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HomeMy Public PortalAboutC-16-014 - BLX Group, LLC Amendment No. 1, Tax Allocation Bonds & AssessmentsAMENDMENT NO. 1 TO AGREEMENT FOR CONTRACT SERVICES THIS AMENDMENT TO THE AGREEMENT FOR CONTRACT SERVICES ("Amendment") by and between the CITY OF CARSON, a California municipal corporation ("City") and BLX GROUP LLC ("Consultant") is effective as of the 30th day of November, 2019. C RECITALS A. City and Consultant entered into that certain Contract Services Agreement dated November 30, 2016 ("Agreement") whereby Consultant agreed to provide bond arbitrage and rebate calculation services. B. City and Consultant now desire to amend the Agreement to extend the term of the Agreement, revise the scope of work, and increase the total compensation. TERMS 1. Contract Changes. The Agreement is amended as provided herein. (a) Section 2.1, Contract Sum, is hereby revised as follows (additions in bold italics, deletions in str-ikethfeugh): For the services rendered pursuant to this Agreement, Consultant shall be compensated in accordance with the "Schedule of Compensation" attached hereto as Exhibit "C" and incorporated herein by this reference, but not exceeding the maximum contract amount of Twenty -Eight Thousand Eight Hundred Dollars ($28,800) sixteen thettsand, twe hundred— Dellafs ($16,1nm ("Contract Sum"). (b) Section 3.4, Term, is hereby revised as follows (additions in bold italics, deletions in strilethfseg#): Unless earlier terminated in accordance with Article 7 of this Agreement, the Agreement shall continue in full force and effect until completion of the services but not exceeding November 1, 2022 , exeept as ether -Wise previded in theS£hedule of Per€er-ffl,ee (r-Nhjh;t "Q" (c) Exhibit C, Schedule of Compensation, is hereby revised to include the Additional Schedule of Reports attached hereto as Exhibit 1. (d) Exhibit D, Section I, is hereby revised to delete the following sentence: "The term of the Agreement is for three (3) years of service." -1- 01007.0001/618741.1 2. Continuing Effect of Agreement. Except as amended by this Agreement, all provisions of the Agreement shall remain unchanged and in full force and effect. From and after the date of this Amendment, whenever the term "Agreement" appears in the Agreement, it shall mean the Agreement, as amended by this Amendment to the Agreement. 3. Affirmation of Agreement; Warranty Re Absence of Defaults. City and Consultant each ratify and reaffirm each and every one of the respective rights and obligations arising under the Agreement. Each party represents and warrants to the other that there have been no written or oral modifications to the Agreement other than as provided herein. Each party represents and warrants to the other that the Agreement is currently an effective, valid, and binding obligation. Consultant represents and warrants to City that, as of the date of this Amendment, City is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. City represents and warrants to Consultant that, as of the date of this Amendment, Consultant is not in default of any material term of the Agreement and that there have been no events that, with the passing of time or the giving of notice, or both, would constitute a material default under the Agreement. 4. Adequate Consideration. The parties hereto irrevocably stipulate and agree that they have each received adequate and independent consideration for the performance of the obligations they have undertaken pursuant to this Amendment. 5. Authority. The persons executing this Agreement on behalf of the parties hereto warrant that (i) such party is duly organized and existing, (ii) they are duly authorized to execute and deliver this Agreement on behalf of said party, (iii) by so executing this Agreement, such party is formally bound to the provisions of this Agreement, and (iv) the entering into this Agreement does not violate any provision of any other Agreement to which said party is bound. [SIGNATURES ON FOLLOWING PAGE] -2- 01007.0001/618741.1 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the date and year first -above V~ .RA AEST: ,Jftonesia Gause-Aldana, City Clerk A O FORM: & YNDER, LLP SoltXni, Cit3/A CITY: CITY (PF CARSON, a bles, CONSULTANT: BLX GROUP yor icWal corporation By: V i - Name: �a b i ►� G� i ✓►1 Title: By:�./: Name: Glenn Casterline Title: Managing Director Address: 777 S. Figueroa St., Suite 3200 Los Angeles, CA 90017 Two corporate officer signatures required when Consultant is a corporation, with one signature required from each of the following groups: 1) Chairman of the Board, President or any Vice President; and 2) Secretary, any Assistant Secretary, Chief Financial Officer or any Assistant Treasurer. CONSULTANT'S SIGNATURES SHALL BE DULY NOTARIZED, AND APPROPRIATE ATTESTATIONS SHALL BE INCLUDED AS MAY BE REQUIRED BY THE BYLAWS, ARTICLES OF INCORPORATION, OR OTHER RULES OR REGULATIONS APPLICABLE TO CONSULTANT'S BUSINESS ENTITY. -3- 01007.0001/618741.1 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF CALIFORNIA COUNTY OF LOS ANGELES On j p , 2020 before mei II(iA Affl_1 6ersonally appeared proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS m40�� hand and official seal".W`'� JULIE A. CARAAN-LEWIS Notary Public - California _ ~ Los Angeles County Signature: Commission # 2258955 "`°""�� My Comm. Expires Sep 18, 2022 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER INDIVIDUAL ❑ CORPORATE OFFICER TITLES) ❑ PARTNER(S) ❑ LINIITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) 01007.0001/618741.1 DESCRIPTION OF ATTACHED DOCUMENT C�i1(.GS ITLE Ok TYPE OF DOCUMENT 1 'I/C/ NUMBER OF PAGES non-u DATE OF DOCUMENT I1Q 6i�1y S1111U' IGNER(S) OTH19k THAN NAMED ABOVE CALVE PAPAIM Floury Pdo MriocprF CtrrrrrMYrbM1 � 1� Varr�fiiarn � r 20sn ALL-PURPOSE ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy or validity of that document. STATE OF GA 1 A 2i 20n el— COUNTY COUNTY OF E-� S M4 On 01 L(3o, 2020 before me, r perso ally appeared proved to me on the basi of satisfactory evidence to be the person(s) w ose names(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. l� !f oA WITNESS my hand and offiAdmocial seal. C�r� :six• - unty �s Signature: rxr �sYr . 