HomeMy WebLinkAboutECONOLITE SYSTEMS, INC.INSURANCtoij -ILe
WORK NVPRUCEED
UNTIL INSURANCE EXPIRES
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A-Z021_242
DATE: FIRST AMENDMENT TO AGREEMENT TO PROVIDE
D : pWq ((,ewrodn-7o Z) FIC SIGNAL SYSTEM MAINTENANCE SERVICES
THIS FIRST AMENDMENT to the above -referenced agreement is entered into on December 7,
2021, by and between Econolite Systems, Inc. ("Contractor"), and the City of Santa Ana, a charter
city and municipal corporation organized and existing under the Constitution and laws of the State
N of California ("City").
0
ewe
rd RECITALS
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Lj
w A. The parties entered into Agreement No. A-2019-101, dated July 2, 2019, by which
® Contractor agreed to provide preventative and extraordinary maintenance services for the
citywide Traffic Signal System ("Agreement").
B. The Agreement remains in effect through July 1, 2022, with provision for extension.
C. The parties now wish to modify the scope of services, increase the annual sum to be expended
under the Agreement, and exercise the options to extend the Agreement.
The Parties therefore agree:
Section 1, Scope of Services, is amended to include Contractor's provision of immediate or
temporary repairs to City owned series and multiple street light pole or service knock downs
or damage caused by vehicle collision, acts of God, vandals, or as required because of a public
safety hazard. Contractor shall respond to emergency calls when directed by the City and
dispatch high voltage technician and equipment. Contractor shall be compensated for the
emergency street light work at the rates set forth in Exhibit B of the Agreement for
Extraordinary Maintenance.
2. Section 2.a., Compensation, is amended to increase the total annual sum to be expended under
the Agreement by $275,000 for the current annual period and all remaining annual periods.
3. Section 3, Term, is amended to extend the term of the Agreement through July 1, 2024.
4. Except as modified by this First Amendment, all terms and conditions of the Agreement shall
remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to the
Agreement on the date and year first written above.
ATTEST
aisy Gomez
Clerk of the Council
CITY OF SANTA ANA
Kristine Ridge
City Manager
Page I of 2
APPROVED AS TO FORM CONTRACTOR
Sonia R. Carvalho
City Attorney
By. X
John M.Funk
Senior Assistant City Attorney
FOR APPROVAL
t /y H
NaAil Saba
Executive Director
Public Works Agency
By: Kirk T Steudle
Title: Sr Vice President - Systems
Page 2 of 2
Digitally signed by Francine R.
Francine R. Villareal Villareal
A� a CERTIFICATE OF LIABILITY INSURANCE
°ojPo812o2,°"YYY
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 pollcy(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
Marsh Risk & Insurance Services
17901 Von Kerman Avenue, Suite 1100
(949) 399-5800; License 90437153
Irvine, CA 92614
CONTACT
NAME:
PHONE
-MAIL
ADDRESS:
INSURERSAFFORDING COVERAGE
NAIC9
CN119180939-Emno-GAWU: 21-22
INSURERA: Travelers Indemnity Cc Of CT
25682
INSURED
Econolite Systems, Inc.
INSURER B: National Union Fire Ins Co Pittsburgh PA
19445
INSURER C : Travelers Properly Casualty Company Of America
25674
1250 N. Tustin Avenue
Anaheim, CA 92807
INSURER 0 : NIA
NIA
INSURER E: NIA
NIA
INSURER F;
COVERAGES CERTIFICATE NUMBER: IOR-0023440cl-7S tatanslnim MINKNOCo. m
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
BUBR
POLICYNUMBER
POLICY EFF
mmurm
POLICY EXP
MM DlYYYY
LIMITS
A
TXCOMMERCIAL GENERAL LIABILITY
CLAIMS -MADE 1XI OCCUR
Y-631492624-TCT-21
06127/2021
06/2712022
EACH OCCURRENCE
$ 2,000,000
PREMISES Me amurrence
Is 300,000
MED EXP i one person
Is 5,000
PERSONAL S ADV INJURY
$ 2,000,000
AGGREGATE LI MIT APPLIES PER:
POLICY JELOC
GENERAL AGGREGATE
$ 4,000,000
GEN'L
X
PRODUCTS$
-MPIOPAGO
4,000,000CT
$
OTHER:
C
AUTOMOBILE
X
LIABILITY
ANY AUTO
810-5P24862A-21-14-G
06127/2021
0612712022
COMBINED SINGLE LIMIT
(Ea acdtlenll
$ 2,000,000
_
BODILY INJURY (Per parson)
$
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY (Par accldenQ
$
X
__.
HIRED FNON-OWNED
AUTOS ONLY AUTOS ONLY
PROPERTYDAMAGE
(Per accldentl _
Is
Is
X
UMBRELLALIAB
X
OCCUR
BE021169545
06127/2021
06/2712022
EACH OCCURRENCE
$ 1,000,000
EXCESS LIAIs
CLAIMS -MADE_
AGGREGATE
$ 11000,000
DED X RETENTION $10 000
$
C
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPROPRIETOMPARTNERIEXECUTIVE
OFFICEWMEMBEREXCLUDED9 �
NIA
UB-1N454058-21-14-G
061
06I2712022
X PER OTH-
_ STATUTE ER
EA -EACH ACCIDENT
$ 1,000,OOO
E.L. DISEASE EA EMPLOYEE
-
._
$ 1,000,000
(Mandatory In NH)
If yyes, describe under
DESCRIPTIONOFOPERATIONS below
E.L. DISEASE POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space is required)
Re', Traffic Signal Maintenance.
