FIRST AMENDMENT TO THE HITECH SYSTEMS, INC. NON- EXCLUSIVE
SOFTWARE LICENSE AGREEMENT
MASTER LICENSE AGREEMENT NUMBER: SN93110111- 0
THIS FIRST AMENDMENT TO THE HITECH SYSTEMS, INC. NON- EXCLUSIVE SOFTWARE LICENSE AGREEMENT MASTER LICENSE AGREEMENT NUMBER:
SN93110111- 0 (" First Amendment") is made between the City of Redondo Beach, a Chartered Municipal Corporation (" City") and Hitech Systems, Inc., a California Corporation (" Consultant" or "Contractor").
WHEREAS, on November 1, 1993, the parties originally entered into the Hitech Systems, Inc. Non -Exclusive Software License Agreement Master License Agreement Number: SN93110111- 0 ( the "SafetyNet Software Agreement"); and WHEREAS, on April 1, 1994, the parties entered into the Hitech Systems, Inc. Software Maintenance and Support Services Agreement (the "Support Services Agreement") to provide support and maintenance services for the modules and products provided under the SafetyNet Software Agreement; and
WHEREAS, from April 1, 1994 to the present, the parties entered into work orders incorporating certain modules as described in Exhibit "A- 1" into the SafetyNet Software Agreement and the Support Services Agreement; and
WHEREAS, the parties wish to incorporate the SafetyNet Software Agreement and the Support Services Agreement under this First Amendment.
NOW THEREFORE, in consideration of the promises and mutual covenants contained herein, and intending to be legally bound, the parties hereby agree to make the following amendments to the Agreement:
Scope of Services. The SafetyNet Software Agreement is hereby amended to add Exhibit "A- 1", which provides that Consultant shall ( 1) procure two HP DL360P Gen8 8SFF CTO servers each configured with one 3. 5 GHz Intel 4 -core CPU and two 146GB SAS hard drives and ( 2) complement the HP servers with an HP P2000 disk array configured with five 300GB hard drives and dual controllers and one HP LTO4 Ultrium internal tape drive. Exhibit "A-1" is attached hereto and incorporated by reference.
2. Compensation. The compensation of the SafetyNet Software Agreement is hereby amended to add Exhibit "C- 1" to provide compensation in the amount of 94,478.06 for Consultant's services described in Exhibit "A- 1". Exhibit "C- 1" is attached hereto and incorporated by reference.
3. No Other Amendments. Except as expressly stated herein, the SafetyNet Software Agreement and the Support Services Agreement shall remain unchanged and in full force and effect. The SafetyNet Software Agreement, the Support Services Agreement, and this First Amendment constitute the entire agreement between the parties and supersede any previous oral or written agreement with respect to the subject matter hereof. In the event of any inconsistency between the terms of the SafetyNet Software Agreement, the Support Services Agreement, and this First Amendment, the terms of this First Amendment shall govern.
IN WITNESS WHEREOF, the parties have executed this First Amendment in Redondo Beach, California, as of this 16th day of June, 2015.
CITY OF REDONDO BEACH
ATTEST:
Cj!ty
APPROVED AS TO FORM:
L A'--:
City Attorney's Office
HITECH SYSTEMS, INC.
By.
Name: nr Vh
Title:
APPROVED:
EXHIBIT " A-1"
SCOPE OF SERVICES
CONSULTANT' S DUTIES
Consultant shall perform the following duties.
A. Replace City's current Dell hardware with a Hewlett-Packard ( HP) server cluster.
B. Provide two HP DL360P Gen8 8SFF CTO servers each configured with one
3. 5 GHz Intel 4 -core CPU and two 146GB SAS hard drives.
C. Complement the HP servers with an HP P2000 disk array configured with five 300GB hard drives and dual controllers, and one HP LTO4 Ultrium internal tape drive.
D. To complete the duties described in sections LA through I. C, Consultant shall provide the following services.
1. Assign a project manager to work with City staff for the duration of the project.
2. Procure hardware and software.
3. Configure the hardware.
4. Install and configure RedHat Linux Version 7.
5. Install and configure UniVerse.
6. Assist City personnel with installing and mounting server hardware.
7. Assist City personnel with installing and mounting modular smart disk array.
8. Assist City personnel with installing and mounting tape drive.
9. Migrate existing UniVerse license from old server to new server as part of cutover.
10. Migrate existing SafetyNet Informer license from old server to new server as part of cutover.
4 a
L
11. Install and configure the City Police Department licensed SafetyNet products.
12. Install HP Data Protector.
13. Migrate current data to new server hardware.
14. Prepare hardware and software test plan.
15. Test and verify hardware and software.
16. Prepare an applications test plan.
17. Test and verify all SafetyNet applications.
18. Work with the City system administrator to configure tape backup operations.
19. Cutover to live operations.
E. Provide all third -party documentation to the City.
F. No formal training is anticipated for the services described in this Exhibit "All,.
G. Provide five year HP Foundation Care Service 24x7 of which four hours shall be onsite.
H. Provide maintenance and support services for the modules and products described herein in accordance with the Support Services Agreement.
