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MGT OF AMERCIA, INC. 1 - 2010
N-2010-117 INSURANCE ON FILE WORK MAY PROCEED UNTIL INSURANCE EXPIRES GL . 7-/-.Z~0/ CLERK OF COUNCIL AGREEMENT OR PROVISION OF SERVICES DATE: DEC C~ 2010 THIS AGREEMENT, made an entered into this day of November, 2010 by and (Z u}Aterrez. between MGT OF AMERICA, INC., corporation (hereinafter "Consultant"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California (hereinafter "City"). RECITALS A. The City desires to retain a consultant having special skill and knowledge in the analysis of governmental cost of services, used to develop user fees and full cost allocation plans. B. Consultant represents that Consultant is able and willing to provide such services to the city. C. In undertaking the per-forma ice ofthis Agreement, Consultant represents that it is knowledgeable in its field a rd that any services performed by Consultant under this Agreement will be performe in compliance with such standards as may reasonably be expected from a professiona consulting firm in the field. NOW THEREFORE, in consideration ofthe mutual and respective promises, and subject to the terms and conditions hereinafter set forth, the parties agree as follows: 1. SCOPE OF SERVICES Consultant shall perform a City cost analysis to develop a City Cost Allocation Plan, as set forth in Consultant's Proposal, attached hereto and incorporated by this reference. 2. REPRESENTATIVES For purposes of implementing his Agreement, the representative of City shall be the Executive Director of the Finance and anagement Services Agency, or his designated representative, and the representative )f the Consultant shall be Brad Burgess or his/her designated representative. Except as may be otherwise stated herein, such representatives shall have the authority to act on behalf oftheir respective parties in carrying out the terms of this Agreement. 3. DELIVERY OF WORK PR DUCT - OWNERSHIP Consultant warrants and represents that it has the absolute right to enter into and perform this Agreement and will perform its obligations hereunder in accordance with standards and practices prevailing in the industry. Consultant's contribution to the Project, including works to be produced by Consultant hereunder, will not infringe or misappropriate the proprietary or personal rights of any third person or arty. Consultant shall deliver to City any work product 1 which results from the services provided. Said work product shall be submitted in hard copy and produced in a form compatible with Ci y's information systems, as agreed between the Project Manager and Consultant. In regard to all material produced as a deliverable under this Agreement, including but not limited to records, papers, drawings, specifications, programs, systems and other materials prepared by Consultant, Consultant ag ees, for itself and its affected officers, employees, agents, contractors, and volunteer workers, that (a) other such material shall be the property of the City, and may not be copyrighted without prior review from the City, and (b) the authors of all such material, whether copyrighted or not, award to the City, and to its officers, agents and employees acting within the scope of their official duties, as a condition of payment to the Consultant, a royalty-free, nonexclusive, irrevocable license throughout the world for governmental purposes to disclose, publish, translate, reproduce, and use such materials. 4. COMPENSATION a. City agrees to pay, and Consultant agrees to accept as total payment for its services, a a fixed of $25,000.00. Said fee shall b charged by Consultant upon achieving milestones and providing the required deliverables, as follows: • 20% after initial department m etings/interviews are conducted • 50% upon receipt and review o first draft of the full cost allocation plan with Finance staff • 301/6 upon receipt and approval of final full cost and OMB A-87 cost allocation plans b. Payment by City shall be made within thirty (30) days following receipt of proper invoice evidencing work performed, s bject to City accounting procedures. Payment need not be made for work which fails to meet t e standards of performance set forth in the Recitals which may reasonably be expected by ity. 5. TERM This Agreement shall commence on the date first written above and terminate on City acceptance of the final Cost Allocation Plan, unless terminated earlier in accordance with Section 14, below. 6. INDEPENDENT CONTRA OM Consultant shall, during the entire term of this Agreement, be construed to be an independent contractor and not an employee ofthe City. This Agreement is not intended nor shall it be construed to create an empl yer-employee relationship, a joint venture relationship, or to allow the City to exercise discretion or control over the professional manner in which Consultant performs the services which are the subject matter ofthis Agreement; however, the services to be provided by Consultant hall be provided in a manner consistent with all applicable standards and regulations g venting such services. Consultant shall pay all salaries and 2 wages, employer's social security taxes, nemployment insurance and similar taxes relating to employees and shall be responsible for all applicable withholding taxes. 