573625 r a>�.sa�u:: c=xrH raurc .2023 OPTIONAL Though the data below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent reattachment of this form. CAPACITY CLAIMED BY SIGNER DESCRIPTION OF ATTACHED DOCUMENT ❑ INDIVIDUAL ❑ CORPORATE OFFICER 01007.0001/618741.1 TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT [GNER(S) OTHER THAN NAMED ABOVE TITLE(S) ❑ PARTNER(S) ❑ LIMITED ❑ GENERAL ❑ ATTORNEY-IN-FACT ❑ TRUSTEE(S) ❑ GUARDIAN/CONSERVATOR ❑ OTHER SIGNER IS REPRESENTING: (NAME OF PERSON(S) OR ENTITY(IES)) 01007.0001/618741.1 TITLE OR TYPE OF DOCUMENT NUMBER OF PAGES DATE OF DOCUMENT [GNER(S) OTHER THAN NAMED ABOVE EXHIBIT 1 ADDITIONAL SCHEDULE OF REPORTS Consultant shall provide calculation reports as shown on the following schedule, at the rates stated in Exhibit C of the Agreement. [Schedule on Following Page] 01007.0001/618741.1 ( f2 )_ co \2 ; C- _\ . .. (7 { A) {¥ .. /$ �/E }2 : \\§§\\ 2§)§22 f2 )_ co \2 ; C- _\ { A) {¥ .. /$ ORRICHER��� ACORO® CERTIFICATE OF LIABILITY INSURANCE I—DATE/YYYY) 1!229/209/20 20 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 Commercial Lines - (628) 201-9001 USI Insurance Services LLC - CA Lic#: OD08408 CONTACT NAME: Marifi Bautista PHONE 628-201-9054 FAX 610-537-2393 No.A1C No); E-MAIL ADDREss: marifi.bautista@usi.com 201 Mission St, 11th Floor INSURER(S) AFFORDING COVERAGE NAIC# San Francisco, CA 94105 INSURER A: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281 BLX Group, LLC INSURER C 777 South Figueroa Street, Suite 3200 INSURER D: INSURER E Los Angeles, CA 90017 INSURER F: COVERAGES CERTIFICATE NUMBER: 14772366 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MMIDD/YYYY POLICY EXP MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY X X 35821151 06/01/2019 06/01/2020 EACH OCCURRENCE 5 1,000,000 PREM'ISE SEa occurrence S 1,000,000 CLAIMS -MADE FXI OCCUR MED EXP (Any one person) S 10,000 X Host Liquor Included PERSONAL & ADV INJURY S 1,000,000 AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE S 2,000,000 _GEN'L PRO - X POLICY 1-1 ECT F1 LOC PRODUCTS - COMP/OP AGG S incl in Gen Agg $ X OTHERS Ind. Contractors B AUTOMOBILE LIABILITY X X 74996569 06/01/2019 06/01/2020 EOMB`NtEeDISINGLE LIMIT S 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident B X UMBRELLALIAB X OCCUR 79820023 06/01/2019 06/01/2020 EACH OCCURRENCE s 2,000,000 AGGREGATE S 2,000,000 EXCESS LAB CLAIMS -MADE DED I I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER _ E L. EACH ACCIDENT S ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDEO? ❑ N 1 A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E L. DISEASE - POLICY LIMIT S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its elected and appointed officers, employees, volunteers and agents are included as additional insureds as it relates to general liability and auto liability and waiver of subrogation is granted as it relates to general liability and auto liability in accordance with the terms and conditions of the policy. The general liability policy is primary and non contributory where required by written contract. I.CR I i ll.ii I C PIVLUCR City of Carson 701 East Carson Street Carson, CA 90745 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 The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) (Th, —d—, r,placas cart8-10 14235292 usual w 5128/2019) POLICY NUMBER 7499-65-69 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies Insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement, This endorsement identifies person(s) or organlzatlon(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: ORRICK. HERRINGTON& SUTCLIFFE LLP Endorsement Effective Date: SCHEDULE Name Of Person(a) Or Organtzstion(s): Information required to cofrplete this Schedule if not shown above will be shown in the Declarations. Each person or organization shown In the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured' under the Who Is An Insured provision contained in Paragraph A.1. of Section it — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Deaters Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 Uab►l/iy Insurance Endorsement Policy Porw EffoovVet Date Policy Number 3582-11-51 PLE fnswed ORFUM HF-RRTNGTON & SUI'CLffFE LLP Name of Company GREAT NORTHERN INSURANCE COKVANy This Endorseaseut applies to the following fornv: Under Conditions, Ttmsfer Or Waiver Of Rights Of Recovery Against Others. the following provision is added; CondlNons Transfer Or Waiver Of However, we waive any right of recovery we may have against the daslgnated yerson or organization Rights Of Recovery shown below because of paymeots we make for injury or damage arising out of your ongoing Against Others operations or done under a contract with that perum or organization and included in the pro ductsKonWtted operstiom hazard. This waiver applies to the designated person or organization. Designated Person Or Organization Lkwww hurtxa000 f OMOMon • Waiwr Or Traulbr Of Rlyhb Of licovwy eondawd Form 80qxk1zM