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HomeMy WebLinkAboutFACTORY MOTOR PARTS (ELLIOTT AUTO SUPPLY CO., INC.) `d '!F Y ! A-2024-080-0 , � 5"�2O2b MAYOR ` ... ,,t CITY MANAGER Valerie Amezcua ` CL`;i< ?tom Alvaro Nunez MAYOR PRO TEM L:•_: ` ,,d.-a' CITY ATTORNEY David Penaloza JUN 0 9 2026 -' 1 — Sonia R. Carvalho COUNCILMEMBERS 4 .,•. I,l'I;l- _ `, CITY CLERK Phil Bacerra 3 .' c�.- Jennifer L. Hall Johnathan Ryan Hernandez ' Jessie Lopez ' „ ,�` • ` Thai Viet Phan Benjamin Vazquez CITY OF SANTA ANA O:rv.i n (.2-) michut,AOt+i=4NadiaOto2co(D24 PUBLIC WORKS AGENCY 20 Civic Center Plaza l PO Box 1988 Santa Ana,California 92702 www.santa-ana.orq May 28,2026 Elliott Auto Supply Co. Inc. Attn: Dana Carney 2610 S. Birch St. Santa Ana, CA 62707 Re: Extension of Agreement No. A-2024-080 for Consignment Vehicle Parts and Accessories Pursuant to Section 3 ("Term") of the above-referenced Agreement, entered into by Elliott Auto Supply Co., Inc. and the City of Santa Ana, which commenced on July 1, 2026,the parties hereby exercise their option to extend the term of the Agreement for an additional one (1) year through June 30, 2027. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, mo-A R o Rosas, P.E. Acting Executive Director Public Works Agency ATTEST CITY 0 SANT A +n ra 'ennt e • r" Alvaro Nunez City Clerk City Manager APPROVED AS TO FORM: CONTRACTOR Pao.ez- Ca4.7_ -7- ,-: . y K Nellesen By: Dana Carney Assistant City Attorney Tide: Director of Fleet SANTA ANA CITY COUNCIL Valerie Amezcua David Penaloza Thai Viet Phan Benjamin Vazquez Jessie Lopez Phil Raceme Johnathan Ryan Hemandez Mayor Mayor Pro Tem-Ward 6 Ward 1 Ward 2 Ward 3 Ward 4 Ward 5 vamezcua(olsanta-ana.orq dpenalozaralsanta-ana.orq tphaneesanta-ana.orq bvazquezldlsanta-ana.orq jesnielooeehlsanta-ana.orq pbacerraid)santa-ana.orq jrvanhemandez(asanta-ana.oi AcoREP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) lete—I-- 11/12/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTNAME:ACT Francisco HOnzura Arthur J.Gallagher Risk Management Services, LLC PHONE FAX 4201 Westown Parkway M No Ex) A/C No r Suite 120 E-MAIL francisco honzura@ajg.com West Des Moines IA 50266 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:Employers Mutual Casualty Company 21415 Elliott Auto Supply Co., Inc INSURER EMCASCO Insurance Company dba Factory Motor Parts 1380 P y 21407 Corporate Center Curve Suite 200 INSURER D:Twin City Fire Insurance Company 29459 Eagan MN 55121-1200 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER:464160266 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSD WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y 2D39543 11/15/2025 11/15/2026 EACH OCCURRENCE $5,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $6,000,000 X POLICY 'i X LOC PRODUCTS-COMP/OP AGG $6,000,000 OTHER: Properly Damange $2,000,000 BU AUTOMOBILE LIABILITY Y V 2139543 11/15/2025 11/15/2026 (EeaeadEe0151 NGLE LIMIT $5,000,000 B X ANY AUTO 2E39543 11/15/2025 11/15/2026 BODILY INJURY(Per person) $ B 2T39543 11/15/2025 11/15/2026 OUTOS OWNED LY X SCHEDULED 2Z39543 11/15/2025 11/15/2026 BODILY INJURY(Per accident) $ UTOS x HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident $ Ded Comp/Collision $1,000 D UMBRELLALIAB X OCCUR 10HVZBU5CM1 11/15/2025 11/15/2026 EACH OCCURRENCE $10,000,000 X EXCESS LIAe CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ - $ C WORKERS COMPENSATION Y 2N39543 11/15/2025 11/15/2028 X PER AND EMPLOYERS'LIABILITY y/N 2P39543 11/15/2025 11/15/2026 STATUTE ER Statutory B„13 ANYPROPRIETOR/PARTNER/EXECUTIVE N N/A 2L39543 11/15/2025 11/15/2026 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED9 2R39543 11/15/2025 11/15/2026 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Garage Liability 2E39543 11/15/2025 11/15/2026 Auto Only- Ea Acc $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) RE: Project#A-2019-085 The City of Santa Ana,20 Civic Center Plaza,Santa Ana,California 92702;its officers,employees,agents and volunteers are included as Additional Insured under the General Liability policy per form CG7184(10/13)and auto liability policy per form CA7270(03/07)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.The insurance provided in the General Liability policy is Primary and Non-Contributory and any other insurance shall be excess only,and not contributing per form CG7184(10/13)as per written contract requirement pursuant to and subject to the policy's terms,definitions,conditions,and exclusion.Waiver of Subrogation applies to the Additional insureds as respects to the General Liability,Auto Liability and Workers Compensation policies, pursuant to and subject to the policy's terms when required in a written contract or agreement per form CG7555(4/13),WC000313(4/84),and CA0444(10/13). APPROVED CERTIFICATE HOLDER CANCELLATION -ay Tu Tran Nguyen af4:08 pm, ar , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attention:Joaquin Avalos ACCORDANCE WITH THE POLICY PROVISIONS. Public Works Agency—Fleet Services 215 S Center St, M-83 AUTHORIZED REPRESENTATIVE Santa Ana, CA 92703 USA ��/� C�III p'Qsf @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: 2139543; 2E39543; 2G39543; 2T39543; 2Z39543 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Endorsement Effective Date: SCHEDULE Name(s) Of Person(s) Or Organization(s): Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1 Policy Number: 2139543; 2E39543; 2G39543; 2T39543; 2Z39543 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO AMENDMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of coverage.With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. BLANKET ADDITIONAL INSURED EL COVERAGE EXTENSIONS — SUPPLEMENTARY SECTION II— LIABILITY COVERAGE, A.1. Who Is PAYMENTS An Insured is amended by adding the following: SECTION II — LIABILITY COVERAGE, A.2.a. d. Any person or organization who is a party to a Coverage Extensions, Supplementary Payments written agreement or contract with you in which (2)and(4)are replaced by the following: you agree to provide the type of insurance (2) Up to $3,000 for the cost of bail bonds afforded under this Business Auto coverage (Including bonds for related traffic law Form, violations) required, because of an "accident" This provision applies to claims for "bodily injury" or we cover. We do not have to furnish these "property damage" which occur after the execution of bonds. any written agreement or contract. {4) All reasonable expenses Incurred by the B. NEWLY FORMED OR ACQUIRED "Insured"at our request, including actual loss of ORGANIZATIONS earnings up to $350 a day because of time off SECTION II— LIABILITY COVERAGE, A.1. Who Is from work. An Insured is amended by adding the following: E. PHYSICAL DAMAGE—TOWING (` a. Any organization which you acquire or form after SECTION III— PHYSICAL DAMAGE COVERAGE, the effective date of this policy in which you A.2.Towing is replaced with the following: maintain ownership or majority interest However: We will pay for towing and labor costs incurred, (1) Coverage under this provision is afforded subject to the following: only up to 180 days after you acquire or form the organization, or to the end of the policy a. Up to $100 each time a covered "auto" of the period,whichever is earlier. private passenger type is disabled;or (2) Any organization you acquire or form will not b. Up to $500 each time a covered "auto" other be considered an"insured"if: than the private passenger type is disabled. (a) The organization is a partnership or a However, the labor must be performed at the place joint venture;or of disablement. (b) That'organlzalion is covered under other F. LOCKSMITH SERVICES similar insurance. SECTION III — PHYSICAL DAMAGE COVERAGE, (3) Coverage under this provision does not apply A.4. Coverage Extensions is amended by adding the fo any claim for "bodily injury" or "property following: damage" resulting from an "accident" that We will pay up to $50 per occurrence for necessary occurred before you formed or acquired the locksmith services for keys locked inside a covered organization. private passenger"auto" for which Comprehensive C. SUBSIDIARIES AS INSUREDS coverage is provided. The deductible is waived for SECTION II— LIABILITY COVERAGE, A.1.Who is these services. An Insured is emended by adding the following: G. PHYSICAL DAMAGE — TRANSPORTATION f. Any legally Incorporated subsidiary in which you EXPENSES own more than 50% of the voting stock on the SECTION III—PHYSICAL DAMAGE COVERAGE, effective date of this policy. However, "insured" A,4. Coverage Extensions subparagraph a. does not include any subsidiary that is an Transportation Expenses is replaced by the Insured" under any other automobile liability following: policy or was an"insured"under such a policy but for termination of that policy or the exhaustion of the policy's limits of liability. 0A7270(7-14) Includes copyrighted material of ISO Properties,Inc.with its permission, Page 1 of 3 (1) We will pay up to$75 per day to a maximum of J. PERSONAL PROPERTY OF OTHERS $1,000 for temporary transportation expense SECTION III — PHYSICAL DAMAGE"COVERAGE, Incurred by you because of the total theft of a A,4.Coverage Extensions Is amended by adding the covered "auto" of the private passenger type. following: We will pay only for those covered "autos" for which you carry either Comprehensive or We will pay up to$500 for loss to personal property of Specified Cause Of Loss Coverage. We will others In or on your covered"auto". pay for temporary transportation expenses This coverage applies only in the event of "loss" to incurred during the period beginning 48 hours your covered "auto" caused by fire, lightning, after the theft and ending, regardless of the explosion, theft, mischief or vandalism, the covered policy's expiration, when the covered "auto" Is "auto's" collision with another object, or the covered returned to use or we pay for Its"loss". "auto's"overturn. (2) If the temporary transportation expenses you No deductibles apply to this coverage. incur arise from your rental of an "auto" of the K. RENTAL REIMBURSEMENT ' private passenger type, the most we will pay is SECTION III — PHYSICAL DAMAGE COVERAGE, the amount it costs to rent an "auto" of the A.4. Coverage Extensions is amended by adding private passenger type which is of the same the following: like kind and quality as the stolen covered "auto". 1. This coverage applies only to a covered"auto"for H. AUDIO, VISUAL, AND DATA ELECTRONIC which PHYSICAL DAMAGE COVERAGE is EQUIPMENT COVERAGE ADDED LIMITS provided on this policy. In addition to the Each Accident Limit of Insurance 2. We will pay for rental reimbursement expenses and subject to the provisions of Paragraph C.2. of incurred of you for the rental of an "auto" Section III Physical Damage of the coverage because "loss" to a covered "auto". Payment y g 9 applies In addition to the otherwise applicable form, we will pay up to $1,000 for"loss" in any one amount of each coverage you have on a covered "accident" to all electronic equipment that "auto".No deductibles apply to this coverage. reproduces, receives, or transmits audio, visual or 3. We willpayonlyfor those expenses incurred data signals. during th olicy period beginning 24 hours after I. HIRED AUTO PHYSICAL DAMAGE the loss" and ending, regardless of the policy's SECTION III — PHYSICAL DAMAGE COVERAGE, expiration,with the lesser of the following number A.4. Coverage Extensions is amended by adding the of days: following: a. The number of days reasonably required to If hired "auto? are covered "autos"'for Liability repair or replace the covered "auto". If"loss" Coverage, and if Comprehensive, Specified is caused by theft, this number of days is Causes of Loss, or Collision coverage is provided added to the number of days it takes to locate for any"auto" you own, then the Physical Damage the covered"auto"and return it to you;or coverages provided are extended to "autos" you b. 30 days. hire, subject to the following limit and deductible: 4. Our payment is limited to the lesser of the 1. The most we will pay for loss to any hired following amounts: "auto" is the lesser of Actual Cash Value, a. Necessary and actual expenses incurred; or $75,000, or Cost of Repair, minus the b. $50da deductible. pery, subject to a$1,500 limit. 2. The deductible will be equal to the largest 5. This coverage does not apply while there are deductible applicable to any owned "auto" for spare io reserve"autos"available to you for your that coverage. No deductible applies to "loss" operations. caused by fire or lightning. 6. If"loss" results from the total theft of a covered "auto" of the private passenger type, we will pay 3. Subject to the above limit and deductible under this coverage only that amount of your provisions, we will provide coverage equal to .rental reimbursement expenses which is not the broadest coverage applicable to any already provided for under the Physical Damage covered "auto"you own. — Transportation Expense coverage extension included in this endorsement. 7. Coverage provided by this extension is excess over any other collectible insurance and/or endorsement to this policy f. CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with Its permIssion. Page 2 of 3 L. AIRBAG COVERAGE P. UNINTENTIONAL FAILURE TO DISCLOSE SECTION III — PHYSICAL DAMAGE COVERAGE, EXPOSURES B.3.a. Exclusions is amended by adding the SECTION IV — BUSINESS AUTO CONDITIONS, following: B.2. Concealment, Misrepresentation, or Fraud is If you have purchased Comprehensive or Collision amended by adding the following: Coverage under this policy, the exclusion relating to If you unintentionally fail to disclose any exposures mechanical breakdown does not apply to the existing at the Inception date of this policy,we will not accidental discharge of an airbag. deny coverage under this Coverage Part solely M. LOSS TO TWO OR MORE COVERED AUTOS because of such failure to disclose. However, this FROM ONE ACCIDENT provision does not affect our right to collect additional SECTION III — PHYSICAL DAMAGE COVERAGE, premium or exercise our right of cancellation or non- D.Deductible Is amended by adding the following; renewal. If a Comprehensive, Specified Causes of Loss or Q. MENTAL ANGUISH Collision Coverage"loss"from one"accident"involves SECTION V— DEFINITIONS, C. is replaced by the two or more covered "autos", only the highest following: deductible applicable to those coverages will be "Bodily injury" means bodily injury, sickness or applied to the"accident", disease sustained by a person, including mental This provision only applies if you carry anguish or death resulting from bodily Injury, sickness Comprehensive, Collision or Specified Causes of or disease. Loss Coverage for those vehicles, and does not R. LIBERALIZATION extend coverage to any covered"autos"for which you If we revise this endorsement to provide greater do not carry such coverage. coverage without additional premium charge, we will N. WAIVER OF DEDUCTIBLE—GLASS REPAIR OR automatically provide the additional coverage to all REPLACEMENT endorsement holders as of the day the revision is SECTION III — PHYSICAL DAMAGE COVERAGE, effective in your state. D. Deductible is amended by adding the following: If a Comprehensive Coverage deductible is shown in the Declarations it does not apply to the cost of repairing or replacing damaged glass. O. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT,OR LOSS SECTION IV — BUSINESS AUTO CONDITIONS, A.2.Duties in the Event of Accident,Claim,Suitor Loss is amended by adding the following: d. Your obligation to notify us promptly of an "accident", claim, "suit or"foss" is satisfied if you send us the required notice as soon as practicable after your Insurance Administrator or anyone else designated by you to be responsible for Insurance matters Is notified,or in any manner made aware, of an "accident, claim, "suit" or "loss". CA7270(7-14) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 3 of 3 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT- PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to B. With respect to the insurance afforded to these Include as an additional insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance: lease real property when you and such person The most we will pay on behalf of the additional or organization have agreed in writing In a insured is the amount of insurance; contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additional insured described in Paragraph A.1.;or on your policy; and 2. Any other person or organization you are 2. Available under the applicable Limits of required to add as an additional insured under Insurance shown in the Declarations; the contract or agreement described in whichever Is less. Paragraph 1,above. This endorsement shall not Increase the applicable Such person(s) or organization(s) is an additional Limits of Insurance shown In the Declarations. insured only with respect to liability for "bodily C. The following is added to the Other Insurance injury", "property damage" or "personal and Condition and supersedes an injury" p y provision to the advertising ' caused, in whole or In part, by contrary: the ownership, maintenance or use of that part of Primary and Noncontributory Insurance the