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HomeMy WebLinkAboutSABP, INC. (2) • N-2024-150-01 MAYOR o� �' + CITY MANAGER Valerie Amezcua Alvaro Nunez MAYOR PRO TEM � •n � CITY ATTORNEY Thai Viet Phan f Sonia R.Carvalho COUNCILMEMBERS * I' I CITY CLERK Phil Bacerra Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez ' ,.• xx David Penaloza + Benjamin Vazquez CITY OF SANTA ANA INSURANCE ON FILE PUBLIC WORKS AGENCY WORK r'SAY PROCEED UNTIL Ir.<SU Ai,!CE EXPIRES 20 Civic Center Plaza•P.O.Box 1988 Santa Ana,California 92702 0 s/0 Z/ZS www.santa-ana.orq CITY CLERK DATE. OCT 1 8 2024 October 4,2024 SABP,Inc. Attn: Ranel Lacanilao 0: PNn(c) 1821 E. Dyer Rd., Suite 125 (voh Asw(1e- Santa Ana, CA 92705 Re: Extension of Agreement to Provide Scanning Services (N-2024-150) Pursuant to Section 3, TERM, of the above-referenced Agreement, entered into by SABP, Inc., and the City of Santa Ana, dated April 2, 2024, the time period of the Agreement is hereby extended for an additional six(6)month period until April 1,2025. 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, Nabil Saba,PE Executive Director Public Works Agency CITY OF ANTA ATTEST �tIY V'V nA • -- Alvaro ',�. �e r� Alvaro Nunez •nnifer L. .1T ��� City Manager City Cler, APPROVED AS TO FORM SABP,Inc. „.------.-Jonathan T. Martinez an IL ila Assistant City Attorney Manager SANTA ANA CITY COUNCIL Valerie Amezcua Thai Viel Phan Benjamin Vazquez Jessie Lopez Phil Bacerra Johnalhan Ryan Hernandez David Penaloza Mayor Mayor Pro Tern,Ward I Ward 2 Ward 3 Ward 4 Ward 5 Ward 6 vamezcuar5inenta-ana.orq lahanWsanta-ana.orq bvazquezmWsanla-ana.grq jesslelooezl5sanla.ana.orq pbacerra@)sanla•ana.orq jryanhemandezralsanta•ana.org doenaloza(0'serna-ena.orq 1 ® DATE(MMfDDIYYYYI ACORO CERTIFICATE OF LIABILITY INSURANCE `� 04/08/2024 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 pollc (ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the A term and cortitions of the policy, certain policies may req�'I j g f dai grpetai1 g ILa RIJnjyhiQ nmit does not confer rights to the A e gb a gu I.-,,fi1 eu of such endorsements. ry J I Iel.l IJ�/ /-1 I P• • CE W CC TACT Michelle Nia Nia Insuran gency Inc.Lic#0B88707 Acev_(ALC,kJ FAX No): _tA/C.No.Emil.310-659,4950_ A41 Santa Monica Blvd#71 Date: �':� x ee e O S 19s ltfra G�Cweh 5 r Naic a C V _07I OO1suRER Al Liberty Mutual Insurance Company 043 —-- v V INSURED INSURER B: Infinity-Kemper Insurance Company 22268 SABP Inc. Embee Computer Design INSURER C: 17622 Armstrong Ave INSURER D__ Irvine,CA 92618 INSURER E: _ _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TFIE 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. ADDL SUBR POLICY EFF POLICY EXP LTR IN-SR - TYPE LIMITS OF INSURANCE INSR WVD POLICY NUMBER IMM1DDfYYYY) IMMIDD/YYY1'1 GENERAL LIABILITY EACH OCCURRENCE S 1 000,000. X 1 COMMERCIAL GENERAL LIABILITY I--- r-- PREMISES Ea occurrence S 500,000_ ]CLAIMS-MADE X OCCUR I X I R MED EXP(Any one person) 5 5,000. A BKO(25)63 31 54 66 05/02/2023 05/02/2025 PERSONAL&ADV INJURY S 1,000,000. GENERAL AGGREGATE S 2,000,000. GEN'L AGGREGATEj� LIMIT APPIES PER: PRODUCTS-COMP/OP AGG S 2 000 000. l n l PRO• 1-1 S X POLICY JECT LOC AUTOMOBILE LIABILITY (EaaecC dentD)SINGLE LIMIT I S 1 000 000. ANY AUTO BODILY INJURY(Per person) S ALL OWNED X SCHEDULED BODILY INJURY(Per accident) S B AUTOS X — NON-OWNED 504-61 0 1 5-6222-OD01 05/02/2023 05f02/2025 PROPERTY DAMAGE — HIRED AUTOS X AUTOS I (Per accident) — IS X UMBRELLA LIAB `X OCCUR EACH OCCURRENCE s 5,000,000. A EXCESS LIAB —I, CLAIMS-MADE F E ESA(25)63 31 54 66 05/02/2023 05/02/2025 AGGREGATE $5,000,000. X DED I I RETENTIONS S 1 WORKERS COMPENSATION I , ' I WCSTATU- I LOTH-I AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORIPARTNERiEXECUTIVE YIN E.L.EACH ACCIDENT I S - OFFICE/MEMBER EXCLUDED? N f A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S II yes,describe under E.L.DISEASE-POLICY LIMIT S nESCRIPTION OF OPERATIONc nslrnr i 1 Errors&Omissions BKO(25)63 31 54 66 05/02/2023 05/02/2025 $1,000,000.Per Claim A ;Equipment Floater I I $500,000.Equipment Aggregate Limit I I DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,I(more space Is required) Re:City of Santa Ana-Agreement for Scanning Services.City of Santa Ana is Additional Insured per attached endorsement. CERTIFICATE HOLDER CANCELLATION City of Santa Ana.Public Works Agency SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TE_—TNREOF, NOTICE WILL BE DELIVERED IN 20 Civic Center Plaza ACCORDANCE WIT PO Y PROVISIONS. Santa Ana,CA 92702 AUTNORIZer}rz P SEN ATIv�\ orz Risk MmlagernottDivision / / --',Fc ' REVIEWED&APPROVED BY: Michelle i at.