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HomeMy WebLinkAboutOPEX CORPORATION INSURANCE ON FILE WORK MANY PROCEED UNTtt INSUi?,"Xf '.?Djw.,, N-2022-006-02 -ITS AUG 2 8 2025 l)W' MAYOR CITY MANAGER Valerie Aezcua �w + Alvaro NuAez m MAYOR PRO TEM at l�1:r,ii CITY ATTORNEY Benjamin Vazquez Sonia R.Carvalha COUNCILMEMBERS CITY CLERK Phil Bacena ^, Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez David Penaloza Thai Met Phan CITY OF SANTA ANA 12obgrr ZuY+are CPz) FINANCE AND MANAGEMENT SERVICES 20 Civic Center Plaza e P.D.Box 1988 Santa Ana,California 92702 W".sdnta-•ana,orq August 20, 2025 OPEX Corporation 305 Commerce Drive Moorestown, NJ 08057 Re:. Extension to Agreement(#N-2022-006)to Provide Automated Mail Opening Services Dear Winnie Chow, Pursuant to Section 3 ("Term") of the above referenced Agreement, entered into between OPEX Corporation and the City of Santa Ana, dated January 1, 2022, the time period of the Agreement is hereby extended for an additional one(i)year period through September 30.2026. All other terms and conditions of the Agreement remain unchanged and in full force and effect. If you have any question regarding this matter, please contact Alejandra Gutierrez, Treasury and Customer Services Manager in the Finance&Management Services Agency at (714)647-5497. Sincerely, Alexander Trinidad Executive Director, Finance & Management Services Agency CITY OF ANTA A A ATTEST Alvaro Nunez ennifer all City Manager City Cler (APPR0V%DVS,,,�T FORM ORPORAT N AJ� Andrea Garcia-Miller Winnie Chow Assistant City Attorney Director of Corporate and Legal Affairs,OIS SANTA ANA CITY COUNCIL Valene Amezc a Benjamin Vazquez Thai Viet Phan Jessie Lopez Phil Bacarra Johnathan Ryan Hernandez DBvid Penafnza Mayor Mayor Pro Tem-Ward 2 Ward 1 Ward 3 Ward 4 Ward 5 Ward 6 X1 n_1 ryQA1M an Horn pvazdun�r.aanla-ana.orn Ighiang"wa-an®era na.arn Rhaxyaar@sanla•ana o(q nrn d{}pn,6,(q;a,'Sisonin•ana ood AC—C)R EP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 9130/2024 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain polieles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsernent(s). PRODUCER CONTACT Graham Company, NAME: James H. Bonner PHONE a Marsh& McLennan Agency, LLC company eN Elio: 215-567-6300 No):215-525-0234 One Penn S uare West E-MAIL � ADDRESS: BONNER—UNIT@grahamea.com Philadelphia PA 19102 NSU RSC1 FORDIQNG VERA E �NjAICi1 a All INSURER 1: I r1c @f O. Angie ce V 16404 INSURED Corporation o D 1 INsuREr46:1' ' s ° t 125674 305 Commerce Drive INSURERC: LLLM Insurance Corporation 33600 Moorestown, NJ 08057 INSURERD: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:724652814 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, INSR ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MMIDDYIYYYY MM!�fY EFF EY�YY LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y TB7-Z51-290099-074 101112024 1011/2025 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR DA PREMSES©aoocumence $700,000 MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGRE�GATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY� PRO- POLICY El LOC PRODUCTS-COMPIOPAGG $2,000,000 OTHER: C AUTO MOBILELIABILITY Y I AS5-Z51-290099-034 10/1/2024 10/1/2025 COMBINED SINGLELIMIT $1,000,D00 Ea accident X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-DINNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE $ X Per accident Phys Dmg PD Deductible $1,000 A X UMBRELLA LIAB X OCCUR TH7-Z51-290099-084 10/112/24 101112025 EACH OCCURRENCE 3 10,000,00fl EXCESS LIAR CLAIM&MADE AGGREGATE $10.000,000 DED RETENTION C WORKERS COMPENSATION Y WC5-Z51-290099-014 101112024 10fti2025 PER X $ - AND EMPLOYERS'LIABILITY YIN STATUTE EROTH i ANYPROPRIETORIPARTNERIEXECUTIVE 0FFICERIMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT $1,000,600 Mandatory in under EE If yes,describe under E.L.DISEASE-FA EMPLOY $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liability ZPL-61N57784-24-13 1 101112024 1011/2025 Per ClaimlAgg. $5,000,000 fi I DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) City of Santa Ana, officers,agents,employees, and volunteers are Additional Insureds on a primary and non-contributory basis on the above General Liability and Auto Liability policies if required by written contract. Prior to loss, and if required by written contract, a Waiver of Subrogation is provided in favor of the Additional Insureds on the above General Liability and Workers Compensation policies for work performed under Contract if permissible by state law, 30 