7. INSURANCE Prior to undertaking performance of work under this Agreement, Consultant shall maintain and shall require its subcontractors, if any, to obtain and maintain insurance as described below: a. Commercial General Liability Insurance. Consultant shall maintain commercial general liability insurance which shall include, but not be limited to protection against claims arising from bodily and personal injury, including death resulting therefrom and damage to property, resulting from any act or occurrence arising out of Consultant's operations in the performance of this Agreement, includ ng, without limitation, acts involving vehicles. The amounts of insurance shall be not less an the following: single limit coverage applying to bodily and personal injury, including death resulting therefrom, and property damage, in the total amount of $1,000,000 per occurrence, 2,000,000 in the aggregate. Such insurance shall (a) name the City, its officers, employees, agents, volunteers and representatives as additional insured(s); (b) be primary with respect to insurance or self-insurance programs maintained by the City; and (c) contain standard separati n of insureds provisions. b. Business automobile liability insurance, or equivalent form, with a combined single limit of not less than $2,000,000 combined single limit. Such insurance shall include coverage for owned, hired and non-owned automobiles. c. Worker's Compensation Insurance. In accordance with the provisions of Section 3300 of the Labor Code, Consultant, if Cons Itant has any employees, is required to be insured against liability for worker's compensation or to undertake self-insurance. Prior to commencing the performance of the work under this Agreement, Consultant agrees to obtain and maintain any employer's liability insurance with Iim is not less than $1,000,000 per accident. d. Professional liability (error and omissions) insurance, with a combined single limit of not less than $1,000,000 per claim, and $2,000,000 in the aggregate. e. The following requirement apply to the insurance to be provided by Consultant pursuant to this section: (i) Consultant shall maintain all insurance required above in full force and effect for the en ire term of this Agreement. (ii) Certificates of i surance shall be furnished to the City upon execution of this Agreement nd shall be approved in form by the City Attorney. (iii) Certificates and policies shall state that the policies shall not be canceled or reduced in coverage or changed in any other material aspect without thirty (30) days rior written notice to the City. 3 f. If Consultant fails or refuses o produce or maintain the insurance required by this section or fails or refuses to furnish the City with required proof that insurance has been procured and is in force and paid for, the City shall have the right, at the City's election, to forthwith terminate this Agreement. Such termination shall not effect Consultant's right to be paid for its time and materials expended prior tonotification of termination. Consultant waives the right to receive compensation and agrees to indemnify the City for any work performed prior to approval of insurance by the City. 8. INDEMNIFICATION Consultant agrees to and shall indemnify and hold harmless the City, its officers, agents, employees, consultants, special counse , and representatives from liability: (1) for personal injury, damages, just compensation, re titution, judicial or equitable relief arising out of claims for personal injury, including death, an claims for property damage, which may arise from the negligence, recklessness or willful misconduct of the Consultant or its contractors, subcontractors, agents, employees, or her persons acting on their behalf which relates to the services described in section 1 of this greement; and (2) from any claim that personal injury, damages, just compensation, restitutio , judicial or equitable relief is due by reason of the negligence, recklessness or willful mis onduct of Consultant arising from this Agreement. The Consultant further agrees to indemnify, hold harmless, and pay all costs for the defense of the City, including fees and costs for special counsel to be selected by the City, regarding any action by a third party asserting that personal njury, damages, just compensation, restitution, judicial or equitable relief due to personal or prop rty rights arises by reason of the terms of, or effects arising from this Agreement. City ma make all reasonable decisions with respect to its representation in any legal proceeding. 9. CONFIDENTIALITY If Consultant receives from the City information which due to the nature of such information is reasonably understood t be confidential and/or proprietary, Consultant agrees that it shall not use or disclose such in rmation except in the performance of this Agreement, and further agrees to exercise the same degree of care it uses to protect its own information of like importance, but in no event less than reasonable care. "Confidential Information" shall include all nonpublic information. Con idential information includes not only written information, but also information trans erred orally, visually, electronically, or by other means. Confidential information disclosed to either party by any subsidiary and/or agent of the other party is covered by this Agreement. The foregoing obligations of non-use and nondisclosure shall not apply to any information that a) has been disclosed in publicly available sources; (b) is, through no fault ofthe Consultant disclosed in a publicly available source; (c) is in rightful possession of the Consultant without a obligation of confidentiality; (d) is required to be disclosed by operation of law; or (e) is independently developed by the Consultant without reference to information disclosed by t e City. 4 10. CONFLICT OF INTEREST CLAUSE Consultant covenants that it pre ently has no interests and shall not have interests, direct or indirect, which would conflict in an manner with performance of services specified under this Agreement. 