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HomeMy WebLinkAboutFLEET SOLUTIONS, LLC (4) N-2025-080-01 MAYOR V-��� +- ?-----._ CITY MANAGER Vaierie Amezcua 77 y !� Alvaro t+Nurlez MAYOR PRO TEMAR O L Z01G ,r++ CITY ATTORNEY David Penalaza Sonia R.Carualho COU 4EMBERS CITY CLERK ll Bac 8acerra . Jennifer L.Hall Johnathan Ryan Hernandez Jessie Lopez Thai Viet Phan Benjamin Vazquez. CITY OF SANTA ANA 0: F UViA { z) PUBLIC WORKS AGENCY 4 a U l q AV60051 20 Civic Center Plaza I PO Box 1988 ro Z Co(Oz) Santa Ana.Califomia 92702 VAW.santa-ana.oro February 17. 2026 Fleet Solutions, LLC. Attn: Fleet Solutions LLC 169 Cadillac Place, Items NV 89509 Re: Extension of Agreement No. N-202:5-080 to provide GPS Equipment and Services PttrSuant to Section 4("Term and Ten-nination")of the above-referenced Agreement, entered into by Fleet Solutions LLC. and the City of Santa Ana. which commenced on March 1, 2025, the parties hereby exercise their option to extend the term of the Agreement for an additional one(1)year through February 28,2027. Any insurance certificates are required to be extended and'or renewed to cover this extension. All other terms and conditions of the Agreement retrain unchanged and in full force and effect. Sincerely. c}lto Ftasas, P.E. Acting Executive Director. Public Works Agency CITY OF SANTA AN ATTEST - 41&44,4 I [varo Nunez — nnifer L. Hal === City Manager City Clerk APPROVED AS TO FORM FLEET SOLUTIONS LLC 1 9X�- Z,44� Kyle Nellesen By: DAWO CRv �3c�Y Assistant City Attorney Title: NA TivNRC A[eS D�RE�► Td SANTA ANA CITY COUNCIL AR•L't GlSa U—j PNR guffi 7tm 4 ibl+a-t'.dS c'3er:—^'v d»— �hd tlg"tea W—at.-RyaF.FiB,— Marw fd r,P,r9T 'W.m r. ,Vsr;c Nib 2 h!ai•:3 Awl: N-a S 1pW.�a- ra,an�sarib.ara?'9 va6u yx^a ter. �c�cr�_ -..er:.a-a''t"- P&X�'n�' 1i.43% aranim =F�o.si;»s FLEESOL-01 SMO FORCE CERTIFICATE OF LIABILITY INSURANCE DATEtMM2DIYYYY} B1zo12o25 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 endorsements. PRODUCER ONTACT AssuredPartners of NV,LLC arc°�>vo,Exq:(775)829-2345 arc,No}:(775)827-7090 5340 Kietzke Lane Ste 201 Reno,NV 09511 EMAIL INSURER IS)AFFORDING COVERAGE NAIL 9 INSURER A:Em to ers Mutual Casualty Company 21415 INSURED INSURER s,Lloyd's of London Fleet Solutions LLC INSURER : 169 Cadillac Place INSURER D, Reno,NV 89509 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADAL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR X X BSC2991-26GL 316/2025 3//612026 DAMAGE 7o RENTED ence 500,000 MED EXP(Any one arson 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 pqO POLICY PR - ❑ LOC 2,000,000 POLICY PRODUCTS-COMPIOPAGO OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident $ X ANY AUTO X 6E7-08.86---26 316/2025 31612026 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident HIRED NON-OWNED ROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accltlenl $ A X UMBRELLA LIAR M OCCUR EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE 6J7.08-86---26 316/2025 31612026 AGGREGATE $ 5,000,000 DED I I RETENTION$ WORKERS COMPENSATION STATUTE OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ �FFICERRlMEMBER EXCLUDE[)? N I A MandalcryIn NH) E.L.DISEASE-EA EMPLOYE If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Garagekeepers 6E7-08-86---26 3/612026 316/2026 Limit of Insurance 120,000 B TECH C&01Cyber Liab ESNO040289688 3/18/2025 3/18/2026 Aggreggate 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101,Additlonal Remarks Schedule,maybe attached If more space is required Additional Insured status applies If required by written contract or written agreement per General Liability(CG7579(2-19))and Commercial Auto Liability (CA7270(09-24)).Waiver of Subrogation applies per General Liability(CG7578(2-19)).Primary and Non-Contributory basis coverage applies per General Liability(CG7578(2-19))and Commercial Auto Liability(CA8338(7-20)).Umbrella follows form.30 Day Notice of Cancellation 10 Day notice for non-payment of premium Issued to the first named insured only. Additional Insured:City of Santa Ana,its City Council,officers,officials,employees,agents,and volunteers are to be covered as additional insureds on Contractor's CGL and AL policies with respect to liability arising out of work operations performed by or on behalf of Contractor including materials,parts, SEE ATTACHED ACORD 101 CERTIFICATE HOLDER �_ ROV CANCELLATION 8y Tu Iran Nguyedaf 4 f38 pri,Sep 02='2025 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE o THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana City Joaquin Avalos ACCORDANCE WITH THE POLICY PROVISIONS. ATT20 Civic Center Plaza Santa Ana,CA 92702 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) O 19BB-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE of COVERAGE Workers' Compensation Nevada Retail Network Self Insured Group & Safety National Casualty Corporation -AM Best Rated A++ NA1C #15105 575 S. Saliman Road Carson City, NV 89701-5000 Phone: (775)887-2480 Fax: (775)887-2481 MEMBER COMPANY Fleet Solutions LLC dba USA Fleet Solutions Policy No: NRN17807-2025-01 169 Cadillac Place Reno,NV 89509 Dates of Coverage: APPROVED 12:01 AM on 01101/2025 to 12:01 AM on 01/01/2026 By To Tran Nguyen ai4 09 pm,Sep 02x 2025 This document certifies that the named Member Company has secured coverage for their workers' compensation obligations pursuant to the Nevada Workers' Compensation Act by qualifying as a member of the Self-Insured Group. The Self-Insured Group is an Association of Self-Insured Private Employers authorized by the Nevada Division of Insurance to provide Workers'Compensation benefits to employees of member companies under Chapter 616 and 617 of the Nevada Revised Statutes. CERTIFICATE HOLDER: JOB DESCRIPTIONS: City of Santa Ana All Nevada Jobs 20 Civic Center Plaza Santa Ana,CA 92702 LIMITS OF LIABILITY: WORKERS COMPENSATION STATUTORY OPERATIONS COVERED : NEVADA EXCESS WORKERS COMP INSURANCE : Safety National Casualty EMPLOYER'S LIABILITY LIMIT: $1,000,0001$1,000,0a01$1,000,000 This certificate is issued for information purposes only. Should the member company's enrollment in the Self-Insured Group be terminated before the date of expiration, the Self-Insured Group and Safety National Casualty Corporation will mail 30-days written notice to the Certificate Holder. However,failure to mail such notice shall impose no obligation or liability upon the Self-Insured Group, Safety National Casualty Corporation, the Association Administrator, or any Party acting as a Trustee, Officer,Agent, or Appointee of the Self-Insured Group or Safety National Casualty Corporation.The Self-Insured Group is under no obligation to provide notice to the Certificate Holder should the member company elect to terminate coverage prior to the stated expiration date. NOTICE:An extension of coverage, or the addition of