lRw. 1-01) Endvasnwo Paye 1 Usbillty Insurance Endorsement Polley Period EffeetiVe Rate Pblky Number 3582-11.51 PLE lnswed ORRICK, HERRING ON & SU TCLIFFE LLP Name or Company GREAT NORTHERN INSURANCE COMPANY This Endorsement applies to the followiog forms; Under Who Is An Insured, the following provision is added Who Is An Insured Additional Insured - Perin or orgnaizatiom shown in the Schedule are imurdr, but they are lasureds only if you aro Scheduled Person obligated pursuant to a contract or a;neemect to provide them with such insurance as is afforded by or Organization this policy. However, the person or orgasizatlon is no hmned only: • if and then only to the extent the person or organization is dewcribod in the Sd)edule; • to the ettcot such con"Rt or agreement requires the person or organisation to be affonled status ns an Insure+&. • for activities that did not occur, in wbole or in part, before the execution of the contractor agreamenh and • with respect to damajes, loss, cost or expense for injury or damage to which this insurance applies. No person or orgatrizatioo Is an kWP1 under this provision: • that is more specifically identifiod under any gtha provision of the Who Is An Limrcd section (regardless of any limitation applicable thereto)- UtbARY Jnwranm AdoftwW Put~- Sd*dand Parson or OgWwzmwn waft" Form 004""7 (Nov. 5-M Errdorrwr w* pow 1 Who Is An Ineured_-- Additional insured - • with rasped to any assumption of liability (of another person or organisation) by them In a Scheduled Person comrtet or agroeaocnr. This limitation does mot apply to the liability for dawngas, lots, cost or Or Organization amp— rot injury or damage, to which this insurance applies, that the person or organization (cantfrnrsdj would have in the absence of such contractor agrccment. Under Conditions, tho following provision Is added to the condition titled Other insurance, Conditions Other Insurance — If you are obligated, pursuant to a contractor agreement, to provide the person or organization Primary, Noncontributory shown in the Schedule with primary insurance such as is afforded by this policy. then in such cave Insurance — Scheduled this insurance is primary and we will mot seek contribution from insurance availabloto such person Person Or Organization or Organization. Schedule All *(her terms and conditions remain unchanged. Ayftdtad Rrrpro"ntativa 46, Lwbay kwow os Additlavaal lm~ - sdw&iad Pwwn Or t7tsitrn(r Won Anipnpa Form 80-M-2307(Ary.3-07) Endarartrnt Pogo C H U B B' Policy Conditions Endorsement Policy Period Policy Number 3582-11-51 PLE Insured ORRICK. HERRINGTON & SUTCL= LLP Name of Company GREAT NORTHERN INSURANCE COMPANY This Endorsement applies to the following forms: PROPERTY DECLARATIONS LIABILITY DECLARATIONS Named Insured The Named Insured is amcnded to include the following: ORRICK, HERRINGTON & SUTCL= LLP 13LX GROUP, LLC Porky CondiUong Named tneursd con7nued Form 80-02.9301 (Ed. 2-98) Endorgemsnt Pegg 1 COMMERCIAL. AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. 1. EXTENDED CANCELLATION CONDITION Parayraph A. 2. b. —CANCELLATION -of the COMMON POLICY CONDITIONS Corm IL 00 11 is deleted and replaced with the following, b. 60 days before the effective date of cancellation if we cancel for any ulher reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named insured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an "insured" under any other automobile policy or would be an "Insured" under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acgi,ired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an 'Insured" wider any other automobile policy; (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to "bodily injury" or "property damage" that results from an "nccldent" that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. —WHO IS AN INSURED —of SECTION II —LIABILITY COVERAGE is amended to add the following: d. Any "employee" of yours while using a covered "auto" you don't own, hire or borrow in your business or your personal affairs. C, Lessors as Insureds Paragraph A.1. —WHO IS AN INSURED --of SIPCTION II —LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered "auto" while the "auto" Is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insuranue for the lessor; and (2) The "auto" is leased without a driver. Such leased "auto" will be considered a covered "auto" you own and not a covered "auto" you hire. However, the lessor is an 'Insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: 1. You; 2. Any of your "employees" or agents; or 3. Any person, except the lessor or any "employee" or agent of the lessor, operating an "auto" with the permission of any of 1. and/or 2. above. D. Persons And Organizations As Insureds Under A Written Insured Contract Parayraph A.1 —WHO IS AN INSURED —of SECTION it —LIABILITY COVERAGE is amended to add the following: f. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed under an express provision in a written "Insured contract", written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this pulivy as an 'insured". However, such person or organization is an "insured" only: Foran: 16-02-0292 (Rev. 4-11) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" 3. 4. 5. (1) with respect to the operation, maintenance or use of a covered "auto"; and (2) for 'bodily injury" or "property damage" caused by an "accident" which takes place after: (a) You executed the'lnsured contract" or written agreement; or (b) The permit has been issued to you. FELLOW EMPLOYEE COVERAGE EXCLUSION B.5. - FELLOW EMPLOYEE -of SECTION II --LIABILITY COVERAGE does riot apply. PHYSICAL DAMAGE -ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph AA.a. -TRANSPORTATION EXPENSES - of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4.