11. NOTICE Any notice, tender, demand, delivery, or other communication pursuant to this Agreement shall be in writing and shall be deemed to be properly given if delivered in person or mailed by first class or certified mail, p stage prepaid, or sent by facsimile or other telegraphic communication in the manner provided in this Section, to the following persons: To City: Clerk of the City Council City of Santa An 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 of Finance and Management Services City of Santa An 20 Civic Center Plaza (M-17) P.O. Box 1988 Santa Ana, CA 2702 fax (714) 647-5414 and City Attorney City of Santa A 20 Civic Center Plaza (M-29) P.O. Box 1988 Santa Ana, CA 2702 fax (714) 647-6515 To Consultant: Brad Burgess MGT of Americ 2123 Centre Poi to Blvd. Tallahassee, FL 2308 fax - 850-385-450 1 A party may change its address by giving notice in writing to the other party. Thereafter, any communication shall be addressed and transmitted to the new address. If sent by mail, communication shall be effective or deemed to have been given three (3) days after it has been deposited in the United States mail, du y registered or certified, with postage prepaid, and 5 addressed as set forth above. If sent b facsimile, communication shall be effective or deemed to have been given twenty-four (24) hour after the time set forth on the transmission report issued by the transmitting facsimile machine, ddressed as set forth above. For purposes of calculating these time frames, weekends, federal, state, County or City holidays shall be excluded. 12. EXCLUSIVITY AND AMENDMENT This Agreement represents the omplete and exclusive statement between the City and Consultant, and supersedes any and all other agreements, oral or written, between the parties. In the event of a conflict between the ter s of this Agreement and any attachments hereto, the terms of this Agreement shall prevail. his Agreement may not be modified except by written instrument signed by the City and by a authorized representative of Consultant. The parties agree that any terms or conditions of any purchase order or other instrument that are inconsistent with, or in addition to, the terms and conditions hereof, shall not bind or obligate Consultant nor the City. Each party to this Agreement acknowledges that no representations, inducements, promises or agreements, orally or othe wise, have been made by any party, or anyone acting on behalf of any party, which are not embodied herein. 13. ASSIGNMENT Inasmuch as this Agreement is ntended to secure the specialized services of Consultant, Consultant may not assign, transfer, delegate, or subcontract any interest herein without the prior written consent of the City and any such assignment, transfer, delegation or subcontract without the City's prior written consent shall b considered null and void. Nothing in this Agreement shall be construed to limit the City's ability to have any of the services which are the subject to this Agreement performed by City personnel or by other consultants retained by City. 14. TERMINATION This Agreement may be termin ted by the City upon thirty (30) days written notice of termination. In such event, Consultant hall be entitled to receive and the City shall pay Consultant compensation for all services performed by Consultant prior to receipt of such notice oftermination, subject to the following conditions: a. As a condition of such payment, the Executive Director may require Consultant to deliver to the City all work product completed as of such date, and in such case such work product shall be the property of the City unless prohibite by law, and Consultant consents to the City's use thereof for such purposes as the City deems ap ropriate. However, any use of unfinished work product shall be at City's sole risk. b. Payment need not be made for work which fails to meet the standard of performance specified in the Recitals ofthis Agreement. 6 15. DISCRIMINATION Consultant shall not discrimina a because of race, color, creed, religion, sex, marital status, sexual orientation, age, national origin, ancestry, or disability, as defined and prohibited by applicable law, in the recruitment, s lection, training, utilization, promotion, termination or other employment related activities. C nsultant affirms that it is an equal opportunity employer and shall comply with all applicable federal, state and local laws and regulations. 16. JURISDICTION - VENUE This Agreement and all questio s relating to its validity, interpretation, performance, and enforcement shall be government and construed in accordance with the laws of the State of California. This Agreement has been a ecuted and delivered in the State of California and the validity, interpretation, performance, a d enforcement of any of the clauses of this Agreement shall be determined and governed by t e laws of the State of California. Both parties further agree that Orange County, California, hall be the venue for any action or proceeding that may be brought or arise out of, in connectio with or by reason of this Agreement. 17. PROFESSIONAL LICENSE Consultant shall, throughout the term of this Agreement, maintain all necessary licenses, permits, approvals, waivers, and exemptions necessary for the provision of the services hereunder and required by the laws an regulations of the United States, the State of California, the City of Santa Ana and all other governmental agencies. Consultant shall notify the City immediately and in writing of her inab lity to obtain or maintain such permits, licenses, approvals, waivers, and exemptions. Said inability shall be cause for termination of this Agreement. 18. MISCELLANEOUS PROM IONS a. Each undersigned represents and warrants that its signature hereinbelow has the power, authority and right to bind their respective parties to each of the terms of this Agreement, and shall indemnify City fully, including reasonable costs and attorney's fees, for any injuries or damages to City in the event that such authority or power is not, in fact, held by the signatory or is withdrawn. b. Captions and headings in this Agreement, including the title of this Agreement, are for convenience only and are not to be considered in construing this Agreement. c. All Exhibits referenced herein and attached hereto shall be incorporated as if fully set forth in the body ofthis Agreement. 7 IN WITNESS WHEREOF, the parties ereto have executed this Agreement the date and year first above written. CITY OF SANTA ANA ATTEST: MARIA D. HUIZAR DAVID N. REAM Clerk of the Council City Manager APPROVED AS TO FORM: JOSEPH W.FLETCHER City Attorney y BY=L'~ Cn t ni`, J Q Cal Laura Sheedy Assistant City Attorney MGT OF AMERICA RECOMMENDED FOR APPROVAL: FRANCISCO GUT`IERREZ /I Executive Director - FMSA MICHELLE allAREZ VICE PRESIDENT OF FINANCE & ADMIN. 8 EXHIBIT A Project Scope and Expectations The City has requested a Full Cost an OMB A-87 cost allocation plan. A cost allocation plan is an accounting document that identifies citywide indirect costs and then distributes those costs to the benefiting departments, divisions and programs. Benefits to users of the cost plan are: _ Determination of full costs for General Fund supported operations and activities. _ Determination of full costs for external charging (user fees, hourly rates, billing rates) - Knowledge of full costs (lease/buy decisions, outsourcing, etc.) Cost allocation plans are a series of c mplex calculations that require an understanding of each jurisdiction's financial reports, administrative structure and operational services and programs. Perhaps above all else, a cost allocation plan must adhere to GAAP guidelines and principles. GAAP has one over-arching requirement: the cost allocation plan must provide a distribution of costs that is fair and equitable to all recipients of the centralized administrative and support services irrespective of the potential for reimbursement. The common perception of preparing Full Cost allocation plan is that there is a set of concrete rules applied categorically in every situation. This perception, however, is not reality. Therefore our work approach and methodology i corporates not only a deep understanding of GAAP but also the practical applications of the principles and guidelines relative to each jurisdiction and unique situation. 9 ,aco CERTIFICATE F LIABILITY INSURANCE DATE (MM/DD/YYYY) 6 1a 2010 PRODUCER Phone: 850-878-2121 Fax: 850-87a-2328 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Earl Bacon Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.0- Box T2039 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tallahassee FL 32317 14-2010-117 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Valle ForClfe In rance Co 08 MGT of America, Inc. & Public Resource Mgmt. Group, a wholly owned subsidiary of MGT INSURERB:American Cas of Readin P 427 2123 Centre Point B1Vd. INSURER C: Continental Casualt Com an 0443 Tallahassee FL 32306 INSURER D:Travelers Casual & Suret C 33-1-94 INSURER E -1 1 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I SUED 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 INSU CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY NUMBE POLICY EFFECTIVE POLICY E%PIRATON LIMITS DA AT D I A X GENERAL LIABILITY 20933909T8 7/1-/2010 7/l/2011 EACH OCCURRENCE $ 1 o O p 0 0 0 X COMMERCIAL GENERAL LIABILITY DA A E T R NTED ~ PREMISES Ee occurrence $ 3 0 0 0 0 0 CLAIMS MADE L 1 OCCUR MED EXP An one arson $5,000 X A-XV Ratino PERSONAL B ADV INJURY S-1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $2,000,000 RO LOG X POLICY P JFQT F-1 B AUTOMOBILE LIABILITY 2 0 9 3 5 6 3 S O 1 7/1/2 O 1 O 7/1/2011 COMBINED SINGLE LIMIT X ANY AUTO As TO (Ee accident) $1,000,000 ALL OWNED AUTOS ~r i RO V L l SCHEDULEDAUTOS BODILY INJURY $ (Per person) X HIRED AUTOS BODILY NON-OWNED AUTOS INJURY $ t, tl Lg SLIL( (Par eccitlenq X A-XV Ratincr Assist nt Cit Attorney PROPERTY DAMAGE $ (Per accltlenl) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ C EXCESS/ UMBRELLA LIABILITY 2093563496 7/1/2010 7/1/2011 EACH OCCURRENCE $$4,000,000 X OCCUR CLAIMS MADE AGGREGATE $4,000,000 DEDUCTIBLE $ X RETENTION $1.0,000 $ I. T, I I A WORKERS COMPENSATION 3011086712 7/1/2010 7/1/2011 X W'C STA TU- X 0TH- A EL-below AND EMPLOYERS' LIABILITY TOR C ANV PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? 3011086788 CA 7/1/2010 7/1/2011 EL EACH ACCIDENT $500 000 (Mandatory In NH) E.L. DISEASE - EA EMPLOYE $ S O O 0 0 0 If es, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500.000 OTHER Limit 2,000,000 D Pro=elnnal Liab_ (E&O) 104968324 7/1/2010 7/1/2011 ggragata 3,000,000 Claime-Made form 7/5/95 Retro Date DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED B ENDORSEMENT / SPECIAL PROVISIONS lanket Additional Insured endorsement under Gener 1 Liability. Blamket Waiver of Subrogation applies to General iabil ity, California and All Other workers' Compe cation policies. Umbrella: A-XV Rating. All Other Wor)cars' Comp nd CA Workers' Comp: A-XV Rating. California Em loyera Liability Limits: $1,000,000 Each Accident/$1,000,000 Disease olicy Limit/$1,000,000 Disease Each Employee X45 Days Written Notice of Canc-Nonrenewal. TM10 Da a Written Notice of Camc-Nonpayment. Included as an additional ea Attached.. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE City Of S ant a Ana , At to . Wi 1 1 Hay S CERTI FI CATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO 20 Civic Center Plaza (M-30) SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON P_ O. BOX 1988 THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana CA 92702-1988 AUTHORIZED REPRESENTATIVE ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD nam and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIO AL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER This Certificate of Insurance does not con titute a contract between the issuing insurer(s), authorized representative or producer, and the certifi ate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009109) DESCRIPTIONS Continued. insured under the general liability isth. City of Santa Ana, its offl- - , employees, agents volunteers and representatives - GL form written on primary & no contributory basis. MGT of America, Inc. Policy#209339091 Effective 7/1/10-11 CNA G-17957-G (Ed. 01/01) IMPORTANT: THIS ENDORSEMENT NTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCUR EINCE, OFFENSE, CLAIM OR SUIT. SEE PARAGRAPH C.I. OF THIS ENDORSEMENT FOR TH SE DUTIES. ALSO, THIS ENDORSEMENT CHANG S THE CONTRACTUAL LIABILITY COVERAGE WITH RESPECTS TO THE "BODILY INJUR ' OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS-COMPLETED OPERATI NS HAZARD". SEE PARAGRAPH B.3. OF THIS ENDORSEMENT FOR THIS COVERAG CHANGE. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S SCHEDULED AND BLANKET ADDITIONAL INSURED ENDORSEMENT WITH LIMITED PRODUCTS-COMPLETED OPERATIONS COVERAGE This endorsement modifies insurance provided un er the following: COMMERCIAL GENERAL LIABILITY COVE AGE PART SCHEDULE Name of Person or Organization: Designated Project: (Coverage under this endorsement is not affec ed by an entry or lack of entry in the Schedule above.) A. WHO IS AN INSURED (Section 11) is am nded to 2. The Limits of Insurance applicable to the include as an insured any person or org nization, additional insured are those specified in the including any person or organization sho n in the written contract or written agreement or in the a schedule above, (called additional insured) horn you Declarations of this policy, whichever is less. are required to add as an additional insure on this These Limits of Insurance are inclusive of, and not policy under a written contract or written a reement; in addition to, the Limits of Insurance shown in the but the written contract or written agreement must be: Declarations. 1. Currently in effect or becoming effective uring the 3. The coverage provided to the additional insured term of this policy; and by this endorsement and paragraph f. of the 2. Executed prior to the "bodily injury," property definition of "insured contract" under damage," or "personal and advertising injury-. DEFINITIONS (Section V) do not apply to "bodily injury" or "property damage" arising out of the B. The insurance provided to the additional i sured is "products-completed operations hazard" unless limited as follows: required by the written contract or written agreement. When coverage does apply to "bodily 1. That person or organization is an additional injury" or "property damage" arising out of the insured solely for liability due to your n gligence "products-completed operations hazard" such specifically resulting from "your work for the coverage will not apply beyond: additional insured which is the subject of the written contract or written agreement. No a. The period of time required by the written coverage applies to liability resulting fro the sole contract or written agreement; or ® negligence of the additional insured. G-1 7957-G Page 1 of 2 (Ed. 01/01) G-17957-G (Ed. 01/01) b. 5 years from the completion of "your work- on (1) Give written notice of an occurrence or an the project which is the subject oft the written offense to us which may result in a claim contract or written agreement, or "suit" under this insurance; whichever is less. (2) Tender the defense and indemnity of any 4. The insurance provided to the addition insured claim or "suit" to any other insurer which does not apply to "bodily injury," property also has insurance for a loss we cover damage," or "personal and advertising injury" under this Coverage Part; and arising out of an architect's, engin er's, or (3) Agree to make available any other surveyor's rendering of or failure to render any insurance which the additional insured professional services including: has for a loss we cover under this a. The preparing, approving, or failing t prepare Coverage Part. or approve maps, shop drawings, pinions, f. We have no duty to defend or indemnify an reports, surveys, field orders, chance orders additional insured under this endorsement or drawings and specifications; and until we receive written notice of a claim or b. Supervisory, or inspection activities rformed "suit" from the additional insured. as part of any related architectural or 2. Paragraph 4.b. of the Other Insurance Condition is engineering activities. deleted and replaced with the following: C. As respects the coverage provided under this 4. Other Insurance endorsement, SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS are amended as b. Excess Insurance follows: This insurance is excess over any other 1. The following is added to the Duties In The Event insurance naming the additional insured of Occurrence, Offense, Claim or Suit Co dition: as an insured whether primary, excess, contingent or on any other basis unless a e. An additional insured under this end rsement written contract or written agreement will as soon as practicable: specifically requires that this insurance be either primary or primary and noncontributing. G-1 7957-G Page 2 of 2 (Ed. 01/01) MGT of America Policy#2093390918 Effective 7/1/10-11 POLICY NUMBER: CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVER AGAINST OTHERS TO US This endorsement modifies insurance provided un er the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Refer to SCHEDULE CG2404 (If no entry appears above, information require to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST because of payments we make for injury or damage arising OTHERS TO US Condition (Section IV COM ERCIAL out of your ongoing operations or "your work" done under a GENERAL LIABILITY CONDITIONS) is amended by the contract with that person or organization and included in the addition of the following: "products-completed operations hazard." This waiver We waive any right of recovery we may have against the applies only to the person or organization shown in the Schedule or organization shown in the Sched le above above. a i CG 24 04 10 93 Copyright, I surance Services Office, Inc., 1992 MGT of America, Inc. Policy 3011086 88 Effective 7/1/10-11 - CA CNA G-19160-B (Ed. 1 1 /97) WORKERS' COMPENSATION AND EMPLOYER B' LIABILITY INSURANCE POLICY BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS This endorsement changes the policy to which it is attached. It is agreed that Part One Workers' Component Ion Insurance G. Recovery From Others and Part Two Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - The charge will be an amount to which you and w agree that is a percentage of the total standard premium for California exposure. The amount is s as e= G-1 9160-B Page 1 of 1 (Ed. 1 1 /97) MGT of America, Inc. Policy 3011086712 Effective 7/1/10-11 All Other WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT T RECOVER FROM OTHERS ENDORSEMENT 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 i 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 Indirect y to benefit anyone not named in the Schedule. Schedule ANY PERSON OR ORGANIZATION O WHOSE BEHALF YOU ARE REQUIRED TO OBTAIN THIS WAIVER OF OUR RIGHT TO RECOVER FROM UNDER A WRITTEN CONTRACT OR AGREEMENT. t~ This endorsement changes the policy to which It Is attached a Is effective on the date Issued unless otherwise stated. (The Information below Is required only when this endorse nt Is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium $ Insurance company Countersigned by WC 00 03 13 (Ed. 4-84) Copyright 19 National Council on compensation Insurance. N-data - /l7 ^v ° CERTIFICATE OF LIABILITY INSURANCE `Y n ; 2011 6/23 THIS CERTIFICATE IB ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFlCAT E H HOLDER, THIS CERTIFlCATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE CE INSURANCE TT? 5NRCT BETWEEN THE ISSUING INSURER?Sti AUTHORIZED ORPRODUCE ER, AND THE DEPTH ER. PEPRESENTA OR PROD IFI ER. IMPORTANT If the cefffmc holder Is an ADOMONA1INSURED, the PNlI must be eodoMed. If SUBROGATION IS WANED, subject to the WhIsand CoOmdOMs of the PMIW, InPC IIUIe R` Uluahs memo!kMMMeet aR this oedlfloak dose 00(MGnf01 tight, to the c(CL a holder AAMU OI suoh endorsemenhs) veWUCFR NINE, Nane Blucher 8obb Bacon P, 0, Box 12079 No EM , Arc No. PBWfR t Msamt MOTIF INSUR SAfFOR01NGWVRWF NNCa WYIfQD INSNAFAA',VeLle Tome IIIADCenCe PA, 20E08 2127 Centre Point Blvd IrvsuRERa,American Cas,Ce,of Reading, PA 20427 , InsuAEeR.Transportation Ins. Com an IreeAEAE; f IN60AFRF$aVPLPi6 CABllalt 6 Surety CO /on 31194 COVERAGES CERTIFICATE NUMBER: 199E96409f 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 REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED3 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALLTHETERMS , EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR LiR RPEa NSURANCE POUCYNUMBFR POLCYEFF MMnefnYY POUCYEIP MMmn v LMIR A CFXGALLLAmun P Y ]09]190918 1/1/ialF PLl/2NR FALHaCUfPENCE ll,aea,Pee X fQNIffRCIPLCFNERAIIIASUtt pgMSpg EMttUne? SID0, 000 CWMSMA[E 1XI OCCUR MEDIXPAMMrs {enml ls,NeN X A%V RetlpP PERSDNALa40VWOFY 1LA00, 000 GEIfRAIAGCPEWFE yC,oOO, 00o GFMAL[MECAIEIIMNIPPIIECFFR pimDm9NIIPpPpfG 92A00, 000 x PoUCY ?IOC ! B W1 W0911E LL4BINY Y Y P2091E8)Sel 1/1/1011 1/1/2X12 CqJ&NF?9M1CdELIMT fit, 000,000 ' ` (E+aW?ll AM WIO ,. rl I) ?y, : Yi..?11 BDmIYINIUAY Pd ^ I I 4dA I A0.WMEONR09 B7glYIWUAYPdaubM ! .YNF?UIEDWTOS f PRPEPfIWMAGE ! P NIFEDWIOS ? J.--- (Fg?? x NLNNWEOWICa "I ! C M OMB#LLI WB X WOM P2091E6ea96 1/1/2011 1/1/2012 FACNfWUfWPILE 9SS, 000, 000 pCFbe LUB CWMSMP[E AGGREGAtE B OF?LCIImE B x PETENnoN Ela,aea ! q W0 ANa 51ERSWRPENBAPdN eMtt0YEA6'LUBlllrv Y 1011086n2 1/1L2N11 i/t/20t] % NG SiFTpDIH NXL-0elcx p yIN 101I086PAe CA 1/1/2011 P/t/pti ANYPROPNENMARII?FXECNIVE NIA EL FACNPGSCEM SSOO,000 OfFICERmFAISER WAOCEID Mpn4kryln NX EL gSEPSEFAEIRIO 9100,000 Hyy?? ?auka, CFSdMmONOFOPERUILNSMkw EL gSEPff CLR1'UYIi 9E00.000 P Pmfeplonal Liablllry 1019681& P/1/toll P/L/2012 Pea Clalm 2,000,000 Clalme-Made POtm mgete Esosscs 1LSL9S Retm Male; A?%IV [fetRIP11pNOFOPEPAlI0N51LOG110N51YFNICIFS WM?am0A0141,AEMIOnIWmuNSANUY,IImanpellnptlntll UmSrella, A-%V RadngAll Other Woekexs' Camp and CA WorkeeM' Comp , A-%V RAEing. California B1Aployere Liahility Lindts: $1, 000,400 Saeh Accident?$1, 000, 000 Disease Policy Limit?$1, 000,000 Oiseaee 2SCh Earl Bacon Agency, Inc. reoxE Tallahassee FL 32717 p oAlwfas. hbacon®earlbacoacom MGT of An'Eriea, Inc. Tallahassee PL 72708 InsuRFRm,COntinenLal Casualty Cam an 20447 employee ?AN?[LLRIRIrI I"jCANLryp City of Banta Ana, At[n.:-WA-b-Hayes- 20 Civic Centex Plaaa {FF3B?' /.P,p7 P, 0, Box 1988 Santa Ana G 927021988 ACORD25 ?20DSIDR) TheACORD Mameaod logo are regutmed make olACORD AUTOMOBILE ADDITIONAL INSl1RED&WAIVER ORSOBROCA'ffON I. Who Is An Insured The Pollowingare"insureds„ I Youfmanycovered"aum b. Anyone else while using with put Paiasim a covad "auto" you own, bveaborrow except: (I) 7heownaaanyoneelse Bom wham you hue m hortaw acavazd "solo".11da auepdon dos not apply if the covered "auto" a a"Bailer"connoted to a covered "auto"yamwn, (2)Your "anployee"ifthe covered "aola"is owned bythat "aoployd'eramember ofhis or her household, (3) Someoneusing acoverd "auto"while he or she U wor6ng in a husiness of selling, servicing, repaving, parking or ataing"aulos"unlessthat businessis yoma, (4)AnyaneofherAanyaw"anplayed',padnas(ifyousreapa?vship),mem6ers(tfyouemu limild IieVilitycampaoy), or a loses mbaaowaarany of their"employers", whhemovingproperty [o m ban a roved "solo". (S) ApaMa (ifyou are a permereltip), ma memha(if yw arc a GmitdliabiSlywmpmy) fa a covered °eulu" ownd by him err ha or a manha of his m her household aAnymelie6lePorNe¢onduao(ar"iusmd'dacnYmdabovebulonlytolheatmtofNdlia6gity. Provide "additional iwmd" sletm S,'IhmferOf Righb Of Raovery Agabast ONaa Ta Us If any pasty err organrzatim to m fa whom we make payment wrier tlds Covaage Foml has righR to raava demagrs frcm analha, Ihaenghta erehanafertd loos, 7lmtpasan a mg?iaedonmu? do everythingnaesarysa saummu np?ls mdmusl donahiog aSa "aaidml" a"lose" to impavAam, Policy autanaticaVy permits "w®vu of su6m¢atlon Busineea Auto Policy MGT of America, Inc, Policy 2097S63SUl 1?I?II - 7?I?I2 Owed Aida you *kl ARw Ths Pollry Bqw I. HSymbols1,121,kIOr191rearewhdned 10 a orvaraq in Wind Two of to Oadwatlms, roan you have cwereq Id 'aula' thal you apuire of NB ype dwbW 101 the remaindw olroepdhypatlod, 2 BBI,iI*bol%onoredredroamonalpip Item Two d hot Oadaradors, in 'aulo' you epulre Brill be a draw '80, rot Nel overagoNg: a We already srnet all'auls' roel you an lot Ihat auaaq or n replscw m'suPo' coueraq; and b. YoulalluswiNln30daysaHwyauapuae II Nal you went w id aver h ror roal avereq C, C111116 TrtlNn, ItoblN Fsugnwd And Tempolwy6ubdMNlAu1a II L'wd'Ny Cnrerapa is provided by rols Cowlaga Form, to IolloWirq yqs of vaNdaa era also awred'aroe' br LiadlRy Covweq, I, 'Tlailws' wtlh a lad agcly d 2 pantls ,bW or Uses dwigatl rimuiy ror baud p on pdic tads. 2. 'NodkpuymmfwhiNbai?pardadalowatl hyBawled'BUro.' 2. Awy'aaro'ywdDnclaWmNillNwadWllhNB pwmlsala d Hs mW11Br a B NmpArery suhatlMe for a cowred'aNo' you am Nat ls oulalwrvroabaauaedtls: YOU pmdoUSy oWABd NBI had 1hAl W BraNdown; h. Repair, a Swvkcp; d 'Las', a 1, Oauud'mn, SEC110N I-LUINIry COVERAGE A. Coswnq Wa will pay all wmB m'Nared' bgly mud pay u dwnapw bmauaB d'body Iry'ury' w'propry tlamapa'ro WfiICh thls hBUlBllse Bppllw, awed by iA 'addhnl' and luulllBp bon Na wwnwdiip, malBroana a ore of a oward'euro' ova cold also qy dl Boma m'iaund' ?Qdy seal pry w a 'oruarad poldhn ad or erywWa' W wind Nls Iaa1ncB appiw, EY16ad bN m 'aoddmP and resuNnp hom Na anarehip, mBNrenana ar as d awred'auros' Nowuvw, we aril ony qy rot Na'cdwBd pdINIoA coed or apanaa' h Nara ls eNhal'bodlly Injury' w'prapotN demrye' W wroich Nls iaumra eppliw Ihd Is aLSBd dY NB wms'aaidml' Wa have Ne d2ht and dory b ddmd eny'irewad' apaial a 'aiY aaNhp Por asA damaQm a a awred pcllutlon cold or Bap tin 1 Rawer, we have no dully lo ddmdemy Taus d again, a'luit' Hkall damage la'bodiy injury' or'propwty damaq' or a covered polu ion all or 9ponse id which this insurance does Aal appy. We may msslle and sells IV chin or'$Uhl as we Water appmplhN. Our ddy to delard a setlle ads when Iho Liabil y Covolep Llmlt of Insulma his bean BxWusled by payment of Judi of seHNmeds. 1, WhokAnhwrwld The IollowNQ are'irsureds` 1. Yaurotarlyzerv'' b, PnYae else ON ucnp wt your Pwmlssia a mod 'eulo' you own, hire orborrowwapt UI The ownw a eryoa dsa hom whom yW NIB et barow B aVewld'9do' Thls eaaptlon des '' is a'trailar annwNd toe CWered'8Uro' rya own. 121 Yar'Bmplryw'Hthe mvwad'auro'ls owned by that'anploysa' or a mambar al his or het household (81 Someone aNp a o;reretl'aub' whlb ha a she a wado'p in a busirsre d seRnQ, 6BM1HpnQ, IBPIkfIQ, gINnQ Or dalhp'euros' udws Nat hushes ls yoUre, (1) AIryCCB dhAr Nan yow'Bmplryew pmare IN ycU Bm a gdnwshlp?, mamhare IH you are a IImNBh IlsbNH canparyl, a a Iwaea or hwlaar or BAy 01 roeh'BmproyBe6; WhIIB mwNp prepslty to a hom a avwad'autc.' IH) Apadnarlilyauwapwhwlahip),ae mamba IH rya are a IImiIBd I'wbilHy campemy? hr a arvered'wro' wWatl by him or hw ar a member al hw or her houwhod. c, Arryale Nede la Ne andal d m 'irsaed' dBahhad above bd ay ro roe eatenldNalllebillry. 2. CowrglEdxreka e IupplwAmllryPrymldl WawlllpayWHw'lawed` IQ ANwPawwwelncw, Mod AM py H Ne (2) OP b 12,674 ror eel d 6dl bads (lydudhp hoods ror related badic Iww vldatlmq Ipuhld bweuse d an 'aalmm' ova aver. We do ncl haw ro haalsh NBBB boad9, ?I The oat pl bondt ro IdwlB IHedIAIBnN N my'aUY aQdml roe 'lamed we dalsnd, bd ay W bond amounls within ar IImH d laureaa. Papl2d11 Capylphl,ISOPropadlw,lAC,ZOAS cAaaMa7a Huslsees Auta Polfcy MGT of America, Inc. Policy 2093S63S01 111111 - 711112 9ECTpN IV - BUSINESS AUTO CONBINONS Ths rollawrAp arddae apply in eddfia b IN CanmaA Policy Conditions: A. NouCaldEbn 1. ApplehalFaPhyebalDvngalou II you and we drags an to amaunl d'IcB either may demand a BppniBl of No'bui In S from, Bch pally will Stied a oompded appaha. The two appabera will sadd e emptier Rodho llidumpre.Thaappaleae will sae Bperany the edual cads MAR and WIM O'khm' II they la'I b apes, INV will submit low therelmB to the umpire. A di agreed b by any Iwo oil N d'Minp, Eahpadywdl: e, PaIiNcOaapCldaer,and h. BBr IN dher BpeBB d IN sppdBl and umpire equally h we aubmtl b a appdBl, of will All rebin ourdpNrodRryBmcbim. p. Dallas N The W 01 AaddRd, ChhA, U CI Lou Ws have no dory b Provide coverage under thh wnh the bdlaydnp dudB: t IA Na wed ot'RecroaAt' cdim,'suiY err kas' you mud pB B a au udylodad mpreBmdNe prampl natln d Na aaitleAl' IX'k?' lAdutla: j1) Haw, wfia ad whale Ne'aahbAl' Or 'IoB'aaaAed; Tha'alalad8'ARmaaAdaddlBS; 8114 ? To Na adanl poBida, Ne ARmB and addresses d erry Nju'ed person ad wimBSB. h. AddtloARly, you and arty dher Nmdad SBaed' mwt n) AEIDmI no abNpRtbn, meNe Ao paynwd a IAaur no BpaB wlNoul our aneeol Bnpl a tha'ireuleds' amad. NI Immadiany sad us adB of erry requad, demad, artier, ndka, summers a lapel paper laaedatl annAlirg Iha deim or'suN.' ? COOpaleb wiN B in the Irwaslipatbn of sdtlemed d Itw claim of daABe hl PmmpVynORIVIN00011$aawaed 'aura' a any 01 Bs aqulpmed Is ada, R) Tale AownBdaslepsroploNdBN canred'euro' ham Tuft damage Ala Neap a ha d dycm BpanBla onside atlan In to sedNmem d IN cblm. Peooh us to roaped the anled'euta' and mcOrds poi Ne'IoB' bell its Iepalrardaposi N) Agree hi overall uoda ohn or Oa mgnsl and In n a Signed saulamalolyourannow d LpNAcdooAgaidal NO one may onag a legal wile against B uAOarthroCBalape Fam until: e. There his has roll amplienn With 6 the rolme dlhu Coverage Fam, and has IiAdty Eaa tldamNAad by judgment anal Nd. ND as ha l npht under do pdiry b bdop B lAb an Won ro 4tarmlroNe'I?reds' Iledllry, 4. loo Prymall - Phplnl Oernpa CovRrRpRe Aouroptloowamay: i Payror,repdrarrepbntlamRpadolaldeA P'Wery; b. Aalum Ina etolm pmpelry, el oa apaoB. We will pay br arcy damage Nd msulh ro NB'IIdD' hom Ina Ihdg IX c. Tale all a arty pat d Na damaged a ddB plaperry al an spread of appmlBd value. h roe pay rorNa'IoB,' err paysBm will imduda NB eppl'ugda odes av la Na damaged a sldan plopay 6, TnndRl q Alin 01 ABaswy ApRhW ONRnToW k Under lwbtliry Caerepa, we aprB in II arty pass a apadsatla ro a rot where wa maNe payanem ands Nd Conleq Fam has tlpnn ro leaver demapB hom amNar, Nose Aphb el6 1reA6dallad 10 e8. TNRI perea Of orpBiBda mBl do ererytltlAp nanBary W Bale our tlphb and mud do AoNiap atln 'acadanY a'rose' to impdr Iham eplBtNa'cuM' L GerwIRlCaldllron ss NI Aatllolhe B W obtain madkal mawds or oNer palNlad Nfolmatron. NI SubinH b arsmiBtloo, a as uaerB, hl D?? d al erode, BaneA B we rewnby IequVe C, II Nara U'Ita' m a avared'BW' IX la agdpmanl you mud also do dm Idbrdngr willing heel Ne'IAared' him in oNpetla lo pay or atilt Na Room al Yal od?atla L BWnpDy BaAluuptlrya iABlnnry d Na Nrwured' a Na Yrwmad9' Blab wltl od mVeB us d arty oblgadons under Nro CaerepR FOAn Z CaInRN1a11,NYnpeBnldla0rilelld ThU Cwerapa FOIm lanitl N aW BB d Ireutl W you at any tlme B h ratans ro tda Caalap policy abB thole has baao lull ampNan CAW01d90B Capylipht,I9JPropaN'B,Ina,260S PRpRid11 MGToIAm¢dca,INC. PoIIcyN209339W18 EfledNe 111111.12 G1ig51G (Ed. 