The City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as additional insured where required by written contract with respect to General Liability, This insurance is
primary and non-contributory over any existing Insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions with respect to general liablllly. Waiver of
subrog short Is applicable where required by written contract and subject b policy terms and conditions,
City of Santa Ana
Risk Management Division
20 Civic Center Plaza
Santa Ana, CA 92702
ACORD 25 (2016103)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
of Marsh Risk & Insurance Services
Manashi Mukherlee _Ivta t
6 ACORD Ci
The ACORD name and logo are registered marks of ACORD
Risk Mdnr�neF1ED[Walan T
rR�EVIEV7ED & APPROVED BY' B.
Risk Management Analyst
POLICY NUMBER: Y-630-6J492624-TCT-21
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
B. Who Is An Insured Employees And Volunteer
Workers.- Bodily Injury To Co -Employees And
Cc -Volunteer Workers
C. Who Is An Insured - Newly Acquired Or Formed
Limited Liability Companies
D. Blanket Additional Insured- Broad Form Vendors
E. Blanket Additional Insured-ControllingInterest
F. Blanket Additional Insured - Mortgagees,
Assignees, Successors Or Receivers
G. Blanket Additional Insured Governmental
Entities Permits Or Authorizations Relating To
Premises
PROVISIONS
A WHAT IS AN INSURED UNNAMED
SUBSIDIARIES
The following is added to SiEGTioN II - WHO Is
ANINSURED:
Any of your subsidiaries, other than a partnership
or joint venture, that is not shown as a Named
Insured in the Declarations is a Named Insured if:
a. You are the sofa owner of, or maintain an
ownership interest of more than 50% in, such
subsidiary on the first day of the policy period:
and
b. Such subsidiary Is not an insured under
similar other insurance.
No such subsidiary is an Insured for "bodify injury"
or "property damage" 'that occurred, or "personal
and advertising injury, caused by an offense
committed: .
H. Blanket Additional Insured Governmental
Entities - Permits Or Authorizations Relating To
Operations
I. Blanket Additional Insured Grantors Of
.Franchises
J. Incidental Medical Malpractice
K. Medical Payments Increased Limit
L. Blanket Waiver Of subrogation
M. Contractual Liability -Railroads
a. Before you maintained an ownership interest
Of more than 50% in such Subsidiary;. or
h. After the date, if any, during the policy period
that you no longer maintain an ownership
interest of more than 50% 1n such subsidiary.
For purposes of Paragraph 1. of Section 11- Who
Is An Insured, each such subsidiary will be
deemed to be designated In the Declarations as:
a. Alfmitedliability company;
b. An organization other than a partnership, joint
venture or limited liability company: or
c. Atrust
as indicated in its name or the documents that
govern its structure:
CG'D4 58 02 19 � 20t 7 The Travelers lndemn Cam x 1c `Msnagg��xe.,tDi on
nY pant' All rights reserved. / r (R�WEWED&APPROVEDev:
Includes copyrighted material of Insurance Sew1ces Once, Inc. with its permission �t® r1 ['4m,4$4 P, vauwl
V Risk Management Analyst
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 dutles
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
Il — 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 18M 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) Unfil the and 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 forth it
b. Coverage A does not apply to "bodily
Injury" or "property dama ge" 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 11— 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 "properly
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 contractor
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 fallure 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 connectiu n with the
distribution or sale of "your products";.
Paget of 5 02017 The Travelers Indemriby Company. All rights reserved.
Includes copyrighted material of Insurance services oifice, Inc. whh M permission
♦D .,, eg W"kManagemerdDrnawn
Rea�D & APPRavm By.,
44 -�, Rick ManagementAnayst
(s) Demonstration, Installation; servicing or
repair operations, except such operations
performed at such vendors premises in
connection with the sale of "your
products'; or
(a) "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 Is 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
7. The following is added to SECTION If - WHO
IS AN INSURED,
Any person or organization that has financial
control of you is an Insured with respect to
liability for "bodily injury', "properly 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.
2. The following is added to Paragraph & of
SECTION 11— WHO IS AN INSURED:
This paragraph does not apply to any
premises owner, manager or lessor that has
financial control of you.
F. BLANKET ADDITIONAL INSURED —
MORTGAGEES, ASSIGNEES, SUCCESSORS
OR RECEIVERS
The following is added to SECTION 11 — WHO IS
AN INSURED;
Any person or organization that is'a mortgagee,
assignee, successor or recelver 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 its
G.
CG D4 58 02 19- ® 2017 The Travelers Indemnity Company. All rights reserved..
