HomeMy WebLinkAboutHDL COREN & CONEINSURANCE ON FILE A-2019-236
WOR',i vp.\l PROCEED
Ulr ! :_!'�'''," !ANCE EXPIRES
6/1 S/to 20
CLERK OF COUNCIL
pp DATE: DEC L S 20ig
(7 •'r L,� WA\ VOIk
FIRST AMENDMENT TO CONSULTANT SERVICES AGREEMENT
This First Amendment to Consultant Services Agreement ("First Amendment to Agreement") is made
as of the 17th day of December, 2019 by and between HdL Coren & Cone, a California Corporation
("CONSULTANT") and the City of Santa Ana, a charter city and municipal corporation organized and
existing under the Constitution and laws of the State of California (hereinafter "CITY"). CITY and
CONSULTANT shall hereinafter collectively be referred to as "the PARTIES".
RECITALS
A. The PARTIES to Consultant Agreement (A-2016-296) wish to amend said Agreement, dated October
16, 2016, by which CONSULTANT having special skill and knowledge in the field of property tax
auditing and consulting agreed to perform such services for CITY with respect to secured and
unsecured property taxes with provisos for other related optional services.
B. The PARTIES to this First Amendment to Agreement wish to extend the length of said Agreement to
include calendar year 2020 (Section 3. "TERM"), and to correspondingly increase reimbursement by
$28,250 ($23,250 for base fixed fee services, plus $5,000 for optional contingent services) [Section 2.
"COMPENSATION"] payable under said Agreement to coincide with the effect of the term and
compensation amendments made.
NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the
terms and conditions hereinafter set forth, the PARTIES agree to amend Section 2.
"COMPENSATION" and Section 3. "TERM" as follows:
1. Section 2. COMPENSATION
a. CITY agrees to pay, and CONSULTANT agrees to accept as total payment for its base
fixed fee service, the rates and charges set out in Section 4-6 "CONSIDERATION",
subsection 4-6.1 Base Fixed Fee Services.
b. CONSULTANT shall provide the base services described in section 4-2.0 above, for a
fixed annual fee of $ 23,250 (invoiced quarterly).
c. CONSULTANT agrees to provide other optional services described in sections 4-3.0 and
4-4.0 at the request of CITY in an amount not to exceed $5,000.
2. Section 3. TERM
The Term of this Agreement shall be effective from January 1, 2017 and shall terminate
on December 31, 2020, unless amended by the PARTIES for a longer term or terminated earlier
in accordance with Section 13, below.
H
d
915085v2
(.Signatures on followingpage)
25A-4
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Agreement the date and year first above written.
ATTEST:
CITY OF SANTA ANA
Daisy Gomez Kristine Ridge
Clerk of the Council City Manager
APPROVED AS TO FORM:
Sonia R. Carvalho
City Attorney
By: W_ c. n✓
Lisa Storck
Assistant City Attorney
RECOMMENDED FOR APPROVAL:
Kathryn Downs, CPA
Executive Director
Finance & Management Services Agency
#15085v2
CONSULTANT
HdL Coren & Cone
Name: Nichole Cone
Title: Vice President
TaxID4 95-4398586
25A-5
A00oR6 CERTIFICATE OF LIABILITY INSURANCE ^wzo/zme
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 WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer riahts to the certificate holder in lieu of such endorsement(s). _.
PRODUCER
--'- AWre CUms _ _ _
NALAE:- �__
Woodruff Sawyer
2 Park Plaza, Suite 500
PHONE
9435-T3a5
Irvine CA 92(i14
EDDRE curtisawoodruffsawver.com
-ADDRESS, -ADDRESS,a— t�Y._
_.. INSURER(SLAFFORDINGCOVERAGE _.____
INSURER A: Continental Casually Compan _- 2_0443_
INSURED HOLCOREAt
INSURER B: National Flfa Insurance Company Of Har110rd 20478_
HcIL Conan & Cone
_
--- --
120 S. State College Blvd., Suite 200
INSUReRC:
Brea CA 92821
INSURER D:
R1.YRRInIJ MIIYRFR•
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.
INbq TYPE OF INSURANCE ----;ADOYSUBRICY NU
POLIMBER POLN;Y EFF POLICY EXP UMnS
A j X COMMERCALG6NERALUABILITY Y Y 6025253592 6/15/2010 6115t2020 EACH OCCURRENCE t S2A00.000_
--ram-MAG6Y0"riEN1'Etl _._. -
CLAIMS -MADE X OCCUR �PREM16E5 (Ea ocanercel_8300.000
','. _•-._ I MED UP (my 6n6 Person) !ato.d00 .
PERSONAL& ADV INJURY 'S2,000.000
GEN_'L AGGREGATE OMIT APPLIES PER- GENERALAGGREGATE $4000.000
X POLICY PRO- - LOC `PRODUCTS-COMPK)P AGO S4.000,000
ECT
5
OTHER.
A AUTOMOBILELIABILITY Y Y 6025253692 6115/2019 6115/2020 COMBINED SINGLE LIMIT $1D000OO
IEa am&en0
j�OWNED O PROPYINJURMAGE $
OWNED AUTOS LED BODILY INJURY AE acu0entj
BODILY INJURY (Pal Parson)
AUTOS ONLY -_: NON -OWNED
- ERT E- - ---
rJ HIRED NON-0WNEO 5
AUTOS ONLY X AUTOS ONLY jP r emitl
S
A X UMBRELI Lh X-I OCCUR 6025253611 6!1612019 6115/202D _EACHOCcuRRENCE _ S1.000, 00_0
-�ESCESSUAB CLAIMS,MADE AGGREGATE _ �51.000.000 _
DED . X RETENTIONS in nnn S
B WORKERSCOMPENSATION Y 6025253808 6115/2019 6115/2020 'X R OTH-
ANOEMPLOYERB'UABILRY STATUTE_- ER___�____
ANYPROPRIETORPARTNERIEXECUTIVE Y❑'.E.L EACH ACCIDENT _51.00p 000
FF OICERIMEMSEREXCL'JDED'I NIA i,(ManealwyN NHI E.L.DISEASE -_ EA EMPLOYEE S1000.000
II yee awnM VF001
DESCRIPTION OF OPERATIONS Mlow I EL DISEASE -POLICY LIMIT $1.000.000
A Prnre961Unsi LI Wjty 662117825 I 6115R019 6/1512020 I Each Clam 2.000.000
Errors&Omisaane Aggregate 2,000000
I
DESCRIPTION OF OPE ATKMI LOCATIONS I VEHICLES IACORD 101. AetliUorW Remsrb ScMEYIa, may he aeaehE it mwe spaw is required)
The City of Santa Ana, its officers, employees and agents are named additional insured as respects to the General Liability & Auto Liability per attached fornlS.
Waiver of Subrogation applies to the General Liability, Auto Liability & Workers Compensation per attached forms.
IVIS
N
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
5 2019
City of Santa Ana
4flc%MA
ACCORDANCE WITH THE POLICY PROVISIONS.
Risk Management Divisio
THORILEO RFPRESENTAIWE
20 Civic Center Plaza, 4thM. LAMBE
Santa Ana CA 92702
(919t3e-Z0115 ACUKU UUK1'UKA I IUN. All ngm5 reserVeO.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
CNA
BLANKET ADDITIONAL INSURED
AND
LIABILITY EXTENSION ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
SB146932F
(Ed. 6-16)
TABLE OF CONTENTS
I. Blanket Additional Insured Provisions
A.
Additional Insured —Blanket Vendors
B.
Miscellaneous Additional Insureds
C.
Additional Provisions Pertinent to Additional Insured Coverage
1. Primary — Noncontributory provision
2. Definition of "written contract."
IL Liability Extension Coverages
A.
Bodilylniury— ExpandedDefiinition
B.
Broad Knowledge of Occurrence
C.
Estates, Legal Representatives and Spouses
D.
Legal Liability — Damage to Premises
E.
Personal and Advertising Injury — Discrimination or Humiliation
F.
Personal and Advertising Injury — Broadened Eviction
G.
Waiver of Subrogation - Blanket
I. BLANKET ADDITIONAL INSURED PROVISIONS
A. ADDITIONAL INSURED— BLANKETVENDORS
Who Is An Insured is amended to include as an additional insured any person or organization (referred to below
as vendor) with whom you agreed under a "written contract" to provide insurance,.but only with respect to "bodily
injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the
vendor's business, subject to the following additional exclusions:
1. The insurance afforded the vendor does not apply to:
a. "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change in the product made intentionally by the vendor;
d. Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the
substitution of partsunderinstructions from the manufacturer, and then repackaged in the original
container;
SB146932F (6-16)
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C/VA S (EEd.d. 6-16)-16)
e. Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or sale
of the products;
f. Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
g. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
h. "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(1) The exceptions contained In Subparagraphs d. orf.; or
(2) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
2. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
3. This provision 2. does not apply to any vendor included as an insured by an endorsement issued by us and
made a part of this Policy.