-COVLRAGE EXTENSIONS - of SECTION III - PHYSICAL DAMAGE COVERAGE is arnended to add the following: c. Unpaid Loan or Lease Amounts In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease for a covered "auto" minus: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue loan/ lease payments at the time of the 'loss"; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor: d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disabifity Insurance purchased with the loan or In -ase; and e. Carry-over balances from previous loans or leases, We will pay for any unpaid annunt clue on the Inan or lease if caused by: 1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; 2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage Is provided for any covered "auto"; or 3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered "auto. 6. RENTAL. AGENCY EXPENSE Paragraph A. 4. -COVERAGE EXTENSIONS -of SECTION III - PHYSICAL DAMAGE COVERAGE is amended to add the following: d, Rental Expense We will pay the following expenses that you or any of your "employees" are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or "loss" of, that vehicle, including income lost due to absence of that vehicle for use as a replacement; 2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered 'Joss"; and 3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined. 7. EXTRA EXPENSE -BROADENED COVERAGE Paragraph A.4. -COVERAGE EXTENSIONS -of SECTION III -PHYSICAL DAMAGE COVERAGE is amended to add the following: e. Recovery Expense We will pay for the expense of returning a stolen covered "auto" to you. 8. AIRBAG COVERAGE Paragraph B.3.a. -- EXCLUSIONS -- of SECTION III -PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage. 9. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph C.2. -LIMIT OF INSURACE -of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: 2. $2,000 is the most we will pay far 'loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: a. Permanently installed In or upon the covered "auto" in a housing, opening or other location that is riot normally used by the "auto" manufacturer for the installation of such equipment; b. Removable from a permanently installed housing unit as described in Parardraph 2.a. above or is an integral part of that equipment; or Form: 16-02-0292 (Rev. 4-11) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its pennission" c. An integral part of such equipment. 10. GLASS REPAIR — WAIVER OF DEDUCTIBLE Under Paragraph D. - DEDUCTIBLE —of SECTION III —PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE —of SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same "accident", the following applies: 1. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUITOR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of "accident", claim, "suit" or "loss", you must promptly notify us when the "accident" is known to: (1) You or your authorized representative, if you are an Individual; (2) A partner, or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an "accident", claim, "suit' or "loss" by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the "accident" or 'loss" occurred; (2) The "insured's" name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.S. - TRANSFFR OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV —BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will wave the right of recovery we would otherwise have against another person or organization for "loss" to which this insurance applies, provided the "insured" has waived their rights of recovery against such person or organization under a contract or agreement that is entered into before such 'loss". To the extent that the'insured's" rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and roust do nothing after "accident" or'loss" to impair there. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14. UNINTENTIONAL. FAILURE TO DISCLOSE HAZARDS Paragraph 6.2. —CONCEALMENT, MISREPRESENTATION or FRAUD of SFCT(ON IV —BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.S. - OTHER INSURANCE of SECTION IV —BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any "auto" hired or rented by your "employee" on your behalf and at your direction will be considered an "auto" you hire. If an "employee's" personal insurance also applies on an excess basis to a covered "auto" hirers or rented by your "employee" on your behalf and at your direction, this insurance will be prima; y to the 'bmployce's" pErsond insurance. 16. HIRED AUTO —COVERAGE TERRITORY Paragraph 8.7.b.(5).(a) -POLICY PERIOD, COVERAGF. TFRRITORY of SECTION 1V — BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 4..9 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of- SECTION V— [DEFINITIONS is deleted and replaced by (lie following: "Bodily injury" means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the "bodily injury" sustained by that person. Form: 16-02-0292 (Rev. 4-11) Page. 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" ORRICHERlD� ,acoRbPCERTIFICATE OF LIABILITY INSURANCE 1"2?'