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HomeMy WebLinkAboutDUTHIE POWER SERVICESCU) INSURANCE ON FILE z pnRK tv1AY PROCE_. UNTIL INSURAIVCEE EVIRES CLERK OF COUNU DATE: AGREEMENT TO PROVIDE ON -CALL GENERATOR A-2021-164-01 0 VVJP( MAINTENANCE AND REPAIR SERVICES (M{q1 "o \THIS AGREEMENT is made and entered into this 17th day of August, 2021 by and between fl l)) Duthie Power Services ("Contractor"), and the City of Santa Ana, a charter city and municipal fpl corporation organized and existing under the Constitution and laws of the State of California ("City„) RECITALS A. On April 5, 2021, the City issued Request for Proposal No. 21-034, by which it sought a qualified contractor to provide on -call generator maintenance and repair services for the Water Resources Division of the City's Public Works Agency. B. Contractor submitted a responsive proposal that was among those selected by the City. Contractor represents that it is able and willing to provide the services described in the scope of work that was included in RFP 21-034. C. In undertaking the performance of this Agreement, Contractor represents that it is knowledgeable in its field and that any services performed by Contractor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional contracting firm in the field. NOW THEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: SCOPE OF SERVICES On an on -call basis, and at the City's sole discretion, Contractor shall perform the services described in the scope of work that was included in RFP No. 21-034, which is attached as Exhibit A and incorporated in full, and as further described in Contractor's Proposal, which is attached as Exhibit B and incorporated in full. 2. COMPENSATION a. City neither warrants nor guarantees any minimum or maximum compensation to Contractor under this Agreement. Contractor shall be paid only for actual services performed under this Agreement at the rates and charges identified in Exhibit B. Contractor is one of two (2) contractors selected to provide services on an on -call basis under RFP 21-034. The total annual compensation for services provided by all contractors selected under RFP No. 21-034 shall not exceed the shared aggregate amount of one hundred thousand dollars and zero cents ($100,000). b. Payment by City shall be made within forty-five (45) days following receipt of proper invoice evidencing work performed, subject to City accounting procedures. Payment need not be made for work which fails to meet the standards of Page 1 of performance set forth in the Recitals and Scope of Work, which may reasonably be expected by City. 3. TERM This Agreement shall commence on the date first written above and terminate on August 16, 2024, unless terminated earlier in accordance with Section 17, below. The term of this Agreement may be extended for one 2-year period upon a writing executed by the City Manager and City Attorney. 4. PREVAILING WAGES Contractor is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 16000, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" projects. If the services being performed are part of an applicable "public works" or "maintenance" project, as defined by the Prevailing Wage Laws, and the total compensation is $1,000 or more, Contractor agrees to fully comply with such Prevailing Wage Laws. Contractor shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 5. INDEPENDENT CONTRACTOR Contractor shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee of the City. This Agreement is not intended nor shall it be construed to create an employer -employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Contractor performs the services which are the subject matter of this Agreement; however, the services to be provided by Contractor shall be provided in a manner consistent with all applicable standards and regulations governing such services. Contractor shall pay all salaries and wages, employer's social security taxes, unemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 6. OWNERSHIP OF MATERIALS This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Contractor under this Agreement ("Documents & Data"). Contractor shall require all subcontractors to agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Contractor represents and warrants that Contractor has the legal right to license any and all Documents & Data. Contractor makes no such representation and warranty in regard to Page 2 of 8 Documents & Data which were provided to Contractor by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. INSURANCE Prior to undertaking performance of work under this Agreement, Contractor shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Contractor shall maintain commercial general liability insurance naming the City, its officers, employees, agents, volunteers and representatives as additional insured(s) and shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Contractor's operations in the performance of this Agreement, including, without limitation, acts involving vehicles. The amounts of insurance shall be not less than the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $2,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this project/location (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separation of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $1,000,000 per occurrence. Such insurance shall include coverage for owned, hired and non -owned automobiles. C. Worker's Compensation Insurance. In accordance with the California Labor Code, Contractor, if Contractor has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Contractor agrees to obtain and maintain any employer's liability insurance with limits not less than $1,000,000 per accident. d. If Contractor is or employs a licensed professional such as an architect or engineer: Professional liability (errors and omissions) insurance, with a combined single limit of not less than $2,000,000 per claim with $2,000,000 in the aggregate. e. The following requirements apply to the insurance to be provided by Contractor pursuant to this section: (i) Contractor shall maintain all insurance required above in full force and effect for the entire period covered by this Agreement. (ii) Certificates of insurance shall be furnished to the City upon execution of Page 3 of 8 this Agreement and shall be approved by the City. (iii) Certificates and policies shall state that the policies shall not be cancelled or reduced in coverage or changed in any other material aspect, by contractor, without thirty (30) days prior written notice to the City. (iv) Contractor shall supply City with a fully executed additional insured endorsement. f If Contractor fails or refuses to produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not affect Contractor's right to be paid for its time and materials expended prior to notification of termination. Contractor waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEMNIFICATION Contractor agrees to defend, and shall indemnify and hold harmless the City, its officers, agents, employees, contractors, special counsel, and representatives from liability: (1) for personal injury, damages, just compensation, restitution, judicial or equitable relief arising out of claims for personal injury, including death, and claims for property damage, which may arise from the negligent operations of the Contractor or its subcontractors, agents, employees, or other persons acting on their behalf which relates to the services described in section 1 of this Agreement; and (2) from any claim that personal injury, damages, just compensation, restitution, judicial or equitable relief is due by reason of the terms of or effects arising from this Agreement. This indemnity and hold harmless agreement applies to all claims for damages, just compensation, restitution, judicial or equitable relief suffered, or alleged to have been suffered, by reason of the events referred to in this Section or by reason of the terms of, or effects, arising from this Agreement. The Contractor further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party challenging the validity of this Agreement, or asserting that personal injury, damages, just compensation, restitution, judicial or equitable relief due to personal or property rights arises by reason of the terms of or effects arising from this Agreement. City may make all reasonable decisions with respect to its representation in any legal proceeding. Notwithstanding the foregoing, to the extent Contractor's services are subject to Civil Code Section 2782.8, the above indemnity shall be limited, to the extent required by Civil Code Section 2782.8, to claims that arise of, pertain to, or relate to the negligence, recklessness, or willful misconduct of the Contractor. 9. INTELLECTUAL PROPERTY INDEMNIFICATION Contractor shall defend, indemnify and hold harmless the City, its officers, agents, representatives, and employees against any and all liability, including costs, and attorney's fees, for infringement of any United States' letters patent, trademark, or copyright contained in the work product or documents provided by Contractor to the City pursuant to this Agreement. Page 4 of 8 10. RECORDS Contractor shall keep records and invoices in connection with the work to be performed under this Agreement. Contractor shall maintain complete and accurate records with respect to the costs incurred under this Agreement and any services, expenditures, and disbursements charged to the City for a minimum period of three (3) years, or for any longer period required by law, from the date of final payment to Contractor under this Agreement. All such records and invoices shall be clearly identifiable. Contractor shall allow a representative of the City to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement during regular business hours. Contractor shall allow inspection of all work, data, documents, proceedings, and activities related to this Agreement for a period of three (3) years from the date of final payment to Contractor under this Agreement. 11. CONFIDENTIALITY If Contractor receives from the City information which due to the nature of such information is reasonably understood to be confidential and/or proprietary, Contractor agrees that it shall not use or disclose such information except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Confidential information includes not only written information, but also information transferred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that (a) has been disclosed in publicly available sources; (b) is, through no fault of the Contractor disclosed in a publicly available source; (c) is in rightful possession of the Contractor without an obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Contractor without reference to information disclosed by the City. 12. CONFLICT OF INTEREST CLAUSE Contractor covenants that it presently has no interest and shall not have interests, direct or indirect, which would conflict in any manner with performance of services specified under this Agreement. 13. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, postage prepaid, or sent by fax or other telegraphic communication in the manner provided in this Section, to the following persons: Pagc 5 of 8 To City: Clerk of the City Council City of Santa Ana 20 Civic Center Plaza (M-30) P.O. Box 1988 Santa Ana, CA 92702-1988 Fax 714- 647-6956 Executive Director Public Works Agency City of Santa Ana 20 Civic Center Plaza (M-21) P.O. Box 1988 Santa Ana, CA 92702 To Contractor: Duthie Power Services 2335 E. Cherry Industrial Circle Long Beach, CA 90805 Attn: Eric Duthie A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, duly registered or certified, with postage prepaid, and addressed as set forth above. If sent by fax, communication shall be effective or deemed to have been given twenty-four (24) hours after the time set forth on the transmission report issued by the transmitting facsimile machine, addressed as set forth above. For purposes of calculating these timeframes, weekends, federal, state, County or City holidays shall be excluded. 14. EXCLUSIVITY AND AMENDMENT This Agreement represents the complete and exclusive statement between the City and Contractor regarding the subject matter herein, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the terms of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. This Agreement may not be modified except by written instrument signed by the City and by an authorized representative of Contractor. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Contractor or the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or otherwise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 15. ASSIGNMENT Inasmuch as this Agreement is intended to secure the specialized services of Contractor, Contractor may not assign, transfer, delegate, or subcontract any interest herein without the prior Page 6 of 8 written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall be considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other contractors retained by City. 16. WAIVER No waiver of breach, failure of any condition, or any right or remedy contained in or granted by the provisions of this Agreement shall be effective unless it is in writing and signed by the party waiving the breach, failure, right or remedy. No waiver of any breach, failure or right, or remedy shall be deemed a waiver of any other breach, failure, right or remedy, whether or not similar, nor shall any waiver constitute a continuing waiver unless the writing so specifies. 17. TERMINATION This Agreement may be terminated by the City upon thirty (30) days written notice of termination. In such event, Contractor shall be entitled to receive and the City shall pay Contractor compensation for all services performed by Contractor prior to receipt of such notice of termination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Contractor to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibited by law, and Contractor consents to the City's use thereof for such purposes as the City deems appropriate. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals of this Agreement. 18. NON-DISCRIMINATION Consultant shall not discriminate because of race, color, creed, religion, sex, marital status, sexual orientation, gender identity, gender expression, gender, medical conditions, genetic information, or military and veteran status, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, selection, teaching, training, utilization, promotion, termination or other employment related activities or any services provided under this Agreement. Consultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 19. JURISDICTION -VENUE This Agreement has been executed and delivered in the State of California and the validity, interpretation, performance, and enforcement of any of the clauses of this Agreement shall be determined and governed by the laws of the State of California. Both parties further agree that Orange County, California, shall be the venue for any action or proceeding that may be brought or arise out of, in connection with or by reason of this Agreement. Page 7 of 8 20. PROFESSIONAL LICENSES Contractor shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws and regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Contractor shall notify the City immediately and in writing of its inability to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 21. MISCELLANEOUS PROVISIONS a. Each undersigned represents and warrants that its signature herein below has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. All exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body of this Agreement. IN WITNESS WHEREOF, the parties hereto have executed this Agreement the date and year first above written. ATTEST: Daisy Gomez lerk of the Council APPROVED AS TO FORM SONIA R. CARVALHO City Attorney BY� "Ilrandon Salvatierra Deputy City Attorney RECOMMENDED FOR APPROVAL q �h Nabil Saba, PE Executive Director Public Works Agency CITY OF SANTA ANA Kristine Ridge City Manager CONTRACTOR Name: Ec;k K" 3 —,,et Title: -1-+ j l' P Page 8 of 8 EXHIBIT A CITY OF SANTA ANA RFP NO,: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES —�---- Appendix ATTACHMENT'1: SCOPE OF WORK CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES SCOPE OF WORK Introduction and Background: The City of Santa Ana is soliciting proposals from qualified firms to provide on -call emergency generator repair services and preventative maintenance services on an as - needed basis. The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27.2 square miles and a population over 343,000 people. The City of Santa Ana Public Works Agency— Water Resources Division oversees and maintains the daily operations of the Water System and Sanitary Sewer System. The City of Santa Ana's water system has an average day demand of about 43 million gallons (MG) with 45,000 services. It is comprised of approximately 478 miles of water main, 45 MG of storage at five (5) sites, seven (7) MWD connections, 21 groundwater wells, seven (7) pump stations, four (4) pressure regulating stations and utilizes two (2) pressure zones. The City owns and maintains an extensive system of sanitary sewer infrastructure that includes approximately 400 miles of sanitary sewer, 9,000 manholes, approximately 48,500 sewer laterals and 2 sewer lift stations. All sewage is conveyed to the Orange County Sanitation District (OCSD) for treatment. The City of Santa Ana currently operates six (6) emergency generators at six (6) different sites throughout their jurisdiction. Description of Work: The City of Santa Ana is requesting proposals for the purpose of providing preventative maintenance service visits and on -call diagnostic and repair services to six (6) generators specified in TABLE A: CITY OF SANTA ANA EMERGENCY GENERATORS. The manufacturers of the City`s existing generators include Caterpillar, Perkins, and Cummins. This project consists of furnishing all materials, equipment, labor, supervision, and transportation necessary to provide generator preventative maintenance and repair services at locations listed and described herein. All parts, repairs and/or fluid changing must be done with parts and fluids that meet or exceeds the manufacturer's specifications and requirements. All replacement parts shall be new and of the same quality and brand name as that being replaced. Substitutions will be permitted only with prior authorization from the City. All work done on generators will carry a one-year minimum warranty on parts. The Contractor shall properly dispose of used oil, fluids, and filters generated by its services, leaving the job site environmentally clean. All testing and maintenance services should be scheduled in advance with the City of Santa Ana. Upon request from the City, the Contractor shall perform Tier 1 Maintenance Services or Tier 2 Maintenance Services in accordance and consistent with the specifications described in SECTION I: TIER 1: PREVENTATIVE MAINTENANCE and SECTION II: TIER Il: PREVENTATIVE MAINTENANCE. The Contractor shall perform additional work as authorized. Such work will be based on rates for field services as listed herein. The Contractor 1. 