I. Provide any other products and services described in Exhibit "C- 1".
It. CITY'S DUTIES
City will perform the following duties.
A. Designate a project manager to work with Consultant' s staff for the duration of the project.
B. Designate personnel required for installation and testing activities.
C. Designate personnel to assist Consultant' s staff with installing and mounting the server hardware.
au,
D. Designate personnel to assist Consultant's staff with installing and mounting the modular smart disk array.
E. Designate personnel to assist Consultant's staff with installing and mounting the tape drive.
F. Provide redundant SNMP-manageable UPSes.
G. For each device with redundant power supplies, each power supply shall be connected to a different UPS
H. Provide redundant Ethernet connections to separate Ethernet switches.
Provide IP addresses.
J. Test and verify all hardware operations and configuration.
K. Test and verify all SafetyNet applications and interfaces, as well as third -party products, and identify any issues for correction prior to the cutover to live operations. The applications and interfaces to be tested include:
1. SafetyNet CAD
2. SafetyNet CAD Alphanumeric Paging Interface
3. SafetyNet CAD E911 Interface
4. SafetyNet CAD Mapping Interface
5. SafetyNet CAD Message Switch Interface
6. SafetyNet CAD Radio Interface
7. SafetyNet CAD Website
8. SafetyNet CAD Westnet First -In Interface
9. SafetyNet CAD Zetron Model 25 Tone Encoder Interface
10. SafetyNet COPLINK Interface
11. SafetyNet Informer
12. SafetyNet Live Scan Server
13. SafetyNet Live Scan Import Interface
14. SafetyNet Live Scan Export Interface
15. SafetyNet Digital Mugshot Interface
16. SafetyNet Mobile
17. SafetyNet Mobile Mapping Interface
18. SafetyNet Records Management (RMS) System
19. SafetyNet RMS Website
20. HP Data Protector
L. Upgrade all SafetyNet client software on the City Police Department workstations.
M. Provide support agreement to Consultant's staff for transfer of HP Data Protector.
N. Notify and coordinate with users for installation, testing, and cutover activities.
O. Document all issues on https:// my. hitech.com.
P. City will have ten ( 10) business days for testing prior to cutover. During the testing, City will report identified issues in the form of an Incident Report (IR) on https:// my. hitech. com.
Q. If the City uses the operating system and application software in a production environment for a period of five calendar days, the hardware and software will be deemed accepted.
MODULES INCORPORATED BY PRIOR WORK ORDERS
From April 1, 1994 to the present, the parties entered into work orders incorporating the following modules into the Agreement.
SafetyNet CAD Mapping Interface Server
SafetyNet CAD Mapping Interface Client
SafetyNet CAD Message Switch Interface Server
SafetyNet CAD Message Switch Interface Full Access User SafetyNet CAD Message Switch Interface Server (backup)
SafetyNet CAD Message Switch Interface Full Access User (backup) SafetyNet CAD Westnet First -In Interface Server
SafetyNet CAD Westnet First -In Interface Station
SafetyNet Mobile Server
SafetyNet Mobile Client (Win32)
SafetyNet Mobile Mapping Interface Server
SafetyNet Mobile Mapping Interface Client
SafetyNet RMS Message Switch Server
SafetyNet RMS Message Switch Full Access User
SafetyNet Live Scan Server
SafetyNet Live Scan Import Interface Server
SafetyNet Live Scan Export Interface Server
SafetyNet Live Scan Interface NIST Formatter Server
SafetyNet Digital Mugshot Interface Server
SafetyNet Digital Mugshot Interface View Only Client
SafetyNet Windows Client
Mapinfo Professional Upgrade
Mapinfo Professional Runtime Upgrade
SafetyNet CAD Website
iisnc
yOA, V'rv'
SafetyNet RMS Website
SafetyNet CAD Alphanumeric Paging Interface Server
SafetyNet CAD Alphanumeric Paging Interface Fully Access User UniVerse DBMS Enterprise Edition Server
UniVerse DBMS Enterprise Edition
SafeteyNet CAD COPLINK Interface
SafetyNet Informer
UniVerse DBMS Enterprise Edition Server
UniVerse DBMS Enterprise Edition
SafetyNet CAD Radio Interface
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EXHIBIT " C- 1"
COMPENSATION
Provided Consultant is not in default under this Agreement, Consultant shall be compensated as provided below.
A. AMOUNT. Consultant shall be paid total compensation in the amount of 94,478.06 in accordance with the following schedule.
