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HomeMy WebLinkAboutIntelligent Technologies - Insurance CertficiatesAc ®R®® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 9/30/2018 1 9/27/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112 -1906 (816) 960 -9000 NAME HO E No, Ext aC No E -MAIL ADDRESS INSURERS AFFORDING COVERAGE NAIC # IRG 2003517 INSURER A First Specialty Insurance Corporation 34916 EACH OCCURRENCE INSURED INTELLIGENT TECHNOLOGIES & 1199 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 INSURER B • Travelers Property Casualty Co ofAmenca 25674 INSURERc INSURER D PLEASANTON CA 94566 INSURER E PREMISES Ea occurrrence 100,000 INSURER F MED EXP (Any one person) 5,000 COVERAGES + CERTIFICATE NUMBER: 11267552 REVISION NIIMRFR• XXXXXXX 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 INSD WEIR WVD POLICY NUMBER POLICY EFF MM /DD IYYYY POLICY EXP (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY Ir N IRG 2003517 9/30/2017 9/30/2018 EACH OCCURRENCE I-,000,000 CLAIMS -MADE � OCCUR PREMISES Ea occurrrence 100,000 X MED EXP (Any one person) 5,000 X -LIAB. $100 -000 DED X X.C.U. CONTRACTUAL PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY PE LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 1,000,000 OTHER $ B AUTOMOBILE LIABILITY N N 810- 5387B882 -17 9/30/2017 9/30/2018 Ea aocid DI SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ XXXXXXX Y AUTO NXAN OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accldent $ X)CXXX3CX HIRED NON -OWNED AUTOS ONLY AUTOS ONLY HX PROPERTY DAMAGE Per ccdent $ XXXXXXX Hired Ph vs Dam $ 60,000 $500 COMP $1 ,000 COLL UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAR CLAIMS -MAD NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N N UB3204RS3117 9/30/2017 9/30/2018 OTH- X S PER TATUTE ER E L EACH ACCIDENT $ 1,000,000 OFFICER /MEMBEER/EXCLUDED? ECUTIVE 7 N / A E L DISEASE - EA EMPLOYEE 1,000,000 (Myandatory in NH) DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: CITY OF GILROY (POLICE DEPARTMENT), AGREE #1034 CITY OF GILROY (POLICE DEPARTMENT) IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE FOR THIS PROJECT INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY lull i u i rv�u�r� 1..Arvl.CLLA I IUIV Jee Attacnment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS 11267552 AUTHORIZED REPRESENTATIVE CITY OF GILROY 7301 HANNA STREET GILROY CA 95020 ACORD 25 (2016/03) ©19t8-201 5 ACORD CORPORATION. All riahts reserved The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IRG 2003517 COMMERCIAL GENERAL LIABILITY CG 20 10 03/97 THIS ENDORSEMENT CHANGED THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED - O_ WNERS, LESSEES. OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART - SCHEDULE Name`of "Person or Organization: ' ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN1 YQUrAND SUCHi PERSON 0110RGA4IZATION HAVE AGREED) IN WRITINGJN�A CONTRACTOR- _ AGREEMENTT HAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL_'INSURED "`- ON`YOUR POLICY. (If naentry appears above, information,required to complete this endorse_ ment will be shown, in the Declarations as applicable to this endorsement:) Who Is An Insured (Section II) is amended to include as an insured the person or organization,shown in - the Schedule, but only with respect to liability arising_ out of your ongoing; operations performed for that insured. CG 20 10 03 97 Miscellaneous Attachment: M4948 _ Certificate ID : 1 1267552 ACORN° CERTIFICATE OF LIABILITY INSURANCE `� 9/30/2017 F DATE(MM /DD/YYYY) 1 9/26/2016 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 Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112 -1906 (816) 960 -8000 NAME: PHONE AC, No Ext : A/c, No E -MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: First Specialty Insurance Corporation 34916 INSURED INTELLIGENT TECHNOLOGIES & 1199 SERVICES, INC. 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 INSURER B: Travelers Property Casualty Co of America 25674 INSURER C: N INSURER : 9/30/2016 INSURER E EACH OCCURRENCE INSURER F: COVERAGES CERTIFICATE NUMBER: 11267552 REVISION NUMBER: XXXXXXX 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 INSD SUBR WVD POLICY NUMBER POLICY EFF MM /DD/YYYY POLICY EXP M /DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y N IRG 2003517 9/30/2016 9/30/2017 EACH OCCURRENCE 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence 100,000 X MED EXP (Any one person) 5,000 X -LIAB: $100.000 DED X X -C -U: CONTRACTUAL PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JjECT F LOC GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OP AGG $ 1,000,000 $ OTHER: B AUTOMOBILE LIABILITY N N 810- 5387B882 -16 9/30/2016 9/30/2017 (CEO, ac.,d.DtSINGLE LIMIT $ 1,000,000 X BODILY INJURY (Per person) $ XXXXV�CX ANY AUTO SCHEDULED AUTOS ONLY BODILY INJURY (Per accident $ XXXXXXX AUTOS ONLY AUTO ONLY PX$1,00000LL PerOac.,d DAMAGE $ XXXXXXX X Hired Ph vs Dam $ 60,000 $500 COMP UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB 1CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXxx DED I I RETENTION $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN N UB3204R83116 9/30/2016 9/30/2017 X I STATUTE OER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER T EXCLUDED? ECUTIVE � (Myandatory in NH) DESCRIPTION OF OPERATIONS below N / A E.L. DISEASE - EA EMPLOYEE 1,000,000 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) RE: CITY OF GILROY (POLICE DEPARTMENT); AGREE #1034. CITY OF GILROY (POLICE DEPARTMENT) IS ADDITIONAL INSURED AS RESPECTS GENERAL LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT AND SUBJECT TO THE TERMS AND CONDITIONS OF THE POLICY. %,r-m I Ir i%,A 1 C r1 VLUCIC l,ANlitLLA I IUN Dee AT[aCnmeni SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11267552 AUTHORIZED REPRESENTATIVE CITY OF GILROY 7301 HANNA STREET GILROY CA 95020 ACORD 25 (2016/03) ©1 8 -2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD POLICY NUMBER: IRG200026203 COMMERCIAL GENERAL LIABILITY CG 20 10 03/97 THIS ENDORSEMENT CHANGED THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Who Is An Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. CG 20 10 03 97 Miscellaneous Attachment: M4948 Certificate ID : 11267552 ,acoRO° CERTIFICATE OF LIABILITY INSURANCE 164_� 9/30/2017 F DATE(MM/DD/YYYY) 1 9/26/2016 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 end_o_rs_e_ me_n_t(s). PRODUCER Lockton Companies 444 W. 47th Street, Suite 900 Kansas Cit(yy MO 64112 -1906 (816) 960 000 CONTACT PHONE FAX- (AIC, No EXt : A/C No E -MAIL ADDRESS: IN AFFORDING C IC INSURER A: First Specialty Insurance Corporation 34916 INSURED INTELLIGENT TECHNOLOGIES & 1868 SERVICES, INC. . 1031 SERPENTINE LANE, SUITE 101 PLEASANTON CA 94566 INSURER B: Travelers Property Casualty Cc of America 25674 INSURER C 9/30/2017 INSURER D: 1,000,000 INSURER DAMAGE TO RENTED PREMISES Ea occurrence INSURER X COVERAGES CERTIFICATE NUMBER: 91878 REVISION NUMBER: XXXXXXX 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 1 SUBR WVD POLICY NUMBER POLICYEFF MM/DD POLICY.EXP MWDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR X -L(AB: $100 -000 DED N N IRG 2003517 9/30/2016 9/30/2017 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 X MED EXP (Any one person) 5,000 X X-C-U, CONTRACTUAL PERSONAL & ADV INJURY $ 1,006,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY SECT LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS- COMP /OP AGG $ 1,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY Hx NON-OWNED ONLDY $500 COMP $ 1,000 COLL N N 810- 5387B882 -16 9/30/2016 9/30/2017 Ea COMBINED ", SINGLE LIMIT $ 1,000,060 - X BODILY INJURY (Per person) $� BODILY INJURY Per accident ( $ XXXXXXX PROPERTY accidentDAMAGE $ X���CX X Hired Ph s Dam $ 60,000 A UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MAD N N IRE 2000856 9/30/2016 9/30/2017 EACH OCCURRENCE $ 5,000,000 X AGGREGATE $ 5,000,000 DIED I I RETENTION $ $ XXXXXXX B AND EMPLOYERS' LIABILITY Y / N �ICERIMEMBER PROPRIETOR/PARTNER/EXECUTIVE ECUTIVE � ( M yaendatory In NH) If DESCRIPTION O I N O under. Wow NIA N UB3204R83116 9/30/2016 9/30/2017 X PER ER E.L. EACH ACCIDENT 1 $ y 000 000 E. DISEASE - EA EMPLOYEE 1,000,000 E.L. DISEASE - POLICY LIMIT Is 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) RE: GILROY. CITY OF GILROY IS ADDITIONAL INSURED ON A PRIMARY COVERAGE BASIS AS RESPECTS LIABILITY COVERAGE FOR THIS PROJECT. INSURANCE SHOWN APPLIES ONLY TO EXTENT OF WRITTEN CONTRACT. v�r�rn rv�r.� rrV VV Vr� Vf1rVVGL 1wrl JOGl LM IH 1011LD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 91878 AUTHORIZED REPRESENTATIVE CITY OF GILROY ATTN: MARTIN QUIROZ 7351 ROSANNA STREET GILROY, CA 95020 -6141 ACORD 25 (2016/031 M 1998.2015 ACORn CORPORATION_ All rinhlc m--m arbad The ACORD name and logo are registered marks of ACORD First Specialty Insurance Corporation PRIMARY AND NON - CONTRIBUTING INSURANCE (Third -Party) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE FORM PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE FORM RAILROAD PROTECTIVE LIABILITY COVERAGE FORM Section IV: Conditions, Other Insurance, and all subparts thereof, as contained in the policy is deleted in its entirety and replaced with the following condition as respects the Third Party shown below: Section IV: Conditions Other Insurance: With respect to the Third Party shown below, the insurance provided by this policy shall be primary and non - contributing insurance. Any and all other valid and collectible insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for a loss covered by this policy, shall in no instance be considered as primary, co- insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. The Third Party to whom this endorsement applies is: Absence of a specifically named Third Party above means that the provisions of this endorsement apply "as required by written contractual agreement with any Third Party for whom you are performing work." All other terms and conditions of this policy shall remain unchanged. This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein. Policy Number:IRG 2003517 Named Insured: Fike Corporation, Et Al FSIC 33513 (06/11) Miscellaneous Attachment: M4949 Certificate ID : 91878 POLICY NUMBER: IRG200026203 COMMERCIAL GENERAL LIABILITY CG 20 10 03197 THIS ENDORSEMENT CHANGED THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ANY PERSON OR ORGANIZATION FOR WHOM YOU ARE PERFORMING OPERATIONS WHEN YOU AND SUCH PERSON OR ORGANIZATION HAVE AGREED IN WRITING IN A CONTRACT OR AGREEMENT THAT SUCH PERSON OR ORGANIZATION BE ADDED AS AN ADDITIONAL INSURED ON YOUR POLICY. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) Who Is An Insured (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. CG 20 10 03 97 Miscellaneous Attachment: M4948 Certificate ID : 91878 First Specialty Insurance Corporation NAMED INSURED THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM PRODUCTS /COMPLETED OPERATIONS COVERAGE FORM OWNERS CONTRACTORS PROTECTIVE LIABILITY FORM RAILROAD PROTECTIVE LIABILITY FORM BUSINESS OWNERS POLICY COMMERCIAL PACKAGE POLICY LIQUOR LIABILITY COVERAGE FORM In consideration of the premium charged, it is agreed that the named insured in Item #1 of the policy Declarations is amended to read as follows, but, for the purpose of giving and receiving notices and the payment or the return of premium, the first named insured shall be deemed the only named insured and shall act as the agent for any and all other named insureds: 1. Fike Corporation 2. Fike Metal Products Corporation 3. Fike IC - Disc Corporation 4. Fike Export Corporation 5. Fike Export IC - Disc Corporation 6. Intelligent Technologies and Services, Inc. 7. Facilites Protection Systems 8. Superior Electric, Inc. 9. Keller Fire & Safety, Inc. 10. Cartridge Actuated Devices, Inc. 11. Energy Technology, Inc. 12. Suppression Systems, Inc. 13. axonX Fike corporation dba Fike Video Image Detection Discontinued Entities: 1. LCD Microsystems, Inc. 2. Newark Industries, Inc. 3. Clovis Ethanol Facility 4. Fike Energy Corporation 5. Fike International Corporation 6. Fike Sales Corporation 7. Noble Alloy Valve 8. Fike Far East Corporation All other terms and conditions of this policy shall remain unchanged. This endorsement forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein. Policy Number: IRG 2003517 Named Insured: Fike Corporation, Et Al FSIC 3367 (06111) Miscellaneous Attachment: M4946 Certificate ID : 91878