another"Insured," must be by written endorsement only and cannot be extended by the member under this certificate. Dated At Carson City, Nevada : August 20,2025 By: } Title: Director- Underwriting �/ ��� and Government Relations AGENCY CUSTOMER ID:FLEESOL-01 SMOTASKFORCE LOC#: 1 ACORN® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMEDINSURED ssuredPartners of NV, LLC Fleet Solutions LLC 169 Cadillac Place POLICY NUMBER Reno,NV 89509 EE PAGE 1 CARRIER NAIL CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE:SEE PAGg ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: &CORD 25 FORM TITLE: Certificate of Lia_bipty Insuranca Description of Operations/Locations/Vehicles: and equipment furnished in connection with such work or operations and automobiles owned,leased,hired,or borrowed by or on behalf of Contractor.Additional insured status can be provided in the form of an endorsement to Contractor's insurance, ACORD 101 (2008101) 92008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. GENERAL LIABILITY ELITE EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include the following clarifications and extensions of coverage.The provisions of the Coverage Form apply unless modified by endorsement. A. EXPECTED OR INTENDED INJURY The aggregate limit listed above is the most we will Section I — Coverage A, Exclusion a. is amended pay for all damages because of"property damage" as follows: to property in the care custody and control of or property loaned to an insured during the policy a. Bodily injury or property damage expected period. or intended from the standpoint of an insured. This exclusion does not apply to "bodily injury" Any payment we make for damages because of or "property damage" resulting from the use of nd p rtycont damol of age property ert property in the care, custodyred wil reasonable force to protect persons or property. apply against the General Aggregate Limit shown in B. NON-OWNED WATERCRAFT the declarations. Section I — Coverage A, Exclusion g.(2) is b, Our obligation to pay damages on your behalf amended as follows: applies only to the amount of damages in (2) A watercraft you do not own that is: excess of the deductible amount listed above. (a) Less than 60 feet long; and We may pay any part or all of the deductible amount listed above. We may pay any part or (b) Not being used to carry person(s) or all of the deductible amount to effect settlement property for a charge; of any claim or "suit" and upon notification by C. EXTENDED PROPERTY DAMAGE COVERAGE us, you will promptly reimburse us for that part Section I—Coverage A, Exclusions j.(3) and (4) is of the deductible we paid. amended to add the following: c. If two or more coverages apply under one Paragraphs (3) and (4) of this exclusion do not °occurrence", only the highest per claim apply to tools or equipment loaned to you, provided deductible applicable to these coverages will they are not being used to perform operations at apply. the time of loss. d. Insurance provided by this provision is excess over any other insurance, whether primary, SCHEDULE excess, contingent or any other basis. Since Limits Of Insurance Deductible insurance provided by this endorsement is excess, we will have no duty to defend any $5,000 Each Occurrence $250 Per Claim claim or "suit" to which insurance provided by $10,000 Annual Aggregate this endorsement applies if any other insurer has a duty to defend such a claim or "suit". If a. The each occurrence limit listed above is the no other insurer defends, we will undertake to most we will pay for all damages because of do so, but we will be entitled to the insured's "property damage" to property in the care, rights against all those other insurers. custody and control of or property loaned to an D. PROPERTY DAMAGE--ELEVATORS insured as the result of any one occurrence", regardless of the number of: Section I—Coverage A.2. Exclusions paragraphs (1) insureds; j.(3), j.(4), j.(6) and k. do not apply to use of elevators. This insurance afforded by this provision (2) claims made or"suits" brought; is excess over any valid and collectible property (3) persons or organizations making claims or insurance (including any deductible) available to bringing "suits". the insured and Section IV—Commercial General Liability Conditions Paragraph 4. Other Insurance is changed accordingly. CG7578(2 19) Includes copyrighted material of ISO Properties,Inc.with Its permission. Page 1 of 6 E. FIRE, LIGHTNING OR EXPLOSION DAMAGE a. Currently in effect or becomes effective Except where it is used in the term "hostile fire", the during the policy period; and word fire includes fire, lightning or explosion wherever b. Executed prior to an "occurrence" or it appears in the Coverage Form. offense to which this insurance would Under Section I — Coverage A, the last paragraph apply. (after the exclusions) is replaced with the following: However, the insurance afforded to such Exclusions c. through n. do not apply to damage by additional insured: fire, smoke or leakage from automatic fire protection a. Only applies to the extent permitted by law; systems to premises while rented to you or and temporarily occupied by you with permission of the b. Will not be broader than that which you are owner. A separate limit of insurance applies to this required by the contract or agreement to coverage as described in Section III — Limits of Insurance. provide for such additional insured; and F. MEDICAL PAYMENTS c. Applies only if the person or organization is not specifically named as an additional If Section I — Coverage C. Medical Payments insured under any other provision of, or Coverage is not otherwise excluded from this endorsement added to, Section II — Who Coverage Form: Is An Insured of this policy. The requirement, in the Insuring Agreement of 2. As provided herein, the insurance coverage Coverage C., that expenses must be incurred and provided to such additional insureds is limited reported to us within one year of the accident date is to: changed to three years. G. SUPPLEMENTARY PAYMENTS a. Any Controlling Interest, but only with respect to their liability arising out of their Supplementary Payments — Coverages A and B financial control of you; or premises they Paragraphs 1.b. and 1.d. are replaced by the own, maintain, or control while you lease or following: occupy these premises. 