4. This provision 2. does not apply if "bodily injury" or "property damage" included within the "products -
completed operations hazard" is excluded either by the provisions of the Policy or by endorsement.
B. MISCELLANEOUS ADDITIONAL INSUREDS
1. Who Is An Insured is amended to include as an insured any person or organization (called additional
insured) described in paragraphs 3.a. through 3.j. below whom you are required to add as an additional
insured on this policy under a "written contract.
2. However, subject always to the terms and conditions of this policy, including the limits of insurance, we will
not provide the additional insured with:
a. A higher limit of insurance than required by such "written contract";
b. Coverage broader than required by such "written contract" and in no event greater than that described by
the applicable paragraph a. through k. below; or
c. Coverage for "bodily injury" or "property damage" included within the "products -completed operations
hazard." But this paragraph c. does not apply to the extent coverage for such liability is provided by
paragraph 3.j. below.
Any coverage granted by this endorsement shall apply only to the extent permitted by law.
3. Only the following persons or organizations can qualify as additional insureds under this endorsement:
a. Controlling Interest
Any persons or organizations with a controlling interest in you but only with respect to their liability arising
out of
(1) such person or organization's financial control of you; or
(2) Premises such person or organization owns, maintains or controls while you lease or occupy these
premises;
provided that the coverage granted to such additional insureds does not apply to structural alterations,
new construction or demolition operations performed by or for such additional insured.
SB146932F (6-16)
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S8146932F
(Ed. 6-16)
b. Co-owner of Insured Premises
A co-owner of a premises co -owned by you and covered under this insurance but only with respect to the
co -owners liability for "bodily injury", "property damage" or "personal and advertising injury" as co-owner
of such premises.
c. Grantor of Franchise
Any person or organization that has granted a franchise to you, but only with respect to such person or
organization's liability for "bodily injury", "property damage", or "personal and advertising injury" as
grantor of a franchise to you.
d. Lessor of Equipment
Any person or organization from whom you lease equipment, but only with respect to liability for "bodily
injury", "property damage" or "personal and advertising injury" caused in whole or in part by your
maintenance, operation or use of such equipment, provided that the "occurrence" giving rise to such
"bodily injury" or "property damage" or the offense giving rise to such "personal and advertising injury"
takes place prior to the termination of such lease.
e. Lessor of Land
Any person or organization from whom you lease land, but only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" arising out of the ownership, maintenance or use
of that specific part of the land leased to you, provided that the "occurrence" giving rise to such "bodily
injury" or "property damage" or the offense giving rise to such "personal and advertising injury", takes
place prior to the termination of such lease. The insurance hereby afforded to the additional insured does
not apply to structural alterations, new construction or demolition operations performed by, on behalf of or
for such additional insured.
f. Lessor of Premises
An owner or lessor of premises leased to you, or such owner or lessor's real estate manager, but only
with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' arising
out of the ownership, maintenance or use of such pad of the premises leased to you, and provided that
the "occurrence" giving rise to such "bodily injury" or "property damage" or the offense giving rise to such
"personal and advertising injury", takes place prior to the termination of such lease. The insurance hereby
afforded to the additional insured does not apply to structural alterations, new construction or demolition
operations performed by, on behalf of or for such additional insured.
g. Mortgagee, Assignee or Receiver
A mortgagee, assignee or receiver of premises but only with respect to such mortgagee, assignee, or
receiver's liability for "bodily injury", "property damage" or "personal and advertising injury' arising out of
the ownership, maintenance, or use of a premises by you.
This insurance does not apply to structural alterations, new construction or demolition operations
performed by, on behalf of or for such additional insured.
h. State or Political Subdivisions
A state or government agency or subdivision or political subdivision that has issued a permit or
authorization, but only with respect to such government agency or subdivision or political subdivision's
liability for "bodily injury", "property damage" or "personal and advertising Injury" arising out of:
(1) The following hazards in connection with premises you own, rent, or control and to which this
insurance applies:
(a) The existence, maintenance, repair, construction, erection, or removal of advertising signs,
awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoistaway
openings, sidewalk vaults, street banners, or decorations and similar exposures; or
(b) The construction, erection, or removal of elevators; or
(c) The o)pners4i , maintenance or use of any elevators covered by this insurance; or
Copyright, CNA All Rights Reserved.
B14
CNA S(Ed.6-16)
(Ed.
(2) The permitted or authorized operations performed by you or on your behalf. But the coverage granted
by this paragraph does not apply to:
(a) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations
performed for the state or government agency or subdivision or political subdivision; or
(b) "Bodily injury' or "property damage" Included within the "products -completed operations hazard."
With respect to this provision's requirement that additional insured status must be requested under a
"written contract", we will treat as a 'written contract" any governmental permit that requires you to
add the governmental entity as an additional insured.
I. Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor, presenter or displayer, any
person or organization .whom you are required to Include as an additional insured, but only with respect
to such person or organization's liability for "bodily Injury", "property damage", or "personal and
advertising injury" cause by:
a. Your acts or omissions; or
b. Acts or omissions of those acting on your behalf;
in the performance of your ongoing operations at the trade show premises during the trade show event.
j. Other Person or Organization
Any person or organization who is not an additional Insured under paragraphs a. through 1. above. Such
additional insured is an insured solely for "bodily injury", "property damage" or "personal and advertising
injury" for which such additional insured is liable because of your acts or omissions.
The coverage granted by this paragraph does not apply to any person or organization:
(1) For "bodily injury," "property damage," or "personal and advertising injury" arising out of the rendering
or failure to render any professional services;
(2) For "bodily injury" or "property damage" included in the "products -completed operations hazard." But
this provision (2) does not apply to such "bodily injury" or "property damage" if:
(a) It is entirely due to your negligence and specifically results from your work for the additional
insured which is the subject to the "written contract"; and
(b) The'written contract" requires you to make the person or organization an additional insured for
such "bodily injury' or "property damage"; or
(3) Who is afforded additional insured coverage under another endorsement attached to this policy.
C. ADDITIONAL PROVISIONS PERTINENT TO ADDITIONAL INSURED COVERAGE
With respect only to additional insured coverage provided under paragraphs A. and B. above:
1. The BUSINESSOWNERS COMMON POLICY CONDITIONS are amended to add the following to the
Condition entitled Other Insurance:
This insurance is excess of all other insurance available to an additional insured whether primary, excess,
contingent or on any other basis. However, if a "written contract" requires that this insurance be either primary
or primary and noncontributing, then this insurance will be primary and non-contributory relative solely to
Insurance on which the additional insured is a named insured.
2. Under Liability and Medical Expense Definitions, the following definition is added:
"Written contract" means a written contract or agreement that requires you to make a person or organization
an additional insured on this policy, provided the contract or agreement:
a. Is currently in effect or becomes effective during the term of this policy; and
b. Was executed prior to:
(6-I6)
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(1) The "bodily injury" or "property damage"; or
(2) The offense that caused the "personal and advertising injury%
for which the additional insured seeks coverage.
IlL LIABILITY EXTENSION COVERAGES
S8146932F
(Ed. 6-16)
It is understood and agreed that this endorsement amends the Businessowners Liability Coverage Form. If any
other endorsement attached to this policy amends any provision also amended by this endorsement, then that other
endorsement controls with respect to such provision, and the changes made by this endorsement to such provision do
not apply.
A. Bodily Injury— Expanded Definition
Under Liability and Medical Expenses Definitions, the definition of "Bodily injury" is deleted and replaced by the
following:
"Bodily Injury" means physical injury, sickness or disease sustained by a person, including death, humiliation,
shock, mental anguish or mental injury by that person at any time which results as a consequence of the physical
injury, sickness or disease.
B. Broad Knowledge of Occurrence
Under Businessowners Liability Conditions, the Condition entitled Duties In The Event of Occurrence, Offense,
Claim or Suit is amended to add the following:
Paragraphs a. and b. above apply to you or to any additional insured only when such "occurrence," offense, claim
or "suit' is known to:
(1) You or any additional insured that is an individual;
(2) Any partner, if you or an additional insured is a partnership;
(3) Any manager, if you or an additional insured is a limited liability company;
(4) Any "executive officer' or insurance manager, if you or an additional insured is a corporation;
(5) Any trustee, if you or an additional insured is a trust; or
(6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity.
This paragraph applies separately to you and any additional insured.
C. Estates, Legal Representatives and Spouses
The estates, heirs, legal representatives and spouses of any natural person insured shall also be insured under
this policy; provided, however, coverage is afforded to such estates, heirs, legal representatives and spouses only
for claims arising solely out of their capacity as such and, in the case of a spouse, where such claim seeks
damages from madtal common property, jointly held property, or property transferred from such natural person
insured to such spouse. No coverage is provided for any act, error or omission of an estate, heir, legal
representative or spouse outside the scope of such person's capacity as such, provided however that the spouse
of a natural person Named Insured and the spouses of members or partners of joint venture or partnership
Named Insureds are insureds with respect to such spouses' acts, errors or omissions in the conduct of the Named
Insured's business.
D. Legal Liability— Damage To Premises
1. Under B. Exclusions, 1. Applicable to Business Liability Coverage, Exclusion k. Damage To Property, is
replaced by the following:
k. Damage To Property
"Property damage" to:
1. Property you own, rent or occupy, including any costs or expenses incurred by you, or any other
person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of
SB146932F (6-16)
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CAM S(Ed.6 16)
such property for any reason, Including prevention of injury to a person or damage to another's
property;
2. Premises you sell, give away or abandon, if the "property damage" arises out of any part of those
premises;
3. Property loaned to you;
4. Personal property in the care, custody or control of the insured;
5. That particular part of any real property on which you or any contractors or subcontractors working
directly or indirectly In your behalf are performing operations, if the "property damage" arises out of
those operations; or
6. That particular part of any property that must be restored, repaired or replaced because "your work"
was incorrectly performed on it
Paragraph 2 of this exclusion does not apply if the premises are "your work" and were never occupied,
rented or held for rental by you.
Paragraphs 1, 3, and 4, of this exclusion do not apply to "property damage" (other than damage by fire or
explosion) to premises:
(1) rented to you:
(2) temporarily occupied by you with the permission of the owner, or
(3) to the contents of premises rented to you for a period of 7 or fewer consecutive days.
A separate limit of insurance applies to Damage To Premises Rented To You as described in Section D —
Liability and Medical Expenses Limits of Insurance.
Paragraphs 3, 4, 5, and 6 of this exclusion do not apply to liability assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not apply to "property damage" included in the "products -completed
operations hazard."
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the following paragraph is added, and
replaces the similar paragraph, If any, beneath paragraph (14) of the exclusion entitled Personal and
Advertising injury:
Exclusions c, d, e, f, g, h, i, k, I, m, n, and o, do not apply to damage by fire to premises while rented to you
or temporarily occupied by you with permission of the owner or to the contents of premises rented to you for a
period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in
Section D. Liability And Medical Expenses Limits Of Insurance.
3. The first Paragraph under item 5. Damage To Premises Rented To You Limit of the section entitled Liability
And Medical Expenses Limits Of Insurance is replaced by the following:
The most we will pay under Business Liability for damages because of "property damage" to any one
premises, while rented to you or temporarily occupied by you with the permission of the owner, including
contents of such premises rented to you for a period of 7 or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the Declaration.
E. Personal and Advertising Injury — Discriminatton or Humiliation
1. Under Liability and Medical Expenses Definitions, the definition of "personal and advertising injury" is
amended to add the following:
h. Discrimination or humiliation that results in injury to the feelings or reputation of a natural person, but only
if such discrimination or humiliation is:
(1) Not done intentionally by or at the direction of:
(a) The insured; or
SB146932F (6-16)
Page 6 of 7
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SB146932F
(Ed. 6-16)
(b) Any "executive officer," director, stockholder, partner, member or manager (if you are a limited
liability company) of the insured; and
(2) Not directly or indirectly related to the employment, prospective employment, past employment or
termination of employment of any person or person by any insured.
2. Under B. Exclusions, 1. Applicable to Business Liability Coverage, the exclusion entitled Personal and
Advertising injury is amended to add the following additional exclusions:
(15)Discrimination Relating to Room, Dwelling or Premises
Caused by discrimination directly or indirectly related to the sale, rental, lease or sub -lease or prospective
sale, rental, lease or sub -lease of any room, dwelling or premises by or at the direction of any Insured.
(16)Employment Related Discrimination
Discrimination or humiliation directly or indirectly related to the employment, prospective employment,
past employment or termination of employment of any person by any insured.
(17) Fines or Penalties
Fines or penalties levied or imposed by a governmental entity because of discrimination.
3. This provision (Personal and Advertising Injury — Discrimination or Humiliation) does not apply if
Personal and Advertising Injury Liability is excluded either by the provisions of the Policy or by
endorsement.
F. Personal and Advertising Injury - Broadened Eviction
Under Liability and Medical Expenses Definitions, the definition of 'Personal and advertising injury" is
amended to delete Paragraph c. and replace it with the following:
c. The wrongful eviction from, wrongful entry Into, or invasion of the right of private occupancy of a room
dwelling or premises that a person or organization occupies committed by or on behalf of its owner, landlord
or lessor.
G. Waiver of Subrogation — Blanket
We waive any right of recovery we may have against:
a. Any person or organization with whom you have a written contract that requires such a waiver.
All other terms and conditions of the Policy remain unchanged.
SB146932F (6-16)
Page 7 of 7
All Rights Reserved.
CHA
Workers Compensation And Employers Liability Insurance
Policy Endorsemen,
This endorsement changes the policy to which it is attached.
It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two -
Employers' Liability Insurance H. Recovery From Others are amended by adding the following:
We will not enforce our right to recover against persons or organizations. (This agreement applies only to the
extent that you perform work under a written contract that requires you to obtain this agreement from us.)
PREMIUM CHARGE - Refer to the Schedule of Operations
The charge will be an amount to which you and we agree that is a percentage of the total standard premium for
California exposure. The amount is 2%.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers,
takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another
effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy
unless another expiration date is shown below.
Form No: G-19160-8 (11-1997) 1 %/ 1 1IV I Policy No: WC 6 25253608
Endorsement Effective Date: V Endorse ant Expiration Date: Policy Effective Date: 06/15/2019
Endorsement No: 2: Page: i of 1 Policy Page: 28 of 40
Underwriting Company: National Fire Insurance Company of Hartford, 151 N Franklin St. Chicago, IL
60606
Copyright CNA All Rights Reserved.
CNA
SB146902G
(Ed. 6-16)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
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This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
BUSINESSOWNERS COMMON POLICY CONDITIONS
SCHEDULE
Insurance is provided only with respect to those coverages for which a specific limit is shown:
COVERAGE LIMIT
Hired Auto Liabili : $
Non -owned Auto Liability: IS
(if no entry appears above, information required to complete this endorsement will be shown in the Declarations as
applicable to this endorsement.)
PROVISIONS
A. COVERAGE
With respect only to the Coverage(s) for which a limit is shown in the SCHEDULE above, the insurance provided
under Coverage A.I. Business Liability for "bodily injury" and 'property damage" also applies to "bodily injury" or
"property damage" arising out of the maintenance or use of a:
• "Hired auto' used by you or your "employee" in the course of your business; and/or
• "Non -owned auto' used in the course of your business. Maintenance or use of a "non -owned auto" includes test
driving in connection with an "auto business."
With respect only to the coverage provided by this endorsement, under Coverages, coverage A.1. Business Liability
is amended to:
1. Delete paragraph A.1.b.(1)(b) and replace it with the following:
b. This insurance applies:
(1) To "bodily injury" and "property damage" only if:
(b) The "occurrence" occurs during the policy period; and
2. Delete paragraph A.1.b.(2),.
B. LIMITS OF INSURANCE
With respect only to the coverage provided by this endorsement, SECTION D. Liability And Medical Expenses
Limits of Insurance is deleted in its entirety and replaced with the following:
D. Limits Of Insurance
1. Regardless of the number of:
a. Insureds;
b. Claims made or "suits" brought;
c. Persons or organizations making claims or bringing "suits"; or
d. "Autos,"
the applicable Hired Auto Liability limit or Non -Owned Auto Liability limit shown in the Declarations is the most
we will pay for damages under SECTION A. Coverages because of all "bodily injury" and 'property damage"
resulting from any one 'occurrence" arising out of the maintenance or use of a 'hired auto' or "non -owned
auto." (�
SB146902G (Ed.6-16)
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C. EXCLUSIONS
SB146902G
(Ed. 6-16)
With respect only to the insurance provided by this endorsement:
1. Under Exclusions, the paragraph entitled Applicable to Business Liability Coverage is amended to delete all
exclusions except exclusions a., b., d., e., f. and 1. and to add the following exclusions:
This insurance does not apply to:
• Fellow Employee
"Bodily injury" to:
(1) Any fellow "employee" of the insured arising out of and in the course of employment by the insured or
while performing duties related to the conduct of the insured's business; or
(2) The spouse, child, parent, brother or sister of that fellow "employee" while as a consequence of
Paragraph (1) above.
• Care, Custody or Control
"Property Damage" to:
(1) Property owned or being transported by, or rented or loaned to the insured; or
(2) Property in the care, custody or control of the Insured.
D. WHOISANINSURED
With respect only to the insurance provided by this endorsement, Who Is An Insured is replaced by the following:
Each of the following Is an insured under this insurance to the extent set forth below:
1. You;
2. Subject to paragraph 3.c. below, your "employee" while operating an "auto" hired or rented under a contract or
agreement, with your permission, in that "employee's" name, while performing duties related to the conduct of
your business.
3. Anyone else including any partner or "executive officer" of yours while using with your permission a "hired auto" or
a "non -owned auto" except:
a. The owner or lessee (of whom you are a sublessee) of a "hired auto" or the owner or lessee of a "non -owned
auto" or any agent or "employee" of any such owner or lessee;
b. Your "employee" if the covered "auto" is owned by that "employee" or a member of his or her household;
c. Your "employee" if the covered "auto" is leased, hired or rented by him or her or a member of his or her
household under a lease or rental agreement for a period of 180 days or more;
d. Any partner or "executive officer" with respect to any "auto" owned by such partner or officer or a member of
his or her household;
e. Any partner or "executive officer" with respect to any 'auto" leased or rented to such partner or officer or a
member of his or her household under a lease or rental agreement for a period of 180 days or more;
f. Any person while employed in or otherwise engaged in duties in connection with an "auto business," other
than an "auto business" you operate;
g. Anyone other than your "employees," partners, a lessee or borrower or any of their "employees," while
moving property to or from a "hired auto" or a "non -owned auto"; or
4. Any other person or organization, but only with respect to their liability because of ads or omissions of an insured
under 1., 2. or 3. above.
E. AMENDED DEFINITION
The Definition of "insured contract" in Section F — Definitions Is amended by the addition of the following exceptions to
paragraph f.: r I,
SB146902G (Ed. 6-16)
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SB146902G
(Ed. 6-16)
Paragraph E does not include that part of any contract or agreement:
• That pertains to the loan, lease or rental of an "auto" to you or any of your "employees," if the "auto" is loaned,
leased or rented with a driver; or
• That holds a person or organization engaged in the business of transporting property by "auto" for hire harmless
for your use of a covered "auto" over a route or territory that person or organization is authorized to serve by
public authority.
F. ADDITIONAL DEFINITIONS
Section F. Definitions is amended by the addition of the following definitions:
a. "Auto Business" means the business or occupation of selling, repairing, servicing, storing or parking "autos."
b. "Hired auto" means any "auto" you or your "employee" lease, hire, rent or borrow in the course of your business.
This does not Include:
t. Any "auto" you lease, hire or rent under a lease or rental agreement for a period of 160 days or more, or
li. Any "auto" you lease, hire, rent or borrow from any of your "employees," partners, stockholders, or members
of their households.
c. "Non -owned auto" means any "autos" you do not own, lease, hire, rent or borrow that are being used in the
course and scope of your business at the time of the "occurrence." This includes "autos" owned by your
"employees" or partners or members of their households but only while being used in the course and scope of
your business at the time of the "occurrence."
If you are a sole proprietor, "non -owned auto" means any "autos" you do not own, lease, hire, rent or borrow that
are being used in the course and scope of your business or personal affairs at the time of the "occurrence.'
G. With respect only to the operation of a "hired auto" or "non -owned auto," Paragraph H, of the Businessowners
Common Policy Conditions is deleted and replaced with the following:
H. other insurance
1. Except for any liability assumed under an "insured contract" the insurance provided by this Coverage Form is
excess over any other collectible insurance.
However, if your business is the selling, servicing, repairing, parking or storage of "autos," the insurance
provided by this endorsement is primary when covered "bodily injury" or "property damage" arises out of the
operation of a customer's "auto" by you or your "employee."
2. When this Coverage Form and any other Coverage Form or policy covers on the same basis, either excess or
primary, we will pay only our share. Our share is the proportion that the Limit of Insurance of our Coverage
Form bears to the total of the limits of all the Coverage Forms and policies covering on the same basis.
All other terms and conditions of the Policy remain unchanged.
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