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Insurance Certificates 2018/20 Merchants Building Maintenance LLCAC�® DATE (MM/DD/YYYY) �J CERTIFICATE OF LIABILITY INSURANCE 12/28/2018 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 Bolton & Cornpanyy NAMEACT 3475 E. Foothill Blvd., Suite 100 PHONE FAx Pasadena, CA 91107 (AM,NyEx 626 799-7000 A1C No: 026 583-2117 F.nnnn www.boltonco.com 0008309 INSURED Merchants Building Maintenance LLC 1190 Monterey Pass Road Monterey Park CA 91754 COVERAGES CERTIFICATE NUMBER: df;9RAgri1 INSURERS AFFORDING COVERAGE NAIC # INSURERA: Nationwide Mutual Insurance Company A+XV 23787 INSURER B : Safety National Casualty Corporation A+ XIV 15105 INSURERC: Federal Insurance Company A++XV 20281 INSURER D : AMCO Insurance Company A+XV 19100 INSURER E : Berkshire Hathaway Homestate Ins Co A++XV 20044 INSURER F : Great American Insurance Company A+XN 16691 RFVISInN NIIMRFR- 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 UBIR POLICYEFF POLICYEXP LTR POLICY NUMBER MMIDDIYYYY MM/DD/YYYY LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS -MADE / OCCUR ACP3008735298 6/1/2018 6/1/2019 EACH OCCURRENCE $1 000000 DAMAGE PREMISES Ea occurrence $ 1 000 000 MED EXP (Any one person) $ 0 PERSONAL& ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY F JECT LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2.000 000 $ OTHER: A AUTOMOBILELIABILITY ACP3008735298 6/1/2018 6/1/2019 CO}v1BIN 1NG ELIMIT Ea accident $ 1 000 000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ _ _ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per a ent $ D V UMBRELLA LIAB V OCCUR ACP3008735298 6/1/2018 6/1/2019 EACHOCCURRENCE $2000000 AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$0 $ B E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑ N/A SP4054972 Excess WC (CA) MEWCO23295 (AOS) 6/1/2018 1/1/2019 6/1/2019 1/1/2020 �/ STATUTE ER E.L. EACH ACCIDENT $ 1 00O 000 E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below I E.L. DISEASE - POLICY LIMIT $1 000 000 C Fidelity/3rd Party Crime 81585028 6/1/1018 6/1/2019 Limit $1 MIL/Ded. $25,000 A Rented Equipment IACP3008735298 6/1/2018 6/1/2019 Limit: $40,000/item; Ded. $2,500 F Excess Liability - Occurrence TUE257195100 6/1/2018 6/1/2019 $8,000,000 Excess of $2,000,000 Umbrella DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Comp is Self -Insured under California Certificate of Consent to Self Insure #1793 for California operations. GL Additional Insured applies per CG74721216 & CG72461115 attached, only if required by written contract/agreement. GL Primary & Non -Contributory Wording applies per CG74721216 attached. XSWC Waiver of Subrogation applies per 0456000113XWC attached. Additional Insured(s): City of La Quinta, its officials, employees and agents. CERTIFICATE HOLDER CANCELLATION City Of La Quinta SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 7$�95 Calle Tampico THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. La Quinta CA 92253 AUTHORIZED REPRESENTATIVE z1 Cheryl Feia ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 46264361 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/28/2018 8:12:23 PM (PST) I Page 1 of 8 ACP3008735298 CG74721216 This insurance is primary to any expanded d. All reasonable expenses incurred by the property damage coverage provided by a insured at our request to assist us in the separate endorsement attached to this investigation or defense of the claim or policy, and it will supplant any deductible in "suit", including actual loss of earnings up to said endorsement $500 a day because of time off from work. E. Damage To Premises Rented To You G. Newly Formed And Acquired Organizations 1. Under Section I — Coverages, Coverage A Under SECTION II — WHO IS AN INSURED Bodily Injury And Property Damage Paragraph 3.a. is replaced with: Liability, the last paragraph of 2. a. Coverage under this provision is afforded Exclusions of is replaced with: only until the 180th day after you acquire or If Damage To Premises Rented To You is form the organization or the end of the policy not otherwise excluded, Exclusions c. period, whichever is earlier; through n. do not apply to damage by fire, H. Additional Insured — Automatic Status When lightning, explosion, smoke, or sprinkler Required In An Agreement Or Contract With leakage to premises while rented to you or You temporarily occupied by you with permission Section II —Who Is An Insured is amended to of the owner. include: 2. Under Section III — Limits Of Insurance, 1. Any person(s) or organization(s) described Paragraph 6 is replaced with: in Paragraph 2. a. — d. below with whom you 6. Subject to 5. above, the Damage To have agreed in writing in a contract or Premises Rented To You Limit is the written agreement that such person or most we will pay under Coverage A for organization be added as an additional damages because of "property damage" insured on your policy during the policy to any one