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HomeMy WebLinkAboutTECHNOLOGY UNLIMITED, INC. 5N-2004-01 S INSURANCE NOT ON FILE WORK MAY NOT PROCEED CLERK OF COUNCIL cS DATE: -7 ` d `¢ TECHNOLOGY UNLIMITED, INC. EQUIPMENT MAINTENANCE AGREEMENT e_: r—M S Agreement No. 1201 Cc• C&Ado Ox, This equipment maintenance agreement ("Agreement') is entered into by and between TECHNOLOGY UNLIMITED, INC., at 318 Mira Loma Ave. Glendale, CA 91204 ('TUI") and the City of Santa Ana, a municipal corporation and charter city duly organized and existing under the Constitution and laws of the State of California, 20 Civic Center Plaza, Santa Ana, CA 92701 ("COSA"). This Agreement is separate and not part of the Master Agreement with Technology Unlimited, Inc. In consideration of their mutual and respective promises, the parties hereto agree as follows: Article I. SCOPE OF SERVICES Technology Unlimited Incorporated shall perform, or cause to be performed, the Services generally described below and identified and defined as Technology Unlimited Incorporated responsibilities throughout this Agreement (the "Services'): Technology Unlimited Incorporated will provide on-site maintenance for the following equipment (the "Equipment') with quality parts and install them to suggested manufacturer specifications, at the above listed location. Product ID Product Description Qtv 7731-2310-7190 NCR 7731 w/Front/Rear Image with Encoder 2 3299-K399-0000 PCI SCSI NT Interface Card 2 7731 -K220 -V001 PCI SCSI NT Interface Cable 2 G625-3100-0000 WiselP 2 G625-0017-0000 WiselP Diagnositics 2 7731-K240 Hand -Drop Hopper Interface 2 7724-0201 AutoFeed Hopper 2 7724-K201-VO01 Workstation Platform 2 7725-0603-0000 3 -Pockets, Single Line Endorser, Bank Stamp 2 7731-NCES-0000 Custom Endorsement Stamp 2 G625-3100-0000 E13B Encoder Font 2 AQURACY Aquracy Software Annual Maintenance 1 Maintenance shall include all parts and labor except as follows: -Any normal consumable supply items such as ribbons, ink rollers, bulbs, feeder kits and lister paper. - Any service due to accident involving damage to equipment, operator negligence, or problems caused by any unauthorized modifications, misuse or relocation of equipment. - Any problems due to outside environment, such as power failure, excessive dirt and dust, or failure by customer to maintain machine according to manufacturer specifications. In addition to the above, Technology Unlimited Incorporated will also perform preventive maintenance on the equipment on a mutually agreed upon schedule to be provided after the initial installation is completed. The preventive maintenance will include two (2) scheduled calls per year. Article II. INDEPENDENT CONTRACTOR It is understood and mutually agreed upon by the parties that Technology Unlimited Incorporated shall perform the services pursuant to this contract as an Independent Contractor and not as an agent or employee of the City of Santa Ana. Article III. CONTRACT TERM AND SERVICE HOURS A. The term of this Agreement shall be twelve months (12). Upon expiration of said term, this Agreement shall be automatically renewed, unless earlier terminated by either party as provided herein. B. Technology Unlimited Incorporated will provide Services for COSA between the hours of 8 A.M. and 5 P.M. pacific standard time Monday through Friday, excluding holidays. Technology Unlimited shall respond to a service call placed by the City of Santa Ana within a four (4) hour period. C. Technology Unlimited Incorporated will meet quarterly, or as necessary with COSA representatives, to discuss the status of service and equipment availability. D. In order to provide continuous uninterrupted service to COSA by TUI, this agreement shall cover all services rendered by TUI to COSA from November 1, 2003 to the termination of this agreement. Article IV. MAINTENANCE FEE AND PAYMENT A. COSA shall pay a maintenance fee to Technology Unlimited Incorporated annually in an amount identified in Addendum A, attached hereto and incorporated herein by reference.. Payment made by the City of Santa Ana to Technology Unlimited Incorporated shall not constitute acceptance of the work or any portion thereof which is not in accordance with the terms and conditions of this Agreement. B. Technology Unlimited Incorporated will bill COSA upon installation of Equipment for the first year, and billing thereafter for subsequent years, shall be issued thirty(30) days in advance of the current years maintenance expiration date. Payment terms are net forty-five (45) days from receipt of invoice. COSA will make a good faith effort to begin processing invoices for payment immediately upon receipt. Article V. ASSIGNMENT AND SUBCONTRACTS A. This Agreement shall not be assigned by either party, either in whole or in part, without the prior written approval of the other party. Any attempted assignment without such written consent shall be void. B. As required by the work, and if approved in advance in writing by COSA, Technology Unlimited Incorporated may enter into contracts with other firms for services not normally performed by Technology Unlimited Incorporated. C. Any subcontract entered into by Technology Unlimited Incorporated subsequent to the execution of this Agreement must be approved in writing by COSA. This paragraph shall be included in all subcontracts with contractors and/or consultants with whom Technology Unlimited Incorporated will require services. Article VI_ CONTROL AND APPROVAL A. Technology Unlimited Incorporated will appoint a Representative who will be in charge of the maintenance contract for Technology Unlimited Incorporated and have authority to make binding decisions on behalf of Technology Unlimited Incorporated (the "Representative'). All notices regarding maintenance services required or changes in the Agreement shall be sent to the Representative. Technology Unlimited Incorporated's Representative for this maintenance contract will be: Name Darrell Brush Title Vice President Address 318 Mira Loma Ave. City, State, Zip Glendale, CA 91204 Phone # (818) 265-0708 Article VII. INSURANCE A. Technology Unlimited Incorporated shall keep in full force and effect during the Agreement period, liability insurance coverage, naming COSA as an additional insured by execution of an Additional Insured Endorsement in format approved by the Attorney for the City of Santa Ana in the minimum amounts indicated below: Public Liability $ 1,000,000 combined single limit Automobile Liability $ 1,000,000 combined single limit Umbrella Excess Liability $ 2,000,000 per occurrence over and above the limits described above for Public and Automobile Liability. B. Technology Unlimited Incorporated will furnish COSA with certificates showing evidence of insurance coverage as defined above. No termination of policy, reduction of coverage or cancellation of additional insured(s) shall have effect until after thirty (30) days notice thereof has been given to the City of Santa Ana. Article VIII. TERMINATION Either party may terminate this Agreement by serving thirty(30) days written notice upon the other party. Termination of this Agreement by COSA shall be without penalty or additional cost to COSA. In the event of any termination of this Agreement, TUI shall refund to COSA the prorated amount of any prepaid maintenance fees. Article IX. LIMITATION OF LIABILITIES Neither party is liable for any consequential, incidental, indirect or special damages, including commercial loss, which directly or indirectly arises from Services provided by Technology Unlimited Incorporated directly caused by the negligence or omission of TUI. Article X. CHANGES AND EXTRA WORK No modification to this Agreement shall be effective unless in writing and signed by both parties. Article XI. CONFIDENTIALITY Technology Unlimited Incorporated shall hold and maintain as strictly confidential all information concerning the business of COSA, COSA's financial affairs, COSA's customers, relations with clientele and employees, as well as any other information which may be specifically classified as confidential by COSA. Article XII. VALIDITY The invalidity in whole or in part of any provision of this Agreement shall not void or affect the validity of any other provision of the Agreement. Article XIII. ENTIRE AGREEMENT This document, including Addendum A, constitutes the entire Agreement between the parties. This Agreement shall not be modified or amended except by written amendment, executed by both parties. All notices required to be given, hereunder shall be deemed to be sufficiently given if mailed by certified or registered mail, postage prepaid, to the address noted hereinabove. Article XIV. GOVERNING LAW This Agreement shall be governed by and construed in accordance with the laws of the State of California. In the event legal action is required, the venue for such action shall be Orange County, California. 3 IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this the Third day of March. 2004. ATTEST: Patricia Healy Clerk of the Council APPROVED AS TO FORM: J /^1r,^IY ♦ J I • I 947 Joseph W. Fletcher City Attorney RECOMMENDED OR APPROVAL: d W. C e'%a, Executive Director Finance Management Services Agency CITY OF SANTA ANA A municipal corporation of the State of California bavid N Ream City Manager Tech nol0^/7/y/1)Unlimited Inc. Darrell Brush Vice President Tax ID # 911232945 TECHNOLOGY UNLIMITED, INC. EQUIPMENT MAINTENANCE AGREEMENT ADDENDUM A With respect to Article IV A., the maintenance fees for services shall be as follows: For service of two (2) NCR 7731 Remittance Processors as described more fully in Article I. (1) Annual Aquracy Software Maintenance NCR 7731 Maintenance $ 2175.00 x 2 units = $ 4350.00 Software Maintenance Total: $ 4194.00 TOTAL MAINTENANCE $ 8.544.00 The service fee shall be for the above equipment/ Software support per year. Expires: 10/31/2004 .a►�co� o® CERTIFICATE OF LIABILITY INSURANCE 8/4/2010 ' PRODUCER (425) 455-5640 FAX: (425) 455-6727 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Baldwin Resource Group ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 1848 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bellevue WA 98009 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Ame=1Can States IMS CO 19704 TECHNOLOGY UNLIMITED INC N5URER B._ General Ins CO. O£ America 24732 1179 ANDOVER PARK WNSURER C- N ' — n /�\ I D' ' \VI G/�/l/// I INSURER D: TTJKWILA WA 96166 INSURER E: —ween—_ -- 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 OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION'. LTR N RD TYPE FINSURANCE GATE MMD AT MM O LIMITS X GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 0 MAGE TO RENTED PREMISES Ea occurrence) $ 1,000,000 A CLAIMS MADE OCCUR 01CI26415520 8/4/2010 8/4/2011 MED EXP(—n one Parson) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG S 2,000,000 X POLICY PRO LOG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Ea accident) B ALL OWNED AUTOS 24CC27258920 8/4/2010 8/4/2011 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Par accident) GARAGE LIABILITY T�T� `' L- FORM APl 'L�(-)M LL� AS TO FORM ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA AGC $ AUTO ONLY: qGG $ EXCESS / UMBRELLA LIABILITY ,. EACH OCCURRENCE $ 4,000,000 OCCUR �� CLAIMS MADE - AGGREGATE $ 4 ,8C1 000 , 000 \..,. �,lauIt City Attorney $ A DEDUCTIBLE OISU41486220 8/4/2010 8/4/2011 $ X RETENTION $ 10,000 $ A WORKERS COMPENSATION WC STATU- OTH- X AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFI CE R/MEMBER EXCLUDED? F—] (Mamiatory In NH) 01CI26415520 8/4/2010 8/4/2011 EL. DISEASE - EA EMPLOYEE' $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1 000 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS The City of Santa Arca, Ita officers, agents, volunteers and representatives era primary additional reapeCt to liability arising out of the operations by or on behalf of the named insured as per attached CG 7635 and CG76B0 il0 days notice for non payment (714)647-5304 City O£ Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana. CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE Kevin Lane/MEL © 1988-2009 ACORD CORPORATION. All rights reserved. FrvaUZO (20090'1)_01 1 ne ^uut<o name ane logo are reglsterea marKs or sacL mu IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) INS025 (200901).01 Technology Unllmlted policy number OICI2641SS20 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY., LIABILITY PLUS ENDORSEMENT CG 76 36 10 01 COMMERCIAL GENERAL LIABILITY This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As per schedule on file with company ADDITIONAL INSURED - BY WRITTEN CONTRACT, AGREEMENT OR PERMIT, OR SCHEDULE The following paragraph is added to WHO IS AN INSURED (Section 11): 5.. Any person or organization shown in the Schedule or for whom you are required by written contract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the Declarations, and must have been executed prior to the "bodily injury,' `property damage," "personal and advertising injury." b.. The person or organization added as an insured by this endorsement is an insured only to the extent you are held liable due to: (1) The ownership, maintenance or use of that part of premises you own, rent, lease or occupy, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after you cease to be a tenant in any premises leased to or rented to you; (b) This insurance does not apply to any structural alterations, new construction or demolition operations performed by or on behalf of the person or organization added as an insured; Includes Copyrighted Material of Insurance Services Office, Inc., with Its permission. Copyright, Insurance Services Office, Inc, 2001 Page 1 of 3 (2) Your ongoing operations for that insured, whether the work is performed by you or for you; (3) The maintenance, operation or use by you of equipment leased to you by such person or organization, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after the equipment lease expires; (b) This insurance does not apply to "bodily injury' or "property damage" arising out of the sole negligence of such person or organization; (4) Permits Issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional provision: This insurance does not apply to "bodily injury," 'property damage," "personal and advertising injury" arising out of operations performed for the state or municipality: c.. The insurance with respect to any architect, engineer, or surveyor added as an Insured by this endorsement does not apply to "bodily injury," "property damage," 'personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change orders, designs or specifications; and (2) Supervisory, inspection or engineering services d, This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations hazard " A person •s or organization •s status as an insured under this endorsement ends when your operations for that insured are completed No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you, Coverage shall be limited to the extent of your negligence or fault according to the applicable principles of comparative fault NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY Exclusion g of COVERAGE A (Section 1) is replaced by the following: g, "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, 'auto" of watercraft owned or operated by or rented or loaned to any insured. Use includes operation and "loading or unloading " 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" involved the ownership, maintenance, use or entrustment to others of any aircraft, 'auto" or watercraft that is owned or operated by or rented or loaned to any insured, This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the 'auto" is not owned by or rented or loaned to you or the insured; Includes Copyrighted Material of Insurance Services Office, Inc, with its permission. Copyright, Insurance Services Office, Inc, 2001 Page 2 of 3 CG 76 35 10 01 COMMERCIAL GENERAL LIABILITY (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of the operation of any of the equipment listed in paragraph f.(2) or f(3) of the definition of "mobile equipment." (6) An aircraft you do not own provided it is not operated by any insured TENANTS' PROPERTY DAMAGE LIABILITY When a Damage to Premises Rented to you Limit is shown in the Declarations, Exclusion J. of Coverage A, Section I is replaced by the following: Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because 'your work" was incorrectly performed on it Paragraphs (1), (3) and (4) of this exclusion do not apply to 'property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section III - Limits Of Insurance Paragraph (2) of this exclusion does not apply if the premises are 'your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement Paragraph (6) of this exclusion does not apply to 'property damage" included in the "products -completed operations hazard " Paragraph S. of Section ]I] is replaced by the following: 6. Subject to 5. above, the Damage To Property 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, while rented to you or temporarily occupied by you with permission of the owner The Tenants ' Property Damage to Premises Rented to You limit is the higher of $200,000 or the amount shown in the Declarations as Damage to Premises Rented to You Limit WHO IS AN INSURED - MANAGERS The following is added to Paragraph 2.a. of WHO 1S AN INSURED (Section 11): Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS - COVERAGES A AND B - BAIL BONDS Paragraph Il.b. of SUPPLEMENTARY PAYMENTS COVERAGESA AND B is replaced by the following: b. Up to $2,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies We do not have to furnish these bonds EMPLOYEES AS INSUREDS - HEALTH CARE SERVICES Provision 2 a (1) d of WHO IS AN INSURED (Section ll) is deleted, unless excluded by separate endorsement. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 4 a of WHO IS AN INSURED (Section II) is replaced by the following: a. Coverage under this provision is afforded only until the and of the policy period CG 76351001 COMMERCIAL GENERAL LIABILITY EXTENDED "PROPERTY DAMAGE' Exclusion a, of COVERAGE A (Section 1) is amended to read: a. "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. INCREASED MEDICAL EXPENSE LIMIT The medical expense limit is amended to $10,000 KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "occurrence," claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following Is added to Paragraph 6. Representations of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): If you unintentionally fail to disclose any hazards existing at the inception dale of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section iV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional premium, becomes effective during the policy period in the state shown in the Declarations, your policy will automatically provide this additional coverage on the effective date of the revision. Includes Copyrighted Material of Insurance Services Office, Inc, with Its permission Copyright, Insurance Services Office, Inc, 2001 Page 3 of 3 Technology Solutions 01C126415520 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: as per schedule with company (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) SECTION 11 - WHO IS AN INSURED is amended to include as an additional insured the person or organization shown in the Schedule subject to the following provisions: 1. The additional insured is an insured but only for liability directly resulting from: a. your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b. the general supervision of your ongoing op- erations by the additional insured 2. This insurance does not apply a. "Bodily injury" or "property damage" arising out of any act or omission of, or for defects in design furnished by or for, the additional insured or b. "Bodily injury" or "property damage" in- cluded within the "products -completed oper- ations hazard " A person's or organization's status as an additional insured under this endorsement ends when your op- erations for that insured are completed No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault, The insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy, or b. The coverage and/or limits required by the contract, agreement or permit With respect to the insurance afforded the additional insured, paragraph 4 of SECTION IV - COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following: 4. Other Insurance a. This insurance is primary and noncontrib- utory, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or "suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit", b. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment, A registered trademark of SAFECO Corporation CG 76 80 10 02 EP ACCR/J CERTIFICATE OF LIABILITY INSURAN�=E 08/04iz a' PRODUCER C4253455-5640 FAX X42. .55-6727 THIS CERTIFICATE IS.- -JED AS A MATTER OF INFORMATION Baldwin Resource Group, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 1848 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Bellevue, WA 98009 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Nl O —oIVO -O3 8' INSURERS AFFORDING COVERAGE NAIC # INSURED Technology Unlimited Inc INSURER A. Hartford Insurance Group 1179 Andover Park W INSURER B: Best Rating A+ XV Tukwila, WA 98188 N— INSURER C' INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDINI ANYREQUIREMENT, 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY_LMSL EFFECTNE POLICY EXPIRATION LIMITS GENERAL LIABILITY 52UUNUS3142 08/04/2004 08/04/2005 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300.000 CLAIMS MADE FROCCUR MED EXP (Any one person) $ 10,00 A X WA Stop Gap PERSONAL & ADV INJURY $ 1,000.000 GENERAL AGGREGATE $ 2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO SZUUNUS3142 08/04/2004 08/04/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 X BODILY INJURY $ (Par P --n) A ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS X BODILY INJURY $ (Per accident) X PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO i�/� / /'� OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/ UMBRELLA LIABILITY 52XHUUS3401 08/04/2004 08/04/2005 EACH OCCURRENCE $ 2,000,000 X OCCUR F_] CLAIMS MADE AGGREGATE $ 2,000,000 A $ $ DEDUCTIBLE X RETENTION $ ILO' 00 $ WORKERS COMPENSATION AND WC STATU-OTRH - EMPLOYERS" LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ OFFICEREMBER EXCLU EXCLUDED? /M If res. describe under E.L DISEASE -POLICY LIMIT 1 $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS he City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional aspect to liability arising out of the operations by or on behalf of the named insured. OTE: Primary Additional Insured per Commercial General Liability form HC7001CIO013 see page 12 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Mi rel l a Vargas BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center Plaza OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana. CA 92701 AUTHORIZED REPRESENTATIVE n� ACORD 25 (2007/08) rsu: ©ACORD CORPORATION 11988 (vY,s—, c. You and any other involved insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or 'suit'; (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the 'suit'; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply_ d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a 'suit" asking for damages from an insured; or b. To sue us on this Coverage Part unless all of its terms have been fully complied with. A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or that are in excess of the applicable limit of insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative. 