(4' A A Aceuido ©19 8-2010 ACORD CI �rin ' Risk Management Specialist ACORD 25(2010/05) The ACORD name and logo are registered mar s of ORD NP 74 26 0413 IMPORTANT NOTICE NOTICE TO POLICYHOLDERS This explanation is not a part of your insurance policy, and it does not alter any of its provisions or conditions_ No coverage is provided by this notice nor can it be construed to replace any provision in your policy or policies with us, or any forms attached to your policy or policies. The following information only gives a general explanation which may have occurred from your prior (or old) policy. Read your policy carefully to determine rights, duties, and what is and is not covered. Only the provisions of your policy determine the scope of your insurance protection. This notice has been prepared to provide you with information since one of the forms listed below maybe attached to your policy. Fully Earned and Minimum Premium Endorsements* CG 04 37 -Electronic Data Liability CG 20 03 -Additional Insured -Concessionaires Trading Under Your Name CG 20 10-Additional Insured -Owners, Lessees Or Contractors -Scheduled Person Or Organization CO 89 79 -Additional Insured -Owners, Lessees Or Contractors -Completed Operations -Scheduled Person Or Organization -Arising Out Of Your Ongoing Operations CG 90 47-Additional insured -Owners, Lessees or Contractors -Scheduled Person Or Organization - Caused In Whole Or In Part CG 90 43 -Additional Insured -Owners, Lessees Or Organizations -Scheduled Person Or Organization - including Primary/Non-Contributory And Waiver Of Subrogation CO 90 44-Additional insured -Owners, Lessees Or Contractors -Completed -Operations -Including Primary And Non Contributory And Waiver Of Subrogation CG 20 11 -Additional insured -Managers Or Lessors Of Premises CG 20 15 -Additional- Insured -Vendors ee CG 20 26-Additional Insured -Designated Person Or Organization CG 20 28 -Additional Insured -Lessor Of Leased Equipment CG 20 29 -Additional Insured -Grantor Of Franchise CC 20 32-Additional insured -Engineers, Architects Or Surveyors Not Engaged By The Named Insured CG 20 34-Additional insured -Lessor Of Leased Equipment -Automatic Status When Required in Lease • Agreement With You CG 20 37-Additional Insured -Owners, Lessees Or Contractors -Completed Operations CG 89 80-Additional Insured -Owners, Lessees Or Contractors -Completed Operations -Arising Out Of Your Work CG 84 56 -Additional insured -Boat Shows CG 85 83 -Blanket Additional Insured Contractors -Products -Completed Operations CG 85 84-Additional insured Contractors Products -Completed Operations CG 86 11 -Additional Insured Automatic Status When Required In Construction Agreement With You - Contractors -Completed Operations • CG 89 95 -Additional Insured -Automatic Status When Required In Construction Agreement With You -Products/Completed Operations CG 88 83 -Amendment of Other Insurance Condition -Designated Persons or Organizations CG 89 98-Amendment of Other insurance Condition O 6 One of the above endorsement(s) may be attached to your policy. With the attachment of the endorsement a premium charge has been made along with a fully earned or minimum premium amount which will be retained if the policy is cancelled or issued for less than a one year period. Please refer any questions you may have to your insurance agent. * Not applicable in Ohio. . . 1 , Risk Management Division REVIEWED&APPROVED BY: `'h >_ A4ft Aava. ®, Risk Management Specialist 2013Liberty Mutual Insurance N. NP 74 26 0413 Includes copyrighted material of insurance Services Office,Inc.,with Its COMMERCIAL GENERAL LIABILITY CC 85 83 04'13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED CONTRACTORS - PRODUCTS/COMPLETED OPERATIONS 1-1 mm This endorsement modifies insurance provided under the following: iMi COMMERCIAL GENERAL LIABILITY COVERAGE PART im 3 M A. Paragraph 2. under Section II -Who Is An Insured Is amended to include as an insured any person or €i organization whom you have agreed to add as an additional insured in a written contract or written agreement. Such person or organization is an additional insured but only with respect to liability for "bodily injury" or"property damage": 1. Caused by your work" performed for that additional insured that Is the subject of the written i ® contract or written agreement; and r r 2. Included in the "products-completed operations hazard". I However: a) The insurance afforded to such additional Insured only applies to the extent permitted by law; and & b) If coverage provided to the additional Insured Is required by a contract or agreement, the insurance afforded to such additional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured 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"suit" 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 Conditions. B. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section 1-Coverage A-Bodily injury And Property Damage Liability: This insurance does not apply to: 2 1. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the a location where such "bodily injury" or"property damage" occurs. 2. "Bodily injury" or "property damage" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services including: a. The preparing, approving or failure to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawing and specifications; and b. Supervisory, Inspection, architectural or engineering activities. CG 85 83 04 13 Includes copyrighted2013 Liberty Mutual Insurance o «•,,.m R1akManagementDivision material of Insurance Services Office,Inc.,with its permission. REVIEWED&APPROVED BY: `z. l A.�,,e A>r�.rk. '®l Risk Management Specialist \ , A POLICY NUMBER: BKO(24)63 31 54 66 EFFECTIVE DATE: 05/02/2023 To 05/02/2024 B. For ali sums which the Insured becomes €e- C. When coverage for liability arising out of the gaily obligated to pay as damages caused by "products- completed operations hazard° is °occurrences° under Section I -Coverage A, provided, any payments for damages be- and for all medical expenses caused by sa- cause of "bogy injury" or "property dam- cidents under Section I - Coverage C, which age° included in the °products-completed op- cannot be attributed only to ongoing oper- erations hazard° will reduce the atlons at a single designated construction Products-completed Operations Aggregate ® project shown in the Schedule above: Limit, and not reduce the General Aggregate ® 1. Any payments made under Coverage A limit nor the Designated Construction Project M for damages or under Coverage C for General Aggregate Limit. ® medical expenses shall reduce the D. If the applicable designated construction ® amount available under the General Ag- project has been abandoned, delayed, or ® gregate Limit or the Products-completed abandoned and then restarted, or if the au- ® Operations Aggregate Limit, whichever Is thorized contracting parties deviate from applicable; and plans, blueprints, designs, specifications or ® 2. Such payments shall not reduce any Des- timetables, the project will still be deemed to ® ignated Construction Project General Ag- be the same construction project. ® gregate Limit. E. The provisions of Section III-Umtts Of Insur- ® ance not otherwise modified by this endorse- ment shall continue to apply as stipulated. IMIEI \ / Tusk Management Division z.".�t� REVIEWEDppi.�,.Q A&APPROVEDBy: of �___ P'IGLVd?i. CO 28 03 05 09 ® Insurance Services Office, Inc., 2006 swiRtmAgn. —Lr R IA Management Specialist C. With respect to the Insurance afforded by this endorsement, exclusion I. Damage To Your Work of Paragraph 2. Exclusions under Section I -Coverage A•Bodily Injury And Property Damage Liability Is replaced by the following: I. Damage To Your Work "Property damage" to "your work" arising out of It or any part of it and Included In the "products- completed operations hazard". D. With respect to the insurance afforded to these additional insureds, the following is added to Section II- 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 contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declaration. whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratlo ns. E. With respect to the insurance afforded by this endorsement, Section IV -Commercial General Liability Conditions is amended as follows: 1. The following is added to Paragraph 2.Duties in The Event Of Occurrence, Offense, Claims Or Suit: 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"stilt" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. 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 we receive written notice of a"suit" by the additional Insured. 2. Paragraph 4.of Section IV-Commercial General Liability Conditions is amended as follows: a. The following is added to Paragraph a.Primary Insurance: if an additional insured's 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 noncontributory basis, this policy shall be primary and we will not seek contribution from the additional Insured's policy for damages we cover. 