� DATE/YYYY) 5/28/2028/2019 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 15 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 Commercial Lines - (628) 201-9001 USI Insurance Services LLC - CA Lic#: OD08408 CONTACT NAME: Marifi Bautista PH°NE 628-201-9054 FAX IC No): (AICAJC' E-MAILADDRESS: marifi.bautista@usi.com 201 Mission St, 11th Floor INSURER(S) AFFORDING COVERAGE NAIC 7i San Francisco, CA 94105 INSURERA: Great Northern Insurance Company 20303 INSURED INSURER B: Federal Insurance Company 20281 BLX Group, LLC INSURER C 777 South Figueroa Street, Suite 3200 INSURER D: INSURER E: MED EXP (Any one person) $ 10,000 Los Angeles, CA 90017 INSURER F COVERAGES CERTIFICATE NUMBER: 14235292 REVISION NUMBER: See below THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSD SUBR - - --- - POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM1DD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1 X ,,,. OCCUR X X 35821151 06/01/2019 06/01/2020 EACH OCCURRENCE $ 1,000,000 DAMAGE O R ED 1,000,000 PREMISES (Ea occurrence) $ _ X Host Liquor Included MED EXP (Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY [ jE LOC PRODUCTS - COMP/OP AGG $ incl in Gen Agg $ X I OTHER. Ind. Contractors B AUTOMOBILE LIABILITY X X 74996569 06/01/2019 06/01/2020 Ea aB.d.nlSINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident $ B X UMBRELLA LIAB X OCCUR 79820023 06/01/2019 06/01/2020 EACH OCCURRENCE $ 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DED I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE ER E.L EACH ACCIDENT $ ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? NIA --- E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its elected and appointed officers, employees, volunteers and agents are included as additional insureds as it relates to general liability and auto liability and waiver of subrogation is granted as it relates to general liability and auto liability in accordance with the terms and conditions of the policy. The general liability policy is primary and non contributory where required by written contract. City of Carson 701 East Carson Street Carson, CA 90745 rc 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 The ACORD name and logo are registered marks of ACORD @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) (This —&-le replaces cerYfica" 14221505 issued an 5f24/201 9) Liability Insurance Endorsement po#Wpodod 06/01/2019 06/01/2020 EtfeCtfmDate 06/01/2019 Polley Numbor 3582-11-51 PLE Insured ORRICK. HERRINGTON & SUTCLIFFE LLP Name of Company GREAT NORTHERN INSURANCE COMPANY This Fndorsemcnt applies to the following forms. Under Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, the following provision is added: Conditions Transfer Or Waiver Of However, we waive any right of recovery we may have against the designated person or organization Rights Of ReCUv6ry sbown below because of payments we make for injury or damage arising out of your ongoing Against Others operations or done under a contract with that person or organization and included in the preductreonWfOW oparstbna Isasard. This waiver applies to the designated person or organization. Desigasued Person Or Organization City of Carson 701 East Carson Street Carson. CA 90745 Lvbeb' filvan" ConMm - Waiver Of rmrWw Of FVg1)b of Raeo►wy eyed Parrn 60-82,, 9= lfiw. 401; Endorsvrna+N Prtpo i Liability Insurance Endorsement Pbttay Pvrlod 06/01/2019 06/01/2020 EKschVio Qaty 06/01/2019 Pollay Number 3382-11-5 t PLE Inswed ORRICK. t-IERRiNGTON & SUTCLIFFE LLP Name of Company GREAT NORTHERN INSURANCE COMPANY This Endorsement applies tv the followiop forma; Under Who Is An Insured, the. following provision is added. Who Is An insured Additional Insured • Persons or mgsaizations shown in the Schedule are I nureds; but they are Insureds only U you ere Scheduled Berson obligated pursuant to a cona"m or agreomeot to provide them with such insurance as is afforded by Or Organization this policy. However, the puree or organirxtlon is an bxsursd only, • if orad then only to the extent the person or organization is described in the Schedule; • to the extent such contractor agreement requites the person or orgaairation to be afforded status as as hatalre4k • for activities that did not occur. in wbole or in part, before the execution of the contract or agm,mocnt: and • with re3poct to darn scs, ia=. cost or expense for injury or damage to which this insurance applies. No person or organization 13 an (seared under this provision: • that is more specifically idead5od under any gtbcr provision at the Who is An Insured section (regardless of any llmitatioa applicable thereto)_ LARbA ty lrttuwanoe AdcftW t Atrtsad • Sd*dulot! Pwvm Or Orpsrmwean 4%worwd Form 5o -c. -Z T (Rtw. 5-0n ErXAWsetrW* Pepe 0 Who Is An Inauretd Addiffonal lrtsured - with respect to any assumption of (lability (of another person or orsanizadoa) by them in a scheduled Person contract or agttxmeat. This limitation does not apply to the liability for damages. toss, cost or Or Organization expense for inJuy or damage, to which this insurance applies, that the person or organization, (—nrytiod) would have in the absence of such contractor asKCmeQL Under Conditions, the following provision is added to the condition dthd fXt wr Inituanca Condttlons Other Insurance — If you are obligated, pursuant to a oontracl or agreement, w prnvidc the person or organization Prir7ttiry, Mnvonfrsbutoty shown in the Schedule with pdEAry insurance such as is afforded by this policy, tben in arch case Insurance — Scheduled this insurance is pay and we will not seek contribution from insurance available to such person Person Or Organizalion or organization. Schedule City of Carson 701 East Carson Street Carson, CA 90745 All other terms and conditions remain unchanged. Auftvt *d RsArlMntaWc �+ `✓ LAILDPW rrrrusnav AdW&NW Intrad -sand Peron or 0rpsnLv&6M lir rpepo Form W -004W (Ray. a-tr7) fhdoR ffmmr P"o 2 POLICY NUMBER 7499-65-69 