premises, while rented to you, period shown in the Declarations. or in the case of damage by fire, lightning, explosion, smoke, or sprinkler 2. Any other person or organization you are leakage, while rented to you or required to add as an additional insured temporarily occupied by you with under the contract or agreement described permission of the owner. The limit is in Paragraph 1. above. increased to $1,000,000. The person or organization added as an 3 Under Section IV — Commercial General insured by this endorsement is an insured Liability Conditions, 4. Other Insurance, only for liability due to: b. Excess Insurance (1) (a) (ii) is replaced a. Lessors of Leased Equipment — with with: respect to their liability for "bodily injury", (ii) That is Fire, Lightning, Explosion, "property damage", or "personal and Smoke, or Sprinkler leakage insurance advertising injury", caused in whole or in for premises rented to you or part by your maintenance, operation or temporarily occupied by you with use of equipment leased to you by such permission of the owner. person(s) or organization(s). This F. Supplementary Payments insurance does not apply to any "occurrence" which takes place after the Under Section I — Coverages, Supplementary equipment lease expires. Payments — Coverages A and B Paragraphs However, their status as additional 1.b and 1.d. are replaced with: insured under this policy ends when b. Up to $2,500 for cost of bail bonds required their lease, contract, or agreement with because of accidents or traffic law violations you for such leased equipment expires. arising out of the use of any vehicle to which b. Managers or Lessors of Premises — the Bodily Injury Liability Coverage applies. with respect to liability arising out of the We do not have to furnish these bonds. ownership, maintenance, or use of that part of the premises you own, rent, lease, or occupy. Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 74 72 12 16 with its permission. 46264361 1 MERCH-1 1 (1) MBM 6.1.1E renewal and 1.1.19 OOS WC i Nancy Cadwallader 112/28/2018 8:12:23 PM (PST) I Page 2 of 8 Co. d. This insurance does not apply to: (1) Any "occurrence" which takes place after you cease to be a tenant in that premises. (2) Structural alterations, new con- struction 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. State or Political Subdivision — Permits Relating to Premises — with respect to the following hazards for which the state 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 holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar exposures; or (2) The construction, erection, or removal of elevators; or (3) The ownership maintenance or use of any elevators covered by this insurance. This insurance does not apply to: (1) "Bodily injury" or "property damage" or "personal or advertising injury" arising out of operations performed for the state or municipality; or (2) "Bodily injury" or "property damage" included within the "products - completed operations hazard". However, such state or political subdivision's status as additional insured under this policy ends when the permit ends. Owners, Lessees, or Contractors — with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part, by: (1) Your acts or omissions; or CG74721216 (2) The acts or omissions of those acting on your behalf; in the performance of your ongoing operations performed for that additional insured, whether the work is performed by you or on your behalf. The insurance does not apply to: (1) "Bodily injury", "property damage", or "personal and advertising injury" arising out of the rendering of or the failure to render any professional architectural, engineering, or survey services, including: (a) The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, survey, field orders, change orders, or drawings and specifications; or (b) Supervisory, inspection, archi- tectural or engineering activities. 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, architectural, engineering or surveying services. (2) "Bodily injury" or "property damage" occurring after: (a) All work, including materials, parts, or equipment furnished in connection with such work, on the project (other than service, maintenance, or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or CG 74 72 12 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 5 46284361 1 MERCH-1 1 (1) MBM 6.1.16 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/2B/2018 8:12:23 PM (PST) I Page 3 of 8 CG74721216 (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. 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, the insurance afforded to such additional insureds a. — d. 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. 3. Primary and Noncontributory — Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: Page 4 of 5 a. The additional insured is a Named Insured under such other insurance; and b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. Employee Bodily Injury To Another Employee Under Section II — Who Is An Insured The following is added to Paragraph 2.a.