4. Other Insurance If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of this Coverage Part, our obligations are limited as follows: a. Primary Insurance Including Primary Additional Insurance For Additional Insureds This insurance is primary except when b. below applies_ If this insurance is primary, our obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that other insurance by the method described in c. below. When this insurance is primary, we will not seek contributions from other insurance available to any person or organization who is an insured under Paragraph 6. in Section 11 - Who Is An Insured. b. Excess Insurance This insurance is excess over: (1) Any of the other insurance, whether primary, excess, contingent or on any other basis: (a) That is Fire, Extended Coverage, Builder's Risk, Installation Risk or similar coverage for .your work"; (b) That is fire, lightning or explosion insurance premises rented to you or temporarily occupiea by you with permission of the owner; (c) That is insurance purchased by you to cover your liability as a tenant for "property damage" to premises rented to you or temporarily occupied by you with permission of the owner; or (d) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not subject to Exclusion g. of Section 1 — Coverage A — Bodily Injury And Property Damage Liability. (a) If the loss arises out of "property damage' to borrowed equipment or the use of elevators to the extent not subject to Exclusion j. of Section 1 - Coverage A - Bodily Injury And Property Damage Liability. (2) Any other primary insurance available to you covering liability for damages arising out of the premises or operations for which you have been added as an additional insured by attachment of an endorsement. When this insurance is excess, we will have no dutv under Coverages A or B to defend the insured agai: any 'suit' if any other insurer has a duty to defend thn insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against all those other insurers. When this insurance is excess over other insurance, we will pay only our share of the amount of the loss, if any, that exceeds the sum of: (1) The total amount that all such other insurance would pay for the loss in the absence of this insurance; and (2) The total of all deductible and self-insured amounts under all that other insurance_ We will share the remaining loss, if any, with any other insurance that is not described in this Excess Insurance provision and was not bought specifically to apply in excess of the Limits of Insurance shown in the Declarations of this Coverage Part. c. Method Of Sharing If all of the other insurance permits contribution by equal shares, we will follow this method also. Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first. Page 12 of 16 HG 00 01 10 01 A4C9W0,. CERTIFICATE OF LIABILITY INSURANCE OP ID MEDATE(MM/DD/YYYY) ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR TECHN-1 04/30/07_ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION R. C. Fischer 6 Cc,. P. O'Box 8101 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek CA 94596-8101 —_ Phone: 925-932-7823 Fax:925-932-0962 INSURERS AFFORDING COVERAGE NAIC# INSURED „/ w . — ^^` — O ` ` INSURER A_ p oyer pansatio Ina Co DATE MM/D( D/YY INSURER B. Technology Un11m1 tadr 1nC. 13:L3-3-Vannet INSURER C. GENERAL LIABILITY MADE [::::] OCCUR 1 Andover Park West Tukwila WA 98166 INSURER D INSURER E. =D PREMISES (Ea occurenCLAIMS Y CKNb CJ 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —_ LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/D( D/YY LIMITS �77MFLLABILITYEACH GENERAL LIABILITY MADE [::::] OCCUR OCCURRENCERCIAL =D PREMISES (Ea occurenCLAIMS MED EXP (Any one person) $ - PERSONAL S ADV INJURY $ __,_ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGO S POLICY r PRO- JECT LOC '- -- ------ AUTOMOBILE LIABILITY ANY AUTO (E. aacCOMBc dent) INGLE LIMIT $ - ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) ---- BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS rvV/i PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY _—� AUTO ONLY - EA ACCIDENT $ ANY AUTO "_- --- --— OTHER THAN EA ACC $ --_— ' - Gj AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY + EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROMEM.ER/PARTNER/EXECUTIVE FNO30715605 05/03/07 X07 OS�O3�O8 UTH- XTORY LIMITS ER E.L. EACH ACCIDENT $ 1 r OOQ QQO- IfxE"IFlc s-ilb,1 and r L'JDtD? S yes, describe under SPECIAL PROVISIONS below _ EL DISEASE EA EMPLOYEE $ 1 r 000 000 -- -- EL DISEASE - POLICY LIMIT $ 1 r 000 r 000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 day notice in the event of Cancellation for non-payment o£ premium VCR 1 Ir I�..N 1 C I"I VLIJCK CANCELLATION SANTA- 8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Attn: Mitella Vargas IMPOSE ty O£ Santa Ana IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR A 20 C1V1C Center Plaza REPRESENTATIVES. Santa Alla CA 92701 AUTHORIZED REPRESENTATIVE- ' A ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. A CO I�� /DD/YWY Jul lr /T CERTIFICATE OF LIABILITY INSURANCE os/o6/zoo7DATE(MM) PRODUCER C425:)455-5640 FAX C425)455-6727 Baldwin Resource Group, Inc. PO Box 1848 w / Bellevue, WA 98009 /✓ —6200AI-0 l8 Aaron Avila THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Technology Unlimited Inc 1179 Andover Park W Tukwila, WA 98188 INSURER A: Hartford Fire Insurance Co 19682 1NSURERB: Hartford Casualty Insurance Co 29424 INSURER C' INSURER D- INSURER E: A/;FC 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD -L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY 52UUNUS3142 08/04/2007 08/04/2008 EACH OCCURRENCE S ]L,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED$ 300,000 CLAIMS MADE FX—] OCCUR MED EXP (Any one person) $ ILO' 00 A PERSONAL & ADV INJURY S 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY 52UUNUS3142 08/04/2007 08/04/2008 COMBINED SINGLE LIMIT X ANY AUTO (Ea acdd—) $ 1,000,00 BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) $ A BODILY INJURY $ X HIRED AUTOS X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accitlenp GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS /UMBRELLA LIABILITY 52XHUUS3401 08/04/2007 08/04/2008 EACH OCCURRENCE $ 4,000,006 X OCCUR CLAIMS MADE AGGREGATE $ 4,000.000 B $ $ DEDUCTIBLE ii RETENTION WORKERS COMPENSATION ANDW'O STATU- OTH- T. EMPLOYERS' LIABILITY E_L_EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE r,. / '�� E_L DISEASE - EA EMPLOYEE $ OFFICER/MEMBER EXCLUDED?'G -- i/_ es, describe -- E.L. DISEASE -POLICY LIMIT $ S SPECIAL PROVISIONS below - ' - - OTHER A sir + DESCRIPTION OF PERATIONS / LOCATIONS / VEHICL S / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS he City o Santa Ana, Its officers, agents, volunteers and representatives are primary additional aspect to liability arising out of the operations by or on behalf of the named insured. Primary Additional Insured per Commercial General Liability form HG 0001C0605) Page #10 C6:), #14 C4A and 7A and B3. Waiver Subrogation #15 C8A and B3 '°l0 days notice for non payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Santa Ana 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn • Mi rel l a Vargas BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center Plaza OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Santa Ana, CA 9Z701 AUTHORIZED REPRESENTATIVE Kevin Lane CAROLD ACORD 25 (2001/08) FAX: C714)647-5304 ©ACORD CORPORATION 1999 HV.PORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08) COMMERCIAL GENERAL LIABILITY COVERAGE FORM Various provisions in this policy restrict coverage. Read the entire policy carefully to determine rights, duties and what is and is not covered. Throughout this policy the words "you" and "your" refer to the Named insured shown in -the Declarations. and any d other person or organization qualifying as a Named oInsured under this policy. The words "we", "us" and "our" refer to the -stock insurance company member of The Hartford providing this insurance. The word "insured" means any person or organization qualifying as such under Section 11 —Who Is An Insured_ �i Other words and phrases that appear in quotation marks - have special meaning. Refer to Section V —Definitions. c SECTION 1 — COVERAGES o COVERAGE A BODILY INJURY AND PROPERTY o DAMAGE LIABILITY u� K Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of ® "bodily injury" or "property damage" to which this insurance applies. We will have the right and duty ® to defend the insured against any "suit" seeking those damages. However, we will have no duty to o defend the Insured against any "suit" seeking damages for."bodily injury" or "property damage" to which this insurance does not apply_ We may, at our discretion, investigate any "occurrence" and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section III — Limits Of Insurance; and (2) Our right and duty to defend ends when we have used up the applicable limit of insurance In the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation. or liability to pays sums or perPorrn acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This insurance applies to "bodily injury" and "property damage" only if. (1) The "bodily injury" or "property damage" is caused by an "occurrence" that takes place in the "coverage territory"; (2) The "bodily injury" or "property damage" occurs during the policy period; and (3) Prior to the policy period, no insured listed under Paragraph 1. of Section II — Who is An insured and no "employee" authorized by you to give or receive notice of an "occurrence" or claim, knew that the "bodily injury" or "property -damage" had occurred, in whole or in part. If such a listed insured or authorized "employee" knew, prior to the policy period, that the "bodily injury" or "property damage" occurred, then any continuation, change or resumption of such "bodily injury" or "property damage" during or after the policy period will be deemed to have been known prior to the policy period. c. "Bodily injury" or "property damage" will be deemed to have been known to have occurred at the earliest time when any insured listed under Paragraph 1. of Section €1 — Who Is An insured or any "employee" authorized by you to give or receive notice of an "occurrence" or claim: (1) Reports all, or any part, of the "bodily injury" or "property damage" to us or any other insurer; (2) Receives a written or verbal demand or claim for damages because of the "bodily injury" or "property damage'; or (3) Becomes aware by any other means that "bodily injury" or "property damage" has occurred or has begun to occur. d. Damages because of "bodily injury" Include damages claimed by any person or organization for care, loss of services or death resulting at any time from the "bodily injury". e. Incidental Medical Malpractice (1) "Bodily injury" arising out of the rendering of or failure to render professional health care services as a physician, dentist, nurse, emergency medical technician or paramedic shall be deemed to be caused by an "occurrence", but only if: (a) The physician, dentist, nurse, emergency medical technician or paramedic is employed by you to provide such services; and (b) You are not engaged in the business or occupation of providing such services. NC- Of) 01 06 05 Par n 1 eD; 7 n (D 2005 The Hartford (Includes copyrighted material of Insurance Services Office, Inc. with its permission_) (2) For the purpose of determining the limits of insurance for incidental medical malpractice, any act or omission together with all related acts or omissions in the furnishing of these services to any one person will be considered one "occurrence"_ 2. Exclusions This insurance does not apply to: 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. b. Contractual Liability "Bodily injury" or "property damage" for which the insured is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages: (-I) That the insured would have in the absence of the contract or agreement; or (2) Assumed in a contract or agreement that is an "insured contract", provided the "bodily injury" or "property damage" occurs subsequent to the execution of the contract or agreement. Solely for the purposes of liability assumed in an "Insured contract", reasonable attorney fees and necessary litigation expenses incurred by or for a party other than an insured are deemed to be damages because of "bodily injury" or "property damage", provided: (a) Liability to such party for, or for the cost of, that party's defense has also been assumed in the same "insured contract'; and (b) Such attorney fees and litigation expenses are for defense of that party against a civil or alternative dispute resolution proceeding in which damages to which this Insurance applies are alleged. G. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or underthe influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages_ This exclusion applies only If you are in the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages. d. Workers' Compensation And Similar Laws Any obligation of the insured under a workers' compensation, disability benefits or unemployment compensation law or any similar law_ e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by the insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence_ of Paragraph (1) above. This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. This exclusion does not apply to liability assumed by the insured under an "insured contract"_ f. Pollution (1) "Bodily injury" or "property damage" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants": (a) At or from any premises, site or location which is or was at any time owned or occupied by, or rented or loaned to, any insured. However, this .subparagraph does not apply to: (i) "Bodily injury" if sustained within a building and caused by smoke, fumes, vapor or soot produced by or originating from equipment that is used to heat, cool or dehumidify the building, or equipment that is used to heat water for personal use, by the building's occupants or their guests; (it) "Bodily injury" or "property damage" for which you may be held liable, if you are a contractor and the owner or lessee of such premises, site or location has been added to your policy as an additional insured with respect to your ongoing operations performed for that additional insured at that premises, site or location and such premises, site or location is not and never was owned or occupied by, or rented or loaned to, any insured, other than that additional insured; or Hage 2 03 18 1170 00 01 06 05 (€€€) "Bodily Injury"- or "property damage" arising out of heat, smoke or fumes from a 'hostile fire"; (b) At or from any premises, site or location which is or was at any time used by or for any insured or others for the handling, storage, disposal, processing ortreatment of waste; (c) Wh€ch are or were at any time transported, handled, stored, treated, disposed of, or processed as waste by or.for: (i) Any insured; or (ii) Any person or organization for whom you may be legally responsible; (d) At or from any premises, site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured's behalf are performing operations if the "pollutants" are brought on or to the premises, site or location In connection with such operations by such insured, contractor or subcontractor. However, this subparagraph does not apply to: (€) "Bodily Injury" or "property damage" arising out of the escape of fuels, lubricants or other operating fluids which are needed to perform the normal electrical, hydraulic or mechanical functions necessary for the operation of "mobile equipment" or its parts, if such fuels, lubricants or other operating fluids escape from a vehicle part designed to hold, store or receive them. This exception does not apply if the "bodily Injury" or "property damage" arises out of the intentional discharge, dispersal or release of the fuels, lubricants or other operating fluids, or if such fuels, lubricants or other operating fluids are brought on or to the premises, site or location with the intent that they be discharged, dispersed or released as part of the operations being performed by such insured, contractor or subcontractor; (id) "Bodily injury" or "property damage" sustained within a building and caused by the release of gases, fumes or vapors from materials brought into that building in connection with operations being performed by you or on your behalf by a contractor or subcontractor; or (iii)."Bodily injury" or "property damage" arising out of heat, smoke or fumes from a "hostile fire'; or (e) At or from, any premises, site or location on which any insured or any contractors or subcontractors working directly or indirectly on any insured's behalf are performing operations if the operations are to test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants". (2) Any loss, cost or expense arising out of any: (a) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or In any way respond to, or assess the effects of, "pollutants"; or (b) Claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of, "pollutants". However, this paragraph does not apply to liability for damages because of "property damage" that the insured would have €n the absence of such request, demand, order or statutory or regulatory requirement, or such claim or "suit" by or on behalf of a governmental authority. Aircraft, Auto Or Watercraft "Bodily injury" or "property -damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes operation and "loading or unloading". 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" Involved the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured. This exclus€on does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 51 feet long; and (b) Not being used to carry persons for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by or rented or loaned to you or the Insured; HIS ©fl 01 03 05 Page 3 of 10 (4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft; (5) "Bodily injury" or "property damage" arising out of the operation of any of the equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment"; or (6) An aircraft that is not owned by any insured and is hired, chartered or loaned with a paid crew. However, this exception does not apply if the insured has any other insurance for such "bodily injury" or "property damage", whether the other insurance is primary, excess, contingent or on any other basis. h. Mobile Equipment "Bodily injury" or "property damage" arising out of: (1) The transportation of "mobile equipment" by an "auto" owned or operated by or rented or loaned to any insured; or (2) The use of "mobile equipment" in, or while in practice for, or while being prepared for, any prearranged racing, speed, demolition, or stunting activity. I. War "Bodily injury" or "property damage", however caused, arising, directly or indirectly, out of - (1) War, including undeclared or civil war; (2) Warlike action by a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering or defending against any of these. j. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or any other person, organization or entity, for repair, replacement, enhancement, restoration or maintenance of such property for any reason, including prevention of .injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the cafe, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations; or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the contents of such premises, rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to Damage To Premises Rented To You as described in Section 111 — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3) and (4) of this exclusion do not apply to "property damage" arising from the use of elevators. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a sidetrack agreement_ Paragraphs (3) and (4) of this exclusion do not apply to "property damage" to borrowed equipment while not being used to perform operations at the job site. Paragraph (6) of this exclusion does not apply to "property damage" Included in the "products - completed operations hazard". Ic. Damage To Your Product "Property damage" to "your product" arising out of it or any part of it. 1. Damage To Your Work "Property damage" to "your work" arising out of it or any part of it and included in the "products - completed operations hazard". This exclusion does not apply if the damaged work or the work out of which the damage arises was per -formed on your behalf by a subcontractor. m. Damage To impaired Property Or Property Not Physically Injured "Property damage" to "impaired property" or property that has not been physically injured, arising out of: (1) A defect, deficiency, Inadequacy or dangerous condition in "your product" or "your work"; or (2) A delay or failure by you or anyone acting on your behalf to perform a contract or agreement in accordance with its terms. This exclusion does not apply to the loss of use of other property arising out of sudden and accidental physical injury to "your product" or "your work" after it has been put to its intended use. Page 4 of IS HO 00 01 06 05 n. Recall Of Products, Work Or Impaired Property Damages claimed for any loss, cost or expense Incurred by you or others for the loss of use, withdrawal, recall, inspection, repair, replacement, adjustment, removal ordisposal of: (1) 'Your product"; (2) "Your work"; or (3) "Impaired property"; if such product, work, or property is withdrawn or recalled from the market or from use by any person or organization because of a known or suspected defect, deficiency, inadequacy or dangerous condition in it. o. Personal And Advertising injury "Bodily injury" arising out of "personal and advertising injury". p. Electronic Data Damages arising out of the loss of, loss of use of, damage to, corruption of, inability to access, or inability to manipulate electronic data. As used in this exclusion, electronic data means information, facts or programs stored as or on, created or used on, or transmitted to or from computer software, including systems and applications software, hard or floppy disks, CD- F20MS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. q. Employment -Related Practices "Bodily injury" to: (1) A person arising out of any "employment— related practices"; or (2) The spouse, child, parent, brother or sister of that person as a consequence of "bodily injury' to that person at whom any "employment- related practices" are directed_ This exclusion applies: (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because ofthe injury. r. Asbestos (1) "Bodily injury" or "property damage" arising out ofthe "asbestos hazard". (2) Any damages, judgments, settlements, loss, costs or expenses that: (a) May be awarded or incurred by reason of any claim or suit alleging actual or threatened injury or damage of any nature or HG 00 01 06 05 kind to persons or property which would not have occurred in whole or in part but for the "asbestos hazard"; (h) Arise out of any request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, encapsulate, contain, treat, detoxify or neutralize or In any way respond to or assess the effects of an "asbestos hazard"; or (c) Arise out of any claim or suit for damages because of testing for, monitoring, cleaning up, removing, encapsulating, containing, treating, detoxifying or neutralizing or in any way responding to or assessing the effects of an "asbestos hazard". Damage To Premises Rented To You — Exception For Damage By Fire, Lightning Or Explosion Exclusions c. through h. and j. through n. do not apply to damage by fire, lightning or explosion 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 111 — Limits Of Insurance. COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY 1. Insuring Agreement a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "personal and advertising injury" to which this insurance applies. We will have the right and duty to defend the insured against any "suit" seeking those damages. However, we will have no duty to defend the insured against any "suit" seeking damages for "personal and advertising Injury" to which this insurance does not apply. We may, at our discretion, investigate any offense and settle any claim or "suit" that may result. But: (1) The amount we will pay for damages is limited as described in Section Ill — Limits Of Insurance; and (2) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A or B or medical expenses under Coverage C. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under Supplementary Payments — Coverages A and B. b. This insurance applies to "personal and advertising injury" caused by an offense arising out of your business but only if the offense was committed in the "coverage territory" during the policy period. Page 5 of 18 2. Exclusions This insurance does not apply to: a_ Knowing Violation Of Rights Of Another "Personal and advertising injury" arising out of an offense committed by, at the direction or with the consent or acquiescence of the insured with the expectation of inflicting "personal and advertising injury" b. Material Published With Knowledge Of Falsity "Personal and advertising injury" arising out of oral, written or.electronic publication of material, if done by or at the direction of the insured with knowledge of its falsity. c. Material Published Prior To Policy Period "Personal and advertising injury" arising out of oral, written or electronic publication of material whose first publication took place before the beginning of the policy period. d. Criminal Acts "Personal and advertising injury" arising out of a criminal act committed by or at the direction of the insured. e. Contractual Liability "Personal and advertising injury" for which the insured has assumed liability in a contract or agreement. This exclusion does not apply to liability for damages that the insured would have in the absence of the contract or agreement. f. Breach Of Contract "Personal and advertising injury" arising out of a breach of contract, except an implied contract to use another's "advertising Idea" in your "advertisement". g. Quality Or Performance Of Goods — Faiture To Conform To Statements "Personal and advertising injury" arising out of the failure of goods, products or services to conform with any statement of quality or performance made in your "advertisement". h. Wrong Description Of Prices "Personal and advertising injury" arising out of the wrong description of the price of goods, products or services. i- infringement Of Intellectual Property Rights "Personal and advertising injury" arising out of any violation of any intellectual property rights such as copyright, patent, trademark, trade name, trade secret, service mark or other designation of origin or authenticity. . However, this exclusion does not apply to infringement, in your "advertisement", of: (1) Copyright; (2) Slogan, unless the slogan is also a trademark, trade name, service mark or other designation of origin or authenticity; or (3) Title of any literary or artistic work_ j_ lnsureds In Media And Internet Type Businesses "Personal and advertising injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; (2) Designing or determining content of web sites for others; or (3) An Internet search, access, content or service provider. However, this exclusion does not apply to Paragraphs 17.a., b. and c. of "personal and advertising injury" underthe Definitions Section. For the purposes of this exclusion, placing an "advertisement" for or linking to others on your web site, by itself, Is not considered the business of advertising, broadcasting, publishing ortelecasting. k. Electronic Chatrooms Or Bulletin Boards "Personal and advertising injury" arising out of an electronic chatroom or bulletin board the insured hosts, owns, or over which the insured exercises control. I. Unauthorized Use Of Another's Name Or Product "Personal and advertising injury" arising out of the unauthorized use of another's name or product in your e-mail address, domain name or metatags, or any other similar tactics to mislead another's potential customers. m. Pollution "Personal and advertising Injury" arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of "pollutants" at anytime. n. Pollution -Related Any loss, cost or expense arising out of any: (1) Request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of, "pollutants"; or (2) Claim or suit by or on behalf of a governmental authority for damages because of. testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing; or in any way responding to, or assessing the effects of, .pollutants"- Page pollutants"_ Page 6 of IS NG 00 01 06 05 o. War "Personal and advertising injury", however caused, arising, directly or indirectly, out of: (1) War, including undeclared or civil war; (2) Warlike action by' a military force, including action in hindering or defending against an actual or expected attack, by any government, sovereign or other authority using military personnel or other agents; or (3) Insurrection, rebellion, revolution, usurped power, or action taken by governmental authority in hindering ordefending against any ofthese. p. Internet Advertisements And Content Of Others "Personal and advertising Injury" arising out of. (1) An "advertisement' for others on your web site; (2) Placing a link to a web site of others on your web site; (3) Content, including information, sounds, text, graphics, or images from a web site of others displayed within a frame or border on your web site; or (4) Computer code, software or programming used to enable: (a) Your web site; or (b) The presentation or functionality of an "advertisement" or other content on your web site. q. Right Of Privacy Created By Statute "Personal and advertising injury" arising out of the violation of a person's right of privacy created by any state or federal act_ However, this exclusion does not apply to liability for damages that the insured would have in the absence of such state or federal act. r. Violation Of Anti -Trust law "Personal and advertising Injury" arising out of a violation of any anti-trust law. s. Securities "Personal and advertising injury" arising out of the fluctuation in price or value of any stocks, bonds or other securities. t. Discrimination Or Humiliation "Personal and advertising injury" arising out of discrimination or humiliation committed by or at the direction of any "executive officer", director, stockholder, partner or member of the insured. u. Employment -Related Practices "Personal and advertising injury" to: (1) A person arising out of any "employment— related practices"; or HG 00 01 06 05 (2) The spouse, child, parent, brother or sister of that person as a consequence of "personal and advertising injury" to that person at whom any "employment-related practices" are directed. This exclusion applies; (1) Whether the insured may be liable as an employer or in any other capacity; and (2) To any obligation to share damages with or repay someone else who must pay damages because of the injury. v. Asbestos (1) "Personal and advertising injury" arising out of the "asbestos hazard". (2) Any damages, judgments, settlements, loss, costs or expenses that: (a) May be awarded or incurred by reason of any claim or suit alleging actual or threatened injury or damage of any nature or kind to persons or property which would not have occurred in whole or In part but for the "asbestos hazard"; (b) Arise out of any request, demand, order or statutory or regulatory requirement that any insured or others test for, monitor, clean up, remove, encapsulate, contbin, treat, detoxify or neutralize or in any way respond to or assess the effects of an "asbestos hazard"; or (c) Arise out of any claim or suit for damages because of testing for, monitoring, cleaning up, removing, encapsulating, containing, treating, detoxifying or neutralizing or in any way responding to or assessing the effects of an "asbestos hazard". COVERAGE C MEDICAL PAYMENTS 1. Insuring Agreement a. We will pay medical expenses as described below for "bodily Injury" caused by an accident: (1) On premises you own or rent; (2) On ways next to premises you own or rent; or (3) Because of your operations; provided that: (1) The accident takes place in the "coverage territory" and during the policy period; (2) The expenses are incurred and reported to us within three years of the date of the accident; and (3) The injured person submits to examination, at our expense, by physicians of our choice as often as we reasonably require. Page 7 of 18 b. We will make these payments regardless of fault_ These payments will not exceed the applicable limit of insurance. We will pay reasonable expenses for: (1) First aid administered at the time of an accident; (2) Necessary medical, surgical, x-ray and dental services, Including prosthetic devices; and (3) Necessary ambulance, hospital, professional nursing and funeral services. 2. Exclusions We will not pay expenses for "bodily injury": a. Any Insured To any insured, except "volunteer workers". b. Hired Person To a person hired to do work for or on behalf of any insured or a tenant of any insured_ c. injury On Normally Occupied Premises To a person injured on that part of premises you own or rent that the person normally occupies. d. Workers Compensation And Similar Laws To a person, whether or not an "employee" of any insured, if benefits for the "bodily injury" are payable or must be provided under a workers' compensation or disability benefits law or a similar law. e. Athletics Activities To a person injured while practicing, instructing or participating in any physical exercises or games, sports, or athletic contests. f. Products -Completed Operations Hazard Included within the "products -completed operations hazard". g. Coverage A Exclusions Excluded under Coverage A. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B 1. We will pay, with respect to any claim we investigate or settle, or any "suit" against an insured we defend: a. All expenses we incur. b. Up to $1,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do.not have to furnish these bonds. c. The cost of appeal bonds or bonds to release attachments, but only for bond amounts within the applicable limit of insurance. We do not have to furnish these bonds. d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. e. All costs taxed against the insured in the "suit". f. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make an offer to pay the applicable limit of insurance, we will not pay any prejudgment interest based on that period of time after the offer. g. All interest on the full amount of any judgment that accrues after entry of the judgment and before we have paid, offered to pay, or deposited in court the part of the judgment that is within the applicable limit of Insurance. These payments will not reduce the limits of insurance. 2. If we defend an Insured against a "suit" and an indemnitee of the insured is also named as a party to the "suit", we will defend that €ndemnitee if all of the following conditions are met: a. The "suit" against the indemnitee seeks damages for which the insured has assumed the liability of the indemnitee in a contract or agreement that is an "Insured contract"; b. This insurance applies to such liability assumed by the Insured; c. The obligation to defend, or the cost of the defense of, that indemnitee, has also been assumed by the insured in the same "insured contract"; d. The allegations in the "suit" and the information we know about the "occurrence" are such that no conflict appears to exist between the Interests of the insured and the interests of the indemnitee; e. The indemnitee and the insured ask us to conduct and control the defense of that indemnitee against such "suit" and agree that we can assign the same counsel to defend the insured and the indemnitee; and f. The indemnitee: (1) Agrees in writing to: (a) Cooperate with us in the investigation, settlement or defense of the "suit"; (b) immediately send us copies of any demands, notices, summonses or legal papers received in connection with the "suit"; (c) Notify any other insurer whose coverage is available to the indemnitee; and (d) Cooperate with us with respect to coordinating other applicable insurance available to the indemnitee; and (2) Provides us with written authorization to: (a) Obtain records and other information related to the "suit'; and (b) Conduct and control the defense of the indemnitee in such "suit". So long as the above conditions are met, attorneys' fees incurred by us in the defense of that indemnitee. Page 8 of 18 HG 00 01 06 05 necessary litigation expenses incurred by us and necessary litigation expenses incurred by the indemnitee at our request will be paid as Supplementary Payments. Notwithstanding the provisions of Paragraph 2.b.(2) of Section I — Coverage A — Bodily Injury And Property Damage Liability, such payments will not be deemed to be damages for "bodily injury" and "property damage" and will not reduce the limits of insurance. Our obligation to defend an insured's indemnitee and to pay for attorneys' fees and necessary litigation expenses as Supplementary Payments ends when: a. We have used up the applicable limit of insurance r�r in the payment of judgments or settlements; or o b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no o longer met_ N SECTION 11 — WHO IS AN INSURED 1. If you are designated in the Declarations as: a. An Individual, you and your spouse are insureds, but only with respect to the conduct of a business cv of which you are the sole owner. b. A partnership or joint venture, you are an insured_ Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business. c. A limited liability company, you are an insured_ Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. d. An organization other than a partnership, joint venture or limited liability company, you are an insured. Your "executive officers" and directors are insureds, but only with respect to their duties as your officers or directors. Your stockholders are also insureds, but only with respect to their liability as stockholders. e. A trust, you are an insured_ Your trustees are also insureds, but only with respect to their duties as trustees. 2. Each of the following is also an insured: a. Employees and Volunteer workers Your "volunteer workers" only while performing duties related to the conduct of your business, or 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), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business_ However-, none of these "employees" or "volunteer workers" are insureds for: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co -"employee" while in the course of his or her employment or performing duties related to the conduct of your business, or to your other "volunteer workers" while performing duties related to the conduct of your business; (b) To the spouse, child, parent, brother or sister of that co -"employee" or that "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which there Is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1)(a) or (b) above; or (d) Arising out of his or her providing or failing to provide professional health care services_ if you are not in the business of providing professional health care services, Paragraph (d) does not apply to any nurse, emergency medical technician or paramedic employed by YOU to provide such services. (2) "Property damage" to property: (a) Owned, occupied or used by, (b) Rented to, in the care, custody or control of, or over which physical control is _ being exercised for any purpose by you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company)_ b. Real Estate Manager Any person (other than your "employee" or "volunteer worker"), or any organization while acting. as your real estate manager. c. Temporary Custodians of Your Property Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Legal Representative If You Die Your legal representative if you die, but only with respect to duties as such. That representative will HG 00 01 Oe 05 Page 9 of 18 S. 4. -have all your rights and duties under this Coverage Part. e. Unnamed Subsidiary Any subsidiary, and subsidiary thereof, of yours which is a legally incorporated entity of which you own a financial interest of more than 501/6 of the voting stock on the effective date of the Coverage Part. The insurance afforded herein for any subsidiary not named in this Coverage Part as a named insured does not apply to injury or damage with respect to which an insured under this Coverage Part is also an insured under another policy or would be an insured under such policy but for Its termination or the exhaustion of its limits of insurance. Newly Acquired or Formed Organization Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain financial interest of more than 50% of the voting stock, 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 the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed before you acquired or formed the organization. Mobile Equipment With respect to "mobile equipment" registered In your name under any motor vehicle registration law, any person is an insured while driving such equipment along a public highway with your permission. Any other person or organization responsible for the conduct of such person is also an Insured, but only with respect to liability arising out of the operation of the equipment, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect to: a. "Bodily injury" to a co -"employee" of the person driving the equipment; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision_ 5. Nonowned Watercraft With respect to watercraft you do not own that is less than 51 feet long and is not being used to carry persons for a charge, any person is an insured while operating such watercraft with your permission. Any other person or organization responsible- for the conduct of such person is also an insured, but only with respect to [lability arising out of the operation of the watercraft, and only if no other insurance of any kind is available to that person or organization for this liability. However, no person or organization is an insured with respect -to: a. "Bodily injury" to a co -"employee" of the person operating the watercraft; or b. "Property damage" to property owned by, rented to, in the charge of or occupied by you or the employer of any person who is an insured under this provision. 6. Additional Insureds When Required By Written Contract, Written Agreement Or Permit The following person(s) or organization(s) are an additional insured when you have agreed, in a written contract, written agreement or because of a permit issued by a state or political subdivision, that such person or organization be added as an additional insured on your policy, provided the injury or damage occurs subsequent to the execution of the contract or agreement_ A person or organization is an additional insured under this provision only for that period of time required by the contract or agreement. However, no such person or organization is an insured under this provision if such person or organization is included as an insured by an endorsement issued by us and made a part ofthis Coverage Part. a. Vendors Any person(s) or organization(s) (referred to below as vendor), 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 and only if this Coverage Part provides coverage for "bodily injury" or "property damage" Included within the "products - completed operations hazard"_ (1) The insurance afforded the vendor is subject to the following additional exclusions: This insurance does not apply to: (a) '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 liability for damages that the vendor would have in the absence of the contract or agreement; Page 10 of 18 HG 00 01 06 05 (b) Any express warranty unauthorized by you; (c) Any physical or chemical change in the product made intentionally by the vendor; (d) 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; (e) 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 �n connection with the distribution or sale of the products; (f) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's premises in connection with the sale of the product; car (g) Products which, after distribution or sale by 'n you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the o vendor; or 0 (h) "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: (i) The exceptions contained in Sub- paragraphs (d) or (f); or _ (ii) 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. (2) This insurance does not apply to any insured person or organization, from whom you have acquired such products, or any ingredient, part or container, entering into, accompanying or containing such products. b. Lessors of Equipment (1) Any person or organization from whom you tease equipment; but only with respect to their 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 or organization. (2) With respect to the insurance afforded to these additional insureds this insurance does not apply to any "occurrence" which takes place after the equipment lease expires. c. Lessors of Land or Premises Any person or organization from whom you lease land or premises, but only with respect to liability arising out of the ownership, maintenance or use of that part of the land or premises leased to you. With respect to the insurance afforded these additional insureds the following additional exclusions apply: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to lease that land; or 2. Structural alterations, new construction or demolition operations performed by or on behalf of such person or organization_ d. Architects, Engineers or Surveyors Any architect, engineer, or surveyor, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or In part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) in connection with your premises; or (2) In the performance of your ongoing operations performed by you or on your behalf. With respect to the insurance afforded these additional insureds, the following additional exclusion applies: This insurance does not apply to "bodily injury", "property damage" or "personal personal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, including: 1. The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or 2. Supervisory, inspection, architectural or engineering activities. e. Permits issued By State Or Political Subdivisions Any state or political subdivision, but only with respect to operations performed by you or on your behalf for which the state or political subdivision has issued a permit. With respect to the insurance afforded these additional insureds, this insurance does not apply to: (1) "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the state or municipality; or (2) "Bodily injury" or "property damage" included within the "products -completed operations hazard"_ FIG 00 01 06 05 Page 11 of 18 Any Other Party Any other person or organization who is not an insured under Paragraphs a. through e. above, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: (1) in the performance of your ongoing operations; (2) In connection with your premises owned by or rented to you; or „ (3) In connection with "your work" and included within the "products -completed operations hazard", but only if (a) The written contract or agreement requires you to provide such coverage to such additional insured; and (b) This Coverage Part provides coverage for "bodily injury" or "property damage" included within the "products -completed operations hazard". With respect to the insurance afforded to these additional insureds, this insurance does not apply to: "Bodily Injury", "property damage" or "personal and advertising injury" arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or - (2) Supervisory, inspection, architectural or engineering activities. The limits of insurance that apply to additional insureds under this provision is described in Section III — Limits Of insurance. How this insurance applies when other insurance Is available to the additional insured is described in the Other Insurance Condition in Section IV — Commercial General Liability Conditions. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liabilitycompany that Is not shown as a Named Insured in the Declarations. SECTION 111 — LIMITS OF INSURANCE 1. The Most We will Pay The Limits of Insurance shown In the Declarations and the rules below fix the most we will pay regardless of the number of: a. Insureds; b. Claims made or "suits" brought; or c. Persons or organizations making claims or bringing "suits". 2. General Aggregate Limit The General Aggregate Limit is the most we will pay forthe sum of_ a. Medical expenses under Coverage C; b. Damages under Coverage A, except damages because of "bodily injury" or "property damage" included in the "products -completed operations hazard"; and c. Damages under Coverage B. 3. Products -Completed Operations Aggregate Limit The Products -Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of "bodily injury" and "property damage" included in the "products -completed operations hazard". 4. Personal and Advertising Injury Limit Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all "personal and advertising injury" sustained by any one person or organization. 5. Each Occurrence Limit Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of: a. Damages under Coverage A; and b. Medical expenses under Coverage C because of all "bodily injury" and "property damage" arising out of any one "occurrence". 6. Damage To Premises Rented To You Limit Subject to S. above, the Damage To Premises Rented To You Limit is the most we will pay under Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, lightning or explosion, while rented to you or temporarily occupied by you with permission of the owner_ In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To You Limit applies to all damage proximately caused by the same event, whether such damage results from fire, lightning or explosion or any combination of these. 7_ Medical Expense Limit Subject to 5. above, the Medical Expense Limit is the most we will pay under Coverage C for all medical expenses because of "bodily injury" sustained by any one person. 8. How Limits Apply To Additional Insureds If you have .agreed in a written contract or written agreement that another person or organization be Page 12 of 18 HG 00 01 06 05 added as an additional insured on your policy, the most we will pay on behalf of such additional insured is the lesser of: a. The limits of insurance specified in the written contract orwritten agreement; or b. The Limits of Insurance shown in the Declarations. Such amount shall be a part of and not in addition to Limits of Insurance shown in the Declarations and described in this Section. The Limits of Insurance of this Coverage Part apply separately to each consecutive annual period and to any cv remaining period of fess than 12 months, starting with the beginning of the policy period shown in the Declarations, o unless the policy period is extended after issuance for an additional period of less than 12 months. In that case, the additional period will be deemed part of the last preceding period for purposes of determining the Limits of Insurance. SECTION IV – COMMERCIAL GENERAL LIABILITY CONDITIONS 1. Bankruptcy Bankruptcy or insolvency of the insured or of the o insured's estate will not relieve us of our obligations under this Coverage Part_ x 2. Duties In The Event Of Occurrence, Offense, Claim _ Or Suit r— a. Notice Of Occurrence Or Offense You or any additional insured must see to it that we are notified as soon as practicable of an "occurrence" or an offense which may result in a claim_ To the extent possible, notice should include: (1) How, when and where the "occurrence" or offense took place; (2) The names and addresses of any injured persons and witnesses; and (3) The nature and location of any injury or damage arising out of the "occurrence" or offense. e b. Notice Of Claim If a claim is made or "suit" is brought against any Insured, you or any additional insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify u5 as soon as practicable. You or any additional insured must see to It that we receive written notice of the claim or "suit" as soon as practicable. c. Assistance And Cooperation Of The Insured You and any other Involved Insured must: (1) Immediately send us copies of any demands, notices, summonses or legal papers received in connection with the claim or "suit", (2) Authorize us to obtain records and other information; (3) Cooperate with us in the investigation or settlement of the claim or defense against the "suit"; and (4) Assist us, upon our request, in the enforcement of any right against any person or organization which may be liable to the insured because of injury or damage to which this insurance may also apply. d. Obligations At The Insureds Own Cost No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent. e. Additional Insureds Other Insurance If we cover a claim or "suit" under this Coverage Part that may also be covered by other insurance available to an additional insured, such additional insured must submit such claim or "suit" to the other insurer for defense and indemnity. However, this provision does not apply to the extent that you have agreed in a written contract or written agreement that this insurance is primary and non-contributory with the additional Insured's own insurance. f. Knowledge Of An Occurrence, Offense, Claim Or Suit Paragraphs a. and b. apply to you or to any additional Insured only when such "occurrence", offense, claim or"suit" is known to: (1) You or any additional insured that is an Individual; (2) Any partner, if you or an additional insured is a partnership; (3) Any manager, if you or an additional insured is a limited liability company; (4) Any "executive officer" or Insurance manager, if you or an additional insured Is a corporation; (6) Any trustee, if you or an additional insured is a trust; or (6) Any elected or appointed official, if you or an additional insured is a political subdivision or public entity. This duty applies separately to you and any additional insured. 3. Legal Action Against Us No person or organization has a right under this Coverage Part: a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured, or b. To sue us on this Coverage Part unless all of its terms have been fully complied with_ A person or organization may sue us to recover on an agreed settlement or an a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this Coverage Part or HG 00 01 06 06 Page 13 of 18 that are in excess of the applicable limit of insurance. (7) When You Add Others As An Additional An agreed settlement means a settlement and release Insured To This Insurance of liability signed by us, the insured and the claimant or Any other insurance available to an additional the claimant's legal representative. insured. 4. Other insurance However, the following provisions apply to other if other valid and collectible insurance is available to insurance available to any person or the insured for a loss we cover under Coverages A or organization who is an additional insured under B of this Coverage Part, our obligations are limited as this coverage part. follows: (a) Primary Insurance When Required By a. Primary Insurance Contract This insurance is primary except when b. below This insurance is primary if you have agreed applies. If other insurance is also primary, we will in a written contract or written agreement share with all that other insurance by the method that this insurance be primary_ If other described in c. below. insurance_ is also primary, we will share with b_ Excess Insurance all that other insurance by the method described in c. below. This insurance is excess over any of the other (b) Primary And Non -Contributory To Other insurance, whether primary, excess, contingent or insurance When Required By Contract on any other basis: (1) Your Work - If you have agreed in a written contract, written agreement, or permit that this That is Fire, Extended Coverage, Builder's Risk, insurance is primary and non-contributory installation Risk or similar coverage for "your with the additional insured's own insurance, work"; this insurance is primary and we will not (2) Premises Rented To You seek contribution from that other insurance. That is fire, lightning or explosion insurance for Paragraphs (a) and (b) do not apply to other premises rented to you or temporarily occupied insurance to which the additional ,insured has by you with permission of the owner; been added as an additional insured_ (3) Tenant Liability When this insurance is excess,.we will have no That is insurance purchased by you to cover duty under Coverages A or B to defend the Insured your liability as a tenant for "property damage" against any "suit" if any other insurer has a duty to "suit". to premises rented to you or temporarily defend the insured against that If no other occupied by you with permission of the owner; insurer defends, we will undertake to do so, but we will be entitled to the insured's rights against a❑ 4 Aircraft, Auto Or Watercraft ( ) those other insurers_ If the loss arises out of the maintenance or use When this insurance is excess, over other of aircraft, "autos" or watercraft to the extent not insurance, we will pay only our share of the.amount subject to Exclusion g. of Section I — Coverage of the loss, if any, that exceeds the sum of: A — Bodily Injury And Property Damage Liability; (1) The total amount that all such other insurance (5) Property Damage to Borrowed Equipment Or would pay for the loss in the absence of this Use Of Elevators insurance; and If the loss arises out of "property damage" to (2) The total of all deductible and self-insured borrowed equipment or the use of elevators to amounts under all that other insurance. the extent not subject to Exclusion j. of Section 1 We will share the remaining loss, if any, with any - Coverage A - Bodily injury And Property other insurance that is not described in this Excess Damage Liability; Insurance provision and was not bought specifically (6) When You Are Added As An Additional to apply in excess of the Limits of Insurance shown Insured To Other Insurance in the Declarations of this Coverage Part. Any other insurance available to you covering c. Method Of Sharing liability for damages arising out of the premises If all of the other insurance permits contribution by or operations, or products and completed equal shares, we will follow this method also. Under operations, for which you have been added as this . approach each insurer contributes equal an additional insured by that insurance; or amounts until it has: paid its applicable limit of insurance or none of the loss remains, whichever comes first. Page 14 of 18 HG 00 01 06 05 a 6. 0 N i< 7. If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this method, each insurer's share is based on the ratio of its applicable limit of insurance, to the total applicable iimits of insurance of all insurers. Premium Audit a. We will compute all premiums for this Coverage Part in accordance with our rules and rates_ b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit period we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill_ If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured. c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request. Representations a. When You Accept This Policy By accepting this policy, you agree: (1) The statements in the Declarations are accurate and complete; (2) Those statements are based upon representations you made to us; and (3) We have issued this policy in reliance upon your representations. IJ- Unintentional Failure To Disclose Hazards. If unintentionally you should fail to disclose all hazards relating to the conduct of your business that exist at the inception date of this Coverage Part, we shall not deny coverage under this Coverage Part because of such failure. Separation Of insureds Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies: a. As if each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim is made or "suit" is brought. Transfer. Of Rights Of Recovery Against Others To Us a. Transfer of Rights Of Recovery If the insured has rights to recover all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them. b. Waiver Of Rights Of Recovery (Waiver Of Subrogation) If the insured has waived any rights of recovery against any person or organization for all or part of any payment, including Supplementary Payments, we have made under this Coverage Part, we also waive that right, provided the insured waived their rights of recovery against such person or organization in a contract, agreement or permit that was executed prior to the injury or damage. 9. When We Do Not Renew If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date_ If notice is mailed, proof of mailing will be sufficient proof of notice.. SECTION V — DEFINITIONS 1. "Advertisement" means the widespread public dissemination of information or images that has the purpose of inducing the sale of goods, products or services through: a. (1) Radio; (2) Television; (3). Billboard; (4) Magazine; (5) Newspaper; or b. Any other publication that is given widespread public distribution. However, "advertisement" does not include: a. The design, printed material, information or images contained in, on or upon the packaging or labeling of any goods or products; or b. An interactive conversation between or among persons through a computer network. 2. "Advertising idea" means any idea for an "advertisement". 3. "Asbestos hazard" means an exposure or threat of exposure to the actual or alleged properties of asbestos and includes the mere presence of asbestos in any form_ 4. "Auto" means a land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment. But "auto" does not include "mobile equipment`_ 5. "Bodily injury" means physical: a. Injury; b. Sickness; or G. Disease sustained by a person and, if arising out of the above, mental anguish or death at anytime. HG 00 01 06 05 Page 15 of 18 6. "Coverage territory" means: a. The United States of America (including its territories and possessions), Puerto Rico and Canada; b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in a. above; or c. All other parts of the world if the injury or damage arises out of: (1) Goods or products made or sold_ by you in the territory described in a. above; (2) The activities of a person whose home is in the territory described in a. above, but is away for a short time on your business; or (3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of communication provided the insured's responsibility to pay damages is determined In the United States of America (including its territories and possessions), Puerto Rico or Canada, in a "suit" on the merits according to the substantive law in such territory or in a settlement we agree to. 7. "Employee" Includes a "leased worker". "Employee" does not include a 'temporary worker". 8. "Employment -Related Practices" means: a. Refusal to employ a person; b. Termination of a person's employment; or c. Employment-related practices, policies, acts or omissions, such as coercion, demotion, evaluation, reassignment, discipline, defamation, harassment, humiliation or discrimination directed at a person. 9. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, by-laws or any other similar governing document. 10."Hostile fire" means one which becomes uncontrollable or breaks out from where it was intended to be. 11. "Impaired property" means tangible property, -other than "your product" or "your work", that cannot be used or is less useful because: a. It incorporates "your product" or "your work" that is known or thought to be defective,. deficient, inadequate or dangerous; or b. You have failed to fulfill the terms of a contract or agreement; If such property can be restored to use by: a. The repair, replacement, adjustment or removal of .,your product" or "your work"; or b. Your fulfilling the terms of the contract or agreement. 12. "Insured contract" means: 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 or explosion to premises while rented to you or temporarily occupied by you with permission of the owner is subject to the Damage to Premises Rented To You Limit described in Section III — Limits of insurance; b. A sidetrack agreement; c. Any easement or license agreement, including an easement or license agreement in connection with construction or, demolition operations on or within 50 feet of a railroad; d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a municipality; e. An elevator maintenance agreement; f. That part of any other contract or agreement pertaining to your business (including an indemnification of a municipality in connection with work performed for a municipality) under which you assume the tort liability of another party to pay for "bodily injury" or "property damage" to a third person or organization, provided. the "bodily injury" or "property damage" Is caused, in whole or in part, by you or by those acting on your behalf. Tort liability means a liability that would be imposed by law in the absence of any contract or agreement - Paragraph f. greement_Paragraphf. includes that part of any contract or agreement that indemnities a railroad for "bodily injury" or "property damage" arising out of construction or demolition operations, within 50 feet of any railroad property and affecting any railroad bridge or trestle, tracks, road -beds, tunnel, underpass or crossing. However, Paragraph f. does not include that part of any contract or agreement: (1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of: (a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Giving directions or instructions, or failing to give them, if that Is the primary cause of the injury or damage; or (2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage arising out of the insured's rendering or failure to render professional services, including those listed in (1) above and supervisory, inspection, architectural or engineering activities. 13 -"Leased worker" means a person leased to you by a labor leasing firm under an agreement between you and the labor leasing firm, to perform duties related to the conduct of your business. "Leased worker" does not include a "temporary worker". 14."Loading or unloading" means the handling of property: a. After it is moved from the place where it is accepted for movement into or onto an aircraft, watercraft or "auto"; Page 16 of 18 HG 00 01 06 05 <n 0 l b. While it is in or on an aircraft, watercraft or "auto"; ar c. While it is being moved from an aircraft, watercraft or "auto" to the place where it is finally delivered; but "[oading or unloading" does not include the movement of property by means of a mechanical device, other than a hand truck, that is not attached to the aircraft, watercraft or "auto". 15."Mobile equipment" means any of the following types of land vehicles, including any attached machinery or equipment: a. Bulldozers, farm machinery, forklifts and other vehicles designed for use principally off public roads; b. Vehicles maintained for use solely on or next to premises you own or rent; c. Vehicles that travel on crawler treads; d. Vehicles, whether self-propelled or not, maintained primarily to provide mobility to permanently mounted: (1) Power cranes, shovels, loaders, diggers or drills; or - (2) Road construction or resurfacing equipment such as graders, scrapers or rollers,- e. ollers;e. Vehicles not described in.a., b., c. or d. above that are not self-propelled and are maintained primarily to provide mobility to permanently attached equipment ofthe following types: (1) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment; or (2) Cherry pickers and similar devices used to raise or lower workers; f- Vehicles not described in a., b., c. or d. above maintained primarily for purposes other than the transportation of persons or cargo. However, self-propelled vehicles with the following types of permanently attached equipment are not "mobile equipment" but will be considered "autos": (1) Equipment, of at least 1,000 pounds gross vehicle weight, designed primarily for: (a) Snow removal; (b) Road maintenance, but not construction or resurfacing; or (c) Street cleaning; (2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower workers; and (3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical exploration, lighting and well servicing equipment. HG 00 01 06 05 16- "Occurrence" means an accident, including continuous or repeated exposure to substantially the same general harmful conditions_ 17."Personal and advertising injury" means injury, including consequential "bodily injury", arising out of one or more of the following offenses: a. False arrest, detention or imprisonment; b. Malicious prosecution; c. The wrongful eviction from, wrongful entry into, or invasion of the right of private occupancy of a room, dwelling or premises that a person occupies, committed by or on behalf of its owner, landlord or lessor; d. Oral, written or electronic publication of material that slanders or libels a person or organization or disparages a person's or organization's goods, products or services; e. Oral, written or electronic publication of material that violates a person's right of privacy; f. Copying, in your "advertisement", a person's or organization's "advertising idea" or style of "advertisement"; g. Infringement of copyright, slogan, or title of any literary or artistic work, in your "advertisement"; or In. Discrimination or humiliation that results In injury to the feelings or reputation of a natural person. 