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HomeMy WebLinkAboutInsurance.pdfA O CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDNYYY) 1 7,'15/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER UUNIAUT NAME: Lyneltc (Lvnn) Eve PIA Select Insurance Solutions PHONE FAX AIC. No, Ext): (805) 975-3 53 1 (AIC, No): 1 100 Industrial Rd.. #3 EADDRE:MiLSs: lynn-eye a piaselect.com INSURER(S) AFFORDING COVERAGE NAIC # San Carlos CA 94100 INSURER A: Employers Insurance Group INSURED INSURER B: Data Ticket. Inc. INSURER C: 2603 Main St., Ste. 300 INSURER D: INSURER E: 7 OCCUR Irvine CA 92614 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. LTR TYPE OF INSURANCE INSD N/VD POLICY NUMBER MM/DD(YYY Y) MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S PMA IuCLAIMS-MADE PREMISES (Ea ocx' rqcurrence) S7OCCUR MED EXP (Any one person) S PERSONAL & ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT FILOC GENERAL AGGREGATE S PRODUCTS - COMP.'OP AGG S OTHER: S AUTOMOBILE LIABILITY UO(Ea accident) S ANY AUTO BODILY INJURY (Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident S HIRED NON-OWNEDPROP AUTOS ONLY AUTOS ONLY Per accident) S S UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE S EXCESS LIAB AGGREGATE S DED I RETENTION S S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N A STATUTE ER E.L. EACH ACCIDENT 5 1.000.000AANYPROPRIETOR/PARTNER/EXECUTIVE r ; FFICER/MEMBER EXCLUDED? - Mandatory in NH) If ves. describe under N / A EIG2869443 7/12/2019 W12/2020 E.L. DISEASE - EA EMPLOYEE S 1.000.000 E.L. DISEASE - POLICY LIMIT S 1.000.000ESCRIPTIONOFOPERATIONSbelow DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER cANCFt I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN To whom it play concern ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2015 ACORD CluRPORATION. All riahts reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD c,,- -I 6 - oK® CERTIFICATE OF LIABILITY INSURANCE DATE{MMIDDIYYYY} 10131!18 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 PELLETT INSURANCE SERVICES INC CONTACT NAME: Karen PnC No.Ext (805)227-6760ONE arc No): (805)460-7445 AE. ntaRFss: karen ellettins.com4355SanBenitoRd. INSURERS AFFORDING COVERAGE NAIC # Atascadero, CA 93422 INSURERA: Amco Insurance Company A+XV 002014OH2721820 INSURED INSURER B: INSURERC: Data Ticket, Inc. INSURER D: DBA: Revenue Experts INSURER E: 2603 Main Street, Ste. 300 1 INSURER F: Irvine CA 92614 COVERAnPA 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. INSRLTR TYPE OF INSURANCE ADDL SUER POLICYNUMBER POLICY EFFMMIDWYYYY POLICY EXPMMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2 000 000 CLAIMS -MADE OCCUR DAMAGE TO RETED PREMISES Ea oNccurrence $ 300 000 MED EXP (Any one person) $ $ 0{}0 PERSONAL a ADV INJURY $ ExcludedAyyACPBPO303742761811/01/18 11/01119 GEN'LAGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 4 1000,000 PRODUCTS - COMPlOPAGG $ 4,000,000 JECTPOLICY PRC- LOG OTHER: AUTOMOBILE LIABILITY EO ., SINGLE LIMIT aEl d 5 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Peracciden[} $ A AOWNED UTOS ONLY AUTOS XHIRED V -NON-OWNED AUTOS ONLY / AUTOS ONLY ACPBP03037427618 11/01/18 11/01/19 PROPERTY DAMAGE $ Per accident UMBRELLA L1AB OCCUR EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2E000,000AXEXCESSLIARCLAIMS -MADE ACPBP03037427618 11/01/18 11/01/19 DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPAR7NERIEXECUTIVE Y 1 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ E, L. DISEASE - EA EMPLOYE $ OFFICERIMEMBER EXCLUDED? Mandatory In NH) N 1 A E.L. DISEASE - POLICY LIMIT 5Ifyes, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS i LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is requiredl It is Agreed that the Certificate Holder Listed below is included as Additional Insured. Including Waiver of Subrogation and Primary Non -Contributory wording as required by Written Contract. k -LK I 11 -ILA I t MULUCK 1 rvi. Diamond Bar 21810 Copley Drive Diamond Bar, CA 91765 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 P6"_/ V 1985-1015 AGUKL7 GUKPUKA I IUN. All rlgnis reserves. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD r l l anfif: 12154 DATTI ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDD 10123120181 PRODUCER Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 License #0188788 Santa Ana, CA 92704 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC # INSURED Data Ticket, Inc. dba: Revenue Experts 2603 Main Street Suite 300 Irvine, CA 92614 INSURER A: State Compensation Ins. Fund 35076 INSURER B; Continental Casualty Company 20443 INSURER C: Scottsdale nsurance Company 41297 INSURER D: INSURER E: 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MMIDDIYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ AMAGE TO RENTED Wourr $ DPREMISECOMMERCIALGENERALLIABILITY MED EXP (Any one person) $ CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE. LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POLICY n PE LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) ANY AUTO BODILY INJURYALLOWNEDAUTOS Per person) SCHEDULED AUTOS BODILY INJURYHIREDAUTOS Per acOdeni) NON -OWNED AUTOS PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADEF] DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND 906573118 07/12118 07/12/19 X TORYWC LIMIT OTH- E -L. EACH ACCIDENT $1,000,000EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? YES E.L. DISEASE- EA FMPLOYEEl $1,000,000 E.L. DISEASE- POLICY LIMIT 1 $7,004,000Ifyes, describe under SPECIAL PROVISIONS. below B OTHER Errors & Omm 287188360 11/07/18 11/01/19 2,000,000 Ded. $10K B Personal Injury 287188360 71101118 11101/19 2,000,000 Ded. $10K C Cyber Liability EKS3272472 10/01/18 10/01/19 1MM12MM Ded $25K DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)& Including Personal Injury and Cyber Liability CERTIFICATE HOLDER _ CANCELLATION 10 Days for Non -Payment Data Ticket, Inc DBA: Revenue Experts 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001108) 1 of 2 #S325331M32529 V .. "--- OYCC_ © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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 endorsoment(s). DISCLAIMER The Certificate of insurance on the reverse side of this Form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-s (2001/08) 2 of 2 #S325331M32529 ACPBP03037427618 BUSINESSOWNERS PB 60 72 07 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMENDMENT TO OTHER INSURANCE CLAUSE FOR ADDITIONAL INSUREDS - PRIMARY AND NOW CONTRIBUTORY WHEN REQUIRED IN A WRITTEN AGREEMENT OR CONTRACT WITH YOU This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: 1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy; or 2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement. PB 60 72 07 11 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 BUSINESSOWNERS PB 04 48.11114 ACPBP03037427618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION endorsement modifies insurance provided under the following; PREMIER BUSINESSOWNERS, LIABILITY COVERAGE FORM A. The following is added to Section II. WHO IS AN INSURED: Any person or organization shown in the Schedule of.this endorsement is also an insured, but only with respect .to liability for "bodily injury property damage" or "personal and advertising injury" caused, in whole or impart, by your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your. ongoing operations`or in connection with your premises owned by or rented to you.. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contractor agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B_ With .respe.ct to the insurance afforded to these additional insureds, the following is added to Section 111, LIMITS OF INSURANCE AND DEDUCTIBLE: 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. C. This insurance, including any duty we have to defend "suits", does not apply to: 1. "Bodily, injury" or "property damage" that arises out of, in whole. or in part, or is a result of, in whole or in part, the active negligenceof the additional insured shown in the Schedule of this endorsement. 2. "Personal and advertising injury" that arises out of any independent "'personal and advertising infury" offense committed by the additional insured shown in the Schedule of this endorsement, All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Fume Of Persons Or Organization: Blanket Additional Insured PB 04 48 11 14 Includes copyrighted.material iaf Insurance.8e3vices Office, Inc., V€th its permission. Page i of 1 HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS BROKER COPY EFFECTIVE JULY 12, 2018 AT 12.01 A.M. AND EXPIRING JULY 12, 2019 AT 12.01 A.M. DATA TICKET INC 2603 MAIN ST STE 300 IRVINE, CA 92614 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. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL .BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER 9065731-18 RENEWAL NA 2-71-67--20 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL RE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHORIZED REPRESENT IVE SCIF FORM 10217 (REV.7-2014) JULY 13, 2018 PRESIDENT AND CEO 2572 OLD OP 217 Client#: 12154 DATTI ACORD- CERTIFICATE OF LIABILITY INSURANCE 08/07/2018 Y' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License #0188788 POLICY NUMBER Santa Ana, CA 92704 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: State Compensation Ins Fund Data Ticket, Inc. db.a: Revenue Experts 2603 Main Street Suite 300 INSURER B: Continental Casualty Company 20443 INSURER C; Scottsdale Insurance Co. Irvine, CA 92614 INSURER ; INSURER E: COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. S LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDD POLICY EXPIRATION DATE MM1DDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY bRAMAGE T9U3O RENTEb $ CLAIMS MADE F7OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY S GENERAL AGGREGATE $ GENTAGGREGATELIMITAPPlPER: PRODUCTS - COMPICPAGG $ TO- LOCPOLICYPRCJEEl AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) BODILY INJURY $ ALL OWNED AUTCS SCHEDULED AUTOS Per person) BODILY INJURYHIREDAUTCS NON -OWNED AUTOS Per accident) PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ OTHERTHAN EA ACC $ ANYAUTO AUTO ONLY: AGG $ H EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND 906573118 07/12/18 07112/19 TH- X wR STATU- OER EMPLOYERS' LIABILITY E.L. EACHACCiDENT s1,O0Q,ODO ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE $1,000,000rBOFFICERIMEMBEREXCLUDED? YES If yes, describe Linder SPECIAL PROVISIONS below ASE - POLICY LIMIT $1 000,000 OTHER Errors & Omm 287188360 11/01117 11/01/18 000 Ret. $10,000 C Wrap-D&OIEPL EKS3236605 11/01117 11101/18 LD$1MM CYBER $21l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)lncluding Personal Injury and Cyber Liability Diamond Bar 21810 Copley Drive Diamond Bar, CA 91765 " ACORD 25 {2001108) 1 of 9 45321911M31063 CANCELLATION lU UaVS Tor N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL if DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE a ACORD CORPORATION 198E Client#: 12154 DATTI ACOR& CERTIFICATE 4F LIABILITY INSURANCE DATE 02/07/ 2018YYYI PRODUCER Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 License #0188788 Santa Ana, CA 92704 THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE MAIC # INSURED Data Ticket, Inc. dba: Revenue Experts 2603 Main Street Suite 300 Irvine, CA 92614 INSURER A: State Compensation Ins Fund INSURER B: Continental Casualty Company 20443 INSURER C: Scottsdale Insurance Co. INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRDD LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MM1DDlYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY M DAMAGE TO RREMISES ( EaENTED $ CLAIMS MADE 171OCCURMED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE S GEN%AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $ POiPRO LOCJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO Ea accident) BODILY INJURYALLOWNEDAUTOS SCHEDULED AUTOS Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS Per accident) PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTOM AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGRFGATF $ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND 906573117 07/12/17 07/12118 X WC SI I O IR EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,000 000 ANY PROPRIETORIPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEEI $1,000,000OFFICERIMEMBEREXCLUDED? YES If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT 1 $1,000,000 B OTHER Errors & Omm 287188360 11101117 11/01/18 2,000,000 Ret. $10,404 C Wrap-D&OIEPL EKS3236605 11101/17 11/01/18 D&O $I MM CYBER $2MM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)Including Personal Injury and Cyber Liability The City of Diamond Bar 21810 Copley Drive Diamond Bae, CA 91765 ATTN: Tommue Cribbins SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3()— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE r . &4411 ACORD 25 (2001108) 1 of 2 #S314421M31063 OXC 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #5314421M31063 Client#: 12154 DATTI ACORI CERTIFICATE OF LIABILITY INSURANCE DATE POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR 10/24/2017 FYI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. License #0188788 Santa Ana, CA 92704 INSURERS AFFORDING COVERAGE NAIC # INSURED Data Ticket, Inc, dba: Revenue Experts 2603 Main Street Suite 300 Irvine, CA 92614 INSURER A. State Compensation Ins Fund INSURERS Continental National American INSURER C: Scottsdale Insurance Co. INSURERD: NSURER E: COMMERCIAL GENERAL LIABILITY COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRLTR NSRS TYPE OF INSURANCE POLICY NUMBER P OLICY EFECTIVEDATEMFMIDDIYY P OLICY EXPIRATIONDATEMMIDD/Y LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED$ PEEMISE5 Ed MED EXP (Any one person) $ CLAIMS MADE E]OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY F PE0. LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ea accident) $ BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS Per accident) $ PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC SANYAUTOIAUTOONLY: AGO 5 EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE 5 I AGGREGATE SOCCURFCLAIMSMADE DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND 906573117 07/12/17 07/12/16 X WC STATu- oTH- EMPLOYERS' LIABILITY E.L. EACH ACCIDENT $1,006000 ANY PROPRIETORIPARTNEWEXECUTIVE E. L. DISEASE - EA EMPLOYEE $1,000,000OFFICEAMEMBEREXCLUDED? YES If yes, describe under SPECIAL PROVISIONS below EL.DISEASE - POLICY LIMIT $1000,000 B OTHER Errors & Omm 287188360 11/01/17 11/01/18 2,000,000 Ret. $10,000 C Wrap-D&O/EPL EKS3236605 11/01/17 11/01/18 D&O $1MM CYBER $2MM DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)lncluding Personal Injury and Cyber Liability Data Ticket, Inc DBA: Revenue Experts 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 ACORD 25(2001/08)1 of #S31064/M31063 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION HEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGORD 25.5 (2001108) 2 of 2 #S31064/M31063 RIi CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/4/2017 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 policy0es) 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 PELLETT INSURANCE SERVICES INC 2985 Theatre Drive., Ste 5 NAME: Lynn Eye _ PHONEFAxIAcNGENn. (805)227-6760 Ig/CNG);(SO5)237-7350 E-MAIL nn ellettins.comADDRESS1Y P tfPasoRobles, CA 93446 NSIRiER(S) AFFORDING COVERAGE NI INSURERA:Amco Insurance Company INSURED Data Ticket, Inc. INSURER B: INSURER C: DBA: Revenue Experts INSURER D: 2603 Main Street, Ste. 300 INSURER E: Irvine, CA 92614 INSURER F COVERAGES CERTIFICATE NUMBER'. REVISION NUMBER: rEn 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 HEC UIREMENL. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICFI THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT '10 ALL 'DHE T EHM&. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- IN9ftLTR TYPE OF INSURANCE A INSO 5UBq- Win POLIO" NUMBER Hui Gy EFFI(MM/0O1YY n POLI TEXPMMiDD'YYV1" LNAfiS X COMMERCIAL GENERAL LIABILITY EACH OCC-JRRENCE 1 $ 2,000,000 CLAIMS MADE 1 "J OCCUR PREMISES IEa cr,r,. R $ 300,000 NEDESP (Ar,A,AFelscl,) $ 5 000 A X Y ACPBP03037427618 111/1./2017 11/1/2016 PERSONAL a ADV INJURY $ EXCLUDED GHN'LAGGREGATE U 7APPLIES PER: GENERAL AGGREGATE $ 4,000,0 OOMPiOP All $ 4,000, 000POLICYPRO, D LOUCT PRODUCTS ROTHER'. AUTOMOBILE LIABILITY Ca AN,rdenr) G $ 1,000,000 BODUYINJURY'Per Terser) $ i A ANYAUTO ALL OWNEri SCHEDULED AUTOS AUTOS X INFED AUTOS X NONOWNEDNEO I NONOC I ACPBP03037427618 11/1/2017 11/1/2018 BODILY INJURY IPer a,Ude,u $ nr aOlderil AMAG $ IIS A X UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE ACP CAA3037427618 11/1/2017 11/1/2018 EACH OCCURRENCE 5 2,000, 000 AGGREGATE 0.00, 000' DED RETENTION s-22 WORKERS COMPENSATION AND EMPLOYERS' LIABATLY' YIN ANY PROPRIGT'ORIPARINERTMICUDVE OFFICER/fAFNIIBGR EHOCJOE03 RAondmary in Mt) N/A PER ffORSTATUTEER E.L. EACH ACCIDENT $ E L DISEASE - EA EMPLOYE $ ELDISEASE-POLAYLIMP' $ if rS daeudi e underDESCRIPTIONOFOPERAT IONS Ace, DESORIPT)Obl OF OPERATIONS I LOCATIOINS l VEHICLES (ACORO t0i, Adtllrtonol Remarks Sahedole, may be attached li more spaco Is regclretl) IT IS AGREED THAT THE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS TNSURANCE IS PRIMARY I NON—CONTRIBUTORY. I CERTIFICATE HOLDER CANCELLATION Diamond Bar SHOULD ANY OF 'r FIE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 21810 Copley DrivePY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Diamond Bar, CA 91765 AUTH71ZED REPRESENTATI\E 1988-2014ACORD COF fPORATION. All rights reserved. ACORD25(2014101) The AGORD name and logo are registered marks of AGORD Policy #ACPBP03037427618 BUSINESSOWNERS PB 04 48 11 14 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, IT F. r ti ORGANIZATION This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM A. The following is