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Insurance Certificates 2017/18 Liebert Cassidy WhitmoreOP ID: YC A�RD" CERTIFICATE OF LIABILITY INSURANCE D04051201YY) it 04105I2018 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 pollcy(les) 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). PRODUCER CONTACT CT June Samarin Narver Insurance 641 W. Las Tunas Drive f11E_Ef11; 626-943-2237 in x;��y: 6II6-299-1010 PO Box 1509San Gabriel, CA 91778-1509DUI!. Jsamarin@narver,corn WESLEY HAMPTON HOUSE CUSTOMER ID91LIEBE-1 INSU RER(S) AFFORDING COVERAGE NAIC # INSURED Liebert Cassidy Whitmore INSURER A: Sentinel Insurance Company 11000 6033 W. Century Blvd. INSURER B : Federal Insurance 20281 Los Angeles, CA 90046 INSURER c : Aspen Specialty Insurance 10717 ff INSURER D : Lloyds of London 15792 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 TYPE OF INSURANCE ADOL buds PULJCY EFF POLICY tAP LTR INSR WVn POLICY NUMBER fMMIDDIYYYYI fM151rDDNYYY} LIMITS GENERAL LIABILITY � EACH OCCURRENCE $ 2,000,000 A X COMMERCIAL GENERAL LIABILITY X X 72SBAAK0318 12/14/2017 12/14/20181 PREMISE ft INII::UccurrDncet $ 1,000,000 CLAIMS -MADE �X OCCUR I MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 4,000,000 PK9 A POLICY I I I LOC AUTOMOBILE LIABILITY _ ANY AUTO ALL OWNED AUTOS _ SCHEDULED AUTOS A X HIRED AUTOS 72SBAAK0318 A X NON-OWNEDAUTOS 72SBAAK0318 X UMBRELLA LIAB X OCCUR i— EXCESS LIAB A CLAIMS -MADE 72SBAAK0318 S COMBINED SINGLE LIMIT S (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ 12/14/2017 12114/2018 (PER ACCIDENT) 12/14/2017 12/14/2018 $ $ EACH OCCURRENCE $ 12/14/2017 12/14/2018 I AGGREGATE $ _ DEDUCTIBLE $ X RETENTION S 10,000 $ WORKERS COMPENSATION I�(j VJCBTATU- I OTH- AND EMPLOYERS' LIABILITY 11 TORY LIMITS FR B ANY PROPRIETORIPARTNERIEXECUTIVE YIN 7175-05-95 04101/2018 04/01/20191 E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A X (Mandatory In NH) I E.L. DISEASE - EA EMPLOYEE $ If yes, deserlbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ C (Professional Llab. LRA9AF817 & XPL409238 12/10/2017 12/1012018 Per Claim p Cyber Liability IWN146910 12106/2017 12106/2018 Per Claim DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1e1, Additional Rnmarke Schedule, If moro npeoa le required) City of La Quanta is additional insuXad as respects attached General Liability Form SS 00 09 04 05, as required by oontxaat. 'Waiver of subrogation applies as per attached General Liability Farm SS 00 08 04 05 and Workers Compensation Form WC 99 03 04. CERTIFICATE HOLDER City of La Qulnta 78-495 Calle Tampico La Quinta, CA 92253 ACORD 25 (2009109) CITYLAQ CANCELLATION 2,000,000 2,000,000 2,000,000 1,000,000 1,000,000 1,000,000 5,000,000 3,000,000 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 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (b) Rented to, In the care, custody or control of, or over which physical control Is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (If you are \Ea partnership or joint venture), or any member (If you are a limited liability company). state Manager son (other than your "employee" or t r worker"), or any organizatlon ct[ as your real estate manager.rary Custodlans Of Your rtyerson or o anizatlon having proper rary custody f your property If you t only:lth respect to Ilab arlsing out of the intenance or use c at property; and (2) Until your legal repr entative has been appointed. d. Legal Representative If You ❑ Your legal representative if you Nie, but only with respect to duties as such. That representative will have all your rights nd duties under this Insurance. e. Unnamed Subsidiary Any subsidiary and subsidiary there , of yours which Is a legally incorporate ntlty of which you own a financial Inv est of more than 50% of the voting sto c on the effective date of this Coverage rt. The insurance afforded h In for any subsidiary not shown in tl Declarations as a named Insured d s not apply to Injury or damage with r pect to which an Insured under, this I rance Is also an Insured under snot policy or would be an Insured under ch policy but for Its termination or u n the exhaustion of Its limits of lnsuran 3. Newly Acquired r Formed Organization Policy Number:72SBAAK0318 BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) 'Bodily Injury" or "property da ge" that occurred; or' (2) "Personal and advertlsl Injury" arising out of an offense mltted before you acquired formed the organization. 4. Operator Of Mobile Eq ment With respect to "mobil qulpment" registered In /na ame under a motor vehicle registration y person I n Insured while driving such ent ato a public highway with your sion. y other person or organization sibl r the conduct of such person Is n I ured, but only with respect to liability ut of the operation of the equipment, and no other Insurance of any kind Is available t person or organization for this liability. er, no person or organizatlon Is an Insured spect to: 0' a. "Bodily Injury" to a co -"employee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, In the charge of or occupied by, you or the employer of any person who Is an Insured under this provision. 5. Operator of Nonowned Watercraft With respect to watercraft you do not own that Is less than 51 feet long and is not being used to carry persons for a charge, any person Is an Insured while operating such watercraft with your permission. Any other person or z, organization responsible for the conduct of \He n Is also an Insured, but only with liability arising out of the operation atercraft, and only If no other of any kind Is available to that perorganization for this liability - ow, no person or organization Is an h respect to; a. "Bodlly�:ry" to a co -"employee" of the person o rating the watercraft; or Any organizatl you newly acquire or form, b. "Property mage" to property owned by, other than partnership, joint venture or rented to, In a charge of or occupied by limited Ilabli company, and over which you you or the em oyer of any person who Is maintain fl role] Interest of more than 50% of an Insured unde this provision. the votl stock, will qualify as a Named 6. Additional Insured When Required By Insured there Is no other similar insurance Written Contract, W tten Agreement Or avalla a to that organization. However: Permit a. overage under this provision Is afforded The person(s) or organiz on(s) Identified In my until the 180th day after you acquire Paragraphs a. through f. be w are additional or form the organization or the end of the insureds when you have agr d, in a written policy period, whichever Is earlier; and Form SS 00 08 04 05 (b) Rented to, In the care, custody or control of, or over which physical control Is being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (If you are a partnership or joint venture), or any member (If you are a limited liability company). b. Real Estate Manager Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Temporary Custodians Of Your Property Any person or organization having proper temporary custody of your property If you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Legal Representative If You Die Your legal representative if you dle, but only with respect to duties as such. That representative will have all your rights and duties under this Insurance. e. Unnamed.Subsldlary Any subsidlary and subsidiary thereof, of yours which Is a legally Incorporated entity of which you own a financial Interest of more than 50% of the voting stock on the effective date of this Coverage Part. The insurance afforded herein for any subsidiary not shown In the Declaratlons as a named Insured does not apply to Injury or damage with respect to which an Insured under this Insurance Is also an Insured under another policy or would be an Insured under such policy but for Its termination or upon the exhaustion of Its limits of Insurance. 3. Newly Acquired Or Formed Organization Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial Interest of more than 60% of the voting stock, will qualify as a Named Insured If there is no other slmllar insurance available to that organization. However: a. Coverage under this provision Is afforded only until the 180th day after you acquire or form the organization or the end of the policy period, whichever Is earlier; and Form SS 00 08 04 05 Policy Number:72SBAAK0318 BUSINESS LIABILITY COVERAGE FORM b. Coverage under this provision does not apply to: (1) "Bodily Injury" or "property damage" that occurred; or' (2) "Personal and advertising Injury" arising out of an offense committed before you acquired or formed the organization. 4. Operator Of Mobile Equipment With respect to "mobile equipment" racgistareci In your name under any motor vehicle reglstratlon law, any person Is an Insured while driving such equipment along a public highway with your permission. Any other person or organization responsible for the conduct of such person Is also an Insured, but only with respect to liability arising out of the operation of the equipment, and only If no other Insurance of any kind Is available to that person or organization for this liability, However, no person or organization Is an Insured with respect to: a. "Bodily Injury" to a co -"employee" of the person driving the equipment; or b.; "Property damage" to property owned by, rented to, In the charge of or occupied by you or the employer of any person who Is an Insured under this provision. 5. Operator of Nonowned Watercraft With respect to watercraft you do not own that Is less than 51 feet long and is not being used to carry persons for a charge, any person Is an Insured while operating such watercraft with your permission. Any other person or organization responsible for the conduct of such person Is also an Insured, but only with respect to liability arising out of the operation of the watercraft, and only If no other Insurance -of any kind Is available to that person or organization for this Ilablllty. However, no person or organization Is an Insured with respect to: a. "Bodily Injury" to a co -"employee" of the person operating the watercraft; or b. "Property damage" to property owned by, rented to, In the charge of or occupied by you or the employer of any person who Is an Insured under this provision. 