1.b.Up to $5,000 for cost of bail bonds required This insurance does not apply to structural because of accidents or traffic law violations alterations, new construction and arising out of the use of any vehicle to which the demolition operations performed by or for Bodily Injury Liability Coverage applies. We do that person or organization. not have to furnish these bonds. b. Any architect, engineer, or surveyor 1.d.All reasonable expenses incurred by the insured engaged by you but only with respect to at our request to assist us in the investigation or liability for "bodily injury", "property defense of the claim or "suit", including actual damage" or "personal and advertising loss of earnings up to $500 a day because of injury" caused, in whole or in part, by your time off from work. acts or omissions or the acts or omissions H. SUBSIDIARIES AS INSUREDS of those acting on your behalf: Section II—Who Is An Insured is amended to add (1) In connection with your premises; or the following: (2) In the performance of your ongoing 1.f. Any legally incorporated subsidiary in which you operations, own more than 50% of the voting stock on the With respect to the insurance afforded to effective date of this policy. However, insured these additional insureds, the following does not include any subsidiary that is an insured additional exclusion applies: under any other general liability policy, or would This insurance does not apply to "bodily have been an insured under such a policy but for injury" "property damage" or"personal and termination of that policy or the exhaustion of that advertising injury" arising out of the policy's limits of liability. rendering of or the failure to render any I. BLANKET ADDITIONAL INSUREDS — AS professional services by or for you, REQUIRED BY CONTRACT including: 1. Section II —Who Is An Insured is amended to (1) The preparing, approving, or failing to include as an additional insured any person(s) or prepare or approve, maps, shop organization(s) subject to provisions in Paragraph drawings, opinions, reports, surveys, 2. below, (hereinafter referred to as additional field orders, change orders or drawings insured) when you and such person(s) or and specifications; or organization(s) have agreed in a written contract (2) Supervisory, inspection, architectural or or written agreement that such person(s) or engineering activities. organization(s) be added as an additional insured on your policy provided that the written contract or agreement is: CG7578(2-19) Includes copyrighted material of M Properties,Inc.with its permission. Page 2 of 6 This exclusion applies even if the claims This insurance does not apply to: against any insured allege negligence or (a) "Bodily injury", "property damage" or other wrongdoing in the supervision, hiring, "personal and advertising injury" employment, training or monitoring of arising out of operations performed others by that insured, if the occurrence for the federal government, state or which caused the "bodily injury" or municipality; or property damage", or the offense which caused the "personal and advertising (b) "Bodily injury" or "property damage" injury", involved the rendering of or the included within the "products- failure to render any professional services completed operations hazard". by or for you. e. Any vendor, but only with respect to "bodily c. Any manager or lessor of a premises injury" or "property damage" arising out of leased to you, but only with respect to "your products" which are distributed or sold liability arising out of the ownership, in the regular course of the vendor's maintenance or use of that part of a business. premises leased to you, subject to the With respect to the insurance afforded to following additional exclusions: these vendors, the following additional This insurance does not apply to: exclusions apply: (1) Any "occurrence" which takes place (1) The insurance afforded any vendor does after you cease to be a tenant in that not apply to: premises. (a) "Bodily injury" or "property damage" (2) Structural alterations, new construction for which any vendor is obligated to or demolition operations performed by pay damages by reason of the or on behalf of such additional insured. assumption of liability in a contract or d. Any state or governmental agency or agreement. This exclusion does not apply to liability for damages that any subdivision or political subdivision, subject to vendor would have in the absence of the following: the contract or agreement; (1) This insurance applies only with respect (b) Any express warranty unauthorized to the following hazards for which any by you; state or governmental agency or subdivision or political subdivision has (c) Any physical or chemical change in issued a permit or authorization in the product made intentionally by connection with premises you own, rent any vendor; or control and to which this insurance (d) Repackaging, except when applies: unpacked solely for the purpose of (a) The existence, maintenance, repair, inspection, demonstration, testing, construction, erection or removal of or the substitution of parts under advertising signs, awnings, instructions from the manufacturer, canopies, cellar entrances, coal and then repackaged in the original holes, driveways, manholes, container; marquees, hoist away openings, (e) Any failure to make such sidewalk vaults, street banners or inspections, adjustments, tests or decorations and similar exposures; servicing as any vendor has or agreed to make or normally (b) The construction, erection or undertakes to make in the usual removal of elevators; or course of business, in connection (c) The ownership, maintenance or use with the distribution or sale of the of any elevators covered by this products; insurance. (f) Demonstration, installation, (2) This insurance applies only with respect servicing or repair operations, xcept such operations performed to operations performed by you or on eat xcept any vendor's premises in your behalf for which any state or connection with the sale a the governmental agency or subdivision or product; political subdivision has issued a permit or authorization. (g) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for any vendor; or CG7578(2-19) Includes copyrighted material of ISO Properties,Inc,with its permission. Page 3 of 6 (h) "Bodily injury" or "property A person's or organization's status as an damage" arising out of the sole additional insured under this endorsement negligence of any vendor for its ends when their contract or agreement with own acts or omissions or those of you for such leased equipment ends. its employees or anyone else With respect to the insurance afforded to acting on its behalf. However, this these additional insureds, this insurance exclusion does not apply to: does not apply to any "occurrence" which (1) The exceptions contained in takes place after the equipment lease Subparagraphs (d)or(f); or expires. (N) Such inspections, adjustments, i, Any Owners, Lessees, or Contractors for tests or servicing as any whom you are performing operations, but vendor has agreed to make or only with respect to liability for "bodily normally undertakes to make in injury", "property damage" or"personal and the usual course of