Days Advance Written Notice of Cancellation(10 Days for Non-Payment of Premium)is provided to the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF_ NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PRC Risk Management Division 4�„.R<H�¢ xl3kkTvlanWm"aDt�Ia(an 20 Civic Center Plaza A )10RIZED.,PE PRESENTATIVE a:' 'y REVIEWED&APPROVE BY. Santa Ana CA 92702 ' Risk Management Specialist c0 1988-2015 ACORD ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Policy Number TB7-Z51-290099-074 Issued by LIBERTY INSURANCE CORPORATION THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL, LIABILITY ENHANCEMENT FOR MANUFACTURERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items: Item 1. Reasonable Force Item 2. Non-Owned Watercraft Extension Item 3. Damage To Premises Rented To You—Expanded Coverage Item 4. Bodily Injury To Co-Employees Item 5. Health Care Professionals As Insureds Item 6. Knowledge Of Occurrence Or Offense Item 7. Notice Of Occurrence Or Offense Item 8. Unintentional Failure To Disclose Item 9. Bodily Injury Redefined Item 10. Supplementary Payments—Increased Limits Item 11. Aircraft With Chartered Crew Item 12. Property In Your Care,Custody Or Control Item 13. Mobile Equipment Redefined Item 14. Newly Formed Or Acquired Entities Item 15. Waiver Of Right Of Recovery By Written Contract Or Agreement Item 1. Reasonable Force Exclusion a. of Section I —Coverage A—Bodily Injury And Property Damage Liability is replaced by the following: a. Expected Or Intended Injury "Bodily injury" or"property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. Item 2. Non-Owned Watercraft Extension Paragraph (2) of Exclusion g. of Section I —Coverage A— Bodily Injury And Property Damage Liability is replaced by the following: (2) A watercraft you do not own that is: (a) Less than 55 feet long; and (b) Not being used to carry persons or property for a charge; Item 3. Damage To Premises Rented To You—Expanded Coverage A. The final paragraph of 2. Exclusions of Section I — Coverage A— Bodily Injury And Property Damage liability is replaced by the following: r REv emEo&A"RovED BY: LC 04 45 01 17 @ 2016 Liberty Mutual Insurance Risk Management Specialist Includes copyrighted material of Insurance Services Office, Inc.,with its permis 50 Exclusions c.through n.do not apply to damage by fire, lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. A separate limit of insurance applies to this coverage as described in Section III — Limits Of Insurance, B. Paragraph 6, of Section III —Limits Of Insurance is replaced by the following: 6. Subject to Paragraph 5. 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 any one premises, while rented to you, or in the case of damage by fire, lightning, explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You Limit is the greater of: a. $300,000;or b. The Damage To Premises Rented To You Limit shown on the Declarations. C. Paragraph 9.a. of the definition of"insured contract" in Section V—Definitions is replaced by the following: a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indemnifies any person or organization for damage by fire, lightning, explosion or subsequent damages resulting from such fire, lightning or explosion including water damage to premises while rented to you or temporarily occupied by you with permission of the owner is not an "insured contract"; D. The paragraph immediately Following Paragraph (6) of Exclusion j. of Section I — Coverage A — Bodily Injury And Property Damage Liability is replaced by the following: Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire, lightning or explosion or subsequent damages resulting from such fire, lightning or explosion including water damage) to premises, including the contents of such premises, rented to you for a period of seven or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section ill--Limits of Insurance. Item 4. Bodily Injury To Co-Employees A. Paragraph 2. of Section 11—Who is An Insured is amended to include: Each of the following is also an insured: Your "employees" (other than either your "executive officers" (if you are an organization other than a partnership,joint venture or limited liability company) or your managers (if you are a limited liability company)) or"volunteer workers"are insureds while in the course of their employment or while performing duties related to the conduct of your business with respect to"bodily injury": (1) To you; (2) To your partners or members (if you are a partnership or joint venture); (3) To your members(if you are a Limited liability company); or (4) To a co-"employee" or "volunteer worker" while that co-"employee" or "volunteer worker" is either in the course of his or her employment by you or while performing duties related to the conduct of your business (including participation in any recreational activities sponsored by you). Paragraph 2,a.