HomeMy WebLinkAboutWITTMAN ENTERPRISES, LLC/HIPAA BUSINESS ASSOCIATE AGREEMENT 6A-2012
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FIRST AMENDMENT TO AGREEMENT
A-2009-059-01
THIS FIRST AMENDMENT TO AGREEMENT is entered into on July 1, 2012, by and
between Wittman Enterprises, LLC, a California Limited Liability Company (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").
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A. The parties entered into that certain Agreement # A-2009-059, dated June 1, 2009,
(hereinafter "said Agreement") by which Consultant has provided ambulance and paramedic
billing and collection services for the City's Emergency Medical Services Program.
B. In accordance with the terms and conditions of said Agreement, the parties wish to extend the
term of said Agreement to continue the provision of services.
WHEREFORE, in consideration of the covenants contained in said Agreement, and subject
to all the terms and conditions of said Agreement, except those amended in this First
Amendment to Agreement, the parties agree as follows:
1. Section 3, TERM, shall be amended to extend the termination date of said Agreement to June
30, 2014.
2. Except as hereinabove amended, all terms and conditions of said Agreement shall remain in
full force and effect.
IN WITNESS WHEREOF, the parties hereto have executed this First Amendment to
Agreement on the date and year first written above.
ATTEST:
MARIA D. HUIZAR
Clerk of the Council
APPROVED AS TO FORM:
By: -
Laura Sheedy
Assistant City Attorney
SONIA R. CARVALHO
City Attorney
CITY OF SANTA ANA
PAUL M. WALTERS
City Manager
WITTMAN ENTERPRISES, LLC
'Name: c ?z>.,;,, Lam,
Title: 6. c40
2501 12
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R°a CERTIFICATE OF LIABILITY INSURANCE DA l'22013
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 sndorsamentfsl.
PRODUCER
NUI
CONTACT Tracy Dolan
Wells Fargo Insurance Services USA, Inc. PHONE 916 589-8153 FA 877 611
1971
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C No : '
CA DOI Lic. #OD08408 (916) 589-8000 E-MAIL tracy.dolan@wellsfargo.com
10940 White Rock Road
2nd floor
, INSURERS AFFORDING COVERAGE NAIC At
Rancho Cordova, CA 95670-6076 INSURER A: Valley Forge Insurance Company 20508
INSURED INSURER e : National Fire Insurance Company of Hartford 20478
Wittman Enterprises, LLC INSURER C: Continental Casually Company 20443
PO Box 269110 lusueeR n Evanston Insurance Comoam, 3537R
Sacramento, CA 95826
NUMBER: SAA hAlnw
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
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TYPE OF INSURANCE
POLICY NUMBER POLICY EFF
N DDMW POLJCY EXP
MMtDOMM
LINTS
A GENERAL LIABILITY 84034654035 7/1/2013 711/2014
EACH OCCURRENCE
$ 2.000.000
X COMMERCIAL GENERAL LIABILITY LIABILITY
AE T EMA ED
MISES Lis REN urrence
PR
"'. $ 300.000
CLAIMS-MAOE IJ OCCUR MED EXP(Any one person) S 10,000
PERT 90µ4L s ADV INJURY 000
000
S 2
- .
.
O
ENERALAGGREGATE ?S 4
000
000
,
.
GEN% AGGREGATE LIMIT APPLIES PER PRODUCTS - OOMPIOP AGG S 4.000.000
X POLICY PR0. LOC l S
B AUT OMOBILE LIABILITY B4012487490 i
7!1/2013 711/2014 MBINEE
D
SINGLE LIMIT
l D
I 1000000
X ANY AUTO BODILY INJURY (Par Person) $
ALL OWNED
AUTOS ASCHEDULED
UT OS
BODILY INJURY (Per acadent)
S
% HIRED AUTOS % DOWNED PROPERTY DAMAGE S
Pr do
I $
C X UMBRELLA LIAR % OCCUR 84034654083 711/2013 7/112014
EACH OCCURRENCE
2.000.000
$
EXCESS LIAR CLAIMS-MADE AGGREGATE 000
000
S 2
.
.
DIED % RETENTIONS III= ( $
WORKERS COMPENSATION OTH-
AND EMPLOYERS' LIABILITY f
ANY PROPRIETORIPARTNER/E%ECUTNEQ
OFFICEWMEMBER EXCLUDED?
NIA;.