2. 3. 4. 5. CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES shall maintain service records on all maintenance and repairs, and shall provide a copy of the service records to the City of Santa Ana. The Contractor must also be able to respond to City's request for emergency generator repair work in a timely manner. The Contractor shall be available on an on -call basis, 24/7, and ready to respond in the event of an emergency. Service calls shall be responded within four (4) hours. Contractor's repair crews must be able to arrive at job site within eight (8) hours of approval from the City to commence work. Regular business hours are considered from 7:00 am to 5:00 pm (Monday through Friday). Anytime outside of business hours of operation may be considered after hours/weekends. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Water Resources Division. Proposers shall be fully experienced and properly licensed and equipped to perform the work specified and required. All work performed shall be in compliance with National Fire Protection Association (NFPA) 70 National Electrical Code, NFPA 110 Standard for Emergency and Standby Power Systems as well as other applicable federal, state, and local codes. The Contractor shall maintain and repair the City's generators listed below in TABLE A; equipment may be added or removed as required. For reference to the locations described herein, a map of the generators is provided in APPENDIX C. Table A. CITY OF SANTA ANA EMERGENCY GENERATORS FACILITY FACILITY MAX MIT MAKE MODEL HORSEPOWER WATTS FUEL SS OPERATION Bristol & Segerstrom Segerstrom, Station Santa Ana, CA Perkins 1006-6TG 20 hr/yr 166 HP 123.5 kW Diesel 92703 4426 W First West St, Santa Ana, Cummins OSX15-G9 50 hr/yr 755 HP 563 kW Diesel Station CA 92701 1730 S Santa East Fe St, Santa Cummins OSX15-G9 50 hr/yr 755 HP 563 kW Diesel Station Ana, CA 92703 John 2401 N Bristol Garthe St, Santa Ana, Caterpillar G3408 5o hr/yr 255 HP 190 kW Natural Station CA 92706 Gas 723W Walnut Walnut St, Santa Ana, Caterpillar C15 So hr/yr 762 HP 500 kW Diesel Station CA 92703 CITY OF SANTA ANA RFP NO.: 21.034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES McFadden Ave 6 Maxine & Maxine St, Station Santa Ana, CA Perkins 3.1524 50 hr/yr 44.3 HP 25 kW 92701 Diesel CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES Contractor Responsibilities: I, TIER I: PREVENTATIVE MAINTENANCE (REFER TO BID ITEMS 1 THROUGH 6) Upon request, Tier I Maintenance Services shall be performed by the Contractor. Tier I generator maintenance services shall at a minimum include checking the following: Fuel (Check main and day tank fuel supply levels; day tank float switch; piping, hoses and connectors; operating fuel pressure; and for any obstructions to tank vents and overflow piping) 2. Lubrication system (Check for proper oil level and oil operating pressure; lube oil heater) 3. Cooling system (Check coolant level, water pump(s), jacket water heater, belts, hoses, fan) 4. Exhaust system (Check drain condensate trap and for possible leakage) 5. Battery System (Look for possible corrosion; check specific gravity, electrolyte level and battery charger — maintenance -free batteries require routine visual inspection and maintenance in accordance with manufacturer's instructions) 6. Electrical system (Conduct a general inspection of wiring and connections; check circuit breakers/fuses) Prime Mover/Generator (Check for debris, foreign objects, loose or broken fittings; check guards and components; look for any unusual condition of vibration, leakage, noise, temperature or deterioration) S. Thirty (30) Minute Load Test (Contractor shall carry out 30-minute generator load tests and run the generator at 30%for a minimum of 30 minutes. If a generator does not "pass" the load test consistently then Contractor will ask the City of Santa Ana if a resistive load bank test should be performed.) Within five (5) business days of completing a load test on a generator and maintenance inspection services, Contractor shall provide a completed Tier 1: Generator 30-Minute Load Test Form found in APPENDIX A (or City approved alternative) to the City of Santa Ana. The Contractor shall state all findings, if any, along with a proposed scope of work and complete cost estimates for any recommended equipment repairs and/or replacement. Alternative reporting forms may be used if approved by the City of Santa Ana. U. TIER 2: PREVENTATIVE MAINTENANCE (REFER TO BID ITEMS 7 THROUGH 12) Upon request, Tier it Maintenance Services shall be performed by the Contractor. In addition to the items listed in APPENDIX B (the TIER II: GENERATOR INSPECTION AND PREVENTATIVE MAINTENANCE CHECKLIST), the Tier II maintenance service visit shall include a full change of engine oil and filter (along with a battery and coolant replacement if CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES required) and an option for a two (2) hour load bank test or a four (4) hour load bank test, When applicable, the Contractor shall perform automatic transfer switch (ATS) testing in accordance with current NFPA 110 standards. The Contractor shall recommend additional parameters. At a minimum, the Contractor shall perform the following preventative maintenance tasks for the Tier II Maintenance Service: A. COOLING SYSTEM 1, Inspect radiator exchanger 2. Check coolant level 3, Glycol check of coolant (freezing point) (Results must be turned in) 4. Inspect all hoses and connections 5. Inspect fan drive pulley and fan 6. Inspect fan belts 7. Check jacket water heater 8. Inspect water pump 9. Inspect thermostats B. FUEL SYSTEM 1, Inspect fuel tank 2. Change fuel/water separator strainers 3. Inspect all fuel lines and connections 4. Inspect governor and controls 5. Change all fuel filters 6. Check fuel pressure 7. Test fuel in tanks for water (results must be turned in) C. AIR INTAKE & EXHAUST SYSTEM 1. Change air filters as needed (At the discretion of the City) 2. Check air filter service indicator 3. Inspect air inlet system 4. Inspect turbocharger 5. Check exhaust manifold 6. Inspect exhaust system O. ENGINE MONITORS & SAFETY CONTROLS 1. Check all gauges 2. Check all safety controls 3. Check remote enunciators & alarms E. LUBE OIL SYSTEM 1. Check oil level 2. Change all oil filters 3. Check oil pressure 4. Inspect crankcase breather 5. Check for any leaks 6. Take sample of existing oil (results must be turned in) 7. Change oil CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES F. STARTING SYSTEM 1. Inspect batteries, terminals & connections 2. Check specific gravity of batteries (results must be turned in) 3. Perform load test on batteries (results must be turned in) 4. Inspect battery charger 5. Inspect starting motor 6. Inspect alternator G.GENERATOR 1. Inspect bearings 2. Check vibration isolators 3. Inspect control panel 4. Check start controls 5. Check voltmeter 6. Check ammeter 7. Check frequency meter 8. Check circuit breaker H. TRANSFER SWITCH 1. Inspect all connections (retighten if necessary) 2. Inspect wiring for brittle or burn marks 3. Inspect all switches I. LOAD BANK TEST 1. Option for a 2-Hour Load Test 2. Or an option for a 4-Hour Load Test I. PROVIDE WRITTEN DOCUMENTATION OF ALL WORK PERFORMED 1. Oil Test Results (results must be turned in) 2, Diagnostic Procedures and Results Contractor shall immediately notify City personnel of conditions that do not conform to applicable codes and/or pose a safety hazard. All work performed on electrical power generation and transfer equipment shall be accomplished under the technical management of a qualified electrical licensed contractor. Within five (5) business days of completing the Tier II maintenance service, the Contractor shall provide a completed Tier 11: Generator Inspection and Preventative Maintenance Checklist Form found in APPENDIX B (or City approved alternative) to the City of Santa Ana, The Contractor shall state all findings, if any, along with a proposed scope of work and complete cost estimates for any recommended equipment repairs and/or replacement. Alternative reporting forms may be used if approved by the City of Santa Ana. III. ON CALL DIAGNOSTIC AND REPAIR SERVICES The Contractor shall provide generator repair service for all listed City generators and other CITY OF SANTA ANA RFP NO.; 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES locations on an as needed basis at the hourly rates specified in the Fee Schedule, The Contractor shall charge labor at the established rates for normal hours, after hours, weekend hours and holiday hours. Any repair service above and beyond preventative maintenance will require an estimate being submitted to the City and their approval prior to any work being performed by the Contractor, The Contractor shall provide generator parts, supplies and equipment for all listed City generators and other locations as requested by the City. All parts, supplies, materials, and equipment provided to the City are to be new, and from acceptable manufacturers with acceptable warranty periods to the City at a markup price not to exceed 10%. A service report is to be completed by the Contractor's technician and the report is to be provided to City personnel upon completion of the request. Any activity carried out by the Contractor that requires taking a generator offline for testing or repairs requires prior approval from the City of Santa Ana. Should a generator need to be taken offline temporarily, it may not be left unattended by the Contractor's personnel. The Contractor must remain onsite until the generator is successfully returned online to normal operation. IV. EMERGENCY ON CALL SERVICE In the event of a generator failure or malfunction, the Contractor shall provide emergency on - call repair services within four (4) hours of receiving the call. The Contractor's service technician is required to be on site and commence work within eight (8) hours of initial contact if deemed by the City to be an emergency, The response time may be waived by the City if service can wait to be performed during Contractors normal business hours. V. VALUE ADDED RELATED SERVICES The Contractor may propose additional related services that the City has not specifically identified in this RFP to accomplish the stated goals of this RFP. Value added related services will be considered by the City and may or may not be incorporated in the agreement. All parts and materials must be supplied new, and factory approved. VI. PROJECT MANAGEMENT 8, COORDINATION When a request for service is issued to the City, the Contractor shall issue an estimate to the City's designated project manager. The Contractor shall not proceed with any work without the prior approval of the City's designated project manager. Contractors shall invoice the City on a monthly basis for all work performed during the period or provide a one-time invoice at the completion of work issued. Each invoice shall be accompanied by a summary of tasks performed, results and progress on long-term tasks if any, and agreement number. VII. SCHEDULING CITY OF SANTA ANA RFP NO.: 21-034 ON -CALL EMERGENCY GENERATOR MAINTENANCE AND REPAIR SERVICES Contractor shall coordinate all scheduled services at least five (5) business days in advance with: Juan Ramirez Water Resources Production Supervisor (714) 647-3377 iram irezna Santa-ana.org Vill. MINIMUM QUALIFICATIONS The Contractor shall meet the following minimum qualifications: 1. Be factory authorized, trained and knowledgeable in generators for maintenance, operation and installation. 2. Contractor shall hold current C10 Electrical Contractor's License. 3. Have access to factory direct inventory for replacement parts and related appurtenances. 4. Provide Technical and Engineering support from the manufacturer upon request from the City. 5. All work is to be performed in compliance with all applicable codes, standards, due care, and MIOSHA/OSHA safety requirements. 6. All preventative and repair services shall be performed in a manner consistent with NFPA 110: Standard for Emergency and Standby Power Systems and NFPA 70: National Electrical Code. 7. Contractor shall provide emergency access 24 hours a day, 7 days a week. IX. FEE SCHEDULE: Contractor shall submit a fee schedule as described in Section IV.B.3 of RFP. Furthermore, Contractor shall submit additional labor, material and equipment rates along with fee schedule. Contractor's labor and equipment rate sheet shall list rates for all labor designations, equipment and materials. The Contractor will be expected to hold firm pricing on all contract items supplied for the duration of the contract. Labor increases shall be subject to mutually agreeable terms between the City and the Contractor. The City may request related services that will be paid at the vendor's standard labor and equipment rate submitted. Fee proposal shall be outlined as follows: EXHIBIT B POWER 4J' SERVICES The Generator Experts • 24 Hour Service • License #708125 2. SCOPE OF SERVICES The City of Santa Ana is soliciting proposals from qualified firms to provide on -call emergency generator repair services and preventative maintenance services on an as- needed basis. The City of Santa Ana is located in the County of Orange in Southern California. The City encompasses 27.2 square miles and a population over 343,000 people. The City of Santa Ana Public Works Agency -Water Resources Division oversees and maintains the daily operations of the Water System and Sanitary Sewer System. The City of Santa Ana's water system has an average day demand of about 43 million gallons (MG) with 45,000 services. It is comprised of approximately 478 miles of water main, 45 MG of storage at five (5) sites, seven (7) MWD connections, 21 groundwater wells, seven (7) pump stations, four (4) pressure regulating stations and utilizes two (2) pressure zones. The City owns and maintains an extensive system of sanitary sewer infrastructure that includes approximately 400 miles of sanitary sewer, 9,000 manholes, approximately 48,500 sewer laterals and 2 sewer lift stations. All sewage is conveyed to the Orange County Sanitation District (OCSD) for treatment. The City of Santa Ana currently operates six (6) emergency generato rs at six (6) different sites throughout their jurisdiction. Description of Work: The City of Santa Ana is requesting proposals for the purpose of providing preventative maintenance service visits and on -call diagnostic and repair services to six (6) generators specified in TABLE A: CITY OF SANTA ANA EMERGENCY GENERATORS. The manufacturers of the City's existing generators include Caterpillar, Perkins, and Cummins. This project consists of furnishing all materials, equipment, labor, supervision, and transportation necessary to provide generator preventative maintenance and repair services at locations listed and described herein. All parts, repairs and/or fluid changing must be done with parts and fluids that meet or exceeds the manufacturer's specifications and requirements. All replacement parts shall be new and of the same quality and brand name as that being replaced. Substitutions will be permitted only with prior authorization from the City. All work done on generators will carry a one-year minimum warranty on parts. The Contractor shall properly dispose of used oil, fluids, and filters generated by its services, leaving the job site environmentally clean. 