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The person(s) or organlzatlon(s) Identified In Paragraphs a. through f. below are additional Insureds when you have agreed, In a written Policy Number;7283AAK0318 BUSINESS LIABILITY COVERAGE FORM contract, written agreement or because of a (e) Any failure to make such permit Issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional Insured on your agreed to malco or normally policy, provided the Injury or damage occurs undertakes to make In the usual subsequent to the execution of the contract or course of business, In connectlon agreement, or the Issuance of the permit. with the distribution or sale of the A person or organization Is an additional products; Insured under this provision only for that (f) Demonstration, Installation, period of time required by the contract, servicing or repair operations, .agreement or permit, except such operations performed However, no sperson or organization Is an at the vendor's premises inuch connection with the sale of the additional Insured under this provision If such product; person or organization Is Included as an additional Insured by an endorsement Issued (g) Products which, after distribution by us and made a part of this Coverage Part, or sale by you, have been labeled Including all persons or organizations added or relabeled or used as a as additional insureds under the specific container, part or Ingredient of any additional Insured coverage grants In Section other thing or substance by or for F. — Optional Additional Insured Coverages, the vendor; or a. Vendors (h) "Bodily Injury" or "property Any personor organlzatlon(s) (referred to damage" arising out of the soles) negligence of the vendor for Its below as vendor), but only with respect to own acts or omissions or those of "bodily Injury" or "property damage" arising "your its employees or anyone else out of products" which are distributed acting on its behalf. However, this ever, or sold In the regular course of the vendor's exclusion does not apply business and only If this Coverage Part provides coverage for "bodily Injury" or (1) The exceptions contained in "property damage" Included within the Subparagraphs (d) or (f); or "products -completed operations hazard". (il) Such inspections, adjustments, (1) The Insurance afforded to the vendor tests or servicing as the vendor is subject to the following additional has agreed to make or normally exclusions; undertakes to make in the usual This insurance does not apply to; course of business, inconnection with the distribution (a) "Bodily Injury" or "property or sale of the products. damage" for which the vendor Is (2) This Insurance does not apply to any obligated to pay damages by reason of the assumption of Insured person or organization from liability In a contract or agreement. whom you have acquired such products, or any Ingredient, part or container, This exclusion does not apply to entering Into, accompanying or liability for damages that the containing such products, vendor would have In the absence of the contract or agreement; b. Lessors Of Equipment (b) Any express warranty (1) Any person or organization from unauthorized by you; whom you lease equipment; but only (c) Any physical or chemical change with respect to their liability for "bodlly "property in the product made Intentionally injury", damage" or "personal and advertising Injury" by the vendor; caused, In whole or In part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such Inspection, demonstration, testing, person or organization. or the substitution of parts under Instructions from the manufacturer, and then repackaged in the original container; Form SS 00 08 04 05 (2) With respect to the insurance afforded to these additional Insureds, this Insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. c. Lessors Of Land Or Premises (1) Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. (2) With respect to the Insurance afforded to these additional Insureds, this Insurance does not apply to: (a) Any "occurrence" which takes place after you cease to lease that land or be a tenant In that premises; or (b) Structural alterations, new constructlon or demolition operations performed by or on behalf of such person or organization. d. Architects, Engineers Or Surveyors (1) Any architect, engineer, or surveyor, but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising Injury" caused, in whole or In pail, by your acts or omisslons or the acts or omissions of those acting on your behalf: (a) In connection with your premises; or (b) In the performance of your ongoing operations performed by you or on your behalf. (2) With respect to the Insurance afforded to these addltlonal Insureds, the following additional exclusion applies: Policy Number:72SBAAK0318 BUSINESS LIABILITY COVERAGE FORM e. Permits Issued By State Or Political Subdivisions (1) Any state or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdlvlslon has Issued a permit. (2) With respect to the insurance afforded to these additional Insureds, this Insurance does not apply to: (a) "Bodily Injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (b) "Bodily Injury" or "property damage" Included within the "products - completed operations hazard". f. Any Other Party (1) Any other person or organization who Is not an Insured under Paragraphs a. through a. above, . 