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HomeMy WebLinkAboutSUPERIOR PROPERTY SERVICES, INC. 2B - 2015IN84JOANU ONliu, A-2016-234 VVO11K MAY i PUDE L,[) llNiltl 9UF1AN(,' FXP11 Cn Gt E: [ Of C`Ob� DATE: Il. F3M A11E, NDMrl NT TO AGREEMENT FOR PROVISION Oi' PAVil4II NT CLEANING SERVICES THIS THIRD AMENDMENT to the above -referenced agreement is entered into on October 20, 2015 by and between Superior Property Services, Inc., a California corporation ("Contractor"), 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 ("City"). RECITALS A. The parties entered into Agreement #A-2012-248, dated January 1, 2013 ("Agreement"), by which Contractor agreed to provide hardscape pressure washing services at various City -owned properties. r B. On November 18, 2014, the; parties executed a First Amendment to Agreement #A-2014-296, by which the original scope of services was expanded and the total annual compensation was increased to pay for the additional services. The total annual compensation includes a contingency amount of $10,000. C. On May 14, 2015, the parties executed a Second Amendment to Agreement #A-2015-095, by which the contingency amount for the period of January 1, 2015 through December 31, 2015 was increased by $8,000 and the obligation imposed on the Contractor to use reclaimed water in the performance of its services. D. The term of the Agreement is for a period of Cave years, from January 1, 2013 through December 31, 2017, and the Agreement remains in effect. E. The parties wish to further amend the Agreement to provide for an additional contingency amount during the period of.January 1, 2015 through December 31, 2015 in order to replenish the annual contingency for this period that has been exhausted. The Parties therefore agree: 1. Section 2, Compensation, is further amended to include an additional $8,250 in annual contingency hinds for the period of January 1, 2015 through December 31, 2015. 2. Except as modified by this Third Amendment, and all prior Amendments, all terms and conditions of the Agreement shall remain in full force and effect, IN WITNESS WHEREOF, the parties hereto have executed this Third Amendment to the Agreement on the date and year first written above. ATTEST M IA D. HUIZAR! - - Clerk of the Council CITY Or DAVID CAV. City Manager . - slgnamrav follow on next page -- Page I of 2 ANA APPROVED AS TO DORM CONTRACTOR SONIA R. CARVALI3O City Attorney JOJ FUNK Name: Assistant City Attorney Page 2 of 2 ALCOR" CERTIFICATE OF LIABILITY INSURANCE DATE p,IliJGD Y Y1 6/22/2015 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(los) must he 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 (foes not confer rights to the certificate holder In HER of such endorsements . PRODUceR Garrett/Mosier/Griffith/Sistrunk Risk Management & Insurance Services 12 Truman Irvine, CA 92620 NONTACT—,_,__.__ ,.._.— Ho _ s Na,: 9a�Z5�_s7o3 r1 ZjUUj .. ��ag) 59 6706 1 AIL ADDRESS: ..� _.. __... INEURERf�,APPOflDIt1G COVERAGE NAICM Venv.gmgs,Com 0804519 INSURER A: The Ohio Casualty Insurance CempanY24074 6/2212016 INSURED Superior Property Services, Inc. Cif 9729 Perkins St. Q t Lf _.C�r� INSURERS A, ertCen lfe alld 3aSUBiI Cwnp _ 24060 INsuaeac C press hTsuranco CompenY_..... 10855 URO HSRE MER EXP M onePerson) Pico Rivera CA 90660 _.._,_._�,,,,, ._ INSVRERE:.__.... ._. _..__.15,000 S 11000,000 �AA ! 14- aVi('J `�.'-t.-5 .._. NSURER F: 5 2,000,000 PROOUC's-GOLIP/OPAGG_ COVERAGES CERTIFICATE NUMBER: 25203400 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 WrTH 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, EXCLUSIONSAND CONOITION_SOF SUCH POLICIES. LIMITS S_H_OWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR LT rypE OF INSUMNCE AGOL AUTHORIZED REPRESENTATIVE' POLICY NUMBER 'UVL000 V M1ILIDD LIP.fliB A ,✓ I COMMERGtALGENERAL LIABILITY CIAIM1IS-lfAOE MOCCUft 2000 81(0(16)56589676 612212016 6/2212016 EACHOCCURRENCE 5 1.000.000 AYiB'TriRENTEO._... ER Js Ee lEanur rr gp£q� 5--„ $00.000 ✓ MER EXP M onePerson) 5 PERSONAL G ADV INJURY _..__.15,000 S 11000,000 LIMIT APPLIES PER .. GEN L AGGREGATE LI_J POLICY ❑ 3ppi too OTHER; OF. NERAL AGGREGATE 5 2,000,000 PROOUC's-GOLIP/OPAGG_ 5 2,000,000 $ B AUTOMOBILE LIASILRY ✓ ANY AUTO ALLOAIVEG AUTOS AUTOSULED NOUTOSNO'NNEO HIREDAUTOB PV A BAA(10)66560876 $500 Coll Dad $500 Como Ded 6/2212015 6f2212016 MgAgqoqL ' E u,u 5 „vy000,000 BODILY INJURY (Per p�arsont 5 BODILY INJURY (Par ocddenl) 5 pRGPERTY DAl.A ""F 5 ICED UMBRELLA Line LIAR OCCUR OCCUR CLAIEIS-MAOE IOCCURREE -EAC —NC -- _ AGGREGATE -L— I I RETENTIONS _...,..—. $ Q WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y1II ANY PROPRIETCRIPARTNEWEXEC UTIVF. pFRGEReTEMUER EXCLUDEDT (Mandatary In NH) It y9a Jambe under DES 1UPT10N OF OPERATIONS be:ax NIA µ SUWC604101 p*e0% i'a �?vtv 1 J 12T,016 i y 1 `1 6122/2016 PER E ERH_ EL EACH ACCIDENT 5 1,000,000 E.LpISEASE-EAEPAPLOYEE S 11000,000 E. L. DISEASE -POLICY LIMIT S 1,000,000 ,U 1a DESCRIPTION OF OPERATIONS LOCATIONS IVEHICLF.S (ACORD IT, Additional Rnnac Nt�y allachxl Rin.m space Is required) —" As respects General Liability coverage, City of Santa Ana, Its officers, employees, agents, Volunteers acrd representatives are added as Additional hTsureds and this insurance Is primary, per 3088100413 attached. CERTIFICATE HOLDER CANCELLATION Clerk of the Cit Council Y City of, Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 20 Civic Center Plaza (M-30) P,G. Box 1988 Santa Ana CA 92701-1988 AUTHORIZED REPRESENTATIVE' I Michael Finn ---- �- - 010882014 ACORD CORPORATION. All rights reserved. ACORD 26 (2014/01) The ACORD nome and logo aro registered marks of ACORD 2Szma140 1 15.I6 d-cHTnuvu 13,151Yoa RoxA 1612x12015 I: 13, TS P:: IFOrI I eAya I ed S BKO(16)56589876 b. The last paragraph of subsootlon 2. Exclusions Is replaced by the following; Exclusions c. through n, do not apply to damage by fire, lightning, explosion, smoke or leakage from automatic fire protection systems to promises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of Insurance applies to Damage To Premises Rented To You as described In Section 111- Limits Of Insurance. 2. Paragraph M under Section III - Limits Or insurance Is replaced by the following: 6. Subject to Paragraph S. above, the Damage To Premises Rented To You Limit Is the most we will pay under Coverage A for damages because of "property damage" to: a. Any one promise: (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire. Ilghtning, explosion, smoke or leakage from automatic protection sys- tems; or b. Contents that you rent or lease as part of a premises rentalor lease agreement. 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) -Paragraph O.a, of Definitions is replaced with the following: 9.a. A contract for a lease of premises. However, that portion of the contract for 0 lease of premises that Indemnities any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such promises that are included in your promises rental or lease agreement, is not an "insured contract'. E. MEDICAL PAYMENTS EXTENSION If Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I - Coverage C"Medical Payments, Subparagraph (b) of Paragraph a. Is replaced by the following: (b) The expenses are Incurred and reported within three years of the date of the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS - COVERAGES A AND IS 1. Under Supplementary Payments -Coverages A and B, Paragraph 1.b, is replaced by the following: b. Up to $3,000 for cost or ball bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. c 2. Paragraph 1.d. is replaced by the following: ° d. All reasonable expenses incurred by the insurers at our request to assist us in the Investigation or defense of the claim or "suit, including actual loss of earnings up to $500 a day because of time off from work. a G. ADDITIONAL INSUREDS - BY CONTRACT, AGREEMENT OR PERMIT 1, Paragraph 2. under Section It - Who Is An Insured is amended to Include as an Insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization is an additional Insured but only with respect to liability for "bodily Injury", "property damage" or "personal and advertising injury" caused In whole or In part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the %od0y injury' or "property damage" occurs, or the "per- sonal and advertising Injury" Is committed, subsequent to the signing gd,Wwritten gontract or written agreement; or \kev,w� 2013 Llaeriy Mutual Insurance 1� ca CG 00 10 oh 13 Includes copyrighted material of Insurance Sevicesofgce, Ino., with s I0 Ae\j Page 3 of $ xsEo,;1n 1 15.11 A-M/cnVu I MR1Y31 R wa 1 612V20 z,n,,s -�: t."n 13.,< 2 "r 5 ? 01015 b. Promises or facilities rented by you or used by you; or o. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This Insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This Insurance does not apply to "bodily Injury" or "property damage" Included within the "completed operations hazard". (3) Insurance applies to promises you own, rent, or control but only with respect to the following hazards: ® (a) The existence, maintenance, repair, construction, erection, or removal of advertising signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, marquees, hoist away openings, sidewalk vaults, street banners, or decorations and similar expo- ® sures; or SIM � (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this Insurance. Ulm However. 