added to Section 11, WHO IS AN INSURED: Any person or organization shown in the Schedule of this endorsement is also an insured_ bur Only with: respect to liability for "bodily injury Property damage' or "personal and advertising injury" caused, in whole or m part, by your acts or omissions or the acts or emissions of those acting on your behalf In the performance of your ongoing operations or in connection rvifh your premises owned by or rented to you. However: 1. The insurance afforded to such addiiional insured only applies to the extent permitted by lame: and 2. If coverage provided to the additional insured is required by a contract or agreement, the inscraoce afforded to such additional insured will not be broader than thaz which you are required by the contract or aoreernent to provide for such additional nsured. B. 4'Vtih respect to the Insurance afforded :`o these additional insureds,'he following is added to Section III. LIMITS OF INSURANCE AND DEDUCTIBLE: If coverage provided to rhe additional insured is required by a contract or agreement, fire most we will pay on behalf of the addiiional insured is the amount of insurance: 1. Required by the contract or agreement, or Avalable under the applicable Licula Of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. C. This insurance, including any duty we have to defend "suits", does not apply to: 1, `Bodilyinjuly" or "property damage" that arises out of, in whole or in pail, or is a result of, in whole or in part, the active negligence of the additional insured shown in the Scnedute of this endorsement. 2 "Personal and advertising iniury" that wises out of any independent "personal and advertisnig injury" offense committed by tire additional Insured shown in the Schedule of this endorsement. Ail terms and conditions of this policy apply unless modified by this endorsement. iyClq IIl, Name Of Pc-rson Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT PB 04 48 11 14 LtsWtles copyrighted mP oriel cf Insuran e ServicesO Inc.Ilii its permission. Page 1 01 1 BUSINESSOWNERS PB 60 72 07 11 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY, 1A f. I This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a, is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: 1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed priorto the loss that this insurance shall be primary: a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or 2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement PB 60 72 07 11 Includes copyrighted materral of Insurance Services Office, Inc., with its permission. Page 1 of I BUSINESSOWNERS PB 04 97 07 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. INNER 11 - This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWINIERS COMMON POLICY CONDITIONS SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT In condition K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, under paragraph 2. Applicable to Businessowners Liability Coverage, the following paragraph IS added: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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". This waiver applies only to the person or organization shown in the Schedule above. All terms and conditions of this policy apply unless modified by this endorsement. Includes copyrighted material of Insurance Services Office, Inc., with its permission. ISO Properties, Inc., 2004 PI3 04 97 07 07 Page 1 of 1 ACP BPO 30374276/0 INSURED COPY 47 00995 A61I CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10/4/2017 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 ME ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policyhes) 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 PELLETT INSURANCE SERVICES INC 2985 Theatre Drive, Ste 5 CT NAMEA L nn Ee AC. Nc: gCNaEt ($05)227-6760 (805)237-7350 DRE3,lynn@pellettins.com Paso Robles, CA 93446 1N9UREg14) RFFOfl01N0 COVFAPGE MAIC% IN'SURERA:ABrcO Insurance Company INSURED Data Ti CICet, Inc. INSURER 8: INSURER C. DBA: Revenue Experts INSURER o: 2603 Main Street, Ste. 300 INSURER E: Irvine, CA 92614 INSURER F, COVERAGES CERTIFICATE NUMBER; REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH IHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT' "IO ALL THE TERM$ EXCLUSIONS AND OONDRIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ LTRILm TYPE OF INSURANCE INSDINS WVD POLICY NUMBER IMM OGD/YY Y) MM/ DDMLICY VVY 1 LIME'S X COMMERCIAL GENERAL U BILn 1 EACH OCCIJRRENCc $ 2, 0U$, 00$ CLAIMS-MADE I OCCUR PREMISES Eeoacuncncat 300 000 MEDF PiAnyonepenam $ 5, 000 A X y ACPBP0303742761$ 11/1/2ov 17./1/2018 PERSONALUADVUDIURY g EXCLUDED GEN'L AOCHEGATE LIME APPLIES PER: I GENERAL AGGREGATE r 000 PRODUCTS GOMPIOP EGG 5 4,000,000IEPOLICY PRG- LOCJECT OTHER_ AUTOMOBILE LIABILITYA U S 1,000,000Eu. BINE nn BODILY INJURY( PD, penal,) $ A ANYAUTC ALL OWNED SGHEDULEC AUTOS AUTOS— NON OWNED X HIRED AUTOS AUTOS AUTOS ACPBP03037427618 11/1/2017 11/1/201s SODILV INJURY(Per ac^.hank $ PROPER IY DAMAGE 8 Par, acmdenB _ S A X UMBRELLA DAB EXCESS LIEN OCCUR TMs-IVIADE ACPCAA3037427618 11/1/2017 11/1/2018 EACH OCCURRENCE N 2,000,000 AGGIIEGAre s 2,000, 000 SDEDTILS WORKLRS COMPENSA ZION AND EMPLOYERS' LIABILITY N ANY uTATl1TE EF E1 EACH ACCIDENT $ — C L 01.: LASE - EA EMPLOYE :$ 9/ NEMBD EXQLVDFD?ECUTIVEOFFIGF9/IAEIA6GR IVCLUDFp4 Me dn my In NH) N/A ELUCEASE-PULIOYLIPArT $ II yes, dasorlbe ""J" DESCRIPTION GF OPERATIONS below II DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES IACORD 101, Addltlon¢I Remar4s 5nhodule, may ba a¢achetl 1. mole speoD Is requieod) IT IS AGREED THAT THE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS INSURANCE IS PRI--MARY & NON—CONTRIBUTORY. CERTIFICATE HOLDER CANCELLATION Diamond Bar 21$10 Copley Drivepy SHOULD ANY OF I'HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Diamond Bar, CA 91765 UTH pI7ED REPRES ENTAIIVE 1 TV 1888-2014ACORD CORPORATION. All rights reserved. ACOR025(2014l01) The ACORD name aNd logo are. registered marks of ACORD ENDORSEMENT AGREEMENT 9065731-17 RENEWAL NA 2-71-67-20 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE AUGUST 15, 2017 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME DATA TICKET INC 2603 MAIN ST STE 300 IRVINE, CA 92614 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE FOLLOWING LOCATIONS) IS(ARE) HEREBY ADDED TO AND MADE A PART OF THIS POLICY. 2603 MAIN ST STE 300 IRVINE CA 92614 4200 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ryISSUED ATT/SAN NFRANCISCO: SEPTEMBER 12, 22017 9919 AUTHORIZED REPRESENT/rTIVE PRESIDENT AND CEO SCIF FORM 10217 (REVD -2014) OLD DP 217 ENDORSEMENT AGREEMENT 9065731-17 RENEWAL NA 2-71-67-20 PAGE 1 HOME OFFICE SAN FRANCISCO EFFECTIVE AUGUST 16, 2017 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME DATA TICKET INC 2603 MAIN ST IRVINE, CA 92614 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE FOLLOWING LOCATIONS) APPEARING IN THIS POLICY IS(ARE) HEREBY ELIMINATED. 460D CAMPUS DR STE 200 NEWPORT BEACH CA 92660 1888 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHORIZED REPRESENT IVE SCIF FORM 10217 (REV7-2014) AUGUST 21, 2017 PRESIDENT AND CEO 9920 OLD DP 217 Policy #ACPBP03037427618 BUSINESSOWNERS PB 04 48 91 14 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. I # W - ORGANIZATION This endorsement modifies Insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE. FORM A. The following is added to Section If. WHO IS AN INSURED Any person or organization shown in the Schedule; of this endorsement is also an insured_ but only with respect to lability for budily injury'. property dan.age' or "personal and advanising injury+" caused, in whole of In part, by your arts or omissions or The acts or omissions of those acting on your behati in the performance of your ongoing operations or in connection with your Or owned by or rented to you. However: 1, The insurance afforded to such additional insured only applies to the extent permitted by lam; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract Or agreemerr to provide for such additiur.al nsured, o. 41ritit respect to the insurance afforded to these additional insureds, the following is added to Section III, LIMITS OF INSURANCE AND DEDUCTIBLE: If coverage provided to the additional insured v roquired by a contract or agreement, the most we will pay on behalf of the addltional insured is the amount of insurance: T. Required by the contract cr agreement or z. Available under the a_pplicahis Limits Of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. C. This insurance, including any duty we have to defend "suits", does not apply to: 1. "Bodily injury" or "property damage" that arises out of, in whole or in pan, or is a result of, in whole or in part, the active negligence of the additional Insured shown in the Schedule of this endorsement. 