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 additional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insur- ance 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, ® 2013 Liberty Mutual Insurance RiskManageinentDivision CG 85 83 04 13 Includes copyrightedREVIEWED&APPROVED BY: material of Insurance Services Office,inc.,with its permission i a3 ..j< ` A Azw Risk Management Speci airs t COMMERCIAL GENERAL LIABILITY CG 91 04 10 14 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTORS ERRORS AND OMISSIONS COVERAGE THIS ENDORSMENT PROVIDES CLAIMS-MADE AND REPORTED COVERAGE. PLEASE READ THE ENTIRE ENDORSEMENT CAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Coverage: Contractors Errors And Omissions For Insured Operations Limit Of Insurance: Each Error Or Omission Deductible: $ 1000 $ 1000000 Per Act, Error Or Omission Limit $ $ 1000000 Aggregate Retroactive Date: 05/02/2019 Insured Operations: Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Unless the Insured Operations are specified in the Schedule, this endorsement applies to all of your oper- ations. A. The following is added to Section I-Coverages: COVERAGE-CONTRACTORS ERRORS AND OMISSIONS 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of a"claim" arising out of a"contractors error or omission" committed by the insured to which s this insurance applies. The damages must have resulted from the insured's operations as described in the Schedule and from a defect in material or in a product sold or installed by the insured while acting in this capacity. We will have the right and duty to defend the insured against any "suit" seeking these damages. However, we will have no duty to defend the insured against any "suit" seeking damages to which this insurance does not apply. We may at our discretion investigate any report of a "contractors error or omission" and settle any "claim" or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Paragraph C. (Section III - Limits of Insurance); and (2) Our right and duty to defend ends when we have used up the applicable limit of insurance in the payment of judgments or settlements. No other obligation or liability to pay sums or perform acts or servi\ / explicitly provided for under Supplementary Payments in Paragraph Risk Management Division REVIEWED&APPROVED BY: • Risk Management Specialist © 2014 Liberty Mutual Insurance. CG 91 04 10 14 Includes copyrighted material of Insurance Services Office,Inc.,with its perrnlssic/ • COMMERCIAL GENERAL LIABILITY CO24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Blanket Blanket Blanket 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 organi- zation shown In the Schedule above. \ / Risk Management Division CO 24 04 05 09 et Insurance Services Office, Inc., 2008 REVIEWED/&APPROVED BY: e�••"'wI P'TGBV Risk Management Specialist / COMMERCIAL GENERAL LIABILITY CO 20 01 04 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 Condition and supersedes any provision to the or agreement that this Insurance would contrary: be primary and would not seek contribu- Primary And Noncontributory Insurance tion from any other Insurance available This insurance is primary to and will not seek to the additional Insured. contribution from any other insurance avail- able to an additional insured under your poll- cy provided that: • (1) The additional insured is a Named In- sured under such other insurance; and • it a • z • \ Risk Management Division rk REVIEWED F APPROVED BY: CG 20 01 04 13 © Insurance Services Office, Inc., 2012 Acsve�ln ® Risk Management Specialist 1 COMMERCIAL GENERAL LIABILITY CG88701208 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONSTRUCTION PROJECT(S) - GENERAL AGGREGATE LIMIT (PER PROJECT) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART ry A. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex- penses caused by accidents under Section I -Coverage C Medical Payments, which can be attributed only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. A separate Construction Project General Aggregate Limit applies to each construction project, and �--� that limit is equal to the amount of the General Aggregate Limit shown In the Declarations . 2. The Construction Project General Aggregate Limit is the most we will pay for the sum of all ��- damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products-completed operations hazard", and for medical expenses under Cov- erage C regardless of the number of: a. Insureds; b. Claims made or"suits" brought; or c. Persons or organizations making claims or bringing "suits". 3. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the Construction Project General Aggregate Limit for that construction project. Such payments shall not reduce the General Aggregate Limit shown in the Declarations nor shall they reduce any other Construction Project General Aggregate Limit for any other construction project. 