18."Pollutants" mean any solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste. Waste Includes materials to be recycled, reconditioned or reclaimed. 18. "Prod ucts-completed operations hazard": a. includes all "bodily injury" and "property damage" occurring away from premises you own or rent and arising out of "your product" or "your work" except: (1) Products that are 'still in your physical possession; or (2) Work that has not yet been completed or abandoned. However, "your work" will be deemed completed at the earliest of the following times: (a) When all of the work called for in your contract has been completed. (b) When all of the work to be done at the job site has been completed if your contract calls for work at more than one job site. (c) When that part of the work done at a job s has been put to its intended use by any person or organization other than another contractor or subcontractor working on the same project. Work that may need service, maintenance, correction, repair or replacement, but which is otherwise complete, will be treated as completed. Page 17 of 18 b. Does not include "bodily injury" or "property damage" arising out of: (1) The transportation of property, unless the injury or damage ar€ses'out of a condition in or on a vehicle not owned or operated by you, and that condition was created by the "loading or unloading" of that vehicle by any insured; (2) The existence of tools, uninstalled equipment or abandoned or unused materials; or (3) Products or operations for which the classification, listed in the Declarations or In a policy . schedule, states that products - completed operations are subject to the General Aggregate Limit. 20."Property damage" means: a. Physical injury to tangible property, including all resulting loss of use of that property. All such loss of.use shall be deemed to occur at the time of the physical injury that caused it; or b. Loss of use of tangible property that is not physically injured. All such loss of use shall be deemed to occur at the time of the "occurrence" that caused it. As used in this definition, computerized or electronically stored data, programs or software are not tangible property. Electronic data means information, facts or programs: a. Stored as or on; b. Created or used on; or c. Transmitted to orfrom; computer software, including systems and applications software, hard or floppy disks, CD- ROMS, tapes, drives, cells, data processing devices or any other media which are used with electronically controlled equipment. 21. "Suit" means a civil proceeding in which damages because of "bodily injury", "property damage" or "personal and advertising injury" to which this insurance applies are alleged. "Suit' includes: a. An arbitration proceeding Inwhichsuch damages are claimed and to which the insured must submit or does submit with our consent, or b. Any other alternative dispute resolution proceeding in which such damages are claimed and to which the insured submits with .our consent. 22."Temporary worker" means a person who is furnished to you to substitute for a permanent "employee" on leave or to meet seasonal or short- term workload conditions. 23."Volunteer worker" means a person who a. Is not your "employee"; b. Donates his or her work; c. Acts at the direction of and within the scope of duties determined by you; and d. Is not paid a fee, salary or other compensation by you or anyone else for their work performed for you 24."Your product": a. Means: (1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by: (a) You; (b) Others trading under your name; or (c) A person or organization whose business or assets you have acquired; and (2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or products. b. Includes (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your product'; and . (2) The providing of or failure to provide warnings or instructions. c. Does not include vending machines or other property rented to or located for the use of others but not sold. 25. "Your work": a. Means: (1) Work or operations performed by you or on your behalf; and (2) Materials, parts or equipment furnished in connection with such work or operations. b. Includes (1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance or use of "your work", and (2) The providing of or failure to provide warnings or instructions_ Page 18 of 18 HG 00 01 06 05 AG OROCERTIFICATL JF LIABILITY INSURANC CSR HR DATE(MM/DDIYYV) _ TECHN-1 04 30 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION R. C. Fischer 6 CO. .�(! 'a C�(�' C 6 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 8101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek CA 94596-8101 Phone: 925-932-7823 Fax:925-932-0962 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Employara compensation xm Co INSURER B: TaChn0logy Unllmi ted =nC . B111 VannOt INSURER C' - 1179 AndoVar Park West Tukwila WA 98188 INSURER D: INSURER E: COVEIZAC�F4 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN,REDUCED BY PAID CLAIMS - LTR I=CLTYPE OF INSURANCE POLICY NUMBERDATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE [:7] OCCUR PREMISES Ea occurence) $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN -L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ IF, accident) ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS p 4 V pR `, y ul' )BODILY AS �' i' TO� BODILY INJURY $ (Per person) INJURY (Par accident) $ PROPERTY DAMAGE $ (Par accident) - GARAGE LIABILITY ANY AUTO 4's r 8 S f /if Spee ant City /fOi ey AUTO ONLY - EA ACCIDENT $ OTHER T AN EA ACC $ AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY R/ ANY PROPRIETOPARTNER/EXECUTIVE HW03073.5607 05/03/09 05/03/10 T X TORY LIMITS ER E.L. EACH ACCIDENT $1r r 000 000 E.L. DISEASE - EA EMPLOYEE OFFICER/MEMBER EXCLUDED? If yes, tlescba under SPECIn AL PROVISIONS below --- -- -- E.L- DISEASE - POLICY LIMIT $ 3_000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 day notice in the event o£ cancellation £or non-payment O£ premium l_CRIII'1lrHIC RVLUCR GANGCLLJ4I IVN SANTA— H SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL C1ty O£ Santa Ana Attn: Vargas IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR M1rella 20 Citic Canter Plaza REPRE ENTATIVES. Santa Ana CA 92701 A IZED EPRES NT ACORD 25 (2001/08) © ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACCORD 25 (2001 MEMORANDU To: LAU EEDY �� Date: 08�7 From: MIRELLA VARGAS-FINANCE-TREASURY Subject: Technology Unlimited Inc N-2004-018 CERTIFICATE OF INSURANCE F 2 APPROVA�PFOR TECHNOLOGY UNLIMITED MIRELLA VARGAS #6576 M-14 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/02009) PRODUCER (:425:)455-5640 FAX (4253455-6727 Baldwin Resource Group, Inc. 08/05/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE /`\ / f� Bellevue, 84WA 98009 A' _ �C) 7 — Lj f� EXTEND OR ALTER RT EHC COVERAGE AFFORDED BIS CERTIFICATE DOES YTHEHE POLICIES ES BELOW. POLICY EFFECTIVE INSURERS AFFORDING COVERAGE NAIC # INSURED Tec no ogy Un lmlte IAC 1179 Andover Park W Tukwila, WA 98188 INSURER A: American States Ins Co INSURER B: INSURER OICI26415 502 INSURER D: 08/04/2010 INSURER E 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ITE IMMILHWLn LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE r OCCUR OICI26415 502 08/04/2009 08/04/2010 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED $ ]L,000,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY S 1,000,00 GENERAL AGGREGATE. $ 2,000.000 GEN, AGGREGATE LIMIT APPLIES PER: POLICY jE O X LOC PRODUCTS - COMP/OP AGG $ 2,000,000 AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS 24CC27258902 08/04/2009 08/04/2010 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,000 A SCHEDULED AUTOS HIRED AUTOS T� O V A�r �v v e ,• AS T" 1J c 1 � �➢`") BODILY INJURY $ (Per person) X NON -OW NED AUTOS ,.� .� -� BODILY INJURY (Per accident) $ X PROPERTY DAMAGE $ (Per accident) ,/LSJ➢- Stitt Se y GARAGE LIABILITY A Cc'7Rt Ctt it}/ rn`--�' AUTO ONLY - EA ACCIDENT $ ANY AUTO OT.IER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY X OCCUR CLAIMS MADE OISU41486201 08/04/2009 08/04/2010 EACH OCCURRENCE S 4.000,006 AGGREGATE $ 4,000,000 DEDUCTIBLE X I RETENTION S 10,000S A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERWEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER OICI26415 502 WA STOP GAP 08/04/2009 08/04/2010 WC STATU- -R7-.TR H - EL EACH ACCIDENT S 1,000,006 EL. DISEASE - EA EMPLOYEE $ 1 , 000 , 000 E.L. DISEASE - POLICY LIMIT $ 1 , 000, 00 WESCRIPJION OF PERATIONS / LOCATIONS / VEHI L ,R /EXCLUSIONS ADDED BY EN RSEMENT / SPECI PROVISIONS e City o Santa Ana, Its of€kers, agents, volunteers an representatives are primary additional aspect to liability arising out of the operations by or on behalf of the named insured. Primary Additional Insured per form CG7680 10/02 and CG7635 02/07. -10 days notice for non payment CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Santa Ana 30'' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Attn : Mi rel l a Vargas BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 20 Civic Center Plaza Santa Ana, CA 92701 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kevin Lane/ANN --- — (cUU--.1 . i v+i - w» ©ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. MI+V RIJ C� �GVVI/V8) REPRINTED FROM THE FORMS LIBRARY CG 76 80 10 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies .insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Blanket Per Certificates on file (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 — WHO IS AN INSURED is amended to include as an additional insured the person or organization shown in the Schedule subject to the following provisions: 1. The additional insured is an insured but only for liability directly resulting from: a. your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b. the general supervision of your ongoing op- erations by the additional insured. 2- This insurance does not apply to: a. "Bodily injury" or `property damage" arising out of any act or omission of, or for defects in design furnished by or for, the additional insured or b. "Bodily injury" or "property damage- in- cluded within the "products -completed oper- ations hazard." A person's or organization's status as an additional insured under this endorsement ends when your op- erations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. Tho insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy, or b. The coverage and/or limits required by the contract, agreement or permit. With respect to the insurance afforded the additional insured, paragraph 4. of SECTION IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following: 41 Other Insurance �� a. This insurance is primary and noncontrib- utory, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or "suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". b. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment. CG 76 80 10 02 EP "" REPRINTED FROM THE FORMS LIBRARY "-- COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Blanket= - Per Certificates on file ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The following paragraph is added to WHO IS AN any "occurrence" which takes place INSURED (Section II): after you cease to be a tenant in any premises leased to or rented to 4. Any person or organization shown in the Sched- you; ule or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, new con - is an insured, subject to the following additional struction or demolition operations provisions: performed by or on behalf of the a. The contract, agreement or permit must be person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing operations for that in- cuted prior to the "bodily injury", "property sured, whether the work is performed damage", or "personal and advertising by you or for you; injury". b. The person or organization added as an in- (3) The maintenance, operation or use by you of equipment leased to you by such sured by this endorsement is an insured only person or organization, subject to the to the extent you are held liable due to: following additional provisions: (1) The ownership, maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence" which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 of 4 - EP " REPRINTED FROM THE FORMS LIBRARY' - (b)-' (b) This insurance does not apply to "bodily injury" or "property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations per -formed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", "property damage", or `personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by, this endorsement does not apply to "bodily injury", 'property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage" included within the -products-completed operations haz- ard". A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you_ Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an `auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) `Bodily injury" or `property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion J. of Coverage g. "Bodily injury" or "property damage" arising A. Section I is replaced by the following: out of the ownership, maintenance, use or j. Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including ation and `loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 " REPRINTED FROM THE FORMS LIBRARY" any other person, organization or entity, for repair, replacement, enhancement, restora- tion or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the `property damage" arises out of those operations, or (6) That particular part of any property that must. be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to `property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are `your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a side- track agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products - completed operations hazard Paragraph 6. of LIMITS OF INSURANCE (Section III) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. WHO IS AN INSURED — MANAGERS The following is added to Paragraph 2.a. of WHO IS AN INSURED (Section II): Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B — BAIL BONDS — TIME OFF FROM WORK Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or suit", including actual loss of earnings up to $500 a day because of time off from work. EMPLOYEES AS INSUREDS — HEALTH CARE SERVICES Provision 2_a.(1)(d) of WHO IS AN INSURED (Section II) is deleted, unless excluded by separate endorse- ment. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 3.a. of WHO IS AN INSURED (Section II) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section 1) is replaced by the following: a. "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. GG 76 35 02 07 Page 3 o1 4 EP " REPRINTED FROM THE FORMS LIBRARY--- EXTENDED IBRARY"" EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV): We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or. "your work" done under a contract with that person or organization and included it the "products -completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion 111) apply separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "occurrence", claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 .4coRo CERTIFICATE OF LIABILITY INSURANCE OP ID HR DATE (MM/DD/YYYY) 1 TECHN-1 05/02/11 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION TYPE OF INSURANCE ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE a. C. Fischer 6 CO _ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.0 . Box 8101 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Walnut Creek CA 94596-8101 GENERAL LIABILITY Phone: 925-932-7823 Fax: 925-932-0962 INSURERS AF�I�IfRE NG COVER?MEc. NAIC# INSURED INSURER A: Empl Dyers compensation xna Co INSURER B: - - Technology Un11m1ted, Ino. Bill Vannat INSURER - 1179 AT1dOV4a= Park West Tukwila WA 98188 INSURER D: INSURER E: PERSONAL & ADV INJURY 3 [-I- T E KI 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER PLI C Y F TIV DATE MM/DD/YY P LI Y EXPIRATI N DATE MM/DD/YY LIMITS REPRE ENTATIVES. A IZED EPRES NT V GENERAL LIABILITY EACH OCCURRENCE $ TO PREMISES (Ea occurance $ COMMERCIAL GENERAL LIABILITY CLAIMS MADE =] OCCUR MED EXP (Any one parson) $ PERSONAL & ADV INJURY 3 GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PO- JERCT F LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) BODILY INJURY $ (Per person) ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per accident) HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO AUTO ONLY. AGG $ EXCESS/ UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOWPARTNEWEXECUTIVE FNO30715609 05/03/11 05/03/12 TORY LIMITS ER E.L. EACH ACCIDENT S1,000,000 E.L. DISEASE EA EMPLOYEE $ 1 r 600, 000 OFFICER/MEMBER EXCLUDED? yes, AL PR a under S SPECIAL PROVISIONS below E . DISEASE POLICY LIMIT 1 $1,000,000 OTHER DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS - -'-�- --? *10 day notice in the event O£ cancellation £o= non-payment O£ p=eznium LJauezl SL:Li Sly - ASSLSLanI. C;iLy Attorney CERTIFICATE HOLDER - CANCELLATION SANTA -8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL -30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL C:L ty O£ Santa Ana Attn: Mi=elle Vargas IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 20('1VSC Cantor= Plaza REPRE ENTATIVES. A IZED EPRES NT V Sata Ana CA 92701 Sam. ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement_ A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. AGVKU Z5 (ZOO'1/O25) ACORO CERTIFICATE OF LIABILITY INSURANCE DATE 1-1601-0—'1 7/22/201 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Baldwin Resource Group, a member co. o£ The Partners Group w/� OOO �_O/� PO BOX 1646 AV o0 Bellevue WA 96009 CONTACT Aaron Avila NAME: PHONE(425)455-5640 Fnx (425) 455-6727 E-MAIL .aavila@baldwinrgi. com INSURERS AFFORDING COVERAGE NAIL# INSURER A jime=1Can States Ins CO 19704 INSURED TECHNOLOGY UNLIMITED SNC 117 9 ANDOVER PARK W TUKWIT,n WA 96166 INSURER B:Gene=al Ins CO. O£ America 24732 INSURER C: INSURER D; INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 GI, XS SG REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE POLICY NUMBER MM-UY/YYYFY MMMUYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ X, 000,000 X COMMERCIAL GENERAL LIABILITY DA WE PREMISES Ea current $ X'000'000 A CLAIMS -MADE XO OCCUR 10126415530 /4/2011 /4/2012 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN -L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINEDSINGLE LIMIT d'MX'000'000 BODILY INJURY (Per person) $ B X ANY AUTO BODILY INJURY(Per accident) $ ALL OWNEDSCHEDULED 4CC27258920 /4/2011 /4/2012 AUTOS AUTOS NON -OWNED X HIRED AUTOS X AUTOS PROPERTY DAMAGE $ (Per n Medical --l. $ 5 000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A ][ EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,00 $ XSU41486220 /4/2011 /4/2012 A WORKERS COMPENSATION WC STATUSOTH- AND EMPLOYERS' LIABILITY Y / NFIR AND E.L. EACH ACCIDENT $ 1 000 000 ANY PROPRIETOR/PARTNER/EXECUTIVE M EXCLUDED? (MandMOry In NH I N/A IC126415530 /4/2011 /4/2012 E.L. DISEASE - EA EMPLOYE $ 1_000,000 If yes, describe untler ._a6.SCRl PT1fJN-pr JnSGn.ZCJ,LS behaa• E.L. DISEASEPOLICYLIMIT$ 7 _T_, _1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace is required) The City o£ Santa Ana, Its o££icers, agent., volunteers and rap=es.. tatives are primary additional respect to liability arising out of the operations by or on behalf: o£ the named insured as par attached CG 7635 and C07680 APPROVED AS -TO FORM (714) 647-5304 Assistant CitY Attorney City o£ Santa Ana Attn: Mi=ella Vargas 20 Civic Canter Plaza Santa Ana, CA 92701 25 (201 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lane/VICKY © 1988-2010 ACORD CORPORATION. All rights reserved. INS025r,n,nnsl m Thu ACf1Rn . . —A 1...... aro ro icls. A -i ,.a Ar`rlRn —'REPRINTED FROM TRE FORMS LIBRARY.... COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN CONTRACT, AGREEMENT OR PERMIT, OR lease or occupy, subject to the following SCHEDULE additional provisions: The following paragraph is added to WHO IS AN (a) This insurance does not apply to any "occurrence" which takes place INSURED (Section ll): after you cease to be a tenant in 4. Any person or organization shown in the Sched- any premises leased to or rented to ule or for whom you are required by written con- you; tract, agreement or permit to provide insurance (b) This insurance does not apply to is an insured, subject to the following additional any structural alterations, new con - provisions: struction or demolition operations a. The contract, agreement or permit must be performed by or on behalf of the person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing cuted prior to the `bodily injury", 'property operations for that in- damage". or personal and advertising sured, whether the work is performed injury". by you or for you; b. The parson or organization added as an in- (3) The maintenance, operation or use by sured by this endorsement is an insured only You of equipment leased to you by such to the extent you are held liable due to: person or organization, subject to the following additional provisions: (1) The ownership, maintenance or use of () a This insurance that part of premises you own, rent, does not apply to any "occurrence" which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 of 4 EP " * REPRINTED FROM THE FORMS LIBRARY.... (b) This insurance does not apply to "bodily injury- or "property dam- age- arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", "property damage". or "personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to `bodily injury"property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to 'bodily injury" or "property damage" included within the "products -completed operations haz- ard A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault_ NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would quality under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion J. of Coverage g. "Bodily injury" or "property damage" arising A, Section I is replaced by the following: out of the ownership, maintenance, use or J. Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including ation and 'loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 "" REPRINTED FROM THE FORMS LIBRARY.... any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section 11): person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the 'property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to 'property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section 111 — Limits Of Insurance. Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B — BAIL BONDS — TIME OFF FROM WORK Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "suit". including actual loss of earnings up to $500 a day because of time off from work. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are `your work" and were never SERVICES occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion Provision 2.a.(1)(d) of WHO IS AN INSURED Section do not apply to liability assumed under a side- II) is deleted, unless excluded b se arate endorse - y p track agreement. ment. Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the `products- ORGANIZATIONS completed operations hazard". Provision 3.a. of WHO IS AN INSURED (Section II) is Paragraph 6. of LIMITS OF INSURANCE (Section 111) replaced by the following: is replaced by the following: a. Coverage under this g provision is afforded 6. Subject to 5. above, the Damage To Premises only until the end of the policy period. Rented To You Limit is the most we will pay un- der Coverage A for damages because of EXTENDED "PROPERTY DAMAGE" "property damage" to any one premises, while rented to you, or in the case of damage by fire, Exclusion a. of COVERAGE A S (Section 1) is replaced while rented to you or temporarily occupied by by the following: you with permission of the owner. a. "Bodily injury" or "property damage" expected The Damage To Premises Rented To You limit is the or intended from the standpoint of the insured_ higher of the Each Occurrence Limit shown in the This exclusion does not apply to "bodily injury" Declarations or the amount shown in the Declarations "property damage" resulting from the use of as Damage To Premises Rented To You Limit. re reasonable force to protect persons or property. CG 76 35 02 07 Page 3 of 4 EP ***' REPRINTED FROM TME FORMS LIBRARY.... EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. 'Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV): We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or 'your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single 'location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion III) apply separately to each of your "locations" owned by or rented to you. `location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an occurrence ", claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph S. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 I.ii3ett� 1�t O.Ttlxri"E`.St. CG 76 80 10 02 THIS ENDORSEMENT CHANGES THE POLICY- PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom you are required by written contract, agreement oz permit to provide a primary and non— contributory additional insured endorsement (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement..) SECTION 11 — WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- organization shown in the Schedule subject to the ples of comparative fault. following provisions: 1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of: liability directly resulting from: a.. The coverage and/or limits of this policy, or a.. your ongoing operations for the additional in- b- The coverage and/or limits required by the sured whether the work is performed by you contract, agreement or permit.. or for you; or With respect to the insurance afforded the additional b. the general supervision of your ongoing op- insured, paragraph 4.. of SECTION IV — COMMER- erations by the additional insured_ CIAL GENERAL LIABILITY CONDITIONS is de - 2.. This insurance does not apply to: leted and replaced by the following: a.. "Bodily injury" or "property damage" arising out of any act or omission of, or for defects in design furnished by or for, the additional insured or b. "Bodily injury" or "property damage" in- cluded within the "products -completed oper- ations hazard " A person's or organization's status as an additional insured under this endorsement ends when your op- erations for that insured are completed,. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on 4.. Other Insurance a.. This insurance is primary and noncontrib- utory, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or "suit- must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". b. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment,. CO 76 80 10 02 EP r RG4 TPRINTMI, 29 7-M 70 TECHN-1 OP ID: HR .4coRo CERTIFICATE OF LIABILITY INSURANCE DAT05/02DYYYY) 05/02/12 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERCONTACT R. C. Fischer & Co. 925-932-7823 P.O. Box 8101 925-932-0962 Walnut Creek, CA 94596-8101 Gordon J. Fischer, CPCU NAME: Helen L. Re and NCNNo E.t : 925-627-5464 ac No : 925-932-0962 E-MAIL hre and rcfischer.com ADOREss: GENERAL LIABILITY INSURERS AFFORDING COVERAGE NAIC # INSURER A: Employers, Compensation Ins Co EACH OCCURRENCE $ INSURED Technology Unlimited, Inc. Bill Vannet INSURER B: _ - -- -- 1179 Andover Park West INSURER C : MED EXP (Any one person) $ INSURER D o CLAIMS -MADE = OCCUR Tukwila, WA 98188 INSURER E INSURER F, PERSONAL & ADV INJURY__ $ 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. INS' LTR TYPE OF INSURANCE ADOL SUI" POLICY NUMBER MM/LDICDY/YYYY POLICY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY __ DAMA E TO RENTED PREMISES Ea occurrence)- _$ MED EXP (Any one person) $ CLAIMS -MADE = OCCUR PERSONAL & ADV INJURY__ $ GENERAL AGGREGATE $ GEN'POLICY AGGREGATE LIMIT APPLIES OC : PO 9 PRODUCTS - COMP/OP AGG S AUTOMOBILE LIABILITY ANY AUTO p`' ty�11 EOa aBINEDt SINGLE LIMIT BODILY INJURY (Par person) $ ALL OS SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS -�J� Y. L! � � �. �, .. iV"' - _ (�_Cj ,. nUIOL �-��,y - BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accitlent $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ __ AGGREGATE $ EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? N / A FN 0307156 10 05/03/12 05/03/13 X TQRYWC STATU- OTH- LIMITS E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICYLIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1Attach ACORD 101, Additional Remarks Schedule, if more space is required) *1 O day notice in the event of cancellation for non-payment of premium I:CK 1 Ir-IGA 1 C 1'7VLL/CK {.71FkN(..1­-LLA 1 IDN SANTA -8 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 PROVISIONS. Attn: Mirella Vargas 20 Civic Center Plaza AUTHORIZED REPRESENTATIVE Santa Ana, CA 92701 © 1988-2010 ACORD CORPORATION. All rights reserved_ ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD MEMORANDUM To: LAI ICDA 9�Y From: MIRELLA VARGAS-FINANCE-TREASURY Subject TECHNOLOGY UNLIMITED INC -N-2004 -018 2dl?_=r,=_7 PM 4: 25 D€iVcjz 08/2 Tf12 "A , CERTIFICATE OF LIABILITY INSURANCE FSR APPROVAL MIRELLA VARGAS #6576 M-14 CERTIFICATE OF LIABILITY INSURANCE DATe(MM/DD/ww) 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Partners Group Ltd 14432 SE Eastgate Way, Ste 400 B'aaj_ UE WA 98007 NON ERCT Aaron Avila PHONE (425) 455-5640 FAX (425)455-6727 IAIC Laii'°IL .aa_LXe@tpgrp. cam INSURERS AFFORDING COVERAGE NAIL # INSURER A:AIIIEr1Can StatEB 2118 CO 19704 INSURED TECHNOLOGY UNLIM2TED SNC 1179 ANDOVER PARK W TL7KWII,A WA 98188 INSURER B:GElnElral Ins CO. O£ Amlarica 24732 INSURER C : INSURER D : INSURER E : 1 INSURER F: 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. "TR TYPE OF INSURANCE A ACCORDANCE WITH THE POLICY PROVISIONS. POLICY NUMBER POLICY M DD YYYY POLICYEXP LIMITS 20 C1V1C Center Plaza GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE = OCCUR OICI26415540 8/4/2012 6/4/2013 TED PREMISES Ea okcur—ce $ 1,000,000 MED EXP (Any one person) $ 10,000 PERSONAL S ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO- LOC T F $ AUTOMOBILE LIABILITY MBINED IN LE LIMIT Ea accident 3_000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4CC2125B940 ./4/2012 B/4/2013 BODILY INJURY (Per accitlent) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE $ Per accitlent UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A }[ EXCESS LIAB CLAIMS -MADE 0,00 DEC) I X I RETENTION 10'00C $ OTSU41486240 8/4/2012 8/4/2013 A WORKERS COMPENSATION WC STATU- X OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/ EXCLUDED? OFF ICE ory in ER EXCLUDED? (Mandatory in NH) N/'4 OICZ264MS540 8/4/2012 8/4/2013 E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 It DESS Ltlsccribe antler CRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 2_1300,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addlllonal Remarks Schedule, H more apace Is raq.Y.d) The City o£ Santa Ana, Sts o££iaers, agents, volunteers and representatives era primary additional respect to liability arising out o£ the operations by or on behalf o£ the named insured as par attached CG 7635 and G7680 A1�P3Zov � AS TO FORM Laura SET Rheecly (714) 647-5304 A SSIStH n L City Attorney SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City o£ Santa Ana Attn: Mirella Vargas AUTHORIZED REPRESENTATIVE 20 C1V1C Center Plaza Santa Ana, CA 92701 AGVKD 20 (ZUTU/UJ) V l5)titi-ZVIV A1.3VKU t.]VKYV KAI IVM. All rlgn[S reserVeo. IN S025 (201005).01 The ACORD name and logo are registered marks of ACORD "" REPRINTED FROM THE FORMS LIBRARY "" COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN lease or occupy, subject to the following CONTRACT, AGREEMENT OR PERMIT, OR additional provisions: SCHEDULE (a) This insurance does not apply to The following paragraph is added to WHO IS AN any "occurrence" which takes place INSURED (Section ll): after you cease to be a tenant in any premises leased to or rented to 4. Any person or organization shown in the Sched- you; ule or for whom you are required by written con- (b) This insurance does not apply to tract, agreement or permit to provide insurance any structural alterations, new con - is an insured, subject to the following additional struction or demolition operations provisions: performed by or on behalf of the a. The contract, agreement or permit must be person or organization added as an in effect during the policy period shown in insured; the Declarations, and must have been exe- (2) Your ongoing operations for that in- cuted prior to the `bodily injury', "property sured, whether the work is performed damage", or "personal and advertising by you or for you; injury" (3) yhe operation or use by nue b. The person or organization added as an in- ou of a menet leased b ed to y such sured by this endorsement is an insured only person or organization, subjectto the to the extent you are held liable due to: following additional provisions: (1) The ownership, maintenance or use of (a) This insurance does not apply to that part of premises you own, rent, any "occurrence" which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 of 4 EP "" REPRINTED FROM THE FORMS LIBRARY "" (b) This insurance does not apply to "bodily injury" or 'property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", 'property damage", or "personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury", "property damage",or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage- included within the "products -completed operations haz- ard". A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carrypersons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced When a Damage To Premises Rented To You Limit is by the following: shown in the Declarations, Exclusion J. of Coverage A, Section I is replaced by the following: g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or J. Damage To Property entrustment to others of any aircraft, "auto" "Property damage" to: or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- (1) Property you own, rent, or occupy, including ation and "loading or unloading". any costs or expenses incurred by you, or Page 2 of 4 "" REPRINTED FROM THE FORMS LIBRARY "" any other person, organization or entity, for repair, replacement, enhancement, restora- tion or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because `your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section 111 — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work- and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a side- track agreement. Paragraph (6) of this exclusion does not apply to "property damage- included in the "products - completed operations hazard". Paragraph 6. of LIMITS OF INSURANCE (Section 111) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage- to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. WHO IS AN INSURED — MANAGERS The following is added to Paragraph 2.a. of WHO IS AN INSURED (Section 11): Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B — BAIL BONDS — TIME OFF FROM WORK Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. EMPLOYEES AS INSUREDS — HEALTH CARE SERVICES Provision 2.a.(1)(d) of WHO IS AN INSURED (Section 11) is deleted, unless excluded by separate endorse- ment. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 3.a. of WHO IS AN INSURED (Section II) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section 1) is replaced by the following: a. "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. CG 76 35 02 07 Page 3 of 4 EP "" REPRINTED FROM THE FORMS LIBRARY.... EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph S. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV): We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single "location-: Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion III) apply separately to each of your -locations., owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an `occurrence claim or "suit- by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 [ibcrty Northv.r�t. CG 76 60 10 02 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABIUTY COVERAGE PART SCHEDULE Name of Person or Organizatlon: Any person or organization for whom you are reclui-re8 by written contract, agreement or permit to provide a primary and non— contributory additional insured endorsement (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 — WHO IS AN INSURED is amended to include as an additional insured the person or organization shown in the Schedule subject to the following provisions: 1. The additional insured is an insured but only for liability directly resulting from: a. your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b. the general supervision of your ongoing op- erations by the additional insured. 2. This insurance does not apply to: a. "Bodily injury" or "property damage" arising out of any act or omission of, or for defects in design furnished by or for, the additional insured or b. "Bodily injury" or "property damage" in- cluded within the "products -completed oper- ations hazard A person's or organization's status as an additional insured under this endorsement ends when your op- erations for that insured are completed - No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative faulL The insurance provided will not exceed the lesser of: a. The coverage and/or limits of this policy, or b- The coverage and/or limits required by the contract, agreement or permit. With respect to the insurance afforded the additional insured, paragraph A. of SECTION IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following: 4. Other Insurance a. This insurance is primary and noncontrib- utory, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on arry other basis: however, the defense of any claim or "suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". b. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment.. CO 76 80 10 02 EP c-AQ-174MIKII ma1147o07" CERTIFICATE OF LIABILITY INSURANCE 711 oATE (NWppIYYYY) 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 esDIR6aw holder Is an ADDITIONAL INSURED, the policy(iea) must bs endorsed. R SUBROGATION IS WgIVEO, subject to the terms and condition- of the policy, certain policies may require en endwaamen4 A atatsmsnt on this OUBR OG Tess not rA rights to the csrtlficata holdw In 14u -1-- uch sndwaamant a . PROP UClR The Partners Group Ltd Laura Dykmhoorn vxoge 14432 S& Eastgate Way, Ste 400 L WI (425)455-5640 .Nnt•uzs)4ss-gm `aV11e WA 98007 INSUREO TECHNOLOGY UNLIMITED INC 6802 S 220TH ST '-__- II - ra sell F: COVERAGES CERTIFICATE NUMBER:13-14 GL AL XS ZL _--._._..._ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED gBOREVISION VEB INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OAR, THE PoUCY PERbO OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY .O ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED EXCLUSIONS AND CONDITIONS OF SUCH N q HEREIN IS SUBJECT TO ALL POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. THE TERMS, TYPE OPINSURANC! GENERAL UASIUTY P Y MBER MRI M D Users X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE f 1,000 01 A CLAIMSHAAOERENTE X OCCUR O1C226415530 r /4/2013 B/4/2014 IM oma S 1,000,01 MEDEXP ME,pna wraan PERSONAL A ADV INJURY S 1100010C GEN'L AGGREGATE LINT APPLIES PER; GENERAL AGGREGATE S 2,000,00 I X POLICY PRO- LOC PRODUCTS - COMPOP AGO S 2,000,00 AUTOMOIN LKMUTY 3 A X �OWNEO cINar SN LC LIM 1 000,_00 ALL SCHEDULES AUTOS AUTOS O1CI71490110 8/4/2013 BODILY INJURY (Par person) f X HIRED AUTOS X AUTOSW� 8/4/1011 1 (Par aeddanl) f PROILY PERTYURY PROPERTY f X UMBRELLAUAS X OCCUR S A EXCESS UAB CLAIMS -MADE EACH OCCURRENCE $ 4 , 000, OOC X R )0 10,00 01SU41486250AGGREGATE A WORMERS COMPENSATION /4/2013 /4/2014 ''f 4,000,ODC AND EMPLOYERS' UASIUTY S ANY PRCPRETOR/PARTNF.WF%FCUTNF YIN OFFICERIMEM3ER E%CLLIXD? n NIA A X pAantlaleyln NN) 1CI26415550 8/4/2013 Iyaa daCbbP untlx /1/2014 E1. EACH ACGDENT S 1 000.000 OESCRh�HBN GTOPETMliB1.'90ecr. ASHINCTON STOP OAP I E.L. DISEASE -EA ENYLOYE $ 1 000,000 DESCRIPTION OP OPERARON81 LOCgnON61 VEHICLES (Airnh ACORD 101, Add II RamAr4 ScMduh, it mss apap Y raRu The City of Santa Ana, Its officers, agents, volunteers and represent CG pect7635 to liability arising out of the operations by or on behalf of CG 7635 and G7680 (714)647-5304 City Of Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 INS025(wlcw)x additional as Par attached SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be THE EXPIRATION DATE THEREOF, NOTICE WILL ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTAnYE Lane/VIC&y The ACORD name and logo are registered marks of ACORD BEFORE RED IN )RD CORPORATION. All rights reserved. 804"TED FROM THE FORME UERARy"^ COMMERCIAL GENERAL LIABILITY CO 76 36 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, LIABILITY PLUS ENDORSEMENT This endorsement modifies lneurence provided under the following: COMMERCIAL GENERAL UASIUTY COVERAGE PART SCHEDULE Name of Parson or Organization; ++t+++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN AGREEMENT OR PERMIT, OR SCHEDULE lease or occupy, subject to the IofollowingCONTRACT, additional provisions: The following paragraph IS added to WHO (a) This to "Insurancewhich tlt apply IS AN INSURED (Section II): any after you cease to be a tenant 4. Any person or organization shown in the Schad- in any premises leased to or rented to uls or for whom you ars required by written con. agreement or permit to (b) This Insurance IM provide Insurance Is an Insured, subject to the following additional does not apply to any structural alterations, Provisions: now con - struction or demolition operations a. The contract, agreement or permit must be performed by or an behalf of the In effect during the policy period shown in the Declarations, Insured;or organization added as an and must have been exe- cuted prior to the 'bodily Injury-, "property damage", "personal (2) Your Ongoing operations for that In. or and advertising njury"• sured, whether the work Is performed by you or for you; b. The person or organization added as an in. cured by this endorsement is an Insured only (3) The maintenance, Operation or use by you of equipment leased to b to the extent you are held liable due to: person or organization, subjssctou uch to the (1) The ownership, maintenance or use of following additional pro alone: that pert of premises you own, rent, (a) This Insurance does not apply to "occurrence" any which takes place after the equipment lease expires; CG 7H 33 02 07 Includes Copyrighted Material of Insurance Services Offfce, Inc., with its permission. Copyright, Insurance Services, 2001 Pap i d a PP "" REPRINTED FROM THE FORNaLeM RI -- (b) This Insurance does not apply to 'bodily Injury" or 'property dam- age' arising out of the sole negil- 01101 of such person or organization; (4) Permits issued by any state or political subdivialon with respect to operations Performed by You or on your behalf, subject to the folbwing additional pro- vision: This Insurance does not apply to "bodily Injury", 'property damage or "Personal and advertising Injury" arising out of operations performed for the state or municipality. c. The Insurance with respect to any architect, engineer, or surveyor added as an Insured by this endorsement does not apply to 'bodily Injury", 41PrOPOrty damage-, or -per. sonal and advertising Injury" arising out of the rendering of or the fallure to render any Professional eervlcea by or for you, Includ- Ing: (1) The preparing, approving, or failing to Prepare or approve maps, drawings, opinions, reports, surveys, change or. ders, designs or specifications; and (2) Supervisory, Inspection or engineering services. d. This Insurance does not apply to •bodily Injury' or 'property damage" Included within the 'products-comPleted operations haz. ard". A persons or organlzatiores status as an Ins der MInsured un- Is endorsement ends when your Ins redons for Mat Insured are completed. No coverage will be provided 6, In the absence of this endorsement, no liability would be Imposed by law on You. Coverage shall be liMe extententf your Of negligence or fault accordingmited to to Me applicable pcncl- pies of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY Exclusion g, of COVERAGE A (Section I) is replaced by the following: U. "Bodily Injury" or 'property damage" arising °ut Of the ownership, maintenance, use or entrustment to others of any aircraft, 'auto' or watercraft owned or operated by or rented or loaned to any Insured. Use Includes oper- ation and 'loading or unloading'. This sxcluslcn 8pP6es 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" Involved the ownership, mainte- nance, use or entrustment to others of any alrcreft, 'auto' or watercraft that is owned 9u ofed. perated by or rented or loaned to any in. This exclualon does not apply to: (11) A watercraft while ashore on premises YOU own or rent; (2) A watercraft you do not own that Is: (a) Lose than 52 feet long; and (b) Not being used to carry Persons or Property for a charge, (3) Packing an "auto" on, or on the ways next to, d rented or Promises you own or rent, pro- ror 'auto" Is not owned by or rentloaned to you or the Insured; (4) Liability assumed under any "Insured contract" for the ownership, malnte- nonce or use of aircraft or watercraft; or (5) "Bodily Injury- or "property damage' arising out of: (a) the operation of machinery or equipment that Is attached to, or part of, a land vehicle that would qualify under the definition of 'mobile equipment" If It were not subject to a compulsory or financial responsibility law or other motor ve- hlcle Insurance law In the state where it is licensed or principally garaged; or (b) the operation of any of the machin- Ory or 4 () or 1.