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Home My WebLink AboutELLIOTT AUTO SUPPLY CO. INC. (DBA FACTORY MOTOR PARTS) (2)CV CV N O �7 INSURANCE ON FILE bVORK MAY PROCEED UNT�L INSURANCE EXPIRES I1522 CLERK OF COUNCIL MAYOR DATE: Vicente Sarmiento MAYOR PRO TEM Phil Became COUNCILMEMBERS Johnathan Ryan Hernandez Jessie Lopez Nelida Mendoza David Penaloza Thai Viet Phan CITY OF SANTA ANA PUBLIC WORKS AGENCY 20 Civic Center Plaza . P.O. Box 1988 fl J Santa Ana, California 92702 _J wwW.santa-ana.oro June 13, 2022 Elliot Auto Supply Co., Inc., dba Factory Motor Parts 2610 S. Birch Street Santa Ana, CA 92707 Attn: Dana Carney, Fleet Sales and Operations Manager A-2019-085-01 CITY MANAGER Kristine Ridge CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Daisy Gomez Re: Extension of Consultant Agreement No. A-2019-085 to Provide Miscellaneous Vehicle Parts Pursuant to Section 3 ("Term") of the above -referenced Agreement, entered into by Elliot Auto Supply Co., Inc., dba Factory Motor Parts, and the City of Santa Ana, dated June 4, 2019, the time period of the Agreement is hereby extended for an additional one-year period, from July 1, 2022 through June 30, 2023. Any insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of the Agreement remain unchanged and in full force and effect. Sincerely, G) �<tie-- Nabil Saba, P.E. Executive Director, Public Works Agency CITY OF SANTA ANA �- rA' Kristine Ridge City Manager APPROVED AS TO FORM on Salvatierra Deputy City Attorney ATTEST Daisy Gomez, MC Clerk of the Council ELLIOT AUTO SUPPLY CO., INC., DBA FACTORY MOTOR PARTS Dana Carney"" Dana Carney Fleet Sales and Operations Manager SANTA ANA CITY COUNCIL Vicente Samienlo Phil since. Thai Viet Phan Needle Mendoza Jessie Lopez JobnaNan Ryan Hemandez David Panaioze Mayor Mayor Pm Tem, Ward 4 Ward Wood Ward We'd5 WaN5 enloMsanla-ana om obacrnaaaante-ana om lohantRsanlaanaom nmendazaArro om jranhemandazapnta-ana om doenaWzaRsanla-ana not Digi[ally signed by Tod Pierson Tori Pierson Date: Z@].g52$,i:e,:g4 07'on' AC"RO® CERTIFICATE OF LIABILITY INSURANCE k.l DATE(MMIDD/YYYY) 5/20/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 Risk Management Services, Inc. 4200 Corporate Drive Ste 160 West Des Moines IA 50266 CONTACT lCla Smith NAME: Tr PHONE . 515-309-6218 FAX AIc Na: `MA Ess: tricia smith a' .com 6EDOR INSURERS AFFORDING COVERAGE NAIC# INSURERA: James River Insurance Company 12203 INSURED Elliott Auto Supply Co., Inc. Factory Motor - Part 1380 Corporate Center Curve, Ste 200 INSURERS: Lloyd's S nd 623 (Beazley Furlongs Ltd) INSURER c: Employers Mutual Casualty Company 21415 INSURER D: Eagan, MN 55121 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1032648748 REVISION NUMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD WVD POLICYNUMBER POLICY EFF MWDDM POLICY EXP MM/DDryYYY LIMITS C X COMMERCIALGENERAL LIABILITY CLAIMS -MADE OCCUR Y Y 2D39543 11/15/2021 11/15/2022 EACH OCCURRENCE $1.000,000 DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 MED EXP(Any one person) $5,000 PERSONAL B ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY 0 PE` I LOG GENERAL AGGREGATE $2.000.000 PRODUCTS - COMP/OP AGG $2,ODO,000 I Property Damange $ 1,000,000 OTHER I C C AUTOMOBILE LIABILITY ANY AUTO Y 2139543 2E39543 11/15/2021 11/15/2021 11/15/2022 11/15/2022 COMBINED SINGLE LIMIT a accident)ILY $1,000,000 B (Per Person) $ OWNED SCHEDULEDAUTOS ONLY AUTOS JX BODILY INJURY (Per accident) $ HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Par acoideot $ Ded Com Callaion $1,000 C X UMBRELLALUIB X OCCUR 2J39543 11/15/2021 11/15/2022 EACH OCCURRENCE $4,000,000 AGGREGATE $4,000,000 EXCESS Lure 'LA "MADE DEC X RETENTION$ 1 A nnn $ C C C WORKERS COMPENSATION AND EMPLOYERS'LIABILRY YIN ANYPROPRIETOR/PARTNEWEXECUTIVE OFFICERIMEMBEREXCWOEDy FNI NIA 2N39543 2P39543 2M39543 11/15/2021 11/15/2021 11/15/2021 11/15/2022 11/15/2022 11/15/2022 X PER OTFF STATUTE ER statutory E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYE $1,000.000 (Mandatary in NH) If yes, describe under E.L. DISEASE -POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS below C A B GARAGE LIABILITY Excess Umbrella Cyber Liability 2E39543 001097701 W171413210701 11/15/2021 11/15/2021 2/l/2021 11/15/2022 11/15/2022 2/1/2022 Auto Only- Ea A. Other Than - Ea A. Each Agg $500.000 $1,000.000 $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space is required) Elliott Auto Supply Co., Inc. inclusive of Factory Motor Parts and Splash