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. If coverage provided to the additional Insured Is required by a contract or agreement, the Insur- ance afforded to such additional Insured will not be broader than that which you are required by b the contract or agreement to provide for such additional Insured. With respect to Paragraph 1.e. above, a person's or organization's status as an additional Insured under this endorsement ends when; (1) All work, Including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repalre) to be performed by or on behalf of the additional Insured(s) at the location or the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage adsas has been put to Its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. With respect to Paragraph 1,b. above, a person's or organization's status as an additional Insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. L � With respects to Paragraph 1,r., above, this Insurance dads not apply to any "owurcenoe" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment to the lessor. n The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily Injury' or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "cult" by the additional Insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi. tions. \,.Oed by' o 20131.1berly Mutual Insurance CLQ CG 00 10 04 13 includes copyrighted material of Insurance Sowicas Office, Inc.,with Ts paAnt"isslan. Page 4 of 0 2520"00 I I5 lfi A 'rW*/WJU I "av IW", R,,,_ I fi(22/Z)", I I1 r15 F!: IVPl1 I '"9" 1 uE , 2. With respect to Ilio insurance provided by this endorsement, ilia following are added to Paragraph 2. Exclusions under Section I - Coverage A - Bodily Injury And Properly Damage Liability: This Insurance does riot apply to: a. "Bodily Injury" or "properly damage" arising from the sole negligence of the additional Insured. b. "Bodily injury" or "properly damage" that occurs prior to you commencing operations at ilia location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" of "personal and advertising injury" arising out of the ronder- Ing of, or the failure to render, any professional architectural, engineering or surveying services, Including; (1) The preparing, approving, or falling to prepare or approve, maps, shop drawings, opinions, reports, surveys, fled orders, change orders or drawings and specifications; or (2) Supervisory, Inspection, architectural or engineering activities. This exclusion applies even if the claims against any Insured allege negligence or other wrongdoing In the supervision, lilting, employment, training or monitoring of others by that Insured, if the "occur- rence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any professional architectural, engineering or surveying services. d. "Bodily Injury" or "property damage" occurring after: (1) All work, including materials, parts or equipment furnished In connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional Insured(s) at the location of the covered operations has been completed; or (2) That portion of "your work" out of which the injury or damage arises has boon put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. a. Any person or organization specifically designated as an additional Insured for ongoing operations by a separate ADDITIONAL INSURED .OWNERS, LESSEES DR CONTRACTORS endorsement is- sued by us and made a part of this policy. 3, Wlth respect to the Insurance afforded to these additonal insureds, the following is added to section Ili - Limits Of Insurance: If coverage provided to the additional Insured Is required by a contract or agreement, the most we will pay on behalf of the additional Insured Is the amount of Insurance: a. Required by the contract or agreement; or It. Available under the applicable Limits of Insurance shown In the Declarations; n whichever Is less. a This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H, PRIMARY AND NON"CONTRIBUTORY ADDITIONAL INSURED EXTENSION e This provision applies to any person or organization who qualities as an additional Insured under any form or endorsement under this policy. Condition A. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIA131LITY CONDITIONS is amend- ed as follows: a. The following Is added to Paragraph a. Primary Insurance: If an additional Insureds policy has an Other Insurance provision making its policy excess, and you have agreed In a written contract or written agreement to provide the additional insured coverage on a primary and noncdnt(lbutory basis, this policy shall be primary and we will notdu ontribution from the additional insured's policy for damages we cover. ,,tie �ev\A jk1 Q 2e13 l.iberly Mutual Insurance Cv`\a amu" CG Sit 10 OA 13 hrcludescopyrighted material of Insuranceaervices Office, In -. r Its ranM1ll0ct.Pt�� Pago 5 of a nm1 ),, 11, t6 A-111/C/lt/p I r"Ni 11111/1/15 ]J5115 1;' Mrl I Yny= 4 .` 5 b. The following Is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this Insurance to be primary or primary and non-contributory, this Insurance is excess over any other insurance for which the addi- tional Insured is designated as a Named Insured. Regardless of the written agreement between you and an additional Insured, this Insurance is excess over any other Insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies, 1, ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualities as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties in The Event Of Occurrence, Offense, Claim or Suit, ON An additional Insured under this endorsement will as soon as practicable: a. Give written notice of an "Occurrence" or an offense that may result in a claim or "suit" under this Insurance to us; 111111111111111113 al b. fender the defense and Indemnity at any claim Or "sufl" to all insurers whom also have insurance available to the additional insured; and a. Agree to make available any other insurance which the additional Insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or indemnify an additional Insured under this endorsement until ti we receive written notice of a "suit" by the additional Insured. 2. The limits of Insurance applicable to the additional Insured are those Specified in a written contract or written agreement or the limits of Insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less. These limits are Inclusive of and not In addition to the limits of Insurance available under this policy. J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS/ MALPRACTICE WHO IS AN INSURED • FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2,a.(1) of Section 11 -Who Is An Insured Is replaced with the following: (1) "Bodily injury' or "personal and advertising Injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a cc- employes" while in the course of his or her employ- ment or performing duties related to the conduct of your business, or to your other "volunteer v workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -'employes" or "volunteer worker" as a consequence of Paragraph (1) (a) above; ® (a) For which there is any obligation to share damages with or repay someone else who must pay damages because of the Injury described In Paragraphs (1) (a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services. However, If you are not in the business of providing professional health care services or providing profes- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d)) does not apply. Paragraphs (a) and (b) above do not apply to "bodily Injury" or "personal and advertising injury" caused by an "employes" who Is acting In a supervisory capacity for you. Supervisory capacity as used heroin means the "employee's" job responsibilities assigned by you, includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are Insureds for "bodily "personal and 0 2013LIberty Mutual Insurance OG 00 10 04 13 Includes copyrighted material of Insurance Services Office, Ino.,with its ponnlsston. ,mac Page 0 of B 2 i20]M1PO 15 l5 T eff/GfFfJ l Jas1VT. ;"ae l 61]2t]P35 ]: ]]:IS F>: IP"Pt Pd J< 4 n: 5 Sri VV��w I r��7\ •`�� ACC-Mbr CERTIFICATE OF LIABILITY INSURANCE 11 DATE(MMIDDfYYYY) CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE hNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 8/24/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO'LD'ER. 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(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Nicole L:uby NAME"...-..... Excelsure Insurance Services ......... FAX PHONo,_E..xt1: (800) 987-5051 IAfX,Ngl (877)987-5051 18377 Beach Blvd Ste 325 EMAIL nl,ub excels'ure.cam ADDRESS: 6,2 _ ... INSURER(S) AFFORDING COVERAGE ._ NAIC if Huntington Beach CA 92648 INSURERA:Mt Hawley Insurance Company 137974 INSURED_..- !L n� "L..,. P G INSURERB:Wer3t American Insurance Com an 44393 p y Superior Property Services, Inc, �4 � „ INSURERC:StarStone National Insurance 25496 - _ ..... 9129 Perkins St 1 ('jC� - RD:Cypre INSUREss Insurance Company, (CA) 10855 .... _ ,..+... 1 r..T E.L. DISEASE - EAEMPLOYEFI $ 1,000,000 Pico Rivera CA 90660 t` " INSURER E t DESCRIPTION OF OPERATIONS below ' ' INSURER .F: COVERAGES CERTIFICATE NUMBER:CL1762105758 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 WHICHTHIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN„ THE hNSURANCE 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. —. IL.TR TYPE OF INSURANCE ADDL SUER ___-- POLICY EFF POLICY EXP ...... _.__ .................... I POLICY NUMBER MMlDDlYYYY MM1DDfYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY '..... EACH OCCURRENCE $ 1,000,000 A I_ CLAIMS MAGE .,.. X IOCCUR DAMAGE TO RENTED ................50.000 '.... _ - PREMISES (Ea occurrence), $ ............. MGLO186215 i 6/22/2017 6/22/2018 MED EXP (Any ons person) 5 5, 000". _. -_ .. ..... ........ PERSONAL &ADV INJURY 1 5 1,000,000.. .... GEN 'LAGGREGATE .LIMIT APPLIES PER� GENERALAGGREGATE $ 2F I'll,,000,000 PRO- POLICY X LOC 2,000,000 JECT PRODUCTS - COMP/OP AGG $ 1 OTHER_ $ 1 COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY $ 3-000,000 X ANY AUTO BODILY INJURY (Per person) $- B ALL OWNED SCHEDULED AUTOS —1AUTOS BAW56589876 6/22/2017 6/22/2018 BODILY INJURY (Per accident) $ HIRED AUTOS I AUTOS ,.5 NON -OWNED PROPERTY DAMAGE �.. j �Peraccident).,.,.. .... ......