(3) eof nt lithe definitiIn onra of 'mobile equipment". (6) An aircraft you do not own provided It is not operated by any Insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Limit Is shown In the Declarations, Exclusion 1, of Coverage A. Section 118 replaced by the following: I. Damage To Property "Property damage" to: (1) Property You own, rent, or occupy, Including any costs or expenses Incurred by you, or Page 2 M 4 • REPMTEDFROM ME FDRae LSMRY-'+ any other Person, organization or entity for repair, replacement, enhancement, resto tlon or maintenance of such Property for any reason, Including prevention of rlury to a Person or damage to anthers property; (2) Premises you aetl, give away or abandon, the •property damage" arises out of any paIf rt of those Premises; (3) Properly loaned to you; (4) Personal properly In the care, custody or control of the insured; (5) That particular part of real property on which You or any contractors or subcontractors working directly or Indirectly on your behalf oro Per/orming operations, if the •pro damage• arises out of those 0 perty the OP o or (S) That Particular part of any property that must be restored, repaired or replaced because 'Your work" was Incorrectly performed on I phf, Paragras (1), (3) and (4) of this excuslon do not apply to -p damage' (other then of age by are) to premises, Including the con- tents of Such Premisesrented to You. A separate Iimh of Insurance applies to Damage To Prem Ises Rented To You as described In Section a1 — Limits Of Insurance. Paragraphs of this exclusion does not apply If the premises are "your wok' and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (3) and (a) of this exclusion do not appy to Nabllity assumed under a side. track agreement. Paragraph (9) of thla exclusion does not apply to 'property damage" incuded In the 'products. completed operations hazard-. Paragraph S. of LIMITS OF INSURANCE (Section III) I$ replaced by the following: S. Subject to S. above, the Damage To Premises Rented To You Limit Is the most we will Pay un- der Coverage A for damages because of ge- to one promises wl rented toyouyoumoar In thecase of damage by tire, while rented to you or temporarily occupi You with permission of the owner. ed by WHO 18 AN INSURED MANAGERS The following is added to Paragraph 2.a, of WHO IS AN INSURED (Section 9): Paragraph (1) dose not to managers at the apply to executive officers, or supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B — BAIL BONDS ._ WORK TIME OFF FROM Paragraph 1.b. of SUPPLEMENTARY PAYMENTS _ COVERAGES A AND B Is replaced by the following: b. Up to $3,000 for cost of ball bonds required because of accidents or traffic law violations arising out In the use of any vehicle to which fire Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS COVERAGES A AND B Is replaced by the following: d. All reasonable expense. Incurred by theIn. sured at Our request to assist us In the In. vestigatlon or defense of the claim or tuff• Including actual loss of earnings up to $500, a day because of time off from work EMPLOYEES AS INSUREDS SERVICER _HEALTH CARE Provision 2.a.(1)(d) of WHO II) IS AN INSURED (Section ment deleted, unless excluded by separate endorse. EXTENDED ORGANIZATICOVERAGE FOR NEWLY ACQUIRED 0N8 Provision 3.a. of WHO IS AN INSURED (Section 11) is replaced by the following: a. Coverage under this provision Is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section 1) is replaced by the following: The Damage To Premises Rented To Y a' `Bodily Injury- or 'Property dame higher of the Each You shownmit In the a the Th Intended from the standpoint of damage' expected Declarations or the amount shownLIn the Dec aratlons This excu� damage" e" oresutin from Me use of as Damage To Premises Rented 7o You Limit. or 'Props t aPP Y to 'bodily injury,, reasonable force tog 9 Protect Persons or property. CG 70 33 02 07 Papa 3 of 4 EP "" 9EOMNTEOFROM rK FMN L*P ,, EXTENDED DEFINITION OF BODILY INJURY Psragraph 3. of DEFINITIONS by the following: (Section V) le replaced 3. 19odlly InjurY• means bodily Injury, sickness or sease sustained by a person, Including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The Rph 8. Transfer Of ights Of Recovery followingdAgaiinstOthers To Us of COM- MERCIAL GENERAL LiASILRY CONDITIONS (Sec- Von IV): We waive any rights of recovery we may have against any person or organization because of payments we make for Injury o damage arising out of your ongoing operations or your work+ done under a contract with that person or organization and Included In the `producls-completad operations hazard-. This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery, AGGREGATE LIMITS OF INSURANCE _ LOCATION PER For all sums which the Insured becomes legally obli- gated to pay as damages caused by occurrences" under COVERAGE A (Seddon 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single 'location-: Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion III) apply separatety to each of your "locations• Owned by or rented to you. "Location, means premises Involving the same or connecting lots, or premises whose connection !s Pepe 4 er 4 Interrupted orgy by a street, roadway waterway or rlght-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit Is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of COMMERCIAL Occurrence, Offense, claim Or Suit of (Son M: GENERAL LIABILITY CONDITIONS Knowledge of an •Oocurrence•, claim or %uft• by your agem, servant or employee shall not in Itself constitute knowledge Of the named Insured unless an '"Car of the named Insured hes received such notice from the agent, servant or employee, UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following Is added to Paragraph S. Repreaenta- TIONS (Section Oona of COMMEIV): RCIAL GENERAL LIABILITY CONDI- If you unintentionally fall to disclose any hazards ex- lating at the Inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or nonrenewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10, It a revlelon to this Coverage Part, which would Provide more coverage with no additional pre- mlum, becomes effective during the policy period in the state shown In the Declarations, your pol. icy will automatically provide this additional cov- erage on the effective date of the revision. '� ubertl. Nurthwrst, THIS ENDORSEMENT CHANGES THE POLICY. CO 76 60 10 02 PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIASJUTy COVERAGE PART SCHEDULE Name of Person or Organization., Any person or organizationFor "Ola you are required by writvi ten contract, agreement or de a contributoermt to ry'oadd itionalminsured endorsement 11 ?IQ as ap entry i� appears above, menf.) tlon requfred to complete this endorsement wlfl ba shown In the appl bfe to this endorsemerlt,) Declarations SECTION It — WHO 19 AN INSURED is amen to include as an additional insured the dad organization shown in the Schedule subject to t or following provisions; he 1. The odd0onal Insured Is an Insured but only for liability drectly resulting from, sured whetheer rat*n forte ft rmeed byrayou or for you; or b. the general supervision of your ongoing op- Orations by the additional insured. 2 Tits insurance does not apply to; a. "Soddy injury° or "Property damage" arising out of any act or omission of, or for defects in design turMshed insured or by or for, the additional b. "Bodily injury. or "property damage. In. cluded within the `Products -completed oper- ations hazard.^ A person's Or organization's status as an additional insured under this endorsement ends when your op. eratbns for that insured are completed. No coverage wi6 be provided it, in the absence of this endorsement, no liability would be imposed by few on 013 7e so to oz You. Coveraga shag be limited to the Olden of your Aregiiii8 ce or fault according to the applicable prtncl- aon"reove fault. The insurance provided will not exceed the as$& of; a. Tha coverage and/or &Nis of this policy, or b The coverage and/or limits required by the contract, agreement. or permlt With respect to the insurance afforded the additional Insured, paragraph 4, of SECTION IV _ COMMER. CULL GENERAL LIABILITY CONDITIO148 is feted and replaced by the following de 4. Other Insurance a. This insurance 18 pffmary and noncontrlb. utory, and our obligations are not affected by any other Insurance where the additional in, inured is the Named insuaad whether pri+ ry, Oxcess, contingert, or on any other basis; however, the defense d any claim or °suit' must be tendered as soon as practi. cable to as other insurers which pot Wally Provide insurance fOf such claim or "suit.. b. This additional provision applies only to the additional Insured shown in the Schedule and the coverage Provided by. this endorse. Mort. EP QP&11.PGM1rpr}yr�� CERTIFICATE OF LIABILITY INSURANCE DATE 7/2014YY) 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 policyfies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate Molder in lieu of such endorsement(s). PRODUCER The Partners Group Ltd 14432 SE Eastgate Way, Ste 400 He11'evue WA 98007 CONTACT Laura D ksho Orn NAME:: '� PHONENO. . (425) 4555640 FAX No; (425) 455-6727 AbMARI :lDykshoorn@tpgrp.com INSURER(S) AFFORDING COVERAGE MAIC # INSURER A;Ameri can States Ins Cc 19704 INSURED TECHNOLOGY UNLIMITED INC 6802 S 220TH ST FENTWA 96032 INSURERB:General I.ns CCS...... of America 24732 INSURER C; INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMIBER:14/15 GL AU XS ELL 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDPIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE Fx]OCGUR 01C12641.5560 /4/2014 8/4/2015 PREM E TO RENTED 1 00© 000 ' PREMISES Ea occurrence , $ r MED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE UM IT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMB4NED SINGLE LIMIT a accident $ 1,000,000 BODILY INJURY (Per person) $ B X ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4CC31262610 8/4/2014 8/4/2015 BODILY INJURY (Peracodent) $ X HIRED AUTOS NON-OWNAUTOS ED PROPERTY (Per a ciidenIDAMAGE $ MedicaP Cayments $ 5 000 UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 X EXCESS LIAR CLAIMS-MADF' DED I XI RETENTION$ 10,000 01Su41486260 8/4/2014 8/4/2015 $ '.., A WORKERS COM.PENSATION''.: AND EMPLOYERS' LIABILITY YIN ANY OFFICERIMEIMBER/EXCLUDEDaEOUTIVE® (Mandatory In NH)1012641.5560 NIA 8/4/2014 8/4/2015 WC STATU- X OTRH- TORY LIMITS I E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 11000,000 If yes, describe under DFS0,RIPTION OF OPERATIONS Belo°,v �111 St.o Gam E 01SEASC - FOLIG'G 0,11T $ 1 000 000 DESCRIPTION OF OPERATIONS f LOCATIONS /VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if mare space is required) The City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional respect to liability arising out of the operations by or on behalf of the named insured as per attached. CG 7635 and G7680 ,L11.�' . -1T ULK I II-IGA I t HULUtK GANGELLATIUN 1 11 (714)647-5304 City of Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 2,5 (2010105) I NS025 (20) 005) 01 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lane/LDYKSH a 1986-2010 ACORD CORPORATION. All rights reserved. TheACORD name and loco are registered marks of ACORD TECHN-1 CIP ID: FIR 10A DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 1 05101/14 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies, may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER Phone: 925-932-7823 NAME:-- Helen L. Repard R. C. Fischer & Co. PHONE P.O. Box 8101 FAx Fax: 925-932-0962 (Nq,,,No, Ext: 925-627"5464 925-932-0962 Walnut Creek, CA 94596-8101 E-MAIL ADDRESS: hrepard@rcfischer.com -- — ----- ----------------------- Gordon J. Fischer, CPCU . . ........... INSURERIS) AFFORDING COVERAGE NAIC d Oak River Insurance Company INSURED Technology Unlimited, Inc. INSURER B: 6802 South 220th St. Kent, WA 98032 INSURER C INSURER D; INSURER E". I ldql 1RrR F f'r_DTlClfAT= MI 11kfiar0- PFVI.ql()N NIHMIRFR^ 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. _-AbblL INLTRSIR TYPE OF INSURANCE IN SIR SUBIR WVD POLICY NUMBgE.___ffK1DDffYYY) POLICY EFF LIMITS GENERAL LIABILITY EACH OCCURRENCE _OAMACr'T�RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea .occurrence __$ CLAIMS -MADE D OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE---..— $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ POLICY PRO-­ JECT AUTOMOBILE LIABILITY CON45INED SINGLE LIMIT _LEa accident) II $ ANY AUTO BODILY INJURY (Per person) $ S ALL OWNEDHEDULED C AUTOS AUTOS BODILY INJURY (Per ac6dent) $ NON -OWNED PROPERTY DAMAGE $ HIRED AUTO AUTOS Per accident) $ UMBRELLA LAB OCCUR FACH OCCURRENCE $ EXCESS LIAR AIMS -MADE AGGREGATE DE!? -j ] RETENTION�$ $ WORKERS COMPENSATION AND EMPLOYERS" LIABILITY YIN �j JITH fTORYLIMITS 'ER - -- -------- A ANY PROPRIETORIPARTNER]EXECUTIVE [ OFFICER/MEMBER EXCLUDED? LI NIA1,000,000 2200066818141 05/03114 05/03/15 E EACH ACCIDENT $ 1,000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 11' yes. describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) 10 day notice in the event of cancellation for non-payment of premium /.w CERTIFICATE HOLDER CANCELLATION SANTA -8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City of Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 AUTHORIZED REPRESENTATIVE (0 1VtR$-;!U1U AtVKLJ t_uKrumAijurq. mi rigiriliti retiefvuu- ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD ~~ REPRINTED FROM THE FORMS LIBRARY ~~ C0NK8ERCIALGENERALLIAQLITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE HEAD IT CAREFULLY. LIABILITY PUS ENDORSEMENT This endorsement modifies insurance provided under the folbwing� COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN CONTRACT AGREEMENT OR PERMIT, DR SCHEDULE The following paragraph is added to WHO IS AN INSURED (Section 11): 4. Any person or organizationehown inthe Sched- ule urfor whom you are required bywritten oon' trac, agreement or pamnd to provide insurance is on insured, subject &othe following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the Doc|armtiomn, and must have been exe- cuted prior to the "bodily irjury^. "property damage", or "personal and advertising [rjury" b. The person ororganization added mnonin- sured bythis endorsement isaninsured only to the extent you are held liable du* to: (1) The ownership, maintenance or use of that part of premises you own, rent, 4/ ^-1/3y � n0Y6� ~ lease or occupy, subject to the following additional provisions: (a) This insurance duou not apply to any "occunenma"which takes place after you mauoe to be e ienmrA in any premises leased to or nam1ed to you; (b) This insurance dome not apply to any structural alterations, new con- struction or demolition operations performed by or on behalf of the person orpr8onizmt�onadded msmm insured; CQ Your ongoing operations for that in- mured, whether the work is performed byyou orfor you; (3) The maintenance, operation or use by you of equipment leased to you by such person or organiae1|on, subject to the following additional provisions: (a) This insurance does not apply to any "000urrence"which takes place after the equipment lease expires; Includes Copyrighted Material ofInsurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 ,CG a35 02m Page rw4 ep '­ REPRNTED FROM THE FORMS LIBRARY," (b) IBRARY­ (b) This insurance does not apply to "bodily injury" or "property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", Vroperty damage", or "personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations haz- ard". A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced by the following:, g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- ation and "loading or unloading". 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of .mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machini- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment", (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Limit is shown in the Declarations, Exclusion j. of Coverage A, Section i is replaced by the following: j. Damage To Property "Property damage" to: Page 2 of 4 (1) Property you own, rent, or occupy, including any costs or expenses Incurred by you, or ZI/J n -117 ... * REPRINTED FROM THE FORMS LIHRARY -- any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section 111): person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of thi's exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III — Limits Of Insurance. Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B — BAIL BONDS — TIME OFF FROM WORK Paragraph I.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are "your work" and were never SERVICES occupied, rented or held for rental by you. Provision 2.a.(1)(d) of WHO IS AN INSURED (Section Paragraphs (3), (4), (5) and (6) of this exclusion 11) is deleted, unless excluded by separate endorse - do not apply to liability assumed under a side- ment. track agreement. Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the "products- ORGANIZATIONS completed operations hazard". Paragraph 6. of LIMITS OF INSURANCE (Section 111) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. Provision 3.a, of WHO IS AN INSURED (Section 11) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section 11) is replaced by the following: CG 76 35 02 07 Page 3 of 4 "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 p rsons or property. Z_ D �e v, EP ­­ REPRINTED FROM THE FORMS LIBRARY.... EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV). We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery, AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion 111) apply separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000, KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2, Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "occurrence", claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal, LIBERALIZATION CLAUSE The following, paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision, Page 4 of 4 i orthil est, ADDITIONAL INSURED PRIMART COVERAGE This endorsement modifies insurance provided under the following-. COMMERCIAL GENERAL LIABILITY COVERAGE PART 41141 RMIAN11111111 Name of Person or Organization: Any per,son or, or-ganization for- whom you are r,equir-ed by written contract, agreement or permit to provide a pr'imac'y and non— contributory additional insured endorsement CG 76 80 10 02 te V) -2, (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 — WHO IS AN INSURED is amended you, Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- organization shown in the Schedule Subject to the pies of comparative fault. following provisions: 1, The additional insured is an insured but only for liability directly resulting from: a,, your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b, the general supervision of your ongoing op- erations by the additional insured. 2. This insurance does not apply to: a. "Bodily injury" or "property darnage" arising out of any 80L or omission of, or for defects in design furnished by or for, the additional insured or b. "Bodily injury" or "property damage" in- dudod within the "products -completed oper- ations hazard " A person's or organization's status as an additional insured under this endorsement ends when your op- erations for that insured are completed.. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on CG 76 80 10 02 The insurance provided will not exceed the lesser of: a,. The coverage and/or limits of this policy, or b. The coverage and/or limits required by the contract, agreement or permit, With respect to the insurance afforded the additional insured, paragraph 4.. of SECTION IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following'. 4.. Other Insurance a. This insurance is primary and noncontrib- utory, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or ,,suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". b. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment. M C -PG -1 7 PRINT091 2947-017M .ACbRhPCERTIFICATEF' LIQ 1LITl�(N DATE(MMIDDIYYYY) 7/31/201.5 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( es) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Partners Group Ltd 11225 SE 6th St. Solite 110 Bellevue WA 98004 NAME CT Laura Dykshoorn PHONE .. (877) 455-5640 FAICNo): (425)455 6727 E-MDAIL .IDykshoorn@tpgrp.com INSURERS AFFORDING COVERAGE MAIC # INSURER A American States Ins Co 1.9704 INSURED TECHNOLOGY UNLIMITED INC 6802 S 220TH ST KENT WA 98032 1 INSURERB:G'eneral Ins Co. of America 24732 I, INSURER C: INSURER D: "'.....INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:15-16 GL AL EL XS 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 NTH 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„ EXCLUSIO'N'S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NSR LTR TYPE OF INSURANCE ADD B POLICY NUMBER MWoB1YYEYY C MIOw71C7d YEYYY LIMITS GENERAL LIABILITY ''.. EACH OCCURRENCE $ 1,000,0001 X ..... COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES a occurrence) $ 1,000,000 A CLAIMS -MADE OCCUR 010126415570 8/4/2015 8/4/2016 M ED EXP (Any one person) $ 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 HGEN'L AGGREGATE LIMIT APPLIES PER", PRODUCTS - COMPIOP AGG S 2,000,000 $ X POLICY PRO- LOC AUTOMOBILE LIABILITY Oi7MBINED SINGLE LIMIT Ea aecident $ 1,000,000 BODILY INJURY (Per person) S B X ANY AUTO BODILY INJURY (Per accident) '''. $ ALL OWNED SCHEDULED 24CC31262620 8/4/2015 8/4/2016 AUTO'S AUTOS PROPERTY DAMAGE $ accident X X NON -OWNED HIRED AUTOS AUTOS ''(Per X UMBRELLA LIAR X OCCUR EACH OCCURRENCE. $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED I xC IRETENTION'S 10,00 $ D1SU41486270 8/4/2015 8/4/2015 A WORKERS COMPENSATION WC STAT U- X 0 - LIMITI TORY ER AND EMPLOYERS' LIABILITY Y 1 N ANY PROPRCETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ 1,000,000 OFFICERIMEM8ER EXCLUDED? ❑ (Mandatory In NH) NIA O1CI26415570 �B/4/2015 $/4/2016 E.L- DISEASE - EA EMPLOYE.. $ 1,000,000 If yea, describe under DESCRIPTION OF OPERATIONS below ashing7•:rrn Stop Ga p E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) The City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional respect to liability arising out of the operations by or on behalf of the named � nsu d as per attached. CG 7655 and G7680 T / �p �" � ,' 56 'A P ED � d °•vL; d` d �"' G" .�E.'