Products RE: Project #A-2019-085 The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92702; its officers, employees, agents and volunteers are included as Additional Insured under the General Liability policy per form CG7184 (10/13) and auto liability policy per form CA7270 (03107) as per written contract requirement pursuant to and subject to the policy's terms, definitions, conditions, and exclusion. The insurance provided in the General Liability policy is Primary and Non -Contributory and any other insurance shall be excess only, and not contributing per form CG7184 (10/13) as per written contract requirement pursuant to and subject to the policy's terms, definitions, conditions, and exclusion. Waiver of Subrogation applies to the Additional insureds as respects to the General Liability per form CG7555 (4/13), pursuant to and subject to the policy's terms when required in a written contract or agreement per form City of Santa Ana Risk Management Division 20 Civic Center Plaza Santa Ana CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Xbk MoegmmdDMdan ee IsRakfAin-gemonsComalArk, n 1ORR-9n15 ArnRn re ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD v COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to Include as an additional insured: 1. Any person or organization from whom you lease real property 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) 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 the ownership, maintenance or use of that part of the premises leased to you and subject to the following exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction, or demolition operations performed by or on behalf of the additional insured. However, the insurance afforded to such additional insured 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 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: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; 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. C. The following Is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This insurance Is primary to and will not seek 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 (2) You have agreed In writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. D. All other terms and conditions of this policy remain unchanged. Ana., wkkl.% aeDm" i 3 &,9wtn L Are1+w® Or. Tau P&e oa C07184(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - MANAGERS OR LESSORS OF PREMISES - AUTOMATIC STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT - PRIMARY AND NONCONTRIBUTORY This endorsement modifies the insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE FORM A. Section II — Who Is An Insured is amended to include as an additional insured: 1. Any person or organization from whom you lease real property 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; and 2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above. Such person(s) or organization(s) 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 the ownership, maintenance or use of that part of the premises leased to you and subject to the following exclusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to be a tenant in that premises. 2. Structural alterations, new construction, or demolition operations performed by or on behalf of the additional insured. However, the insurance afforded to such additional insured described above: 1. Only applies to the extent permitted by taw; and 2. Will 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: The most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph A.1.; 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. C. The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary and Noncontributory Insurance This insurance is primary to and will not seek 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 (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured. M All other terms and conditions of this policy remain unchanged. .,� � itNeMvg,nnalllNrlm ;� ,. 