_—. I1 Uninsured motonstcombined $ 1,000,000 UMBRELLA LIAR 'l OCCUR� EACH OCCURRENCE $ 2,000,000 ... 1 c X j.. EXCESS LIAB j CLAIMS -MADE i AGGREGATE $ 2,000,000 DED 1 RETENTIONS 86538Y170AL2 6/22/2017 6/22/2018 $ WORKERS COMPENSATION PER CTH- -- ANI? EMPLOYERS' LIABILITY Y I N `X I STATUTE, 0 1 ANY PROPRIETORIPARTNERFE'XECUTIVE� � OFFICERIMEMDER EXCLUDED? Y N f A E.L. EACH ACCIDENT I $ 1,000,000 .... -, -. 1 D (Mandatory in NH) SUWC818935 6/22/2017 6/22/2018 E.L. DISEASE - EAEMPLOYEFI $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below ' ' � E.L. DISEASE - POLICY LIMIV� $ 11000,000 I I . ` er. �j 10 i 4� DESCRIPTION OF OPERATION'S f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if mere space Is regal dare The City of Santa Ana, it's officers, employees, agents, and represent additi insureds when you have agreed, in a written contract or written agreement, only with espects to Feral Liability, Umbrella and Business Auto as per business liability coverage forme CG 20 33 04 '' �,`j 0. 7 04 13 and CA 88 10 01 13. Primary and non-contributory wording is included as per form C waiver of subrogation is included regarding the General Liability as per form CG 2 4 %jr—r*, 1 irik M f r— rtvt_tJC:M tANtr�tLLA I IUN City of Santa Ana Attn: PRCSA, 20 Civic Center Plaza M-23 Santa Ana, CA 92701 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 Nicole Luby/NJL @ 1988-2014 ACORD CORPORATION.. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401) Policy Number: MGL01 86215 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY., PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section 11 — Who Is An Insured is amended to include as an additional insured any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. However, the insurance afforded to such, additional insured: 1. Only applies to the extent permitted by law-, and 2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured. of, or the failure to render, any professional ar- chitectural, engineering or surveying services, including: a. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or b. Supervisory, inspection, architectural or engi- neering activities. This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or moNtoring of others by that insured, if the "occurrence" which caused the "'bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any professional architectural, engineering or surveying services. 2. "Bodily injury" or "property damage" occurring after: F A person's or organization's status as an additional insured under this endorsement ends when your oper- 6\C ations for that additional insured are completed. B. With respect to the insurance afforded to these0e, additional insureds, the following additional exclusions �J appIy-. C,)N This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, mainte- nonce to be performed by or on be of the additional insured(s) at the tion of the covered operations has been �dnnpleted; or That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20 33 04 13 @ Insurance Services Office, Inc., 2012 Page 1 of 2 Insured C. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: The most we will pay on behalf of the additional insured is the amount of insurance; I. Required by the contract or agreement you have entered into with the additional insured; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. tL/' CG 20 33 04 13 © Insurance Services Office, Inc., 2012 Page 2 of 2 Insured Policy Number: MGL0186215 Mt. Hawley Insurance Company THUS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED CONSTRUCTION PROJECT(S) GENERAL AGGREGATE LIMIT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Designated Construction Project(s): All projects as required by written contract. General Aggregate Capped At: $NIA Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. For all sums which the insured becomes legally 3. Any payments made under Coverage A for dam - obligated to pay as damages caused by "occur- ages or under Coverage C for medical expenses rences" under Section I — Coverage A, and for all shall reduce the Designated Construction Project medical expenses caused by accidents under General Aggregate Limit for that designated con - Section I — Coverage C, which can be attributed only struction project. Such payments shall not reduce to ongoing operations at a single designated construe- the General Aggregate Limit shown in the tion project shown in the Schedule above: Declarations nor shall they reduce any other Designated Construction Project General Aggre- 1. A separate Designated Construction Project Gen- gate Limit for any other designated construction eral Aggregate Limit applies to each designated project shown in the Schedule above. construction project, and that limit is equal to the amount of the General Aggregate Limit shown in 4. The limits shown in the Declarations for Each Oc- the Declarations. currence, Damage To Premises Rented To You 2. The Designated Construction Project General and Medical Expense continue to apply. However, Aggregate Limit is the most we will pay for the instead of being subject to the General Aggregate sum of all damages under Coverage A, except Limit shown in the Declarations, such limits will be damages because of "bodily injury" or "property subject to the applicable Designated Construction damage" included in the "products -completed op- Project General Aggregate Limit. erations hazard", and for medical expenses under Coverage C regardless of the number of: B. For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" a. Insureds; under Section I — Coverage A, and for all medical e rases caused by accidents under Section I — b. Claims made or "suits" brought; or C, ich cannot be attributed only to on- ��erage going ope ons at a single designated construction c. Persons or organizations making claims q projec in the Schedule above: bringing "suits." ��yvn CG 25 03 05 09 O Insurance Services Office, Inc., 2008 Page 1 of 2 Insured Policy Number: MGLO186215 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART *f]:I4Bill 4ZI Name of Additional Insured Person(s) or Organization(s) Location and Description of Completed Operations All persons or organizations where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam- age" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 1 If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is re- quired by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endgment shaenin increase the applicable Limits' surance s he Declarations. el CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 Insured Policy Number MGLO186215 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART 6*14101:40191M Name of Person or Organization: All persons or organizations where required by written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. 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 the person or organization shown in the Schedule above 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". This waiver applies only to the person or organization cr shown in the Schedule above. CJN I? CG 24 04 05 09 Insurance Services Office, Inc., 2008 Page 1 of 1 Insured Policy Number: MGLO186215 Mt. Hawley Insurance Company THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY -- OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance Condition (2) You have agreed in writing in a contract or agree - and supersedes any provision to the contrary: ment that this insurance would be primary and would not seek contribution from any other in - Primary And Noncontributory Insurance surance available to the additional insured. This insurance is primary to and will not seek con- tribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and CG 20 01 04 13 O Insurance Services Office, Inc., 2012 Page 1 of 1 Insured COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGEINDEX SUBJECT PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT 3 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 n AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 o BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE -BROADENED COVERAGE 10 GLASS REPAIR- WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN 1 LEASE GAP 14 PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) 16 PERSONAL EFFECTS COVERAGE 11 PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 20 SECTION II - LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED ° SECTION II - LIABILITY COVERAGE, paragraph A.1. - WHO IS AN INSURED is amended to include the following as an insured: d. Any legally incorporated entity of which you awn more than 50 percent of the voting stock m during the policy period. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile polic"o�" Paragraph d. (2) of this provision does not apply to a policy writtof appl ally in excess of this policy. �.: e. Any organization you newly acquire or form, other than a partnetship or jai �?f which you own more than 50 percent of the voting stock. This automatic cover only for 180 days from the date of acquisition or formation. However, cov ��\ nis provision does not apply: If there is insurance retention availabQ\to that organization; (1) similar or a self-insured pl O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 (2) if the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include the following as an insured: f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- ment is excess over any other insurance available to any "employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment, Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II - LIABILITY COVERAGE, paragraph A.I. - WHO IS AN INSURED is amended to include the following as an insured: h. Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "insured". However, such person or organization is an "insured": (1) Only with respect to the operation, maintenance or use of a covered "auto"; (2) Only for "bodily injury" or "property damage" caused by an "accident" which takes place after you executed the written contract or agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, para- graphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations ) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earn- ings up to $500 a day because of time off from work, 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II - LIABILITY, exclusion B.S. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. SECTION III - PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A.4. Coverage Extensions of SECTION III - PHYSICAL DAMAGE COVERAGE, is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Co�ensive, Sp ied Causes of Loss or Collision coverage are provided under the Business A' overage F for any "auto" you own, then the Physical Damage coverages provided are ded to "aut a. You hire, rent or borrow; or ( \\Lk• © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 2 of 7 b, Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but only if the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for "loss" in any one "accident" or 'loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. D. Subject to a maximum of $1,000 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. N E. This coverage extension does not apply to: (1) Any "auto" that is hired, rented or borrowed with a driver; or (2) Any "auto" that is hired, rented or borrowed from your "employee". For the purposes of this provision, SECTION V - DEFINITIONS is amended by adding the following: "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING AND LABOR SECTION III - PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is dis- abled: a. For private passenger type vehicles, we will pay up to $50 per disablement. b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross vehicle weight (GVVV) of 10,000 pounds or less. c. For "medium trucks" , we will pay up to $150 per disablement. "Medium trucks" are trucks that have a gross vehicle weight (GVV1) of 10,001 - 20,000 pounds. However, the labor must be performed at the place of disablement. 8. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a., Coverage Extension of SECTION III - PHYSICAL DAMAGE COVERAGE, is amend- ed to provide a limit of $50 per day and a maximum limit of $1,500 a 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 3 of 7 9. RENTAL REIMBURSEMENT SECTION III -PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: a. We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those expenses incurred after the first 24 hours following the "accident" or "loss" to the covered "auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. c. We will also pay up to $500 for reasonable and necessary expenses incurred by you to remove and replace your tools and equipment from the covered "auto". d. This coverage does not apply unless you have a business necessity that other "autos" avail- able for your use and operation cannot fill. e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4. Coverage Extension. f. No deductible applies to this coverage. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 11. 10. EXTRA EXPENSE - BROADENED COVERAGE Under SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, we will pay for the expense of returning a stolen covered "auto" to you. The maximum amount we will pay is $1,000. 11. PERSONAL EFFECTSCOVERAGE A. SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $600 for "personal effects" stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance. B. SECTION V - DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an insured." "Personal effects" does not include tools, equipment, jewelry, money or securities. 12. ACCIDENTAL AIRBAG DEPLOYMENT SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS is amended by adding the follow- ing: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the other cov- erage or warranty. 13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exceptio rraagraph a. t clu- sions 4.c. and 4.d. is deleted and replaced with the following: ��s, O 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 4 of 7 Exclusion 4.u. and 4.d. do not apply to: u. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed am|e|y for the reproduction of aound, if the equipment is permanently installed in the covered ~uoto" at the time of the ^|oom^ and such equipment is designed to be solely operated by use of the power from the "auto's" e|euthms| aystem, in or upon the covered "auto" and physical damage coverages are provided for the covered "auto"; or If the "|mam" occurs solely to eudiu, visual or data electronic equipment or accessories used with this equipment, then our obhgation to pay for, mepair, return or replace damaged or stolen property will be reduced bym$1O0deductible. 14. LOAN / LEASE GAP COVERAGE A. Paragraph C., LIMIT OF INSURANCE of SECTION ||U PHYSICAL DAMAGE COVERAGE is amended by adding the foUovving� The most we will pay for o''toda| loss" to aoovened "auto" owned by or leased to you in any 0 one "accident" is the greater of the: 1. Balance due under the benne of the loan orlease towhich the damaged covered "auto" is subject at the time of the "|nou° less the amount of a. Overdue payments and financial penalties associated with those payments moofthe date ofthe "|mom'", � ----- b- Financial penalties imposed under e|eaea due to high mileage, excessive use or ab- normal wear �mdteer ' c. Costs for extended warranties, Credit Life Insurance, HeMkh, Accident or Disability Insurance purchased with the loan or lease, d. Transfer or rollover bm|enoee from previous loans or leases, � e. Final payment due under a"Ba||oon Loam". t The dollar amount of any unrepaired damage which occurred prior to the "total |ums' ufacovered "auto", g. Security deposits not refunded by m|ennor. h. All refunds payable or paid to you as a result of the early termination of a lease agreement or amoresult of the early termination of any warranty or extended oemhmo agreement mmacovered ''auto~. I. Any amount representing taxes, j. Loon orlease termination fees; or 2. The actual cash value of the damage or stolen property aaofthe time of the "loss", An adjustment for depreciation and physical condition will be made in detemni�nimQ the actual � cash value at the time of the ''|oes' This adjustment is not applicable in Texas. � B. ADDITIONAL CONDITIONS TNa coverage applies only to the original loan for which the cuwom*d "auto' that incurred the loss serves as collateral, orlease written nnthe covered '`auto" that incurred the loss, a C. SECTION V-0EFINTUQNG is changed by adding the following: As used in this endorsement pmoviaion, the following definitions apply.- "Total pp|y�"Tota| |oeo" means a°|oaa" in which the cost of repairs plus the salvage value exceeds the actual cash value. ^ /\"balloon loan" iaone with periodic payments that are insufficient the term of the Uoen, thereby requiring aUarge final payment. @ uO13Liberty Mutual Insurance 15. GLASS REPAIR -WAIVER OFDEDUCTIBLE Paragraph D. Oadmcdbhm of SECTION ||| PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: No deductible applies to gtsmm damage if the g|oma is repaired rather than replaced. 16. PARKED AUTO COLLISION COVERAGE (WAIVER OFDEDUCTIBLE) Paragraph D. Deductible of SECTION ||| PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to °|ous^ caused by collision to such covered "auto" of the private passenger type or light weight truck with agvoos vehicle weight of 10.000 lbs. or less as defined by the manufacturer as maximum loaded weight the "auto" is designed to carry while it is: u. In the charge of an "insured"; b. LegmUhy parked-, and c. Unoccupied, The "loss" must be reported to the police authorities within 24 hours of known damage. The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations. This provision dmaa not apply to any ~loss if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 17. TWO ORMORE DEDUCTIBLES Under SECTION V|| PHYSICAL DAMAGE COVERAGE, iftwo or more company policies or coverage forms apply to the same aooidemt, the following applies to paragraph D. Deductible: a. If the applicable Business Auto deductible is the smaller (or omoUeeU deductible it will be waived; or b. If the applicable Business Auto deductible is not the smaller (or smallest) deductible it will be reduced by the amount of the smaller (or smallest) deducbb|e� or o. If the |omn involves two or mune Business Auto coverage forma or policies the smaller (or amm||ea0 deductible will bmwmivod. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION |V ' BUSINESS AUTO CONDITIONS is amended as follows: 18. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV- BUSINESS AUTO COND[T|DN8, Paragraph B.%. is amended by adding the following: If you unintentionally fail to disclose any hazarda, exposures or material facts existing amofthe inception, date or renewal date of the Business Auto Coverage Fomn, the coverage afforded by this policy will not be prejudiced. Uowemsr, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 19. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION |V -BUSINESS AUTO CONDITIONS, paragraph A.2.a. is replaced in its entirety by the following: o. In the event of "accident", claim, "suit" or "|oom~, you must promptly notify un when it in known to: 1. You, ifyou are an individual; 2. Apartner, if you are apartnership; 3. K8ember, if you are alimited liability company; 4. An executive officer or the "employee"' designated by the Named Insure notice, if you are a corporation. Vl Y� � 2V13ubenyMutual Insurance CA 88 10 01 13 Includes copyrighted material nfInsurance Services Office, |nc.with its permission. Page 6of7 Tmthe extent possible, notice touashould include: (1) How, when and where the "accident" or "loss" book place; (2) The "Insureds" name and address', and (3) The names and addresses of any injured persons and witnesses. 20, WAIVER OFTRANSFER QFRIGHTS OFRECOVERY AGAINST OTHERS TOUS SECTION |V - BUSINESS AUTO CONDITIONS, paragraph A.5~ Transfer of Rights of Recovery Against Others to Un, is amended by the addition of the following: ----- If the person or organization has waived those rights before an "accident" or "|oea", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY SECTION IV -BUSINESS AUTO CONDITIONS, paragraph 8.7., Policy Period, Coverage Territory, is amended bythe addition ofthe fo||oxving� [ For "autoa" hired 30 days or |eys, the coverage territory is anywhere in the wmrld, provided that the ineured^o responsibility to pay for damages is determined in a "auit", on the merits, in the United States, the territories and possessions of the United 5tmtwa of America, Puerto Rico or Canada nrim meett|ememt weagree bo� G Thisextension of coverage does not apply to an "auto" hired, |eaoed, rented or borrowed with adhver. ���T|/��V DEFINITIONS is mahoNo��' ' . 22. BODILY INJURY REDEFINED Under SECTION V-DEF|NTIQNS. definition C. is replaced by the following: "Bodily injury" means AhyaioeU injury, sickness or disease sustained by a person, including mental � amQuiuh, mental injury, shock, fright or death resulting from any of these at any time. COMM&OON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A.-CANCELLAT|ON condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium' we will mail to the first Named Insured written notice of oonceNation at least 80 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice ofnanneDa- @ 20131-iberty Mutual Insurance AC40)?" CERTIFICATE OF LIABILITY INSURANCE DA 6/25/2018 ) 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(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Arthur J. Gallagher $, CO. Insurance Brokers of CA Inc. License #0726293 18201 Von Karmen Ave Suite 200 Irvine CA 92612 CONTACT NAME; PHONE FAX AIC No Ext): 949-349-9800 AIC No:949-349-9900 _ ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: GYPress Insurance Com an CA 10855 _ INSURED SUPEPRO-04 Superior Property Services, Inc. 9129 Perkins Street �}- 176 )-7 INSURER B: Nationwide Mutual Insurance Company 23787 -. INSURERC: INSURERD: Pico Rivera CA 90660 ^ I -r- T� ( a-�eo1a aIea y /�—o'Lr;%IO FY-aD IS�Y +T 'OZC'�W`%sem INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 2011989709 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDLSUBR INSD MD POLICYNUMBER POLICY EFF MMIDD POLICY EXP MM/ODIYYYY LIMITS B X COMMERCIALGENERAL LIABILITY ACP30B842080 6/2212018 6222019 EACH OCCURRENCE $7,000,000 CLAIMS-MADEXCI OCCURA A ET RENTED PREMISES Ea occurrence $50,000 MED EXP (Any one person) $1,030 PERSONAL B ADV INJURY $1100,000 GENERALAGGREGATE $2,000,OOD GE N AGGREGATE LIM IT APPLIES PER: X POLICY _X1 JEO 1:1 LOC PRODUCTS - COMP_/OP AGG $2,000,000 $ OTHER' B AUTOMOBILE LIABILITY _ - ACP3008842080 622/2018 622/2019 COMBINED SINGLE LIMIT $10W 000 Ea accidem BODILY INJURY (Per person) $ X ANY AUTO OWNED SCHEDULED _ AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY ^ AUTOS ONLY BODILY INJURY (Per accitlen[) $ PROPERTY DAMAGE $ Per accitlent $ UMBRELLA LIAB .00CUR EACH OCCURRENCE 8 EXCESS LIAB CLAIMS -MADE '_ AGGREGATE S DED RETENTION$ IS A WORKERS COMPENSATION SUWC926116 AND EMPLOYERTLIABILITY YIN 622/2018 1 6222019X PER OTH- STATUTE ER E.L.EACHACCIDENT $1,000,000 ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? NIA E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS belowE.L. DISEASE LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he aMached a more space is required) a The City of Santa Ana, its officers, employees, agents, volunteers and representatives are additional insureds when you have agreed, in a written contract or written agreement, only with respects to the V General Liability, Umbrella and Business Auto as per business liability coverage forms CG 20 33 04 13, CG �� q 20 37 04 13 and CA 88 10 01 13. Primary and non-contributory wording is included as per form CG 20 0104 13. A waiver of subrogation is included regarding the General Liability as per form CG 24 04 05 09. (PVA C LeacLna��_vmel SHOULD ANY OF THE ABOVE DESORIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Clerk of the City Council ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana 20 Civic Center Plaza (M-30) PO Box 1988 Santa Ana, CA 92701-1988 AO ORIZED REPRESENTATNE USA Q,- 7_w� ©1988-2015 ACORD ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 72 8812 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ENHANCEMENT ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Lost Key Coverage 1. Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, coverage is extended to include the following: If a customer's master or grand key, excluding electronic key card, is lost, damaged or stolen while in your care, custody or control we will pay the cost of replacing the keys, including the master lock and all keys used in the same lock, the cost of adjusting locks to accept the new keys, or the cost to replace the locks, whichever is less. 2. Limit of Insurance — For the purpose of this coverage, the most we will pay is $10,000 per "occurrence". B. Voluntary Property Damage 1. Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, coverage is extended to include the following: At your request, we will pay for "property damage" to property of others caused by you and while in your possession, arising out of your business operations and occurring during the policy period. 2. Limit of Insurance — For the purpose of this coverage the most we will pay is $1,500 per ,.occurrence". C. Non -Owned Watercraft Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, 2. Exclusions Exclusion g. Aircraft, Auto Or Watercraft Paragraph (2) (a) is replaced with: (a) Less than 51 feet long; and C. Non -Owned Watercraft Under Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, 2. Exclusions Exclusion g. Aircraft, Auto Or Watercraft Paragraph (2) (a) is replaced with: (a) Less than 51 feet long; and D. Expanded Property Damage Coverage 1. For the purposes of this endorsement only: Section I — Coverages, Coverage A Bodily Injury And Property Damage Liability, 2. Exclusions, Exclusion j. Damage To Property is amended as follows: a. Paragraphs (3), (5), and (6) are deleted in their entirety. b. Paragraph (4) is deleted in its entirety and replaced with: (4) Personal property in the care custody, or control of the insured: (a) For storage or sale at premises you own, rent or occupy; or (b) While being transported by any aircraft, "auto", or watercraft owned or operated by or rented to or loaned to any insured. c. The coverage provided by this endorsement does not apply to "property damage": (1) Arising out of the disappearance or loss of use of personal pMerty; or (2) Included in the "prs-completed operations hazq\0 ,?-ee CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Inc. with its permission. ' U' GIAiP'�\�. eurIage 1 of 5 CG 72 8812 16 2. Limit of Insurance - The most we will pay F. Supplementary Payments for loss arising out of any one "occurrence" Under Section I — Coverages, Supplementary is $5,000. Payments — Coverages A and B Paragraphs 3. Deductible - Our obligation to pay for a 1.b. and i.d. are replaced with: covered loss applies only to the amount of b. Up to $2,500 for cost of bail bonds required loss in excess of $250. because of accidents or traffic law violations We will pay the deductible amount to effect arising out of the use of any vehicle to which settlement of any claim or "suit" and upon the Bodily Injury Liability Coverage applies. notification having been taken you shall We do not have to furnish these bonds. promptly reimburse us for the deductible as d. All reasonable expenses incurred by the has been paid by us. insured at our request to assist us in the This insurance is primary to any expanded investigation or defense of the claim or damage coverage provided by a separate "suit", including actual loss of earnings up to endorsement attached to this policy, and it $500 a day because of time off from work. will supplant any deductible in said G. Newly Formed And Acquired Organizations endorsement. Under Section II — Who Is An Insured E. Damage To Premises Rented To You Paragraph 3.a. is replaced with: 1. Under Section I — Coverages, Coverage A a. Coverage under this provision is afforded Bodily Injury And Property Damage only until the 180th day after you acquire or Liability, the last paragraph of 2. farm the organization or the end of the policy Exclusions is replaced with: period, whichever is earlier; If Damage To Premises Rented To You is H. Additional Insured — Automatic Status When not otherwise excluded, Exclusionsc. Required In An Agreement Or Contract With through n. do not apply to damage by fire, You lightning, explosion, smoke, or sprinkler Section II — Who Is An Insured is amended to leakage to premises while rented to you or include: temporarily occupied by you with permission of the owner. A separate limit of insurance 4. Any person(s) or organization(s) described applies to this coverage as described in in Paragraphs a. — d. below with whom you Section