2, "Personal and advertising injury' that arses out of any independent "personal and advertising injury" offense cornmltted by the additional insured shown in the Schedule of this endorsement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT P5 04 48 11 14 Includes copyrlghtel material of Insurance 9enrces Office, IM, vetn its pffnission. Page 1 of 1 BUSINESSOWNERS PB 60 72 07 11 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a, is replaced bythe following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: 1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: a) Then this Insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or 2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement. PB 60 72 07 11 Includes copyrighted material of Insurance Services Office, Inc., vdth its permission. Page 1 of 1 BUSINESSOWNERS PB 04 97 07 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT In condition K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, under paragraph 2 Applicable to Businessowners Liability Coverage, the following paragraph is added: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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". I his waiver applies only to the person or organization shown in the Schedule above. All terms and conditions of this policy apply unless modified by this endorsement. Includes copyrighted material of Insurance Services Office, Inc., with its permission. ISO Properties, Inc., 2004 PB 04 97 07 07 Page t of 1 ACP BPO 3037427610 INSURED COPY - 47 00998 0 CERTIFICATE OF LIABILITY INSURANCE T)A7I_{MMr'DDIYYYY} 1.0/4/20.17 THIS CERTIFICATE IS ISSUIl 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 AFFORDEDBY 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(fes} must he endorsed. If SUBROGATION IS WAIVEfI, suhject'to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer Lights to the certificate holder in Ifeu of such endersement(s). PRODUCER PELLETT INSUPANCE SEAVICES' 'INC 29:85 Theatre Drive, Ste 5 Paso Robles,CA93446 NAt>n£: Lynn E`+ E PHONE 7-67AMX,Nnjll237-7:3502250 L( 85) MAI . ADDREss:lnn@pellen ins.'coe NSI RERI$} AF72Bp1NQ'£0VERAGF NAFCt INSURERA:AMCO In5utanCe Cp anp .... INSURED Data Ticket, Inc. DBA: Revenue Experts 2603 Main Street, Ste. 300 Irvine, CA 9261.4 INSURER,B: .,.... . iNSUIPER Q: INSURER 0: INSURER E: INSURERF COVERAGES CER.TIFICAT_E NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TME INSURED NAMED ABOVE FOR 'I HE: PU4JL:Y E'tF(IUV INDICATED. NOTW rTI ISTANDING ANY REQUIREMENT„ TERM OR. CONDITION .OF ANY CONTRACT OR OTHER QOGUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED. 'BY THE POLICIES DESCRIBED HEREIN .IS SUNECT TO ALL THE TERMS, EXCLUSIONS:AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN, HEDUCED BY PAID CLAIMS- INSRLTR TYPE OF INSURANCE I ' p yryp POLICY NUMBER h - MMiDD/Y P L1 Y XP MMIDYYYY. D/ LIMITS C6h41,iERCWL GENERAL LIA61LiT1 rr //yy tlY .n1 L-ACH DGCURRENCE .2 000 , 000, PREMISES- Ea of aWHGnce) mo, 000: CLAIMS -MADE rX I CGGUR MEDFXP(Apyone.Persnn) 5,0-00 A X Y .. ACPBP030374276,18 11/1/2017 11/1/2018 PERSONAL ADV INJURY $ EXCLUDED C LN'L AGGREGATE LIMIT APPLIES PER: PRP- P(lp_ICY SECT F LCC_ OTHER: GENERAL AGGREGATE $ i : Q 0 .. 00 PR017UGTu - COMP10P AGB $ 4,000,'000 AU f'OMO8ILE LIASII':1TY t $ 1 000.: 000C¢ arcidchh. r s 6=LY INJURY (Per person) $ ANYAUTD ALL OWNEO SCHEDULED AUTOS AUTOS XHIRED FlUTpg '. NON -OWNED AUTOS ACPBP0343742761.8 11/1/2017 11/1/2018 8pDlLYINJURY(Per aarJiient) $; Per aCid£ rtDAMA $: x UMBRELLA _IAB FxGESS LIAR OCCUR CLANIS-10ADE ACP CAA3 0 3 7 4 2 7 618 11/.1/2017 11/1/2018 EACH OCCURRENCE s 2,000,000AAGGREGATE $ 2,000,000 DEO RETENTIONS t - WORKERS .CDMPLNSATiON AND EMPLOYERS' LIABiLnY Y! N TINY PFiW?RiL1pRrPXR7NER/EXECIrfIVE 01'r4CIti1 NelIK9 EXCLUDEp? Mn"damry in NH) Nf A PER.Tri-.: STATUTH:.ER EL_ EACH ACCIDENT S E.L. DISEASF - EA WPUDYE $ E.L. DISEASE •POLICY LIMIT ;$ 11 yyas, describe ndar 0 _RIPIION DF OPERATIONS oalovr DESCRIPTION OF OPERATIONS) LOCATIONS r VEHICLES (ACORD 901,, AA&ional Remarks Schedule, may tie attached if mo(e space iS required) IT I5 AGREED THAT THE CERRTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSM7 ED INCLUDING A WAIVER OF SUBROGATIOX, AS REQUIMD BY WRITTEN CONTRACT, BUT SOLELY AS THETA INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM_ THIS INSURANCE IS PRIMARY & NON --CONTRIBUTORY. Diamond Bar 21810 Copley Drive Diamond Bar, CA 91765 SHOULD ANY OF "THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TETE EXPIRATION DATE. THEREOF,. NOTICE WILL BE DELIVERED, IN ACCOIRUANCE. WriH THE POLICY PHOVISIONS- AUT 12ED REPRESENTATIVE 1988-2014 ACORD25(2014101) ThR ACORN name, and logo -are registered marks of ACORD All rights reserved. ItviIa*]Af-10ki If the certificate holder is an ADDITIONAL INSURED, the poficy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S (2001108) 2 of 2 #S32191IM31063 Policy #ACPBPO3037427618 l3USINESSOVsWNERS PS 04 48 11 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ORGANIZATIONADDITIONAL INSURED - DESIGNATED PERSON OR 7his endorsement modifies insurance provided under the following: PREMIER Bt1SINESSOWNERS I_EA31LI T Y COVERAGE FORM A. The followlncg is added to Section 11. WHO IS AN iXTSUrREIS' Any person or organization shown in the Schedule of this e; dOrserleht is also an insured. brrt an€y with tospect to liability for "budily injury` propery darnage" or "persar ai and advertising injury' caused, in whole or in part, by your acts Of omissions or the acts or omissions of those acting on your bahalf in the performance of your ongoing operations or In connection with your premises owned by or rented to you. However: i. The insurance afforded to such additional insured only appfles to the extent permitled by lave: and 2. if coverage provided to the additional insured is required by a contract or ag=e ement, the insurance afforderi to s5uch additional inserted NiIJ not be broader than that which ygr: are required by the contract or aorr eme_:nt to provide far such additional tnscrrc.. B. VIJl,h respect to the insurance afforded to these additional insureds, the following is added to Section Ill. LlM' TS OF INSURANCE AND DEDUC'flBLE: 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 agreeme-,nt: or 2. AvallabI2 under the applicable Linsits Of Insurance shown in tlie. C3eclarations, whichever is lass. T his enn!crsement s37all not increase the applicable Limits Of Insurance shown in the Declarations. C. This insurance, including any duty we.: have to defend "suits", does not apply to: 1 "3odily injury" or "property damage" that arises out of, in whcfe or in part. or is a result of, in whole or in hart, the active negligence of the addifion@f insured shown in the Schedule of this Qndcrsement. 2 "Persor al and advertising injury" that arises out of any independent "personal and adver-using injury" offense committed by the additional insured shaven in the 5ci'redLile of this endorsement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT PB 04 48 11 14ir;Wludes copyrighted mile ial of lnsurzrrc2 58rvices Luce, Inc.. s,itf: iCs penr:iasihrr. Page 7 of 1 Policy OACPBPO3037427618 BUSINESSOWNERS PIS 60 72 07 91 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, This endorsement modifies Insurance provided under the %Ilowing: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additional insured under another policy, our obligations are limited as follows: 1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to a loss covered by this policy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: a) Then this insurance is primary_ If other insurance is also primary, we will share with all that other insurance as described in d. below; and b) The coverage afforded by this insurance is non-contributory with the additional insured's own insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or 2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, then only the highest applicable Limit of Insurance shall apply to such loss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement - P8 60 72 07 11 lnciudes copyrighted materiai oflnsuranceServices office, Inc., with its permission. Page I of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS BROKER COPY HOME OFFICE SAN FRANCISCO EFFECTIVE JULY 12, 2018 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JULY 12, 2019 AT 12.01 A.M. AT 12.01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME DATA TICKET INC 2603 MAIN ST STE 300 IRVINE, CA 92614 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. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON OR ORGANIZATION BLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER 9065731-18 RENEWAL NA 2-71-67-20 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TEAMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE 1N THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUTHORIZED REPRESENT IVE SCIF FORM 10217 (REV.7-2014) JULY 13, 2018 2572 PRESIDENT AND CEO OLD DP 217 Client#: 12154 DATTI ACORDt. CERTIFICATE OF LIABILITY INSURANCE 07/25/2017 " PRODUCER Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 License #0188788 Santa Ana, CA 92704 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Data Ticket, Inc. dba: Revenue Experts 4600 Campus Drive #200 Newport Beach, CA 92660 INSURER A: CA State Comp. Ins. Fund INSURERB: Continental Casualty Ins. Co. INSURER C; Scottsdale Insurance Co. INSURER 0: NSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLIDATCYEFIDOFECTIVEIYYEMM POLICYEXPIRATION DATE IMMADDi LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISESBeaccurYncou $ MED EXP (Any ore person) $ CLAIMS MAOE F—I OCCUR PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ POLICY PRG LOCJECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ee accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS Per person) $ BODILY INJURY HIRED AUTOS NON -OWNED AUTOS Per accident) $ PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC SANYAUTO AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR F-1 CLAIMS MADE DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND 9065731-17 07/12/17 07/12/18 X WC TATU oTH- IIMITq FIR EMPLOYERS'LIABILITY E.L. EACH ACCIDENT $1,000,000 ANY PROPRIETOWPARTNER/E%ECUTIVE ELDISEASE-EAEMPLOYEE $1,ON,000OFFICER/MEMBER EXCLUDED? YES If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 B OTHER Errors & Omm 287188360 11/01/16 11/01/17 2,000,000 C Perrsonal & Add EKS3202384 11/01/16 11/01/17 2,000,000 C Cyber Liability EKS3202384 11/01/16 11/01/17 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)Including Personal & Advertising Injury Liability and Cyber Liability Data Ticket, Inc DBA: Revenue Experts 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 ACORD 25 (2001108) 1 of 2 #s3n647/M29782 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION IEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1D_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 198E Client#: 12154 DATTI ACORDTM CERTIFICATE OF LIABILITY INSURANCE 0/18/ MIDDIY 10/18/2016 YYY) PRODUCER Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 License #0188788 Santa Ana, CA 92704 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Data Ticket, Inc. dba: Revenue Experts 4600 Campus Drive #200 Newport Beach, CA 92660 INSURERA: CA State Comp. Ins. Fund INSURERS: Continental Casualty Ins. Co. INSURER C: Scottsdale Insurance Co. INsuWI1 D: NSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVEDATEMMDDY POLICY EXPIRATIONDATEMMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISESIF, rduorn,,) $ CLAIMS MADE F7OCCUR MED EXP (Any one person) S PERSONAL &ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $ POLICY PELT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO Ea accident) BODILY INJURYALLOWNEDAUTOS SCHEDULED AUTOS Per person) BODILY INJURYHIREDAUTOS NON -OWNED AUTOS Peraccident) PROPERTY DAMAGE $ Peraccident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO AUTO ONLY: AGO $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FICLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ A WORKERS COMPENSATION AND 90657312016 07/12/16 07112/17 XWC SLIMTITS I OE EL EACH ACCIDENT $1,000,000EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNERIEXECUTIVE E.L. DISEASE - EA EMPLOYEE 31,000,000OFFICERIMEMBEREXCLUDED? YES If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $1,000000 B OTHER Errors & Omm 287188360 11/01/16 11/01/17 2,000,000 C Perrsonal& Add EKS3202384 11/01/16 11/01/17 2,000,000 C Cyber Liability EKS3202384 11/0/116 11/01/17 2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation attached and Professional Liability (Errors & Omissions)Including Personal & Advertising Injury Liability and Cyber Liability Data Ticket, Inc DBA: Revenue Experts 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 ACORD 25 (2001108) 1 of 2 #S29783/M29782 ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION EREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR ACORD CORPORATION 1981 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25S (2001/08) 2 of 2 #S29783/M29782 b71986-2016AGVHU I.VE¢'VHl41 IVIV. /ul nOi R5 roserveu. ACORD25(2014/011 The ACORD name and lEgo are reUlstered marks of ACORD nATElmn'vD i^ERTif-tA"C F L.iAit_i7'" itVt,iRi 0161oi10/2o1s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISiCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND. EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE POLICIESBELOW, THIS CERTIFICATE OF INSURANCE DOES NOT GONSTITUTF A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. MpORTANY: IM ffio cerlilirate holder Is ar, ADDIT1tlHAL iNSUHEq the pollcy(ez) must be endorsed, It SUBRORATION IS WAIVED, subject to 11's terms and wnditlons of the Poliov; cedain pokal. may require an siBB,rearni A stmtnment on this: oertlflentc dons not coctoi rights to tiro certificate holder In Ileo vt such endarsemen$s). PRODUCEn PELTETT INSURPNCE SERVICES INC 2985 Theatre Drive Ste 5 CA 93446 I ",a Li i7.A EYe PHONE. {$0&)227-6760 we Nom (8p5)237-7350IAM, No- E i ADDRFsskaren@pelYettins . COnI ry--- Paso Robles, 01427.21820 I II.'9llnEn(9) PFFORWK) COWPAGEy— Y llAka HS 1JRERA!AmcO Insurance COM any INBUR=o Data TaCket, I31 ¢: , INStRiCR n'. INSURERC:- DBA: Revenue Experts itISURER R: _ 4600 Ca1RpllS Or„ rote. 200 N'IURER E: Newport Beach, CA 92660 InISURFR.F' COVERAGES_ CERTIFICATE NUMBER REVISION NUMBER: THIS IS TO CERTIFY THAT THE PO-ICIES OF INSURA.NOE IJBTFD DECOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED, N6'FW ITHSTANDING ANY REQUIREMENT, TERN OR CONnITION pP ANYCONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE ',t Y BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFDRDED BY THE POLICIES OE5CHIDLD HEREIN IS SUBJECT TO ALL THE TERMS, FXCLLSION5 AND GOIVDITIONSOF SUCH POLICIES LIMITS SHOWN. MAY HAVE BEFN REDUCED DY PAID CLAS15 I! oWGro A T p, INS.RANGL a M141 N QLA¢1S1AOi, ®VQ:UR voucv NUers ACPBPO3027A2767.8 111/1/2016 r I' 1tU57 nnNVDiw mn x1/1/207.7 I'S Erl(E 900 Va LAh1Di1{ Lit L V3001300 lnE:o i A{a ?unu 5,0001 I PUll & ADV ill URY 5 EXCLUDED OEN'L AGC.RFGATG L1611T APPLES PER- PRO LOCPOtIDVJEDT GENERAL A&BRHGATE 61 a(5-010 a PRODUCe O'CIP/OP ACiG S-4,000,000 m, - Ea;Iwtdani I.. S' 1,000,000 I C)THER: ALrOMG[+IIPLw61ttry ecous 1nJ01av;Par p5rsm9 Ra iI NYYAUTO ALL OWNED SCHBOULED AUTOS AUTO'MwTki"'— YYY NOR OWNED Fro AUTOS x ATrCS elaO'kDBPQ3027Q 11661& 11/1/2016 11Y1 /2014 s BODILY INJURY (Pnib t) T_ 1_2cr I 1' ACn OOCUI RUN.,E A.4GFF_GATE 5 2, 000, OOa m aoo oaa' L iA X LINORELLA LIA6 O GUR EY.GE43LAS GLAIMe MADE FRED 5ETIPW'ONP ACPcaAso27sn L1s 11/1 /201G 1111/PO1T u WORI(ER£ GOMPENBATION BTATt)T= m Ari, TfPLOy2R8 LAFIJTY Y'd A Il lIIIFIOft PFlFfE>EGI1;4 EI.. CA ,IAC('iDENT d t1. 06EASE-EA Lid, LOYE'ISOI'(' f AEI.'G H r'KIQ O' CH a 1, al IMI NIA EL 016EASE-POLICY LIM'T 8If)'9s. d9s[mDe Under - CE5CPIPTIOIJ OFovERA'n',-`lvs hn'ba' OE5 RIRTION OP OPERATIr,NL$ i LOGATI(R;S I VEWGLC9 (A.CORO IoI. ACStlonal Ramp&a COerd,,, may b, WW.hed Ii nmre poxo; $raquimd) IT IS (AGREED THAT TEE CERTIFICATE HOLDER LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. Tt:IS INSURANCE IS PRIN.IDARY & NON—CONTRIBUTORY. CERTIFIC6ITE HOLDERGANCEIJ.ATIDIV Diamond. Bar 21810 Copley Drive SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. FE DEIJVERFA IN ACCORDANCE WITH THE POLICY PROVISIONS. Diamond Par, CA 91765 4UTHER,iZED R PRESENT/. UT KI', .4 b71986-2016AGVHU I.VE¢'VHl41 IVIV. /ul nOi R5 roserveu. ACORD25(2014/011 The ACORD name and lEgo are reUlstered marks of ACORD BUSINESSOWNERS PB 04 481114 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM A. The following is added to Section II. WHO IS AN INSURED: Any person or organization shown in the Schedule of this endorsement is also an insured, 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 in the performance of your ongoing operations or in connection with your premises owned by or rented to you. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broaderthan that which you are required by the contract or agreementto provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III. LIMITS OF INSURANCE AND DEDUCTIBLE: 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. C. This insurance, including any duty we have to defend "suits", does not applyto: 1. "Bodily injury" or "property damage" that arises out of, in whole or in part, or is a result of, in whole or in part, the active negligence of the additional insured shown in the Schedule of this endorsement. 2. "Personal and advertising injury" that arises out of any independent "personal and advertising injury" offense committed by the additional insured shown in the Schedule of this endorsement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT NIA PB 04 4811 14 ACP BPO 3027427818 Includes copyrighted material of Insurance services Office, Inc., with its permission. AGENT COPY Page 1 of 1 47 38415 BUSINESSOWNERS PB 04 97 07 07 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT In condition K. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, under paragraph 2. Applicable to Businessowners Liability Coverage, the following paragraph is added: We waive any right of recovery we may have against the person or organization shown in Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "yourwork' done under a contract with that person or organization and included in the 'products -completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. All terms and conditions of this policy apply unless modified bythis endorsement. Includes copyrighted material of Insurance Services Office, Inc., with Its permission. ISO Properties, Inc., 2004 PB 04 97 07 07 Page 1 of 1 ACP BPO 3027427618 AGENT COPY 47 38424 BUSINESSOWNERS PB 60 72 07 11 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS COMMON POLICY CONDITIONS Only with respect to any additional insured, in the COMMON POLICY CONDITIONS, form PB 00 09, under condition H. OTHER INSURANCE, paragraph 2.a. is replaced by the following: H. OTHER INSURANCE 2. Under any liability coverage provided by this policy, a. If for injury or loss we cover, there is other valid and collectible insurance available to any additionalinsuredunderanotherpolicy, our obligations are limited as follows: 1) Issued by another insurer, or if there is self insurance or similar risk retention that applies to alosscoveredbythispolicy, then this insurance provided by us shall be excess over such other insurance, unless you have agreed in a written contract or written agreement signed prior to the loss that this insurance shall be primary: a) Then this insurance is primary. If other insurance is also primary, we will share with all that other insurance as described in d. below; and b) The coverage afforded by this insurance is non-contributory with the additional insured's owninsurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional insured to any other person or organization's policy.; or 2) Issued by us or any of our affiliate companies, that applies to a loss covered by this policy, thenonlythehighestapplicableLimitofInsuranceshallapplytosuchloss. This condition does not apply to any policy issued by us that is designed to provide Excess or Umbrella liability insurance. All terms and conditions of this policy apply unless modified by this endorsement. PB 60 72 07 11 Includes copyrighted material of Insurance Services office, Inc., with its pemlission. Page 1 of 1 ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS A HOME OFFICE SAN FRANCISCO EFFECTIVE JULY 12, 2016 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JULY 12, 2017 AT 12.01 A.M. AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME DATA TICKET INC 4600 CAMPUS DR STE 200 NEWPORT BEACH, CA 92660 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. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00% OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION JOB DESCRIPTION ANY PERSON ORORGANIZATIONBLANKET WAIVER OF FOR WHOM THE NAMED INSURED SUBROGATION HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER 9065731-16 RENEWAL NA 2-71-67-20 PAGE 1 OF 1 NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: iiSN^+y /v4 AUTHORIZED REPRESENT JUNE 1, 2016 2572 PRESIDENT AND CEO. F ® AC6Rv CERTIFICATE OF LIABILITY INSURANCE OATE(MM/DDIVYYYj 10/30/2015 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' INSURERS),. AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and Conditions of the policy, certain policiesmay require an endorsement. A statement: on. this Certificate does not confer rights to the certificateholder in lieu of such endorsement(s). PRODUCER PELLETT INSURANCE. SERVICES INC 2985 Theatre Drive, ASte 5 Paso Robles, CA 93446 OH2721820 NAME:A'TL nn E e PHGONE 227-6760 AAC'Nn:(805)237-7350 AIEMLn.E.ES; nn@ ellettins.com INSURER($) AFFORDING COVERAGE MCA INSURERA:Amco Insurance Company INSURED Data Ticket, Inc. DBA: Revenue Experts 4500 Campus Dr., Ste. 200INSURER Newport Beach, CA 92660 INSURER B,: INSURER C t. D: INWRER E: INSURER F' L.UVFnt . 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 HAVEBEEN REDUCED BY PAID CLAIMS, wyCEmTYPEOFINSURANCE Illtso s POLICY NUMBER F MM/DD! POL Y EXP. MMIDOM'W LIMITS. X I COMMERCIAL GENERAL MAILED` EACH OCCURRENCE $ 2,000,000 DAMA15E TO HEN I ED PREMISES F.ocwrrence $ 300,000CLAIMSMADEOOCCUR MED EXP (Any one person) $ 5,000 ACPBPO3017427618 11/1/2015 11/1/2016 EXCLUDED A X Y PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 PRODUCTS COMP/OP AGO $ 4, QOO r 000POLICYFIPRPF-1 LOC OTHER: COMUINIEU EINGUE LIMI $ 1,000,000EaaccidentAUTOMOBILELIABILITY BODILY INJURY (P., Person) $ ANYAUTO ACPBP03017427618 11/1/201511/1/2016. ALL OWNED SCHEDULED BODILY INJURY(Peraceideat) $ A AUTOS OS X X PR PER DAMAGE $ Par accidentPar HIRED AUTOS AUTOS UMBRELLA LIAR OCCUR11/1/2015ACPCAA3017427618 11/1/2016 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000AEXCESSLABCLAIMS -MADE UED RETENTION$. WORKERS'. COMPENSATION TANTE ER E.L EACH ACCIDENT $ AND EMPLOYERS' LIABILITY Y,R ANY PROPRIETOWPARTNER/EXECUnVE E.L DISEASE - EA EMPLOYE $ OFFSPITMEMGER EXCLUDE`1 mandatory In rel MIA E.L. DISEASE - POLICY LIMIT $ It ps,descnbe Unde, DESCRIP_ N OF OPERATIONS below DESCRIPTION OFOPERATIONS I LOCATIONS! VEHICLES (AGORU YOY, Additional Remarlrs erhedule, may be eitaehetl if morospace is requiretl) IT IS AGREED THAT THE CERTIFICATE HOLDER. LISTED BELOW IS INCLUDED AS ADDITIONAL INSURED INCLUDING A WAIVER OF SUBROGATION, AS REQUIRED BY WRITTEN CONTRACT, BUT SOLELY AS THEIR INTERESTS MAY APPEAR IN ACCORDANCE WITH THE PROVISIONS OF THE POLICY FORM. THIS INSURANCE IS PRIMARY 6 NON-CONTRIBUTORY. Diamond Bar 21810 Copley Drive Diamond Bar, CA 91765 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD ACORD25(2014101) The ACORD name and logo are registered marks of ACORD reserved. BUSINESSOWNERS PB 04 48 11 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM A. The following is added to Section 11. WHO IS AN INSURED: Any person or organization shown in the Schedule of this endorsement is also an insured, 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 in the performance of your ongoing operations or in connection with your premises owned by or rented to you. However: 1. The Insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broaderthan that which you are required by the contract or agreement to provide for such additional Insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill. LIMITS OF INSURANCE AND DEDUCTIBLE: 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. C. This insurance, including any duty we have to defend "suits", does not apply to: 1. "Bodily injury" or "property damage" that arises out of, in whole or in part, or is a result of, in whole or in part, the active negligence of the additional insured shown in the Schedule of this endorsement. 2. "Personal and advertising injury" that arises out of any independent "personal and advertising injury" offense committed by the additional insured shown in the Schedule of this endorsement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT PB 04 48 11 14 ACP BPO 3017427618 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 1 AGENTCOPY 78 15744 BUSINESSOWNERS PB 04 97 07 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: WT •Ir 314b 1 b3 D Pi[ • 8u a 1 ' 0 9CS'i4Z9Pf7Y CPf1 SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT In condition K TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US, under paragraph 2 Applicable to Businessowners Liability Coverage, the following paragraph is added: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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". This waiver applies only to the person or organization shown in the Schedule above. All terms and conditions of this policy apply unless modified by this endorsement. Includes copyrighted material of Insurance Services Office, Inc., with its permission. ISO Properties, Inc., 2004 PB 04 97 07 07 Page 1 of 1 ACP BPO 3017427618 AGENT COPY 78 15753 rllnnllt. H9H cn ACORD,,, CERTIFICATE OF LIABILITY INSURANCE DATE'W. V POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1LTR 1012 012 01 5 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION AshbrooWClevidence, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE 3000 W. MacArthur Blvd., #320 License 10188788 HOLDER. THIS CERTIFICATE DOES NOTAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Santa Ana, CA 92704 INSURERS AFFORDING COVERAGE NAIL INSURED Data Ticket, Inc, dba: Revenue Experts 4600 Campus Drive #200 Newport Beach, CA 92660 INSURER A: State Compensation Ins. Fund 35076 elsuRERO> Continental Casualty Company 20443 INSuRERc: Scottsdale Insurance Company 41297 INsuaean: 3NSURER E cavaaan 7 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOU IRELIENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIC11 THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANO CONOITIONS OF SUCH POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 LTR N5 TYPE OP INSURANCE POUCY NUMBER POL EFFECMpATEI4 PO ICY ATION 0.TEtMMCU"YI