business, advertising injury" caused, in whole or in in connection with the part, by: distribution or sale of the (1) Your acts or omissions; or products. (2) The acts or omissions of those acting (2) This insurance does not apply to any on your behalf; insured person or organization, from whom you have acquired such in the performance of your ongoing products, or any ingredient, part or operations for the additional insured. container, entering into, accompanying A person's or organization's status as an or containing such products. additional insured under this endorsement f. Any Mortgagee, Assignee Or Receiver, but ends when your operations for that only with respect to their liability as additional insured are completed. mortgagee, assignee, or receiver and With respect to the insurance afforded to arising out of the ownership, maintenance, these additional insureds, the following or use of the premises by you. additional exclusions apply: This insurance does not apply to structural This insurance does not apply to: alterations, new construction and demolition operations performed by or for (1) "Bodily injury", "property damage" or that person or organization. "personal and advertising injury" arising g. Any Owners Or Other Interests From out of the rendering of, or the failure to Whom Land Has Been Leased, but only render, any professional architectural, with respect to liability arising out of the engineering or surveying services, including: ownership, maintenance or use of that park of the land leased to you. (a) The preparing, approving, or failing With respect to the insurance afforded to to prepare or approve, maps, shopdrawings, opinions, reports, surveys, these additional insureds, the following field orders, change orders or additional exclusions apply: drawings and specifications; or (1) This insurance does not apply to: (b) Supervisory, inspection, architectural (a) Any "occurrence" which takes or engineering activities. place after you cease to lease that This exclusion applies even if the claims land; or against any insured allege negligence or (b) Structural alterations, new other wrongdoing in the supervision, hiring, construction or demolition employment, training or monitoring of operations performed by or on others by that insured, if the "occurrence" behalf of such additional insured. which caused the "bodily injury" or h. Any person or organization from whom you "property damage", or the offense which caused the "personal and advertising lease equipment, but only with respect to liability for "bodily injury", "property injury", involved the rendering of or the failure to render any professional damage or personal and advertising architectural, engineering or surveying injury caused, in whole or in part by your maintenance, operation or use of services. equipment leased to you by such person(s) (2) "Bodily injury" or "property damage" or organization(s). occurring after: CG7578(2-19) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 4 of 6 (a) All work, including materials, parts This endorsement shall not increase the or equipment furnished in applicable Limits of Insurance shown in the connection with such work, on the Declarations. project (other than service, J. COVERAGE FOR INJURY TO CO-EMPLOYEES maintenance or repairs) to be AND/OR YOUR OTHER VOLUNTEER WORKERS performed by or on behalf of the additional insured(s) at the location Section II—Who is an Insured, Paragraph 2.a.(1) is of the covered operations has been amended to add the following: completed; or e. Paragraphs(a), (b), and (c)do not apply to your (b) That portion of "your work" out of "employees" or"volunteer workers" with respect which the injury or damage arises to "bodily injury' to a co-"employee" or other has been put to its intended use by "volunteer worker". any person or organization other Damages owed to an injured co-"employee" or than another contractor or "volunteer worker" will be reduced by any subcontractor engaged in amount paid or available to the injured co- performing operations for a "employee" or "volunteer worker" under any principal as a part of the same other valid and collectible insurance. project. K. HEALTH CARE SERVICE PROFESSIONALS AS j. Any Grantor of Licenses to you, but only INSUREDS-INCIDENTAL MALPRACTICE with respect to their liability as grantor of Section II —Who is an Insured, Paragraph 2.a. (1) licenses to you. (d) is amended as follows: Their status as additional insured under This provision does not apply to Nurses, Emergency this endorsement ends when: Medical Technicians, or Paramedics who provide 1. The license granted to you by such professional health care services on your behalf. person(s)or organization(s) expires; or However this exception does not apply if you are in 2. Your license is terminated or revoked the business or occupation of providing any such by such person(s) or organization(s) professional services. prior to expiration of the license as L. NEWLY FORMED OR ACQUIRED stipulated by the contract or ORGANIZATIONS agreement. k. Any Grantor of Franchise, but only with Section II — Who Is An Insured, Paragraph 3.a. is respect to their liability as grantor of a replaced by the following: franchise to you. 3.a. Coverage under this provision is afforded until L Any Ca-owner of Ensured Premises, but the end of the policy period. only with respect to their liability as co- This provision does not apply if newly formed or owner of any insured premises. acquired organizations coverage is excluded either by m. Any Concessionaires Trading Under Your the provisions of the Coverage Form or by Name, but only with respect to their liability endorsements. as a concessionaire trading under your M. DAMAGE TO PREMISES RENTED TO YOU name. Section III -- Limits of Insurance, Paragraph 6. is 3. Any insurance provided to any additional replaced by the following: insured does not apply to "bodily injury", Subject to 5.a. above, the Damage To Premises "property damage" or"personal and advertising Rented To You Limit, or $500,000, whichever is injury" arising out of the sole negligence or higher, is the most we will pay under Coverage A for willful misconduct of the additional insured or its damages because of "property damage" to any one agents, "employees" or any other premises, while rented to you, or in the case of representative of the additional insured. damage by fire, smoke or leakage from automatic 4. With respect to the insurance afforded to these protection systems, while rented to you or temporarily additional insureds, the following is added to occupied by you with permission of the owner. Section III—Limits of Insurance: N. MEDICAL PAYMENTS—INCREASED LIMITS If coverage provided to any additional insured Section III -- Limits of Insurance, Paragraph 7. is is required by