0. IE�mEDL MPao.ID er: I 7ou prnee.r CG7184(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission, COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN CONTRACT OR AGREEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against any person or organization against whom you have agreed to waive such right of recovery in a written contract or agreement because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". CG7555(10-13) Includes copyrighted material of 160 Properties, Inc. with its permission. , Reiw� aenEWmn6�Mraw®Or. Ruk Ala�v9e,m�[UairzlPitle .t COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO AMENDMENT This endorsement modes insurance provided under the following: BUSINESS AUTO COVERAGE FORM The BUSINESS AUTO COVERAGE FORM is amended to include the following clarifications and extensions of coverage. With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. A. BLANKET ADDITIONAL INSURED SECTION 11— LIABILITY COVERAGE, A.I. Who Is An Insured is amended by adding the following: d. Any person or organization who is a party to a written agreement or contract with you in which you agree to provide the type of insurance afforded under this Business Auto coverage Form. This provision applies to claims for "bodily injury" or "property damage" which occur after the execution of any written agreement or contract. B. NEWLY FORMED OR ACQUIRED ORGANIZATIONS SECTION 11— LIABILITY COVERAGE, A.1. Who Is An Insured is amended by adding the following: e. Any organization which you acquire or form after the effective date of this policy in which you maintain ownership or majority interest. However: (1) Coverage under this provision is afforded only up to 180 days after you acquire or form the organization, or to the end of the policy period, whichever is earlier. (2) Any organization you acquire or form will not be considered an "insured" if: (a) The organization is a partnership or a joint venture; or (b) That organization is covered under other similar insurance. (3) Coverage under this provision does not apply to any claim for "bodily injury" or "property damage" resulting from an "accident' that occurred before you formed or acquired the organization. C. SUBSIDIARIES AS INSUREDS SECTION If — LIABILITY COVERAGE, A.1. Who Is An Insured is amended by adding the following: f. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of this policy. However, "insured" does not include any subsidiary that is an "insured" under any other automobile liability policy or was an "insured" under such a policy but for termination of that policy or the exhaustion of the policy's limits of liability. CA7270(7-14) D. COVERAGE EXTENSIONS — SUPPLEMENTARY PAYMENTS SECTION II — LIABILITY COVERAGE, A.2.a. Coverage Extensions, Supplementary Payments (2) and (4) are replaced by the following: (2) Up to $3,000 for the 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. (4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $350 a day because of time off from work. E. PHYSICAL DAMAGE — TOWING SECTION III — PHYSICAL DAMAGE COVERAGE, A.2. Towing is replaced with the following: We will pay for towing and labor costs incurred, subject to the following: a. Up to $100 each time a covered "auto" of the private passenger type is disabled; or b. Up to $500 each time a covered "auto" other than the private passenger type is disabled. However, the labor must be performed at the place of disablement. F. LOCKSMITH SERVICES SECTION III — PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions is amended by adding the following: We will pay up to $50 per occurrence for necessary locksmith services for keys locked inside a covered private passenger "auto" for which Comprehensive coverage is provided. The deductible is waived for these services. G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES SECTION III — PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions subparagraph a. Transportation Expenses is replaced by the following: Includes copyrighted material of ISO Properties, Inc. with Its permission. 4, I�YffWID6ApgliN®Bf: 3Rkk Wna tOrvalFide (1) We will pay up to $75 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Cause Of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 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". (2) If the temporary transportation expenses you incur arise from your rental of an "auto" of the private passenger type, the most we will pay is the amount it costs to rent an "auto" of the private passenger type which is of the same like kind and quality as the stolen covered "auto". H. AUDIO, VISUAL, AND DATA ELECTRONIC EQUIPMENT COVERAGE ADDED LIMITS In addition to the Each Accident Limit of Insurance and subject to the provisions of Paragraph C.2, of Section III Physical Damage of the coverage form, we will pay up to $1,000 for "loss" in any one "accident" to all electronic equipment that reproduces, receives, or transmits audio, visual or data signals. 