LIMITS GENERAL LIABILITY EACHCCCURRENCE S GDIJIAERCIAL GENERAL. LLIDifIIY 011.)415=T0 @(TED S LIED EXP (My uta parson) 5CIAASMADEOOCCUR PERSONAL L ADV INJURY S GENERAL AGGREGATE S GEA"L AGG0.EIATE LIM1BT APPLIES PER: PRODUCTS - COMPIOP AGO S POLi<Y PRD LOC AUTOMOBILE LIABILITY COMBINED SINGLE WIT S PNY AUTO EE vcddanq 0001LY INJURYAllOVAJEDAUTOS SCXEDULEDAUTOS IPu pemanl 5 BOOBY INJURY S HIRED AUTOS NON -OWNED AUTOS IPaav+tlem) PROPERTYOAMAGE S Pof 0cdanl) GARAGE LIABILITY AUTO ONLY-EA_ACCIDENT S OTHEHTHAN EAACC S_—_ ANYAUTO AUTOONLY; AGG S EXCESSIUMDRELLA LIABILITY EACH OCCURRENCE S AGGREGATE 5OCCURCLANLSMADE 5 SDEDUCTIBLE SRETENTIONS A WORKERS CONWENSATION AND 90657312015 07/12/15 07112116 X YIC ETATU- OTH EA. EACH ACCIDENT 51,006,000EMPLOYERS' LIABILITY ANY PROPRI6TORIPARTN£TVEXECUTIVE E.L. DISEASE -EA EIAPLOYEF 51000,900OFMCMMEMGEREXCLUDED) YES If yES,P ISCar SPE IAALLPROVISIONS 0almr EL DISEASE -POLICY LIMIT $1009,999 B OTHER Errors & Omm 287188360 11101/15 11/01116 2,000,000 Retro Date 11/1512004 Retention 10,000 C Cyber Liability EXS3169256 11101/16 11/01116 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES I EXCLUSIONS ADDED BY 0100RSEMENT I SPECIAL PROVISIONS Certificate evidences current policies of Workers Compensation with Blanket Waiver of Subrogation as attached and Professional Liability (Errors & Omissions) Including Personal & Advertising Injury Liability with a limit of 2,000,000, Cyber Liability's limit is $1,000,000. Data Ticket, Inc. DBA: Revenue Experts 4600 Campus Drive Suite # 200 Newport Beach, CA 92660 ACORD 25 (2001108) 1 oft? #528662IM27624 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EURRATION THEREOF, THE I55UNG INSURER WILL ENO FAVOR TO NAIL 10_ DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO TIRE LEFT, BUT FAILURE TO DO SO SHALL IE ILD OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR AUTHORIZED 0 ACORD CORPORATION 1981 ACPBP03017427618 PB 04 4811 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: PREMIER BUSINESSOWNERS LIABILITY COVERAGE FORM A. The following is added to Section It. WHO IS AN INSURED: Any person or organization shown in the Schedule of this endorsement is also an insured 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 In the performance of your ongoing operations or in connection with your premises owned by or rented to you. However: t. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional Insureds, the following is added to Section III, LIMITS OF INSURANCE AND DEDUCTIBLE: 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. C. This insurance, including any duty we have to defend "suits", does not apply to: 1. "Bodity injury" or "property damage" that arises out of, In whole or in part, or is a result of, in whole or in part, the active negligence of the additional insured shown in the Schedule of this endorsement. 2. "Personal and advertising injury" that arises out of any independent"personal and advertising injury" offense committed by the additional insured shown in the Schedule of this endorsement. All terms and conditions of this policy apply unless modified by this endorsement. SCHEDULE Name Of Person Or Organization: WHEN REQUIRED BY A WRITTEN CONTRACT PB 04 48 11114 Includes copyrighted material of Insurance Services 0111Ca, Inc-, with its permission. Page 1 of 1 ACP BPO 3017427616 AGENT COPY 78 15744 Client#• 12154 DATTI ACORD. CERTIFICATE 4F LIABILITY INSURANCE 121131 012 PRODUCER Ashbrook-Clevidence, Inc. 3000 W. MacArthur Blvd., #320 License #0188788 Santa Ana, CA 92704 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC 9 INSURED Data Ticket, Inc. dba: Revenue Experts 4600 Campus Drive #200 Newport Beach, CA 92660 INSURER A: Hartford Casualty Ins Co INSURER B: Hartford Ins Co of the Midwest INSURER C: Continental Casualty Co. INSURER D: INSURER E: COVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE. INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMfODlYY LIMITS A GENERAL LIABILITY 57SBAIA9147 11101/12 11/01/13 EACH OCCURRENCE $2,000,000 DAMAGE TO RENTED %300,000XCOMMERCIALGENERALLIABILITYCOM MED EXP (Any one person) $10,000CLAIMSMADE OCCUR PERSONAL & ADV INJURY s2,000,000NGENERALAGGREGATEs4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $4,000,000 POLICY jET. LOC A AUTOMOBILE LIABILITY 57SBAIA9147 11/01/12 11101/13. COMBINED SINGLE LIMIT 2,000,000 ANYAUTO Es accident) BODILY INJURYALLOWNEDAUTOS Perperson) SCHEDULEDAUTOS BODILY INJURY $ X HIREDAUTOS X NOWOWNED AUTOS Per accident) PROPERTY DAMAGE $ Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN FA ACC $ ANY AUTO AUTO ONLY: AGG $ A EXCEMUMBRELI.ALIABILITY 57SBAIA9147 11/01/12 11101113 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000XOCCURFICLAIMSMADE DEDUCTIBLE X RETENTION $ 10000 B WORKERS COMPENSATION AND 57WECZY4666 07/12/12 07/12/13 X WC STATU- OTH- El, EACH ACCIDENT $1,000,000EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. DISEASE- F -A EMPLOYEE $1,000,000 E.L. DISEASE- POLICY LIMIT $1 (300 000Ifyes, describe under SPECIAL PROVISIONS below C OTHER Professional 105702099 11/01/12 11101/13 2,000,000 Limit Liability (E & O) 10,000 Retention DESCRIPTION OF OPERATIONS /LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The City of Dlamnd Bar, its` officers, agents and employees are Included as additional insured as respects to the general liability coverages - this insurance shall be primary and any other Insurance maintained by the additional insured shall be non-contributory as per the attached verbiage from the policy. Additional insured is also included as respects to the automobile liability coverages. TE City of Diamond Bar ATTN: Dianna Honeywell 21810 Copley Drive Pomona, CA 91765 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING iNSURER WILL ENDEAVOR TO MAIL *1111 DAYS WRrriEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 ,50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2409108) 1 of 2 #S236021M23601 SXL O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL_ INSURED, the policy(les) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, Extend or alter the coverage afforded by the policies listed thereon. ACORa 25-S (2001108) 2 of 2 #S236021M23601 BUSINESS LIABILITY COVERAGE FORM F. OPTIONAL ADDITIONAL INSURED COVERAGES If listed or shown as applicable in the Declarations, one or more of the following Optional Additional insured Coverages also apply. When any of these Optional Additional Insured Coverages apply, _. Paragraph 6. (Additional Insureds When Required by Written Contract, Written Agreement. or Permit) of Section C., Who is An Insured, does not apply to the person or organization shown in the Declarations. • These coverages are subject to -the terms and .-conditions applicable 'to Business Liability - Coverage . in this policy, except as provided below: Additional Insured - Designated Person Or Organization WHO IS AN • INSURED under Section C. Is amended to" Include 'as -an additional Insured the person(s) or organizations) shown •tn the Declarations, but only with respect to - liability for "bodily Injury", "property damage", or personal and advertising Injury" caused, in whole or in part; by your acts or omissions or the,acts or omissions of those acting on your behalf: a. In the performance• of your ongoing operations; or b. In connection • virlih your premises owned by or rented to you. 2. Additional Insured - Managers Or Lessors Of Premises a. WHO IS AN INSURED under Section C. Is amended to include as an additional insured. the person(s) or org roAon(s) shown in the • Declarations as. an_ Additional Insured - Designated Person Or Organization; but only- with nlywithrespecttoliabilityarisingoutofthe ownership, maintenance or use of that part of the premises leased to you and shown in the Declarations. b, With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1) 'Any "occurrence" which takes place after you cease to be a tenant in that premises; or 2) Structural alterations, new construction or demolition operations performed .by_ or on behalf of such person or, organization. page 13 of 24 3. Additional Insured - Grantor Of Franchise WHO IS AN INSURED under Section C.' is amended to include as an additional Insured the person(s) or organization(s) shown in the Declarations as an Addlborial Insured - Grantor Of Franchise, but only with respect to their liability as grantor of franchise to you. 4. Additional Insured r Lessor. Of Leased Equipment a. WHO IS AN INSURED under Section C. is amended to Include' -as an additional Insured the persons) or nrganization(s) shown in the Declarations as an Additional Insured -- Lessor of Leased Equipment, but only with respect to liability for "bodily injury% "property damage" or 'personal and advertising Injury" caused, in whole or In part. by your maintenance, operation or use of; equipment leased to you by .such person(s) or organization(s). b. With 'respect to the irisurance afforded, to these additional • Insureds, this' Insurance does not apply to any "occurrence" which takes place after you cease to lease that equipment. 