031) IMPORTANT; THIS ENDORSEMENT CONTAINS DUTIES THAT APPLY TO THE ADDITIONAL INSURED IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT, SEE PARAGRAPH C.1.OF THE ENDORSEMENT FOR THESE DUTIES. ALSO, THIS ENDORSEMENT CHANGES THE CONTRACNAL LIABILRY COVERAGE WITH RESPECTS TO THE "BODILY INJURY" OR "PROPERTY DAMAGE" ARISING OUT OF THE "PRODUCTS"COMPLETED OPERATIONS HAZARD", SEE PARAGRAPH B.3, OF THIS ENDORSEMENT FORTHIS COVERAGE CHANGE. THIS ENOORSEMENTCHANGESTHE POLICY, PLEASE READ IT CAREFULLY, CQNTRACTOR'S SCHEDULED AND BLANKETADDITIONAL INSURED COVERAG E This edareamaot motllflas iraurerce proddd uatlar Na fdlavlag: COMMERCIAL GENERAL Lt4BILITY DCVERAGE PART SCNESULE NsmedPaaoaa0ryed6sllam SasgnsledProJud; (Cawrapa uadarWa ¢adanomsd b oat of (omed 6y ea entry ar loch of anlry io fha Schatluk show l m we w s v ENDORSEMENT WITH LIMITED PR A. WNG G AN INSURED JBuctlan IIJ la ameatled to ladutla w ea Insured arcy person or apa,Uah'oo, Isdudap any pereaa a oroaoizada storm In Iha astltlule above, (calle7 atldtlmal IrauretlJ whom you are required to add m en edditNa61 IaauroJ m Nis popsy order a writla mmred or wddm graemarn; but N a wdtlec cmlred a w>hleo gream¢rn must ha: 1, CumadYlcaRadabaceMq¢SedwdulgNa drmdNhpdLy,aM p. Ezscded p'iot 1¢ tlw 'hotlhy ?'uy; 'propady damage; a"pareooeleadadvedbiglnJurye. S, The Iasureoce provdd to Na addNmal icaured Is IO11Yd a6 hlbwa 1, Thd pareac a orAedaadoa la an addldorel msaatl coley la IIahINY due W your ogllganca geddrary reaurnog Lrom 'you wa?K la the edlNor? inured whloh M Ne cubed d the wduea ceaU?d of widao agreamsat Nb sawrape eppllea to IlabiNy resuldq hom Ne saM aaplDaceolNStldNarelNaurel. G173S7G JEa.plrop 1, Tha Umih of Iasureae applMwble m Ih¢ adtl'rnoaal Ireured are Nose spedYsd Ia the wiVec ceahad ar wzidm apreemad a N the Oadamlmla of this polky, whichever IB lesa Th!ae b' Mls of Naurerce ere iadusN¢ d, emi ad N eddltloo W, N¢ Umlts ollcsaaxa d?owo NNa CadarA'pae. The cowrega proNtlad W tha adtlUaml Icaurod by Nla ¢atloreamsrt eM parepreph t d Ne dagrNOr, d 'iawtad smhad coda GEFWI110N3 (Sadhn VI do sd eppty lo'bodlly INuy ot'propedy damage' araiq oul d Na 'padudacomplel¢d oparehms hazard' ualass repaired by Na witl¢a cootrsd or wOttea agraaraat Vrhea muaga dcea apply m'hotlily IopY a'prop¢dy dameq" adsNp aul d Na 'protludsmmplaNd aperelbas hazed" auA coverage vdY cot gply bayorA, a Th¢ pedal d Ilma repaired br tha xdgsn o>INad a wilds agreemeak ar Pqa 1012 G11851-G (Ed•dI101) b, 5mrafminbcondedoad'ywrworfan (1) Give wddenoodceotanoccarenceafai thePICwhichis the subjectof the ft ANSOlo Us whldnmyresult In aclaim cenlredawdk agmeme% or'suY'under the Insurance; whkhe er is ION, (1? Tender to detanse and Indexn y of any 4• The insurance pmntled to the adtliVonel ironed Claim or'aull' to any olher insurer whuh does not apply N 'bodily IBJury; IMary also has insurance lsr a Ices via cwres damage,' or'peaonal and adverlsing Injurye uoderheCordage Partad Bri out d an arrhtleds, engin¢¢fa, or (3) Ikree 10 make Budlshls any ether swmVs rendarll of or fdlure to render any Iremarca whloh the add tonal insured pmlaslmal samosa Iroud q, has for a lass HE m er under NM a• ihaprapadng,approd?y,afallVMlsprapare Cov¢regePed• or apprwa mays, shop drevd?s, opinlsro, I. Wa have ro dmy W Cleland ar Irdemdry m rapods, suveya, fl¢N orders, dang¢ odem additional lasured under Nis endasem¢d ardrewNpa and ?at?cetlon& and utlll we receNe wrltlon rolls d e stein a 6• S?pervisay,arlropadionadMtl?padormetl 'sulffmmtheaddiaondlrouretl. u paA of any relalro arahlt¢durel a Z. Paregreph4,h,dNeOtMrlrauaoceCondllools a?pinaetlBBa dalelsdandraplscetlwNtNafdlswlrg C, As respade Na cwerepe provided under Ns 4. Olherlneupna entlasamant, SEC110N N - fAMMERCIA GENERphtpBILI1YCONORIONSarean¢ntledas h, ExunNeunnce fNbws ih's irswerwe ls excess war any dhef 1. The fapawirq isaddatl m Na Outias In iro Eueot inaaance Deming the a?ltlond iowred ol0aurrerM, OHeroe, Geim orSmt CaMltloo; as an insured whdhar prmay, excess, oxNnpanl a on any oNar bads unless a a. AaBddMOnBI!n&IrBlaAdefNIAAMOraMknl widen codred 0r Y.7Mal Bgreemerrt wlllasreona¢predidde; apeclpcehyrequlreathdlNaNsureaceEe eiNsr primary a primary aM naroocNbuh'ng. G11951?i Ppe2aIP (?.otrotj PAGTof Americe Pd'iryk2W3390918 Eifeclive 111111.12 POLICY NIJIMBER: THIS ENUGRSEMENTCHANGES THEPGLICY. PLEASEREADITCAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CG hA1ERC1A1 GENERAL LIABILITY COVERAGE PART SCHEDULE Namaof Pareon or DNanlulha; Aatei to saarnne ccaaoa ThlaerdoreemmtmodNaslreuremeprouidatluatlerd?¢MOmulag: IN no entry app?m dove, iclamalim required W compNi¢ tNa ¢otlorsemmt wiV ba shown Ia N¢ OedareVaha as appllpbM m Nls wtdolsama nl l The TRANSFER OF RIGHTS OF RECOVERY AGNNSi OTHERS TO US CoMidcn ISacl'¢n N-COMMERCIAL GFNERPI lIABWtt WNCffIONSJ Is ameMed 6y the atltlih'on of N¢follm+Ang, We walva arty dSN of reoxrery wa may have apalrel Iha person or aNan¢alim shown in the ScAetluk above beca?eaal paymanh we make fa Inpry ademgeadaing out of yuu? onpol¢p operetlons or"your work' done untl¢r e o>ntradw? V?el p¢reocoro?gan¢alhn end loclud¢d InNla "produda•wrc?eMd operet'nns Iretanl" Thh waival applies anty W the pereoo or oNaabefioa ahoxa In Ne Sdwdula abov¢, CG 24041089 CopynghtloaureoroSewlasOftrGlnc.,i&2 MGT dAmedca, IRC Policy 3611086712 Efiedive TI1111.12NI Other WORKERSCOMFENSATIDNANDEMPLDYERBMASIMTYINSURANCERDLICY V?CW0818 WAWER OFOUR RIGHTTO RECOVER FRDMOTHEAS ENDDRSFJpENi (H 444) We have We dpht re iamva our paymsots IIINn artyora IIBMB la en Injury orue?ad bythu policy. Wa will rat srdaw our IIpM BQBIn61 GB poresn IN OfQINIID110E ABmBd IA NB SthadJlaRHe aplBamahl 9?pp69 Of?J N I?w awianl ihli yW paHOtm wro?N ands a w>Wan ?Vam Ihet requhea youre oEreN Ws egresmahthom ua.j ThIB epreartanl ahBll EOI Opaf a1B ?f ACNJ IN IRmrBdy W hsnwlp EhyOha EOl tamed In HIA fichadElB Schedule ANY PRR60N OR ORCANIEATION ON WHOSE BEHALF Y00 ARE RE(NIREE TO OPTAIN TBIS WAIVER 06 OIIR RIOHP 'N RBCMBR FRON BNEER A NRITP&a CONTRAIR OR ACREENENT. EaJ 0 TN IfaalwBNn m VeN ml PdR?' 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