4. The limits shown in the Declarations for Each Occurrence, Flre Damage and Medical Expense continue to apply. However, instead of being subject to the General Aggregate Limit shown in the Declarations, such limits will be subject to the applicable Construction Project General Aggregate Limit. B. For all sums which the insured becomes legally obligated to pay as damages caused by "occurrences" under Section I - Coverage A - Bodily Injury And Property Damage Liability, and for all medical ex- penses caused by accidents under Section I - Coverage C Medical Payments, which cannot be attrib- uted only to ongoing operations at a single construction project away from premises owned by or rented to you: 1. Any payments made under Coverage A for damages or under Coverage C for medical expenses shall reduce the amount available under the General Aggregate Limit or the Products-Completed Operations Aggregate Limit, whichever is applicable; and 2. Such payments shall not reduce any Construction Project General Aggregate Limit. C. When coverage for liability arising out of the "products-completed operations hazard" is provided, any payments for damages because of "bodily injury" or "property damage" included in the "products- completed operations hazard" will reduce the Products-Completed Operations Aggregate Limit, and not reduce the General Aggregate Limit nor the Construction Project General Aggregate Limit. D. If the applicable construction project has been abandoned, delayed, or abandoned and then restarted, or if the authorized contracting parties deviate from plans, blueprints, designs, specifications or timetables, the project will still be deemed to be the same construction project. E. The provisions of Section III - Limits Of Insurance not otherwise modified by this endorsement shall continue to apply. Risk Management Division REVIEWED&APPROVED By: AGavz'" CO 88 70 12 08 Includes copyrighted material of ISO Properties,Inc.,with its permission. ®` R isk Management Specialist / \ COMMERCIAL GENERAL LIABILITY CG20340413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT - AUTOMATIC STATUS WHEN REQUIRED IN LEASE AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II -Who Is An Insured is amended to A person's or organization's status as an ad- include as an additional insured any per- ditional insured under this endorsement ends son(s) or organization(s) from whom you when their contract or agreement with you lease equipment when you and such per- for such leased equipment ends. son(s) or organization(s) have agreed in writ- B. With respect to the Insurance afforded to ing in a contract or agreement that such per- these additional insureds, this insurance does son(s) or organization(s) be added as an not apply to any "occurrence" which takes additional insured on your policy. Such per- place after the equipment lease expires. son(s) or organization(s) is an insured only with respect to liability for "bodily injury", C. With respect to the insurance afforded to "property damage" or "personal and adver- these additional insureds, the following is tising injury" caused, in whole or in part, by added to Section III -Limits Of Insurance: your maintenance, operation or use of equip- The most we will pay on behalf of the addi- ment leased to you by such person(s) or or- tional insured is the amount of insurance: ganization(s). 1. Required by the contract or agreement However, the insurance afforded to such ad- you have entered into with the additional ditional insured: insured; or 1. Only applies to the extent permitted by 2. Available under the applicable Limits of law; and Insurance shown in the Declarations; 2. Will not be broader than that which you whichever is less. are required by the contract or agreement This endorsement shall not increase the ap- to provide for such additional insured. plicable Limits of Insurance shown in the Dec- larations. \ / Risk Management Division j _ REVIEWEDAn&APPROVED BY: ' fl ( 4'4 O ✓ Risk rvlanagementSpecialist / \ CO 20 34 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 (Ed.04-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT—CALIFORNIA We have the right to recover our payments from anyone liable for an injury covered by this policy.We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 0.02 %of the California workers'compensation premium otherwise due on such remuneration. Schedule Person Or Organization Job Description Any person or organization as required by written contract within states covered under this policy. This endorsement changes the policy to which it is attached and Is effective on the date issued unless otherwise stated. (The information below Is required only when this endorsement Is Issued subsequent to preparation of the policy.) Endorsement Effective 01/24/2024 Policy No. WC PI 710827-000 Endorsement No. Insured Embee Computer Design Inc Insurance Company The Pie Insurance Company Countersigned By o„Pat, Risk Management Division 3, REVIEWED&APPROVED BY: 'irID1-------,d1' AaNzit, rommst WC 04 03 06 �-� Risk Management Specialist (Ed.04-84) /