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) In the performance of your ongoing operations; (b) In connection with your premises owned by or rented to you; or (c) In connection with "your work" and Included wlthln the "products - completed operations hazard", but only If (1) The written contract or written agreement requires you to provide such coverage to such addltl.onal Insured; and This Insurance does not apply to (11) This Coverage Part provides "bodily injury", "property damage" or covorage for "bodily Injury" or "personal and advertising Injury" "property damage" Included arising out of the rendering of or the within the "products - failure to render any professional completed operations hazard". services by or for you, Including: (2) With respect to the insurance afforded (a) The preparing, approving, or to these additional Insureds, this failure to prepare or approve, Insurance does not apply to: maps, shop drawings, opinions, "Bodily Injury", "property damage" or reports, surveys, field orders, "personal and advertising Injury" change orders, designs or arising out of the rendering of, or the drawings and specifications; or failure to render, any professional (b) Supervisory, Inspection, architectural, engineering or surveying architectural or engineering services, Including: activitles. Form SS 00 08 04 05 BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders, designs or drawings and specifications; or (b) Supervisory, Inspection, architectural or engineering activities. The limits of Insurance that apply to additional insureds are described In Section D. — Limits Oflnsurance. How this Insurance applies when other Insurance Is available to an additional insured Is described In the Other Insurance Condition In Section E. — Liability And Medical Expenses General Conditions. No person or organization Is an Insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that Is not shown as a Named Insured In the Declarations. D. LIABILITY AND MEDICAL EXPENSES LIMITS OF INSURANCE 1. The Most We Will Pay The Limits of Insurance shown In the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. Aggregate Limits The most we will pay for: a. Damages because of "bodily Injury" and "property damage" Included In the "products -completed operations hazard" Is the Products -Completed Operations Aggregate Limit ' shown In the Declarations, b. Damages because of all other "bodily Injury", "property damage" or "personal and advertising Injury", Including medical expenses, Is the General Aggregate Limit shown In the Declarations. This General Aggregate Limit applies separately to each of your 'locations" owned by or rented to you. "Location" means premises Involving the same or connecting lots, or premises whose connection Is Interrupted only by a street, roadway or right-of-way of a railroad. Policy Number:72SBAAK0318 This General Aggregate.11mit does not apply to "property damage" to premises while rented to you or temporarily occupied by you with permission of the owner, arising out of fire, lightning or explosion. 3. Each Occurrence Limit Subject to 2,a. or 2.b above, whichever applies, the most we will pay for the sum of all damages because of all "bodily Injury", "property damage" and medical expenses arising out of any one 'occurrence" Is the Liability and Medical Expenses Limit shown In the Declarations. The most we will pay for all medical expenses because of "bodily Injury" sustained by any one person Is the Medical Expenses Limit shown In the Declarations. 4. Personal And Advertising Injury Limit Subject to 2,b, above, the most we will pay for the sum of all damages because of all "personal and advertising Injury" sustained by any one person or organization Is the Personal and Advertising Injury Limit shown In the Declarations. 5. Damage To Premises Rented To You Limit The Damage To Premises Rented To You Limit Is the most we will pay under Business Liability Coverage for damages because of "property damage" to any one premises, while rented to you, or In the case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner. In the case of damage by fire, lightning or explosion, the Damage to Premises Rented -To You Limit applies to all damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or any combination of these. 6. How Limits Apply To Additional Insureds The most we will pay on behalf of a person or organization who Is an additional Insured under this Coverage Part Is the lesser of: a. The limits of Insurance specified In a written contract, written agreement or permit Issued by a state or political subdivision; or b. The Limits of Insurance shown In the Declarations. Such amount shall be a part of and not In addition to the Limits of Insurance shown In the Declarations and described In this Section. Form SS 00 OB 04 05 Policy Number: 72SBAAK0318 BUSINESS LIABILITY COVERAGE FORM (6) When You Are Added As An When this Insurance is excess over other Additional Insured To Other Insurance, we will pay only our share of Insurance the amount of the loss, If any, that That is other Insurance available to exceeds the sum of: you covering liability for damages (1) The total amount that all such other arising out of the premises or Insurance would pay for the loss In the operations, or products and completed absence of this Insurance; and operations, for which you have been (2) The total of all deductible and self - added as an additional Insured by that Insured amounts under all that other Insurance; or Insurance. (7) When You Add Others As An We will share the remaining loss, If any, with Additional Insured To This any other Insurance that Is not described In Insurance this Excess Insurance provision and was not That is other Insurance available to an bought specifically to apply In excess of the additional Insured, Limits of Insurance shown In the 'However, the following provisions Declarations of this Coverage Part. apply to other insurance available to c. Method Of Sharing any person or organization who Is an If all the other Insurance permits additional Insured under this Coverage contribution by equal shares, we will follow Part: this method also. Under this approach, (a) Primary Insurance When each Insurer contributes equal amounts Required By Contract Untll It has paid Its applicable limit of This Insurance Is primary If you insurance or none of the loss remains, have agreed In a written contract, whichever comes first, written agreement or permit that If any of the other Insurance does not permit this Insurance be primary. If other contribution by equal shares, we will Insurance is also primary, we will contribute by limits. Under this method, each share with all that other Insurance Insurer's share Is based on the ratio of Its by the method described In c. applicable limit of Insurance to the total below. applicable limits of Insurance of all Insurers. (b) Primary And Non -Contributory 8. Transfer Of Rights Of Recovery Against - To Other Insurance When Others To Us Required By Contract • a. Transfer Of Rights Of Recovery If you have agreed In a written If the Insured has rights to recover all or contract, written agreement or part of any payment, Including permit that this Insurance Is Supplementary Payments, we have made primary and non-contributory with under this Coverage Part, those rights are the additional Insured's own transferred to us. The Insured must do Insurance, this Insurance Is nothing after loss to Impair them. At our primary and we will not seek request, the Insured will bring "suit" 'or contribution from [hat other transfer those rights to us and help us Insurance. enforce them, This condition does not Paragraphs (a) and (b) do not apply to apply to Medical Expenses Coverage. other Insurance to which the additional b. Waiver Of Rights Of Recovery (Waiver Insured has been added as an Of Subrogation) additional insured. When this Insurance Is excess, we will If the Insured has waived any rights of have no duty under this Coverage Part to recovery against any person or organization for all or part of any payment, defend the Insured against any "suit" If any Including Supplementary Payments, we other Insurer' has a duty to defend the have made under this Coverage Part, we Insured against that "suit". If no other also waive that right, provided the Insured Insurer defends, we will undertake to do waived their rights of recovery against so, but we will be entitled to the Insured's such person or organization In a contract, rights against all those other insurers. agreement or permit that was executed prior to the Injury or damage. Form SS 00 08 04 05 WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY INSURANCE POLICY WC 99 03 04 (Ed. 7-08) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT- CALIFORNIA This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy,) This endorsement, effective on 0 4 / 0 "1 / 2 018 at 12:01 A. M. standard time, forms a part of (DATE) Policy No. 7175-05-95 of the FEDERAL INSURANCE COMPANY (NAME OF INSURANCE COMPANY) issued to LIEBERT CASSIDY WHITMORE A PROFESSIONAL CORPORATION Endorsement No. Authorized Representative 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. The additional premium for the blanket waiver offered by this endorsement shall be 1.00 % of total California premium. Schedule Person or Organization BLANKET WAIVER - ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACTTO FURNISH THIS WAIVER WC 99 03 04 (Ed. 7-08) Job Description ALL CALIFORNIA OPERATIONS tev 0ai44V — GEM of thr DESERT — - BUSINESS LICENSE 78-495 Calle Tampico La Quinta, California 92253 CERTIFICATE (760) 777-7000 NON -TRANSFERABLE BUSINESS LOCATION Dear Business Owner: OUTSIDE CITY LIMITS Please be aware that issuance of a business license by the City does not authorize you to conduct business in a building or tenant space that has not been approved for occupancy by the Design and Development Department. If you have any questions regarding this issue, or if you are not sure if a Certificate of Occupancy has been issued for your place of business, please contact Design and Development at (760)777-7000. BUSINESS NAME: LIEBERT CASSIDY WHITMORE The Licensee named herein having paid to the City of La'Quinta all fees required, license is hereby granted said licensee to transact the business herein set forth, for the MAILING ADDRESS: 6033 W. CENTURY BLVD #500 period stated, in conformity with the Provisions of Ordinance No. 2 of this City. This LOS ANGELES, CA 90045 Licensee is issued without verfication that the licensee is subject to or exempt from licensing by the State of California. �f BUSINESS LIC NO: LIC-766384 By CLASSIFICATION: LEGAL SERVICES DESIGN AND DEVELOPMENT DIRECTOR EXPIRATION DATE: 8/31/2019