(1)(a) of Section 11 —Who Is An Insured does not apply to "bodily injury' provided by this paragraph. Risk MMWMaaD K O a'' x REV EWED&Appf?ovm By., LC 04 46 01 17 A Acesre O 2416 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc.,with its permis aisk Management speaatfst 51 B. The insurance provided by this Item 4.for"bodily injury"to a co-"employee"or"volunteer worker"will not apply if the injured co-"employee's" or "volunteer worker's" sole remedy for such injury is provided under a workers' compensation law or any similar law. C. Other Insurance The insurance provided by this item 4, is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. Item 5. Health Care Professionals As Insureds A. Paragraph 2.a.(1)(d)of Section li—Who Is An Insured is replaced by the following: (d) Arising out of his or her providing or failing to provide professional health care services. However, any '"employee"or"volunteer worker"of the Named Insured who is acting as a Good Samaritan in response to a public or medical emergency or who is a "designated health care provider" is an insured with respect to "bodily injury" and"personal and advertising injury"that: (i) Arises out of the providing of or failure to provide professional healthcare services;. and (ii) Occurs in the course of and within the scope of such "employee's"or"volunteer worker's"employment by the Named Insured. B. With respect to"employees"and"volunteer workers"providing professional health care services,the following exclusions are added to Paragraph 2. Exclusions of Section I — Coverage A — Bodily Injury And Property Damage Liability and Paragraph 2. Exclusions of Section I -- Coverage B — Personal And Advertising Injury Liability: This insurance does not apply to: (1) Liability assumed under an "insured contract" or any other contract or agreement; (2) Liability arising out of the providing of professional health care services in violation of law; (3) Liability arising out of the providing of any professional health care services while in any degree under the influence of intoxicants or narcotics; (4) Liability arising out of any dishonest, fraudulent, malicious or knowingly wrongful act or failure to act; or (5) Punitive or exemplary damages, fines or penalties. C. The following definition is added to Section V— Definitions: "Designated health care provider" means any"employee"or "volunteer worker" of the Named Insured whose duties include providing professional health care services, including but not limited to doctors, nurses, emergency medical technicians or designated first aid personnel. D. Other Insurance The insurance provided by this Item 5. is excess over any other valid and collectible insurance available to the insured, whether primary, excess, contingent or on any other basis. Item 6, Knowledge Of Occurrence Or Offense Knowledge of an"occurrence"or offense by your agent, servant or"employee"will not in itself constitute knowledge by you unless your"executive officer" or "employee"designated by you to notify us of an "occurrence"or offense has knowledge of the"occurrence"or offense. ,. : ReviE1m&APPROVED By.- LC 04 46 0117 2016 Liberty Mutual insurance ` Risk Management specialist Includes copyrighted material of Insurance Services Office, Inc.,with its permia 52 Item 7. Notice Of Occurrence Or Offense For purposes of Paragraph 2.a. of Section IV — Commercial General Liability Conditions, you refers to your "executive officer"or"employee" that you have designated to give us notice. Item 8. Unintentional Failure To Disclose Unintentional failure of the Named Insured to disclose all hazards existing at the inception of this policy shall not be a basis for denial of any coverage afforded by this policy. However, you must report such an error or omission to us as soon as practicable after its discovery. This provision does not affect our right to collect additional premium or exercise our right of cancellation or non- renewal. Item 9. Bodily Injury Redefined The definition of"bodily injury" in Section V— definitions is replaced by the following: "Bodily injury" means: a. Bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time; and