QTY DESCRIPTION
UNIT
PRICE TOTAL
Hardware, Software, and Support
2 HP DL360P GEN8 8-SFF CTO configured with one 3.5 GHz
Intel 4 -core CPU and two 146GB SAS hard drives. Includes 5- year HP Foundation Care Service 24x7, 4 -hour onsite. 9,213.71 18,427.42 1 HP P2000 disk array with five 30OGB hard drives and dual controllers. Includes 5 year HP Foundation Care Service 24X7, 4 -hour onsite. 15,419.45 15,419.45
1 HP LT04 Ultrium internal tape drive which includes:
10X) LT04 Ultrium 1. 6TB RW data tapes
1X) Ultrium universal cleaning tape
2X) mini SAS cables, 21VI
Includes 5 year HP Foundation Care Service 9x5, NBD
1 onsite 4,297. 10 4,297. 10
1 Aware NISTpack for 64-bit Linux OS including 1 year of maintenance 3,900.00 3,900.00
2 Red Hat Enterprise Linux Server Premium: 3 year 7x24
premium support subscription 3,803.33 7, 606.66
2 HP Proliant Essentials Integrated Lights -Out Advanced Pack 299.00 598.00
3 ear 24X7 ILO Advanced Non -Blade software su ort 90.00 180. 00 Services
Server Pre aration, Installation, and Confi uration weeks 9, 104. 00 18,208.00 J.A lication Installation/Conversion weeks 9, 104. 00 13, 656. 00 Install and Confi ure HP Hardware da 2, 023.00 2, 023. 00 Project Management (days) 2,426.00 7, 278.00
Hardware, Software, and Support 50,428.63
Services 41, 165.00
Tax Rate 9.00%
Taxes 2,684.43
Shipping 200.00
Total $ 94.478.06
8 B. HOURLY RATE. If City requests any additional services (i. e. changes in the specifications), Consultant shall be paid an hourly rate of $337.00. However, in no event shall Consultant's total compensation, including the amount described in Section I. A of this Exhibit "C" exceed $ 100, 000
C. METHOD OF PAYMENT. Consultant shall provide invoices indicating the services and tasks performed after the completion of services to City for approval and payment. Invoices must be itemized, adequately detailed, based on accurate records, and in a form reasonably satisfactory to City. Consultant may be required to provide back-up material upon request.
D. SCHEDULE FOR PAYMENT. City agrees to pay Consultant as follows.
1. $ 41, 799.78 within 30 days of the receipt of the hardware and software.
2. $ 52,678.28 within 30 days of the installation of the hardware and software.
E. NOTICE. Written notices to City and Consultant shall be given by registered or certified mail, postage prepaid and addressed to or personally served on the following parties.
Consultant
Hitech Systems, Inc.
16030 Ventura Boulevard, Suite 120
Encino, CA 91436
Attention: Henry Unger
Citv
City of Redondo Beach
Information Technology Department
415 Diamond Street
Redondo Beach, CA 90277
Attention: Chris Benson
10 AcoRO® EVIDENCE OF COMMERCIAL PROPERTY INSURANCE
DATE IMMIDDIWYY)
DED: $ 1, 000
5/ 1/ 2015
THIS EVIDENCE OF COMMERCIAL PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.
PRODUCER NAME, I PHONE
CONTACT PERSON AND ADDRESS , 949.250.7172 COMPANY NAME AND ADDRESS NAIC NO: 20181 NAME ND 70 Batterson Park Road
Federal Company SullivanCurlisMonrce Insurance Services
BLANKET COVERAGE
1920 Main Street Suite 600
Irvine, CA 92614
If YES, indicate value( s) reported on property identified above: $ www.SuilivanCurtisMonroe.com License # OE83670
Fac ND : 949.652. 9762 ADDRIESS' IF MULTIPLE COMPANIES, COMPLETE SEPARATE FORM FOR EACH CODE: SUB CODE: POLICY TYPE
Package AGENCYCUSTOMER ID
NAMED INSURED AND ADDRESS LOAN NUMBER POLICY NUMBER
Hitech Systems Inc.
16030 Ventura blvd., # 120 Rei: #1001454134 35796052VVCE Encino CA 91436 EFFECTIVE DATE EXPIRATION DATE
LIMITED FUNGUS COVERAGE
COMI NUED UNTIL
5/ 9/2015 5/9/ 2016 TERMINATED IF CHECKED
ADDITIONAL NAMED INSURED(S) THIS REPLACES PRIOR EVIDENCE DATED:
IIRUUL iflisiiil
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 EVIDENCE OF PROPERTY INSURANCE 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. rnVCDArC rucrlOMATInM . e,..
COMMERCIAL PROPERTY COVERAGE AMOUNT OF INSURANCE: $ See attached
CONTRACT OF SALE
DED: $ 1, 000
NAME ANO ADDRESS
YES NO NIA
Insurance Division
M BUSINESS INCOME RENTAL VALUE
r/
AUTHORRED REPRESENTATNE 70 Batterson Park Road
If YES, LIMIT: $ 250, 000 Actual Loss Sustained; If of months:
BLANKET COVERAGE If YES, indicate value( s) reported on property identified above: $ TERRORISM COVERAGE Attach Disclosure Notice / DEC
IS THERE A TERRORISM -SPECIFIC EXCLUSION?
IS DOMESTIC TERRORISM EXCLUDED?