a contract or agreement, the replaced by the following: most we will pay on behalf of the additional 7, Subject to Paragraph 5. above, $10.000 is the insured is the amount of insurance: Medical Expense Limit we will pay under a. Required by the contract or agreement; or Coverage C for all medical expenses because of b. Available under the applicable Limits of "bodily injury" sustained by any one person, Insurance shown in the Declarations; unless the amount shown on the Declarations of this Coverage Part for Medical Expense Limit whichever is less, states: CG7578(2-19) Includes copyrighted material of ISO Properties,Inc.with its permission, Page 5 of 6 (a) No Coverage;or Q. UNINTENTIONAL FAILURE TO DISCLOSE (b) $1,000; or EXPOSURES (c) $5,000; or Section IV — Commercial General Liability Conditions Paragraph 6. Representations is (d) A limit higher than$10,000. amended to add the following: 0. DUTIES IN THE EVENT OF OCCURRENCE, If you unintentionally fail to disclose any exposures OFFENSE,CLAIM OR SUIT existing at the inception date of your policy, we will not Section IV — Commercial General Liability deny coverage under the Coverage Form solely Conditions Paragraph 2. is amended to add the because of such failure to disclose. However, this following: provision does not affect our right to collect additional e. The requirement in Condition 2.a. that you must premium or exercise our right of cancellation or non- see to it that we are notified as soon as renewal. practicable of an "occurrence" or an offense This provision does not apply to any known injury which may result in a claim,applies only when the or damage which is excluded under any other "occurrence"or offense is known to: provision of this policy. (1) You, if you are an individual or a limited R. WAIVER OF TRANSFER OF RIGHTS OF liability company; RECOVERY AGAINST OTHERS TO US (2) A partner, if you are a partnership; Section IV — Commercial General Liability (3) A member or manager, if you are a limited Condition Paragraph 8. Transfer Of Rights Of liability company; Recovery Against Others To Us is amended to (4) An "executive officer' or insurance manager, add the following: if you are a corporation; or We waive any right of recovery we may have against any person or organization because of (6) A trustee, if you are a trust. payments we make for injury or damage arising out f. The requirement in Condition 2.b. that you must of: see to it that we receive notice of a claim or"suit" 1. Your ongoing operations; or as soon as practicable will not be considered 2. "Your work" included in the "products- claim unless the breach occurs after such "Yo completed rincluded hazard". p claim or"suit" is known to: poperations (1) You, if you are an individual or a limited However, this waiver applies only when you have liability company; agreed in writing to waive such rights of recovery in a contract or agreement, and only if the contract or (2) A partner, if you are a partnership; agreement: (3) A member or manager, if you are a limited 1. Is in effect or becomes effective during the term liability company; of this policy; and (4) An "executive officer" or insurance manager, 2. Was executed prior to loss. if you are a corporation; or S. MENTAL ANGUISH (6) A trustee, if you are a trust, Section V—Definition 3. is replaced by the following: P. PRIMARY AND NONCONTRIBUTORY — ADDITIONAL INSURED EXTENSION "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental Section IV — Commercial General Liability anguish or death resulting from bodily injury, Conditions Paragraph 4. Other Insurance is sickness or disease. amended to add the following: T. LIBERALIZATION This insurance is primary to and will not seek contribution from any other insurance available to an If we revise this endorsement to provide greater additional insured under your policy provided that: coverage without additional premium charge, we will automatically provide the additional coverage to (1) The additional insured is a Named Insured under all endorsement holders as of the day the revision such other insurance; and is effective in your state. (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. However, if the additional insured has been added as an additional insured on other policies, whether primary, excess, contingent or on any other basis, this insurance is excess over any other insurance regardless of the written agreement between you and an additional insured. CG7578(2-19) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 6 of 6 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTO ESSENTIAL EXTENSION This endorsement modifies 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 INSUREDS a. The organization is a partnership or a Section II - Covered Autos Liability Coverage is limited liability company; or amended to include the following as an "insured": b. That organization is covered under 1. Any person or organization whom you have other similar insurance. agreed in a written contract or agreement to 3. Coverage under this provision does not name as an additional "insured" under your apply to any claim for "bodily injury" or "auto" Policy to provide "bodily injury" or "property damage" resulting from an "property damage" coverage, but only with "accident" that occurred before you formed respects to liability arising out of the use of a or acquired the organization. covered "auto" you own, hire or borrow and C. SUBSIDIARIES AS INSUREDS resulting from the acts or omissions by you, any Section Il — Covered Autos Liability Coverage, of your "employees" or agents. The insurance A.1. Who Is An Insured is amended by adding the afforded to such additional "insured" will not be following: broader than that which you are required to provide for such additional "insured" and Any legally incorporated subsidiary in which you applies only to a written contract executed prior own more than 50% of the voting stock on the to the "bodily injury" or "property damage" and effective date of this Policy. However, "insured" is still in force at the time of the"accident". does not include any subsidiary that is an "insured" under any other automobile liability Policy or was 2. The most we will pay on behalf of the additional an "insured" under such a Policy but for termination "insured" is the amount of insurance: of that Policy or the exhaustion of the Policy's limits a. Required by the written contract or of liability. agreement described above, or D. SUPPLEMENTARY PAYMENTS b. Available under the applicable Limit Of Section II — Covered Autos Liability Coverage, Insurance for Covered Autos Liability A.2.a. Coverage Extensions, Supplementary Coverage shown in the Declarations; Payments(2) and (4)are replaced by the following: whichever is less. (2) Up to $3,000 for cost of bail bonds (including However, any "auto"that is leased, hired, rented or bonds for related traffic law violations) required borrowed with a driver is not a covered "auto". because of an accident" we cover. We do not have to furnish these bonds. B. NEWLY FORMED OR ACQUIRED (4) All reasonable expenses incurred by the ORGANIZATIONS "insured"at our request, including actual loss of Section II — Covered Autos Liability Coverage, earnings up to $350 a day because of time off A.1. Who Is An Insured is amended by adding the from work. following: E. TOWING AND LABOR e. Any organization which you acquire or form Section III — Physical Damage Coverage, A.2. after the effective date of this Policy in which Towing And Labor is replaced with the following: you maintain ownership or majority interest. However: We will pay for Towing And Labor costs incurred, subject to the following: 1. Coverage under this provision is afforded only up to 180 days after you acquire or a. Up to $100 each time a covered "auto" that is a form the organization, or to the end of the private passenger type is disabled; or Policy period,whichever is earlier. b. Up to $500 each time a covered "auto" other 2. Any organization you acquire, or form will than the private passenger type is disabled. not be considered an "insured" if: However, the labor must be performed at the place of disablement. CA7270(09-24) Includes copyrighted material of 180 Properties,Inc.with its permission. Page 1 of 3 F, LOCKSMITH SERVICES 3. Subject to the above limit and deductible Section III -- Physical Damage Coverage, A.4. provisions, we will provide coverage equal to Coverage Extensions is amended by adding the the broadest coverage applicable to any following: covered"auto"you own. We will pay up to $50 per occurrence for necessary We will pay up to$1,000, in addition to the limit locksmith services for keys locked inside a covered above, for Loss Of Use Expenses of a hired private passenger "auto" for which Comprehensive "auto" to a leasing or rental concern for a Coverage is provided. The deductible is waived for monetary loss sustained, provided it results these services. from an "accident" for which you are legally G. TRANSPORTATION EXPENSES liable. Section III — Physical Damage Coverage, A.4. However, coverage does not apply to any "auto" Coverage Extensions Subparagraph a. leased, hired, rented or borrowed in your Motor Transportation Expenses is replaced by the Carrier Operations and any "auto" that is leased, following: hired, rented or borrowed with a driver is not a (1) We will pay up to $75 per day to a maximum of covered"auto". $1,000 for temporary transportation expense J. PERSONAL PROPERTY OF OTHERS incurred by you because of the total theft of a Section III — Physical Damage Coverage, A.4. covered"auto"of the private passenger type. We Coverage Extensions is amended by adding the will pay only for those covered "autos" for which following; you carry either Comprehensive or Specified We will pay up to $500 for loss to Personal Property Cause of Loss Coverage. We will pay for Of Others that was damaged while in or on your temporary transportation expenses incurred covered"auto"at the time of a covered"auto"loss. during the period beginning 48 hours after the theft and ending, regardless of the Policy's No deductibles apply to this coverage. expiration, when the covered"auto" is returned to K. RENTAL REIMBURSEMENT EXPENSES use or we pay for its"loss". Section III — Physical Damage Coverage, A.4. (2) If the temporary transportation expenses you Coverage Extensions is amended by adding the incur arise from your rental of an auto of the following: private passenger type, the most we will pay is the amount it costs to rent an "auto" of the private 1. This coverage applies only to a covered"auto"for passenger type which is of the same like, kind which Physical Damage Coverage is provided and quality as the stolen covered"auto", on this Policy. H. ELECTRONIC EQUIPMENT COVERAGE ADDED 2. We will pay for Rental Reimbursement LIMITS Expenses incurred by you for the rental of an that reproduces, receives or "auto" because of "loss" to a covered "auto". All electronic equipment p Payment applies in addition to the otherwise transmits audio,visual, and data electronic equipment applicable amount of each coverage you have on signals in any one loss is $1,000 Per "Loss" are in a covered "auto". No deductibles apply to this addition to the sublimit in Paragraph CA.b. of the coverage. Limits Of Insurance Provision under Section III — Physical Damage Coverage. 3. We will pay only for those expenses incurred during the Policy period beginning 24 hours after I. HIRED AUTO PHYSICAL DAMAGE the "loss" and ending, regardless of the Policy's Section III — Physical Damage Coverage, A.4. expiration, with the lesser of the following number Coverage Extensions is amended by adding the of days: following: a. The number of days reasonably required to If hired "autos" are covered "autos" for Liability repair or replace the covered "auto". If"loss" Coverage, and if Comprehensive, Specified Causes is caused by theft, this number of days is of Loss, or Collision Coverage is provided for any added to the number of days it takes to locate "auto" you own, then the Physical Damage the covered"auto"and return it to you; or Coverages provided are extended to "autos" you b. 30 days. lease, hire, rent or borrow subject to the following limit and deductible: 4. Our payment is limited to the lesser of the 1. The most we will pay for loss to any leased, hired, following amounts: rented or borrowed "auto" is the lesser of Actual a. Necessary and actual expenses incurred;or Cash Value, $76,000, or Cost of Repair, minus b. $50 per day,subject to a$1,500 limit. the deductible. S. This coverage does not apply while there are 2. The deductible will be equal to the largest spare or reserve"autos" available to you for your deductible applicable to any owned"auto"for that operations. coverage. CA7270(09-24) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 2 of 3 6. If "loss" results from the total theft of a covered P. DUTIES IN THE EVENT OF ACCIDENT, CLAIM, "auto" of the private passenger type, we will pay SUIT, OR LOSS under this coverage only that amount of your Section IV — Business Auto Conditions, A.2. Rental Reimbursement Expenses which is not Duties In The Event Of Accident, Claim, Suit Or already provided for under the Physical Loss is amended by adding the following: Damage — Transportation Expense coverage extension included in this endorsement. d. Your obligation to notify us promptly of an 7. Coverage provided by this extension is excess "accident", claim, "suit" or"loss" is satisfied if you send us the required notice as soon as over any other collectible insurance and/or practicable after your Insurance Administrator