� ' � "'. �,' o-"""' :F- " F�, .edL , (714)647-5304 City of Santa Ana Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (201 OI105) INS025 rgninnsl nt SHOULD ANY OF THE, ABOVE, DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE.. Lane/LSAVLE 1988-2010 ACORD CORPORATION. Ali rights reserved. Tha Af't' Pn n=rnn and Innn aro ranicfararl marls of A(r)pn ­* REPRINTrnDpmOM THE FORMS LIBRARY ~~ COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the foilowing: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name mfPerson orOrganization: ++++++++++++++++++++++++++++++ ++++++++++++++++++f+++f+f+++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN CONTFACT, AGREEMENT OR PERMIT, OR SCHEDULE The following h is added to WHO IS AN INSURED (Section 11): 4. Any person ororganization shown inthe Sched- ule orfor whom you are required by written con- tract, agreement or permit to provide immomnco is on inaurod, subject to the following additional provisions: m. The oontnau, agreement orpermit must be in effect during the policy period ohnvvn in the Declarations, and must have been exe- cuted prior to the "bodily injury". "property damage"', or "personal and advertising injury". b. The person nrorganization added os on in- sured bythis endorsement iaaninsured only to the extent you are held liable due to: (1) The ownership, maintenance oruse of that part of premises you own, rent. lease oroccupy, subject to the following additional provisions: (o) This insurance does riot apply to any "000urnanon''which takes place after you cease to be a tenant in any premises leased toorrented to you; (b) This insurance does not apply to any structural aiterationa, newoon- edmohon or demolition operations performed by or on behalf of the person ororganization added as an insured; (2) Your ongoing operations for that in- sured, whether the mmMk is performed by you mrfor you; (3) The rmeintenance, operation or use by you of equipment leased to you by such person or orgonizakinm, subject to the fnQovvin8additional provisions: (a) This insurance does not apply to any °ouounenoe''which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc,, with its permission. Copyright, Insurance Services, 2001 2 .� /1 B/��s OG 76 35 02 07 Page 1 m4 sp k�! APPROTE ����t, � t e� **** REPRINIED FROM THE. FORMS LIBRARY" (b) ERARY­ (b) This insurance does not apply to "bodily injury" or "property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", ""property damage"', or "personal and advertising injury" arising out of operations performed for the state or municipality, The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to 11bodfly injury", "property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations haz- ard". A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you, Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED, AIRCRAFT LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced by the following: "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- ation and "loading or unloading". 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "'mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment", (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Limit is shown in the Declarations, Exclusion J. of Coverage A, Section I is replaced by the following: j. Damage To Property "Property damage" to: P,age 2 of 4 (1) Property you own, rent, or occupy, including any costs or expenses mcurreJ b you, or g 4"C *­ REPRINTED FROM THE FORMS LIBRARY.... any other person, organization or entity, for WHO IS ANI INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section 11): person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Properly loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it, Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you, A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III — Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or hold for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a side- track agreement. Paragraph (6) of this exclusion does not apply to "property damage" included in the "products - completed operations hazard". Paragraph 6, of LIMITS OF INSURANCE (Section 111) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage"' to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS — COVERAGES A AND B, — BAIL BONDS — TIME OFF FROM WORK Paragraph 1.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work, EMPLOYEES AS INSUREDS — HEALTH CARE SERVICES Provision 2.a.(1)(d) of WHO IS AN INSURED (Section 11) is deleted, unless excluded by separate endorse- ment. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 3.a. of WHO IS AN INSURED (Section It) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. Exclusion a. of COVERAGE A (Section I) is replaced by the following: "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. F .w t�ra SIC A P �'P ' ,� r" R' 11�w�1 CG 75 35 02 07 Page 3 of 4 *­ REPRINTED FROM THE FORMS URRARY ­­ RFET*"■�� Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3, "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV); We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products -completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion 111) apply separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "occurrence", claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has, received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph 6, Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 'A 111 P R 0111', Page 4 of 4 ADDITIONAL INSURED PRIMARY GOV'ERAGE This endorsement modifies insurance provided under the followng, COMMERCIAl_ GENERAL LIABILITY COVERAGE PART IMN.WF40M Any person ororganization for whom you are required by written contract, agreement or permit to provide a primary and non— contributory additional insured endorsement (It no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION 11 — WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional ingUrod the person or negligence or fault according to the applicable prind- organization shown in the Schedule subject to the pies of comparative fault,. following provisions: 1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of, liability directly rosufting from: a, The coverage and/or limits of this policy, or ae your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b., the general supervision of your ongoing op- erations by the additional insured. 2, This insurance does not apply to: a. "Bodily injury" or "property damage" arising out of any act or ornission of, or for defects in design furnished by or for, the additional insured or b,, "Bodily injury" or "property damage" in- cluded within the ""products -completed oper- ations ha7.ard " A person's or organization's status as an additional insured under this endorsement ends when your op - orations for that insured are completed No coverage will be provided if, in the absence of this endorsement, no liability W00d be imposed by law on C 0 76 80 10 02 b,, The coverage and/or limits required by the contract, agreement or permit. With respect to the insurance afforded the additional insured, paragraph 4 of SECTION IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following: 4., Other Insurance a. This insurance is primary and noncontrib- UtOry, and our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or "suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". la. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment, 5 �Ij A 111 P 11"10,11 V Ella`� 11,�1'1�11 C -fir, -17 PRINT00i,2947 G170A '7m 0 L,- `1 .VRLY' . .. ' DATE (MMIDDPf 11..-CERTIFICATEOF LIARILITY INSURANCE 7/12f2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER The Partners Group Ltd NAMEACT Alisa Allen PHONE (877) 455-5640 FAR (925)455-6727 AIC No 11225 SE 6th St. Suite 110 Bellevue WA 98004 EA-MAILQliE5s.aallen@tpgrp.com INSURERS AFFORDING COVERAGE. NA[C # ... INSURER A:Amerlcan States. Ins Co 19704 INSURED INSURERB:General Ins Co. of America 24732 TECHNOLOGY UNLIMITED INC. INSURER C: 6802 S 220TH ST INSURER D: INSURER E :: ANT WA 98032 INSURER F: az JY�1'�T�4r14 wer.■0Ralw:A111111�01 milltI i Yld,l�lN THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR R THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE, AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AODL S... POLICY NIU'.MBER - POLICY EFF (MMIDWYYYY POLICY EXP MM1DDIYYYY LIMITS GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL. LIABILITY '... E T RENTED.... PREMISES Ea occurrence '' $ 1,000,000 A CLAIMS -MADE OCCUR 1CI26415580 8✓4✓2016 /4✓2017 MED EXP (Ary one person) $ 10,000 PERSONAL & ABV' INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER'.. PRODUCTS - COMPIOP AGG $ 2,000,000 X POLICYPRO- LOC $ AUTOMOBILE LIABILITY SINGLE. LIMIT EOa aBCcde11 $ 1,000,000 B X. ANY AUTO ' W13ILY`INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS 24CC31262630 ✓4✓2016 8✓4/2017 BODILY INJURY (Per accident) $ X HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per aocddenl $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE AGGREGATE $ 4,000,000 DEC I X I RETENTION$ 10,000 $ OISU41486280 ✓4✓2016 ✓4✓2017 A WORKERS COMPENSATION I WG STATU- OTH- T Y .IMI X R AND EMPLOYERS' LIABILITY YIN E.L. EACH ACCIDENT $ 1.000.000 ANY PROPRIETORFPARTNER/EXFCUI'IVE OFFICERIMEMBFR EXCLUDED? Li NIA E.,L BISEASE - EA EMPLOYE... $ 1,000,000 (Mandatory in NH), 010226415580 ✓4✓2016 8/4✓2017 Dyes, IPTI describe DESCRIPTION OF OPERATIONS below ashin ton Stop p '� to G3 E_L DISEASE -POLICY LtlMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I' VEHICLES (Attach ACORD fd1, Additional Remarks Schedule, if more space is required) The City of Santa. Ana, Its officers, agents, volunteers and representatives are primary additional respect to liability arising out of the operations by or on behalf of the named insured as d CG 7635 and G7680' IIII k,r_K I li-'IC.A I c HULUtK CANCELLATION / (714) 647--5304 City of Santa Aiwa, Attn: Mirella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 ACORD 25 (2010/05) I NS0251201005).01 SHOULD ANY OF THE, ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Kevin Lane/VICKX 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ 0FCAREFULLY. This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name #fPerson orOrganization: +++++++++++++++++++++++++++f++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++ ADDITIONAL INSURED — BY WRITTEN CONTRACT, AGREEMENT OR PERMIT, OR SCHEDULE The following paragraph is added to WHO IS AN INSURED (Section 11): 4. Any person or organizationshowm inthe Sched- ule orfor whom you are required by written con- tract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement orpermit must be in effect during the policy period shown in the Deo|arat|ons, and must have been exe- cuted prior to the "bodily injury", "property damage", or ~pmrenne| and advertising injury". b. The poreVm Vrorganization added ooam in- sured bvthis endorsement imeninsured only to the extent you are hold liable due to: (1) The mvvmorship, maintenance or use of that part of premises you nvxm, rent, lease oroccupy, subject tothe following additional provisions: (a) This insurance does not apply to any =onnummnma'which takes place after you cease to be a tenant in any premises leased tonrmemtgdtu you; (b) This insurance does not apply to any structural alterations, now con- struction o/ demolition operations performed by or on behalf of the person or organization added as on insured; (2) Your ongoing nporotkmo for that in- sured, whether the work is performed by you mrfor you; (3) The maintenance, operation or use by you ofequipment leased toyou bysuch person or organization, subject to the following additional provisions: (a) This insurance does not apply to any "occurreQcm''which takes place after the equipment lease expires; Includes Copyrighted Material ofInsurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02m Page 1of^ EP (b) This insurance does not apply to "bodily injury" or "property dam- age"' arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of operations performed for the state or municipality. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services, d. This insurance does not apply to "bodily injury" or "property damage" included within the "products -completed operations haz- ard". A person's or organization's status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON -OWNED WATERCRAFT AND NON -OWNED AIRCRAFT LIABILITY Exclusion g. of COVERAGE A (Section 1) is replaced by the following; g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- ation and "loading or unloading", 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" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on, premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b), Not being used to carry persons or property for a charge; (3,) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract"' for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Limit is shown in the Declarations, Exclusion j. of Coverage, ,,, / ,� 7 , , A, Section I is replaced by the following: V, 6� , -76v ? Ji. Damage To Property A P P 0 E [;)l "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or /)"I Page 2 of 4 any other person, organization or entity, for WHO IS AN INSURED — MANAGERS repair, replacement, enhancement, restora- tion or maintenance of such property for any The following is added to Paragraph 2.a. of WHO IS reason, including prevention of injury to a AN INSURED (Section 11): person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage"' arises out of any part of those premises; (3) Property leaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this, exclusion do not apply to "property damage" (other than damage by fire) to premises, including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section III — Limits Of Insurance. Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS —COVERAGES A AND B — BAIL BONDS — TIME OFF FROM WORK Paragraph I.b. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph I.d. of SUPPLEMENTARY PAYMENTS — COVERAGES A AND B is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time off from work. Paragraph (2) of this exclusion does not apply if EMPLOYEES AS INSUREDS — HEALTH CARE the premises are "your work" and were never SERVICES occupied, rented or held for rental by you. Provision 2.a.(11)(d) of WHO IS AN INSURED (Section Paragraphs (3), (4), (5) and (6) of this exclusion 11) is deleted, unless excluded by separate endorse - do not apply to liability assumed under a side- ment. track agreement. Paragraph (6) of this exclusion does not apply to EXTENDED COVERAGE FOR NEWLY ACQUIRED "property damage" included in the "products- ORGANIZATIONS completed operations hazard". Paragraph 6. of LIMITS OF INSURANCE (Section 111) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown in the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. Provision 3.a. of WHO IS AN INSURED, (Section 11) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section 1) is replaced by the following: El CG 76 35 02 07 Page 3 of 4 "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. APPR Off'' e 1/4 �;, EP EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV): We waive any rights of recovery we may have against any person or organization because of.-paymerits. we make for injury or damage arispg out of your ongoing operations or "your work" don ..fender a contract with,,,," that person or organization an in "products -completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE — PER LOCATION For all sums which the insured becomes legally obl I - gated to pay as damages caused by "occurrences" under COVERAGE A (Section 1), and for all medical expenses caused by accidents under COVERAGE C (Section 1), which can be attributed only to operations at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion 111) apply separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LABILITY CONDITIONS (Section IV): Knowledge of an "occurrence", claim or "suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee,. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under thi's Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non -renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide, more coverage with no additional pre- mium, becomes effective during the policy period in the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. H1,10, PPROVED Page 4 of 4 rev ADDITIONAL INSURED PRIMARY C0VE94-CrE- This endorsement modifies insurance provided under the following: Name of Person or Organization - Any person or organization for whom you are required by written contract, agreement Or' permit to provide a primary and non- contributory additional insured endorsement KFJZMie r� (if no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.,) SECTION 11 — WHO IS AN INSURED is amended to include as an additional insured the person or organization shown in the Schedule Subject to the following provisions: I., The additional insured is an insured but only for liability directly resulting from: a,, your ongoing operations for the additional in- sured whether the work is performed by you or for you; or b,, the general supervision of your ongoing op - orations by the additional insured.. Z This insurance does not apply to: a. "Bodily injury" or "property damage" arising out of any act or omission of, or for defects in design furnished by or for, the additional insured or b,. "Bodily injury" or "property damage" in- cluded within the "products -completed oper- ations hazard." A person's or organization's status as an additional insured under this endorsement ends when your op - orations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be imposed by law on CG 76 80 10 02 you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault,, The insurance provided will not exceed the lesser of: a, The coverage and/or limits of this policy, or b,, The coverage and/or limits required by the contract, agreement or permit., With respect to the insurance afforded the additional insured, paragraph 4. of SECTION IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS is de- leted and replaced by the following: 4, Other Insurance a,, This insurance is primary and noncontrib- utory, and Our obligations are not affected by any other insurance where the additional in- sured is the Named Insured, whether pri- mary, excess, contingent, or on any other basis; however, the defense of any claim or "suit" must be tendered as soon as practi- cable to all other insurers which potentially provide insurance for such claim or "suit". b.. This additional provision applies only to the additional insured shown in the Schedule and the coverage provided by this endorse- ment, "I C L.� I/ e //,77 AP PROVED EP �3 7..PWNTaqi ..m7sn 7n,� ACOaRijr CERTIFICATE OF LIABILITY INSURANCE DATE 7/12/20166 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER '... The Partners Group LtCi. 11225 SE 6th St. Suite 110 Bellevue WA 98004 COIN,I� CT AliAllen PHrONE ($77) �.]5-5640 NOL f425J456-6727 AEbWESS,aallen@tpgrp.com INSURER(S) AFFORDING COVERAGE MAIC # INSURERA:Amerlcan States Ins Co 19704 INSURED TECHNOLOGY UNLIMITED INC, 6802 S 220TH ST KENT WA 98032 INSURERB:General Ins Co. of America 24732 INSURER C : INSURER D: INSURER E INSURERF: COVERAGES CERTIFICATE NUMBER:16-17 GL AL EL XS REVISION NUMHFR- 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 NTH 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 CLAIM'S, INSR LTR TYPE OF INSURANCE ADDLSUBR POLICY NUMBER POLICY EFF MM/DD/YYYY POLICY EXP MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERGIAL GENERAL LIABILITY CLAIMS -MADE a] OCCUR DIC126415580 /4/2016 /4/2017 PREMES ' Ea o�ccnurrence 17- $ 1,., 000P 000 MED EXP (Any one person) $ 10,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2', 000, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY PRO - POLICY jECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,000 13 ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS 4CC31262630 /4/2016 /4/2017 EdCOILYTNJURY (Per person) $ BODILY INJURY Per accident $ ( I ` HIRED AUTOS X NON -OWNED AUTOS PROPERTY DAMAGE Per accident $ X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 4,000,000 AGGREGATE $ 4,000,000 A EXCESS LIAB CLAIMS -MADE DED I X I RETENTION$ 10,000 $ 16041486280 /4/2016 6/4/2017 A WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETORIPARTNER/EXECUMVE OFFICERIMEMBER EXCLUDED? (Mandatory in NH) under If DESCRIPTION OESCRdPTION OF OPERATIONS below N / A OIC126415580 gtpre Stop G.� Na p p /4/2016 /4/2017 CORYLIMITS X E.L. EACH ACCIDENT $ 1,000,000 F,L DISEASE - EA EMPLOYE9 $ 1,000,000 '. E.L. DISEASE - POLPCY LIMIT $ 1 000 . 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space Is required) The City of Santa Ana, Its officers, agents, volunteers and representatives are primary additional respect to liability arising out of the operations by or on behalf of the named insured as per attached CG 7635 and G7680 %rCr[ I Irn.aw I G r1VLLJr_M liANULLL.A I IUN (714)647-5304 City of Santa Ana Attn: Mi.rella Vargas 20 Civic Center Plaza Santa Ana, CA 92701 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Lane/VICKY "` _C':� fC .%%,wmu La (iU7u/Wo) V 1888-2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and lctp,o are requstered marks of ACORD Al -760'-1- O ' ,4Co^ ip CERTIFICATE OF LIABILITY INSURANCE DATE (MMfDD1YYYY) CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 07/16/2018 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE, DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marleen Francis NAME: The Partners Group LtdPHDN!E (877)466-5040 FAX (425p4S5-6727 AdC No.. Ext °. ACNo ; 11225 SE 6th St. E-MAIL mfrancis@tpgrp.corn ADDRESS: Suite 110 CLAIMS -MADE OCCUR INSURERS) AFFORDING COVERAGE NAIC # Bellevue WA 98004 INSLURERA: Sentinel insurance Co, LTD 11000 INSURED INSURER B: Hartford Accident cis Indemnity 22357 Technology Unlimited, Inc. INSURERC: 6802 S 220th St INSURER D -. INSURER E: Kent WA 98032 INSURER F CnVFRA.CF:S r.FRTIFIrATFWIIMlAr. - 18-19GLALELXS r7C17tCinRtwlrg11ADCrr. 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE 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. INSIR LTR TYPE OF INSURANCE AD,DL IN SD SUBIR WVO POLICY NUMBER POLICY EFF MMIDDIY'YYY POLICY EXP MMfDDIYYYY LIMITS COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR DAMAGE TO RENTED 1,000000 PREMISES Ea occurrence MED EXP (Any one person) $ 10,000 PERSONAL dADV INJURY s 1,000,000 A Y 52SBAIX8468 08/04/2018 08/0412019 GEN"LAGGREGATE LIMITAPPLiES PER: GENERAL AGGREGATE S 2,000,000 POLICY PRO- JRI-LOC PRODUCTS - COMPfCPAGG S 2,000,000 S O`1'HER: AUTOMOBOLELIABILITY COMBINED SINGLE LIMIT S 1,000,000 Ea. accident BODILY INJURY (Per person) $ ANY AUTO H OWNED SCHEDULED 52UECHB2224 08/0412018 06/04/2019 BODILY INJURY (Per accident) $ AUTOSONLY AUTOS HIRED HNON-O VNEO PROPERTY DAMAGE. $ Per accident AUTOS ONLY AUTOS ONLY $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE. S 4.000,000 AGGREGATE S 4,000,000 A EXCESS LIAR Id CLAIMS -MADE 52SBAIX8468 08/04/2018 08/04/2019 DED I RETENTION 5 10^U©0 S WORKERS COMPENSATION PER DTH - AND EMPLOYERS' LIABIOTY YIN STAT U"rE ER E.L.. EACH ACCIDENT S 1,000,000 A ANY PROPRIETORIPARTNEWLXECUTIVE F 'OFFICERIMEMBEREXCLUDED7 NIA 523BAIX8468- WA Stop Gap 08/04/2'018 08/04/2019 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE. S 1,000,000.. If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT S 1,000,000 DESCRIPTION OF OPERATIONS] LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) The City of Santa Ana, its officers, agents, volunteers and representatives are included as Additional Insured on General Liability -Primary// as respects opersations performed by or on behalf of the Named Insured per attached form. 19 ,r ny Vii/ Zi E*-6 APIto I i!9 ei*zl At'-/ ... City of Santa Ana, M-14 Attn: Alfonso Chavez 20 Civic Center Plaza PO Box 1964 Santa Ana SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE, THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE. CA 92702-1964 2 a Oc 1988-2015 ACORD CORPORATION'. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD W