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MDG ASSOCIATES (2)
N-2021-205-01 MAYOR Vicente Sanniento MAYOR PRO TEM Phil Bacerra COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Vet Phan INSURANCE ON FILL WORK MAY PROCEED UNTIL INSURANCE EXPIRES - I -ZZ CLERK OF COUNCIL DATE: MAY 19 2022 6 CIDACDavIA F..)(AV)15 MDG Associates, Inc. CITY OF SANTA ANA COMMUNITY DEVELOPMENT AGENCY 20 Civic Center Plaza • P.O. Box 1988 Santa Ana, California 92702 ~vsanta-ana.orc Attn: Rudy Munoz, President 10722 Arrow Route, Ste. 822 Rancho Cucamonga, CA 91730 May 10, 2022 Re: Extension of Agreement N-2021-205 Dear Mr. Munoz: CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Pursuant to Agreement N-2021-205, entered by MDG Associates, Inc. and the City of Santa Ana, dated October 13, 2021, Section 3 "Term," the time period of said Agreement is hereby extended for an additional six (6) months, through December 31, 2022. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions, please contact David Flores, Community Development Analyst with the Community Development Agency at 714-647-6561. Sincerely, Steven Mendoza Executive Director, Community Development Agency CITY OF SANTA A A Kristine Ridge City Manager APPROVED AS TO FORM: Sonia R. Carvalho City�orney Ryan odge Assistant City Attorney 11� I i Cam!%I�>•I - a - ATTEST: Daisy Gomez Jerk of the Council SANTA ANA CITY COUNCIL Vlcenle Phil Ba.. Thai Yet Phan Dayld Penal. Jerrie Lopez ez Jpalhan Ryan H aMez Nebaa Mendaza MaMayor Mayor Pm Tam, Wahl Warat Wara2 Wara3 Warp$ WeNO enft,Mulnla-anaalo doeraiD arelooaz®sa�le-erm.am irv,hhemantiva0wW-ia, am meMoza®senta-aka wa Francine R. Villareal Digitally signed by Francine R. Villareal Date: 2021.08.30 15:39:18 -07'00' --- -1 MUtrASSQ-01 .4 �� CERTIFICATE OF LIABILITY INSURANCE GI C nAra/2or22012a�YYvv) tlzl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BYTHEPOLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THEISSU)NOINSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollay(los) must have ADDITIONAL INSURER provisions or be endorsed. It SUBROGATION IS WAIVED, sublacl to the terms and conditions of the policy, certain policies may require an endorsement. A statement on ads certiacato does not confer ri hts to the CortlOeate bolder In lieu Of su cnnhp eNnrdorsommi 0 . PRODUCER nAMEAGT CRIB P7aRCIS Kali a , Jlvggina & Associates 4SSIrEIMulinoAve, _'afo,"Im o s aMl -'-'- 628 3Sa-1035 Ig C�8 3g8.1045 y Pasadena, CA 91101 . D a ns.cam IN, e a FOImINDOOYERAO. N INSURED BUBERat0hio Securit )nsDra C GOm nn Fira & Ceg ty_,a1tyGo. _m� 24088 MOGAssoclatea,tno.asuRprAmerlean 1 D722 Arrow Route, Sto, R22 Rancho CucamofA,CA91730 INSURs Dt '----- -- INSURER F r r:OVERAr.FR /.FRTIFIC.ATF MUMRFR• ..eImnu vuuoen. THIS IS TO 0ERTIFY 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 HESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBCD HEREIN IS SUBJECTTO ALL THE TERMS, _EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN NECKED BY PAID CLAIMS, I SR �� TYPO OFINSURANCS BTIBn'�� pbLiY NUMBER 0 6P d IC p '� _ LIMrt9 A-DOim MO. A _X COMMEBCIALORNSRALLIMILIY aAGHOCWMENCE 1,000, OLAIMS-MADE OCCUR X X BKW57179298 71112021 7/112022 I eY.E EmEOBr, 200,000 ._,_..,..._._.__........................... ED6 m ana-a- 16000 ,fl ,000 — 3�tib 0?tb O&YLAOG LIMITAA U EVER: nENGRAL GORE E , X pOLICYjELPi I. LOCPRAMjgTe^COM .PAGU 2,000,000 ._FIR._.. , °r_._..._.......T.... OTHER: AUTOMOBILE X X. LlASILittIsIdEDS ANYAUTO 3 r� QIUITOpp6 tlNLV AUpoiNtr0�DO0UyyLNNECCOpp 00%ONLY X hVT051aNLY X X BAS07179208 _ 711f2021 7/1/2022 OLE MAU nODILY INJURY (Parparsan 1,00 ,000 BODILYINJURY PareMtlanit,_- PPdaWNanIDAA4lGE C u UMURELLALIAS SxOeSSLIAS X OCCUR O AIM3-MADE ESA07178208 7Nf2021 7H12922 FACN DCCURRBNC s 4,000,000 gGGREdATS A,000,000 RESTENTIONSa 4,000,000 W�y(DECg_ p AND a�1.QY R9�LMol-bf YIN ANYPRA7VmTORIPARTNP�UEdEOUTME ❑ tMo-n�t((''0''""r/,n�HERE%%CClluu Il YYeea desalbovndW OL'641ftIPTIDNCp OPENA'rIONs bnlaw NIA E U O H C A CIOENr E. 6[ACE-EAEM1IPLOYE .�...,.,. _ Cortlfll0aie NHoIdOeIB are onamed as Additional Insured onGentlelInblliarkesobadan t rYCGOIn0041 aced onAut ry per bianket�onn COB310 041� and an Auto LIabllity Her form AC8543 0313, Gomplate Addlllonai lneurwh The City of Santa Ana, Its officora, employees, agents and volunteers, but only as respects the Insured's Operations as It ralRlee t0their alOned Contract In regards to the ODBG Administration ConsUlUng Smvlooa per form C0081004131 rlmaly Insurance and Transfer of rights or recovery against others Is Included In the farm. '30day Notice of Cancellation except iD days for non-paymDun payment or premium. City of Santo Ana Risk Management Department 20 CIVIC Center Plaza, 4tb Floor Santa Ana, CA 92702 SHOULD ANY OP THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Thu ACORD name and logo are registered marks of ACORD sew r���R1e�tMar>aytlnmtDhielon RREvkWED &ryAPPROVm SY RHk Management Malysl ,- 3 COMMERCIAL gENERALLIABILITY MDO Associates, Inc. Policy #: I3KW57179298 Policy Period 7.1.21 to 7-1.22 CO 00 10 0413 THIS ENpORPEMENT CHANGE$ THE POLICY. PLEASE READ IT CAREPULLY. GONImE)RciAL GENERAL LIABILITY EXTENSION This endorsement modules Induranca Provided under the follwMng;, COMMERCIAL GENERAL LIABILITY COVERAGEPART PuBJEOT PAS NON•OWNED AIRCRAFT 2 NON -OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY -ELEVATORS 2 EXTENDED DAMAGE TO PROPERTYRENTED TO YOU (Tenant's Property Damage) 2 MEDICAL PAYMENTS EXTENSION 3 EXTENSION OFSUPPLEMENTARY PAYMENTS •COVERAOESAARD D g ADDITIONAL INSUREDS . BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRISUTORY• ADDITIONAL INSURED EXTENSION 8 ADDITIONAL INSUREDS •EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 0 WHO IS AN INSURED .INCIDENTAL MEDICAL ERRORSIMALPRACTICE AND WHO IS AN INSURED .FELLOW 12MPLOYBE LXTENSION «MANAGEMENT EMPLOYEE$ 0 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 N KNOWLEDGE OF OCCURRENCE, OFFENSE, CI.A1M OR SUIT 7 LIBERALIZATION CLAUSE 7 0 BODILY INJURY REDEFINED y EXTENDED PROPERTYOAMAOE y, $ WAIVER OF TRANSFER CP RIGHTS OF RECOVERY AGAINST OTHERS TO US . 0 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU a% 2013 Llb" Mutual lnaumnae .sue ° g M""Pg`"1W1{n" inn s• 0008100413 IncltdoopyrIghtedmatedeloflnnurnnceSar*400nlyd,lna"wilhttapermlesi R�nnwtv�AraaaKner Risk Management Analyst -� With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by . the andomoment, A. NON -OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section I .• Coverage A - Bodily injury And Properly Damage Liability, oxcluolon g, Alrctisk Auto Or Watercraft does not apply to an aircraft provided: t. It Is not owned by any Insured; 2. It Is hired, chartered or loaned with a trained paid crew; 1 The pilot in command holds a curronfly effective cortl8oate, [sound 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 persona or property for a charge. Howsvor, the insurance afforded by this provision does not apply If there is available to the Insured other valid and collectible inauronce, whether primary, excess (other than Insurance written to apply spoolfloaliy In excess of this policy), contingent or on any other basis, that would also apply to the lose covered under this provision. S. NON4)WNED WATERCRAFT Under Paragraph 2. Excluatans placation I-Cavarage A -Bodily Injury And Property Damage Liability, Subparagraph (2) of exatuolon g. Aircraft, Auto Or Watamratt Is replaced by fire fallowtag; mom This exclusion does not apply to: (2) Awatercraft you do not own that Is: (a) Lees then 52 foot long; and (b) Not being used to carry persons or property for a charge, C. PROPERTY DAMAGE LIABILITY - RLEVATORS 4, Under Paragraph 2. Excluslons of Section I . Coverage A - Bodily Injury And Properly Damage Llabll- M Subparagraphs (3)0 (4) and (a) of exclusion J. Damage To Property do not apply If such "properly damagoft results from the use of elevators, For the purpose of this provision, elevators do not include vehicle lifts. Vehicle Alin are lifts or hoists used in automobile service or repair Operations, Z. The following Is added to Section IV - commercial General Uabllffy Conditions, Condition 4. Other Insurance, Paragraph b. Exoassfnsurancs; The insurance afforded by this provision of this endorsement Is excess over any property inauranea, whether primary, excess, contingent or on any other basis, D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tommit'a Property Damage) S if Damage To Promises Rented To You is not otherwise excluded from this Coverage Pad; x I. Under Paragraph 2. Exclusions of section 1-Coverage A - Bodily injury and Property Damage Ltabill[In a. Tics fourth from the last paragraph of exclusion J. Damage To Properly Is replaced by the follow. s' Ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "proporty damage" (other then damage by fire, lightning, explosion, stroke; or leakage fram an automatio tire pmteotlon system) to; (1) Promises rented to you for a period of 7 Or fewer consecutive days; or pl) Contents that you rent or lease as pad of a promises rental or lasso agreement for a period of more titan 7days, Paragraphs (1), (3) and (4) of this axottlaion do not apply to "properly damage" to contents of promises rented to you for a podod of 7 or fewer consecutive days, A separate limit of Insurance applies to this coverage so described In sacUon fit - Lhnfts of Insurance. 0 20131.Ibarly Mutuallnaumnes OS) 6310 0413 inaludoo oapyd0hied material at lnsurance SarwiCae Orlico, Ina vft Its permisslo wakrdan-gen�„eont-ton REMW90&APPROVM BY. ® Rbkb1an09ement Analyst b. The lost paragraph .or subsection 2. Exclusions Is rsplscad by Via following: Exclusions c. through n, do not apply to domago by tire, lightning, explosion, oinks or loakags from automatic Ore protoollon eyetema to pmmloos wh0o ranted to you or temporarily occuplod by you with permission of the minor. A oaparato limit of Insurance applies to Damage To Premisao Rented To You as described In.Soctlon III -Limits Of Insurance. n. Paragraph 0. under Soction III -Limits Of Insurnnoo is ropladod by the following: S. Subject to Paragraph 0. above, the damage To promises Rented To You Limit is the most we will pay under Coverage A for damagas because of "property damage" to: a. Any one promise: (1) White rented to.yau; or (2) While rented to you or temporarily occupied .by you with pormloclon of the owner for damage by Ore, lightning, explosion, smoke or Leakage from automatic protection eys. tome; or b. Contents. that you rent or Issas as part of a promloos rental;or lease agreement. 3. As regards Coverage provided by tills proviolan D. EICfENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) - paragraph O.a. of Dannitlona la replaced with the following: O.a. A contract for a lease of promises. However, that portion of the contractfor a tasso of promises that Indemriiflas any person or organization for 'damage by fire, lightning, explosion, omolm, or loakago from actomano Ore protection systems to `promises while mntad to you or temporarily occupied by you with the pomltsoloo of that owner, or for damage to contents of ouch premises that are included. in yourpromisesrental Cr lease agreement, Waot an "Inured Contract"; E. MEDICAL PAYMENTS EVERSION If Coverage C Medical Payments Is not othenwlso excluded, the Medloai Payments provided by this policy are amended as follows: Under Paragraph I. Insurtng:Agreauiant or Section I-'Covarago G- Modreal Payments,' Subparagraph (b) of Paragraph m to replaced by the following: (b) The expenses are Isolated and reported within three years of the data of the aceldent; and F. EVENOiON OpBUPPLEMENTARY PAYMENTS-COVERAOES'AAND B I. Under Supplamontory Payments-Oovoragoa Aand S, Paragraph i.b. Is replaced by the following:. b; Up to $3,000 for coat of ball bonds required boosuse of accidents or battle law violations oriaing out of the use of any vehicle to which the Bodily Injury Liobility Covomge uppllea, We do not have to fumish those bonds. Z Paragraph 1:d; Is replaced by the following: d. All reasonable expenses Incurred by ills insured at our roquaat to oastst us In the investigation or defense of the claim or "cult", including achrol lobs of ouniings up to $00 a day because of time off from work O, ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT` OR PERMIT 1. Paragraph s. under $action 11-Who Is An Insured la amonded to Include as an Insured any person or organization whom you have agreed to add. as an additional insured In a written cOntmot; written agreement or pommlt, Such 'person or organization Is on additional Insured but only with respect to liability for "txxllly Injury", "proparry damage" 'or""parsonal and advertlaing Injury" moused In whets or In part by: a, Your sets or emissions, or the ode or omissions of those Gating an your behalf, in the performance of yd'ur on going operations for the additional Insured that are the oubject of the written contract or written agreement provided that the "bodily Injury" or "property domage" cocura, or the "par - scroll and adverdaing injury" is committed, subaaquont to the atoning of such written contract or written somemant; or ® 207aUbadyMulgallneutonos Op 0016 0413 includes copyrighted matadal.cf insurance SaM a OtOca, ino.,vmh Ill ponnlealal �. £ RlekMangg'mnurdDmilan REVIEWED & APPa4Vm BY fnsk Mananement Analyst b, promises or facilities rented by you or used by you; or o. The maintenance, operation or moo by you of equipment rented or teased to you by ouch person or organization; or d. Operations por&umed by you or on your behalf for which the state or polHloal subdivision Ices issued a psrmlt subject to the following additional provisions[ (1) This Insurance does not apply to "bodily Inury", "property damage°, or "personal and ad. vortisii i; Injury" arising out of the operations performed for the stato 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 promises you own, rent, or control but only with respect to the following hazards: aa (a) The existence, maintenance, repair, ronatmoilon, emotion, or removal of advertising p signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquos®, hoist away openings, sidewalk vaults, street banners, or docorationa and similar expo. suraa:.or (b) The construction, erection, or removal of olovators; or (o) The Ownership, maintenance, or use of any elevators covered by this Insurance. However; 1. The Insurance afforded tp such additional insured only applies to the extent pormilted by low; and 2. If coverage provided to the additions( insured Is required by a contract or agreement, the InBuy. once afforded to ouch additional insured will not be broader than that which you are required by ti the contract or agreement to provide for such additional Insured. With respect to paragraph 1.e. above, a parson's or Organization's status as an additional Insured under this endorsement ends whop; (1) All work, Including materials, parts or equipment furnished in connection with such work, on the prajoct (other then service, molntonanca or repairs) to be performed by or an behalf of the additional insurod(s) at the location of the covered operations has been completed; or (2) net portion of "your work" out of which the Injury or damago arises hoe 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 projoat, With respect to Paragraph 1.1c. 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 promises or facilities ends. fi With mspeots to paragraph 1.e. above, this Insurance does not apply to any "ocourrenco" 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 andomement applies only if the written contract Of written agreement to signed prior to the "bodily Injury' or "property damago". We have no duly to defend an additional Inaurod under this endorsement until we molva written WOOD of a "gulf" by the additional Insured go required in Paragraph b, of Condition 2. Wise In the Event Of Ocourrance, Maass, Claim Or Suit under 8sotlon IV • Commercial Ooneral Uablifty Condl" tions, 4 ZiUlbsdy Mutual inauranoa CO 8810 0413 tnchtdoo 0opydahted rouWrtal orinsuranco Survicos OMee, Inr.,wtth its permtealm itlelcldaea�taeentt)tviefnn � ery" `( k RWEW:a&NAplraovm BY li'r1 (hFcvri+i+t Y.. vttuvAt as "'� auk Management Analyst '`--- 2. With respect to the Insurance provided by this endorsement, the following are added to Paragraph a. Excluslone. 1phdor section I • Coverage A • eodlly Injury And Property Damage Liability: This Insurance does rlot apply to: a. `Bodily Injury" or `property damage" arislag :from the sole negligence of.the additional Insured, b. "Bodily Injury" be "property damage', that occurs prior to :you commencing operations at the location whore such "bodlly Injury" or "propsriy damage" amurs, c.. "Bodily injury", "proporty damage" .gr "personal and advarilsing Injury" edging out of the render ing of, or the follure to render, any professional orolhftochiral, angineoring or surveying services, including: (1) The preparing, . approving, or falling ta'prepara or approve, maps, shop drawings, opinions, reports, surveys, 'Vold .orders, change orders orrirawings and opeollIcatlonel or (2) Supetvl®dry, inspection, orchItedturof or englnooring activities, This exatusian applies cyan If atalme against any insured afiege negligence or Other wrongdoing in .the supervision, hiring,: employment, training or monitoring Of others by that Insured, M the "ocove. rance" which caused the "bocilly injury" or "propotty damage", or the offense which Caused the 'Personal, and ad ortioing injury", Involved the rendering at, or the failure to render, any professional archhectural, engineering _or oun+eying sorvlosa, IT. "Bodily Injury" or "peoparty damago" 'occurring after; (1) At work,. Including materials, parts or equipment furnished in connection with such work, on tho project (tither than service, maintenance or repairs) to be performed by or on behalf Of the additional Insursd(s) at the location of the covered operations has been completed; or (2) That portion of "your vaad;" out of which The injury or damage elsos has been put to its Intended. use by any person or organizadon. other than another contractor or subcontractor anggood in parforming operations for a principal era a port of the same project. a. Any parson or organization specifically designated asaR additional Insured for ongoing operations by a separate AD>i1T MAL INSURED -OWNERS LOSSES$ OR CONTRACTORS endorsement Is. sued by us and mods a part of this policy. S. Nth respect to the Insurance afforded to these additional Insureds, the following is added to Section Ill -Limits Of Insurance: If coverago provided to the additional Inured Is required by a contract or agreement, the mostwe will pay on behalf of the additional Insured Is 'the amount of Irsurartce: a, Required by th® eoittraot or agreement; or b. Available under the applicable .Lkriits of insurance. shown in the Declarations; g whfchaver Is logo. This endorsement shall not Inorosoa the applicable Limits of Insurance shown in the DaclaraUo no. H. PRIMARY AN1FJCT D NOWCONTRIBUTORY AD41TIONAL,INSUAED ENSION f This provision applies to any person or organization who qualitlos as an additional fasurad under any form or endorsement .under this policy. Condition 4, Other Insurance 0I SECTION IV . COMMERCIAL GENERAL LIABILITY CONDITIONS Is amend- ed Do follows; a. The following Is added to Paragraph a. Primary .insuranao: If an additional insured's policy has an Other Insurance provision making Its policy ex%sa, and you have spread in a written contract or wrthan agreome it to provide the atldhionel insured govlerago an a primary. and noncontributory basis, thin policy shall be primary and we will not seek contribution from the additional In policy for damages we cover. 0 2010}ibany Mutual Inettrana" Cis Sa 10 0413 Inaludas oapydahtad malarial of laeuranao l3arilaire Olnoo, Ma.;wilh Its paan;aatai r k RI"IeMarepc,nentDluie[on Rr•.mwm&NPRovm By R"k Management Analyst b. The following Is added (a Paragraph b, 4itooss (nattrancea When a written contract or written -ati mamont, 6111e1':than 8 premiCaa lease, faclities rental contract or agreement, an equipment rental .or lease Contract or agreament, or permit Issued by a slate or political subdivision boWson you and an additional insured does hot roqufra this Insurance to be primary or primary and non-conklbutory, tills Insurance Is excess over any otter Insurance for which the addl- tional insured Is designated as aNamed insured. Regardleae of the written agreement betWeen you and,an additional Insured, this Insurance is excess over any *that. Insurance whether primary, excess, coni ngant :or on :any other basis for Which the addltorlal Insured has been added me anadditional Insured on other policies, 1. A=110NAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any. person or organization who qualities 'as amadditlonai Insured under any form or.ohdorsem®nt under this polloy, 1, The following Is added to Condition g. putles in The Event Of Ocaurronoo, Offense, claim or Suit, An additional Insured under this endorsdrnent will as aeon as practicable: a. Give written notice of do "occurrance or an offense that may result In a claim or "auit" under t+ thls'insurance to us; b, Tender the defense and indemnity of any claim at "oule to all Inaurore whom also have Insurance avallable 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 d we receive written nonoa cif trout" by the additional. 