"
NT
7
5
(Mandatory In NH)
If yes
descnbe under ! 01S?E
EMPLOYE 5
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DESCRIPTION OF OPERATIONS bekw LICY LIMIT S
D Prof Liability l E0854157 07101/2013 07/01/2014 $1.000,,00CIS2.000,000
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is requi
Certificate holder named additional insured per attached form.
'10 day notice applies if cancelled for non-payment of premium. r~
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City of Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED VCIES BE CANCELLED BEFORE
20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOT] WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISION
Santa Ana, CA 92701
AUTHORIZED REPRESENTATIVE
97
The ACORD name and logo are registered marks of ACORD ®1988-2010 ACORD CORPORATION. All rlahts reserve,
AUUKU 20 (ZULU/UO)
WITTENT-01 AGIMROTH
'4` °,R° CERTIFICATE OF LIABILITY INSURANCE
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114/20
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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 policy0es) must be endorsed. It 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 Ilw of such endorsement(s).
PRODUCER CONTACT
NAME:
Western Elite Insurance Solutions P e 259-6900
(916)
(966) 2-0----
6.8646
Destiny Drive
6970 __, e;
__..___
M9.E91:
Rocklin, CA 95677 _
ADDRESS:
W5URER(S7 AFFOROURCOVERAGE NAILS
_____
NWRER A: Granite State Insurance 23809
Msuaeo
INSURER B:
Wittman Enterprises LLC INSURERC:
PO Boa 269110 INSURER D :
-"- -_--
Sacramento, CA 95828
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/J? INSURER E_... _.._.__._._._...____.
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INSURER F:
COVERAGES CERTIFICATE NUMBER: 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.
iF__-060EY7Y ............
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TYPE OF INSURANCE 1. POLICY NUMBER NAMMONYYY1 TTY LIMIT S
GENERAL UABUTY EK OCCIIPRENce S
COMMERCMI GENERALLM9altt `PREM? EOaE? S
CLAIMS-MADE L? OCCUR
!
MED BAR (A, arse Penw,) _
S
PERSONAL A AOY INJURY 3
I GENERAL AGGREGATE S
_
GWL AGGREGATE LIMITAPPLIESPER. PRODUCTS -COMPpP AGO S
-
PDUCY PRO. LOC s
--
AUT OMOSILELIABILITY 4[O?NBM LIMI
-LFiA1 epideM
ANY AUTO . BODILY INJURY (PM" 3.) S
ALL O?FO SCHEDULED
D N S
HMEDAUTOS
R
AUTOS
od.t)
API,
$
UMBRELLA LAS OCCUR EACH OCCURRENCE I S
EXCESS LW ctaMS+AAce I AGGREGATE ! S
__.
DED RETENTIONS I S
VIO RKERSCOMPENSATION
XT
V STATU- JOTH-1
A
AND E
MPLOYERS'UASIUTY YIN T
-1-1 .
A ANY PROPNETOPJPARTNEREXECUTIVE
OFFICERMIEMIER EXCLUDED?
NIA lIC161250372 71112013 I 7112014 E I.. EACH ACCIDENT 11000.00
S
(Mmdalmyln NH) _
EL DISEASE - EA EMPLO _
3 1,000,000
N Yu.dMMwe wldM -- -------
OESCRIPTICNOFOPERATIONSb. E.L. DISEASE - POLICY LINT S 11000,00
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DESCRIPMN OF WUAnONSI LOOATIONSI VEHICLES (AII4Ch ACORD Im, Ad4iti.V W..K, SChedVle, N RM4.pm.l. r.
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The City of Santa Ana
1439 S. Braodway
Santa Ana, CA 92707
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
®1988-2010 ACORD CORP
AVUHU 25 (2010105) The ACORD name and logo are registered marks of ACORD
CNA
88446932•E
(Ed. 06111)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
1 I BLANKET ADDITIONAL INSURED - LIABILITY EXTENSION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS LIABILITY COVERAGE FORM
Coverage afforded under this extension of coverage endorsement does not apply to any person or organization covered
as an additional Insured on any other endorsement now or hereafter attached to this Policy.
1. ADDITIONAL INSURED -BLANKET VENDORS
WHO IS AN INSURED is amended to Include as, an
additional Insured any person or organization (referred
to below as vendor) with whom you agreed, because
of a written contract or agreement to provide
insurance, but only with respect to 'bodly Injury" or
'property damage' arising out of 'your products' which
are distributed or sold In the regular course of the
vendor's business, subject to the following additional
exclusions:
1. The Insurance afforded the vendor does not apply
to:
a. "Bodily Injury' or "property damage" for which
the vendor Is obligated to pay damages by
reason of the assumption of liability In a
contract or agreement This exclusion does
not apply to Ilab9fly for damages that the
vendor would have In the absence of the
contract or agreement;
b. Any express warranty unauthorized by you;
c. Any physical or chemical change In the
product made Intentionally by the vendor,
of. Repackaging, except when unpacked solely
for the purpose of Inspection, demonstration,
testing, or the substitution of parts under
instructions from the manufacturer, and then
repackaged In the original container;
e. Any failure to make such Inspections,
adjustments, tests or servicing as the vendor
has agreed to make or normally undertakes to
make In the usual course of business, In
connection with the dlebtudon or sale of the
products;
f. Demonstration, Installation, servicing or repair
operations, except such operations performed
at the vendors premises In connection with
the sale of the product;
g. Products which, after distribution or sale by
you, have been labeled or relabeled or used
as a container, part or ingredient of any other
thing or substance by or for the vendor; or
h, "Bodily Injury" or "property damage" arising
out of the sole negligence of the vendor for Its
own acts or omission or those of cis
employees or anyone else acting on its
behalf. However, this exclusion does not
apply to:
(1) The exceptions contained in
Subparagraphs d. or f.; or
(2) Such Inspections, adjustments, tests or
servicing as the vendor has agreed to
make or normally undertakes to make In
the usual course of business, In
connection with the distribution or sale of
the products.
2. This Insurance does not apply to any Insured
person or organization, from whom you have
acquired such products, or any Ingredient, part or
container, entering Into, accompanying or
containing such products.
3. This provision 2. does not apply to any vendor
Included as an Insured by an endorsement Issued
by us and made a part of this Polley.
4. This provision L does not apply If "bodily Injury" or
"property damage" Included within the "products-
completed operations hazard' is excluded either
by the provisions of the Policy or by endorsement.
2. MISCELLANEOUS ADDITIONAL INSUREDS
WHO IS AN INSURED Is amended to Include as an
insured any person or organization (called additional
Insured) described In paragraphs 2.a, through 2.11.
below whom you are required to add as an additional
Insured on he policy under a written contract or
agreement but the written contract or agreement must
be:
1, Currently in effect or becoming effective during the
term of this pollcy; and
2. Executed prior to the "bodily Injury," 'property
damage" or "personal and advertising Injury," but
Only the following persons or organizations are
additional Insureds under this endorsement and
coverage provided to such additional Insureds is
limited as provided herein:
a. AdditlonalInsured -Your Work
That person or organization for whom you do
work Is an additional Insured solely for liability
SB-148932-E Page 10(6
(Ed. 08/11)
C/VA S&148932-)
(Ed. 06111)
due to your negligence specifically resulting This Insurance does not apply to "bodiy
from your work for the additional Insured Injury," "property damage' or "personal and
which Is the subject of the written contract or advertising Injury" arlsing out of operations
written agreement. No coverage applies to performed for the state or municipality.
liability resulting from the sole negligence of
c. Controlling Interest
the additional Insured
.
The Insurance provided to the additional Any persons or organizations with a
controlling Interest In you but only with respect
Insured Is limited as follows: to their liability arising out of
(1) The Limits of Insurance applicable to the
additional Insured are those specified in
(1) Their financial control of you; or
the written contract or written agreement (2) Premlass they own, maintain or control
or In the Declarations of this policy, while you lease or occupy these
whichever Is leas. These Limits of premises.
Insurance are Incluslve of, and not In
addition to, the Limits of Insurance shown This insurance does not apply to structural
in the Declarations, alterations, new construction and demolition
operations perfomed by or for such additional
(2) The coverage provided to the additional insured.
Insured by We endorsement and
paragraph F.9. of the definition of "Insured
d. Managers or Lessors of Premises
contract' under Liability and Medical A manager or lessor of premises but only with
Expanses Definitions do not apply to respect to liability arising out of the ownership,
"bodily Injury' or property damage" maintenance or use of that specific part of the
arising out of the "products completed premises leased to you and subject to the
operations hazard" unless required by the following additional exclusions:
written contract or written agreement.
This Insurance does rat apply to:
(3) The insurance provided to the additional
insured does not apply to 'bodily Injury" (1) Any 'occurrence' which takes place after
"property damage; or "personal and you cease to be a tenant In that premises;
advertising injury" arising out of the or
rendering or failure to render any (2) Structural alterations, new construction or
professional services. demolition operations performed by or on
Is. State or Political Subdivisions behalf of such additional Insured.
A state or political subdivision subject to the a. Mortgagee, Assignee or Receiver
following provisions: A mortgagee, assignee or receiver but only
(1) This Insurance applies only with respect with 'respect to their liability as mortgagee,
to the following hazards for which the assignee, or receiver and adaing out of the
state or political subdivision has Issued a ownership, maintenance, or use of a premises
permit In connection with premises you by you.
own, rent, or control and to which this This Insurance does not apply to structural
Insurance applies: alterations, new construction or demolition
(a) The existence, maintenance, repair, operations performed by or far such additional
construction, erection, or removal of Insured.
advertising signs, awnings, canopies, f. Owners/Other Interests - Land Is Leased
cellar entrances, coal holes,
driveways, manholes, marquees, An owner or other Interest from whom land
hoistaway openings, sidewalk vaults, has been leased by you but only with respect
street banners, or decorations and to liability arising out of the ownership,
similar exposures; or maintenance or use of that specific part of the
(b) The construction, erection, or land leased to you and subject to the following
addiflonal exclusions:
removal of elevators; or
(2) This Insurance applies only with respect This Insurance does not apply to:
to operations performed by you or on your (1) Any "occurrence" which takes place
behalf for which the state or political after you cease to lease that land; or
subdivision has issued a permit.
SB-146932-E Page 2 of 5
(Ed. 06/11)
`arNA SB-146932-E
(Ed. 06/11)
(2) Structural alterations, new Damage To Property, is replaced by the
construction or demolition operations following:
performed by or on behalf of such
additional Insured. it. Damage To Property
g. Co-owner of Insured Promises 'Property damage" to:
A co-owner of a premises oc-owned by you 1• Property you own, rent or occupy,
and covered under this insurance but only including any costs or expenses
with respect to the co-owners liability as oo- incurred by you, or any other person,
owner of such premises. organization or entity, for repair,
replacement, enhancement,
h. Lessor of Equipment restoration or maintenance of such
Any person or organization from whom you property for any reason, Including
prevention of Injury to a person or
lease equipment. Such person or organization damage to anther's property;
are insureds only with respect to their liability
artaing out of the maintenance, operation or 2. Premises you sell, give away or
use by you of equipment leased to you by abandon, If the "property damage"
such person or organization. A person's or adses out of any part of those
organization's status as an Insured under this premises;
endorsement ends when their Milan contract 3. Property loaned to you;
or agreement with you for such leased
equipment ends. 4. Personal property In the care,
With respect to the Insurance afforded these custody or control of the Insured;
additional Insureds, the following additional 5. That particular part of any real
exclusions apply; property on which you or any
This insurance does not apply: contractors or subcontractors worldng
directly or Indirectly In your behalf are
(1) To any "occurrence" which takes place performing operations, If the "property
after the equipment lease expires; or damage" arises out of those
(2) To "bodily Injury," "property damage" or operations; or
'personal and advertising Irrjury' arising G. That particular part of any property
out of the sole negligence of such ghat must be restored, repaired or
additional insured. replaced because 'your wort" was
Any insurance provided to an additional Insured Incorrectly performed on It
designated under paragraphs b. through h. above Paragraph 2 of this exclusion does not
does not apply to "bodily Injury' or "property apply if the premises are your work" and
damage" Included within the "products-completed were never occupied, rented or held for
operations hazard." rented by you.
3. The following Is added to Paragraph H. of the Paragraphs 1, 3, and 4, of this exclusion
BUSINESSOWNERS COMMON POLICY do not apply to "property damage" (other
CONDITIONS: than damage by fire or explosion) to
H. Other Insurance prenllses:
4. This Insurance Is excess over any other (1) rented to you:
Insurance naming the additional Insured (2) temporarily occupied by you with the
as an Insured whether primary, excess, permisslon of the owner, or
contingent or on any other basis unless a (3) to the contents of premises rented to
written contract or written agreement you for a period of 7 or fewer
specifically requires that this Insurance be consecutive days.
either primary or primary and
noncontributing.
A separate limit of Insurance applies to
Damage To Premises Rented To You as
4. LEGAL LIABILITY- DAMAGE TO PREMISES described In Section D - Liability and
A. Under B. Exclusions, 1. Applicable to
Medical Expenses Limits of Insurance.
Business Liability Coverage, Exclusion it.