LIMITED FUNGUS COVERAGE If YES, LIMIT: $ 50,000 DED: $ 1, 000 FUNGUS EXCLUSION ( If " YES', specify organization' s form used)
REPLACEMENT COST
AGREED VALUE
COINSURANCE If YES, %
EQUIPMENT BREAKDOWN (If Applicable) If YES, LIMIT: Must be abrupt- included DED: $ 1, 000 ORDINANCE OR LAW - Coverage for loss to undamaged portion of bldg If YES, LIMIT: DED:
Demolition Costs If YES, LIMIT: DED:
Incr. Cost of Construction If YES, LIMIT: DED:
EARTH MOVEMENT (if Applicable) If VES, LIMIT: DED:
FLOOD ( If Applicable) v, If YES, LIMIT: DED:
WIND/ HAIL INCL [. YJ YES [ Z] NO Subject to Different Provisions: If YES, LIMIT: DED:
NAMED STORM INCL YES M NO Subject to Different Provisions: If YES, LIMIT: DED:
PERMISSION TO WAIVE SUBROGATION IN FAVOR OF MORTGAGE
HOLDER PRIOR TO LOSS
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
ADDITIONAL INTEREST
MORTGAGEE
LENDERS LOSS PAYABLE
CONTRACT OF SALE LENDER SERVICING AGENT NAME AND ADDRESS
NAME ANO ADDRESS
Bank of America, N.A.
Insurance Division
Mail Code: CT2-515-88- 11
AUTHORRED REPRESENTATNE 70 Batterson Park Road
Farmington CT 06032
Christiane Manchego
ACORD 28 (2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 24526135 NanCy A. Cantero 5/ 1/ 2015 11: 03: 25 AM ( PDT) Page 1 of 2 ACCW" CERTIFICATE OF LIABILITY INSURANCE DATE/ 1/ 2015
YYI
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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER SullivanCurtisMonroe Insurance Services
1920 Main Street Suite 600
Irvine, CA 92614
CONTACT
PHONEIAIC FAX
ExU' 949.250.7172 FAC Not: 949.652.9762
ADDRESS: E- MAIL
INSURER(S) AFFORDING COVERAGE NAIC #
www.SullivanCurlisMonroe. INSURER A: Federal Insurance Company 20281 com License # OE83670
INSURED
Hitech Systems, Inc.
16030 Ventura Blvd., # 120
INSURER B: Various Hartford Companies Yrs
INSURER C:
Encino CA 91436 INSURER D:
INSURER E
INSURER F:
COVERAGES CERTIFICATE NUMBER: 24525608 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTR rypE OF INSURANCE
ADDL SUBR
POLICY NUMBER
POLICY EFF MMIDDIYYYY MMIOD/ POLICYYYYY EXP LIMITS
COMMERCIALGENERAL LIABILITY 35796052WCE 5/9/ 2015 5/9/ 2016 EACH OCCURRENCE $ 1, 000,000 CLAIMS -MADE 1/ 1 OCCUR PREMISES E .... nandan $ 1, 000,000 MED EXP (My one person) $ 10, 000
PERSONAL S AOV INJURY $ Excluded
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1, 000,000 POLICY ' PEO, r7LOC PRODUCTS AGG s
Excluded
OTHER:
A AUTOMOBILE LIABILITY 74970373 5/ 9/2015 5/9/ 2016 COMBINED aEE1 SINGLE LIMIT $ 1, 000, 000 ANY AUTO BODILY INJURY (Per person) $
ALL OWNED SCHEDULED
AUTOS AUTOS
BODILY INJURY (Per accident) $
NON -OWNED
HIRED AUTOS AUTOS
PROPERTY DAMAGE $
Per acddent
ired Auto Phys Dama a Com / Collision Ded. $ 1, 000
A UMBRELLA LIAB OCCUR 79806822 5/ 9/2015 5/9/ 2016 EACHOCCURRENCE $ 2, 000, 000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 2, 000, 000
Prods/Comp) Ops excluded
DED I RETENTION$ 0 Pers/Adv Injury $ Excluded
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED'
Mandator, In NH)
NIA
72WECDH3323
CA CO FL NY OR TX
8/ 27/ 2014 8/27/ 2015/
E. L. EACH
PER
ACCIDENT $
I
1, 600, 000
E. L. DISEASE - EA EMPLOYEE $ 1, 000,000
If yes. deeddbe under
DESCRIPTION OF OPERATIONS be. EL. DISEASE- POLICY LIMIT $ 1, 600, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES ( ACORD 101, Additional Remarks Schedule, may be allached if more space is required) City of Redondo Beach, it officers, elected and appointed officials, employees and volunteers are named as additional insured with respect to any liability arising out of work or operations performed by or on behalf of the insured including materials, parts or equipment furnished in connection with such work or operations per attached endorsement.
CERTIFICATE HOLDER CANCELLATION
City of Redondo Beach
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Department De of En Ineerin
41 Diamond Street, Doo 9#and A Building SBNICES
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.
Redondo Beach CA 90277
AUTHORIZED REPRESENTATIVE
Christiane
1988- 2014 ACORD CORPORATION. All rights reserved.