Includes copyrighted material of Insurance Services otce. Inc. with its parmission
COMMERCIAL GENERAL LIABILITY
liability as mortgagee, assignee, successor or
receiver for "bodily injury', "properly 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 for
(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% "properly -damage or
"personal and advertising injury" arising
out of any structural alterations. new
or demolition operations
by or :on behalf of such
assignee, successor or
BLANKET ADDITIONAL INSURED —
GOVERNMENTAL ENTITIES PERMITS OR
AUTHORIZATIONS RELATING TO PREMISES
The following is added to SECTION 11— WHO IS
AN INSURED:
Any governmental entity that has issued a permit
or authorization with respect to premises owned
or occupied by, or rented or loaned to, you 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 the
existence, ownership, use, maintenance,, repair,
construction, erection or removal of any of the
following for which that orriental entity. hAt
REVIEWED & APPROVED By.
Rah ManageMent Analyst �a
COMMERCIAL GENERAL LIABILITY
Issued such permit or authorisation: 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 11 —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 contractor agreement to include as an
additional insured on this Coverage Part is an
insured, but only with respect to liabilityfor "bodily
injury", "properly, damage" or "personal and
advertising injury" arising out of such operations.
The insurance provided to such governmental
entity does not apply to::
o. Any "bodily injury"; 'properly damage" or
'personal and advertising injury" arising out of
operations performed for the governmental
entity; or
b. Any "bodily Injury or "properly 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
1. The following replaces Paragraph b. of the
definition of "occurrence" in the
DEFINITIONS Section:
b. An act oromission committed in providing
or failing to provide- "incidental medical
Page 4 of 5 ® 2017 The 17avelers.Indemnity Company. Al ii reservetl. -
Includes copyrighted material of imurance Services Office, Inc. with its permisi ion
services", first aid or "Good Samaritan
services" to a person, unless you are in
the business or occupaiion of providing
professional healthcare services,
2. The following replaces the last paragraph of
Paragraph 2.a.(7) of SECTION 11 —WHO IS
AN INSURED:
Unless you are in the business or occupation
of providing professional health care services,
Paragraphs (1xa), (b). (c) and I 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
oryour 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,,
Sale OfPharmaceuticals
"Bodily injury or "property damage" 'arising
out of the violation of a penal statute or
ordinance relating to the sale of
pharmaceuticals committed by, or with the
knowledge orconsent
�wc EWEM",sagemenrotw"ran
m
sk
REVIEWED&APPRCMED®Y: ,.
Risk Manageipent Analyst
5. 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
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 arty of your "employees" for
"bodily injurythat 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 11 — who Is An
Insured.
K. MEDICAL PAYMENTS— INCREASED LIMIT
The following replaces Paragraph 7. of SECTION
III — LIMITS OF INSURANCE:
7. Subject to Paragraph 5. 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: '
COMMERCIAL GENERAL LIABILITY
a. ;$10,000;or
b. The amount shown In the Declarations of
this Coverage Part 'for Medical Expense
Limit.
L. BLANKET WAIVER OF SUBROGATION
The following is added to Paragraph 4., 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 s uch person or
organization, but only for payments we make
because or:
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
f. The following replaces Paragraph co, 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
contra& in the DEFINITIONS Section is
deleted.
CG D4 56 02 79 ® 2017 The Travelers Indemnity company. All rights reserved.
Includes copyrighted material of Insurance Services blflce, Inc. wC its permission
�. Risk mame!menenWlm a;
`°f. REUiEWED&APPROV®®V
Risk Management A"alyst
POLICY NUMBER.: Y-630-6J492624-TCT-21 COMMERCIAL' GENERAL LIABILITY
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 liabilily for "bodily injury" or
'properly, damageM 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 organ¢ation 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
sutdect to the following provislons:
a. If the Limits of Insurance of this Coverage. Part.
.shown in the Declarations exceed the minimum
limits required by the written contract or
agreement, the insurance provided to the
additional insured will be limited to such
minimum required limits. For the purposes of
determining whether this limitation applies, the
minimum limits required by the written contract or
agreement will be considered to include the
minimum limits of any Umbrella or Excess
liability coverage required for the additional
insured by that written contract or agreement.
This provision will not increase the "limits of
Insurance described in Section III - Limits Of
Insurance.
b. The Insurance provided to such additional
insured does not apply to:
(1). Any "bodily injury', 'property damage" or
"personal injury" arising out of the providing,
or failure to provide, .any professional
architectural, engineering or surveying
services, including:
(a) The preparing, approving, or falling 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
or 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 claim is made or "sulr is brought against
the additionalnsured:
CG D2 46 4419 02018 The Travelers Indemnity Company, All rights reserved.
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Re EWiED&APPROVED BY:
�+ Risk Management Analyst
m
COMMERCIAL GENERAL LIABILITY
(a) Immediately record the sper_tfics of the
claim or "sort" 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 "sulf'. 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 N — Commercial
General Liability Conditions.
Page 2 of 2. 02078 The Travelers Indemnity Company. All rights reserved.
xREVIEWED&APPROVEDBY:
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F..P,.V.
Rick Management Analyst '