or endorsement to this Policy. anyone else designated by you to be responsible L. AIRBAG COVERAGE for insurance matters is notified, or in any manner Section III — Physical Damage Coverage, B.3.a. made aware, of an "accident", claim, "suik" or Exclusions is amended by adding the following: "loss". If you have purchased Comprehensive or Collision Q. UNINTENTIONAL FAILURE TO DISCLOSE Coverage under this Policy, the exclusion relating to EXPOSURES mechanical breakdown does not apply to the Section IV — Business Auto Conditions, B.2. accidental discharge of an airbag. Concealment, Misrepresentation, Or Fraud is M. LOSS TO TWO OR MORE COVERED AUTOS amended by adding the following: FROM ONE ACCIDENT If you unintentionally fail to disclose any exposures Section III — Physical Damage Coverage, D. existing at the inception date of this policy,we will not Deductible Subparagraph 2. is replaced by the deny coverage under this Coverage Part solely following: because of such failure to disclose. However, this 2. Regardless of the number of covered "autos" provision does not affect our right to collect additional damaged or stolen the maximum deductible premium or exercise our right of cancellation or non- applicable for all "loss" in any one event caused renewal. by: R. MENTAL ANGUISH a. Theft or Mischief or Vandalism; or Section V — Definitions, C. is replaced by the b. All Perils following: c. Collision "Bodily injury" means bodily injury, sickness or Will be equal to two times the highest deductible disease sustained by a person, including mental applicable to any one covered "auto"on the Policy for anguish or death resulting from bodily injury, sickness Comprehensive, Specified Causes of Loss or or disease. Collision Coverage. The application of the highest S. LIBERALIZATION deductible used to calculate the maximum deductible Paragraph B.3. Liberalization is amended for this will be made regardless of which covered "autos' endorsement as follows: were damaged or stolen in the"loss". If we revise this endorsement to provide greater N. GLASS COVERAGE coverage without additional premium charge, we will Section III — Physical Damage Coverage, D. automatically provide the additional coverage to all Deductible is amended by the addition of the endorsement holders as of the day the revision is following: effective in your state. If the Comprehensive Coverage applies to the covered "autos", no Comprehensive Coverage Deductible applies to the cost of repairing damaged glass on the covered "auto(s)". A $500 deductible applies to the cost of replacing damaged glass on the covered"auto(s)". O. PHYSICAL DAMAGE DEDUCTIBLE — VEHICLE TRACKING SYSTEM Section III — Physical Damage D. Deductible is amended by adding the following: Comprehensive Coverage Deductible shown in the Declaration will be reduced by 50% for any "loss" caused by theft of the vehicle when equipped with a vehicle tracking device such as a radio tracking device or a global positioning device and that device was the method of recovery of the vehicle. CA7270(09-24) Includes copyrighted material of ISO Properties,Inc.with Its permission. Page 3 of 3 COMMERCIAL AUTO 2019 COMMERCIAL AUTO MULTISTATE FORMS REVISION ADVISORY NOTICE TO BUSINESS AUTO, MOTOR CARRIER AND AUTO DEALERS COVERAGE FORM POLICYHOLDERS This is a summary of the major changes to your policy. No coverage is provided by this summary nor can it be construed to replace any provisions of your policy or endorsements. You should read your policy and review your Declarations page for complete information on the coverages you are provided. If there is any conflict between the policy and this summary, THE PROVISIONS OF THE POLICY SHALL PREVAIL. Please contact your agent to discuss any questions. Your right to cancel the policy or remove endorsements remains unchanged. Highlighted below are areas within the Policy that broaden, restrict or reinforce coverage. This notice does not reference every change, including editorial changes, made in your policy. The following forms may be listed on your policy. DECLARATION CHANGES CA7000(7-20)—Commercial Auto Declarations CA7000A(7-20)—Commercial Auto Declarations CA7010(7-20)—Auto Dealers Declarations CA7010A(7-20)—Auto Dealers Declarations • The Auto Declaration is used on a countrywide basis. The Declaration has been updated to add the New Jersey and Texas Surcharges. • Personal Injury Protection section of the Item Two has been updated; as follows: ■ Personal Injury Protection—MI Only($250,000 limit only if they select one of the exclusion options) • Separately Stated in Each Personal Protection Endorsement Minus$ Deductible • Exclusion of PIP Medical Expenses: All Household members are covered by qualified health coverage One or more household members are covered by qualified health coverage • Premium Reduction shown on Declaration • Final PIP Premium shown on Declaration NEWLY INTRODUCED MULTISTATE ENDORSEMENTS The following forms may be newly introduced and available to be attached to the policy: BROADENINGS OF COVERAGE CA7203(11-15)--Physical Damage Fleet Coverage + Newly introduced for use with the Business Auto Coverage Form. This form provides automatic fleet coverage for vehicles acquired during the policy term, without reporting the new vehicle. The policy is subject to audit at the end of the policy term, to determine any vehicles added or removed during the policy term. CA7221(11-15)—Repair Reimbursement • Newly introduced for use with the Auto Dealers Coverage Form. This form provides coverage for reimbursement to the insured when repairs are made by the insured to owned "autos" incurring a physical damage loss. CA7230(11-15)—Customer Complaint Protection Coverage • Newly introduced for use on the Auto Dealers Coverage Form to provide Customer Complaint Protection for defense and indemnity coverage for the insured. CA8338(7-20) includes copyrighted material of ISO Properties,Inc.with its permission. Page 1 of 3 CA7236(11-15)—Work You Performed Coverage + Newly Introduced for use with the Auto Dealers Coverage Form to provide work performed. The coverage is extended to cover"property damage"which exceeds$500 for any one accident. CA7307(11-15)—Lender's Impaired Security Interest • Newly introduced for use with the Business Auto Coverage Form to extend protection to the security interest of a financial institution on the autos they finance. This extension provides coverage for a loss which occurs prior to the financed auto being repossessed due to loan default. CA7312(11-15)—Rental Vehicle Extensions + Newly introduced for use with the Auto Dealers Coverage Form, Business Auto Coverage Form and Motor Carrier Coverage Form. This extension extends coverage to the leasing or rental company when a rental vehicle by the insured or an employee is damaged during the