premises leased to. you and subject to the following exclusions: This insurance Is primary to and will not seek This insurance does not apply to: contribution from any other Insurance available to an additional insured under your policy provided 1. Any "occurrence" which takes place after you that: cease to be a tenant in that premises, (1) The additional insured is a Named Insured 2. Structural alterations, new construction, or under such other insurance; and demolition operations performed by or on behalf of the additional insured. (2) You have agreed in writing in a contract or agreement that this insurance would be primary However,the insurance afforded to such additional and would not seek contribution from any other insured described above: Insurance available to the additional Insured. 1. Only applies to the extent permitted by law; and D. All other terms and conditions of this policy remain 2. Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. CG7184(10-13) includes copyrighted material of 180 Properties,Inc.with Its permission. Page 1 of 1 Policy Number: 2D39543 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT- PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured Is amended to B. With respect to the insurance afforded to these include as an additional Insured: additional insureds, the following is added to 1. Any person or organization from whom you Section III—Limits Of Insurance: lease real property when you and such person The most we wilt pay on behalf of the additional or organization have agreed in writing in a insured is the amount of insurance: contract or agreement that such person or 1. Required by the contract or agreement organization be added as an additional Insured described In Paragraph Al.;, or on your policy; and 2. Any other person or organization you are 2. Available under the applicable Limits of Insurance shown in the peclarations; required to add as an additional Insured under the contract or agreement described in whichever is less. Paragraph 1.above. This endorsement shall not increase the applicable Such person(s) or organization(s) is an additional Limits of Insurance shown in the Declarations. insured only with respect to liability for "bodily C, The following is added to the Other Insurance injury", "property damage" or "personal and Condition and supersedes any provision to the advertising injury' caused, in whole or in part, by contrary: the ownership, maintenance or use of that part of Primary and Noncontributory Insurance the premises leased to you and subject to the following exclusions: This insurance is primary to•-and will not seek This insurance does not apply to: contribution from any other Insurance available to an additional insured under your policy provided 1. Any "occurrence" which takes place after you that: cease to be a tenant in that premises, (1) The additional insured is a Named Insured 2, Structural alterations, new construction, or under such other insurance; and demolition operations performed by or on (2) have You behalf of the additional insured. agreed In writing in a contract or agreement that this insurance would be primary However, the insurance afforded to such additional and would not seek contribution from any other insured described above: insurance available to the additional insured. 1. Only applies to the extent permitted by law; and D. All other terms and conditions of this policy remain 2. Will not be broader than that which you are unchanged. required by the contract or agreement to provide for such additional insured. CG7184(10-13) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 Policy Number: 2D39543 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV—Conditions: We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement 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". F G! CG7555(10.13) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liablo 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule 1 This endorsement changes the policy to which it is attached and is effective on the date Issued unless otherwise stated. (The information below is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No. 2 P39543 Endorsement No. Insured Premium Insurance Company Countersigned by WC 00 0313 (Ed. 4-84) 01983 National Council on Compensation Insurance.