ACORD 25 ( 2014/01) The ACORD name and logo are registered marks of ACORD CEPT NO. 24525606 Nancy A. Can- ero 5/ 1/ 2015 10 47: 00 AM ( PDT( Page I of 3 Liability Insurance
Endorsement
Policy Period 5/ 9/ 2015 5/ 9/ 2016
Effective Date 5/ 9/ 2015
Policy Number
35796052WCE
Insured Hitech Systems, Inc.
Name of Company Federal Insurance Company
Date Issued 5/ 1/ 2015
This Endonsement applies to the following fortes:
Under Who Is An Insured, the following provision is added:
Who Is An Insured
Owners, Lessees Or Any person or organization designated below is an insured: but they are insureds only with respect Contractors to their liability as owner, lessee or contractor arising out of your ongoing operations performed for that insured.
Liability Insurance Additional Insured' Owners. Lessees Or Contractors continued Form 80- 02- 230$ 17ev. 4- 01) Endorsement Page r.
CERT NO.; 24535608 Nancy A. Can[ ero 5/ 1/ 2015 10: 97: 00 AM ( POT) Page 2 of 3 Who Is An insured
Owners, LesseesOr Designated Owners, Lessees Or Contractors Contractors
continued)
City of Redondo Beach
Department of Engineering and Building Services
415 Diamond Street, Door #A
Redondo Beach CA 90277
All other terms and conditions remain unchanged.
Authorized Representative
Liability Insurance Additional Insured - Owners. Lessees Or contractors lastpage Four 80- 02- 230,qRev. 4- 01) Endorsement Page 2
CERT NO.: 24525608 NanCy A. Canteio 5/ 1/ 2015 10: 47: 00 AM ( PDT) Page 3 of 3 FF.]
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER
FROM OTHERS ENDORSEMENT
Policy Number: 72WECDH3323 Endorsement Number:
Effective Date: 8/27/2014 Effective hour is the same as stated on the Information Page. of the policy.
Named Insured and Address: Hitech Systems, Inc.
16030 Ventura Blvd., # 120
Encino CA 91436
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 shall not operate directly or indirectly to benefit anyone not named in the Schedule.
ANY PERSON OR ORGANIZATION
FROM WHOM YOU ARE REQUIRED BY
WRITTEN CONTRACT OR AGREEMENT
TO OBTAIN. THIS WAIVER OF
RIGHTS FROM US.
SCHEDULE
BLANKET AS REQUIRED BY
CONTRACT.
Countersigned by
Authorized Representative
Form WC 00 03 13 Printed in U. S. A.
Process Date: 5/ 1/ 2015 Policy Expiration Date: 8/ 27/ 2015 CERT NO.: 24525612 NanCy A. CantarO 5/ 1/ 2015 10: 47: 00 A ( POT) Page 4 Of 5 35796052WC E
Hitech Systems, Inc.
continued)
5/ 1/ 2015
Transfer Or Waiver Of We will waive the right of recovery we would otherwise have had against another person or Rights Of Recovery organization, for loss to which this insurance applies, provided the insured has waived their rights Against Others ofrecovery against such person or organization in a contract or agreement that is executed before such loss.
To the extent that the insured's rights to recover all or part ofany payment made under this insurance have not been waived, 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 tmnsferthose rights to us and help us enforce them.
This condition does not apply to medical expenses.
Reference Copy
Liability Insurance
Foon 80-02-2000 (Rev. 4-01) Contract Page 24 of 32
CERT NO.: 24525612 Naney A. Cantero 5/ 1/ 2015 10: 47: 00 RM ( POT) Page 5 of 5 AC")?"
i
CERTIFICATE OF LIABILITY INSURANCE
DAM, MM/DD Y, 1 5/ 112015
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 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 SUIIIVancurtISMOnroe Insurance Services
1920 Main Street Suite 600
Irvine, CA 92614
CONTACT
PAHONNo. Eat: 949.250.7172 FAX No: 949.852.9762
ADDRESS: E-MAIL
INSURERS AFFORDING COVERAGE NAIC tl
5/ 9/ 2015
www.SullivanCurlisMonroe. INSURER A: Federal Insurance Company 20281 com License # OE83670
INSURED
Hitech Systems, Inc.