1. HIRED AUTO PHYSICAL DAMAGE SECTION III — PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss, or Collision coverage is provided for any "auto" you own, then the Physical Damage coverages provided are extended to "autos" you hire, subject to the following limit and deductible: 1. The most we will pay for loss to any hired "auto" is the lesser of Actual Cash Value, $75,000, or Cost of Repair, minus the deductible. 2. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. No deductible applies to "loss" caused by fire or Lightning. 3. Subject to the above limit and deductible provisions, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. J. PERSONAL PROPERTY OF OTHERS SECTION III — PHYSICAL DAMAGE COVERAGE, A.4. Coverage Extensions is amended by adding the following: We will pay up to $500 for loss to personal property of others in or on your covered "auto". This coverage applies only in the event of "loss" to your covered "auto" caused by fire, lightning, explosion, theft, mischief or vandalism, the covered "auto's" collision with another object, or the covered "auto's" overturn. No deductibles apply to this coverage. K. RENTAL REIMBURSEMENT SECTION III — PHYSICAL DAMAGE COVERAGE, AA. Coverage Extensions is amended by adding the following: 1. This coverage applies only to a covered "auto" for which PHYSICAL DAMAGE COVERAGE is provided on this policy. 2. We will pay for rental reimbursement expenses 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; or b. 30 days. 4. Our payment is limited to the lesser of the following amounts: a. Necessary and actual expenses incurred; or b. $50 per day, subject to a $1,500 limit. 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 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 for under the Physical Damage — Transportation Expense coverage extension included in this endorsement. 7. Coverage provided by this extension is excess over any other collectible insurance and/or endorsement to this policy CA7270(7.14) Includes copyrighted material of 180 Properties, Inc. with its permission. - Ih+ne+ren 6 A� Br. �Ruk NNruge,2m Clm�ulNde " L. AIRBAG COVERAGE M. I:A 'n SECTION III — PHYSICAL DAMAGE COVERAGE, B.3.a. Exclusions is amended by adding the following: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. LOSS TO TWO OR MORE COVERED AUTOS FROM ONE ACCIDENT SECTION III — PHYSICAL DAMAGE COVERAGE, D. Deductible is amended by adding the following: If a Comprehensive, Specified Causes of Loss or Collision 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". This provision only applies if you carry Comprehensive, Collision 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. WAIVER OF DEDUCTIBLE — GLASS REPAIR OR REPLACEMENT SECTION III — PHYSICAL DAMAGE COVERAGE, D. Deductible is amended by adding the following: If a Comprehensive Coverage deductible is shown in the Declarations it does not apply to the cost of repairing or replacing damaged glass. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION IV — BUSINESS AUTO CONDITIONS, A.2. Duties in the Event of Accident, Claim, Suit or Loss is amended by adding the following: d. Your obligation to notify us promptly of an "accident", claim, "suit" or "loss" is satisfied if you send us the required notice as soon as practicable after your Insurance Administrator or anyone else designated by you to be responsible for insurance matters is notified, or in any manner made aware, of an "accident', claim, "suit" or "loss". CA7270Q-14j P. UNINTENTIONAL FAILURE TO DISCLOSE EXPOSURES SECTION IV — BUSINESS AUTO CONDITIONS, B.2. Concealment, Misrepresentation, or Fraud is amended by adding the following: If you unintentionally fail to disclose any exposures existing at the Inception date of this policy, we will not deny coverage under this Coverage Part solely because of such failure to disclose. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non - renewal. Q. MENTALANGUISH SECTION V — DEFINITIONS, C. is replaced by the following: "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from bodily injury, sickness or disease. R. LIBERALIZATION If we revise this endorsement to provide greater coverage without additional premium charge, we will automatically provide the additional coverage to all endorsement holders as of the day the revision is effective in your state. Includes copyrighted material of ISO Properties, Inc. with its permission. wrkM R6 .e...aotw . enEvfD /1rrn� V®BY: %u P&W" V Rck M1Li,v9ma"Omaletitle 00