b. Mental anguish, shock or humiliation arising out of injury as defined in Paragraph a. above. Mental anguish means any type of mental or emotional illness or distress. Item 10. Supplementary Payments—Increased Limits Paragraphs 1,b, and 1.d. of Section I — Supplementary Payments — Coverages A And B are replaced by the following: b. Up to$3,000 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist in the investigation or defense of the claim or"suit", including actual loss of earnings up to$500 a day because of time off from work. Item 11. Aircraft With Chartered Crew The following is added to Exclusion g. of Section I—Coverage A—Bodily Injury And Property Damage Liability: This exclusion does not apply to an aircraft that you do not own that is: (a) Chartered with a pilot by any insured; and (b) Not being used to carry any person or property for a charge collected or received by the insured. Item 12. Property In Your Care,Custody Or Control A. Paragraphs (3) and (4)of Exclusion j. of Section I —Coverage A—Bodily Injury And Property Damage Liability are deleted. B. Additional Exclusion Coverage provided by this endorsement does not apply to "property damage"to property while in transit. C. Limits of Insurance oR.„gyp RlaklVla agemedDhisian 3 z REVIEWED&APPROVED$Y:3' LC 04 46 0117 e' A 0 2016 Liberty Mutual insurance Includes copyrighted material of Insurance Services Office,Inc., with its permis � Risk Marnagement5pedausc 53 Subject to Paragraphs 2., 3., and 5. of Section III — Limits Of Insurance, the most we will pay for insurance provided by Paragraph A. above is: $10,000 Each occurrence Limit $75,000 Aggregate Limit The Each Occurrence Limit for this coverage applies to all damages as a result of any one "occurrence" regardless of the number of persons or organizations who sustain damage because of that"occurrence", The Aggregate Limit is the most we will pay for the sum of ail damages under this Item 12. D. Other Insurance This insurance does not apply to any portion of a loss for which the insured has availabte any other valid and collectible insurance, whether primary, excess, contingent, or on any other basis, unless such other insurance was specifically purchased by the insured to apply in excess of this policy. Item 13. Mobile Equipment Redefined The definition of"mobile equipment" in Section V— Definitions is amended to include self-propelled vehicles with permanently attached equipment less than 1000 pounds gross vehicle weight that are primarily designed for: (1) Snow removal; (2) Road maintenance, but not construction or resurfacing; or (3) Street cleaning. Item 14, Newly Formed Or Acquired Entities A. Paragraph 3.of Section 11—Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain majority ownership or majority interest,will qualify as a Named Insured if there is no other similar insurance available to that organization. However: a. Coverage under this provision is afforded only until: (1) The 180th day after you acquire or form the organization; (2) Separate coverage is purchased for the organization; or (3) The end of the policy period whichever is earlier; b. Section I —Coverage A—Bodily Injury And Property Damage Liability does not apply to"bodily injury" or"property damage"that occurred before you acquired or formed the organization;and c. Section I — Coverage B — Personal And Advertising Injury Liability does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. B. The insurance afforded to any organization as a Named Insured under this Item 14. does not apply if a Broad Form Named Insured endorsement attached to this policy applies to that organization. o rZ+MEItW&APPROVED By. x & LC 04 46 0117 O 2016 Liberty Mutual Insurance Risk Management spe4alm Includes copyrighted material of Insurance Services Office, Inc.,with its permis 54 Item 15. Waiver Of Right Of Recovery By Written Contract Or Agreement The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Commercial General Liability Conditions: We waive any right of recovery because of payments we make under this policy for injury or damage arising out of your ongoing operations or"your work" included in the "products-completed operations hazard"that we may have against any person or organization with whom you have agreed in a written contract or agreement to waive your rights of recovery but only if the "bodily injury" or"property damage"occurs, or offense giving rise to"personal and advertising injury" is committed subsequent to the execution of the written contract or agreement. } f REmEwEo&APmKAw 8r; LC 04 46 01 17 0 _ a 2016 Liberty Mutual Insurance Includes copyrighted material of Insurance Services Office, Inc.,with its permlE Risk Management specialist 55 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named 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.