16030 Ventura Blvd., # 120
INSURER B: Various Hartford Companies Vrs
INSURER C:
Encino CA 91436 INSURER D:
INSURER E
PRODUCTS - COMNOP AGG S Excluded
INSURER F:
A
COVERAGES CFRTIFICATF NIIMRFR- 9d49A91F RFVISION NUMRFRTHIS 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 rypE OF INSURANCE
ADDL SUBR
POLICYNUMSER
POLICY EFF MMIDDIYYYY MM/ POLICY DDIYYYY EXP LIMITS
A COMMERCIAL GENERALLIABILITY
CLAIMS -MADE F OCCUR
35796052WCE 5/ 9/ 2015 5/ 9/2016 EACH OCCURRENCE It 1, 000,000 PR MI ES Ea oc, unence$ 1, 000,000
MED EXP (Any one parson) $ 10,000
PERSONALS ADV INJURY $ Excluded
GEN' L AGGREGATE LIMIT APPLIES PER:
POLICY JETO. 7 LOC
OTHER:
GENERAL AGGREGATE $ 1, 000,000
PRODUCTS - COMNOP AGG S Excluded
A AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NONdWNED
HIRED AUTOS AUTOS
fired Auto Phys Dama a
74970373 5/9/ 2015 5/ 9/2016OMBINEDtSINGLE LIMIT $ JEa 1, 000,00 BODILY INJURY (Per person)) S
BODILY INJURY( Per accident) S
PROPERTY DAMAGE $
Per actldent
Com / Collision Ded. $ 1, 000
A UMBRELLA LIAB
EXCESS LIAB
OCCUR
Cl -AMS -MADE
79606622
Prods/Compl Ops excluded
5/9/ 2015 5/ 9/2016 EACH OCCURRENCE $ 2, 000, 000
AGGREGATE $ 2, 000, 000
DED I I RETENrION$ 0 Pers/Adv Injury $ Excluded
B WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETOR/ PARTNER/EXECUTIVE
OFFICEMMEMBER EXCLUDED? N
Mandatory in NH)
II ye a, a., is under
DESCRIPTION OF OPERATIONS below
NIA
72VVECDH3323
CA CO FL NY OR TX
8/27/2014 8/27/2015
STATUTE
OERH
E. L. EACH ACCIDENT $ 7, 000,000
E. L. DISEASE - EA EMPLOYE!d
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 it more space Is rpulnd) Redondo Beach P. D. is named as additional insured per attached form lelACu IaLW-1aa: let al -14P
Redondo Beach P. D.
401 Diamond St.
Redondo Beach CA 90277
ACORD 25 ( 2014/01)
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
1aRR_91111A ArnRn rnRDnRATIntJ All rinhse mmn,ed
The ACORD name and logo are registered marks of ACORD
CERT NO.: 24525615 Nancy A. Cac[ em 5/ 1/ 3015 10: 47: 00 AM ( PUT) Page 1 of 4 Liability Insurance
Endorsement
Policy Period 5/ 9/2015 5/ 9/2016
Effective Date
Policy Number 35796052WCE
Insured Hitech Systems Inc.
16030 Ventura blvd., # 120
Encino CA 91436
NameofCompany Federal Insurance Company
Date Issued 5/ 1/ 2015
This Endorsemeatapplies to the following forms:
Under Who Is An Insured, the followingprovision is added:
Who Is An Insured
ScheduleciPerson Or Subject to all ofthe tetras and conditions ofthis insurance, any person or organization shown in the Organization Schedule, acting pursuant to a written contract or agreement between you and such person or organization, is an insured; but they are insureds only with respectto liability arising out ofyour operations, or your premises, ifyou are obligated, pursuant to such contract or agreement, to provide them with such insurance as is afforded by this policy.
However, no such person or organization is an insured with respect to any:
assumption of liability by them in a contract or agreement. This limitation does not apply to the liability for damages for injury or damage, to which this insurance applies, that the person or organization would have in the absence ofsuch contract or agreement. damages arising out oftheir sole negligence.
Liability Insurance Additional Insured - Scheduled Person Or Organization continued Form 80- 02- 236ilRev. 8- 04) Endorsement Page t
CERT NO.: 39535615 Nancy A. Can[ eio 5/ 1/ 2015 10: 97: 00 AM IPPV Page 2 of 4 Liability Endorsement
continued)
Liabdily Insurance
Form 80- 02- 23RRev. 6- 04)
Schedule
Additional Insun: d - Scheduled Perron Or OrganmoWn
Endorsement
CERT NO.: 24525615 Nancy A. Cancero 5/ 1/ 2015 10: 5]: 00 AM ( PATI Page 3 of 4 continued
Liability Insurance
Endorsement
Effective Date
Policy Number
Liability Insurance Additional Insured - Scheduled Person Or Organization Foran 80- 02- 2367(Rev. 8- 04) Endorsement
CERT NO.: 29525615 Nancy A. Cantcr0 5/ 1/ 2015 10: 90: 00 AM ( PGTI Page 9 cf 4 last page
A
L
ACCPRD CERTIFICATE OF LIABILITY INSURANCE DATE( MM/ DDmmr) 6/ 21/ 2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER SullivanCurtisMonroe Insurance Services CONTACT NAME: RSPExpress
1920 Main Street PHONE FAX
Suite 600 A/C, No. Ext): A/C, No):
Irvine, CA 92614
E- MAIL DDIESS: [email protected]
INSURER(S) AFFORDING COVERAGE NAIC#
www.SullivanCurtisMonroe.com License# 0E83670 INSURER A: Federal Insurance Company 20281
INSURED
Hitech INSURER B: Hartford Casualty Insurance Company 29424 Systems, Inc. dba Pulsiam INSURERC:
16030 Ventura Blvd., # 250 INSURER D:
Encino CA 91436
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 42662870 REVISION NUMBER:
I 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 i,^/'1 RESPECT TO WHICH THI3
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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBERLIMITS MM/ DD/YYYY) ( MM/ DD/YYW) A iCOMMERCIAL GENERAL LIABILITY 35796052WCE 5/ 9/2017 8/27/2018 EACH OCCURRENCE $ 1, 000,000 DAMAGE TO RENTED CLAIMS- MADE / OCCUR PREMISES( Ea occurrence) $ 1, 000,000 MED EXP( Any one person) $ 10,000
PERSONAL& ADV INJURY $ Excluded
GE ' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1, 000,000 POLICY
PROJECT LOC PRODUCTS- COMP/OP AGG $ Excluded
OTHER:
A AUTOMOBILE LIABILITY 74970373 5/ 9/ 2017 8/ 27/2018 EOa SINGLE LIMIT $
1, 000,000
ANY AUTO BODILY INJURY( Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY( Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY Per accident)
Hired Auto Phys Damage
A UMBRELLA LIAR OCCUR 79806822 5/ 9/ 2017 8/ 27/2018 EACH OCCURRENCE $ 2000,000 EXCESS LIAB CLAIMS- MADE AGGREGATE 2, 000,000 Prods/Compl Ops excluded DED RETENTION$ 0 Pers/Adv Injury Excluded
B WORKERS COMPENSATION 72WBCRT9614 8/27/2017 8/ 27/2018
AND EMPLOYERS' LIABILITY STATUTE
Y/ N
ANYPROPRIETOR/ PARTNER/EXECUTIVE
OFFICER/ MEMBER
E. L. EACH ACCIDENT $ 1, 000, 000 EXCLUDED? N N/ A
Mandatory in NH) E. L. DISEASE- EA EMPLOYEE $
If yes, describe under 1, 000. 000
DESCRIPTION OF OPERATIONS below E. L. DISEASE- POLICY LIMIT $ 1, 000,000 1 l 1 i i
DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES( ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Redondo Beach P. D. is named as additional insured per attached form
CERTIFICATE HOLDER CANCELLATION
Redondo Beach P. D. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Diamond
Beh
40ACCORDANCE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN WITH THE POLICY PROVISIONS. Redondo Beach CA 90277
AUTHORIZED REPRESENTATIVE "'
fv- ( t, ,
r,
Ri. j(
i+
s
I Danielle Conkel
1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/03) The ACORD name and logo are registered marks of ACORD 42662870 1 HITECSYS 1 17- 18 GL, NOA, UMB & WC 1 RSPExpress 16/ 21/ 2018 7: 29: 28 AM ( PDT) 1 Page 1 of 3 Liability Insurance
Endorsement
Policy Period 5/ 9/ 2017 TO 8/ 27/2018
Effective Date 5/ 9/ 2017
Policy Number 35796052WCE
Insured
Hitech Systems, Inc.
dba Pulsiam
Name of Company FEDERAL INSURANCE COMPANY
Date Issued 6/ 21/ 2018
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured- Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy.
However, the person or organization is an insured only:
if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organization to be afforded status as an insured;
for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and
with respect to damages, loss, cost or expense for injury or damage to which this insurance applies.
No person or organization is an insured under this provision:
that is more specifically identified under any other provision of the Who Is An Insured section( regardless of any limitation applicable thereto). with respect to any assumption of liability( of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement.
Liability Insurance Additional Insured- Scheduled Person Or Organization continued Form 80-02-2367( Rev. 5-07) Endorsement Page 1
42662870 1 HITECSYS 1 17- 18 GL, NOA, UMB & WC 1 RSPExpress 1 6/ 21/ 2018 7: 29: 28 AM ( PDT) 1 Page 2 of 3 Liability Endorsement
continued)
Under Conditions, the following provision is added to the condition titled Other Insurance.
Conditions
Other Insurance— If you are obligated, pursuant to a contract or 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 case Insurance— Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization.
Schedule
All other terms and conditions remain unchanged.
Authorized Representative
Liability Insurance Additional Insured- Scheduled Person Or Organization last page Form 80-02-2367( Rev. 5-07) Endorsement Page 2
42662870 1 HITECSYS 1 17- 18 GL, NOA, UMB & WC 1 RSPExpress 1 6/ 21/ 2018 7: 29: 28 AM ( PDT) 1 Page 3 of 3 0 DATE( MM/DD/YYYY)
AWRD CERTIFICATE OF LIABILITY INSURANCE 8/ 15/ 2018
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ar
endorsement(s).
SullivanCurtisMonroe Insurance Services RSPExpress
1920 Main Street PHONEENExt): FAXNo):
Suite 600 E- MAIL
Irvine, CA 92614 ADDRESS: [email protected]
INSURER(S) AFFORDING COVERAGE NAIC#
www.SullivanCurtisMonroe.com License# 0E83670 INSURER A: Federal Insurance Company 20281 INSURED INSURER B: Hartford Casualty Insurance Company 29424 Hitech Systems, Inc.
dba Pulsiam INSURER C:
16030 Ventura Blvd., # 250 INSURER D:
Encino CA 91436 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 43653167 REVISION NUMBER:
I 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.
