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HomeMy WebLinkAboutDOWNEY VENDORSINSURANCL Ot+ [Lt_ WORK MAY PROCEE[' N-2022-001 rp UNTIL INSURANCE EXPtR[a 0 q. 02 ;C CLERK Or COUNCIL DATE: VENDING AGREEMENT BETWEEN THE CITY OF SANTA ANA AND Fr�lnu tity,�)(�� DOWNEY VENDORS, INC. o- TVA C ��i° � T. This Agreement is made and entered into this 1st day of January, 2022, by and between Downey Vendors, Inc, a California corporation ("Vendor"), and the City of Santa Ana, a charter city and municipal corporation duly organized and existing under the Constitution and laws of the state of California ("City"). RECITALS A. The City desires to retain a vending company to provide beverage and/or snack vending machines at various City -owned properties. B. Vendor represents that it is able and willing to provide such services to the City. Vendor offers soft drinks, water, iced tea, juice, and snack products for sale in Vendor -owned vending machines. Vendor desires to place its vending machines at various agreed upon City -owned and operated facilities ("the Premises"). C. Vendor ensures that no less than fifty percent (50%) of the food and beverages provided in all vending machines located on the Premises will be of a healthy variety in compliance with the City's policy regarding healthy snacks in vending machines at City - owned facilities. D. Vendor represents that it is experienced in its field and that any services performed by Vendor under this Agreement will be performed in compliance with such standards as may reasonably be expected from a professional vending company. E. Vendor has provided, and continues to provide, said services to the City under Agreement No. N-2020-204, which expired on November 30, 2021. The City and Vendor will provide compensation for services rendered from December 1, 2021, through the commencement term, detailed below. WHEREFORE, in consideration of the mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties hereto do hereby agree as follows: fair The term of this Agreement shall commence on the date first written above and continue through December 31, 2023, unless terminated earlier in accordance with Section 7, below. 2. VENDING RIGHTS The City hereby grants Vendor the right to install and maintain their soft drink and snack vending machines ("vending machines") throughout the Premises for the term of this Agreement. 3. COMPENSATION A. To Ci : Vendor agrees to pay, and City agrees to accept as payment for its granting the right to install and maintain vending operations on. City -owned property, six hundred dollars ($600.00) per month payable to the City on the 5th day of each month. B. To Vendor: City agrees to pay, one hundred and twenty dollars ($120.00) for a change machine at the Police Department. C. Parties agree to compensate each other for services provided since December 1, 2021 through the commencement of this Agreement detailed above. 4. RESPONSIBILITY FOR VENDING MACHINES Vendor will provide vending machines on the Premises as mutually agreed upon between Vendor and the Executive Director of Parks, Recreation and Community Services Agency throughout the term of this Agreement. All vending machines shall at all times remain the property of Vendor. Vendor will repair and maintain the vending machines and agrees to keep them in good working order and condition at all times. Vendor shall have the exclusive right and obligation to repair, replace, or remove any and all vending machines. City shall not replace, relocate, move or remove any vending machines. Notwithstanding the foregoing, City agrees to use reasonable efforts to keep the vending machines in clean and sanitary condition, wholly free of all advertising at all times. In addition, City agrees to promptly notify Vendor of any need for repair or service, and to fully cooperate with Vendor in effecting such necessary repairs or service. City shall bear no responsibility whatsoever for any vandalism or theft occurring with regard to Vendor's equipment and vending machines. Further, Vendor shall be responsible for the costs of repair or replacement necessitated by vandalism, graffiti or theft. Should vandalism occur to the same vending machine for a second time, City may elect one to either relocate or remove said vending machine. Vendor and the Executive Director shall mutually agree on all locations to relocate vending machines if needed. 5. VEND RATES AND COMMISSION The current pricing is attached hereto as Exhibit A "Pricing". Vendor shall maintain all vending machines stocked with at least 50% healthy foods, such as such as baked chips, fruit, pretzels, granola, nuts, bottled water, low fat milk products, sports drinks and natural fruit juice drinks in compliance with the City's policy regarding healthy snacks, healthy eating and active living (City of Santa Ana Resolution No. 2006-053 and Resolution No. 2011-003). 6. VENDING MACHINE PLACEMENT A detailed list reflecting the current location of all vending machines and equipment is set forth in the "Existing Sites" list, (attached hereto as Exhibit A — Page 2). Vendor shall provide vending machines at all listed locations. Additional vending machines may periodically be added to the list subject to prior written approval of the Executive Director or their designee. Should the proposed locations of the vending machines be found not to be in the best interest of Vendor or the City, both parties must mutually agree as to whether or not to relocate the vending machines. If the Executive Director of Parks, Recreation, and Community Services Agency, or their designee, agrees that relocation is necessary, he/she has the authority to exercise discretion as to the most appropriate new location for placement of said vending machine on behalf of the City. An updated list evidencing the placement of the vending machines shall be kept by the Executive Director. 7. DEFAULT AND TERMINATION: This Agreement may be terminated by the City with thirty (30) days' notice to the Vendor. Vendor may terminate this Agreement if City materially fails to perform or comply with this Agreement or any provision hereof. Vendor may cancel the Agreement by sending a Non - Compliance Notice describing the non-compliance to the City. Upon receipt of such Non - Compliance Notice, the City shall have thirty (30) days from the date of such notice to cure any such non-compliance. If such non-compliance is not cured within the required thirty (30) day period, Vendor shall have the right to cancel this Agreement. The rights of termination referred to herein are not intended to be exclusive and are in addition to any other rights available to either party in law or in equity. 