GMV Syncromatics Certificate of Insurance — Redondo Beach City Council, December 20, 2022

TRAVELERS PROPERTY CASUALTY CO. OF AMERICA

SYNCROMATICS CORPORATION
ZPP-15R92563-19-I5
01/20/19
01/20/20
11/13/19

0.00 10/24/19

GENERAL LIABILTY COVERAGE
-------------------------
Adding form CG D2 47 - Scheduled Additional Insured (Includes Products-Completed Operations If Required By Contract) to the policy as per attached.

J F WELCH INS SERVS INC
P.O. BOX 3217
RIVERSIDE CA 92509

ST PAUL
ABCDEFGH One Tower Square, Hartford, Connecticut 06183
IL T0 07 09 87 ª 1987 The Travelers Indemnity Company. All rights reserved. Page 1 of 2

CHANGE ENDORSEMENT
INSURING COMPANY:

NAMED INSURED:

POLICY NUMBER:

POLICY EFFECTIVE DATE:

POLICY EXPIRATION DATE:

ISSUE DATE:

PREMIUM: $
Effective from at the time of day the policy becomes effective.

THIS INSURANCE IS AMENDED AS FOLLOWS:

NAME AND ADDRESS OF AGENT OR BROKER Countersigned by
Authorized Representative
DATE: __________________
Office:

IL T0 07 09 87 ª 1987 The Travelers Indemnity Company. All rights reserved. Page 2 of 2 ZPP-15R92563-19-I5 11/13/19
City of Redondo Beach
415 Diamond Street
Redondo Beach, CA 90277

COMMERCIAL GENERAL LIABILITY
POLICY NUMBER: ISSUE DATE:

SCHEDULED ADDITIONAL INSURED
(INCLUDES PRODUCTS-COMPLETED OPERATIONS IF

REQUIRED BY CONTRACT)
This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART
NAME OF PERSON OR ORGANIZATION:

PROJECT/LOCATION OF COVERED OPERATIONS:

PROVISIONS
The following is added to SECTION II - WHO
IS AN INSURED:

Any person or organization shown in the
Schedule Of Additional Insureds And
Covered Operations that you agree in a
written contract or agreement to include as
an additional insured on this Coverage Part
is an insured, but only:
a. With respect to liability for "bodily
injury" or "property damage" that
occurs, or for "personal injury" caused
by an offense that is committed,
subsequent to the signing of that
contract or agreement and while that
part of the contract or agreement is in
effect; and
b. If, and only to the extent that, such
injury or damage is caused by acts or
omissions of you or your subcontractor
in the performance of "your work" on
or for the project, or at the location,
shown in the Schedule Of Additional
Insureds And Covered Operations, to
which the written contract or agreement
applies. Such person or organization
does not qualify as an additional insured
with respect to the independent acts
or omissions of such person or
organization.

The insurance provided to such
additional insured is subject to the
following provisions:
a. If the Limits of Insurance of this
Coverage Part shown in the Declarations
exceed the minimum limits required by
the written contract or agreement, the
insurance provided to the additional
insured will be limited to such minimum
required limits. For the purposes of
determining whether this limitation
applies, the minimum limits required by
the written contract or agreement will
be considered to include the minimum
limits of any Umbrella or Excess
liability coverage required for the
additional insured by that written
contract or agreement. This provision
will not increase the limits of insurance
described in Section III - Limits Of
Insurance.
b. The insurance provided to such
additional insured does not apply to:
(1) Any "bodily injury", "property
damage" or "personal injury" arising
out of the providing, or failure to
provide, any professional architectural, engineering or surveying services, including:

COMMERCIAL GENERAL LIABILITY

Page 2 of 2 ends

(a) The preparing, approving, or
failing to prepare or approve,
maps, shop drawings, opinions,
reports, surveys, field orders or
change orders, or the preparing,
approving, or failing to prepare or
approve, drawings and specifications; and
(b) Supervisory, inspection, architectural or engineering activities. (2) Any "bodily injury" or "property
damage" caused by "your work" and
included in the "products-completed
operations hazard" unless the written
contract or agreement specifically
requires you to provide such
coverage for that additional insured
during the policy period.
c. The additional insured must comply with
the following duties:
(1) Give us written notice as soon as
practicable of an "occurrence" or an
offense which may result in a claim.

To the extent possible, such notice
should include:
(a) How, when and where the
"occurrence" or offense took
place;
(b) The names and addresses of any
injured persons and witnesses;
and
(c) The nature and location of any
injury or damage arising out of
the "occurrence" or offense.
(2) If a claim is made or "suit" is
brought against the additional
insured:
(a) Immediately record the specifics
of the claim or "suit" and the
date received; and
(b) Notify us as soon as practicable
and see to it that we receive
written notice of the claim or
"suit" as soon as practicable.
(3) Immediately send us copies of all
legal papers received in connection
with the claim or "suit", cooperate
with us in the investigation or
settlement of the claim or defense
against the "suit", and otherwise
comply with all policy conditions.
(4) Tender the defense and indemnity of
any claim or "suit" to any provider
of other insurance which would cover
such additional insured for a loss we
cover. However, this condition does
not affect whether the insurance
provided to such additional insured is
primary to other insurance available
to such additional insured which
covers that person or organization as
a named insured as described in
Paragraph 4., Other Insurance, of
Section IV - Commercial General
Liability Conditions.

XP3321D 11/13/19 21:02

TECHNOLOGY
ZPP-15R92563-19-I5 CustAcct#9549671813

SYNCROMATICS CORPORATION
0411670
001
1876125

FALZONE,SHANNON
11/13/19 15:12 005
Policy Commencement Date: 01/20/19
This policy is on a premium payment plan.

THIS POLICY CONTAINS FORMS SELECTED THROUGH DOCUMENT SELECT POLBR 11-85

POLICY COVER SHEET
Job Name: Print Date and Time:

File Number: 06170
Business Center /
Original Business Unit:

Policy Number:

Name of Insured:

Agency Number:

Department or Expense Center:

Underwriter: Underwriting Team:

Data Entry Person:

Date and Time:

Special Instructions
TRAVELERS PROPERTY CASUALTY CO. OF AMERICA