IADDLPOLICY R
TYPE OF INSURANCE IVSD
SUER
WVD POLICY NUMBER MM/DDIYYYY) (
EFF
MMI
POLICY
D//YYYY)
E
LIMITS
INSD
A COMMERCIAL GENERAL LIABILITY / 35796052WCE 8/ 27/2018 8/ 27/2019 EACH OCCURRENCE 1, 000,000
DAMAGE RENTED
CLAIMS- MADE / OCCUR PREM Ea occurrence) $ 1, 000,000
MED EXP( Any one person) $ 10,000
PERSONAL& ADV INJURY $ Excluded
GEN' L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1, 000,000 POLICY
PROJECT LOC PRODUCTS- COMP/OP AGG $ Excluded
OTHER:
A AUTOMOBILE LIABILITY 74970373 8/27/2018 8/27/2019 wamaTAWINGLE LIMIT $ 1, 000,000
ANY AUTO BODILY INJURY( Per person) $
OWNED SCHEDULED BODILY INJURY( Per accident) $
AUTOS ONLY AUTOS
HIRED
AUTOS ONLY AUTOSUONLYDY PROPERTY DAMAGE
Per accident)
Hired Auto , Phys Damage
A i
UMBRELLA LIAB / OCCUR 79806822 8/27/2018 8/27/2019 EACH OCCURRENCE 2, 000,000 EXCESS LIAB CLAIMS- MADE AGGREGATE 2, 000,000
Prods/Compl Ops excluded
RETENTION$ 0 Pers/Adv Injury/ Excluded
B WORKERS COMPENSATION 72WBCRT9614 8/ 27/2018 8/27/2019 ,/
STATUTE
OTHER
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/ PARTNER/ EXECUTIVE
Y/ N
E. L. EACH ACCIDENT 1, 000,000
N/ A
OFFICER/ MEMBER EXCLUDED? N
Mandatory in NH) 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) Redondo Beach P. D. is named as additional insured per attached form
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Redondo Beach P. D. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 401 Diamond St. ACCORDANCE WITH THE POLICY PROVISIONS.
Redondo Beach CA 90277
AUTHORIZED REPRESENTATIVE
0 '
I D- Danielle Conkel U. ' 3--100-01,-L' 1 --(:'- cle---r-- -) t1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25( 2016/03) The ACORD name and logo are registered marks of ACORD 43653167 1 HITECSYS 1 18- 19 GL, NOA, UMB & WC 1 RSPExpress 18/ 15/ 2018 11: 19: 22 AM ( PDT) 1 Page 1 of 3 Liability Insurance
Endorsement
Policy Period 8/27/2018 TO 8/27/2019
Effective Date 8/ 27/2018
Policy Number 35796052WCE
Insured Hitech Systems, Inc.
dba Pulsiam
Name of Company FEDERAL INSURANCE COMPANY
Date Issued 3/ 15/2018
This Endorsement applies to the following forms:
GENERAL LIABILITY
Under Who Is An Insured, the following provision is added.
Who Is An Insured
Additional Insured- Persons or organizations shown in the Schedule are insureds; but they are insureds only if you are Scheduled Person obligated pursuant to a contract or agreement to provide them with such insurance as is afforded by Or Organization this policy.
However, the person or organization is an insured only:
if and then only to the extent the person or organization is described in the Schedule; to the extent such contract or agreement requires the person or organization to be afforded status as an insured;
for activities that did not occur, in whole or in part, before the execution of the contract or agreement; and
with respect to damages, loss, cost or expense for injury or damage to which this insurance applies.
No person or organization is an insured under this provision:
that is more specifically identified under any other provision of the Who Is An Insured section( regardless of any limitation applicable thereto). with respect to any assumption of liability( of another person or organization) by them in a contract or agreement. This limitation does not apply to the liability for damages, loss, cost or expense for injury or damage, to which this insurance applies, that the person or organization would have in the absence of such contract or agreement.
Liability Insurance Additional Insured- Scheduled Person Or Organization continued Form 80-02-2367( Rev. 5-07) Endorsement Page 1
43653167 I HITECSYS 118- 19 GL, NOA, UMB & WC I RSPExpress 18/ 15/ 2018 11: 19: 22 AM ( PDT) I Page 2 of 3 Liability Endorsement
continued)
Under Conditions, the following provision is added to the condition titled Other Insurance.
Conditions
Other Insurance-- If you are obligated, pursuant to a contract or 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 case Insurance— Scheduled this insurance is primary and we will not seek contribution from insurance available to such person Person Or Organization or organization.
Schedule
All other terms and conditions remain unchanged.
Authorized Representative Q--.
Liability Insurance Additional Insured- Scheduled Person Or Organization last page Form 80-02-2367( Rev. 5-07) Endorsement Page 2
43653167 I HITECSYS 118- 19 GL, NOA, UMB & WC I RSPExpress 18/ 15/ 2018 11: 19: 22 AM ( PDT) I Page 3 of 3