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. This endorsement is not applicable in AK, KY, NH and NJ. The waiver does not apply to any right to recover payments which the Minnesota Workers Compensation Reinsurance Association may have or pursue under M.S. 79.36. Schedule Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However,for purposes of work performed by the employer in Missouri,this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual. Where required by contract or written agreement prior to loss and allowed by law. In the states of AL, AZ, AR, CO, DE. DC, GA, ID, IL, IN, KS, ME, MI, MN, MS, MO, MT, NV, NM, OK, PA, RI, SC, SD. VT and WV the premium charge is 0% of the total manual premium subject to a minimum premium of$0 per policy. In the states of CT, FL, IA, MD, NE and OR,the premium charge is 1% of the total manual premium, subject to a minimum premium of$250 per policy. In the state of HI, the premium charge is $250 and determined as follows: The premium charge for this endorsement is 1%of the total manual premium, subject to a minimum premium of$250 per policy. In the state of LA, the premium charge is 2% of the total standard premium, subject to a minimum premium of$250 per policy. In the state of MA, the premium charge is 1% of the total manual premium. In the state of NC, the premium charge is 2% of the total manual premium, subject to a minimum premium of$100 per policy. In the states of NY&TN, the premium charge is 2%of the total manual premium, subject to a minimum premium of$250 per policy. Rkk Mmwgmuw4 DhoWon i'g yr; ReVMD&APPWVED8y- A4ja Aa RfskManagementSped�IfsFi ' WC 00 0313 0 1983 National Council on Compensation Insurance. ` -.-._�.--� Ed.04/01/1984 61 In the state of VA, the premium charge is 5% of the total manual premium, subject to a minimum premium of$250 per policy. In the state of Wl, the premium charge is 2% of the total manual premium, subject to a minimum premium of$50 per policy. Issued by LM insurance Corporation 27243 For attachment to Policy No.WC5-Z51-290099-014 Effective Date 10/1/2024 Issued to Opex Corporation c�., HrE R1�k Mm+pge+rie+it i)Evlalvtt REMEWEDr1&APPRovED 8Y., WC 00 03 13 ©1983 National Council on Compensation Insurance, Risk Management Spedalist Ed. 04/01/1984 62 Policy Number I T137—Z51-290099-074 Issued by The First Liberty insurance Corp. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY ADDITIONAL INSURED ENHANCEMENT FOR MANUFACTURERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Index of modified items: Item 1. Blanket Additional Insured Where Required By Written Agreement Lessors of Leased Equipment Managers or Lessors of Premises Mortgagees,Assignees or Receivers Grantor of Franchise Vendors Any Person or Organization Item 2. Blanket Additional Insured—Grantor Of Permits Item 3. Other Insurance Amendment Item 1. Blanket Additional Insured Where Required By Written Agreement Paragraph 2. of Section 11—Who Is An Insured is amended to add the following: Additional Insured by Written Agreement The following are insureds under the policy when you have agreed in a written agreement to provide them coverage as additional insureds under your policy: 1. Lessors of Leased Equipment: The person(s) or organization(s) from whom you lease equipment, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your maintenance, operation or use of equipment leased to you by such person(s) or organization(s). This insurance does not apply to any"occurrence" which takes place after the equipment lease expires. 2. Managers or Lessors of Premises: Any manager(s) or lessor(s) of premises leased to you in which the written lease agreement obligates you to procure additional insured coverage. The coverage afforded to the additional insured is limited to liability in connection with the ownership, maintenance or use of the premises leased to you and caused, in whole or in part, by some negligent act(s) or omission(s) of you, your "employees", your agents or your subcontractors. There is no coverage for the additional insured for liability arising out of the sole negligence of the additional insured or those acting on behalf of the additional insured, except as provided below, If the written agreement obligates you to procure additional insured coverage for the additional insured's sole negligence, then the coverage for the additional insured shall conform to the agreement, but only if the applicable law would allow you to indemnify the additional insured for liability arising out of the additional insured's sole negligence. d 17GYIG,rcw O Appi; 4np1; LC 20 61 01 17 (D 2016 Liberty Mutual Insurance `-----�,.�r Includes copyrighted material of Insurance Services Office, Inc.,with its permiss Risk Management SpeciaEist 50 This insurance does not apply to; a. Any"occurrence"which takes place after you cease to be a tenant in that premises or to lease that land; b. Structural alterations, new construction or demolition operations performed by or on behalf of that manager or lessor; or c. Any premises for which coverage is excluded by endorsement. 3. Mortgagees, Assignees or Receivers; Any person(s) or organization(s) with respect to their liability as mortgagee, assignee or receiver and arising out of your ownership, maintenance or use of the premises. This insurance does not apply to structural alterations, new construction and demolition operations performed by or on behalf of such person(s)or organization(s), 4, Grantor of Franchise: Any persons) or organization(s) but only with respect to their liability as grantor of a franchise to you. 5. Vendors; Any person(s) or organization(s) that distributes or sells "your products" in the regular course of their business, hereafter referred to as vendors, but only with respect to "bodily injury" or "property damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's business,subject to the following additional exclusions; a. The insurance afforded the vendor does not apply to; (1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to the liability for damages that the vendor would have in the absence of the contract or agreement; (2) Any express warranty unauthorized by you; (3) Any physical or chemical change in the product made intentionally by the vendor; (4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing, or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products; (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor;or (8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf, However, this exclusion does not apply to: (a) The exceptions contained in Paragraphs (4) or(6) above; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, in connection with the distribution or sale of the products, b, This insurance does not apply to any insured, person or organization, from whom products, or any ingredient, part or container, entering into, accompanying or containi Risk MmugetttetdDMslrm REVIEWED&APPROVW BY: LC 24 6101 17 02016 Liberty Mutual insurance Aawf Includes copyrighted material of Insurance Services office, Inc„with its permim 16, oanagementspeaallst 51 6. Any Person or Organization Other Than a Joint Venture; Any person(s) or organization(s) (other than a joint venture of which you are a member) for whom you are obligated to procure additional insured coverage, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused. in whole or in part, by your act(s)or omissions) or the act(s)or omission(s) of those acting on your behalf: a. In the performance cif your ongoing operations;or b. in connection with premises owned by or rerited to you. This insurance does not apply to: a. Any person(s)or organization(s) more specifically covered in Paragraphs 1 through 5 above;. b. Any construction. renovation, demolition or installation operations performed by or on behalf of you, or those operating on your behalf; or c. Any person(s) or organization(s) whose profession, business or occupation is that of an architect, surveyor or engineer with respect to liability arising out of the rendering of, or failure to render, any professional architectural,engineering or surveying services, including: (1) The preparing, approving or failing to prepare or approve, maps, drawings, opinions, reports, surreys, field orders, change orders, designs 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, hiring, employment, training or monitoring 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 failure to render any professional services by or on behalf of you, or those operating on your behalf. The insurance afforded to any person(s)or organization(s) as an insured under this Item 1: 1. Applies to the extent permitted by law; 2. Applies only to the scope of coverage and the minimum limits