(1): Paragraphs 2.a.(1)(a), (b). and (c) do not apply to "bodily injury" to a co -"employee" in the course of the co -"employee's" employment by you, or to "bodily injury" to a co -"volunteer worker" while performing duties related to the conduct of your business. J. Broad Form Named Insured Under Section II — Who Is An Insured The following is added to Paragraph 2.: e. Any business entity incorporated or organized under the laws of the United State of America (including any State thereof), its territories or possessions or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, during the policy period, an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or on any other basis. K. Aggregate Limit Per Location Under Section III — Limits Of Insurance the following is added to Paragraph 2: The General Aggregate Limit under Section III Limits Of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision, location means premises involving the same or connecting lots, or premises whose connection is interrupted only by a public street, roadway, waterway, or railroad right-of-way. Includes copyrighted material of Insurance Services Office, Inc., CG 74 72 12 16 with its permission. 46264361 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/2B/2018 8:12:23 PM (PST) I Page 4 of 8 ACP3008735298 COMMERCIAL GENERAL LIABILITY CG 72 46 11 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured: Ongoing Operations 1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) 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: a. Your acts or omissions; or b. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. A person's or organization's status as an additional insured for ongoing operations ends when your operations for the person or organization described in Paragraph 1. above are completed. With respect to insurance afforded to these additional insureds for ongoing operations, this insurance does not apply to "bodily injury" or "property damage" occurring after: a. All work, including material, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed: or b. that operation of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. B. Section II — Who Is An Insured is amended to include as an additional insured: Products —Completed Operations Any person or organization 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 with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" performed for such person or organization and included in the "products -completed operations hazard". However, the insurance afforded to such additional insured described above: a. Only applies to the extent permitted by law; and b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. C. With respect to the insurance afforded to these additional insureds, this insurance does not apply to "bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering CG 72 46 11 15 Includes copyrighted material of Insurance Services Office, Inc with its permission. Page 1 of 2 46284361 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 COS WC I Nancy Cadwallader 1 12/26/2018 8:12:23 PM (PST) I Page 5 of 8 CG 72 46 11 15 of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. 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 the failure to render, any professional architectural, engineering or surveying services. 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 is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1. or Paragraph B.; 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. E. With respect to the insurance afforded to these additional insureds, the following is added to Section IV — Commercial General Liability Conditions, Condition 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All terms and conditions of this policy apply unless modified by this endorsement. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. CG 72 46 11 15 46284361 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 COS WC I Nancy Cadwallader 1 12/28/2018 8:12:23 PM (PST) I Page 6 of 8 tCP3008735298 CG74721216 (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. 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. a. The additional insured is a Named Insured under such other insurance; and b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. I. Employee Bodily Injury To Another Employee Under Section II — Who Is An Insured The following is added to Paragraph 2.a.(1): Paragraphs 2.a.(1)(a), (b). and (c) do not apply to "bodily injury" to a co -"employee" in the course of the co -"employee's" employment by you, or to "bodily injury" to a co -"volunteer worker" while performing duties related to the conduct of your business. J. Broad Form Named Insured However, the insurance afforded to such additional insureds a. — d. described above: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you K. are required by the contract or agreement to provide for such additional insured. 3. Primary and Noncontributory — Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: Under Section II — Who Is An Insured The following is added to Paragraph 2.: e. Any business entity incorporated or organized under the laws of the United State of America (including any State thereof), its territories or possessions or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, during the policy period, an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or on any other basis. Aggregate Limit Per Location Under Section III — Limits Of Insurance the following is added to Paragraph 2: The General Aggregate Limit under Section III Limits Of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision, location means premises involving the same or connecting lots, or premises whose connection is interrupted only by a public street, roadway, waterway, or railroad right-of-way. Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG74721216 46284361 1 MERCH-1 1 (1) MBM 6.1.16 renewal and 1.1.19 OOS WC I Nancy Cadwallader 1 12/28/2018 8:12:23 PM (PST) i Page 7 of 8 0456 00 0113 (XWC) ENDORSEMENT BLANKET WAIVER OF SUBROGATION Effective 12:01 a M., Local Time June 1, 2018 In consideration of the payment of premium and adherence by both parties to the terms of this Agreement, it is hereby understood and agreed that the Recovery From Others section of this Agreement is amended to include the following additional language The CORPORATION has the right to pursue subrogation recoveries from anyone liable for an injury covered by this Agreement. The CORPORATION will not enforce its right against any person or organization for whom the EMPLOYER performs work under a written contract that requires the EMPLOYER to obtain this agreement from the CORPORATION. All other terms, conditions, agreements and stipulations remain unchanged. Attach to and forming a part of Excess Workers' Compensation and Employers' Liability Insurance Agreement No SP4054972 issued by SAFETY NATIONAL CASUALTY CORPORATION of St. Louis, Missouri to MERCHANTS BUILDING MAINTENANCE COMPANY, ET AL, dated June 1, 2018. SAFETY NATIONAL CASUALTY CORPORATION President Secretary 46284361 1 MERCH-1 1 (1) MEM 6.1.1E renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/28/2018 8:12:23 PM (PST) I Page 8 of 8 �'Q�D0` ��. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DDNWY) 12/28/2018 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 Bolton & Company 3475 F. Foothill Blvd., Suite 100 Pasadena, CA 91107 CONTACT NAME; PHONE FAx .626 799-7000 AIC No). 626 583-2117 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Nationwide Mutual Insurance Company A+XV 23787 www.boltonco.com 0008309 INSURED Merchants Building Maintenance LLC 1190 Monterey Pass Road Monterey Park CA 91754 INSURER B : Safety National Casualty Corporation A+ XIV 15105 w suRERc : Federal Insurance Company A++XV 20281 INSURERD: AMCO Insurance Company A+XV 19100 INSURER E : Berkshire Hathaway Homestate Ins Co A++XV 20044 INSURER F : Great American Insurance Company A+XIV 16691 COVERAGES CERTIFICATE NUMBER-' ais'?Ragtn RFVISNiN NIIMRFR- 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 A L POLICY EFF POLICYExP LIMITS LTR POLICYNUMBER MM/DD/YYYY DD/YYYY A COMMERCIAL GENERAL LIABILITY ACP3008735298 6/1/2018 6/1/2019 EACH OCCURRENCE $1 000 000 DAMAGE CLAIMS -MADE MOCCUR PREMISES Ea occurrent $ 1 000 000 MED EXP (Any one erson) $ 0 PERSONAL & ADV INJURY $1 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑✓ PRO- LOC GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $ 2.000 000 $ OTHER: A AUTOMOBILE LIABILITY ACP3008735298 6/1/2018 6/1/2019 COMBINED D SINGLE LIMITtEa $1 000 000 1/ BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE P a $ D / UMBRELLA LIAB / OCCUR ACP3008735298 6/1/2018 6/1/2019 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION 0 $ B E WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBEREXCLUDED? ❑ N/A SP4054972 Excess WC (CA) MEWCO23295 (AOS) 6/1/2018 6/1/2019 1/1/2019 1/1/2020 TH- STATUTE FOR E.L. EACH ACCIDENT $1 000000 E.L. DISEASE - EA EMPLOYEE S (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1 000 000 C Party Crime 81585028 6/1/2018 6/1/2019 1 Limit $1 MIL/Ded. $25,000 �Fidelity/3rd A Rented Equipment ACP3008735298 6/1/2018 6/1/2019 Limit: $40,000/item; Ded. $2,500 F Excess Liability - Occurrence TUE257195100 6/1/2018 6/1/2019 $8,000,000 Excess of $2,000,000 Umbrella DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Comp is Self -Insured under California Certificate of Consent to Self Insure #1793 for California operations. GL Additional Insured applies per CG74721216 & CG72461115 attached, only if required by written contract/agreement. GL Primary & Non -Contributory Wording applies per CG74721216 attached. Additional Insured(s): City of La Quinta 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 Cheryl Feia ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 46284360 1 MERCH-1 1 (1) MHM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/26/2018 8:12:23 PM (PST) I Page 1 of 7 ACP3008735298 CG74721216 This insurance is primary to any expanded property damage coverage provided by a separate endorsement attached to this policy, and it will supplant any deductible in said endorsement E. Damage To Premises Rented To You 1. Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, the last paragraph of 2. Exclusions of 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 with permission of the owner. 2. Under Section III — Limits Of Insurance, 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 you or temporarily occupied by you with permission of the owner. The limit is increased to $1,000,000. 3 Under Section IV — Commercial General Liability Conditions, 4. Other Insurance, b. Excess Insurance (1) (a) (ii) is replaced with: (ii) That is Fire, Lightning, Explosion, Smoke, or Sprinkler leakage insurance for premises rented to you or temporarily occupied by you with permission of the owner. F. Supplementary Payments Under Section I — Coverages, Supplementary Payments — Coverages A and B Paragraphs 1.b and 1.d. are 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. 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. G. Newly Formed And Acquired Organizations Under SECTION II — WHO IS AN INSURED Paragraph 3.a. is replaced with: a. Coverage under this provision is afforded only until the 1801h day after you acquire or form the organization or the end of the policy period, whichever is earlier; H. Additional Insured — Automatic Status When Required In An Agreement Or Contract With You Section II — Who Is An Insured is amended to include: 1. Any person(s) or organization(s) described in Paragraph 2. a. — d. below with whom you have agreed in writing in a contract or written agreement that such person or organization be added as an additional insured on your policy during the policy period shown in the Declarations. 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. The person or organization added as an insured by this endorsement is an insured only for liability due to: a. 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 organ ization(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 expires. b. Managers or Lessors of Premises — with respect to liability arising out of the ownership, maintenance, or use of that part of the premises you own, rent, lease, or occupy. Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 74 72 12 16 with its permission. 46284360 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/26/2018 8:12:23 PM (PST) I Page 2 of 7 CG74721216 This insurance does not apply to: (2) The acts or omissions of those (1) Any "occurrence" which takes place acting on your behalf; in the after you cease to be a tenant in performance of your ongoing that premises. operations performed for that (2) Structural alterations, new con- additional insured, whether the work struction or demolition operations is performed by you or on your behalf. performed by or on behalf of the person or organization. The insurance does not apply to: However, their status as additional (1) "Bodily injury", "property damage", insured under this policy ends when you or "personal and advertising injury" cease to be a tenant of such premises. arising out of the rendering of or the c. State or Political Subdivision — failure to render any professional Permits Relating to Premises — with architectural, engineering, or survey respect to the following hazards for services, including: which the state or political subdivision (a) The preparing, approving, or has issued a permit or authorization in failing to prepare or approve connection with premises you own, rent, maps, shop drawings, opinions, or control and to which this insurance reports, survey, field orders, applies. change orders, or drawings and (1) The existence, maintenance, repair, specifications; or construction, erection, or removal of (b) Supervisory, inspection, archi- advertising signs, awnings, tectural or engineering activities. canopies, cellar entrances, coal This exclusion applies even if holes, driveways, manholes, the claims against any insured marquees, hoist away openings, allege negligence or other sidewalk vaults, street banners, or wrongdoing in the supervision, decorations and similar exposures; hiring, employment, training, or or monitoring of others by that (2) The construction, erection, or insured, if the "occurrence" removal of elevators; or which caused the "bodily injury" (3) The ownership maintenance or use or "property damage", or the offense which caused the of any elevators covered by this "personal and advertising insurance. injury", involved the rendering This insurance does not apply to: of, or failure to render, any (1) "Bodily injury" or "property damage" professional, architectural, or "personal or advertising injury" engineering or surveying arising out of operations performed services. for the state or municipality; or (2) "Bodily injury" or "property damage" (2) "Bodily injury" or "property damage" occurring after: included within the "products- (a) All work, including materials, completed operations hazard". parts, or equipment furnished in However, such state or political connection with such work, on subdivision's status as additional the project (other than service, insured under this policy ends when the maintenance, or repairs) to be permit ends. performed by or on behalf of the additional insured(s) at the d. Owners, Lessees, or Contractors — location of the covered with respect to liability for "bodily injury", operations has been completed; "property damage" or "personal and or advertising injury" caused in whole or in part, by: (1) Your acts or omissions; or CG 74 72 12 16 Includes copyrighted material of Insurance Services Office, Inc., Page 3 of 5 with its permission. 46284360 1 MERCH-1 1 (1) MEM 6.1.16 renewal and 1.1.19 OOS WC I Nancy Cadwallader 1 12/28/2018 8:12:23 PM (PST) I Page 3 of 7 CG74721216 (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. 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, the insurance afforded to such additional insureds a. — d. 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. 3. Primary and Noncontributory — Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: a. The additional insured is a Named Insured under such other insurance; and b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. I. Employee Bodily Injury To Another Employee Under Section II — Who Is An Insured The following is added to Paragraph 2.a.(1): Paragraphs 2.a.(1)(a), (b). and (c) do not apply to "bodily injury" to a co -"employee" in the course of the co -"employee's" employment by you, or to "bodily injury" to a co -"volunteer worker" while performing duties related to the conduct of your business. J. Broad Form Named Insured Under Section II — Who Is An Insured The following is added to Paragraph 2.: e. Any business entity incorporated or organized under the laws of the United State of America (including any State thereof), its territories or possessions or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, during the policy period, an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or on any other basis. K. Aggregate Limit Per Location Under Section III — Limits Of Insurance the following is added to Paragraph 2: The General Aggregate Limit under Section III Limits Of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision, location means premises involving the same or connecting lots, or premises whose connection is interrupted only by a public street, roadway, waterway, or railroad right-of-way. Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 74 72 12 16 with its permission. 46284360 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/28/2018 8:12:23 PM (PST) I Page 4 of 7 ACP3008735298 COMMERCIAL GENERAL LIABILITY CG 72 46 11 15 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS FOR OTHER PARTIES WHEN REQUIRED IN WRITTEN CONSTRUCTION AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to a. All work, including material, parts or include as an additional insured: equipment furnished in connection with Ongoing Operations such work, on the project (other than 1. Any person or organization for whom you are service, maintenance or repairs) to be performed by or on behalf of the performing operations when you and such additional insured(s) at the location of the person or organization have agreed in writing covered operations has been completed: in a contract or agreement that such person or or organization be added as an additional insured on your policy; and b. that operation of "your work" out of which 2. Any other person or organization you are the injury or damage arises has been put to its intended use by any or required to add as an additional insured person organization other than another under the contract or agreement described in contractor or subcontractor engaged in Paragraph 1. above. performing operations for a principal as a Such person(s) or organization(s) is an additional part of the same project. insured only with respect to liability for "bodily B. Section II — Who Is An Insured is amended to injury", "property damage" or "personal and include as an additional insured: advertising injury" caused, in whole or in part, by: a. Your acts or omissions; or Products —Completed Operations b. The acts or omissions of those acting on Any person or organization with whom you have agreed in writing in a contract or agreement that your behalf; such person or organization be added as an in the performance of your ongoing operations for additional insured on your policy with respect to the additional insured. liability for "bodily injury" or "property damage" However, the insurance afforded to such caused, in whole or in part, by "your work" additional insured described above: performed