'Insured, S, The limits of insurance applicable to the additional 'insured are those specified In a written contract or written agreement or°tho:lirnits of insurance as stated In tie Declarations .of this policy and defined in addition 'III - LimiW :of insurance of this poilcy, wlilchaver era loss. These limits era inatuelve of, and not in addition to the limits of Insurance available tinder this policy. . J. WHO 18-AN INSURED -.INCIDENTAL MEDICAL ERROR$) MALPRACTICE WHOJ$ AN INSURED -F5LLGWEMPLOYEEEXTENSION -.MANAGEMENT EMPLOYEES. Paragraph 2:a.(1) of Section it .litho In Art insured Is replaced with the following: (1) "Bodily injury" or "personal and advertising Injory": (a) To you, to your partners or members (it `you area partnership or Joint venture), to your mombem (t YOU . ors a'limhod Ilability company), to a aa-"oinployee" while In the course of file or her .omploy f mant or performing duties .totaled to the Conduct of your business, .or to your other "voluntoor workers" while performing duties related to the conduct of your buslmosa; (b) To Pia opouso, child, pamnL brother or sister of that co-"ompfoyW. or "volunteer worker" as a Consequen. ce of Paragraph (1) (a) above; (a) For which Piero is any 'obligatpn to share demagea with or repay someone sire who must pay damages because of (Ifiaijury dolidribed in Pdmgrapho (1)" (a) or (b) above; or (d) Arising out of his or her provldiiig or failing to provide pmfeesionot health Core services. lgowever. It you are not in the business of providing proreselonai health Caro services or providing profes- sional heath cam personnel to others, or 0 coverage for providing piofdsslonal health ogre sor- vloss Is not otherwise ekotUded by. separate endorsement, this provlsicri (Paragraph (d)) does not apply, Paragraphs island (b) obova da not apply to "bodily injury" or "personal and edvaritaing injury" caused by an "employee" who, is aotng In aauporvlsory _pppocity for you.'Suptevlsbry cepaofly, as used herein means the "empioyea's" Job responolbllitos asslgmd by you, Includes Ulu 'direct superviolan of other "ompOy- eoO of yours, However, none 61 those "empl*yoos" are Insureds for "bodily Injury' or "personal end at. 20181.14wrty.Muaiollneuranw CO 8810 0413 Includas cepyrlphiad Motedst otinsurehae u'eNom 0Mco, Ina,wlth Its psrmisslc s" < FskMmtagnnentDWieian +q,, rnENEWED 6ppAPPRt'ND¢7BW • Eli' '� 1"•),�3Mri.f.6 R• (�� auk Managemern AnalyA advetllsing injury" adsing out of their wIIINI oonduct, which Is defined as the purposolui or wllltul Intent to couso "bodiy Injury" or "personal and advartlaing Injury", or caused In whole or in part by their Intoxica. tion by liquor or controlled substances. The coverage provided by provision J. Is exasas over any other valid .and oolloolabio Insurance available to your "employao". K, NEWLY FORMED ORADDITIONALLY A0,01,11RED ENTITIES Paragraph 3. of.Sootion 11 "Who Is An Insured le replaced by the following: 3. Any organization you nowly acquire or form and over which you maintain ownership or majority interest,_will QUAY as a"Nomad Insured If there to no other ohnlior loaumncs available to that organization. However. a, Coverage under 'this provialon to .afforded .only unfli tho ,expiration of the policy pohod in which the entity was acquired or fomrod by youp b. Coverage A, does not apply' to "bodily Injury" or "property damage' that oaourred before you aoquirad or formed ilia organization; and o. Coverage B does not apply to `personal and advertising Iglury" adaing out of an offense committed before you soqufred or formed the organization, d. Racorde and dosodpttons of Operations must be maintained by the first Named Insured, No person or organization Is an Insured with reopeet to the oonduct of any current or post, partnership, joint venture or limited liability company that, to not shown as a Named insured in the Declarations or quailHos as an Insured under this provision, L. FAILURE TO DISCLOSE HAZARDS AND PRIOROOGURRENCES Under Section IV " Commorclal Amoral Liability Conditions, the following is added to Condition 8. Repro. aeatatlons: Your failure to dlooloeo .all hazards or prior "oeeurmncea" existing as of the Ineoptlon date of the policy shot) not prajudlos the coverage afforded by this polloy prolided such failure to discloso all hazards or prior ':ocounences" In not Intentionai, M, KNOWLEDGE OF OCCURRENCE, OFF9NSE, CLAIM OR SUIT Under saouan iV "Commorcfat, General Liability Conditions, the following b ridded tO COndltlon z. Dutlos Iry The Event,of Ooourronoo, Offansp,.Clalm Or Suit: Knowledge of on roccurrence", offanes, claim or "soft" 'by an agent, servant Or "amployeo" of any Insured shell not in Iteolf constitute knowledge .of the insured unions an Insured listed under Paragraph 1. of Section it - Who 1s An loomrad or a person who has been deslgrtated by them to resolve reports of 'boourrencee, oflonsea, clolme or "suits" shall have moolved such notlaa from theagent, earvant or "smplcyea" N. .LIBERALIZATION CLAUSE If we rmiso this Commarolal General Liability Extension Endorsement, to provlda more Coverage without additional premium charge, your polloy will automatically provide the ooverage as of the day the revision Is effective In -your state, 0. BODILY INJURY REDEFINED Under Sactloh.V"Doltnitlona, Definition e,.is roplaced by the following: 3. 'Bodily Injury" means physical Injury, siokness or disease sustained by a person, This Inductee mental anguish, mental Injury, shook, fright or death that results from such phyaloal injury', slok. noes or disease. 0 20U1.1bsdyMutual lnsumnoo CO N 10 0413 Includos rmWohted matedal of InsumncoSorvioes Ofitaa, Ino„with lis permlaeto � tuskMm�re,nentnlwaw" REVIEWER S, APPRMW BY at ' ll `� ewe �. Uul�.rrht Risk Management Anatysl P, EXTENDED PROPERTY DAMAGE rxclualon a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY to replaced by the following: a, Expected Or Intandod Injury "00411y Injury" or "property damage" expected or intended tram the standpoint of the insured. This exclualon does not apply to "bodily injury" or "propsrty damaga" reauiting from the use of reasonable force to protect persons or property. Q. WAW9R OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS To US • WHEN REQUIRED IN A OONTRACT OR AGREEMENT WITH Kett nowis Under. Section W-CommorciAl General Liability CondlHono, the following Is added to Condition S. Trans. am foi Or Rights of Roo6vory Against Othors To Ust a We waive any right of i000vsry we may have against a parson or organization because of paymoma we u make for Inury or damage arising out of your ongoing Operations or "your work" done under a confraot: with 'that person or organization and Included 16 the "produots+completed Operations hazard" provided: 1. You and that person or organization havo Agreed In wriling in a contract or Ogroemant that you waive Such rights against that person or Organization, And 4. The Injury or damage Occurs subsequent to the execution of the written contract or written Agree, Mont. I g " W 2013LIbady Mutual Insurance CO IDS 10 04 13 Indudaecopynghted material of InsutenosSumms braes, Ina.,with hs pormlaslai W•"kMmtisgnnndT)Ivi"!ms .` ()&APPRom by. Rkk Wnaeenren Analyst MDG Associates, Inc, Policy ff: BASS7179298 Policy period 7.1.21 to 7-1-22 COMMERCIAL AUTO AC 06 43 00 Is THIS ENDORSEMENT CHANGES THE POLICY. PLEASF, READ IT CAREFULLY. « CALIFORNIA BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endoraomant modlgaa Insurance provided under the following; BUSINESS AUTO, COVERAGE FORM With reaped to coverage afforded by this ondora#man, the provisions of the policy apply unless modified by the endowment. If the policy to which this endorsement is attadhad oleo contain# a Business Auto Coverage Enhancement Endorsement with a epeoMo slate named in the tuts, this endomoment tic## net apply to vehioios garagod In that spadgad slato. COVEPA09INDEX pR0'wJ„SION ACCIDENTAL AIRBAG DEPLOYMENT Ntt�18F.R 12 ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 AMENDED DUTIES IN THE EVENT Or ACCIDENT, CLAIM, SUIT OR LOSS 20 AMENDED FELLOW EMPLOYEE EXCLUSION a AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 14 BODILY INJURY REDEFINED 24 EMPLOYEES AS INSUREDS (Including Employee Hired Auto) 2 EXTRA EXPENSE -BROADENED COVERAGE 10 GLASS REPAIR -WAIVER OF DEDUCTIBLE 1S HIRED AUTO COVERAGE TERRITORY 22 HIRED AUTO PHYSICAL DAMAGE (including Employee Hired Auto) 6 LOAN I LEASE GAP (Coverage Not Available In Now Yark) 1g NEWLY FORMED OR ACGIUIRED SUBSIDIARIES 1 PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 17 PERSONAL EFFECTS COVERAGE, 11 PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSECOVERAGE S PHYSICAL DAMAGE DEDUCTIBLE -VEHICLE TRACKING SYSTEM 1S PRIMARY AND NON-CONTRIBUTORY - WRITTEN CONTRACT OR WRITTEN AGREEMENT 23 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS k TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES is UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 19 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 21 SECTION It - LIASTLiTY COVERAGE Is amended as follows; I. NEWLY FORMED OR ACQUIRED SUBSIDIARIES SECTION II " LIABILITY COVERAGE, Paragraph A.1. Who la An Insured Is amended 16 Inoluda the following as an "inaurad": d. 20181.1barly Mutual insurance AC 06 43 00 48 Includes oepydghted mdsdai of lnWmnat Services OfOaa, Ina„ wth ha pemhleelo Any legally Incorporated subsidiary of whloh you awn more than 60 percant Interest during the policy period: Coverage Is afforded only for 00 days from the date of aoquialtlon or formation. However, "Insured" does not Include any orgontzagon that (1) Is a partnership or Joint venture,, or (2) Is an °Insured" under any other automobile policy except a polloy wdhen speoltoall y to apply In excess of this pollcy; or (3) Has exhauofad he Limit of Insurance or had Its policy terminated under any other automobile policy. �. P.IekMan�znunLhhW"lon t Aa% t REviEM&APPROMBY. F Z M41AI Rkk Manage.wnt Analyst Coverage under this provision d, does not apply to "bodily Injury" or "preparly damsgo" that occurred before you acquired or formed the organization. 2. (EMPLOYEES AS INSUREDS SECTION 0 " LIABILITY COVERAGE, Paragraph A.I. Who Is An insured Is amended to Include the fallowing as an "Insured"; s, Any "amployea" of yours while using a covered "auto" you do not own, hire or borrow but only for gate within the scope of thelr employment by you. Insurance provided by this endorsement Is excess over any other Insurance available to any "omplayoa", . f. Any "employee" of youre Olin operating on "auto" hired or borrowed under a written contract or agreement In that "amployeo's" name, with your permission, while parfomttng duties related to the conduct of your business and within the scope of their employment, insurance provided by this endorsement Is excess over any other insurance available to the "amployee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION lI • LIABILITY COVERAGE, Paragraph A.I. Who Is An Insured to amended to Include the following as an "Insured"; Sam g. Any person or organization with respect to the operation, n aintenanco or use of a covered "auto", provided that you and such person or organizallari have agreed In a written contract, written agreement, or permit Issued to you by governmental or public authority, to add such parson, or orgsnizatforl, or governmental or pubilo authoriy to this policy as an'tnaurad". However, such person or organization Is alt'insured'; (f) Only with respect to the operation, maintenance or use of a covered "auto"; (2) only for "bodily Injury" or "pmperty damage" caused by an "accident' which takes place after g d executed the written contract or written agreement, or the permit has been issued to you; (3) Only for the duration or that contract, agreement or permit, The "Insured" Is required to submit a claim to any other insurer to which coverage could apply for defense and Indemnity. Unless the "tosured" has agreed in writing to primary nonconetbutoty wording per enhancement number 24, thin policy is excess over any other colleafibla insurance. 4. SUPPLEMENTARY PAYMENTS SECTION If «LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, Paragraphs (2) and (4) are replaced by the following; (2) Up to $3,000 for cost or ball bonds (Including bonds for related traffic violations ) required because of an "occident" we cover, We do not have to fumish these bonds, (4) All reasonable expenses Incurred by the "Insured" at our request, fnoluding actual logo of earnings up to 4600 it day boosuae of Bmo off from Work. S. AMlIN13ED FELLOW EMPLOYEE EXCLUSION in those )urfadlotions where, by law, follow "amployeae" are not entitled to the irmt8won afforded to the employer by the workers oomponsation axciusiv(ty rule, or similar protection, the following provi. sion is added: SECTION II • LIABILITY, Exclusion B.G. Fellow Employee does not apply If the "bodily Injury" results from the use of a covered "auto" you own or hire if you have workers compensation Insurance in force for all of your 'employees" at the time or "loss". This covelmgo is excess over any other collectible Insurance, SECTION f i - PHYSICAL DAMAGE COVERAGE; Is amended as follows; 6. HIRED AUTO PHYSICAL DAMAGE Paragraph AA. Coverage Extensions of SECTION III " PHYSICAL DAMAGE COVERAGE, is amended by adding the foliowingi It hired "eutce" are covered 'outov for Liability Coverage, and If Comprehensive, Specified Causes of Loss or Collision coverage pro provided under the Business Auto Covomgs Form for any settle" you own, than the Physical Damage coveregoo provided are extended to "autos": _ es 2n16LlbarlyMusasllnaumnce , P 1lekM"i"gmrentpWem AC 66 43 0018 Indudas oopydghtod inals8al of insurance Services Office, lna,wilh lta pennlealo rrAnry "wen & ry -' r ny ,r,Rw !eo sY IN FI' I ,, i Fe. Y Risk Management Analyst a. You hire, rant or borrow; or Is. Your "employee" hires or rants under a wdbn contract or agreement to that "employee's" name, but only Ifthe damage occurs whilethe vehicle is being used In the conduct of your business, subject to the following limit and deductible: a. The most we will pay fur "foss" In any one "accident" or "lose" is the smallest of; N) $64,000; ar (2) The actual cash value of the damaged or stolen property, as of the time of the "loss"; or (3) The coat' of repairing or replacing the damaged or atalon property with oihor property of Ilk* kind and quality, :minus A deductbbee. b. The deductible will be equal -to the largest deductible applicable W any owned "auto" for that coverage. o. $object to, the limit, dedualibis And excess provisions described In this provision, we will provide coverage equal to the broadest coverage applicable to arty covered "Aura" you own. d. Subject to a maximum of $1,000 per 'oocidariV, we will also aver the Actual toes of use of the hired "auto' if it results from an'acoldent", you are legally liable and the leasor'Incurs an actual financial lose. a. This coverage extanalon does not apply to: (1) Any"a0ta" that is hired, rented or borrowed with a driver, or (2) Any 'auto" that is hind, rented' .or borrowed from your "amployea" or any member of your "ompldyea's" household. Coverage 00VIded under this extanslan Is excess over arty other collaotibls Insurance available at the time of "lose". 7, TO"NG AND Wfoll, SECTION III . PHYSICAL DAMAGE OOVERAGS, Peragraph A.2. Towing, Is amended by the addition of the folloWV We will pay towing and labor costs Incurred, up to the timlts shown below, each time A covered "auto" classified and rated as a private -passongef type, "light truck" or "modlum truck" Is disabled: A. For private possonger type vehicles, we will pay up to $76 par dlaablemanIL It. For 'light Woke",, we will pay up;to,$75 per dleabtament. "Light trucks" are trucks that have a gross Vehicle WAight (GVV Of 10,1)00 pdundo or less, a. For "medlum trucks", We will pay lap to $160 per disablement. "Medium tmoks° are trucks that have A gross vehicle weight .(GVW):ot 1%001-20,000: pounds. However, the labor must 1A performad At the place or disabiefmoriL 8, PHYSICAL DAMAGE-ADDITIONALTRANSPORTATION EXPHN$EC®VERAGE s am ra h A A.a, Covers a Extonatona Transportation Expenses of SECTIOM ill "PHYSICAL DAMAGE a P o p g , A.... Pa CAVORAGE, Is amended, to provide a limit of $66 per day and amaximum limit of $1,604, 0. RENTAL REiMBURSEMENT SECTION IIi -PHYSICAL 0AMAGE.CQVERA9E, JL coverage, is amended by adding this following: a. We will pay up to. $75 per day for rantai reimbursement expenses incurred by for the rental or An "auto" because of "aacldent" or "lose", to.an'autd' for which we.also pay "lose" under Compfahbnelva, 'Spaoified Causes of Lose or Collision Coverages. We will pay only for those ex - panes incurred infer the first 24 hours following the. "aoc idenr or wtoss" to the covered "auto" b. Rental Reimbursement requires _ths rental of a comparable or lessor vehicle, Which in many cassa may be substantially loss then $76 per day. and will 'cnly be allowed for tha_padod of Iin'io Itallould take to repair or replace the Vehicle with reasonable speed and similar quality, up to.a maximum of 00 days, o. We will also pay up to'$600 for m6sonabia and noossaary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". This Ilmlk is excess over any other collectible 'lnsursnca: 2cteLlbattyMutuallnautance ,,, ^., PJkM",mgpi,flm Mston ' AD88430014 Includes copyrighted material ofineunutesd3arvicasOnce, lna,wtlbitapermieeie Rw^ &Appaovmar `' Risk Management Analyst ;:t h d. This COverags dons not apply unless you have a business noassolty brat other "autos" available for your use and operation Cannot 011. m If "lose" results from the total theft of a covered "nuW of the private passenger typo, we will pay under this coverage only that amount of your rental relmbureamsnt expenses which In not already provided under :paragraph 4. Coverage Extension, f. No deduotiblo applies to. thte coverage, C. The insurance provided under ihls extensidn Is oxooas over tiny other cogecgble insurance, If this policy also provides Rental Roinlbumomont Covorege you purchased, the coverage provided by this. Enhancement Endorsement 4. in addition to the coverage. you purchased. Far the purposes of this endorsement pravlefcn, materials and equipment do, not Include "personal Affects" As defined in provision 1t E. 10. EXTRA EXPENSE BROADENED COVERAGE Under SECTION III PHYSICAL DAMAGE COVERAGE, A, Coverage, we will pay for the expense of rptuming a stolen covered "auto" to you. The maximum amount we will pay ie $1,000. 11. PERSONAL EFFECTS COVERAGE A. 'SECTION ill "PHYSICAL DAMAGE COVERAGE, X Coverapa, la amended by adding the followings It you have purchased Comprehensive Coverage on this policy for an 'auto" you Own and that auto" to stolen, we will pay, without application of a deductibts, up tc $600 ler 'Personal effects" NM stolen with the "auto," no Insurance provided under this provision is oxcasa over Any other colloodblo Ineurenoe, S. SECTION V -DEFINITIONS Is amended by adding' the followtng': For the purposes of this pmvielon, "personal effects" mean tanglbte property that.ls wom or carded by an "Insured;" "Porsonai affects" does not Include tools, equipment, jewelry; money or wood. gas. 12. ACCIDENTAL AiRSAWDEPLOYMENT 113. 14. m 2d10,0bottv.Mutual -.hYauranae. AG0043001g Includes copyrighted materialofinournnaeServicaaO(flps,Ine.,wlthllaparmleelOY SECTION in-PHYSICALDAMAGE COVERAOE,.B. Exclusions Is amended by adding the following, If.you have purchasoo Comprohonalve or Collision Coverage under this policy, the exclusion for "lass" relating to mechanical breakdown does not apply to the accidental discharge .of anairbag, Any insurance we provide. shall be excess, over any other collectible Insurance or rolmbumement by manuracturar's warranty. However, we agrso to pay any deducoblo applicable to the other coverage or warranty, PHYSICAL DAMAGE DEDUCT19LIE • VEHICLE TRACKING SYSTEM SECTION In "PHYSICAL, DAMAGE COVERAGE, M Deductible, is amended by adding the following: Any Comprehensive Deductible shown In the Doolarationa will, be Wood by 50% for any "loss° caused by glen if the vehicle Is equipped with a vahlola fragking device such as a radio_ tracking device or a global position device and that device was the nalhod of recovery of the vehicle. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III - PHYSICAL'DAMAGE COVERAGE,, B. Exclusions, Paragraph a, of the exception to exolu- slons 4.c, and 4.d. Is deleted and replaced with the fallowing: Exclusions 4.o, and 44 do,not.eppiy to: 9. 1=1e01ron10 squipment that receives or transmits audio, vlsuat or date signals, whether or not de- signed solely far,tho roproduolion of sound, If the.equlpment is: (1) Permanently Installed In the. covered "auto" at the gma of 'the "lose" . or removable from a housing unit that Is permanently . installed In the covered "auto"; and (2) Designed to be solely operated by use from the power tmm •the "auto'e electrical system; and (3) Physical damage coverages are provided for the covered "auto", If the "loss" occurs solely to audio, visual or data olearonlo .equipment or ecoossoride used with Ihla equipment, .than our obligation to pay for, repair, return or replace damaged or stolen property will :be_.reduced bya$100,deduoilbie. y+r t IUekMan"y,me,+tDniswn ? e R€�ntwm&MPRWa18Y �f !, i M1,. VtffintM "�—"kit Nfanagemen[Ana�yst '� Is. LOAN l LEASEGAP COVERAGE (Not Applicable In Now York) A. Paragraph C. Mailk Of Insurance of BECTION fit " PHYSICAL DAMAGS COVERAGE Is amended by adding the folloWing; The most we will pay for a 9otal loss" to a covered "auto" awned by or leased to you in any one ',accident" 1s the greater of the: 1. Balance due under the farms of the. loan or lease to 'which the damaged covarsd "sutc" la subject at ths'Bma 0the "foss" loss the amount Of; a. 'Overdue payments and financial penalties associated whh those payments as of the data of the 'lose, la. Financial penalties Imposed under a lease due to high mileage, 'excessive uaa or abparmal wear and tang a. Costs for extended Warranties, Credit Ufa insurance, Health, Accident or Disability Inaury nowpumhasod with tho'loort'orlease; d. Transfor .or rollover balances from 'previous loans or Isaacs; e. Final paymentdue under o "Balloon Loan"; f. The dollar amount of any unrapelrad damage which occurred prior to the "Total lose" of a covered Paulo"; a. Security depoalta not refunded by a lessor, h. Alf refunds payable or paid to YOU am a result ofths.early tamnina8on of a takes agreement or as'a result of the early termination of any warranty or extended service agreatfFmnt on a covered "auto"; 1. Any amount representing taxes; 1. Loan or lease iormlhation fees; or 2. The newel cash value of the damage or stolon property as of the time of the "lass". An adjustment for depreciation and physical condition Wig be made in determining the actual cash value at the time of the "toes". This adjustment is not applicable in Texas, B. Additional Condltlana. This coverage applies only to the original loan for which .the covered "auto" that Incurred the "lass" serves as collateral, Or lease written an the covered "auto" that Inourrod the "loss", C. SECTION .V.DEFINITIONE Is changed by adding the fallowing; As used In this endorsement provision" the following dognidona :apply; 'Total loss' means a "loss" in which the coat of rapalm plus the salvage value exceeds the actual cash value. A "balloon loan" is one with periodic payments that are lnsufticlent to repay tho balance over (he term of.t o loan, thetaby requiring a large final payment. IS, GLASS REPAIR .WAIVER.OFDEDUCTIBLE Paragraph D. Deductible Of SECTION IIi "PHYSICAL DAMAGE COVERAGE Is amended by the addition x of the following: No deducilble applies to gtaad: damage If the glass Is repaired What than 'replaced. IT, PARKED AUTO COLIXON COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION (it -PHYSICAL DAMAGE'COVERAGE Is amended by the addldon of the following: The. deductible does not apply to "lass" caused by collision to such covered "auks" of the private pasmongor fype•cr light weight truck with a gross vehicle weight of 10,00,0 [be. or lase as defined by the manufaowrsr as maximuto loaded weight the "auto" Is designed to carry while It is: a, in the charge of an "insured"; b. Legally parked; and Q. Unompled. m 2016Liberty Mutuatlnauraripe AC 88 43 ae 18 Indudna capydghtad Malarial of Insure roe9ervlcve'lNBca, inv.,w lit Its pv miRalc f- of RiskMm+age�neRi,Dlvl"Wn VV PREVIEWED&pAP+P'RgjM BY. �"` - Rbk Management Analyst ;-_ I K c v u The"loss" must be repotted to the police authorities within 24 hours of known damage. The total amount of the damage ib the covered "Rota" must exceed the deductible shown In the Declarations, This provision does not apply to any "lose" if the covered "auW" is in era charge of any person or organization engaged in the automobile business, IS. TWO OR MORE DEDUCTIBLES Under SECTION III -. PHYSICAL DAMAGE COVERAGE, 9 two or more company policies bP coverage forms apply to the name "accident", the foIIOWInp applies tb Paragraph D. Oaductlble a. If the applicable. Business Auto deductible Is the amallor.(or smallest) cioduotlblo, It Will be waived; or b. If the applicable Bus)nsea Auto deductible. is net .the ,smaller (Or smallest) deductible , it wui be reduced by the amount of the smaller (or smallest) deductible; or a. If the "toes" involves two or more Business Auto coverage forma or policies, the smaller (or amalteat) deductible will be waived. For the purpose of this endorsement, company means Any company that la part of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS la amended as follows: 10. UNINTENTIONAL .FAILURETODISCLOSE HAZARDS SECTION IV. BUSINESS AUTO CONDITIONS , Paragraph 6.2. Is amended by adding the following: if you unintentionally fall to disclose .any hazards, exposures or Material .facts axlating as of the inasp- Von date or ranowal data of the business Auto :Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you most report the undloolosad hozard of exposure as Boon as practicable after its discovery, and we have file right to collect additional premium for Any such ha Ard or expoaure, 28. AMENDED DUTIES,IN THE.EVBNT OF ACCIDENT, CLAIM, SUIT OR LOSS _ SECTION IV -'BUSINESS AUTO CONDITIONS , Paragraph A.2,a, Is replaced In Its entirety by tine follow- ing: A, In the event of "acbieant", claim, "suit" or "loss°, You must promptly notify us when it to known to: (1) You,.lf you aro en individual; (2) A partner, It you area partnership;, (d) Member, if you am o limited liability company, (4) An exaoutiva officer Or the "employee" designated by die Named ineurad to give such notice, if you are acorporation, To tile -extent possible, notice to Us should Include: (a) How, when and Where the "acoldent" or "loss" took place; (6) The °Insured's" name and addrasa; and (o) the names and addresses of any Injured persons and mitnessos, 21. WAIVER OF TRANSFER OFRlawraOFRECOVERY AGAINST OTHERS TO. US SECTiom IV "BUSINESS AUTO CONDITIONS t paragraph A.K. Transfer Of Rights Of Recovery Against Others To Us,.ls amended by the addNion of the following: if the person or or9ankation .has In a written agreement waived tire" rights before an "accident" or "lass"; dur rights are.waived also, 22. HIRED AUTO: COVERAGE TERRITORY SECTION IV - BUSINESS AUTO CONDITIONS , paragraph B,T..Poltay Period, Coverage territory, is amended by the Addition of the following: f. For "autos" hired Sg days or less, the coverage territory le anywhere In the Wodtl, provided that the "insured'a' reaponelblilty, to pay for damages Is determined in.a "suit", on the merits, Ib the United States, the territories and possessions of the United Stelae of Amorloa, Pusho e settlement we agree to. m"kmra 20t8LlbertyMutual insurarrm AC 88 48 88 98 Includ" copyrighted m00001 cfinaumncetlorvicea Cisoo, Ino.,whh he pannissla " __i'' ` Rr:_virwco & APPROVmeY: Risk Management Analyst Y This extension of coverage dcos not apply to on "auto' hired, Isascd, rented or borrowed with a driver, aa. PMMAR`P AND NON-CONTRIBUTING IF REQUIRED BY WRITTEN CONTRACT OR WRITTEN AGREE" MENT The fallowing Is added to SECTION IV • BUSINESS AUTO CONDITION$, General Condlttons, B.B. other Insurance and supersedes any provision to Iheoontrary: This Coverage Form's Covered Autos Llablllty Coverage Is primary to and will not cook dontdbution from any othar insurance available to an "Insured" under your policy providad that: . 1. Such "insured" Is a Named Insured under such ocher Insurance; and a. You have agreed in a written contract or written agroarn nt that thle Insurance would be primary and would not seek contribution (rpm tiny other insurance avallable to such "Insured', tecrCN V - DEEINITIQNS is amended no follows; 24, BODILY INJURY REDEFINED Under SECTION V -DEFINITIONS , ❑atinition Crls replaced _by the following: "Bodily Injury" means physical Injury, alcknsss or disease sustained by a person, Including mental anguish, msntat Injury, shuck, irlght or death resulting from any of those at any tlma. 20161.1bany Mutual Insurance x '. Risk Division ACaB43t1B1B Includes copydnhtedmatsnsloilnauanrs3arvipaa0lftcs,ino„wthits pamisslo ?- RW1iD&APPR0VM8Y' ru+ +.a k, (I:&VA s Risk Management Analyst s lI...--'a DATE (MM/DD/YYW) CERTIFICATE OF LIABILITY INSURANCE oMM/ D21_ 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 CERIIEIGATFlHOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must 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 cedificato holdgr in lieu of such enclorsomentisl. PRODUCER cwanm xexe Karen Bronson CorRisk Solutions �,wxn Fnx 180 N Stetson Ave Suite 4500 1n10"°f "- 312-637-6755 Chicago, IL 60601 :oaPFas: kbronson@corrisksoluticns. com - INSURER(S) AFFORDING COVERAGE_. NAIC4 JINSURERA: New Hampshire Insurance Company I 23841 MUG Associates, Inc. 10722 Arrow Route INSURER C: Suite 822 INSURERib Rancho Cucamonga, CA 91730 INSURER Ei 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THEINSURANCE 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 AOD'L WISED SUBR VyVD pDLICY NUMBER POLICY EFF (MMDDNYYYI POLICY EXP (MMIDUNMI LIMITS GENERAL LIABILITY EACH OCCURANCE COMMERCIAL GENERAL LIABILITY W�CLAIMS MADE OCCUR DOES NOT APPLY - DAMAGE TO RENTED PREMISES (Ea oceumocel, MED EXP(AnY one Person) PERSONAL &AND INJURY - GENERALAGGREGATE PRODUCTS-COMPIOP AGG GEMLAGGREGATE I.IMIT APPLIES PER: POLICY PROJECT .�. LOC w AUTOMOBILE LIABILITY eeNenl —` BODILY INJURY (Per pe,eon) _ ^ ANYAUTO ALL UTOS OS AUTOS SCHEDULED AU DOES NOT APPLY BODILY INJURY(Per vocNonll HIREDAUTOS NON -OWNED AIITaq PROP"RTYUAMPDE(Vo,. nccitlenll HUMBRELLA LIAO Ll OCCUR EACH OCCURANCE EXCE9SLAB CLAIMS MADE DOES NOT APPLY - AGGREGATE W DED RETENTION$ ' �� WORKERS COMPENSATION AND EMPLOYERS'LIABILITY .......... tNC SiATT�h� TORY LIMITS OTFIER .,., ANY PROPRIETORIPARTNERIEXECUTIVE OFFICEIMEMBER EXCLUDED? YIN (Mandatory to NH) It Yes,: descdbe under DEBCRIPI'ION OF QPERATIONS below NIA DOES NOT APPLY E.L. EACH ACCIDENT E.L. UIGEBAE-EA ,,,,..W LDYEE E.L. DISEASE -POLICY OMIT A Professional Liability _ 064991891- OS 07/Ol/21 07/O1/22 - Per ccuneDce: $2,000,000 Annual Aggregate: $2, 000, 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACCORD 101, Additional Remarks Schedule, if more space Is required) CERTIFICATE HOLDER CANCELLATION City of Santa Ana Risk Management Division 20 Civic Center Plaza 4th Floor Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL. BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (200105) 01980-2010 ACO The ACORD name and logo are registered marks of ACORD a IilekMa&APPROVEDBY, - PT rREVIEWED&APPROVED BY' Risk Management Analyst /_ _ "--I IYIUUA3SU-U7 I A r1` CERTIFICATE OF LIABILITY INSURANCE `� OATE(M1202 YYY) 7/7/2D21 _ 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(los) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require are endorsement. A statement On this certificate does not confer rights to the certificate holder in lieu of auch endorsements . PRODUCER - ,OM CT Aaron Marin Amorelti ROsemann, & Associates 3110 E. Gluasti Road Suite 500 PHONE FaX — (JC,No,Ea: (90g B6D-3903 IAIX No): 'd`�rj{ $a; aaronm arainsurance.com Ontario, CA 91761 - _ " _ INSURER S AFFORDING COVERAGE q INSURER A: State COm oration Insurance Fund of California ----AMP 35076 INSURED INSURER B INSURER C: "Mdg Associates, Inc. 10722 Arrow Route Ste 822 Rancho Cucamonga, CA 91730 - INSURER 0, NsuRER E INSURER P; COVERAGES ERTIP CATE NUMBER: REVISION NUMB R• 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 CONTRACTOR 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 TYPE OF INSURANCE ADDL D SUBR D POLICY NUMBER POLIO EFF POLICY EXP LIMITS COMMERCIAL: GENERAL LIABILITY CLAIMS -MADE 0 OCCUR EACH OCCURRENCE �— 0 EIMISES DENTED &N¢aPsa S GE EDEXP An one efs n- —_ 'LAGGRErG�ATE LIMITAPPLIES PER: El POLICY j l� - ❑ I.00 OTHER: _ ENERAL AGGREGATE $ P ODG UCTS-COMPjOp AG $ AUTOMOBILE LIABILITYF_a ANY AUTO OWNED SCHEDULED AUTppOpp3:ONLY ANUTT%SSVy p AVTOS ONLY _. Al01TOS ON Y OMBINED SINGLE LIMIT ace'dan11 _ $ BODILY INJURY(Per arson $ BOOILYINJURY Parateident $ Pel,)aw111Y AMAOE $ UMBRELLA LIAR EXCESS LIAR _ OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATIOryry AND EMPLOYERS'LIABILITY YIN ANY PROPRIETORR�IPARTNEWrXECUTIVE lMan ato/ryln aNT) CLUDEU'1 If yes, DESCRIPTION OF OPERATIONS below DESCRIPTION NIA X 1980750_21 7/1/2021 7/1/2022 X PER - OTH. ETA E E.L. EACHAC DENT _ 1�ggg Dgg E.L. DISEASE - EA EMPLO 1,DDD,000 E.L. DISEASE -POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addlllonul Remarks Schedule, maybe attached if more space is requited) Proof of coverage. Waiver of subrogation applies. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF SANTA ANA THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN RISK MANAGEMENT DIVISION ACCORDANCE WITH THE POLICY PROVISIONS, 20 CIVIC CENTER PLAZA, 4th Floor $ANA ANA, CA 92702 AUTHORIZED REPRESENTATWE RieltM-M— "M'L Division Y 's REVIEWED &APPROV®F1V: ACORD 25 (2016/03) �. ©1988.2015 AAA CORD C f , The ACORD name and logo are registered marks of AGORD Risk Management Analyst ENDORSEMENT AGREEMENT WAIVER OF SUBROGATION BLANKET BASIS HOME OFFICE SAN FRANCISCO EFFECTIVE JULY 1; 2021 AT 12.01 A.M. ALL EFFECTIVE DATES ARE AND EXPIRING JULY 1, 2022 AT 12.01 A.M. AT 12u01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME MDG ASSOCIATES, INC. 10722 ARROW RTE STE 822 RANCHO CUCAMONGA, CA 91730 WE HAVE THE RIGHT TO RECOVER OUR PAYMENTS FROM ANYONE LIABLE FOR AN INJURY COVERED BY THIS POLICY. WE WILL NOT ENFORCE OUR RIGHT AGAINST THE PERSON OR. ORGANIZATION NAMED IN THE SCHEDULE. THIS AGREEMENT APPLIES ONLY TO THE EXTENT THAT YOU PERFORM WORK UNDER A WRITTEN CONTRACT THAT REQUIRES YOU TO OBTAIN THIS AGREEMENT FROM US. THE ADDITIONAL PREMIUM FOR THIS ENDORSEMENT SHALL BE 2.00$ OF THE TOTAL POLICY PREMIUM. SCHEDULE PERSON OR ORGANIZATION ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT TO FURNISH THIS WAIVER JOB DESCRIPTION BLANKET WAIVER OF SUBROGATION 1960750-21 RENEWAL SP 0-27-54-05 PAGE 1 OF NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS IN THIS ENDORSEMENT, COUNTERSIGNED AND ISSUED AT SA_N FFRRANCISCO: 2572 AUTHORIZED flEPRESENT IVE SCIF FORM 10217 (REVA-2018) JULY 21 2021 PRESIDENT AND C 1 RlekMmygcwnentD[vislon I;, F p REVIEWED&APPRavm8 ' Fit P, V ---�'' RISA MRriagement An'Ilyst r