8. RIGHTS UPON TERMINATION Upon termination of this Agreement by either party, City shall permit Vendor reasonable access to the Premises free from any claims of trespass, for the purpose of removing any vending machines within thirty (30) days from termination of this Agreement. Until such time as all vending machines are removed, each party's obligations shall continue as set forth in section 3 and 4. Vendor shall use its best efforts to leave each of the vending sites within the Premises in the condition in which it existed prior to installation, excepting reasonable wear and tear. 9. ENTIRE AGREEMENT This Agreement contains the entire understanding and agreement between the parties hereto regarding the rights and responsibilities pertaining to vending machines on the Premises and supersedes all other agreements between the parties respecting such. This Agreement may be amended or modified only by written agreement, signed by each of the parties. 10. INDEMNIFICATION Vendor shall indemnify, defend, and hold harmless the City of Santa Ana, its officers, agents, employees, and volunteers from damage to property and for injury to or death of any person and from all claims, demands, actions, liability, or damages of any kind or nature arising out of or in connection with Vendor's use of the Premises, except those which arise out of an alleged dangerous/defective condition of the Premises unrelated to the services provided in this Agreement or due to the sole negligence of the City. 3 11. INSURANCE Vendor shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with products and materials supplied to the Entity. The cost of such insurance shall be borne by the Vendor. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall be at least as broad as Insurance Services Office Commercial General Liability coverage (occurrence Form CG 00 01) and include products coverage. a. Minimum Scope and Limit of Insurance 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an "occurrence" basis, including products and completed operations, property damage, bodily injury and personal & advertising injury with limits no less than $1,000,000 per occurrence. If a general aggregate limit applies, either the general aggregate limit shall apply separately to this projectllocation (ISO CG 25 03 or 25 04) or the general aggregate limit shall be twice the required occurrence limit. 2. Automobile Liability: ISO Form Number CA 00 01 covering any auto (Code 1), or if Contractor has no owned autos, hired, (Code 8) and non -owned autos (Code 9), with a limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers' Compensation: as required by the State of California, with Statutory Limits, and Employer's Liability Insurance with limit of no less than $1,000,000 per accident for bodily injury or disease. If the Contractor maintains broader coverage and/or higher limits than the minimums shown above the City requires and shall be entitled to the broader coverage and/or the higher limits maintained by the Contractor. Any available insurance proceeds in excess of the specified minimum limits of insurance and coverage shall be available to the City. b. Other Insurance Provisions 1. Additional Insured Status: The City, its officers, officials, employees, and volunteers are to be covered as additional insureds on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Contractor including materials, parts, or equipment furnished in connection with such work or operations. General liability coverage can be provided in the form of an endorsement to the Contractor's insurance (at least as broad as ISO Form CG 20 10 11 85 or if notavailable, through the addition of both CG 20 10, CG 20 26, CG 20 33, or CG 20 38; and CG 2037 if a later edition is used). 2. Primary Coverage: For any claims related to this contract, the Contractor's insurance coverage shall be primary coverage at least as broad as ISO CG 20 01 04 13 as respects the City, its officers, officials, employees, and volunteers. Any insurance or self- insurance maintained by the City, its officers, officials, employees, or volunteers shall be excess of the Contractor's insurance and shall not contribute with it. 3. Notice of Cancellation: Each insurance policy required above shall provide that coverage shall not be canceled, except with notice to the City. 4. Waiver of Subrogation: Contractor hereby grants to City a waiver of any right to subrogation that any insurer of said Contractor may acquire against the City by virtue of the payment of any loss under such insurance. Contractor agrees to obtain any endorsement that may be necessary to affect this waiver of subrogation, but this provision applies regardless of whether or not the City has received a waiver of subrogation endorsement from the insurer. 5. Self -Insured Retentions: Self -insured retentions must be declared to and approved by the City. The City may require theContractor to purchase coverage with a lower retention or provide proof of ability to pay losses and related investigations, claim administration, and defense expenses within the retention. The policy language shall provide, or be endorsed to provide, that the self -insured retention may be satisfied by either the named insured or City. 6. Acceptability of Insurers: Insurance is to be placed with insurers authorized to conduct business in the state with a current A.M. Best's rating of no less than A:VII, unless otherwise acceptable to the City. Verification of Coverage: Contractor shall furnish the City with original Certificates of Insurance including all required amendatory endorsements (or copies of the applicable policy language effecting coverage requiredby this clause) and a copy of the Declarations and Endorsement Page of the CGL policy listing all policy endorsements to City before work begins. However, failure to obtain the required documents prior to the work beginning shall not waive the Contractor's obligation to provide them. The City reserves the right to require complete, certified copies of all required insurance policies, including endorsements required by these specifications, at any time. 8. Subcontractors: Contractor shall require and verify that all subcontractors maintain insurance meeting all the requirements stated herein, and Contractor shall ensure that City is an additional insured on insurance required from subcontractors. 9. Special Risks or Circumstances: City reserves the right to modify these requirements, including limits, based on the nature of the risk, prior experience, insurer, coverage, or other special circumstances. 12. NOTICE Any notice or instrument required to be given or delivered to either party to this Agreement may be delivered by personal delivery or by depositing the same in the United States Mail, postage prepaid, addressed to: If to the 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 With courtesy copies to: Executive Director Parks, Recreation and Community Services Agency City of Santa Ana 20 Civic Center Plaza (M-23) P.O. Box 1988 Santa Ana, California 92702 Fax 714-571-4211 To Vendor: Downey Vendors, hie. 6814 Suva Street Bell Gardens, CA 90201 service@premiervendgroup.com Any notice of a change of address shall be delivered in the same manner as any other notice provided herein. Notice by mail shall be effective three (3) days after mailing by the above - described procedure. N-2022-001 13. MISCELLANEOUS PROVISIONS a. Vendor covenants that it presently has no interest, and shall not have any interest, direct or indirect, which would conflict in any manner with the performance of services required hereunder. b. Vendor certifies that it 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. Contractor affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. c. The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of this Agreement. d. This Agreement shall be governed by and construed in accordance with the laws of the State of California, with venue in Orange County. e. Each undersigned represents and warrants that its signature hereinbelow has the power, Agency and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify Agency fully, including reasonable costs and attorney's fees, for any injuries or damages to Agency in the event that such Agency or power is not, in fact, held by the signatory or is withdrawn. f 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. Daisy Gomez Clerk of the Council CITY OF SANTA ANA Kristine� City Manager [signatures continued on nextpage] 7 APPROVED AS TO FORM: VENDOR: Sonia R. Carvalho City Attorney By:.. BhWon Salvatierra aG' er' Deputy City Attorney Vice President Downey Venoor , h. ie RECOMMEAPPROVAL isa Rudloff Executive Director Parks, Recreation & Community Services Agency 8 EXHIBIT A City of Santa Ana Pricing Large Chips $ 1.25 Pastry $ 1.50 Candy $1.00-1.50 Large Crackers/Cookies $ 1.25 12ozBeverages $ 1.25 20oz Water $ 1.75 20ozSoda $ 2.00 Energy $ 3.50 City of Santa Ana Sites Snack Drink Combination Snack & Drink Coffee $ Changer City Hall 1 1 City Yard 1 1 El Salvador Park 1 1 Employment Opportunity 1 1 Memorial Park 1 1 Police Dept 1 3 1 Public Library 1 1 Salgado Park 1 Southwest Senior Center 1 1 Transportation Center 1 2 1 Digitally signed by Francine R. Francine R. Villareal Vdiareal ACCO & CERTIFICATE OF LIABILITY INSURANCE DAM MM2D2ry�) 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 Arthur J. Gallagher & Co. Insurance Brokers of CA Inc. LIC #0726293 21820 Burbank Blvd. Suite 175 Woodland Hills CA 91367 CONTACT Erika Sokolik PHONE Fax 818-534-3558 A/C 1o:818-316-0990 AoorsesS, Erika Sokolik a' .com INSURER 8 AFFORDING COVERAGE NAIL# INSURER A: West American Insurance Company 44393 INSURED Downey Vendors, Inc. DBA: Premier VendGroup INSURER B: Insurance Company of the West 27847 INSURER c: Travelers Property Casualty Co of America 25674 INSURERD: 6814 Suva Street Bell Gardens CA 90201 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 286429888 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. ILTR TYPE OF INSURANCE ADDLSUBR INSO MID POLICY NUMBER POLICY EFF MWDO POLICY EXP MWDO LIMITS A X COMMERCIAL GENERAL ABILITY CLAIMS -MADE Iq OCCUR Y BKVM585014 4/1/2D21 4/1/2022 EACH OCCURRENCE $1.000,000 DAMAGE TO RENTEG PREMISES Ea occunenca $100,000 GEN'L X MED EXP (Any mm pcinem) $10,000 PERSONAL&ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER POLICY PRO- ❑ LOC JECT OTHER: GENERALAGGREGATE $2,000,000 PRODUCTS-COMP/OP AGG $2,000,000 $ AUTOMOBILELIABILITY ANY AUTO OWNED SCHEDAUTOS ULED AUTOS ONLY HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY Perawitlant) ( $ PROPERTY DAMAGE Per accide t $ C _Xj UMBRELLA LAB EXCESS LIAB X OCCUR CLAIMS -MADE ZUP16N7899421NF 4/1/2021 4/1/2022 EACH OCCURRENCE $10,000.000 AGGREGATE $10,000,000 DEG 'X RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBEREXCLUDED? (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below NIA VWE503733306 7/26/2021 7/26/2022 X PER OTH- STATUTE Eft E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addillonal Remarks Schedule, may be attached if more space is required) City of Santa Ana is named Additional Insured with respects to General Liability coverage per attached form CG 8810 0413. 30 days Notice of Cancellation Applies. CERTIFICATE HOLDER City of Santa Ana Risk Management Division 20 Civic Center Plaza, 4th floor Santa Ana CA 92702 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. AUTHORIZED REPRESENTATIVE WdrMv&App LLDtWYm REVIEWED6APPRovecfir ©1988.2015 ACORDC a"' tc�3 f4m',' P, V&A'At The ACORD name and logo are registered marks of ACORD Risk Management Analyst COMMERCIAL GENERAL LIABILITY CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON -OWNED AIRCRAFT 2 C NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY -ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED - INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi q� R&*Mvugetntad DlWWn 8� �, REMMIED&MCRa® vBv: ' feu Z W&J"l."d Risk Management Analyst With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, exclusion g. Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1. It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot in command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, that would also apply to the loss covered under this provision. B. NON -OWNED WATERCRAFT Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to: (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY - ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liabil- ity, Subparagraphs (3), (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts. Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV - Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b. Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance, whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion j. Damage To Property is replaced by the follow- ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: (1) Premises rented to you for a period of 7 or fewer consecutive days; or (11) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described i Insurance. hif �{ se mil[..---6-.'�.'-Dh6l6Awl \ REvie m6ATRrnrD8r ® 2013 Liberty Mutual Insurance Risk Manz CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi eerrent Analyst b. The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance. 2. Paragraph 6. under Section III - Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one premise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO _ YOU (Tenant's Property Damage) - Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION F If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section 1- Coverage C - Medical Payments, Subparagraph (b) of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND B 1. Under Supplementary Payments - Coverages A and B, Paragraph 1.b. is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. 2. Paragraph 1.d. is replaced by the following: d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1. Paragraph 2. under Section 11 - Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional insured but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused in whole or in part by: a. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc.,with its peonissi Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of written agreement; or xWthlo.gmnolepta,lrt RenerED&A"Rw®Br. ' Risk Management Analyst b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following hazards: (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1.b. above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this insurance does not apply to any "occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi- tions. .q'%_�..., RbkMnugono�tp(vWon REmEwED6APPRov®Br. ® 20131-iberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi Risk Management Analyst 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or "property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (2) Supervisory, inspection, architectural or engineering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "Bodily injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. e. Any person or organization specifically designated as an additional insured for ongoing operations by a separate ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: a. Required by the contract or agreement; or b. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed in a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for damages we cover. 0 2013Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi D & APPROVEDelnn Q. CCRsvlenm 6ppPw,aR�w�®Bvp: Risk Management Analyst b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. I. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable: a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS / MALPRACTICE WHO IS AN INSURED - FELLOW EMPLOYEE EXTENSION - MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II - Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a consequence of Paragraph (1) (a) above; (c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, if you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury" caused by an "employee" who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you, includes the direct supery ninv- ees" of yours. However, none of these "employees" are insureds for "bodily ir PhkM wBeno,r>x>;smn ..ns.�q� Rt_vil&Ava2w®BY: fit, t 0 2O13 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi Rtsk Management Analyst advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II -Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority interest, 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 until the expiration of the policy period in which the entity was acquired or formed by you; 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. d. Records and descriptions of operations must be maintained by the first Named Insured. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV - Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: " Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or "suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an insured listed under Paragraph 1. of Section II - Who Is An Insured or a person who has been designated by them to receive reports of "occurrences", offenses, claims or "suits" shall have received such notice from the agent, servant or "employee". N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is effective in your state. O. BODILY INJURY REDEFINED Under Section V - Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury" means physical injury, sickness or disease sustained by a person. This includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. ® 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permiss sue. s Risk Mwftmerd DW m gy+%Y REVIEWED6MPRW®Br. ' 01U lllli`L'� FU4,CzK R VAddAt i�� Risk Management Analyst P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV - Commercial General Liability Conditions, the following is added to Condition 8. Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to the execution of the written contract or written agree- ment. © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office, Inc., with its permissi Risk MwwgwmdDMdDn �� ��5. RenEvc�onArrRo�m er: �'- Risk Management Analyst '�u` '--el DATE (MMMDIYYYYI 4/2612021 COR O° `L CERTIFICATE OF LIABILITY INSURANCE Acctll: 2785030 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(jes) 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: Lockton Affinity, LLC Lockton Affinity, LLC P. O. Box 879610 Kansas City, MO 64187-9610 PHONE (AIC.NO Ext): 877320-9393 FAX INC, No): 913-652-7599 E-MAIL ADDRESS: OFMIlbloddonaffinity.com INSURERS AFFORDING COVERAGE NNC0 INSURER A: Old Republic Insurance Company 24147 INSURED WSURERH: INSURER C: Downey Vendors Inc. INSURER D : 6814 Suva Street INSURER E Bell Gardens, CA 90201 INSURER F: CERTIFICATE NUMBER REVISION NUMBER yVTHIS 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 INSO SUBR WVD POLICY NUMBER (MMIODYEFF DIYYYY) (MMIODDNYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE RENT Claims Occur PREMISES Hie occurrence MED EXP (Any one eman) PERSONAL B ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PROJEC LOC PRODUCTS - COMP/OP AGO OTHER A AUTOMOBILE LIABILITY L499050-21 4101YL021 4/0112022 MEIN U R Ea accident $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED AUTOS SCHEDULED BODILY INJURY (Par accident) $ AUTOS OPEident)RW A $ HIRED AUTOS ONLY NON -OWNED $ AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIMB CLAIM& DED RETENTION$ $ OT_ WORKERS COMPENSATION STATUTE ERH AND EMPLOYERS' LIABILITY YM AWPROPRIETORPAm NERFJ(ECUTNE E.L. EACH ACCIDENT $ OFBCERMEMBER EXCLUDED? NIA (Mandatory in NH) E.L. DISEASE - EAEMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additlanal Remarks Schedule, may be aftached if mare space is required) GPBR: 2FLs Policy provides protection for any and all operations/jobs performed by the named insured where required by written contract. Certificate holder is an Additional Insured where required y written contract Waiver of Subrogation included by written contract. Insurance is primary and non-contributory. City of Santa Ana is an additional insured. 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 Civic Center Plaza, 4th floor AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 � *12 ��,Y,s:oy2ro WdLMATIrgN1OdDMNwI p RENEWhW VfiAPH2OV®BY.' ©1988.2016 ACORD C r ', �, V:lic-1LA� ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Risk Management Analyst Ejhjubmmz!tjhofe!cz!Upsj!Qjfstpo! Ebuf;!3133/17/1:!19;14;17! Upsj!Qjfstpo .18(11( EBUF!)NN0EE0ZZZZ* DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT DFSUJGJDBUF!EPFT!OPU!BGGJSNBUJWFMZ!PS!OFHBUJWFMZ!BNFOE-!FYUFOE!PS!BMUFS!UIF!DPWFSBHF!BGGPSEFE!CZ!UIF!QPMJDJFT CFMPX/!!UIJT!DFSUJGJDBUF!PG!JOTVSBODF!EPFT!OPU!DPOTUJUVUF!B!DPOUSBDU!CFUXFFO!UIF!JTTVJOH!JOTVSFS)T*-!BVUIPSJ\[FE SFQSFTFOUBUJWF!PS!QSPEVDFS-!BOE!UIF!DFSUJGJDBUF!IPMEFS/ JNQPSUBOU;!!Jg!uif!dfsujgjdbuf!ipmefs!jt!bo!BEEJUJPOBM!JOTVSFE-!uif!qpmjdz)jft*!nvtu!ibwf!BEEJUJPOBM!JOTVSFE!qspwjtjpot!ps!cf!foepstfe/ Jg!TVCSPHBUJPO!JT!XBJWFE-!tvckfdu!up!uif!ufsnt!boe!dpoejujpot!pg!uif!qpmjdz-!dfsubjo!qpmjdjft!nbz!sfrvjsf!bo!foepstfnfou/!!B!tubufnfou!po uijt!dfsujgjdbuf!epft!opu!dpogfs!sjhiut!up!uif!dfsujgjdbuf!ipmefs!jo!mjfv!pg!tvdi!foepstfnfou)t*/ DPOUBDU QSPEVDFS OBNF; GBY QIPOF )B0D-!Op*; )B0D-!Op-!Fyu*; F.NBJM BEESFTT; JOTVSFS)T*!BGGPSEJOH!DPWFSBHFOBJD!$ JOTVSFS!B!; JOTVSFE JOTVSFS!C!; JOTVSFS!D!; JOTVSFS!E!; JOTVSFS!F!; JOTVSFS!G!; DPWFSBHFTDFSUJGJDBUF!OVNCFS;SFWJTJPO!OVNCFS; UIJT!JT!UP!DFSUJGZ!UIBU!UIF!QPMJDJFT!PG!JOTVSBODF!MJTUFE!CFMPX!IBWF!CFFO!JTTVFE!UP!UIF!JOTVSFE!OBNFE!BCPWF!GPS!UIF!QPMJDZ!QFSJPE JOEJDBUFE/!!OPUXJUITUBOEJOH!BOZ!SFRVJSFNFOU-!UFSN!PS!DPOEJUJPO!PG!BOZ!DPOUSBDU!PS!PUIFS!EPDVNFOU!XJUI!SFTQFDU!UP!XIJDI!UIJT DFSUJGJDBUF!NBZ!CF!JTTVFE!PS!NBZ!QFSUBJO-!UIF!JOTVSBODF!BGGPSEFE!CZ!UIF!QPMJDJFT!EFTDSJCFE!IFSFJO!JT!TVCKFDU!UP!BMM!UIF!UFSNT- FYDMVTJPOT!BOE!DPOEJUJPOT!PG!TVDI!QPMJDJFT/!MJNJUT!TIPXO!NBZ!IBWF!CFFO!SFEVDFE!CZ!QBJE!DMBJNT/ BEEMTVCS QPMJDZ!FGGQPMJDZ!FYQ JOTS UZQF!PG!JOTVSBODFMJNJUT QPMJDZ!OVNCFS MUS)NN0EE0ZZZZ*)NN0EE0ZZZZ* JOTEXWE DPNNFSDJBM!HFOFSBM!MJBCJMJUZ FBDI!PDDVSSFODF% EBNBHF!UP!SFOUFE DMBJNT.NBEFPDDVS% QSFNJTFT!)Fb!pddvssfodf* NFE!FYQ!)Boz!pof!qfstpo*% QFSTPOBM!'!BEW!JOKVSZ% HFO(M!BHHSFHBUF!MJNJU!BQQMJFT!QFS;HFOFSBM!BHHSFHBUF% QSP. QPMJDZMPDQSPEVDUT!.!DPNQ0PQ!BHH% KFDU % PUIFS; DPNCJOFE!TJOHMF!MJNJU BVUPNPCJMF!MJBCJMJUZ% )Fb!bddjefou* BOZ!BVUP CPEJMZ!JOKVSZ!)Qfs!qfstpo*% PXOFETDIFEVMFE CPEJMZ!JOKVSZ!)Qfs!bddjefou*% BVUPT!POMZBVUPT OPO.PXOFE IJSFEQSPQFSUZ!EBNBHF % )Qfs!bddjefou* BVUPT!POMZBVUPT!POMZ % VNCSFMMB!MJBC FBDI!PDDVSSFODF% PDDVS FYDFTT!MJBC DMBJNT.NBEFBHHSFHBUF% % EFESFUFOUJPO% QFSPUI. XPSLFST!DPNQFOTBUJPO TUBUVUFFS BOE!FNQMPZFST(!MJBCJMJUZ Z!0!O BOZQ!SPQSJFUPS0QBSUOFS0FYFDVUJWF F/M/!FBDI!BDDJEFOU% O!0!B PGGJDFS0NFNCFS!FYDMVEFE@ )Nboebupsz!jo!OI* F/M/!EJTFBTF!.!FB!FNQMPZFF% Jg!zft-!eftdsjcf!voefs F/M/!EJTFBTF!.!QPMJDZ!MJNJU% EFTDSJQUJPO!PG!PQFSBUJPOT!cfmpx EFTDSJQUJPO!PG!PQFSBUJPOT!0!MPDBUJPOT!0!WFIJDMFT!!)BDPSE!212-!Beejujpobm!Sfnbslt!Tdifevmf-!nbz!cf!buubdife!jg!npsf!tqbdf!jt!sfrvjsfe* DFSUJGJDBUF!IPMEFSDBODFMMBUJPO TIPVME!BOZ!PG!UIF!BCPWF!EFTDSJCFE!QPMJDJFT!CF!DBODFMMFE!CFGPSF UIF!FYQJSBUJPO!EBUF!UIFSFPG-!OPUJDF!XJMM!CF!EFMJWFSFE!JO BDDPSEBODF!XJUI!UIF!QPMJDZ!QSPWJTJPOT/ BVUIPSJ\[FE!SFQSFTFOUBUJWF ª!2:99.3126!BDPSE!DPSQPSBUJPO/!!Bmm!sjhiut!sftfswfe/ BDPSE!36!)3127014*Uif!BDPSE!obnf!boe!mphp!bsf!sfhjtufsfe!nbslt!pg!BDPSE COMMERCIALGENERALLIABILITY CG88100413 THISENDORSEMENTCHANGESTHEPOLICY.PLEASEREADITCAREFULLY. COMMERCIALGENERALLIABILITYEXTENSION Thisendorsementmodifiesinsuranceprovidedunderthefollowing: COMMERCIALGENERALLIABILITYCOVERAGEPART INDEX SUBJECTPAGE NON-OWNEDAIRCRAFT2 NON-OWNEDWATERCRAFT2 PROPERTYDAMAGELIABILITY-ELEVATORS2 EXTENDEDDAMAGETOPROPERTYRENTEDTOYOU(TenantÓsPropertyDamage)2 MEDICALPAYMENTSEXTENSION3 EXTENSIONOFSUPPLEMENTARYPAYMENTS-COVERAGESAANDB3 ADDITIONALINSUREDS-BYCONTRACT,AGREEMENTORPERMIT3ADDITIONALINSUREDS-BYCONTRACT,AGREEMENTORPERMIT3 PRIMARYANDNON-CONTRIBUTORY-ADDITIONALINSUREDEXTENSION5PRIMARYANDNON-CONTRIBUTORY-ADDITIONALINSUREDEXTENSION5 ADDITIONALINSUREDS-EXTENDEDPROTECTIONOFYOUR"LIMITSOFINSURANCE"6 WHOISANINSURED-INCIDENTALMEDICALERRORS/MALPRACTICEANDWHOISAN INSURED-FELLOWEMPLOYEEEXTENSION-MANAGEMENTEMPLOYEES6 NEWLYFORMEDORADDITIONALLYACQUIREDENTITIES7 FAILURETODISCLOSEHAZARDSANDPRIOROCCURRENCES7 KNOWLEDGEOFOCCURRENCE,OFFENSE,CLAIMORSUIT7 LIBERALIZATIONCLAUSE7 BODILYINJURYREDEFINED7 EXTENDEDPROPERTYDAMAGE8 WAIVEROFTRANSFEROFRIGHTSOFRECOVERYAGAINSTOTHERSTOUS-8WAIVEROFTRANSFEROFRIGHTSOFRECOVERYAGAINSTOTHERSTOUS-8 WHENREQUIREDINACONTRACTORAGREEMENTWITHYOUWHENREQUIREDINACONTRACTORAGREEMENTWITHYOU 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page1of8 Withrespecttocoverageaffordedbythisendorsement,theprovisionsofthepolicyapplyunlessmodifiedby theendorsement. A.NON-OWNEDAIRCRAFT UnderParagraph 2.Exclusions of SectionI-CoverageA-BodilyInjuryAndPropertyDamageLiability, exclusion g.Aircraft,AutoOrWatercraft doesnotapplytoanaircraftprovided: 1.Itisnotownedbyanyinsured; 2.Itishired,charteredorloanedwithatrainedpaidcrew; 3.Thepilotincommandholdsacurrentlyeffectivecertificate,issuedbythedulyconstitutedauthorityof theUnitedStatesofAmericaorCanada,designatingherorhimacommercialorairlinepilot;and 4.Itisnotbeingusedtocarrypersonsorpropertyforacharge. However,theinsuranceaffordedbythisprovisiondoesnotapplyifthereisavailabletotheinsuredother validandcollectibleinsurance,whetherprimary,excess(otherthaninsurancewrittentoapplyspecifically inexcessofthispolicy),contingentoronanyotherbasis,thatwouldalsoapplytothelosscoveredunder thisprovision. B.NON-OWNEDWATERCRAFT UnderParagraph 2.Exclusions of SectionI-CoverageA-BodilyInjuryAndPropertyDamageLiability, Subparagraph(2)ofexclusion g.Aircraft,AutoOrWatercraft isreplacedbythefollowing: Thisexclusiondoesnotapplyto: (2)Awatercraftyoudonotownthatis: (a)Lessthan52feetlong;and (b)Notbeingusedtocarrypersonsorpropertyforacharge. C.PROPERTYDAMAGELIABILITY-ELEVATORS 1.UnderParagraph 2.Exclusions of SectionI-CoverageA-BodilyInjuryAndPropertyDamageLiabil- ity,Subparagraphs(3),(4)and(6)ofexclusion j.DamageToProperty donotapplyifsuch"property damage"resultsfromtheuseofelevators.Forthepurposeofthisprovision,elevatorsdonotinclude vehiclelifts.Vehicleliftsareliftsorhoistsusedinautomobileserviceorrepairoperations. 2.Thefollowingisaddedto SectionIV-CommercialGeneralLiabilityConditions,Condition 4.Other Insurance,Paragraph b.ExcessInsurance: Theinsuranceaffordedbythisprovisionofthisendorsementisexcessoveranypropertyinsurance, whetherprimary,excess,contingentoronanyotherbasis. D.EXTENDEDDAMAGETOPROPERTYRENTEDTOYOU(TenantÓsPropertyDamage) 6 8 1 IfDamageToPremisesRentedToYouisnototherwiseexcludedfromthisCoveragePart: f o 1.UnderParagraph 2.ExclusionsofSectionI-CoverageA-BodilyInjuryandPropertyDamageLiability: a.Thefourthfromthelastparagraphofexclusion j.DamageToProperty isreplacedbythefollow- 72 ing: Paragraphs(1),(3)and(4)ofthisexclusiondonotapplyto"propertydamage"(otherthandamage byfire,lightning,explosion,smoke,orleakagefromanautomaticfireprotectionsystem)to: (i)Premisesrentedtoyouforaperiodof7orfewerconsecutivedays;or (ii)Contentsthatyourentorleaseaspartofapremisesrentalorleaseagreementforaperiodof morethan7days. Paragraphs(1),(3)and(4)ofthisexclusiondonotapplyto"propertydamage"tocontentsof premisesrentedtoyouforaperiodof7orfewerconsecutivedays. Aseparatelimitofinsuranceappliestothiscoverageasdescribedin SectionIII-Limitsof Insurance. 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page2of8 b.Thelastparagraphofsubsection 2.Exclusions isreplacedbythefollowing: Exclusions c.through n.donotapplytodamagebyfire,lightning,explosion,smokeorleakage fromautomaticfireprotectionsystemstopremiseswhilerentedtoyouortemporarilyoccupiedby youwithpermissionoftheowner.AseparatelimitofinsuranceappliestoDamageToPremises RentedToYouasdescribedin SectionIII-LimitsOfInsurance. 2.Paragraph 6.under SectionIII-LimitsOfInsurance isreplacedbythefollowing: 6.SubjecttoParagraph 5.above,theDamageToPremisesRentedToYouLimitisthemostwewill payunderCoverage A fordamagesbecauseof"propertydamage"to: a.Anyonepremise: (1)Whilerentedtoyou;or (2)Whilerentedtoyouortemporarilyoccupiedbyyouwithpermissionoftheownerfor damagebyfire,lightning,explosion,smokeorleakagefromautomaticprotectionsys- tems;or b.Contentsthatyourentorleaseaspartofapremisesrentalorleaseagreement. 3.Asregardscoverageprovidedbythisprovision D.EXTENDEDDAMAGETOPROPERTYRENTEDTO YOU(TenantÓsPropertyDamage)-Paragraph 9.a.of Definitions isreplacedwiththefollowing: 9.a.Acontractforaleaseofpremises.However,thatportionofthecontractforaleaseofpremises thatindemnifiesanypersonororganizationfordamagebyfire,lightning,explosion,smoke,or leakagefromautomaticfireprotectionsystemstopremiseswhilerentedtoyouortemporarily occupiedbyyouwiththepermissionoftheowner,orfordamagetocontentsofsuchpremises thatareincludedinyourpremisesrentalorleaseagreement,isnotan"insuredcontract". E.MEDICALPAYMENTSEXTENSION If CoverageCMedicalPayments isnototherwiseexcluded,theMedicalPaymentsprovidedbythispolicy areamendedasfollows: UnderParagraph 1.InsuringAgreement of SectionI-CoverageC-MedicalPayments,Subparagraph (b)ofParagraph a.isreplacedbythefollowing: (b)Theexpensesareincurredandreportedwithinthreeyearsofthedateoftheaccident;and F.EXTENSIONOFSUPPLEMENTARYPAYMENTS-COVERAGESAANDB 1.Under SupplementaryPayments-CoveragesA and B,Paragraph 1.b.isreplacedbythefollowing: b.Upto$3,000 forcostofbailbondsrequiredbecauseofaccidentsortrafficlawviolationsarising outoftheuseofanyvehicletowhichtheBodilyInjuryLiabilityCoverageapplies.Wedonothave tofurnishthesebonds. 2.Paragraph 1.d.isreplacedbythefollowing: d.Allreasonableexpensesincurredbytheinsuredatourrequesttoassistusintheinvestigationor defenseoftheclaimor"suit",includingactuallossofearningsupto$500 adaybecauseoftime offfromwork. G.ADDITIONALINSUREDS-BYCONTRACT,AGREEMENTORPERMITG.ADDITIONALINSUREDS-BYCONTRACT,AGREEMENTORPERMIT 1.Paragraph 2.under SectionII-WhoIsAnInsured isamendedtoincludeasaninsuredanypersonor organizationwhomyouhaveagreedtoaddasanadditionalinsuredinawrittencontract,written agreementorpermit.Suchpersonororganizationisanadditionalinsuredbutonlywithrespectto liabilityfor"bodilyinjury","propertydamage"or"personalandadvertisinginjury"causedinwhole orinpartby: a.Youractsoromissions,ortheactsoromissionsofthoseactingonyourbehalf,intheperformance ofyourongoingoperationsfortheadditionalinsuredthatarethesubjectofthewrittencontractor writtenagreementprovidedthatthe"bodilyinjury"or"propertydamage"occurs,orthe"per- sonalandadvertisinginjury"iscommitted,subsequenttothesigningofsuchwrittencontractor writtenagreement;or 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page3of8 b.Premisesorfacilitiesrentedbyyouorusedbyyou;or c.Themaintenance,operationorusebyyouofequipmentrentedorleasedtoyoubysuchpersonor organization;or d.Operationsperformedbyyouoronyourbehalfforwhichthestateorpoliticalsubdivisionhas issuedapermitsubjecttothefollowingadditionalprovisions: (1)Thisinsurancedoesnotapplyto"bodilyinjury","propertydamage",or"personalandad- vertisinginjury"arisingoutoftheoperationsperformedforthestateorpoliticalsubdivision; (2)Thisinsurancedoesnotapplyto"bodilyinjury"or"propertydamage"includedwithinthe "completedoperationshazard". (3)Insuranceappliestopremisesyouown,rent,orcontrolbutonlywithrespecttothefollowing hazards: (a)Theexistence,maintenance,repair,construction,erection,orremovalofadvertising signs,awnings,canopies,cellarentrances,coalholes,driveways,manholes,marquees, hoistawayopenings,sidewalkvaults,streetbanners,ordecorationsandsimilarexpo- sures;or (b)Theconstruction,erection,orremovalofelevators;or (c)Theownership,maintenance,oruseofanyelevatorscoveredbythisinsurance. However: 1.Theinsuranceaffordedtosuchadditionalinsuredonlyappliestotheextentpermittedbylaw;and 2.Ifcoverageprovidedtotheadditionalinsuredisrequiredbyacontractoragreement,theinsur- anceaffordedtosuchadditionalinsuredwillnotbebroaderthanthatwhichyouarerequiredby thecontractoragreementtoprovideforsuchadditionalinsured. WithrespecttoParagraph 1.a.above,apersonÓsororganizationÓsstatusasanadditionalinsured underthisendorsementendswhen: (1)Allwork,includingmaterials,partsorequipmentfurnishedinconnectionwithsuchwork,on theproject(otherthanservice,maintenanceorrepairs)tobeperformedbyoronbehalfofthe additionalinsured(s)atthelocationofthecoveredoperationshasbeencompleted;or (2)Thatportionof"yourwork"outofwhichtheinjuryordamageariseshasbeenputtoits intendedusebyanypersonororganizationotherthananothercontractororsubcontractor engagedinperformingoperationsforaprincipalasapartofthesameproject. WithrespecttoParagraph 1.b.above,apersonÓsororganizationÓsstatusasanadditionalinsured underthisendorsementendswhentheirwrittencontractorwrittenagreementwithyouforsuch premisesorfacilitiesends. 6 8 1 f WithrespectstoParagraph 1.c.above,thisinsurancedoesnotapplytoany"occurrence"whichtakes o placeaftertheequipmentrentalorleaseagreementhasexpiredoryouhavereturnedsuchequipment tothelessor. Theinsuranceprovidedbythisendorsementappliesonlyifthewrittencontractorwrittenagreement 74 issignedpriortothe"bodilyinjury"or"propertydamage". Wehavenodutytodefendanadditionalinsuredunderthisendorsementuntilwereceivewritten noticeofa"suit"bytheadditionalinsuredasrequiredinParagraph b.ofCondition 2.DutiesInthe EventOfOccurrence,Offense,ClaimOrSuit under SectionIV-CommercialGeneralLiabilityCondi- tions. 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page4of8 2.Withrespecttotheinsuranceprovidedbythisendorsement,thefollowingareaddedtoParagraph 2. Exclusions under SectionI-CoverageA-BodilyInjuryAndPropertyDamageLiability: Thisinsurancedoesnotapplyto: a."Bodilyinjury"or"propertydamage"arisingfromthesolenegligenceoftheadditionalinsured. b."Bodilyinjury"or"propertydamage"thatoccurspriortoyoucommencingoperationsatthe locationwheresuch"bodilyinjury"or"propertydamage"occurs. c."Bodilyinjury","propertydamage"or"personalandadvertisinginjury"arisingoutoftherender- ingof,orthefailuretorender,anyprofessionalarchitectural,engineeringorsurveyingservices, including: (1)Thepreparing,approving,orfailingtoprepareorapprove,maps,shopdrawings,opinions, reports,surveys,fieldorders,changeordersordrawingsandspecifications;or (2)Supervisory,inspection,architecturalorengineeringactivities. Thisexclusionapplieseveniftheclaimsagainstanyinsuredallegenegligenceorotherwrongdoingin thesupervision,hiring,employment,trainingormonitoringofothersbythatinsured,ifthe"occur- rence"whichcausedthe"bodilyinjury"or"propertydamage",ortheoffensewhichcausedthe "personalandadvertisinginjury",involvedtherenderingof,orthefailuretorender,anyprofessional architectural,engineeringorsurveyingservices. d."Bodilyinjury"or"propertydamage"occurringafter: (1)Allwork,includingmaterials,partsorequipmentfurnishedinconnectionwithsuchwork,on theproject(otherthanservice,maintenanceorrepairs)tobeperformedbyoronbehalfofthe additionalinsured(s)atthelocationofthecoveredoperationshasbeencompleted;or (2)Thatportionof"yourwork"outofwhichtheinjuryordamageariseshasbeenputtoits intendedusebyanypersonororganizationotherthananothercontractororsubcontractor engagedinperformingoperationsforaprincipalasapartofthesameproject. e.Anypersonororganizationspecificallydesignatedasanadditionalinsuredforongoingoperations byaseparate ADDITIONALINSURED-OWNERS,LESSEESORCONTRACTORS endorsementis- suedbyusandmadeapartofthispolicy. 3.Withrespecttotheinsuranceaffordedtotheseadditionalinsureds,thefollowingisaddedto SectionIII -LimitsOfInsurance: Ifcoverageprovidedtotheadditionalinsuredisrequiredbyacontractoragreement,themostwewill payonbehalfoftheadditionalinsuredistheamountofinsurance: a.Requiredbythecontractoragreement;or b.AvailableundertheapplicableLimitsofInsuranceshownintheDeclarations; whicheverisless. ThisendorsementshallnotincreasetheapplicableLimitsofInsuranceshownintheDeclarations. H.PRIMARYANDNON-CONTRIBUTORYADDITIONALINSUREDEXTENSIONH.PRIMARYANDNON-CONTRIBUTORYADDITIONALINSUREDEXTENSION Thisprovisionappliestoanypersonororganizationwhoqualifiesasanadditionalinsuredunderanyform orendorsementunderthispolicy. Condition 4.OtherInsuranceofSECTIONIV-COMMERCIALGENERALLIABILITYCONDITIONS isamend- edasfollows: a.ThefollowingisaddedtoParagraph a.PrimaryInsurance: IfanadditionalinsuredÓspolicyhasanOtherInsuranceprovisionmakingitspolicyexcess,andyou haveagreedinawrittencontractorwrittenagreementtoprovidetheadditionalinsuredcoverageona primaryandnoncontributorybasis,thispolicyshallbeprimaryandwewillnotseekcontributionfrom theadditionalinsuredÓspolicyfordamageswecover. 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page5of8 b.ThefollowingisaddedtoParagraph b.ExcessInsurance: Whenawrittencontractorwrittenagreement,otherthanapremiseslease,facilitiesrentalcontractor agreement,anequipmentrentalorleasecontractoragreement,orpermitissuedbyastateorpolitical subdivisionbetweenyouandanadditionalinsureddoesnotrequirethisinsurancetobeprimaryor primaryandnon-contributory,thisinsuranceisexcessoveranyotherinsuranceforwhichtheaddi- tionalinsuredisdesignatedasaNamedInsured. Regardlessofthewrittenagreementbetweenyouandanadditionalinsured,thisinsuranceisexcess overanyotherinsurancewhetherprimary,excess,contingentoronanyotherbasisforwhichthe additionalinsuredhasbeenaddedasanadditionalinsuredonotherpolicies. I.ADDITIONALINSUREDS-EXTENDEDPROTECTIONOFYOUR"LIMITSOFINSURANCE" Thisprovisionappliestoanypersonororganizationwhoqualifiesasanadditionalinsuredunderanyform orendorsementunderthispolicy. 1.ThefollowingisaddedtoCondition 2.DutiesInTheEventOfOccurrence,Offense,ClaimorSuit: Anadditionalinsuredunderthisendorsementwillassoonaspracticable: a.Givewrittennoticeofan"occurrence"oranoffensethatmayresultinaclaimor"suit"under thisinsurancetous; b.Tenderthedefenseandindemnityofanyclaimor"suit"toallinsurerswhomalsohave insuranceavailabletotheadditionalinsured;and c.Agreetomakeavailableanyotherinsurancewhichtheadditionalinsuredhasforalosswe coverunderthisCoveragePart. d.Wehavenodutytodefendorindemnifyanadditionalinsuredunderthisendorsementuntil wereceivewrittennoticeofa"suit"bytheadditionalinsured. 