5. Additional Insured - Owners Or Other Interests From Whom Land Has Been Leased a. WHO IS AN INSURED under Section C. is amended to Include as an additional Insured the person(s) or organization(s) shown In the Declarations as an Additional Insured — Owners Or Other Interests From Whom Land Ilas Been Leased, but -only- with respect to liability arising. out of the ownership, maintenance cruse of that part of the land leased to you and shown in the Declarations. b. With respect to the Insurance afforded to these additional insureds, the following additional exclusions apply: This insurance does not apply to: 1) Any occurrence" that takes place after you cease to tease that land; or 2) .Structural alterations, new construction or demolition operations performed by or%on behalf of such person or organization. 6. Additional Insured - State Or Political Subdivision —.Permits a. WHO IS AN 1NSVRED under Section C. is amended to -include as an additional insured the state or political subdivision shown in the Declarations as an Addhdcr, i r arm SS. 601 Cs 0z O BUSINESS LIABILITY COVERAGE FORM This Paragraph f. applies separately to you and any additional insured. 3. Financial, Responsibility Laws a, When this policy Is certified as proof of financial tesponsibil€ty for the future under the provisions of any motor vehicle financial responsibility law, the Insurance provided by the policy for "bodily injury", liability and "property damage" liability will comply with the provisions of the law to the extent of the coverage and limits of insurance required by that law. b. With respect to "mobile equipment" to which this. insurance apps€es, we will. provide any liability, - uninsured motorists, underinsured motorists, no-fault or other coverage required by any motor vehicle law. We will provide the required limits for those coverages. 4. Legal Action Against Us No person or organization has a right under this Coverage Form: a. To join us as a, party or otherwise bring us into a "salt" asking for damages from an insured; or b. To sue us on this Coverage Form unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we. will not be liable for damages that are not payable under the terms of this insurance or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the Insured and the claimant or the claimant's legal representative. 5. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this policy 'to the first Named Insured, this insurance applies: a. As if each Famed Insured were the only Named Insured; and . b. Separately to each Ensured against whore a claim is made or "suit" is brought. 6, Representations a. When You Accept This Policy By accepting this policy, you agree: 1) The statements in the Declarations are accurate and complete; . . 2) Those statements are based upon representations you made to us; and 3) We have issued this policy in reliance upon your representations. b. Unintentional Failure To Disclose Hazards If unintentionally you should fall to disclose all hazards relating to the conduct of your business at *the inception date of this Coverage Part; we shall not deny any coverage under this Coverage Part because of such failure. 7.' Other insurance If 'other valid and collecUb€e insurance is available for a loss we cover under 'this Coverage Part, our obligations are limited as follows: a. Primary Insurance This insurance is primary except'when b. below applies. If other insurance is also primary, we will share with all that other insurance by the method described in c. below. b. Excess Insurance This insurance is excess over any of the other Insurance, whether primary, excess, contingent or on any other basis: 1) Your Work That Is ' Fire, .Extended Coverage, Builder's Risk, Installation Risk.. -or similar coverage for "your work"; 2) Premises Rented To You That Is fire, lightning or explosion Insurance for premises rented to you or temporarily occupied by you with permission of the owner; 3) Tenant Liability That is Insurance purchased by you to cover your liability as a tenant for property damage" to premises rented to you or temporarily occupied by ,you with permission of the owner; 4) Aircraft, Auto Or Watercraft If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section A. — Coverages. 5) Property Damage To Borrowed Equipment Or Use Of Elevators If the loss arises out of "property damage" to borrowed equipment or the use of elevators to the extent not subject to Exclusion k. of Section A. Coverages. rage 16 of 24 Form SS 00 08 04 05 fi) When You Are Added. As An Additional Insured To Other Insurance That .is other insurance available to you covering liability for damages arising out of the premises or operations, or products and completed operations, for which you have been added as an additional insured by that insurance; or 7) When You Add Others. As An Additional Insured To This Insurance That is other insurance'ava€table to an additional insured. However, the following provisions apply to other Insurance available_ to any person or organization who is an additional insured under this Coverage Parti a) Primary Insurance When Required By Contract This insurance is primary If you have agreed in a written contract, written agreement or permit that this insurance be primary,. If -other insurance is also primary, we will share with all that other insurance by the method described in- C. below. b) Primary And Non -Contributory To Other Insurance When Required By Contract If you have agreed -in a written contract, written agreement or permit that this insurance is primary and non-contributory with the additional insured's own insurance, this insurance is primary and we will not seek contribution from that other insurance. Paragraphs (a) and (b) do not apply to other insurance to which the additional insured has been added as an additional Insured. When this insurance is excess, We will have no duty under this Coverage Part to defend the insured against any "suit" if any other insurer ' has a duty to defend the insured against that. "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. BUSINESS LIABILITY COVERAGE FORM When this insurance is excess over other insurance, we will pay only our share of the amount of 'the loss, if any, that exceeds the sum of: 1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and 2) . The total of all deductible and self- insured amounts under all that other insurance. We will share the remaining loss, If any, with any other: insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the units of Insurance shown in the Declarations of this Coverage Part., c. Method Of Sharing If all the other insurance permits contribution by equal shares, we will follow this method also. Under this approach, each insurer contributes equal amounts until it has paid its applicable limit .of insurance or, none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable -[unit of insurance to the total applicable limits of insurance of all insurers. S. Transfer Of Rights Of Recovery Against Others To Us a. Transfer Of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. This condition does not apply to Medical Expenses Coverage. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any , person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we, also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. C=orm SS 00 08 04 05 Page 17 of 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NOTICE OF CANCELLATION TO CERTIFICATE HOLDER(S) This policy is subject to the following additional Conditions: A. If this policy is cancelled by the Company, other than for non-payment of premium, notice of such cancellation will be provided at least thirty (30) days in advance of the cancellation effective date to the certificate holder(s) with mailing addresseson file with the agent of record or the Company. B. If this policy is cancelled by the company for non- payment of premium, or by the insured, notice of such cancellation will be provided within ten (10) days of the cancellation effective date to the certificate holder(s) with mailing addresses on file with the agent of record orthe Company. If notice is mailed, proof of mailing to the last known mailing address of the certificate holder(s) on file with the agent of record or the Company will be sufficient proof of notice. Any notification rights provided by this endorsement apply only to active certificate holder(s) who were issued a certificate of insurance applicable to this policy's term. Failure to provide such notice to the certificate holder(s) will not amend or extend the date the cancellation becomes effective, nor will it negate cancellation of the policy. Failure to send notice shall impose no liability of any kind upon the Company or its agents or representatives. Form SS 12 23 06 11 Page 1 of 1 2011, The Hartford