of insurance required by the written agreement, but in no event exceeds either the scope of coverage or the limits of insurance provided by this policy; 3. Does not apply to any person(s) or organization(s) for any "bodily injury', „property damage" or "personal and advertising injury" if any other additional insured endorsement attached to this policy applies to such person(s) or organization(s)with regard to the"bodily injury", "property damage"or"personal and advertising injury'; 4. Applies only if the "bodily injury" or "property damage" occurs, or the offense giving rise to the "personal and advertising injury"' is committed, subsequent to the execution of the written agreement;and 5. Applies only if the written agreement is in effect at the time the"bodily injury" or"property damage" occurs,or at the time the offense giving rise to the"personal and advertising injury" is committed. Item 2. Blanket Additional Insured--Grantor Of Permits Paragraph 2.of Section II-Who is An Insured is amended to add the following: Any state, municipality or political subdivision that has issued you a permit in connection with any operations performed by you or on your behalf, or in connection with premises you own, rent or control, and to which this insurance applies, but only to the extent that you are required to provide additional insured status to the state, municipality or political subdivision as a condition of receiving and maintaining the permit. Such state, municipality or political subdivision that has issued you a permit is an insured only with respect to their liahility as grantor of grx'h permit to you. Revismo&APPROVED Br, 2016 Libel Mutual Insurance e� ►� /cev t C ZlD 610117 ',Includes copyrighted material of Insurance Services Office,Inc.,with its permiss Risk Management Speualio 52 However,with respect to the state, municipality or political subdivision. 1. Coverage will be no broader than required:and z. Limits of insurance will not exceed the minimum limits of insurance required as a condition for receiving or maintaining the permit; but neither the scope of coverage nor the limits of insurance will exceed those provided by this policy. This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury' arising out of operations performed for the state, municipality or political subdivision; 2. Any "bodily injury" or "property damage" included within the "products-completed operations hazard", except when required by written agreement initiated prior to loss; or 3. "Bodily injury", "property damage" or"personal and advertising injury" unless negligently caused, in whole or in part, by you or those acting on your behalf. item 3. Other Insurance Amendment If you are obligated under a written agreement to provide liability insurance on a primary, excess, contingent, or any other basis for any person(s) or organization(s) that qualifies as an additional insured on this policy, this policy will apply solely on the basis required by such written agreement and Paragraph 4. Other Insurance of Section IV— Commercial General Liability Conditions will not apply, Where the applicable written agreement does not specify on what basis the liabiFty insurance will apply, the provisions of Paragraph 4. Other Insurance of Section IV Commercial General Liability Conditions will apply. However, this insurance is excess over any other insurance available to the additional insured for which it is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same"occurrence",claim or"suit".. AItlR MVwgmG4 V W k7n REVIEWED&APP12oym 6Y, LC 20 61 01 17 (D 2016 Liberty Mutual Insurance ems' Acw,�4 Includes copyrighted material of Insurance Services Office, Inc.,With Its permiss Risk Management Specialist 53 POLICY NUMBER: AS5-Z51-290099-034 COMIVERCIAL AUTO CIA 20 48 10 13 THIS ENDORSEMENT CHANGESTHE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modes insurance provided under the fallowing: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. SCHEDULE Name Of Person(s)Or Organization(s): --- lAny person or organization whom you have agreed in writing to add as an additional insured, but only to coverage and minimum limas of insurance required by the written agreement, and in no event to exceed either the scope of coverage or the limits of insurance provided in this policy. ------------------ Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. o�p"°Y..r.4e 141iiL�� REOEWED APPRovE]By. ' Risk Management specialist CA 20 48 10 13 0 Insurance Services Office, Inc.. 2011 F VP A 503