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organizatlon(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date Is indicated below. Narred Insured: ORRICK, HERRFNGTON do SUTCLIFFE LLP Endorsement Effective Date: 06/01/2019 Nam Of Persons) Or Organization($): City of Carson 701 East Carson Street Carson, CA 90745 SCHEDULE If not shown Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained In Paragraph A.1. of Section II — Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 O Insurance Services Office, Inc., 2011 Page 1 of 1 C H U S B' Policy Conditions Endorsement Policy Period 06/01/2019 06/01/2020 Polley Number 3582-11-51 PLE Insured ORRIM HERRINGTON & SUTCL= LLP Name of Company GREAT NORTHERN INSURANCE COMPANY This Endorsement applies to the following forms; PROPERTY DECLARATIONS LIABILITY DECLARATIONS Named Insured Poky Corrdiffons Form 80-02-iWl (Ed. 2-88) The Named Insured is amondcd to include tht following: ORRIM HERRINGTON & SUTCLIFFE LLP BI.X GROUP, LLC Named Insured oonffrwed Endorsamont Page t ACORL�® CERTIFICATE OF LIABILITY INSURANCE 1 `�i��Za ATE D11/27/2019DnYYY) 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. 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 CONTACT NAME: MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 AHONNo Ext : AIC No): IFA CALIFORNIA LICENSE NO. 0437153 E-MAIL SAN FRANCISCO, CA 94104 ADDRESS: CLAIMS -MADE FIOCCUR INSURER(S) AFFORDING COVERAGE NAIC # INSURER : XL Specialty Insurance Company 37885 CN102668209-BLX3-E&O-19-20 INSURED BLX GROUP LLC INSURER B : INSURER C: 777 SOUTH FIGUEROA STREET, SUITE 3200 LOS ANGELES, CA 90017 INSURER D : INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -003389225-05 REVISION NUMBER: 3 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSU D POLICYNUMBER LICY EFF MM/DDIIYYYY) POLICY EXP (MM/DDIYYYY1 LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE FIOCCUR DAMAGE TO RENTED PREMI ES Ea occurrence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY E PRO - LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident ( ) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ $ UMBRELLA UAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR DED I I RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY Y / N ANYPROPRI ETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? F NIA STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below A PROFESSIONAL LIABILITY ELU165037-19 11/28/2019 11128/2020 LIMIT OF LIABILITY: 2,000,000 INVESTMENT COMPANY RETENTION: 250,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) REF: EVIDENCE OF PROFESSIONAL LIABILITY COVERAGE IIIIIIIIII TO WHOM IT MAY CONCERN IIIIIIIIII THIS IS A CLAIMS MADE POLICY. EXCEPT AS OTHERWISE PROVIDED HEREIN, THIS POLICY ONLY APPLIES TO CLAIMS FIRST MADE DURING THE POLICY PERIOD, I.CR 1 IrII.H 1 C rIVLUMM UANUtLLA I IUN CITY OF CARSON ATTENTION: KATHRYN DOWNS 701 EAST CARSON STREET CARSON, CA 90745 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 of Marsh Risk & Insurance Services Raquel Ildefonzo�.. S•. t d+•,•�"— ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD NO 19 W, & 10 A� 0® CERTIFICATE OF LIABILITY INSURANCE �.-Z9-Zv DATE (MM/DD/YYYY) 09/26/2019 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 MARSH RISK & INSURANCE SERVICES 345 CALIFORNIA STREET, SUITE 1300 CONTACT NAME: AHONN Ext): AIC No): E-MAIL CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94104 ADDRESS: EACH OCCURRENCE $ Attn: Angela Bacon (415) 743-7521 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Chubb Indemnity Insurance Cc 12777 PERSONAL & ADV INJURY $ INSURED BLX GROUP, LLC INSURER B : INSURER C : 777 SOUTH FIGUEROA STREET, SUITE 3200 LOS ANGELES, CA 90017 INSURER D INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: SEA -003415058-08 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR R TYPE OF INSURANCE ADDL SUER WVD POLICY NUMBER CY EFF MM/DI D/YYYY POLICY EXP MM/DD/YYYY LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F-1TE OCCUR EACH OCCURRENCE $ A N PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY ❑PRO JECT [:]LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DEDT_J RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUE � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 71756264 1 10/0112020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1'00010 DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) t.CK I IrII,A I C r1ULIJtK I;ANI;tLLA I IUIN City of Carson 701 East Carson Street ATTN: Kathryn Downs Carson, CA 90745 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 of Marsh Risk & Insurance Services Jeffrey Perkins ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 0 R" CERTIFICATE OF LIABILITY INSURANCE ACO/rZ g—� DATE 0,�28/2020 YYYY) l 2020 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 MARSH RISK & INSURANCE SERVICES FOUR EMBARCADERO CENTER, SUITE 1100 CONTACT NAME: PHONE Ext): FAX AIC No): E-MAIL CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94111 ADDRESS: Attn: Angela Bacon (415) 743-7521 INSURERS AFFORDING COVERAGE NAIC # INSURER A: Chubb Indemnity Insurance Co 12777 INSURED BLX GROUP, LLC INSURER B : INSURER C : 777 SOUTH FIGUEROA STREET, SUITE 3200 LOS ANGELES, CA 90017 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -003415058-08 REVISION NUMBER: 4 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. INCY TR R TYPE OF INSURANCE ADDL SUER Vivo POLICY NUMBER EFF % MMI DYYYY POLICY EXP MM/DD YYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PREMISES Ea occurrence $ CLAIMS -MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY n PRO- ❑LOC _ JECT PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident $ UMBRELLA LAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LAB DED ETENTIONION $ R $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUE F (Mandatory in NH) N/A X 71756264 1010112020X PER OTH- STATUTE ER E. L. EACH ACCIDENT § 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT § 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies as required by written contract, signed prior to a loss and to the extent where permitted by law. CERTIFICATE HOLDER CANCELLATION City of Carson 701 East Carson Street ATTN: Kathryn Downs Carson, CA 90745 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 of Marsh Risk & Insurance Services Jeffrey Perkins © 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ,Appywad(L) AR ©® CERTIFICATE OF LIABILITY INSURANCE /.meq. Zc7 MID D01/28/2020DmYY) 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 MARSH RISK & INSURANCE SERVICES FOUR EMBARCADERO CENTER, SUITE 1100 CONTACT NAME: FAX A/C No): IAIC.PHONNo ExtI: (A/C, CALIFORNIA LICENSE NO. 0437153 SAN FRANCISCO, CA 94111 E-MAIL ADDRESS: Attn: Angela Bacon (415) 743-7521 INSURERS AFFORDING COVERAGE NAIC 0 INSURER A : Chubb Indemnity Insurance Cc 12777 MED EXP (Any one person) $ INSURED BLX GROUP, LLC INSURER B INSURER C: 777 SOUTH FIGUEROA STREET, SUITE 3200 LOS ANGELES, CA 90017 INSURER D: INSURER E: AUTOMOBILE INSURER F: COVERAGES CERTIFICATE NUMBER: SEA -003415058-08 REVISION NUMBER: 4 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TR TYPEOFINSURANCE IVSD WADDLIVQ BR POLICYNUMBER MMIDDY/YYYY EFF MM/DDYEXP Y LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ DA A RENT D PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY JECT LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT $ Ea accident BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ a UMBRELLA LIAR EXCESS LIAR HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTIONS $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETORIPARTNER/EXECUTIVE1,000,000 OFF ICER/M EMBEREXCLUDED7 M (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below NIA X 71756264 I 10/01/2020 X PEROTH- STATUTE ER E. L. EACH ACCIDENT S E.L. DISEASE - EA EMPLOYEE a 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Waiver of Subrogation applies as required by written contract, signed prior to a loss and to the extent where permitted by law. CERTIFICATE HOLDER CANCELLATION City of Carson 701 East Carson Street ATTN: Kathryn Downs Carson, CA 90745 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 of Marsh Risk & Insurance Services Jeffrey Perkins U 19BB-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER For policies or exposure in Missouri: Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 10-01-19 Policy No. (20) 7175-62-64 Endorsement No. Insured ORRICK, HERRINGTON 6 SUTCLIFFE LLP Premium $ Incl. Insurance Company Chubb Indemnity Insurance Company WC 00 03 13 (Ed. 4-84) m 1983 National Council on Compensation Insurance. Countersigned By Producer Copy Policy Number (20) 7175-62-64 Chubb Indemnity Insurance Company NCCI Carrier Code 31720 NAME AND LOCATION SCHEDULE Named Insured ORRICK, HERRINGTON & SUTCLIFFE Effective Date: 10-01-2019 12:01 AW., Standard Time Agent Name MARSH RISK AND INSURANCE SERVICES Aqent No. 0093581 (State: CALIFORNIA ORRICK,HERRINGTON & SUTCLIFFE ORRICK, HERRINGTON & SUTCLIFFE LLP DBA BONDLOGISTIX, LLC LLP NO FIXED ADDRESS JOHN DOE CA JANE DOE Legal Entity: Limited Liability PartnershiP000 MARSH ROAD FEIN: 94-2952627 MENLO PARK CA 94025 SIC Code: 8111 Legal Entity: Limited Liability Partnership NAIC Code: 541110 FEIN: 94-2952627 SIC Code: 8111 NAIC Code: 541110 BLX GROUP, LLC NO FIXED ADDRESS CA Legal Entity: LLC FEIN: 94-2952627 SIC Code: 8111 NAIC Code: 541110 VERBATIM NO FIXED ADDRESS CA Legal Entity: Corporation FEIN: 94-2952627 SIC Code: 8111 NAIC Code: 541110 WC 00 00 01 A (5-88) Page 3 pmxeO�) ORRICHER AfI OF LIABILITY INSURANCE ~�� DATE(MMIDD/YYYY) 5/28/2019 MATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS fELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES )T CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED 'E HOLDER. 4SURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. :)nditions of the policy, certain policies may require an endorsement. A statement on ier in lieu of such endorsement(s). - -- - - NSIRI ILTR TYPE OF INSURANCE ADSL SUBR - - POLICY EFF POLICY Fa(P LIMITS LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY CONTACT NAME: Marif Bautista X PHOtAICNE 628-201-9054 AX No: X E-MAADDRIESS: marlfl.bautista@usl.Com 35821151 INSURERS AFFORDING COVERAGE NAIC# 06/01/2020 INSURER A: Great Northern Insurance Company 20303 INSURER B: Federal Insurance Company 20281 INSURER C: Host Liquor Included INSURER D; INSURER E; INSURER F: t: 14235292 REVISION NUMBER: See below 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. - -- - - NSIRI ILTR TYPE OF INSURANCE ADSL SUBR - - POLICY EFF POLICY Fa(P LIMITS LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIALGENERALLIABILITY CLAIMS -MADE �. OCCUR X X 35821151 06/01/2019 06/01/2020 EACH OCCURRENCE S 1,000,000 DAMAGE TO R ED 1,000,000 PREMISES (Ea occurrence) $ _ X Host Liquor Included MED EXP (Any one person) S 10,000 PERSONAL & AOV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 GEN'L PRODUCTS •COMP/OP AGG S incl in Gen Agg X POLICY JE LOC $ X OTHER. Ind. Contractors B AUTOMOBILE LIABILITY X X 74996569 06/01/2019 06/01/2020 EO,a:cd.n'SINGLELIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO BODILY INJURY (Per accident) $ Ix OWNED. ,SCHEDULED AUTOS ONLY AUTOS HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ Per accident $ B X UMBRELLALIAB X