III — Limits Of Insurance. have agreed in writing in a contract or 2. Under Section III — Limits Of Insurance, written agreement that such person or Paragraph 6. is replaced with: organization be added as an additional insured on your policy during the policy 6. Subto 5. above, the Damage To 1 9 period shown in the Declarations. Premises Rented To You Limit is the The person or organization added as an most we will pay under Coverage A for "property insured by this endorsement is an insured damages because of damage" only for liability due to: to any one premises, while rented to you, or in the case of damage by fire, a. Lessors of Leased Equipment with lightning, explosion, smoke or sprinkler respect to their liability for "bodily injury", leakage, while rented to you or "property damage", or "personal and temporarily occupied by you with advertising injury", caused in whole or in permission of the owner. The limit is part by your maintenance, operation or increased to $1,000,000. use of equipment leased to you by such 3. Under Section IV — Commercial General person(s) or organization(s). This Liability Conditions, Condition 4. Other insurance does not apply to any Insurance, b. Excess Insurance (1) (a) (ll) "occurrence" which takes place after the is replaced with: lease expires. (it) That is Fire, Lightning, Explosion, However, their status as additional Smoke, or Sprinkler leakage insured under this policy ends when their lease, contract, or agree ,with insurance for premises rented to for leased you or temporarily occupied by you with permission of the owner. you such equipm� xpires 1, Page 2 of 5 Includes copyrighted material of Insurance Services Office, Inc., CG 72 its with permission. �G P CG 72 8812 16 b. Managers or Lessors of Premises d. Owners, Lessees, or Contractors with with respect to liability arising out of the respect to liability for "bodily injury", ownership, maintenance, or use of that "property damage", or "personal and part of the premises you own, rent, advertising injury" caused, in whole or in lease, or occupy. part, by: This insurance does not apply to: (1) Your acts or omissions; or (1) Any "occurrence" which takes place (2) The acts or omissions of those after you cease to be a tenant in acting on your behalf; that premises. in the performance of your ongoing (2) Structural alterations, new con- operations performed for that struction or demolition operations additional insured, whether the work performed by or on behalf of the is performed by you or on your person or organization. behalf. However, their status as additional The insurance does not apply to: insured under this policy ends when you (1) "Bodily injury", "property damage", cease to be a tenant of such premises. or "personal and advertising injury" c. State or Political Subdivision — arising out of the rendering of or the Permits Relating to Premises with failure to render any professional respect to the following hazards for architectural, engineering, or survey which the state or political subdivision services, including: has issued a permit or authorization in (a) The preparing, approving, or connection with premises you own, rent failing to prepare or approve or control and to which this insurance maps, shop drawings, opinions, applies: reports, survey, field orders, (1) The existence, maintenance, repair, change orders, or drawings and construction, erection, or removal of specifications: or advertising signs, awnings, (b) Supervisory, inspection, archi- canopies, cellar entrances, coal tectural, or engineering activ- holes, driveways, manholes, ities. marquees, hoist away openings, sidewalk vaults, street banners, or (2) "Bodily injury" or "property damage" decorations and similar exposures; occurring after: or (a) All work, including materials, parts, or equipment furnished in (2) The construction, erection, or connection with such work, on removal of elevators; or the project (other than service, The ownership, maintenance, or use of maintenance or repairs) to be any elevators covered by this insurance. performed by or on behalf of the This insurance does not apply to: additional insured(s) at the (1) "Bodily injury" or "property damage" location of the covered or "personal or advertising injury" operations has been completed; arising out of operations performed or for the state or municipality; or (b) That portion of "your work" out oinjury" or "property ama a (2) "Bodily dg of which the injury or damage arises has been to its included within the "products- put intended use by any person or completed operations hazard". organization other than another However, such state or political contractor or subcontractor subdivision's status as additional engaged in pming insured under this policy ends when the operations for a prir�iiP as,a permit ends. part of the samy\ect. CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission. CG 72 8812 16 However, a person or organization's status as additional insured under this policy ends when your operations for that additional insured are completed. With respect to the insurance afforded to such additional insureds a. — d. described above the following is added to the Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement: or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. However, the insurance afforded to such additional insureds a. — d. described above: 1. Only applies to the extent permitted by law; and 2. Will not be broader than that which you are required by the contract or agreement to provide such additional insured. Aggregate Limit Per Project Under Section III — Limits Of Insurance The following paragraph is added to Paragraph 2: The General Aggregate Limit under Section III Limits Of Insurance applies separately to each of your construction projects away from premises owned by or rented to you. J. Medical Payments Under Section III — Limits Of Insurance, Paragraph 7. is replaced with: 7. Subject to 5. above, the higher of: a. $10,000; or b. The amount shown in the Declarations for Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by one person. This coverage does not apply if Coverage C — Medical Payments is excluded either by the provisions of any coverage forms attached to the policy or by endorsement. K. Knowledge Of An Occurrence Under Section IV — Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit: e. Knowledge of an occurrence, offense, claim or suit by an agent or employee of any insured shall not in itself constitute knowledge of the insured unless you, a partner, if you are a partnership; or an executive officer, or insurance manager, if you are a corporation receives such notice of an occurrence, offense, claim, or suit from the agent or employee. f. The requirements in Paragraph b. will not be considered breached unless there is knowledge of occurrence as outlined in Paragraph e. above. L. Unintentional Failure To Disclose Hazard Under Section IV — Commercial General Liability Conditions, Condition 6. Representations the following paragraph is added: d. Your failure to disclose all hazards or prior "occurrences" or offenses existing as of the inception date of the policy shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" or offenses is not intentional. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non- renewal. M. Waiver Of Subrogation Under Section IV — Commercial General Liability Conditions, 8. Transfer Of Rights Of Recovery Against Others To Us the following paragraph is added: If required by a written contract executed prior to loss, we waive any right of subrogation we may have against the contracting person or organization because of payments rake for injury or damage arising or ongoing operations or "your work" do ider a contraO with that person or organ and inclu ds the "products -completed peratigns ha Page 4 of 5 Includes copyrighted material of Insurance Services Office, Inc., (Z2 $81216 with its permission. Q N. Liberalization Under Section IV Liability Conditions, added: 10. Liberalization Commercial General the following condition is If we revise this coverage form to provide more coverage without additional premium charge, your policy will automatically provide the additional coverage as of the day the revision is effective in your state. CG 72 88 12 16 O. Broadened Bodily Injury Definition (Mental Anguish) Under Section V — Definitions Definition 3. "Bodily Injury" is replaced with: 3. 'Bodily injury" means physical injury, sickness, or disease to a person and if arising out of the foregoing, mental anguish, mental injury, shock, or humiliation, including death at any time resulting therefrom. All terms and conditions of this policy apply unless modified by this endorsement. CG 72 88 12 16 Includes copyrighted material of Insurance Services Office, with its permission. �e �e a 8 Q� Page 5 of 5 COMMERCIAL AUTO AC 70 05 03 16 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION - GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as Insureds — Nonowned Autos D. Additional Insured by Contract, Permit or Agreement E. Supplementary Payments — Bail Bonds F. Supplementary Payments — Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee — Officer, Managers and Supervisors J. Hired Auto Physical Damage K. Temporary Substitute Autos — Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts — Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage Q. Expanded Transportation Expense R. Extra Expense — Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV — Business Auto Conditions — Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc. with its permission c�Q�sGca� Page 1 of 7 COMMERCIAL AUTO AC 70 05 03 16 A. EFFECT OF THIS ENDORSEMENT Coverage provided under this policy is modified by the provisions of this endorsement. If there is any conflict between the provisions of this endorsement and the provision(s) of any state - specific endorsement also attached to this poli- cy, then the provision(s) of the state -specific endorsement shall apply instead of the provi- sions of this endorsement that are in conflict, but only to the extent of the conflict, and only to the extent necessary to bring such provisions into conformance with the state requirement(s) contained in the provision(s) of the state -specific endorsement. B. NEWLY ACQUIRED OR FORMED ENTITIES The Named Insured shown in the Declarations is amended to include any organization you newly acquire or form, other than a partnership, joint venture, or limited liability company, and over which you maintain ownership or majority (more than 50%) interest; if there is no other similar in- surance available to that organization. Coverage under this provision is afforded until the 1801" day after you acquire or form the organization or the end of the policy period, whichever is later. C. EMPLOYEES AS INSUREDS — NONOWNED AUTOS The following is added to paragraph A.1. Who Is An Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: d. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your per- sonal affairs. D. ADDITIONAL INSURED BY CONTRACT, PERMIT OR AGREEMENT The following is added to A.I. Who Is An In- sured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: Any person or organization that you are re- quired to name as an additional insured in a written contract or agreement that is executed or signed by you prior to a "bodily injury' or "property damage" occurrence is an "insured" for Covered Auto Liability coverage. How- ever, with respect to covered "autos", such person or organization is an insured only to the extent that person or organization qualifies as an "insured" under A.I. Who is an Insured of SECTION II — COVERED AUTOS LIABILITY COVERAGE: If specifically required by the written contract or agreement referenced in the paragraph above, any coverage provided by this endorsement to an additional insured shall be primary and any other valid and collectible insurance avail- able to the additional insured shall be non- contributory with this insurance. If the written contract does not require this coverage to be primary and the additional insured's coverage to be non-contributory, then this insurance will be excess over any other valid and collectible insur- ance available to the additional insured. E. SUPPLEMENTARY PAYMENTS — BAIL BONDS Supplementary Payments of SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (2) Up to $2,500 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds. F. SUPPLEMENTARY PAYMENTS — LOSS OF EARNINGS Supplementary Payments of the SECTION II — COVERED AUTOS LIABILITY COVERAGE is revised as follows: (4) All reasonable expenses incurred by the "in- sured" at our request, including actual loss of earnings up to $500 a day because of time off from work. G. PERSONAL EFFECTS AND PROPERTY OF OTHERS EXTENSION 1. The. Care, Custody or Control Exclusion of SECTION II — COVERED AUTOS LIABILITY COVERAGE, does not apply to "property damage" to property, other than your property, up to an amount not exceed- ing $250 in any one "accident". Coverage is excess over any other valid and collectible insurance. 2. The following paragraph is added to A.4. Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay up to $500 for your pr-pperty that is lost or damaged as a $LLQ of a covered "loss", without ag a de- ductible. Coverage is ss over anyy other valid and coll insurance .e Page 2 of 7 Includes copyrighted material of Insurance Services Office, Inc. with its permission 0 G��. AC 7fl�0603 16 H. PREJUDGMENT INTEREST COVERAGE The following paragraph is added to SECTION II — COVERED AUTOS LIABILITY COVERAGE, 2. Coverage Extensions, a. Supplementary Payments: (7) Prejudgment interest awarded against the "insured" on that part of the judgment we pay. If we make an offer to pay the appli- cable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. I. FELLOW EMPLOYEE — OFFICERS, MANAGERS, AND SUPERVISORS The Fellow Employee Exclusion in SECTION II — COVERED AUTOS LIABILITY COVERAGE is replaced as follows; A. "Bodily injury" to any fellow "employee" of the "insured" arising out of and in the course of the fellow "employee's" employment or while performing duties related to the con- duct of your business. This exclusion does not apply to an "insured" who occupies a position as an officer, manager, or supervi- sor. J. HIRED AUTO PHYSICAL DAMAGE If covered "auto" designation symbols 1 or 8 ap- ply to Liability Coverage and if at least one "au- to" you own is covered by this policy for Com- prehensive, Specified Causes of Loss, or Colli- sion coverages, then the Physical Damage coverages provided are extended to "autos" you lease, hire, rent or borrow without a driver; and provisions in the Business Auto Coverage Form applicable to Hired Auto Physical Damage apply up to a limit of $100,000. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. Any Compre- hensive deductible does not apply to fire or lightning. K. TEMPORARY SUBSTITUTE AUTOS — PHYSICAL DAMAGE COVERAGE The following is added to paragraph C. Certain Trailers, Mobile Equipment And Temporary Substitute Autos of SECTION I - COVERED AUTOS: If Physical Damage Coverage is provided by this Coverage Form, the following types of vehicles are also covered "autos" for Physi- cal Damage Coverage: Any "auto" you do not own while used with the permission of its owner as a temporary COMMERCIAL AUTO AC 70 05 03 16 substitute for a covered "auto" you own that is out of service because of its: a. Breakdown; b. Repair; c. Servicing; d. "Loss"; or e. Destruction The coverage that applies is the same as the coverage provided for the vehicle being replaced. L. EXPANDED TOWING COVERAGE 1. We will pay up to: a. $100 for a covered "auto" you own of the private passenger type, or b. $500 for a covered "auto" you own that is not of the private passenger type, for towing and labor costs incurred each time the covered "auto" is disabled. Howev- er, the labor must be performed at the place of disablement. 2. This coverage applies only for an "auto" covered on this policy for Comprehensive or Specified Causes of Loss Coverage and Collision Coverages. 3. Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto". M. AUTO LOAN OR LEASE COVERAGE 1. In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the loan or lease, including up to a max- imum of $500 for early termination fees or penalties, for your covered "auto" less: a. The amount paid under SECTION III — PHYSICAL DAMAGE COVERAGE of this policy; and b. Any: 1) Overdue lease/loan payments at the time of the "loss"; 2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; 3) Security deposits not refundy a lessor; p'O 4) Costs of extended waries, Credit Life insurance,, Accident, Disability insura pure se the lease; and ��V C';%r AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission COMMERCIAL AUTO AC 70 05 03 16 5) Carry-over balances from previous leases. 2. This coverage only applies to a "loss" which is also covered under this policy for Com- prehensive, Specified Causes of Loss, or Collision coverage. 3. Coverage does not apply to any unpaid amount due on a loan for which the covered "auto" is not the sole collateral. N. ORIGINAL EQUIPMENT MANUFACTURER PARTS — LEASED PRIVATE PASSENGER TYPES Under Paragraph C. Limit of Insurance of SECTION III — PHYSICAL DAMAGE COVERAGE, Section 4 is added as follows: 4. We will use new original equipment vehicle manufacturer parts for any private passen- ger type covered "auto" where required by the lease agreement which has a term of at least six months. If a new original equip- ment vehicle manufacturer part is not in pro- duction or distribution we may use a like, kind and quality replacement part. O. DEDUCTIBLE AMENDMENTS The following are added to the Deductible provi- sion of SECTION III — PHYSICAL DAMAGE COVERAGE: If another policy or coverage form that is not an automobile policy or coverage form issued by this company applies to the same "accident", the following applies: 1. If the deductible under this coverage is the smaller (or smallest) deductible, it will be waived: 2. If the deductible under this coverage is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. If a Comprehensive or Specified Causes of Loss Coverage "loss" from one "accident" involves two or more covered "autos", only the highest deductible applicable to those coverages will be applied to the "accident," if the cause of the loss is covered for those vehicles. This provision only applies if you carry Comprehensive or Specified Causes of Loss Coverage for those vehicles, and does not extend coverage to any covered "autos" for which you do not carry such coverage. No deductible applies to glass if the glass is re- paired, in a manner acceptable to us, rather than replaced. P. RENTAL REIMBURSEMENT COVERAGE 1. This coverage applies only to a covered "au- to" for which Physical Damage Coverage is provided on this policy. 2. We will pay for rental reimbursement ex- penses incurred by you for the rental of an "auto" because of "loss" to a covered "auto". Payment applies in addition to the otherwise applicable amount of each coverage you have on a covered "auto." No deductibles apply to this coverage. 3. We will pay only for those expenses incurred during the policy period beginning 24 hours after the "loss" and ending, regardless of the policy's expiration, with the lesser of the following number of days: a. The number of days reasonably required to repair or replace the covered "auto". If "loss" is caused by theft, this number of days is added to the number of days it takes to locate the covered "auto" and return it to you. b. The number of days shown in the Schedule. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred. b. $75 for any one day or for a maximum of 30 days. 5. This coverage does not apply while there are spare or reserve "autos" available to you for your operations. 6. If "loss" results from the total theft of a cov- ered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement ex- penses which is not already provided for un- der SECTION III — PHYSICAL DAMAGE COVERAGE Coverage Extension. Q. EXPANDED TRANSPORTATION EXPENSE Paragraph A.4.a. of SECTION III — P(481C Li DAMAGE COVERAGE is replaced,@�the f to Ing: c We will pay up to $50 pert to a maxi If $1500 for temporary trans ortation e 4$ curred by you because of the to . Page 4 of 7 Includes copyrighted material of Insurance Services Office, Inc Y (8'03 16 with its permission. covered "auto" of the private passenger type. We will only pay for those covered "autos" for which you carry Comprehensive or Specified Causes of Loss Coverage. We will pay for tem- porary transportation expenses incurred during the period beginning 24 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss". R. EXTRA EXPENSE— STOLEN AUTOS The following paragraph is added to Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERAGE: c. We will pay for up to $5,000 for the expense of returning a stolen covered "auto" to you. We will pay only for those covered "autos" for which you carry Comprehensive or Spec- ified Causes of Loss Coverage S. PHYSICAL DAMAGE LIMIT OF INSURANCE Under SECTION III — PHYSICAL DAMAGE COVERAGE, Paragraph C., Limit of Insurance is replaced by the following: C. Limit Of Insurance 1. The most we will pay for "loss" in any one "accident" is the lesser of: a. The actual cash value of the damaged or stolen property as of the time of the "loss", or b. The cost of repairing or replacing the damaged or stolen property. 2. $1500 is the most we will pay for "loss" in any one "accident" to all electronic equip- ment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss". is: a. Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the in- stallation of such equipment. b. Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or c. An integral part of such equipment. 3. An adjustment for depreciation and physical condition will be made in determining actual cash value in the event of a total "loss". 4. The cost of repairing or replacing may: a. Be based on an estimate which includes parts furnished by the original equip - AC 70 05 03 16 COMMERCIAL AUTO AC 70 05 03 16 ment manufacturer or other sources in- cluding non -original equipment manu- facturers and b. If a repair or replacement results in bet- ter than like kind or quality, we will not pay for the amount of the net improve- ment. 5. If we offer to pay the actual cash value of the damaged or stolen property, we will value auto advertising wraps, paint customi- zation, and similar business related advertis- ing modifications, in addition to the actual cash value of the property. Auto advertising wraps, paint customization, and similar business related advertising modifications will be valued at the cost to replace them with an adjustment made for depreciation and physical condition. T. NEW VEHICLE REPLACEMENT COST The following is added to the Limit of Insurance provision of SECTION III — PHYSICAL DAMAGE COVERAGE: 5. The provisions of paragraphs 1. and 3. do not apply to a covered "auto" of the private passenger type or a vehicle with a gross vehicle weight rating of 20,000 pounds or less which is a "new vehicle." In the event of a total "loss" to your new ve- hicle to which this coverage applies, we will pay at your option: a. The verifiable "new vehicle" purchase price you paid for your damaged vehi- cle, not including any insurance or war- ranties purchased; b. If it is available, the purchase price, as negotiated by us, of a "new vehicle" of the same make, model, and equipment or the most similar model available, not including any furnishings, parts, or equipment not installed by the manufac- turer or manufacturers' dealership; or . c. The market value of your damaged ve- hicle, not including any furnishings, parts, or equipment not installed by the manufacturer or manufacturer's dealer- ship. We will not pay for initiation or set up costs associated with loans or leases As used in this endorsement, a "new vehicle" means an "auto" of which you the original owner that has not been51� Includes copyrighted material of Insurance Services Office, Inc., ?90age 5 of 7 ��C)CD, with its permission COMMERCIAL AUTO AC 70 05 03 16 ously titled and which you purchased less than 365 days before the date of the "loss". U. PHYSICAL DAMAGE COVERAGE EXTENSIONS Under SECTION III — PHYSICAL DAMAGE COVERAGE, A. Coverage, Coverage Exten- sions, b. Loss of Use Expenses is replaced by the following: b. Loss of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" be- comes legally responsible to pay for loss of use of a vehicle rented or hired without a driver, under a written rental contract or agreement. We will pay for loss of use ex- penses if caused by: (1) Other than collision if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto"; (2) Specified Causes of Loss only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered "auto"; or (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto." However, the most we will pay for any expenses for loss of use is $50 per day, to a maximum of $1,500. The insurance provided by this provision is excess over any other collectible insurance. V. TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition: We waive any right of recovery we may have against any person or organization to the extent required of you by a written con- tract executed prior to any "accident" be- cause of payments we make for damages under this coverage form. W. NOTICE OF AND KNOWLEDGE OF OCCURRENCE SECTION IV — BUSINESS AUTO CONDITIONS, Paragraph A is amended as follows: 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE Page 6 of 7 a. Your obligation in the Duties in the Event of Accident, Claim, Suit or Loss Condi- tion relative to notification requirements applies only when the "accident" or "loss" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. b. Your obligation in the. Duties in the Event of Accident, Claim, Suit or Loss Condition relative to providing us with documents concerning a claim or "suit" will not be considered breached unless the breach occurs after such claim or "suit" is known to: (1) You, if you are an individual; (2) A partner, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer or insurance manager, if you are a corporation. X. HIRED CAR — COVERAGE TERRITORY Item (5) of the Policy Period, Coverage Territory General Conditions is replaced by the following: (5) Anywhere in the world If a covered "auto" is leased, hired, rented or borrowed without a driver for a period of 30 days or less; and Y. EMERGENCY LOCKOUT We will reimburse you up to $100 for reasonable expense incurred for the services of a locksmith to gain entry into your covered "auto" subject to these provisions: 1. Your door key, electronic key or key entry pad has been lost, stolen or locked in your covered "auto" and you are unable to enter such "auto" , or 2. Your keyless entry device battery dies and you are unable to enter such "auto" as a re- sult, 3. Your key, electronic key or key entry pad has been lost or stolen and you have changed the lock to prevent an unauthorized entry; and e6a� \��5 g'Axe' J� Includes copyrighted material of Insurance Services Office, Inc AC 70 05 0 a$ with its permission. G�e�•��. Q�G 4. Original copies of receipts for services of a locksmith must be provided before reim- bursement is payable. Z. CANCELLATION CONDITION Paragraph A.2. of the COMMON POLICY CONDITION — CANCELLATION applies except as follows: COMMERCIAL AUTO AC 70 05 03 16 If we cancel for any reason other than non- payment of premium, we will mail or deliver to the First Named Insured written notice of cancellation at least 60 days before the ef- fective date of cancellation. This provision does not apply in those states that require more than 60 days prior notice of cancella- tion. AC 70 05 03 16 Includes copyrighted material of Insurance Services Office, Inc., with its permission POLICY NUMBER: ACP3008842080 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) "The City of Santa Ana, it's officers, employees, agents, and representative are named as additional insured" Location and Description Of Completed Operations Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by .your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law•, and required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. 2. If coverage provided to the additional insured This endorsement shall not increase the applicable is required by a contract or agreement, the Limits of Insurance shown in the Declarations. insurance afforded to such additional insured will not be broader than that which you are All terms and conditions apply unless modified by this endorsemen�tie�,5 CG 20 37 0413 0 Insurance Services Office, Inc., 2012 ' Podfsf of 1 COMMERCIAL GENERAL LIABILITY CG 20 0104 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the This insurance is primary to and will not seek additional insured. contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance; and All terms and conditions of this policy apply unless modified by this endorsement. CG 20 01 0413 0 Insurance Services Office, Inc., 2012 Page 1 of 1