rental period. CA7320(11-15)—False Pretense Coverage With Deductible e Newly introduced for use with the Auto Dealers Coverage Form, to provide the False Pretense coverage with a deductible option. CA7395(11-15)--On Hook Cargo Coverage • Newly introduced for use under the Auto Dealers Coverage Form, Business Auto Coverage Form or the Motor Carrier Coverage Form to extend coverage to a customer'auto in tow. CA7405(11-15)—Additional Locations Schedule + Newly introduced for use under the Auto Dealers Coverage Form to extend coverage to an additional location that does not have any employees to provide coverage for the dealers' inventory. CA7437(11-15)—Amendment Limits Of Insurance—Per Project • Newly introduced for use under the Auto Dealers Coverage Form to provide a per project aggregate to apply separately to each project away from the premises owned or rented to you. CA7442(11-17)—Commercial Motor Carrier Amendment • Newly introduced for use under the Motor Carrier Coverage Form to provide to enhance the coverages for motor carrier operations. The endorsement form includes standard enhancements such as Hired Auto Physical Damage$50,000, Towing of Private Passenger Types and others, Loss of 2 or more covered autos from one accident(Tractorltrailer), transportation expense$75 per day/maximum of$1,000. CA7479(11-17)—Blanket Primary and Noncontributory Additional Insured + Newly introduced for use under the Business Auto Coverage Form to provide Blanket Additional Insured status for persons or organizations on a primary and noncontributory basis when required as an additional insured under the contract agreement. The coverage under this form does include the ongoing operations or in connection with your premises owned or rented to you. CA7490(7-17)—Combined Physical Damage and Cargo Deductible + Newly introduced for use under the Business Auto Coverage Form to apply one deductible for a covered auto and inland marine or Property loss from any one accident. If the application of the highest deductible is less favorable or more restrictive to the insured than the separate deductibles are applied in the standard form. CA7611(3-19)—Financial Institutions Repossessed Autos Coverage Newly introduced for use on the Business Auto Coverage Form to extend coverage for a financial institution to cover the repossessed auto that is held for sale or while being test driven or pending delivery after sale. RESTRICTION OF COVERAGE ENDORSEMENTS CA7373(1 1-16)—Operations Not Covered • Newly introduced for use under the Auto Dealers Coverage Form or the Business Auto Coverage Form to exclude insured's operations which are being conducted at the same locations but are insured elsewhere or not covered under this insurance policy. CA7429(11-15)—Hail Exclusion Newly introduced for use under the Auto Dealers Coverage Form to exclude damage caused by hail under the auto dealers' inventory or Garagekeepers Coverage. CA8338(7-20) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 2 of 3 CA7464(3-19)—Dealers Open Lot Inventory and Garagekeepers Windstorm or Hail Deductible • Newly introduced for use under the Auto Dealers Coverage form to amend the deductible on the peril of windstorm or hail. The deductible applies to both the Dealers Open Lot Inventory and the Garagekeepers coverages. CA7489(3-19)—Dealers Open Lot Inventory and Garagekeepers Earthquake Exclusion a Newly introduced for use under the Auto Dealers Coverage Form to exclude damage caused by hail under the auto dealers' inventory or Garagekeepers Coverage. CA7314(11-15)—Garagekeepers On-Hook Exclusion CA7314.1(7-14)—Garagekeepers On-Hook Exclusion • Newly introduced for use with the Auto Dealers Coverage Form to exclude coverage when connected or attached to a towing vehicle when On-Hook Coverage and Garagekeepers Coverage is written on the same policy. This form is attached to either the business auto policy of the motor carrier policy that has more than an incidental exposure to towing autos. CA7698(3-19)—Dealers Open Lot Inventory and Garagekeepers Flood Exclusion • Newly introduced endorsement to use with the Auto Dealers Coverage For,to exclude flood coverage on the Dealers Open Lot and Garagekeepers. Our Property Underwriting Guidelines are being used to determine when the exclusion should be attached, Currently we do not write flood coverage in zone A or Zone B. Any accounts that may have this coverage today, will be grandfathered in for coverage. WITHDRAWN ENDORSEMENTS The following forms are withdrawn: CA7205(8-99)—Federal Odometer Statute Errors and Omissions Coverage CA7206(7-14)—Truth In Lending & Lease Errors And Omissions Coverage • Withdraw form, it has been included in the ISO CA0025 Auto Dealers Coverage Form. CA7257(8-99)—Additional Insured--Lessor Of Leased Equipment Withdraw form, form has been replaced with an ISO form CA2545 Automatic Status or CA2047 General Liability Coverages—Lessor Of Leased Equipment. CA7276(7-14)--Dealers Insurance Agents Errors And Omissions CA7279(11„14)--Franchised Auto Dealers Errors And Omissions CA7415(9-13)--Dealers Acts Errors And Omissions • Withdraw form, it has been replaced with ISO CA0025 Auto Dealers Coverage Form and EMC form CA7397. CA7368(1.03)—Autos Leased • Withdraw form, the form has been replaced with CA7326 Leasing Or Rental Concerns—Contingent Physical Damage Insurance Endorsement. CA7398(7-14)—Garage Enhancement Extension CA7420(7-14)—Garage Dealers Endorsement • Withdraw form, ISO withdrew the CA0005 Garage Coverage Form and introduced CA 0025 Auto Dealers Coverage Form. CA7400(7-14)—Garage Enhancement Extension • Withdraw form, it has been replaced with Auto Dealer Elite CA7475 Auto Dealers Elite Extension. CA7416(3-09)—Extended Reporting Period Employee Benefits CA7417(3-09)—Extended Reporting Period Employee Benefits • Withdraw form and replace with the ISO introduced Employee Benefits Liability endorsement form. CA8338(7-20) Includes copyrighted material of ISO Properties,Inc.with its permission. Page 3 of 3 Extension of USA Fleet Solutions Agreement No. N-2025-080 Final Audit Report 2026-02-18 Created: 2026-02-18 By: Hortencia Martinez(hmartinez@santa-ana.org) Status: Signed Transaction ID: CBJCHBCAABAA971LM[2sOwg810JMjsdXAIJDRnssHiAT "Extension of USA Fleet Solutions Agreement No. N-2025-080" History 'D Document created by Hortencia Martinez (hmartinez@santa-ana.org) 2026-02-18-4:04:50 PM GMT C t Document emailed to mortiz@santa-ana.org for signature 2026-02-18-4:05:06 PM GMT 5 Email dewed by mortiz@santa-ana.org 2026-02-18-6:53:34 PM GMT a Signer mortiz@santa-ana.org entered name at signing as MO 2026-02-18-6:54:39 PM GMT i$o Document e-signed by MO (mortiz@santa-ana.org) Signature Date:2026-02-18-6:54:41 PM GMT-Time Source:server Q Agreement completed. 2026-02-18-6:54:41 PM GMT Adobe Acrobat Sign