OCCUR 79820023 06/01/2019 06/01/2020 EACHOCCURRENCE S 2,000,000 AGGREGATE $ 2,000,000 EXCESS LIAB CLAIMS -MADE DEC) I RETENTION $ S WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE PER OTH- STATUTE ER E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ N I A E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The City, its elected and appointed officers, employees, volunteers and agents are included as additional insureds as it relates to general liability and auto liability and waiver of subrogation is granted as it relates to general liability and auto liability in accordance with the terms and conditions of the policy. The general liability policy is primary and non contributory where required by written contract. l.Cf( 1 lr'IU/i 1 C nULUrK City of Carson SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 701 East Carson Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Carson, CA 90745 AUTHORIZED REPRESENTATIVE The ACORD name and logo are registered marks of ACORD Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) (This —d—, ropkcas..Nf,a 4 14221508 issuad m 5a4,2019) POLICY NUMBER 7499-65-69 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Narred Insured: ORRICK, HERRFNGTON & SUTCLIFFE LLP Endorsement Effective gate: 06101/2019 SCHEDt1LE Nerve Of Person(s) Or Organization(s): City of Carson 701 East Carson Street Carson, CA 90745 Information required to complete this Schedule if not shown above will be shown in the Declarations, Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage In the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc- 2011 Page 1 of 1 Usbility Insurance Endorsement Polley period 06/01/2019 06/01/2020 Effeotive Date 06/01/2019 Pokey Number 3532-11-51 PLE Insured ORRICK. HERRINGTON & SUI'CLIFFE LLP Name of Company OF -EAT NORTHERN INSURANCE COIvVANY This Fadorseoent applies to the followlrig forms: Under Conditions, Transfer Or Waiver Of Rights Of Recovery Against Others, the following Provision is added Conditions Transfer Or Waiver Of Howevcr, we waive any right of recovery we may have against the (1eatgnated Person or organization Rights Of R6Covery shown below because of payaeau we make for injury or damage arising out of your ongolug Against Others operations or done under a contract with that person Or organization and included in the pr*ducb-c*13W#4W opsrst om hazard. Tbis waiver applies to the designated person or organization. Dcsigcated Person Or Organization City of Carson 701 East Carson Street Carson, CA 90745 Usbdy "wrar)" COFx0on - Wahvr Or Trart W Of FUghts ar greavoy oa drAo" Form 60-02,22M lRov. 4011 EndarawmW Papa 1 Liability Insurantre Endorsement Policy Peifod 06/01/2019 06/01/2020 ENacWe Oafv 06/01/2019 Pbllsy Number Insured Name or Company This Endorsement applies to the following foto; Who Is An Insured 3582-11 51 PLE ORRICK, RERIUNGTON & SUTCLIFFE LLP GREAT NORTHERN INSURANCE COMPANY Under Who Is An Insured, the following provision is adds& Additional Insured - Persons or organizations shown in the Schedule are insureds; but they aro lmnreds only if you are Scheduled person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organfzedon this policy. However, the person or organization is an hzsured ot9y. • if and tbeo only to the extent the person or organization is described in the Schedule; • to the extent such cootrwt or agreement requires the person or organization to be afforded status as an Lexurerk • for activities that did not occur, iA whole or in part, before the execution of the contractor agreement: and • with respect to darnagcs, loss, cost or expense for Injury or damage to which this insurance applies. No per:= or 0TVAiZat1D0 is In 110FU 'Od under this provision: ' • that is more specifically idead5W under any gther provision of the Who Is An Insured sections (regwdiest of any limitation applicable thereto). Lht>aty Inwenus AddRkvfaf &mwrd- .Sd*cWOd Parson Or QYWmugan zw7 twd P rm A6-047 7mr (RVV. 5-0n Endonewr mA F*Q* 1 Who is An Insurtrd Addlffon l Insured - with respect to any assumption of liability (of another person or organization) by them In a Scheduled Person COntrsrCt Or &grCCMC13L This limitation 600-5 not apply to the liability for daWAM loss, Cost Or Or Organization expema for injury or damage, to which this insurance appuca, that the person or organization (corm ad) would have in the absence of such contract or agrcemont. Under Conditions, the following provision is added to the condition titled C tber Insurance. Condmans Other Insurance — If you are obligated, pursuant to a ooatract or agreement, to provide the person or organization Primary. Noncanb*utory shown in the Schedule wim prtmttry insurance such as is afforded by this policy. then to such case fnsuranca - Schadufed this insurance is primary and we will not seek wutribution 6om insomme avtdlabla to such pawn Person Or Organizalion or organization. Schedule City of Carson 701 East Carson Street Carson, CA 90745 All other kr= and conditions rcauin unchanged. Au*WU4odRsp~&wVvs � g a LkbEty Axtwer" Addtdond Insrrod - Sau4auid Pwwn Or 0ryrnlranon hWtPW0 Form W -M -R307 (Aw. "T) moot P*" 2 C H U B B' Policy Conditions Endorsement Policy Period 06/01/2019 06/01/2020 Policy Number 3582-11-51 PLE Insured ORRIM HERRINGTON & SUTCLUTE LLP Name of Company GREAT NORTHERN INSURANCE COMPANY This Endorsement applies to the following forms: PROPERTY DECLARATIONS MABILM DECLARATIONS Named Insured Po&y Cor mom Form W-02-8301 (Ed. 2-M8) The Named Insured is amended to include the following: ORRIM HERRINGTON & SUTCLIFFE LLP BLX GROUP, LLC Named MO~ conWwed Endomernant Page I