SB-146932-E Page 3 of 5
(Ed. 06/11)
C/VA
Paragraphs 3, 4, 5, and 6 of this
exclusion do not apply to Nobility
assumed under a sidetrack agreement.
Paragraph 6 of this exclusion does not
apply to "property damage" Included In
the "products-comploted operations
hazard!
8. Under B. Exclusions, 1. Applicable to
Business Liability Coverage, the lest
paragraph of 2. Exclusions Is deleted and
replaced by the following:
Exclusions c, d, e, f, g, h, I, k, I, m, n, and o,
do net apply to damage by fire to premises
while rented to you or temporarily occupied by
you with permission of the owner or to the
contents of premises rented to you for a
period of 7 or fewer consecutive. days. A
separate limit of Insurance applies to this
coverage as described In Section D. Liability
And Medical Expenses Limits Of
Insurance.
C. The first Paragraph under Item 5. Damage To
Premises Rented To You Limit of Section
D. Liability And Medical Expenses Limits
Of Insurance Is replaced by the following:
The most we 00 pay under Business Liability
for damages because of "property damage"
to any one premises, while rented to you, or
temporarily occupied by you, with the
permission of the owner, including contents of
such premises rented to you for a period of 7
or fewer consecutive days, is the Damage to
Premises Rented to You limit shown in the
Declaration.
5. Blanket Walverof$ubrogation
We waive any right of recovery we may have
against:
a. Any person or organization with whom you
have a written contract that requires such a
waiver.
8. Broad Knowledge of Occurrence
The following items are added to E.
Businessowners General Liability Conditions
in the Businessowners Liability Coverage
Form:
e. Paragraphs a. and b. apply to you or to any
additional Insured only when such
"occurrence," offense, claim or "sult" is known
to:
(1) You or any additional Insured that Is an
individual;
SBA 46932-E
(Ed. 06/11)
SS-146932•E
(Ed. 06/11)
(2) Any partner, If you or an additional
Insured Is a partnership;
(3) Any manager, if you or an additional
insured is a limited NabNlty company;
(4) Any "executive officer" or Insurance
manager, If you or an additional Insured Is
a corporation;
(5) Any trustee, if you or an additional
Insured is a trust; or
(6) Any elected or appointed official, If you or
an additional Insured Is a political
subdivision or public entity.
This paragraph e. applies separately to you
and any additional insured.
7. Bodily Injury
Section F. Liability and Medical Expenses
Definitions, Rem 3. "Bodily Injury" is deleted and
replaced with the following:
"Bodily Injury" means bodily Injury, sickness or
disease sustained by a person, Including death,
humiliation, shock, mental anguish or mental
Injury by that person at any time which results as
a consequence of the bodily Injury, sickness or
disease.
8. Expanded Personal and Advertising Injury
Definition
a. The following Is added to Section F. LIebl6ty
and Medical Expenses Definitions, horn 14.
Personal and Advertising Injury, In the
Buslnassowners General Liability
Coverage Form:
h. Discrimination or humiliation that results In
Injury to the feelings or reputation of a natural
person, but only It such discrimination or
humiliation is:
1. Not done Intentionally by or at the
direction of.
a, The Insured; or
b. Any "executive officer," director,
stockholder, partner, member or
manager of you are a limited liability
company) of the Insured; and
2. Not directly or Indirectly related to the
employment, prospective employment,
pest employment or termination of
employment of any person or person by
any insured.
b. The follovng is added to Exclusions, Section
B.:
Page 4 of 5
CNA
$B-146932-E
(Ed. 06111)
(15) Discrimination Relating to Room, Personal and Advertising Injury Llablllty Is
excluded either by the provisions of the Policy
Dwelling or Premises or by endorsement.
Caused by discrimination directly or
Indke* related to the sale, rental, lease
9. Personal and Advertising Injury Re-dented
or sub-lease or prospective sale, rental, Section F. Liability and Medleal Expenses
lease or sub-lease of any room, dwelling Detinltlons, Item 14, Personal Advertising Injury,
or premises by or at the direction of any Paragraph c. Is replaced by the following:
Insured.
c. The wrongful eviction from, wrongful entry
Penalties
(16) Fines or Into, or invasion of the right of prlvste
Fines or penalties levied or imposed by a occupancy of a room dwelling or premises
governments[ entity because of that a person
oroon behalf of ICs owner,
committed by
discrimination. landlord or lessor.
c. This provision (Expanded Personal and
Advertising injury) does not apply If
SB-146932-E
(Ed. 06/11)
Page 5 of 5