2.Thelimitsofinsuranceapplicabletotheadditionalinsuredarethosespecifiedinawrittencontract orwrittenagreementorthelimitsofinsuranceasstatedintheDeclarationsofthispolicyand definedin SectionIII-LimitsofInsurance ofthispolicy,whicheverareless.Theselimitsare inclusiveofandnotinadditiontothelimitsofinsuranceavailableunderthispolicy. J.WHOISANINSURED-INCIDENTALMEDICALERRORS/MALPRACTICE WHOISANINSURED-FELLOWEMPLOYEEEXTENSION-MANAGEMENTEMPLOYEES Paragraph 2.a.(1)of SectionII-WhoIsAnInsured isreplacedwiththefollowing: (1)"Bodilyinjury"or"personalandadvertisinginjury": (a)Toyou,toyourpartnersormembers(ifyouareapartnershiporjointventure),toyourmembers(if youarealimitedliabilitycompany),toaco-"employee"whileinthecourseofhisorheremploy- 6 8 1 mentorperformingdutiesrelatedtotheconductofyourbusiness,ortoyourother"volunteer f o workers"whileperformingdutiesrelatedtotheconductofyourbusiness; (b)Tothespouse,child,parent,brotherorsisterofthatco-"employee"or"volunteerworker"asa consequenceofParagraph(1)(a)above; 76 (c)Forwhichthereisanyobligationtosharedamageswithorrepaysomeoneelsewhomustpay damagesbecauseoftheinjurydescribedinParagraphs(1)(a)or(b)above;or (d)Arisingoutofhisorherprovidingorfailingtoprovideprofessionalhealthcareservices.However, ifyouarenotinthebusinessofprovidingprofessionalhealthcareservicesorprovidingprofes- sionalhealthcarepersonneltoothers,orifcoverageforprovidingprofessionalhealthcareser- vicesisnototherwiseexcludedbyseparateendorsement,thisprovision(Paragraph(d))doesnot apply. Paragraphs(a)and(b)abovedonotapplyto"bodilyinjury"or"personalandadvertisinginjury"causedby an"employee"whoisactinginasupervisorycapacityforyou.Supervisorycapacityasusedhereinmeans the"employeeÓs"jobresponsibilitiesassignedbyyou,includesthedirectsupervisionofother"employ- ees"ofyours.However,noneofthese"employees"areinsuredsfor"bodilyinjury"or"personaland 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page6of8 advertisinginjury"arisingoutoftheirwillfulconduct,whichisdefinedasthepurposefulorwillfulintentto cause"bodilyinjury"or"personalandadvertisinginjury",orcausedinwholeorinpartbytheirintoxica- tionbyliquororcontrolledsubstances. Thecoverageprovidedbyprovision J.isexcessoveranyothervalidandcollectableinsuranceavailableto your"employee". K.NEWLYFORMEDORADDITIONALLYACQUIREDENTITIES Paragraph 3.of SectionII-WhoIsAnInsured isreplacedbythefollowing: 3.Anyorganizationyounewlyacquireorformandoverwhichyoumaintainownershipormajority interest,willqualifyasaNamedInsuredifthereisnoothersimilarinsuranceavailabletothat organization.However: a.Coverageunderthisprovisionisaffordedonlyuntiltheexpirationofthepolicyperiodin whichtheentitywasacquiredorformedbyyou; b.Coverage A doesnotapplyto"bodilyinjury"or"propertydamage"thatoccurredbeforeyou acquiredorformedtheorganization;and 56585014 c.Coverage B doesnotapplyto"personalandadvertisinginjury"arisingoutofanoffense committedbeforeyouacquiredorformedtheorganization. d.RecordsanddescriptionsofoperationsmustbemaintainedbythefirstNamedInsured. Nopersonororganizationisaninsuredwithrespecttotheconductofanycurrentorpastpartnership,joint 003331 ventureorlimitedliabilitycompanythatisnotshownasaNamedInsuredintheDeclarationsorqualifies asaninsuredunderthisprovision. L.FAILURETODISCLOSEHAZARDSANDPRIOROCCURRENCES Under SectionIV-CommercialGeneralLiabilityConditions,thefollowingisaddedtoCondition 6.Repre- sentations: 275 Yourfailuretodiscloseallhazardsorprior"occurrences"existingasoftheinceptiondateofthepolicy shallnotprejudicethecoverageaffordedbythispolicyprovidedsuchfailuretodiscloseallhazardsor prior"occurrences"isnotintentional. M.KNOWLEDGEOFOCCURRENCE,OFFENSE,CLAIMORSUIT Under SectionIV-CommercialGeneralLiabilityConditions,thefollowingisaddedtoCondition 2.Duties InTheEventofOccurrence,Offense,ClaimOrSuit: Knowledgeofan"occurrence",offense,claimor"suit"byanagent,servantor"employee"ofany insuredshallnotinitselfconstituteknowledgeoftheinsuredunlessaninsuredlistedunderParagraph 1.of SectionII-WhoIsAnInsured orapersonwhohasbeendesignatedbythemtoreceivereportsof "occurrences",offenses,claimsor"suits"shallhavereceivedsuchnoticefromtheagent,servantor "employee". 6 8 1 f o N.LIBERALIZATIONCLAUSE IfwerevisethisCommercialGeneralLiabilityExtensionEndorsementtoprovidemorecoveragewithout additionalpremiumcharge,yourpolicywillautomaticallyprovidethecoverageasofthedaytherevisionis 77 effectiveinyourstate. O.BODILYINJURYREDEFINED Under SectionV-Definitions,Definition 3.isreplacedbythefollowing: 3."BodilyInjury"meansphysicalinjury,sicknessordiseasesustainedbyaperson.Thisincludes mentalanguish,mentalinjury,shock,frightordeaththatresultsfromsuchphysicalinjury,sick- nessordisease. 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page7of8 P.EXTENDEDPROPERTYDAMAGE Exclusiona.of COVERAGEA.BODILYINJURYANDPROPERTYDAMAGELIABILITY isreplacedbythe following: a.ExpectedOrIntendedInjury "Bodilyinjury"or"propertydamage"expectedorintendedfromthestandpointoftheinsured. Thisexclusiondoesnotapplyto"bodilyinjury"or"propertydamage"resultingfromtheuseof reasonableforcetoprotectpersonsorproperty. Q.WAIVEROFTRANSFEROFRIGHTSOFRECOVERYAGAINSTOTHERSTOUS-WHENREQUIREDINAQ.WAIVEROFTRANSFEROFRIGHTSOFRECOVERYAGAINSTOTHERSTOUS-WHENREQUIREDINA CONTRACTORAGREEMENTWITHYOUCONTRACTORAGREEMENTWITHYOU Under SectionIV-CommercialGeneralLiabilityConditions,thefollowingisaddedtoCondition 8.Trans- ferOfRightsOfRecoveryAgainstOthersToUs: Wewaiveanyrightofrecoverywemayhaveagainstapersonororganizationbecauseofpaymentswe makeforinjuryordamagearisingoutofyourongoingoperationsor"yourwork"doneundera contractwiththatpersonororganizationandincludedinthe"products-completedoperationshazard" provided: 1.Youandthatpersonororganizationhaveagreedinwritinginacontractoragreementthatyou waivesuchrightsagainstthatpersonororganization;and 2.Theinjuryordamageoccurssubsequenttotheexecutionofthewrittencontractorwrittenagree- ment. 2013LibertyMutualInsurance CG88100413 IncludescopyrightedmaterialofInsuranceServicesOffice,Inc.,withitspermission.Page8of8 EBUF!)NN0EE0ZZZZ* 1603703133 DFSUJGJDBUF!PG!MJBCJMJUZ!JOTVSBODF!!Bddu$;!3896141 UIJT!DFSUJGJDBUF!JT!JTTVFE!BT!B!NBUUFS!PG!JOGPSNBUJPO!POMZ!BOE!DPOGFST!OP!SJHIUT!VQPO!UIF!DFSUJGJDBUF!IPMEFS/!UIJT! 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