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90805 Escondido, CA 92029 www.duthiepower.com The Generator Experts • 24 Hour Service • License #708125 All testing and maintenance services should be scheduled in advance with the City of Santa Ana. Upon request from the City, the Contractor shall perform Tier 1 Maintenance Services or Tier 2 Maintenance Services in accordance and consistent with the specifications described in SECTION I: TIER I: PREVENTATIVE MAINTENANCE and SECTION 11: TIER 11: PREVENTATIVE MAINTENANCE. The Contractor shall perform additional work as authorized. Such work will be based on rates for field services as listed herein. The Contractor shall maintain service records on all maintenance and repairs, and shall provide a copy of the service records to the City of Santa Ana. The Contractor must also be able to respond to City's request for emergency generator repair work in a timely manner. The Contractor shall be available on an on -call basis, 24/7, and ready to respond in the event of an emergency. Service calls shall be responded within four (4) hours. Contractor's repair crews must be able to arrive at job site within eight (8) hours of approval from the City to commence work. Regular business hours are considered from 7:00 am to 5:00 pm (Monday through Friday). Anytime outside of business hours of operation may be considered after hours/weekends. Proposer shall submit hourly rates schedule, which shall include but not limited to, direct and indirect costs for labor, for staff per job classification, material, equipment rates, overhead, incidental supplies, travel, mileage, and fuel. Any special materials will be purchased by the contractor only after discussed and authorized by the City projects manager or designee in writing. Prior to commencement of services, Contractor shall provide separate quotes, upon request by the City, which shall be approved by the City's Public Works Water Resources Division. Proposers shall be fully experienced and properly licensed and equipped to perform the work specified and required. All work performed shall be in compliance with National Fire Protection Association (NFPA) 70 National Electrical Code, NFPA 110 Standard for Emergency and Standby Power Systems as well as other applicable federal, state, and local codes. TIER I: PREVENTATIVE MAINTENANCE (REFER TO BID ITEMS 1 THROUGH 6) Upon request, Tier I Maintenance Services shall be performed by the Contractor. Tier I generator maintenance services shall at a minimum include checking the following: 2335 E. Cherry Indus Or 625 Superior St. #A 800.394.7697 Long Beach, CA 90905 Escondido, CA 92029 www.duthiepower.com The Generator Experts • 24 Hour Service • License #708125 1. Fuel (Check main and day tank fuel supply levels; day tank float switch; piping, hoses and connectors; operating fuel pressure; and for any obstructions to tank vents and overflow piping) 2. Lubrication system (Check for proper oil level and oil operating pressure; lube oil heater) 3. Cooling system (Check coolant level, water pump(s), jacket water heater, belts, hoses, fan) 4. Exhaust system (Check drain condensate trap and for possible leakage) 5. Battery System (Look for possible corrosion;check specific gravity, electrolyte level and battery charger - maintenance -free batteries require routine visual inspection and maintenance in accordance with manufacturer's instructions) 6. Electrical system (Conduct a general inspectionof wiring and connections; check circuit breakers/fuses) 7. Prime Mover/Generator (Check for debris, foreign objects, loose or broken fittings; check guards and components; look for any unusual condition of vibration, leakage, noise, temperature or deterioration) S. Thirty (30) Minute Load Test (Contractor shall carry out 30-minute generator load tests and run the generator at 30% for a minimum of 30 minutes. If a generator does not "pass" the load test consistently then Contractor will ask the City of Santa Ana if a resistive load bank test should be performed.) Within five (5) business days of completing a load test on a generator and maintenance inspectionservices, Contractor shall provide a completed Tier 1: Generator 30-Minute Load Test Form found in APPENDIX A (or City approved alternative) to the City of Santa Ana. The Contractor shall state all findings, if any, along with a proposed scope of work and complete cost estimates for any recommended equipment repairs and/or replacement. Alternative reporting forms may be used if approved by the City of Santa Ana. TIER 2: PREVENTATIVE MAINTENANCE (REFER TO BID ITEMS 7 THROUGH 12) Upon request, Tier II Maintenance Services shall be performed by the Contractor. In addition to the items listed in APPENDIX B (the TIER 11: GENERATOR INSPECTION AND PREVENTATIVE MAINTENANCE CHECKLIST), the Tier II maintenance service visit shall include a full change of engine oil and filter (along with a battery and coolant replacement if required) and an option for a two (2) hour load bank test or a four (4) hour load bank test. When applicable, the Contractor shall perform automatic transfer switch (ATS) testing in accordance with current NFPA 110 standards. The Contractor shall recommend additional parameters. At a minimum, the Contractor shall perform the following preventative maintenance tasks for the Tier II Maintenance Service: 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90805 Escondido, CA 92029 www.duthiepower.com A. 1. c 4. 5. 6. 7. 8. 9. B. 1. 2. 3. 4. 5. 6. 7. C. 1. 2. 3. 4. 5. 6. D. 1. 2. SERVICES The Generator Experts • 24 Hour Service • License #708125 COOLING SYSTEM Inspect radiator exchanger Check coolant level Glycol check of coolant (freezing point) (Results must be turned in) Inspect all hoses and connections Inspect fan drive pulley and fan Inspect fan belts Check jacket water heater Inspect water pump Inspect thermostats FUEL SYSTEM Inspect fuel tank Change fuel/water separator strainers Inspect all fuel lines and connections Inspect governor and controls Change all fuel filters Check fuel pressure Test fuel in tanks for water (results must be turned in) AIR INTAKE & EXHAUST SYSTEM Change air filters as needed (At the discretion of the City) Check air filter service indicator Inspect air inlet system Inspect turbocharger Check exhaust manifold Inspect exhaust system ENGINE MONITORS & SAFETY CONTROLS Check all gauges Check all safety controls 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90905 Escondido, CA 92029 www.duthiepower.com POWER The Generator Experts • 24 Hour Service • License #708125 3. Check remote enunciators & alarms E. LUBE OIL SYSTEM 1. Check oil level 2. Change all oil filters 3. Check oil pressure 4. Inspect crankcase breather 5. Check for any leaks 6. Take sample of existing oil (results must be turned in) 7. Change oil F. STARTING SYSTEM 1. Inspect batteries, terminals & connections 2. Check specific gravity of batteries (results must be turned in) 3. Perform load test on batteries (results must be turned in) 4. Inspect battery charger 5. Inspect starting motor 6. Inspect alternator &GENERATOR 1. Inspect bearings 2. Check vibration isolators 3. Inspect control panel 4. Check start controls 5. Check voltmeter 6. Check ammeter 7. Check frequency meter 8. Check circuit breaker H. TRANSFER SWITCH (VISUAL INSPECTION ONLY, NO UTILITY POWER OUTAGE) 1. Inspect all connections (retighten if necessary) 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90805 Escondido, CA 92029 www.duthiepower.com POWER The Generator Experts • 24 Hour Service • License #708125 2. Inspect wiring for brittle or burn marks 3. Inspect all switches I. LOAD BANK TEST (OPTIONAL) 1. Option for a 2-Hour Load Test 2. Or an option for a 4-Hour Load Test I. PROVIDE WRITTEN DOCUMENTATION OF ALL WORK PERFORMED 1. Oil Test Results (results must be turned in) 2. Diagnostic Procedures and Results 3. FEE PROPOSAL Tiers Tler2 2hr load 4hr load Site Name En¢ine MDL Sri FuelType KW SEMI Total test test Se erstrom Station Perkins 3006-6tg u746180 diesel 100 275.00 $717.73 $1,000.00. $1,200.00 West Station Cummins QSX15-19 Diesel 500 330.00 $1,182.72 $1,2D0.00 $1,400.00 East Station Cummins QSX15-19 diesel 500 330.00 $1,182.72 $1,200.00 $1,400,00 John Garthe Station Caterpillar 3408 6NBO1035 Nat Gas 330.00 f$275.00 $708.08 N/A N/A Walnut5tation Caterpillar C-15 FTED3154 Diesel 500 330.00. $1,032.89 $1,200.00 $1,400.00 Maxine Station Perkins CM50330 U136519H Diesel 25 $618.66 $800.00 $1,000.00 Labor Rates • Normal working hours $ 135.00 per hour Overtime $ 202.50 per hour 3:31 pm — 7:31 pm, first 8 hours on Saturday Double Time $ 270.00 per hour above. $1,870.00 $5,442.80 Monday thru Friday 7:00am — 3:30 pm Monday thru Friday 3:00am — 6:59 am, Holiday time, all other hours not listed Mileage $ 2.50 per round trim travel mile. 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90805 Escondido, CA 92029 www.duthiepower.com POWER LS SERVICES The Generator Experts • 24 Hour Service • License #708125 4. CERTIFICATIONS 2335 E. Cherry Indus Cir 625 Superior St. #A 800.394.7697 Long Beach, CA 90805 Escondido, CA 92029 www.duthiepower.com Samantha DigIlIlly signed by Samantha M. Lambert Data 2021.09.15 ACOR[7� �rc17:05:V-D7'00' C CERTIFICATE OF LIABILITY INSURANCE OATE(MMIDDIYVYY) 9/13I2021 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 ICA Insurance Services 130 Vantis Suite 250 Viejo CA 92656 CONTACT NAME: Elizabeth Leach PHOAIGNE 949 297-5962 plc No : 949-297-5960 E-Ii ss: elizabeth.leach@ioausa.com _ADDAliso INSURER(S) AFFORDING COVERAGE NAICIf INSURER A: Travelers Property Casualty Company of America 25674 Licenseit: OE67768 INSURED DUTHELE-01 Duthie Electric Service Corp dba: Duthie Power Services 2335 E. Cherry Industrial Circle INSURER B : Crum & Forster Specialty Insurance Company 44520 INsuRERc: Houston Casualty Company 42374 INSURER D : HSB Specialty Insurance Company 14438 Long Beach CA 90805 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1037767883 REVISION NIIMRFR- 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. ILTH TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MMIDDII^/YY POLICVEXP MM/DDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1XI OCCUR Y Y Y6302A626927TIL21 7/l/2021 7/l/2022 EACH OCCURRENCE IS1,000,DD0 DAMA GETO RENTED PREMISES Ea occurrence $300,000 MED EXP(Any one pemon) $5,000 PERSONAL &ADV INJURY $1.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: � PRO - POLICY 11 LOG GENERALAGGREGATE $2.000,000 PRODUCTS-COMPIOP AGG $2,D00,000 I Deductible $0 OTHER: I I A AUTOMOBILE LIABILITY Y Y 1102NI117402114G 7/1/2021 7/l/2022 COMBINED SINGLE LIMIT Es accident $1,000,000 X ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per (a 7 $ X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ A X UMBRELLA LIAB X OCCUR Y Y CUP3S17641A21NF VI/2021 7/1/2022 EACH OCCURRENCE $15,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $15,000,000 LED X I RETENTION$ $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN Y UB7K4755032114G 7/1/2021 7/1/2022 X PER EH - STATUTE ER E.L. EACH ACCIDENT $1,000,000 ANYPROPRIETORIPARTNERIEXECUTIVE OFFICE RIMEMBER EXCLUDED 9 NIA E.L. DISEASE - EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under EL.DISEASE-POLICYLIMIT $1,000,000 DESCRIPTION OF OPERATIONS below B C D Contractors Pollution Contractors Professional Cyber PKC111856 HCC2168107 660810501 7/1/2021 7/1/2021 3/16/2021 711/2022 7/1/2022 3/15/2022 Occurance/Aggregme, Each Claim/Aggregate Each ClalmlAggrogate $3,000,000 $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required) The certificate holder(s) is/are included as an additional Insured(s) with respects to General Liability for On -going and Completed Operations as per policy form CG D6 04 02 19 and Auto Liability as per policy form CA T3 53 02 15; General Liability and Auto Liability are Primary and Non -Contributory as per policy forms CG T1 00 02 19 and CA 00 01 10 13; Waiver of Subrogation applies to General Liability as per policy form CG D4 58 02 19, Auto Liability as per policy form CA T3 53 02 15 and Workers Compensation as per policy form WC 99 03 76; Additional Insured and Waiver of Subrogation applies to Umbrella Liability only as required by written contract; Umbrella Liability follows form. Per Project Aggregate Endorsement policy form CG D3 21 01 04 is provided as required by a written contract; All coverage is only applicable as required by written contract. Contractors Pollution See Attached... City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92701 ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AOT ORIZEO REPRESENTATIVE ©1988-201 The ACORD name and logo are registered marks of ACORD ,e 12kkMmragI1LaxkDtddoa e �€ REVIEWED$ APPROVaDBY: LtN.. I �= RISK Management$Uperehare Digitally siqned by ACCOROF CERTIFICATE OF LIABILIMAgWNCE Angie THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND jNF�E,,RS NO RIGHTS 9JPON t'HED IC�@)0)70 IH,s CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTE��IM GE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A O gq�1�.B SSUIN�IV�lJ�Z G7f IWIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Elizabeth Leach IOA Insurance Services 130 Vantis PHONE FAX ,vc No Ext :949-297-5962 A/C, No): 949-297-5960 ADDE-MRESS: elizabeth.leach@ioausa.com Suite 250 INSURER(S) AFFORDING COVERAGE NAIC# Aliso Viejo CA 92656 INSURERA: Travelers Property Casualty Company of America 25674 License#: OE67768 INSURED DUTHELE-01 INSURERB: Crum & Forster Specialty Insurance Company 44520 Duthie Electric Service Corp dba: Duthie Power Services 2335 E. Cherry Industrial Circle INSURERC: Houston Casualty Company 42374 INSURERD: HSB Specialty Insurance Company 14438 Long Beach CA 90805 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 1863587873 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 TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y Y6302A626927 7/1/2022 7/1/2023 EACH OCCURRENCE $1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY � PE� LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 0 OTHER: A AUTOMOBILE LIABILITY Y Y 8102N3387402114G 7/1/2022 7/1/2023 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTY DAMAGE Per accident $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY A X UMBRELLALIAB X OCCUR Y Y CUP3S17641A22NF 7/1/2022 7/1/2023 EACH OCCURRENCE $15,000,000 AGGREGATE $ 15,000,000 EXCESS LAB CLAIMS -MADE DED X RETENTION $ 1 n nnn $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE Y UB7K4755032114G 7/1/2022 7/1/2023 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICE R/M EMBER EXCLUDED? ❑ N/A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Contractors Pollution PKC111856 7/1/2022 7/1/2023 Occurence/Aggregate $3,000,000 C D Contractors Professional Cyber HCC2168107 660810502 7/1/2022 3/15/2022 7/1/2023 3/15/2023 Each Claim/Aggregate Each Claim/Aggregate $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The certificate holder(s) is/are included as an additional insured(s) with respects to General Liability for On -going and Completed Operations as per policy form CG D6 04 02 19 and Auto Liability as per policy form CA T3 53 02 15; General Liability and Auto Liability are Primary and Non -Contributory as per policy forms CG T1 00 02 19 and CA 00 01 10 13; Waiver of Subrogation applies to General Liability as per policy form CG D4 58 02 19, Auto Liability as per policy form CA T3 53 02 15 and Workers Compensation as per policy form WC 99 03 76; Additional Insured and Waiver of Subrogation applies to Umbrella Liability only as required by written contract; Umbrella Liability follows form. Per Project Aggregate Endorsement policy form CG D3 21 01 04 is provided as required by a written contract; All coverage is only applicable as required by written contract. Contractors Pollution See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Risk Management Division 20 Santa Ana t 92701 Civic Center Plaza, floor AUTHORIZED REPRESENTATIVE Risk kluagment DlMsian REVIEWED & APPROVED BY: @ 1988-2015 ACORD °( ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management specialist AGENCY CUSTOMER ID: DUTHELE-01 LOC #: AGENCY IOA Insurance Services POLICY NUMBER CARRIER ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE NAIC CODE Page 1 of 1 NAMED INSURED Duthie Electric Service Corp dba: Duthie Power Services 2335 E. Cherry Industrial Circle Long Beach CA 90805 EFFECTIVE DATE: POLICY NUMBER: Y6302A626927 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II — WHO IS AN (a) The Additional Insured — Owners, Les - INSURED: sees or Contractors — Scheduled Person Any person or organization that: or Organization endorsement CG 20 10 a. You agree in a written contract or agreement to 07 04 or CG 20 10 04 13, the Additional include as an additional insured on this Coverage Insured — Owners, Lessees or Contrac- Part; and tors — Completed Operations endorse- ment CG 20 37 07 04 or CG 20 37 04 13, b. Has not been added as an additional insured for or both of such endorsements with either the same project by attachment of an endorse- of those edition dates; or ment under this Coverage Part which includes (b) Either or both of the following: the Addi- such person or organization in the endorsement's tional Insured — Owners, Lessees or Con - schedule; tractors — Scheduled Person Or Organi- is an insured, but: zation endorsement CG 20 10, or the Ad- a. Only with respect to liability for "bodily injury" or ditional Insured — Owners, Lessees or "property damage" that occurs, or for "personal Contractors — Completed Operations en - injury" caused by an offense that is committed, dorsement CG 20 37, without an edition subsequent to the signing of that contract or date of such endorsement specified; agreement and while that part of the contract or the person or organization is an additional in - agreement is in effect; and sured only if the injury or damage is caused, b. Only as described in Paragraph (1), (2) or (3) be- in whole or in part, by acts or omissions of low, whichever applies: you or your subcontractor in the performance (1) If the written contract or agreement specifical- of "your work" to which the written contract or ly requires you to provide additional insured agreement applies; or coverage to that person or organization by (3) If neither Paragraph (1) nor (2) above applies: the use of: (a) The person or organization is an addi- (a) The Additional Insured — Owners, Les- tional insured only if, and to the extent sees or Contractors — (Form B) endorse- that, the injury or damage is caused by ment CG 20 10 11 85; or acts or omissions of you or your subcon- (b) Either or both of the following: the Addi- tractor in the performance of "your work" tional Insured — Owners, Lessees or Con- to which the written contract or agree - tractors — Scheduled Person Or Organi- ment applies; and zation endorsement CG 20 10 10 01, or (b) Such person or organization does not the Additional Insured — Owners, Lessees qualify as an additional insured with re - or Contractors — Completed Operations spect to the independent acts or omis- endorsement CG 20 37 10 01; sions of such person or organization. the person or organization is an additional in- The insurance provided to such additional insured is sured only if the injury or damage arises out subject to the following provisions: of "your work" to which the written contract or a. If the Limits of Insurance of this Coverage Part agreement applies; shown in the Declarations exceed the minimum (2) If the written contract or agreement specifical- limits required by the written contract or agree- ly requires you to provide additional insured ment, the insurance provided to the additional in - coverage to that person or organization by sured will be limited to such minimum required the use of: limits. For the purposes of determining whether Ride Division e ° REVIEWED & APPROVED BY. CG D6 04 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. T A4+e Aeevulo '�--'Risk Management Specialist COMMERCIAL GENERAL LIABILITY this limitation applies, the minimum limits required result in a claim. To the extent possible, such by the written contract or agreement will be con- notice should include: sidered to include the minimum limits of any Um- (a) How, when and where the "occurrence" brella or Excess liability coverage required for the or offense took place; additional insured by that written contract or (b) The names and addresses of any injured agreement. This provision will not increase the persons and witnesses; and limits of insurance described in Section III — Limits Of Insurance. (c) The nature and location of any injury or b. The insurance provided to such additional insured damage arising out of the "occurrence" or does not apply to: offense. (1) Any "bodily injury", "property damage" or (2) If a claim is made or "suit" is brought against "personal injury" arising out of the providing, the additional insured: or failure to provide, any professional archi- (a) Immediately record the specifics of the tectural, engineering or surveying services, claim or "suit" and the date received; and including: (b) Notify us as soon as practicable and see (a) The preparing, approving, or failing to to it that we receive written notice of the prepare or approve, maps, shop draw- claim or "suit" as soon as practicable. ings, opinions, reports, surveys, field or- (3) Immediately send us copies of all legal pa- ders or change orders, or the preparing, pers received in connection with the claim or approving, or failing to prepare or ap- "suit", cooperate with us in the investigation prove, drawings and specifications; and or settlement of the claim or defense against (b) Supervisory, inspection, architectural or the "suit", and otherwise comply with all policy engineering activities. conditions. (2) Any "bodily injury" or "property damage" (4) Tender the defense and indemnity of any caused by "your work" and included in the claim or "suit" to any provider of other insur- "products-completed operations hazard" un- ance which would cover such additional fin- less the written contract or agreement specifi- sured for a loss we cover. However, this con- cally requires you to provide such coverage dition does not affect whether the insurance for that additional insured during the policy provided to such additional insured is primary period. to other insurance available to such additional c. The additional insured must comply with the fol- insured which covers that person or organiza- lowing duties: tion as a named insured as described in Par- (1) Give us written notice as soon as practicable agraph 4., Other Insurance, of Section IV — of an "occurrence" or an offense which may Commercial General Liability Conditions. Page 2 of 2 © 2017 The Travelers Indemnity Company. All rights reserved. Risk Muagment Division ZREVIEWED & APPROVED BY. e eev Risk Management Specialist POLICY NUMBER: Y6302A626927 4. Other Insurance (ii) That is insurance for "premises If vapid and collectible other insurance its available to damage'; the insured for a loss we cover under Coverages A (iii) If the loss arises out of the or B of this Coverage Part, our obligations are maintenance or use of aircraft, limited as described in Paragraphs a. and b. below. "autos" or watercraft to the extent As used anywhere in this Coverage Part, other not subject to any exclusion in this insurance means insurance, or the funding of Coverage Part that applies to Mosses, that is provided by, through or on behalf of: aircraft, "autos" or watercraft; (il That is insurance available to a (i) Another insurance company, premises owner, manager or (ii) Us or any of our affiliated insurance compalnies, lessor that qualifies as an insured except when the Non cumulation of Each under Paragraph 4. of Section II — Occurrence Limit provision of Paragraph 5. of Who Is An Insured, except when Section III — Limits Of Insurance or the Non Paragraph d. below applies; or cumulation of Personal and Advertising Injury (V) That is insurance available to an Limit provision of Paragraph 4. of Section III — equipment lessor that qualifies as Limits of Insurance applies because the an insured under Paragraph 5. of Amendment — Non Cumulation Of Each Section IL — Who Is An Insured, Occurrence Limit Of Liability And Non except when Paragraph d. bellow Cumulation Of Personal And Advertising Injury applies" Limit endorsement is included in this policy, (b) Any of the other insurance, whether (iii) Any risk retention group; or primary, excess, contingent or on any (iV)Any self-insurance method or program„ in other basis, that is available to the which case the insured will be deemed to be insured when the insured is an the provider of other insurance. additional insured, or is any other Other insurance does not include umbrellla insured that does not qualify as a insurance, or excess insurance, that was bought named insured, under such other specifically to apply in excess of the Limits of insurance. Insurance shown in the Declarations of this (2) When this insurance is excess, we will Coverage Part. have no duty under Coverages A or B to As used anywhere in this Coverage Part, other defend the insured against any "suit" if any atlher insurer has a duty to defend the insurer means a provider of other insurance. As insured against that "suit". If no other used in Paragraph C. belo insurer means a insurer defends, we will undertake to do so, provider of insurance. but we will be entitled to the insured's rights a. Primary Insurance against all those other insurers. This insurance is primary except when (3) When this insurance is excess over otlher Paragraph b. bellow applies. If this insurance is insurance, we will pay only our share of the primary, our obligations are not affected unless amount of the loss„ if any, that exceeds the any of the other insurance is also primary. sum of: Then, we will share with alll that other insurance (a) The total amount that all such other by the method described in Paragraph C. below, insurance would pay for the loss in the except When Paragraph d. below applies. absence of this insurance; and b. Excess Insurance (b) The total of alll deductible and sellf- insured amounts under alll that other (1l) This insurance is excess over: insurance. (a) Any of the other insurance, whether (4) We will share the remaining (loss, if any, primary, excess, contingent or on any with any other insurance that is not other basis: described in this Excess Insurance provision and was not bought specifically to (i) That is Fire, Extended Coverage, apply in excess of the Limits of Insurance Builder's Risk, Installlation Risk or shown in the Declarations of this Coverage similar coverage for "your work"; Part. CG T1 00 012 19 © 2017 The Travelers (indemnity Company. All rights reserved. Page 15 of 21 Includes copyrighted material of Insurance Services Office, Inc. with its (permission. Risk Mougemerd Division E REVIEWED & APPROVED BY: p Azvulo '�--'Risk Management Specialist COMMERCIAL GENERAL LIABILITY c. Method Of Sharing If alll of the other insurance permits contribution by equal shares, we will fol1low this metlhod also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. If any of the other insurance does not permit contribution by equal shares,, we will contribute by limits. Under this method, each insurers share is based on the ratio of its applicable Ilimit of insurance to the total alpplicable limits of insurance of alll insurers. d. Primary And Non -Contributory Insurance If Required By Written Contract If you specifically agree in a written contractor agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non- contributory basis, this insurance !is primary to other insurance that lis available to such insured which covers such insured as a named insured, and we willl not share with that otlher insuraince, provided that: (1) The "bodily injury"or "property damage" for whiclh coverage is sought occurs; and (2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed; subsequent to the signing of that contract or agreement by you. 5. Premium Audit a. We will I compute alll premiums for this Coverage Part in accordance with our rules and rates. b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium, for that period and seind notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greeter thain the earned premium, we willl return the excess to the first Named Insured. C. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. 6. Representations By accepting this policy, you agree: a. The statements in the Declarations are accurate and complete; b. Those statements are based upon representations you made to us; and C. We have issued this policy in reliance upon your represeintations. The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewed in accordance with applicable insurance laws or regulations. 7. Separation Of Insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this Insurance applies: a. As if each Named Insured were the only Named linsured;and b. Separately to each insured against whom claim is made or "suit" is brought. Transfer Of Rights Of Recovery Against Others To Us If the insured has rights to recover alll or part of any payment we haw made under this Coverage Part, 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 transfer those rights to us and hellp us enforce them. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date. If notice is mailled, proof of mailing willl be sufficient proof of notice. SECTION V — DEFINITIONS 1. "Advertisement" means a notice that is broadcast or published to the geineral publlic or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition: a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and b. Regarding wel onlly that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is coinsidered an advertisement. Page 116 of 21 Q 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. AA. TA AA AA AA RA Mougemad Division REVIEWED & APPROVED BY. A-p Azvd4 R� ` Risk Management Specialist V_ POLICY NUMBER: Y6302A626927 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESALERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured —Unnamed Subsidiaries H. Blanket Additional Insured — Governmental B. Who Is An Insured — Employees And Volunteer Entities — Permits Or Authorizations Relating To Workers — Bodily Injury To Co -Employees And Operations Co -Volunteer Workers I. Blanket Additional Insured — Grantors Of Franchises C. Who Is An Insured — Newly Acquired Or Formed J. Incidental Medical Malpractice Limited Liability Companies D. Blanket Additional Insured —Broad Form Vendors K. Medical Payments — Increased Limit E. Blanket Additional Insured —Controlling Interest L. Blanket Waiver Of Subrogation F. Blanket Additional Insured — Mortgagees, M. Contractual Liability —Railroads Assignees, Successors Or Receivers G. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises PROVISIONS A. WHO IS AN INSURED — UNNAMED a. Before you maintained an ownership interest SUBSIDIARIES of more than 50% in such subsidiary; or The following is added to SECTION II — WHO IS b. After the date, if any, during the policy period AN INSURED: that you no longer maintain an ownership Any of your subsidiaries, other than a partnership interest of more than 50% in such subsidiary. or joint venture, that is not shown as a Named For purposes of Paragraph 1. of Section II — Who Insured in the Declarations is a Named Insured if: Is An Insured, each such subsidiary will be a. You are the sole owner of, or maintain an deemed to be designated in the Declarations as: ownership interest of more than 50% in, such subsidiary on the first day of the policy period; a. A limited liability company; and b. An organization other than a partnership, joint b. Such subsidiary is not an insured under venture or limited liability company; or similar other insurance. No such subsidiary is an insured for "bodily injury" A trust; or "property damage" that occurred, or "personal as indicated in its name or the documents that and advertising injury" caused by an offense govern its structure. committed: RAMuagmadDlMsian CG D4 58 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. E ° REVIEWED&APPROVEDBY: Includes copyrighted material of Insurance Services Office, Inc. with its permissioi '�--'Risk Management Specialist COMMERCIAL GENERAL LIABILITY B. WHO IS AN INSURED — EMPLOYEES AND VOLUNTEER WORKERS — BODILY INJURY TO CO -EMPLOYEES AND CO -VOLUNTEER WORKERS The following is added to Paragraph 2.a.(1) of SECTION II —WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" to a co -"employee" while in the course of the co -"employee's" employment by you or performing duties related to the conduct of your business, or to "bodily injury" to your other "volunteer workers" while performing duties related to the conduct of your business. C. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED LIMITED LIABILITY COMPANIES The following replaces Paragraph 3. of SECTION II — WHO IS AN INSURED: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. For the purposes of Paragraph 1. of Section II — Who Is An Insured, each such organization will be deemed to be designated in the Declarations as: a. A limited liability company; b. An organization, other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. D. BLANKET ADDITIONAL INSURED — BROAD FORM VENDORS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a vendor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Occurs subsequent to the signing of that contract or agreement; and b. Arises out of "your products" that are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a. The limits of insurance provided to such vendor will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not authorized by you or any distribution or sale for a purpose not authorized by you; (2) Any change in "your products" made by such vendor; (3) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (4) Any failure to make such inspections, adjustments, tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of "your products"; RAMuagmadDlMsian Page 2 of 5 © 2017 The Travelers Indemnity Company. All rights reserved. E ° REviEwED&APPROVlDBY: Includes copyrighted material of Insurance Services Office, Inc. with its permissioi '�--'� Risk Management Specialist COMMERCIAL GENERAL LIABILITY (5) Demonstration, installation, servicing or liability as mortgagee, assignee, successor or repair operations, except such operations receiver for "bodily injury", "property damage" or performed at such vendor's premises in "personal and advertising injury" that: connection with the sale of "your a. Is "bodily injury' or "property damage" that products"; or occurs, or is "personal and advertising injury" (6) "Your products" that, after distribution or caused by an offense that is committed, sale by you, have been labeled or subsequent to the signing of that contract or relabeled or used as a container, part or agreement; and ingredient of any other thing or substance b. Arises out of the ownership, maintenance or by or on behalf of such vendor. use of the premises for which that mortgagee, Coverage under this provision does not apply to: assignee, successor or receiver is required a. Any person or organization from whom you under that contract or agreement to be have acquired "your products", or any included as an additional insured on this ingredient, part or container entering into, Coverage Part. accompanying or containing such products; The insurance provided to such mortgagee, or assignee, successor or receiver is subject to the b. Any vendor for which coverage as an following provisions: additional insured specifically is scheduled by a. The limits of insurance provided to such endorsement. mortgagee, assignee, successor or receiver E. BLANKET ADDITIONAL INSURED — will be the minimum limits that you agreed to CONTROLLING INTEREST provide in the written contract or agreement, or the limits shown in the Declarations, 1. The following is added to SECTION II —WHO whichever are less. IS AN INSURED: b. The insurance provided to such person or Any person or organization that has financial organization does not apply to: control of you is an insured with respect to () y y yor 1 An "bodily injury" "property de" liability for bodily injury", property damageamag „ that occurs, or any "personal and or personal and advertising injury that arises advertising injury" caused by an offense out of: that is committed, after such contract or a. Such financial control; or agreement is no longer in effect; or b. Such person's or organization's (2) Any "bodily injury", "property damage" or ownership, maintenance or use of "personal and advertising injury" arising premises leased to or occupied by you. out of any structural alterations, new The insurance provided to such person or construction or demolition operations organization does not apply to structural performed by or on behalf of such alterations, new construction or demolition mortgagee, assignee, successor or operations performed by or on behalf of such receiver. person or organization. G. BLANKET ADDITIONAL INSURED — 2. The following is added to Paragraph 4. of GOVERNMENTAL ENTITIES — PERMITS OR SECTION II — WHO IS AN INSURED: AUTHORIZATIONS RELATING TO PREMISES This paragraph does not apply to any The following is added to SECTION II — WHO IS premises owner, manager or lessor that has AN INSURED: financial control of you. Any governmental entity that has issued a permit F. BLANKET ADDITIONAL INSURED — or authorization with respect to premises owned MORTGAGEES, ASSIGNEES, SUCCESSORS or occupied by, or rented or loaned to, you and OR RECEIVERS that you are required by any ordinance, law, The following is added to SECTION II — WHO IS building code or written contract or agreement to AN INSURED: include as an additional insured on this Coverage Part is an insured, but only with respect to liability Any person or organization that is a mortgagee, for "bodily injury", "property damage" or "personal assignee, successor or receiver and that you and advertising injury" arising out of the have agreed in a written contract or agreement to existence, ownership, use, maintenance, repair, include as an additional insured on this Coverage construction, erection or removal of any of the Part is an insured, but only with respect to its following for which that aovernmental entitv has RAMuagmadDlMsian CG D4 58 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. E ° REVIEWED&APPROVED BY. - Includes copyrighted material of Insurance Services Office, Inc. with its permissioi S� e Aeevaa '�--'Risk Management Specialist COMMERCIAL GENERAL LIABILITY issued such permit or authorization: advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations. H BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO OPER- ATIONS The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of such operations. The insurance provided to such governmental entity does not apply to: a. Any "bodily injury', "property damage" or "personal and advertising injury" arising out of operations performed for the governmental entity; or b. Any "bodily injury" or "property damage" included in the "products -completed operations hazard". I. BLANKET ADDITIONAL INSURED — GRANTORS OF FRANCHISES The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that grants a franchise to you is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of your operations in the franchise granted by that person or organization. If a written contract or agreement exists between you and such additional insured, the limits of insurance provided to such insured will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. J. INCIDENTAL MEDICAL MALPRACTICE services", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: (a) "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician, paramedic, athletic trainer, audiologist, dietician, nutritionist, occupational therapist or occupational therapy assistant, physical therapist or speech - language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph S. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph b. of the Sale Of Pharmaceuticals definition of "occurrence" in the "Bodily injury" or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or b. An act or omission committed in providing ordinance relating to the sale of pharmaceuticals committed by, or with the or failing to provide "incidental medical knowledge or consert of tkn inci,rnrl Risk Muagment Division Page 4 of 5 © 2017 The Travelers Indemnity Company. All rights reserved. E ° REviEwED&APPROVlDBY: Includes copyrighted material of Insurance Services Office, Inc. with its permissioi '�--'Risk Management Specialist COMMERCIAL GENERAL LIABILITY S. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or L instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. K. MEDICAL PAYMENTS— INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph S. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10,000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; subsequent to the execution of the contract or agreement. M. CONTRACTUAL LIABILITY —RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. RAMuagmadDlMsian CG D4 58 02 19 © 2017 The Travelers Indemnity Company. All rights reserved. E ° REviEwED&APPROVlDBY: Includes copyrighted material of Insurance Services Office, Inc. with its permissioi Risk Management Specialist POLICY NUMBER: Y6302A626927 A This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Total General Aggregate Limit: $ Designated Project(s): COMMERCIAL GENERAL LIABILITY ISSUE DATE: 07- 01- 22 (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. The Total General Aggregate Limit stated in the Schedule above is the most we will pay for the sum of all: 1. Medical Expenses under COVERAGE C (SECTION 1); 2. Damages under COVERAGE A (SECTION 1), except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard"; and 3. Damages under COVERAGE B (SECTION 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. Designated "projects" listed in the SCHED- ULE above. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents un- der COVERAGE C (SECTION 1), which can be at- tributed only to operations at a single designated "project" shown in the Schedule above: 1. A separate Designated Project General Ag- gregate Limit applies to each designated "pro- ject", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. Subject to the Total General Aggregate Limit stated in the Schedule above, the Designated Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations haz- ard", and for medical expenses under COV- ERAGE C regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". RA Mougemerd DiMsian 'SQ REVIEWED & APPROVED BY. A4+e Aeevaa Risk Management Specialist V" 43 COMMERCIAL GENERAL LIABILITY 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce both the Total General Aggregate Limit stated in the Schedule above, and the Designated Project General Aggregate Limit for that designated "project". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Project General Aggregate Limit for any other designated "project' shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to both the Total General Aggregate Limit stated in the Schedule above, and the applicable Desig- nated Project General Aggregate Limit. C. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents un- der COVERAGE C (SECTION 1), which cannot be attributed only to operations at a single desig- nated "project" shown in the Schedule above: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the Total General Aggregate Limit stated in the Schedule above and the General Aggregate Limit, or the Prod ucts-Com pleted Operations Aggregate Limit, whichever is ap- plicable; and 2. Such payments shall not reduce any Desig- nated Project General Aggregate Limit. As respects this Provision C., the limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Ex- pense continue to apply. D. Part 2. of SECTION III — LIMITS OF INSURANCE is deleted and replaced by the following: 2. The General Aggregate Limit is the most we will pay for the sum of: a. Damages under Coverage B; and b. Damages from "occurrences" under COVERAGE A (SECTION 1) and for all medical expenses caused by accidents under COVERAGE C (SECTION 1) which cannot be attributed only to operations at a single designated "project" shown in the SCHEDULE above. E. When coverage for liability arising out of the "products -completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Ag- gregate Limit, and not reduce the Total General Aggregate Limit stated in the Schedule above, the General Aggregate Limit, or the Designated Pro- ject General Aggregate Limit. F. For the purposes of this endorsement the Defini- tions Section is amended by the addition of the following definition: "Project" means an area away from premises owned by or rented to you at which you are per- forming operations pursuant to a contract or agreement. For the purposes of deter -mining the applicable aggregate limit of insurance, each "project" that includes premises involving the same or connecting lots, or premises whose con- nection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be considered a single "project". G. The provisions of LIMITS OF INSURANCE (SECTION 111) not otherwise modified by this en- dorsement shall continue to apply as stipulated. RAMwiagemadDiMsian 'SQ REVIEWED & APPROVED BY. A4+e Aeevaa Risk Management Specialist V" 43 POLICY NUMBER: 810-2N338740-21-14-G COMMERCIAL AUTO This endoirsernenil rnodiifies insurance provided under the folllcming: BUSINESS AUT01 COVERAG31H FORM! GENERAL DESCRIPTION OF COVERAGE ­­ This endorsement birciadens coverage, IHowwaever, coveiragie for any injury" clarnage or medical expenses described in, any, of the provisions of this, endorsement imiaiy be excluded or himlited y another endorsement to the Goverage Part, and these cloverage broadienflIg PrWiSlOrrs do inot apply to the extent thiat coverage is excluded or himited by SlUch an endorsernent The following listing its a general cciver- age description only. Untitabons and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to delerrnine rights, duties, and what is and is not covered ABROAD FORM NAMED IINSURIED B, BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D, EMPLOYEES AS INSURED ESUPPLEMENTARY PAYMENTS — INCREASED LIMITS F, HIRED AUTO — LIMITIED WORLDWIDE COV- Eeh,Q5_—WAD&ru1VtTY BA-SIS— PROVISIONS A. BROAD FORM NAMED INSURED The following is added to, Paragraph A.I., Who Is An Insured, of SECTION II —COVE ED AUTOS LIAIML11TY COVERAGE: Any organi7a(min youi newly acquiire or form dur- ing the poky period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this prowsion is afforded only Lin- ht the 1 80th: day after you acquire or form the ganization or the end of the policy period, which- ever jr, eadierr. The Wlowing is added to Paragraph c. in AA., Who Iles An, Insured, of SECTION 1111 — COVERED AUTOS LIABILITY COVERAGE Any, person or organization who is req uiredl under a written contract or agreement between, you and that person or organization, that is signed and executed by you before the "boddy injury" or 'property darriage" occurs anid that is in effect during the policy period, to be named as, an addi- hanall instired is an insured" for Covered Autos Liability Coverage, fiat only for darnages to which R. AIRED AUTO PAITSICAL DAMAGE — LOSS 07 INCREASED L11MIT 1. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES —INCREASED ILIMIIT J. PERSONAL PROPERTY K. AIRBAGS LNOTICE AND KNOWLEDGE OF ACCIIDIENT OiIR LOiSS M. BLAINKET WA11VER OF SUBIROGATIOIN N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to Pie extent that person cur organization qualifies as an `11111fUred" under the Who Is An linslured provision containied in Section 1111. 11. The fc)llowing is added to Paragraph A.1., Who Is An Inslured, of SECTION III — COV- ERED AUTOS LIABILITY COVERAGE, An "employee" of yoijrs lis an "insiured" whiille operating an "auto" hived or rented under a contract or wagreernent In an "erriployee's" riame, witl) your permission, white performing duties, related to tine conduct of your busi- ness. 2. The following replaces paragraph b. in B.S., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Daniage Cover- age, the following are deemed to be clov- ered "autos" you owm (11) Any covered "autio"' you lease, hire, rent or borrow, and (2) Any covered "auto" hired or rented by' your "emplioyee" under a, contract it) an "erriployee's" natine, With Your CA T3 53 02 115 0 015 The TraMeirS jrjc@ryirjjiy Ccjj�fvany, AN f ights reserver , Page III of 4 IMJUdjes copynghied materal of in Seroces Office, Inc, mth its permiSSk)R RA Mumiganad Dhisian S 'Q REVIEWED & APPROVED BY. eeev ,!RIP , �w , A4+Aaa tManagemenSpecialist COMMERCIAL AUTO peinniission, wlhjle Iperrfurfrung dirlitles related to the condUCt of your busi- ness However, any "aUtO" that is Ieas,erl, hired, rerited or bormiwed with a driver is not a covered ""auto".. The following is added to Paragraph A.l., Who Is An Insured, of SECTION 11 - COVERED AUTOS LIABILITY COVERAGE, Any "erriployee" Of YOLWIS m an 'imsuired"whille, I Ing a covered "auto" you don't owin, hire or borrow in your business or your paersonaall affars, E. SUPPLEMENTARY PAYMENTS - INCREASED LIMITS 1. The folliowing replaces Paragraph A.2.a.(2), of SECTION III - COVERED AUTOS LIABi IL. ITY COVERAGE, (2) Up, to, $3,000 for cost of bad bonds (in- cludIfng bonds for rellatedi traffic Ilaw, vrola. tions) requiired because of an, "accident" we co,ver. We do, not have to furnish these bands. (a), With respect to any clwrn irnade oir "swt` brought outside the United! States of America, the territories aind possessions of the United States of Ainenca, Puerto Rico and Canada I (i) You must arranige to defend the "'in- sured" against, and Investigate or set- tle any such claim or "'suit"' and keep us advised of all proceedings and ac- tfon& (H) Neither you nor, any other involved °Iitrsured` w0l make any settenient without our coinsent, (M), We may, at our discretion, piartrcipate in defending the' insuured"" against, or in the settlement of, any daim or 1" SLAt" (iv) We wifli reirnibiurse the "insiffred" for Sums tl'eat the "insured" legalilly must I as darnages beCaUse of "boddy injury" or "'property damage" to which this insurance applies, that the "in- sured" pays with our consent, blut only up to the Ifink described in Para- . The following replaces Paragraph A.2,a.(4), graph C., Ltnuts Olf Insurance, I-)f of SECTION III - COVERED AUTOS LIABIL- SECTION 11 - COVERED ALITIOS ITY COVERAGE- LIABILITY COVERAGE, (4) All reasonable expenses incurred by thie (v) We will reirnbUrse the "insured" for "insured"" at our request, including actluall the reason,able expenses Incurred loss of earnings, up, to $5010, as day lbe- wr0i our consent for YOUr investiga- cause of time off frorn: work. tion of such clwins and Your defense of the `iinsured" agarnst any s,uch F. HIRED AUTO - LIMITED WORLDWIDE COV- ""suit", but only up to and included ERAGE - INDEMNITY BASIS MNii the limit described in Para. - The following rejo4aces SlUbliparagraph (5) in Para- graph C., Linirts Of Insurance, of graph 8.7,, Policy IPertiod, Coveiragie Territory, SIEC'MION 11 - COVERED AUTOS of SECTION IV - BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not ini TIONS, addition to, sudh iiiint, Our duty to (5) Anywhere in, the, world, except any country or malke such payments en�ds when we junsdiction wh0e any Cradle sanction, ern.- have used up the applicable firrut of bargo, or simliiar regUlatlOn Irnposed by the insurance in payments for dainages, I Jmted States of America applies to and pirr)- settlements or defense explenses Ih,ibits the trartsaCtilDn of business with or (b) "J"r his insurance is excess over any vapid within such country or juirisdi0on, for Cov- and collfectible other InSUrance availabille erred Autos Liability, Coverage for array covered to the "Insured" whether prihnary, excess, "auto"' that you lease, hire, rent or borrow contingent or an any other bI wrthout a driver for a perjoid oIf 30, days or less (c) 'This Insurance is not a subSfitUte for re - and that is (not ran "auto" you lease, hire, refit qUired or coirnpullsory insurance it) any of, borrow, firom any I Your "emptoyees", COLIntry outside the United States, Iles ter - partners (if YOUI are a partnership), mernbers, stories and possessions, Puerto R ico and (iiif you are a Iiiiii1led liability conif:eny) or Canada. members of their households. Page 2 of 4 to 2M The Travelers lindenirlityCorripaii'lly Aff rights ireserved- CA T3 53 02 15 Indudes cop righted ram atermli of Insurance 'Services, (Dirce, lire w0i its permisson. RA kluaganad Dhisian S 'Q REVIEWED & APPROVED BY. eeev ,!RIP , �w , A4+Aaa tManagemenSpecialist You agree to maintain aalll required or compulsory Insurance unm any such couun- " up to the Mli nnrrnunm htnits required by local Mawr. Your faillure to comply wwuth compulsory insuurance, rertuurenments will not mnvallidate the coverage a ordlled (try this plolilcy, (hut we will oinnly be liable to the same extent we would have been liable had you cornplued ,wwritl•u the compulsory in- surance requirements. (dl) It is understood that weare not an adiniit- tedl Of authorized insurer oautside the United Stales of Arnerica, its territories and possessions, Puertcn Rt o and Can_. adla. We assiurne no responsibility for the furmshinq of certificates of mnslnuiran�ce, or for cornptilance in any way with the laws of other countries re�latoniq to insurance- G. WAIVER OF DEDUCTIBLE —CLASS The foliownaunig is added to Paragraph IC.,, Deducti- ble, of SECTION IIIII — PHYSICAL DAMAGE E COVERAGE. Nlo dedluctibile for a covered "auto" will apply to glass dannawge If the glass its repaired rather, than re pllaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE —INC REASED LIMIT The; following replaces the last sentence of Para- graph A.4.b." Loss Of Use Expenses, of SEC. TION (III— PHYSICAL IDAMAG,E COVEIRA ,Eu. However, the iarlost we will Ipaay far army ex:p lermses fo: r lose of use is Cfi per day, to a rnaxirnnuna of $7 0, for any one "'accident"_ as • w ^^ �w ui The following replaces the first sentence in Para.. rgralplh A.4.a. Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We wawrnit pay up to 501 per day to a rmmaaxlnmuurru of I,500,, for temporary transportation expense in- cuirruad by you because of the total! theft of as cow- ered "auto" of the private passenger type, J. PERSONAL PROPERTY The fotllowwonog is added to Paragraph A.4., Cover - ago Extensions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Personal Property "w"y"e will pay up to 400 for "loss" to wearing ap- parel and other personal property which is: (1) Owned by an "insured and COMMERCIAL AUTO () In or on your covered `al.nto This coverage alpupllies only un the event of a total theft of your covered "auto" . No deduictibies apply to, this Personall (Property coverage.. AIIRBACS The fol1lowing its adlded to Paragraph C .3., Exclu- sions, of SECTION III[ — PHYSICAL DAMAGE COVERA d : Exclusion 3.a. does not appily to toss"" to one or more a4bags rn a covered "auto" you own that in- flate dUe to a cause other than a, Calls of "loss" Sot foil-th, in Paragraphs A.1.bi. and A.1.c., but onlly: a,. If that "auto" Is a covered `auto" for Compre- hensmve Coverage under this policy; b. The airbags are not covered under any war- ranty-, and c. The airbags were not intentionally inflated, e wilt pay up to «a inaaxurnrwuna of $1,00 for any one "Iosms"". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragrapll•ui A. ,a., of SECTION IV — (BUSINESS AUTO CONDITIONS: Your duly to give us or our authornzedl meparesenta- five prompt notice of the "act;aident" car "floss" aap.. pries only w1hen the "accident" or "loss" is Iknown to: (a) You (if you are an inmdiividuual); (b) A partner ('if you are a partnership); (c) A piember (d you are a limited; liability co� m pany), (III) An executive oifficer„ director or insurance manager (ifyou are a corporation or other or- ganiization '); or (e) Any "emmi:plo'yee" amuthorized by you to alive no- tice of the "accident" or 1loss". W BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.b., Transfer Of Rights Of Recovery Against Carothers To Us, of SECTION IV — BUSINESS AUTO CCuNDI'- TIaINS. S. Transfer Of Rights, Of Recovery Against Others To Us We waive any right of recovery we may have ai,galilnst any, persualn or organization to the ex- tent required of you by a written contract sunned and executer.; prior to any "accident" or "Ilorss", prowoded that the "accident" or "llons" ariises cuilult of operamtionis contemplated by CA T3 53 02 115 0 2015 The Tra veBeils Indemnity Cwunipany rwal rights reserved. Page 3 of 4 lndudes copyrig1hted rrmaauernaU or Ilrnsuraiace Serwoi;es Office, linen um tb its perm is&on. Risk MamagrrnadDivisinn E REVIEWED & APPROVED BY. lzgAeev '�--'Risk Management Specialist COMMERCIAL AUTO such Contract, The waliver appIlles only to the The unintentionall ormssion of, or urimtenhonal person or or, amzation designated m such error in, any information given by you shaill not contract prefudice your rights under tlhts iilnsuirance. How - NI. UNINTENTIONAL ERRORS OR OMISSIONS ever t�hiis prmsion does not affect ouir right to col -- The foll1lowing is atidded to Paragraph B.2., Coni- le ct additional prentiurn or exercise our nght of cealimient, Mis rep resentallion, Or Fraud,, of canceiiatmn or non-renie,wal. SECTION IV — BUSINESS AUTO CONDITIONS, Page 4 of 4 C 2015 The Tra,Wers Indemnity (Dompainy All rights ire,served CA T3, 53 02 15 pnctudes copyrtghted mtph,W Of 110-Argrance SeTvices Offim, line* wth, IF, pprmsswcm Risk Muagmwd Dhisian REVIEWED & APPROVED BY. eeev ,!RIP , �w , A4+Aaa tManagemenSpecialist POLICY NUMBER: 8I0-2N338740-2I-I4-G COMMERCIAL AUTO 4. Loss Payment — Physical Damage Cover- ages At our option, we may: a. Pay for, repair or replace damaged or sto- len property; b. Return the stolen property, at our ex- pense. We will pay for any damage that results to the "auto" from the theft; or c. Take all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss", our payment will in- clude the applicable sales tax for the dam- aged or stolen property. S. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured", at any time, intentionally con- ceals or misrepresents a material fact con- cerning: a. This Coverage Form; b. The covered "auto"; c. Your interest in the covered "auto"; or d. A claim under this Coverage Form. 3. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the re- vision is effective in your state. 4. No Benefit To Bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any per - son or organization holding, storing or trans- porting property for a fee regardless of any other provision of this Coverage Form. S. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insur- ance. For any covered "auto" you don't own, the insurance provided by this Cov- erage Form is excess over any other col- lectible insurance. However, while a cov- ered "auto" which is a "trailer" is con- nected to another vehicle, the Covered Autos Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a mo- tor vehicle you do not own; or (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Cover- age, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c. Regardless of the provisions of Para- graph a. above, this Coverage Form's Covered Autos Liability Coverage is pri- mary for any liability assumed under an "insured contract". d. 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. 6. Premium Audit a. The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy be- gan. We will compute the final premium due when we determine your actual ex- posures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective pre- mium is the date shown as the due date on the bill. If the estimated total premium exceeds the final premium due, the first Named Insured will get a refund. CA 00 01 10 13 © Insurance Services Office, Inc., 2011 RAMuaigmadDlMsian E REVIEWED & APPROVED BY. e Aeevaa '�--'Risk Management Specialist WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-7K475503-21-14-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT — CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective 07-01-22 Policy No. UB-7K475503-20-14-G Endorsement No. Insured Duthie Electric Service Corp dba: Duthie Power Services Premium Insurance Company Travelers Property Casualty Company of America DATE OF ISSUE: 07-01-22 STASSIGN: Countersigned by RAMuaigmadDMsian REVIEWED & APPROVED BY. e Aeevaa '�--'Risk Management Specialist ACCORD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDmYY) 7/1/2024 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 IOA Insurance Service 130 Vantis ' AE-MAIL Suite 250 CONTACT „ NAME: one PHONE A/C No E. t': - F C, o -MWd IC ADDRESS: Ch I.Perkovich i ausa.com ( NG COVERAGE NAIC # Allso Viejo CA 92656 A: Ti Iers Prope I C n f e 'c 2 7INSURED License#: OE67768rINSUREF DUTHELE-01r Electric Service p!:CIO 2335 E. Cherry Indust e V R B: C '��r n . 4Duthie &RC: Houston sual Compan 42374 W URER D : The T el(I (46mnity Company of Connecticut INSURER E: Travelers Property Casualty Insurance Company 25682 36161 Long Beach CA 9080 INSURER F : At -Bay Specialty Insurance Company 19607 COVERAGES CERTIFICATE NUMBER:655371844 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 TYPE OF INSURANCE ADDL INSD SUBR WVD POLICYNUMBER POLICY EFF MM/DD POLICY EXP MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y Y-630-2A626927-TIL-24 7/1/2024 7/1/2025 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR RENTED DA AGE ToEa occurrence PREM SES $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY � jRa1:1 LOC PRODUCTS - COMP/OP AGG $ 2,000,000 Deductible $ 0 OTHER: D AUTOMOBILE LIABILITY Y Y 810-2N338740-24-14-G 7/1/2024 7/1/2025 COMBINED SINGLE LIMIT Ea accident $1,000,000 X BODILY INJURY (Per person) $ ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X PROPERTYDAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY E X UMBRELLALIAB X OCCUR Y Y CUP-3S17641A-24-NF 7/1/2024 7/1/2025 EACH OCCURRENCE $15,000,000 AGGREGATE $ 15,000,000 EXCESS LIAB CLAIMS -MADE DED X RETENTION $ in nnn $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANYPROPRIETOR/PARTNER/EXECUTIVE Y UB-7K475503-24-14-G 7/1/2024 7/1/2025 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED. ❑ N / A E.L. DISEASE - EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 B Contractors Pollution PKC115513 7/1/2024 7/1/2025 Occurence/Aggregate $3,000,000 C F Contractors Professional Cyber Liability HCC2471053 AB-6608105-04 7/1/2024 7/1/2024 7/1/2025 7/1/2025 Each Claim/Aggregate Each Claim/Aggregate $1,000,000 $2,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) "Contractors Pollution - $10,000 Deductible "Contractors Professional (Claims Made) - $10,000 Each Claim Deductible The certificate holder(s) is/are included as an additional insured(s) with respects to General Liability for Ongoing and Completed Operations and Auto Liability (per forms CG D6 04 02 19, CG D4 58 02 19 and CA T3 53 02 15); General Liability and Auto Liability are Primary and Non -Contributory (per forms CG T1 00 02 19 and CA 00 01 10 13); Waiver of Subrogation applies to General Liability, Auto Liability and Workers Compensation (per forms CG D4 58 02 19, CA T3 53 02 15 and WC 99 03 76); Additional Insured and Waiver of Subrogation applies to Umbrella Liability; Umbrella Liability follows form. Per Project Aggregate Endorsement policy form CG D3 21 01 04 is provided as required by a written contract; All coverage is only applicable as required by written contract. See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PR Risk Management Division 20 Civic Center Plaza, 4th floor AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 r ©1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD oR.N a Risk MougmumtDMs(an f ° REVIEWED & MPROVm BY: ° WAfg Aezv _1" Risk Management Specialist AGENCY CUSTOMER ID: DUTHELE-01 LOC #: AGENCY IOA Insurance Services POLICY NUMBER CARRIER ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE NAIC CODE NAMED INSURED Duthie Electric Service Corp dba: Duthie Power Services 2335 E. Cherry Industrial Circle Long Beach CA 90805 EFFECTIVE DATE: Page 1 of 1 The ACORD name and logo are registered marks of ACORD POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 07-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED - AUTOMATIC STATUS IF REQUIRED BY WRITTEN CONTRACT (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to SECTION II - WHO IS AN (a) INSURED: Any person or organization that: a. You agree in a written contract or agreement to include as an additional insured on this Coverage Part; and b. Has not been added as an additional insured for the same project by attachment of an endorse- ment under this Coverage Part which includes such person or organization in the endorsement's schedule; is an insured, but: a. Only 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. Only as described in Paragraph (1), (2) or (3) be- low, whichever applies: (1) If the written contract or agreement specifical- ly requires you to provide additional insured coverage to that person or organization by the use of: (a) The Additional Insured - Owners, Les- sees or Contractors - (Form B) endorse- ment CG 20 1011 85; or (b) Either or both of the following: the Addi- tional Insured - Owners, Lessees or Con- tractors - Scheduled Person Or Organi- zation endorsement CG 20 10 10 01, or the Additional Insured - Owners, Lessees or Contractors - Completed Operations endorsement CG 20 37 10 01; the person or organization is an additional in- sured only if the injury or damage arises out of "your work" to which the written contract or agreement applies; (2) If the written contract or agreement specifical- ly requires you to provide additional insured coverage to that person or organization by the use of: The Additional Insured - Owners, Les- sees or Contractors - Scheduled Person or Organization endorsement CG 20 10 07 04 or CG 20 10 04 13, the Additional Insured - Owners, Lessees or Contrac- tors - Completed Operations endorse- ment CG 20 37 07 04 or CG 20 3 7 04 13, or both of such endorsements with either of those edition dates; or (b) Either or both of the following: the Addi- tional Insured - Owners, Lessees or Con- tractors - Scheduled Person Or Organi- zation endorsement CG 20 10, or the Ad- ditional Insured - Owners, Lessees or Contractors - Completed Operations en- dorsement CG 20 37, without an edition date of such endorsement specified; the person or organization is an additional in- sured only if the injury or damage is caused, in whole or in part, by acts or omissions of you or your subcontractor in the performance of "your work" to which the written contract or agreement applies; or (3) If neither Paragraph (1) nor (2) above applies: (a) The person or organization is an addi- tional insured only if, and to the extent that, the injury or damage is caused by acts or omissions of you or your subcon- tractor in the performance of "your work" to which the written contract or agree- ment applies; and (b) Such person or organization does not qualify as an additional insured with re- spect to the independent acts or omis- sions 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 agree- ment, the insurance pro).;,'-,' *_ +L ­ �'' * ���' "' sured will be limited to RAManaganentDMslcn limits. For the purposes 'f e'x REVIEWED& APPROVED BY. Afg ezv 1" Risk Management Specialist CG D6 04 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY this limitation applies, the minimum limits required by the written contract or agreement will be con- sidered to include the minimum limits of any Um- brella 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 archi- tectural, engineering or surveying services, including: (a) The preparing, approving, or failing to prepare or approve, maps, shop draw- ings, opinions, reports, surveys, field or- ders or change orders, or the preparing, approving, or failing to prepare or ap- prove, 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" un- less the written contract or agreement specifi- cally requires you to provide such coverage for that additional insured during the policy period. c. The additional insured must comply with the fol- lowing 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 pa- pers 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 insur- ance which would cover such additional in- sured for a loss we cover. However, this con- dition 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 organiza- tion as a named insured as described in Par- agraph 4., Other Insurance, of Section IV — Commercial General Liability Conditions. oR,N a Risk ManagementDMsian f ° REVIEWED & APPROVED BY. ezv 1" Risk Management Specialist Page 2 of 2 0 2017 The Travelers Indemnity Company. All rights reserved. y NJ POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 07-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (Includes Products -Completed Operations If Required By Contract) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization 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" 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. (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: (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. b. The insurance provided to such additional (2) If a claim is made or "suit' is brought against insured does not apply to: the additional insure oR,N a RiskManagmumtDMslcrn f ° REVIEWED & APPROVED BY. Afg ezv 1" Risk Management Specialist CG D2 46 0419 C 2018 The Travelers Indemnity Company. All rights reserved. y NJ POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY (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. oR,N a RiskManagmumtDMslcrn f ° REVIEWED & APPROVED BY. ezv 1" Risk Management Specialist Page 2 of 2 0 2018 The Travelers Indemnity Company. All rights reserved. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY 4. Other Insurance If valid and collectible other insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as described in Paragraphs a. and b. below. As used anywhere in this Coverage Part, other insurance means insurance, or the funding of losses, that is provided by, through or on behalf of: Another insurance company; (11) Us or any of our affiliated insurance companies, except when the Non cumulation of Each Occurrence Limit provision of Paragraph S. of Section III — Limits Of Insurance or the Non cumulation of Personal and Advertising Injury Limit provision of Paragraph 4. of Section III — Limits of Insurance applies because the Amendment — Non Cumulation Of Each Occurrence Limit Of Liability And Non Cumulation Of Personal And Advertising Injury Limit endorsement is included in this policy, (iii) Any risk retention group; or (iv) Any self-insurance method or program, in which case the insured will be deemed to be the provider of other insurance. Other insurance does not include umbrella insurance, or excess insurance, that was bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. As used anywhere in this Coverage Part, other insurer means a provider of other insurance. As used in Paragraph c. below, insurer means a provider of insurance. a. Primary Insurance This insurance is primary except when Paragraph b. below applies. If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in Paragraph c. below, except when Paragraph d. below applies. b. Excess Insurance (1) This insurance is excess over: (a) Any of the other insurance, whether primary, excess, contingent or on any other basis: (1) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for "your work"; (11) That is insurance for "premises damage"; (iii) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to any exclusion in this Coverage Part that applies to aircraft, "autos" or watercraft; (iv) That is insurance available to a premises owner, manager or lessor that qualifies as an insured under Paragraph 4. of Section II — Who Is An Insured, except when Paragraph d. below applies; or (v) That is insurance available to an equipment lessor that qualifies as an insured under Paragraph S. of Section II — Who Is An Insured, except when Paragraph d. below applies. (b) Any of the other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when the insured is an additional insured, or is any other insured that does not qualify as a named insured, under such other insurance. (2) When this insurance is excess, we will have no duty under Coverages A or B to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. (3) When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (a) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (b) The total of all deductible and self - insured amounts under all that other insurance. (4) We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess i shown in the Dec E RAManagmumtDMslcn Part. f °x REVIEWED & APPROVED BY. Risk Management Specialist CG T1 00 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY c. Method Of Sharing a. The statements in the Declarations are If all of the other insurance permits contribution accurate and complete; by equal shares, we will follow this method also. b. Those statements are based upon Under this approach each insurer contributes representations you made to us; and equal amounts until it has paid its applicable c. We have issued this policy in reliance upon limit of insurance or none of the loss remains, your representations. whichever comes first. The unintentional omission of, or unintentional error If any of the other insurance does not permit in, any information provided by you which we relied contribution by equal shares, we will contribute upon in issuing this policy will not prejudice your by limits. Under this method, each insurer's rights under this insurance. However, this provision share is based on the ratio of its applicable limit does not affect our right to collect additional of insurance to the total applicable limits of premium or to exercise our rights of cancellation or insurance of all insurers. nonrenewal in accordance with applicable insurance d. Primary And Non -Contributory Insurance If laws or regulations. Required By Written Contract 7. Separation Of Insureds If you specifically agree in a written contract or Except with respect to the Limits of Insurance, and agreement that the insurance afforded to an any rights or duties specifically assigned in this insured under this Coverage Part must apply on Coverage Part to the first Named Insured, this a primary basis, or a primary and non- insurance applies: contributory basis, this insurance is primary to a. As if each Named Insured were the only other insurance that is available to such insured Named Insured; and which covers such insured as a named insured, and we will not share with that other insurance, b. Separately to each insured against whom claim provided that: is made or "suit" is brought. (1) The "bodily injury' or "property damage' for 8. Transfer Of Rights Of Recovery Against Others which coverage is sought occurs; and To Us (2) The "personal and advertising injury" for If the insured has rights to recover all or part of any which coverage is sought is caused by an payment we have made under this Coverage Part, offense that is committed; those rights are transferred to us. The insured must subsequent to the signing of that contract or do nothing after loss to impair them. At our request, agreement by you. the insured will bring "suit" or transfer those rights 5. Premium Audit to us and help us enforce them. 9. When We Do Not Renew a. We will compute all premiums for this Coverage If we decide not to renew this Coverage Part, we will Part in accordance with our rules and rates. mail or deliver to the first Named Insured shown in b. Premium shown in this Coverage Part as the Declarations written notice of the nonrenewal advance premium is a deposit premium only. At not less than 30 days before the expiration date. the close of each audit period we will compute If notice is mailed, proof of mailing will be sufficient the earned premium for that period and send proof of notice. notice to the first Named Insured. The due date for audit and retrospective premiums is the date SECTION V — DEFINITIONS shown as the due date on the bill. If the sum of 1. "Advertisement" means a notice that is broadcast or the advance and audit premiums paid for the published to the general public or specific market policy period is greater than the earned segments about your goods, products or services premium, we will return the excess to the first for the purpose of attracting customers or Named Insured. supporters. For the purposes of this definition: c. The first Named Insured must keep records of a. Notices that are published include material the information we need for premium placed on the Internet or on similar electronic computation, and send us copies at such times means of communication; and as we may request. b. Regarding websites, only that part of a website 6. Representations that is about your gc By accepting this policy, you agree: for the purposes of oR. Risk ManagementDMslcn supporters is conside f E °x REVIEWED & APPROVED BY. 1" Risk Management Specialist Page 16 of 21 O 2017 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY ISSUE DATE: 07-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. XTEND ENDORSEMENT FOR MANUFACTURERS AND WHOLESALERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to this Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general coverage description only. Read all the provisions of this endorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. Who Is An Insured — Unnamed Subsidiaries H. Blanket Additional Insured — Governmental B. Who Is An Insured — Employees And Volunteer Entities — Permits Or Authorizations Relating To Workers — Bodily Injury To Co -Employees And Operations Co -Volunteer Workers I. Blanket Additional Insured — Grantors Of Franchises C. Who Is An Insured — Newly Acquired Or Formed Limited Liability Companies J. Incidental Medical Malpractice D. Blanket Additional Insured — Broad Form Vendors K. Medical Payments — Increased Limit E. Blanket Additional Insured — Controlling Interest L. Blanket Waiver Of Subrogation F. Blanket Additional Insured — Mortgagees, M. Contractual Liability — Railroads Assignees, Successors Or Receivers G. Blanket Additional Insured — Governmental Entities — Permits Or Authorizations Relating To Premises PROVISIONS A. WHO IS AN INSURED — UNNAMED a. Before you maintained an ownership interest SUBSIDIARIES of more than 50% i n such subsidiary; or The following is added to SECTION II — WHO IS b. After the date, if any, during the policy period AN INSURED: that you no longer maintain an ownership Any of your subsidiaries, other than a partnership interest of more than 50% in such subsidiary. or joint venture, that is not shown as a Named For purposes of Paragraph 1. of Section II — Who Insured in the Declarations is a Named Insured if: Is An Insured, each such subsidiary will be a. You are the sole owner of, or maintain an deemed to be designated in the Declarations as: ownership interest of more than 50% in, such subsidiary on the first day of the policy period; a. A limited liability company; and b. An organization other than a partnership, joint b. Such subsidiary is not an insured under venture or limited liability company; or similar other insurance. No such subsidiary is an insured for "bodily injury' �• A trust; or "property damage" that occurred, or "personal as indicated in its name or the documents that and advertising injury" caused by an offense govern its structure. committed: " P—", Risk Management DMslcrn REVIEWED & APPROVED BY. Afg Aezv 1" CG D4 58 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY B. WHO IS AN INSURED — EMPLOYEES AND VOLUNTEER WORKERS — BODILY INJURY TO CO -EMPLOYEES AND CO -VOLUNTEER WORKERS The following is added to Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" to a co -"employee" while in the course of the co -"employee's" employment by you or performing duties related to the conduct of your business, or to "bodily injury" to your other "volunteer workers" while performing duties related to the conduct of your business. C. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED LIMITED LIABILITY COMPANIES The following replaces Paragraph 3. of SECTION II — WHO IS AN INSURED: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and of which you are the sole owner or in which you maintain an ownership interest of more than 50%, will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it; b. Coverage A does not apply to "bodily injury" or "property damage' that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an a. A limited liability company; b. An organization, other than a partnership, joint venture or limited liability company; or c. A trust; as indicated in its name or the documents that govern its structure. D. BLANKET ADDITIONAL INSURED — BROAD FORM VENDORS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a vendor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Occurs subsequent to the signing of that contract or agreement; and b. Arises out of "your products" that are distributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a. The limits of insurance provided to such vendor will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not authorized by you or any distribution or sale for a purpose not authorized by you; (2) Any change in "your products" made by such vendor; (3) Repackaging, unless unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; offense committed before you acquired or (4) Any failure to make such inspections, formed the organization. adjustments, tests or servicing as For the purposes of Paragraph 1. of Section II vendors agree to perform or normally —Who Is An Insured, each such organization undertake to perform in the regular will be deemed to be designated in the course of businer- ���` • `" `"� Declarations as: distribution or sal RAManaganentDMs[crn f e ' REVIEWED & APPROVED BY. °Aezv 1" Page 2 of 5 O 2017 The Travelers Indemnity Company. All rights reserved. Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY (5) Demonstration, installation, servicing or repair operations, except such operations performed at such vendor's premises in connection with the sale of "your products"; or (6) "Your products" that, 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 on behalf of such vendor. Coverage under thi s provision does not apply to: a. Any person or organization from whom you have acquired "your products", or any ingredient, part or container entering into, accompanying or containing such products; or b. Any vendor for which coverage as an additional insured specifically is scheduled by endorsement. E. BLANKET ADDITIONAL INSURED — CONTROLLING INTEREST 1. The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that has financial control of you is an insured with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" that arises out of: a. Such financial control; or b. Such person's or organization's ownership, maintenance or use of premises leased to or occupied by you. The insurance provided to such person or organization does not apply to structural alterations, new construction or demolition operations performed by or on behalf of such person or organization. G. 2. The following is added to Paragraph 4. of SECTION II — WHO IS AN INSURED: liability as mortgagee, assignee, successor or receiver for "bodily injury", "property damage" or "personal and advertising injury" that: a. Is "bodily injury' or "property damage" that occurs, or is "personal and advertising injury" caused by an offense that is committed, subsequent to the signing of that contract or agreement; and b. Arises out of the ownership, maintenance or use of the premises for which that mortgagee, assignee, successor or receiver is required under that contract or agreement to be included as an additional insured on this Coverage Part. The insurance provided to such mortgagee, assignee, successor or receiver is subject to the following provisions: a. The limits of insurance provided to such mortgagee, assignee, successor or receiver will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. b. The insurance provided to such person or organization does not apply to: (1) Any "bodily injury' or "property damage" that occurs, or any "personal and advertising injury" caused by an offense that is committed, after such contract or agreement is no longer in effect; or (2) Any "bodily injury', "property damage" or "personal and advertising injury" arising out of any structural alterations, new construction or demolition operations performed by or on behalf of such mortgagee, assignee, successor or receiver. BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO PREMISES This paragraph does not apply to any The following is added to SECTION II — WHO IS premises owner, manager or lessor that has AN INSURED: financial control of you. Any governmental entity that has issued a permit F. BLANKET ADDITIONAL INSURED — or authorization with respect to premises owned MORTGAGEES, ASSIGNEES, SUCCESSORS or occupied by, or rented or loaned to, you and OR RECEIVERS that you are required by any ordinance, law, The following is added to SECTION II — WHO IS building code or written contract or agreement to AN INSURED: include as an additional insured on this Coverage Part is an insured, but only with respect to liability Any person or organization that is a mortgagee, for "bodily injury", "property damage" or "personal assignee, successor or receiver and that you and advertising injury" arising out of the have agreed in a written contract or agreement to existence, ownership, u ----`-`- -- --- ---` include as an additional insured on this Coverage construction, erection of RA ManagementDMslcn Part is an insured, but only with respect to its followin for which that =f e,,o REVIEWED & APPROVED BY' 9 x o1 ; `. ezv CG D4 58 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY issued such permit or authorization: advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, elevators, street banners or decorations. H BLANKET ADDITIONAL INSURED — GOVERNMENTAL ENTITIES — PERMITS OR AUTHORIZATIONS RELATING TO OPER- ATIONS The following is added to SECTION II — WHO IS AN INSURED: Any governmental entity that has issued a permit or authorization with respect to operations performed by you or on your behalf and that you are required by any ordinance, law, building code or written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liabi lity for "bodily injury", "property damage" or "personal and advertising injury" arising out of such operations. The insurance provided to such governmental entity does not apply to: a. Any "bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the governmental entity; or b. Any "bodily injury" or "property damage" included in the "products -completed operations hazard". I. BLANKET ADDITIONAL INSURED — GRANTORS OF FRANCHISES The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that grants a franchise to you is an insured, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of your operations in the franchise granted by that person or organization. If a written contract or agreement exists between you and such additional insured, the limits of insurance provided to such insured will be the minimum limits that you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. J. INCIDENTAL MEDICAL MALPRACTICE services", first aid or "Good Samaritan services" to a person, unless you are in the business or occupation of providing professional health care services. 2. The following replaces the last paragraph of Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1)(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of providing or failing to provide: (a) "Incidental medical services" by any of your "employees" who is a nurse, nurse assistant, emergency medical technician, paramedic, athletic trainer, audiologist, dietician, nutritionist, occupational therapist or occupational therapy assistant, physical therapist or speech - language pathologist; or (b) First aid or "Good Samaritan services" by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor. Any such "employees" or "volunteer workers" providing or failing to provide first aid or "Good Samaritan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing duties related to the conduct of your business. 3. The following replaces the last sentence of Paragraph S. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applicable Each Occurrence Limit, all related acts or omissions committed in providing or failing to provide "incidental medical services", first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following exclusion is added to Paragraph 2., Exclusions, of SECTION I — COVERAGES — COVERAGE A — BODILY INJURY AND PROPERTY DAMAGE LIABILITY: 1. The following replaces Paragraph b. of the Sale Of Pharmaceuticals definition of "occurrence" in the "Bodily injury' or "property damage" arising DEFINITIONS Section: out of the violation of a penal statute or b. An act or omission committed in providing ordinance relating RA Mouganent Drnawn pharmaceuticals cor E or failing to provide "incidental medical knowledge or conser =f °x ReAeWED&APPROVED BY. `" Page 4 of 5 O 2017 The Travelers Indemnity Company. All rights reserved. -­ffl1Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY S. The following is added to the DEFINITIONS Section: "Incidental medical services" means: a. Medical, surgical, dental, laboratory, x-ray or nursing service or treatment, advice or L. instruction, or the related furnishing of food or beverages; or b. The furnishing or dispensing of drugs or medical, dental, or surgical supplies or appliances. 6. The following is added to Paragraph 4.b., Excess Insurance, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: This insurance is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to any of your "employees" for "bodily injury" that arises out of providing or failing to provide "incidental medical services" to any person to the extent not subject to Paragraph 2.a.(1) of Section II — Who Is An Insured. K. MEDICAL PAYMENTS— INCREASED LIMIT The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: 7. Subject to Paragraph S. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person, and will be the higher of: a. $10,000; or b. The amount shown in the Declarations of this Coverage Part for Medical Expense Limit. BLANKET WAIVER OF SUBROGATION The following is added to Paragraph 8., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS: If the insured has agreed in a contract or agreement to waive that insured's right of recovery against any person or organization, we waive our right of recovery against such person or organization, but only for payments we make because of: a. "Bodily injury" or "property damage" that occurs; or b. "Personal and advertising injury" caused by an offense that is committed; subsequent to the execution of the contract or agreement. M. CONTRACTUAL LIABILITY — RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINITIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is deleted. oR.N a Risk ManagementDMslcrn °� f °;' REVIEWED & APPROVED BY. Aezv 1" CG D4 58 02 19 O 2017 The Travelers Indemnity Company. All rights reserved. Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission COMMERCIAL GENERAL LIABILITY POLICY NUMBER: Y-630-2A626927-TIL-24 ISSUE DATE: 07-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY TOTAL GENERAL AGGREGATE LIMIT DESIGNATED PROJECT(S) - GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Total General Aggregate Limit: $ l o, o o o, 000 Designated Project(s): EACH "PROJECT" FOR WHICH YOU HAVE AGREED IN A WRITTEN CONTRACT THAT IS IN EFFECT DURING THIS POLICY PERIOD, TO PROVIDE A SEPARATE GENERAL AGGREGATE LIMIT, PROVIDED THAT THE CONTRACT IS SIGNED BY YOU BEFORE THE "BODILY INJURY" OR "PROPERTY DAMAGE" OCCURS. (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. The Total General Aggregate Limit stated in the Schedule above is the most we will pay for the sum of all: 1. Medical Expenses under COVERAGE C (SECTION 1); 2. Damages under COVERAGE A (SECTION 1), except damages because of "bodily injury" or "property damage" included in the "products - completed operations hazard"; and 3. Damages under COVERAGE B (SECTION 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. Designated "projects" listed in the SCHED- ULE above. der COVERAGE C (SECTION 1), which can be at- tributed only to operations at a single designated "project" shown in the Schedule above: 1. A separate Designated Project General Ag- gregate Li mit applies to each designated "pro- ject", and that limit is equal to the amount of the General Aggregate Limit shown in the Declarations. 2. Subject to the Total General Aggregate Limit stated in the Schedule above, the Designated Project General Aggregate Limit is the most we will pay for the sum of all damages under COVERAGE A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations haz- ard", and for medical expenses under COV- ERAGE C regardless of the number of: a. Insureds; B. For all sums which the insured becomes legally b. Claims made or "suits" brought; or obligated to pay as damages caused by 'occur- c. Persons or organizations making claims rences" under COVERAGE A (SECTION 1), and or bringing "suits Risk Management Division for all medical expenses caused by accidents un- r e'x REv,EWED&APPROVED BY. Afg Aezv 1" Risk Management Specialist CG D3 21 01 04 Copyright, The Travelers Indemnity Company, 2004 POLICY NUMBER: Y-630-2A626927-TIL-24 COMMERCIAL GENERAL LIABILITY 3. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce both the Total General Aggregate Limit stated in the Schedule above, and the Designated Project General Aggregate Limit for that designated "project". Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Designated Project General Aggregate Limit for any other designated "project" shown in the Schedule above. 4. The limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Decla- rations, such limits will be subject to both the Total General Aggregate Limit stated in the Schedule above, and the applicable Desig- nated Project General Aggregate L imit. C. For all sums which the insured becomes legally obligated to pay as damages caused by "occur- rences" under COVERAGE A (SECTION 1), and for all medical expenses caused by accidents un- der COVERAGE C (SECTION 1), which cannot be attributed only to operations at a single desig- nated "project" shown in the Schedule abo ve: 1. Any payments made under COVERAGE A for damages or under COVERAGE C for medical expenses shall reduce the amount available under the Total General Aggregate Limit stated in the Schedule above and the General Aggregate Limit, or the Products -Completed Operations Aggregate Limit, whichever is ap- plicable; and 2. Such payments shall not reduce any Desig- nated Project General Aggregate L imit. As respects this Provision C., the limits shown in the Declarations for Each Occurrence, Damage To Premises Rented To You and Medical Ex- pense continue to apply. D. Part 2. of SECTION III — LIMITS OF INSURANCE is deleted and replaced by the following: 2. The General Aggregate Limit is the most we will pay for the sum of: a. Damages under Coverage B; and b. Damages from 'occurrences" under COVERAGE A (SECTION 1) and for all medical expenses caused by accidents under COVERAGE C (SECTION 1) which cannot be attributed only to operations at a single designated "project" shown in the SCHEDULE above. E. When coverage for liability arising out of the "products -completed operations hazard" is pro- vided, any payments for damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard" will reduce the Products -Completed Operations Ag- gregate Limit, and not reduce the Total General Aggregate Li mit stated in the Schedule abo ve, the General Aggregate Limit, or the Designated Pro- ject General Aggregate Limit. F. For the purposes of this endorsement the Defini- tions Section is amended by the addition of the following definition: "Project" means an area away from premises owned by or rented to you at which you are per- forming operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each "project" that includes premises involving the same or connecting lots, or premises whose con- nection is interrupted only by a street, roadway, waterway or right-of-way of a railroad shall be considered a single "project". G. The provisions of LIMITS OF INSURANCE (SECTION III) not otherwise modified by this en- dorsement shall continue to apply as stipulated. oR,N a Risk ManagementDMsian °� f ' REVIEWED & APPROVED BY. Aezv 1" Risk Management Specialist Page 2 of 2 Copyright, The Travelers Indemnity Company, 2004 POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO ISSUE DATE: 07-01-24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE — This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED B. BLANKET ADDITIONAL INSURED C. EMPLOYEE HIRED AUTO D. EMPLOYEES AS INSURED E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS F. HIRED AUTO — LIMITED WORLDWIDE COV- ERAGE — INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE — GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur- ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un- til the 180th day after you acquire or form the or- ganization or the end of the policy period, which- ever is earlier. B. BLANKET ADDITIONAL INSURED The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect Burin the olic eriod to be named as an addi- H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT J. PERSONAL PROPERTY K. AIRBAGS L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS M. BLANKET WAIVER OF SUBROGATION N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section II. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COV- ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi- ness. 2. The following replaces Paragraph b. in B.S., Other Insurance, of SECTION IV — BUSI- NESS AUTO CONDITIONS: b. For Hired Auto Physical Damage Cover- age, the following are deemed to be cov- ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and g p y p (2) Any covered tional insured is an "insured" for Covered Autos your "emplo PR. RAManaganentDMsian Liability Coverage, but only for damages to which an "employ �f E°x REVIEWED & APPROVED BY. ` WAfg Aezv CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. WNW Ri5k Management specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi- ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who Is An Insured, of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any "employee" of yours is an "insured" while us- ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS — INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in- cluding bonds for related traffic law viola- tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II — COVERED AUTOS LIABIL- ITY COVERAGE: (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (1) You must arrange to defend the "in- sured" against, and investigate or set- tle any such claim or "suit" and keep us advised of all proceedings and ac- tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in- sured" pays with our consent, but only up to the limit described in Para- graph C., Limits Of Insurance, of SECTION II — COVERED AUTOS LIABILITY COVERAGE. (4) All reasonable expenses incurred by the (v) We will reimburse the "insured" for "insured" at our request, including actual the reasonable expenses incurred loss of earnings up to $500 a day be- with our consent for your investiga- cause of time off from work. tion of such claims and your defense of the "insured" against any such F. HIRED AUTO — LIMITED WORLDWIDE COV- "suit", but only up to and included ERAGE — INDEMNITY BASIS within the limit described in Para - The following replaces Subparagraph (5) in Para- graph C., Limits Of Insurance, of graph B.7., Policy Period, Coverage Territory, SECTION II — COVERED AUTOS of SECTION IV — BUSINESS AUTO CONDI- LIABILITY COVERAGE, and not in TIONS: addition to such limit. Our duty to make such payments ends when we (5) Anywhere in the world, except any country or have used up the applicable limit of jurisdiction while any trade sanction, em- insurance in payments for damages, bargo, or similar regulation imposed by the settlements or defense expenses. United States of America applies to and pro- hibits the transaction of business with or (b) This insurance is excess over any valid within such country or jurisdiction, for Cov- and collectible other insurance available ered Autos Liability Coverage for any covered to the "insured" whether primary, excess, "auto" that you lease, hire, rent or borrow contingent or on any other basis. without a driver for a period of 30 days or less you lease, hire, rent (c) This insurance is not a substitute for re - and that is not an "auto" y quired or compulsory insurance in any or borrow from any of your "employees", country outside the United States. its ter - partners (if you are a partnership), members ritories and poss (if you are a limited liability company) or Canada. E FEWE anagPmROVE iaia. members of their households.f ra�EvuEo&AaPRovmer: Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. `— �� Ri5k Management specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO You agree to maintain all required or compulsory insurance in any such coun- try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we will only be liable to the same extent we would have been liable had you complied with the compulsory in- surance requirements. (d) It is understood that we are not an admit- ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can- ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE — GLASS The following is added to Paragraph D., Deducti- ble, of SECTION III — PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE — INCREASED LIMIT The following replaces the last sentence of Para- graph A.4.b., Loss Of Use Expenses, of SEC- TION III — PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES — INCREASED LIMIT The following replaces the first sentence in Para- graph A.4.a., Transportation Expenses, of SECTION III — PHYSICAL DAMAGE COVER- AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover- age Extensions, of SECTION III — PHYSICAL (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu- sions, of SECTION III — PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to 'loss" to one or more airbags in a covered "auto" you own that in- flate due to a cause other than a cause of 'loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre- hensive Coverage under this policy; b. The airbags are not covered under any war- ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one 'loss". L. NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV — BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa- tive prompt notice of the "accident" or 'loss" ap- plies only when the "accident" or 'loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited liability com- pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or- ganization); or (e) Any "employee" authorized by you to give no- tice of the "accident" or 'loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.S., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV — BUSINESS AUTO CONDI- TIONS : S. Transfer Of Rights Of Recovery Against Others To Us DAMAGE COVERAGE: We waive any right of recovery we may have Personal Property against any person or organization to the ex- tent required of you by a written contract We will pay up to $400 for 'loss" to wearing ap- signed and execute parel and other personal property which is: or 'loss", provided th oR. RA Mouganent DMslcrn (1) Owned by an "insured"; and p =� `° Re�e�D&APPROVmBY. arises out of o er ezv CA T3 53 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. WW Ri5k Management specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: 810-2N338740-24-14-G COMMERCIAL AUTO such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con- cealment, Misrepresentation, Or Fraud, of SECTION IV — BUSINESS AUTO CONDITIONS: The unintentional omission of, or unintentional error in, any information given by you shall not prejudice your rights under this insurance. How- ever this provision does not affect our right to col- lect additional premium or exercise our right of cancellation or non -renewal. oR.N a RA ManagementDMslcrn REVIEWED & APPROVED BY. Afg Aezv Page 4 of 4 © 2015 The Travelers Indemnity Compa ny. All rights reserved . — �� Ri5k Management specialist Includes copyrighted material of Insurance Services Office, Inc. with its permission POLICY NUMBER: 810-2N338740-24-14-G 4. Loss Payment — Physical Damage Cover- ages At our option, we may: a. Pay for, repair or replace damaged or sto- len property; b. Return the stolen property, at our ex- pense. We will pay for any damage that results to the "auto" from the theft; or c. Take all or any part of the damaged or stolen property at an agreed or appraised value. If we pay for the "loss", our payment will in- clude the applicable sales tax for the dam- aged or stolen property. S. Transfer Of Rights Of Recovery Against Others To Us If any person or organization to or for whom we make payment under this Coverage Form has rights to recover damages from another, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after "accident" or "loss" to impair them. B. General Conditions 1. Bankruptcy Bankruptcy or insolvency of the "insured" or the "insured's" estate will not relieve us of any obligations under this Coverage Form. 2. Concealment, Misrepresentation Or Fraud This Coverage Form is void in any case of fraud by you at any time as it relates to this Coverage Form. It is also void if you or any other "insured", at any time, intentionally con- ceals or misrepresents a material fact con- cerning: a. This Coverage Form; b. The covered "auto"; c. Your interest in the covered "auto"; or d. A claim under this Coverage Form. 3. Liberalization If we revise this Coverage Form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the re- vision is effective in your state. 4. No Benefit To Bailee — Physical Damage Coverages We will not recognize any assignment or grant any coverage for the benefit of any per - COMMERCIAL AUTO ISSUE DATE: 07-01-24 son or organization holding, storing or trans- porting property for a fee regardless of any other provision of this Coverage Form. S. Other Insurance a. For any covered "auto" you own, this Coverage Form provides primary insur- ance. For any covered "auto" you don't own, the insurance provided by this Cov- erage Form is excess over any other col- lectible insurance. However, while a cov- ered "auto" which is a "trailer" is con- nected to another vehicle, the Covered Autos Liability Coverage this Coverage Form provides for the "trailer" is: (1) Excess while it is connected to a mo- tor vehicle you do not own; or (2) Primary while it is connected to a covered "auto" you own. b. For Hired Auto Physical Damage Cover- age, any covered "auto" you lease, hire, rent or borrow is deemed to be a covered "auto" you own. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". c. Regardless of the provisions of Para- graph a. above, this Coverage Form's Covered Autos Liability Coverage is pri- mary for any liability assumed under an "insured contract". d. 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. 6. Premium Audit a. The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy be- gan. We will compute the final premium due when we determine your actual ex- posures. The estimated total premium will be credited against the final premium due and the first Named Insured will be billed for the balance, if any. The due date for the final premium or retrospective pre- mium is the date shown as the due date on the bill. If the estimated total premium exceeds the fin, Named Insured i E RA ManagementDMslcn f ° REVIEWED & APPROVED BY. 1" �, Aezv 1" Risk Management Specialist CA 00 01 10 13 © Insurance Services Office, Inc., 2011 V NJ _ TRAVELERS WORKERS COMPENSATION AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) - 001 POLICY NUMBER: UB-7K475503-24-14-G WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - CALIFORNIA (BLANKET WAIVER) 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. The additional premium for this endorsement shall be 2.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Insured Insurance Company Policy No. Countersigned by Endorsement No. oR,N a Risk ManagementDMsian °� f ' REVIEWED & APPROVED BY. Aezv 1" Risk Management Specialist DATE OF ISSUE: 07-11-24 ST ASSIGN: