state or political been labeled or relabeled or subdivision's status as additional used as a container, part or insured under this policy ends when the ingredient of any other thing or permit ends. substance by or for the vendor; i. Vendors — but only with respect to or "bodily injury" or "property damage" (h) "Bodily injury" or "property arising out of "your products" which are damage" arising out of the sole distributed or sold in the regular course negligence of the vendor for its of the vendor's business, subject to the own acts or omissions or those following additional exclusions: of its employees or anyone else (1) The insurance afforded the vendor acting on its behalf. However, does not apply to: this exclusion does not apply to: (a) "Bodily injury" or "property (i) The exceptions contained in damage" for which the vendor is Subparagraphs d. or f.; or obligated to pay damages by (ii) Such inspections, adjust - reason of the assumption of ments, tests or servicing as liability in a contract or the vendor has agreed to agreement. This exclusion does make or normally not apply to liability for damages undertakes to make in the that the vendor would have in usual course of business, in the absence of the contract or connection with the agreement; distribution or sale of the (b) Any express warranty unau- products. thorized by you; (2)This insurance does not apply to any (c) Any physical or chemical insured person or organization, from change in the product made whom you have acquired such intentionally by the vendor; products, or any ingredient, part or (d) Repackaging, except when container, entering into, accom- unpacked solely for the purpose panying or containing such of inspection, demonstration, products. testing, or the substitution of parts under instructions from the CG 72 12 12 16 Includes copyrighted material of ISO Properties, Inc., with its Page 3 of 5 permission. CG 72 12 12 16 With respect to the insurance afforded to such additional insureds a. — d. described above the following is added to the 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. However, this insurance afforded to such additional insureds a. — i. described above: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. SECTION III — LIMITS OF INSURANCE 1. The following is added to Paragraph 2: The General Aggregate Limit applies separately to each of your "locations" owned by or rented to you or temporarily occupied by you with the permission of the owner. 2. Paragraph 6. is replaced with: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning, explosion, smoke, or sprinkler leakage, while rented to or temporarily occupied by you with permission of the owner. The limit is increased to $1,000,000. 3. Paragraph 7. is replaced with: 7. Subject to 5. above, the higher of: a. $10,000; or b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by one person. This coverage does not apply if Coverage C - Medical Payments is excluded either by the provisions of any coverage forms attached to the policy or by endorsement. SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit is amended to include: e. Knowledge of an "occurrence", offense, claim or "suit" by an agent or employee of any insured shall not in itself constitute knowledge of the insured unless you, a partner, if you are a partnership; or an executive officer or insurance manager, if you are a corporation receives such notice of an "occurrence", offense, claim or "suit" from the agent or employee. 2. Paragraph b. Excess Insurance (1) (b) (ii) of condition 4. Other Insurance is replaced with: (ii) That is Fire insurance for premises rented to you or temporarily occupied by you with permission of the owner; 3. Condition 6. Representations is amended to include: d. Your failure to disclose all hazards or prior "occurrences" or offenses existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" or offenses is not intentional. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. 4. Condition 8. Transfer Of Rights Of Recovery Against Others To Us is amended to include: If required by a written contract executed prior to loss, we waive any right of subrogation we may have against the contracting person or organization because of payments we make for injury or damage arising 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". 5. The following condition is added: 10. Liberalization If we revise this coverage form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. Page 4 of 5 Includes copyrighted material of ISO Properties, Inc., with its CG 72 12 12 16 permission. CG72121216 SECTION V — DEFINITIONS or death resulting from any of these at any 1. Definition 3. "Bodily Injury" is replaced with: time. 3. "Bodily injury" means bodily injury, sickness 2. The following definition is added: or disease sustained by a person, including "Location" means premises involving the same mental anguish, mental injury, shock, fright or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. All terms and conditions apply unless modified by this endorsement. CG 72 12 12 16 Includes copyrighted material of ISO Properties, Inc., with its Page 5 of 5 permission.