for such person or organization and a. Only applies to the extent permitted by included in the "products -completed operations law; and hazard". b. Will not be broader than that which you However, the insurance afforded to such are required by the contract or agreement additional insured described above: to provide for such additional insured. a. Only applies to the extent permitted by A person's or organization's status as an law; and additional insured for ongoing operations ends b. Will not be broader than that which you when your operations for the person or are required by the contract or agreement organization described in Paragraph 1. above are to provide for such additional insured. completed. C. With respect to the insurance afforded to these With respect to insurance afforded to these additional insureds, this insurance does not apply additional insureds for ongoing operations, this to "bodily injury", "property damage" or "personal insurance does not apply to "bodily injury" or and advertising injury" arising out of the rendering "property damage" occurring after: CG 72 46 11 15 Includes copyrighted material of Insurance Services Office, Inc. Page 1 of 2 with its permission. 46284360 1 MERCH-1 1 (1) MBM 6.1.16 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/2B/2018 8:12:23 PM (PST) I Page 5 of 7 CG 72 46 11 15 of, or the failure to render, any professional architectural, engineering or surveying services, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or E. 2. Supervisory, inspection, architectural or engineering activities. 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 the failure to render, any professional architectural, engineering or surveying services. 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 is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1. or Paragraph B.; 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. With respect to the insurance afforded to these additional insureds, the following is added to Section IV — Commercial General Liability Conditions, Condition 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. All terms and conditions of this policy apply unless modified by this endorsement. Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc. with its permission. CG 72 46 11 15 46284360 1 MERCH-1 1 (1) MBM 6.1.1E renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/28/201B B:12:23 PM (PST) I Page 6 of 7 ,CP3008735298 CG74721216 (b) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. 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, the insurance afforded to such additional insureds a. — d. described above: a. The additional insured is a Named Insured under such other insurance; and b. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. I. Employee Bodily Injury To Another Employee Under Section II — Who Is An Insured The following is added to Paragraph 2.a.(1): Paragraphs 2.a.(1)(a), (b). and (c) do not apply to "bodily injury" to a co -"employee" in the course of the co -"employee's" employment by you, or to "bodily injury" to a co -"volunteer worker" while performing duties related to the conduct of your business. J. Broad Form Named Insured 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you K. are required by the contract or agreement to provide for such additional insured. 3. Primary and Noncontributory — Other Insurance Conditions The following is added to the Other Insurance Condition and supersedes any provisions to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: Under Section II — Who Is An Insured The following is added to Paragraph 2.: e. Any business entity incorporated or organized under the laws of the United State of America (including any State thereof), its territories or possessions or Canada (including any Province thereof) in which the Named Insured shown in the Declarations owns, during the policy period, an interest of more than fifty percent. If other valid collectible insurance is available to any business entity covered by this solely by reason of ownership by the Named Insured shown in the Declarations in excess of fifty percent, this insurance is excess over the other insurance, whether primary, excess, contingent, or on any other basis. Aggregate Limit Per Location Under Section III — Limits Of Insurance the following is added to Paragraph 2: The General Aggregate Limit under Section III Limits Of Insurance applies separately to each of your locations owned by or rented to you or temporarily occupied by you with the permission of the owner. For the purposes of this provision, location means premises involving the same or connecting lots, or premises whose connection is interrupted only by a public street, roadway, waterway, or railroad right-of-way. Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 74 72 12 16 with its permission. 46284360 1 MERCH-1 1 (1) MBM 6.1.18 renewal and 1.1.19 OOS WC I Nancy Cadwallader 112/28/2018 8:12:23 PM (PST) I Page 7 of 7