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HomeMy WebLinkAboutSELECTRON TECHNOLOGIES, INC. 1INSURANCE ON FILE WORK MAY PROCEED MAYOR UNTIL INSURANCE EXPIRES Miguel A.Pulid��po �i631f�... MAYOR P�r11 u0t1NC�L _.. ViOR P 0 COUNCILIOI SERS Angelica Amezcua P. David Benavides Michele Martinez Roman Reyna Sal Tinajero CITY OF SANTA ANA FINANCE AND MANAGEMENT SERVICES AGENCY 20 Civic. Center Plaza M-27 . P.O. Box 1988 Santa Ana, California 92702 714-647-5420 www.santa-ana.oro October 31, 2016 Todd A. Johnson President Selectron Technologies, Inc. 12323 SW 66th Avenue Portland, OR 97223 Re: Agreement (A-2014274), "Consultant Agreement" Extension Dear Mr, Todd Johnson: A-2014-274-1 CITY MANAGER David Cavazos CRY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Maria D. Huizar Pursuant to Agreement (A-2014-274) entered into by Selection Technologies, Inc. and the City of Santa Ana, dated October 21, 2014, Sections 4 "Term", the time period of said Agreement is hereby extended for a one (1) year period, through October 31, 2017. All required insurance certificates are required to be extended and/or renewed to cover this extension. All other terms and conditions of said Agreement remain unchanged and in full force and effect. If you have any questions regarding this matter, please contact Willard Holt, Treasury and Customer Services Manager in the Finance and Management Services Agency at 714-647-5456. Sincerely, Francisco Gutierrez Executive Director Finance & Management Services APPROVED AS TO FORM: Sonia R. Carvalho City Attorney I3y: Lisa Storck Assistant City Attorney Jack ology Innovations Officer Technology CITY—OF SANTA ANA David Cavazos City Manager ATTEST: Mann D. Huizar Clerk of the Council c: Clerk of the Council SANTA ANA CITY COUNCIL mpei A. poido Vicante Sarmiento N%Cheie Madmez Angelica Amezcua P. DAVitl G'snzuides Roman Reyna Mayor Mayor Pro Tam, Ward 1 Wad 2 Wald 3 Ward 4 Wad 5 mull -p ..ui-5�pr vsaaniantoe)saota-.nanrn fn arataenawo dum.11lyigsfrRsaniaana.ma rrevnano sanH-,.{moi .pq Sat T,ngalo WaM 6 pQ�te n(rDSanta2na org DATE (MM/DD YYW) CERTIFICATE OF LIABILITY INSURANCE 6zw6nols 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 holders an ADDITIONAL INSURED, tho policy(les) must be endorsed. ITSUBROGATION I$ WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT W.B. Adams Co. W.B. Adams Co. PHONENo , 503 644.9945 (AICFAX N,,,(503) 644.9997 General Insurance E -M IL ESE info wbadams.com 14737 SW Ml Way Beaverton OR 97003 070 SURER AFFORDINGOVERAGE AIC# INSURER : One Beacon Insurance Company X INSURED INSURES B: Hartford Casualty Insurance Co. 3alectron Technologies, Inc. . 12323 SW 66th Ave. c:' MVRE Portland. OR 97223 INSURER o INSURER SURER COVFRBr:FA RCVIJIUIN INUMrSCK: 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 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 NSR TYPE OF INSURANCE ADDLSUBR POUCYNU MEER POLICY EFF IDD POLICY EXP MM/0 LIMIT" GENERAL LIABILITY A X EACH OCCURRENCE 81,000.000 DAMAGE TO RENTED $1000000 COMMERCIAL GENERAL LIABILITY CLAIMS � -MADE OCCUR 711013743-0001 01/31/2016 01/3112017 MED EXP An one arson $10,000 PERSONAL&ADV INJURY $1,000,000 X Ded:$0 GENERAL AGGREGATE $2000 000 GEN'L AGGREGATE LIMITAPPLIE6 PER: PRODUCTS - COMP/OP AEG 2000000 POLICY X Pft°r LOC Data/C bor Liabili $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Jd 1000000 , A X ANYAUTO BODILY INJURY (Per person) $ ALL OS SCHEDULED 711013743-0001 01131/2016 09/3112017 aoDILY INJURY (Per secldann $ HIRED NAUTOSON-OWNED HIRED AUTOS NON -OWNED AUTOS PROPE�tDAMAGE It $ X LA UABX OCCUR EACH OCCURPENCE $ 5 000 000 A EXCESS EXCESS LIAR CLAIMS -MADE 711013743-0001 01/31/2016 01/31/2017 GGREGATE 5,000,000 DED ETENTION WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY $ X WCST 0Ea_ B yIN ANY OFFICER/MEEMER EXCLUDED? LJ N/A N/A 529VBCGI3039 01/31/2016 01/31/2017 EL.BACHACCIDENT 1000000 E.L. DISEASE - EA EMPLOYEE 1,000,000 (Mandatory In NH) I(yes, desoribe UR a, _ E.L. DISEASE -POLICY LIMIT $1,000,000 S TI ON OFOPERATIO Sbelow1 A Technology Services E & 0 Retroactive Date 01131/2002 711013743-0001 01131/2016 01/3112017 Limit: $2,000,000 ped: $25,600 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) City of Santa Ana is named Additional Insured as respects the general liability per written contract on a primary and J Z /�/'J noncontributory basis. J ROVE j l�COTICIR.a TG IJ/�I P�,� City of Santa Ana I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 Civic Center Plaza THE EXPIRATION DATE THEREOF, NOTICE WILL BE .DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana, CA 92701 ' AUTHORIZED REPRESENTAid/E e �m U 1988-2010 ACORD CO _ORATION. All - -•--, , nc mvwliu name dim logo are regi"Terea marKs at AGORD POLICY NUMBER: 711-01-37-43-0003 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization (a): THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-405£3 Location(s) Of Covered Operations: Location Building 3 1 ,ir,7_1006 APOVO Pam I W- 1.5' Information required to complete this Schedule, if not shown above, will be shown in the Declarations, A. Section II -Who Is An Insured Is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2, The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, the Insurance afforded to such addi- tional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional in- sured. B, With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at CG 2010 0413 9Insurance Services Office, inc., 2012 Page 1 of 2 E -INSURED the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or sub- contractor engaged in performing operations for a principal as a part of the same project. Page 2 of 2 @ Insurance Services Office, Inc„ 2012 GG 20 10 0413 POLICY NUMBER: 711-01-37-43-0003 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4058 Location(s) Of Covered Operations: Location Building 3 1 Information required to complete this Schedule, if not shown above, will be shown in the Declarations, A. Section II —Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such addi- tional Insured will not be broader than that which you are required by the contract or agreement to provide for such additional in- sured. B. With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This Insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at C6 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2 E -INSURED the location of the covered operations has been completed; or 2. That portion of "your work" out of which the Injury or damage arises has been put to its intended use by any person or organization other than another contractor or sub- contractor engaged in performing operations for a principal as a part of the same project. Page 2 of 2 0 Insurance Services Office, Inc„ 2012 GG 20 10 0413 Policy Number: 711-01-37-43-0003 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. Notice of Cancellation to Designated Certificate Holder A. If we cancel this policy for any reason other than nonpayment of premium, we will endeavor to provide notice of such cancellation to the certificate holder(s) at the address(s) shown in the schedule below when notice of cancellation Is sent to the first Named Insured. In no event will the timing of notice to a certificate holder exceed the timing of notice to the first Named Insured. B. Our failure to provide notice of cancellation to a certificate holder scheduled below will not amend or extend the effective policy cancellation date or negate policy cancellation. Notice of cancellation is provided solely as a courtesy for the convenience of the first Named Insured and does not constitute a prerequisite to effective policy cancellation or confer any rights whatsoever on the certificate holder(s) scheduled below. SCHEDULE Name of Certificate Holder and Addresd THE CITY OF ELKGROVE, ITS OFFICERS, EMPLOYEES, BOARDS, COMMISSIONS AND C/O EBIX BPO PO BOX 257 PORTLAND, MI 48875-0257 *VOLUNTEERS THE CITY OF FRESNO, ITS OFFICERS, OFFICIALS, EMPLOYEES, AGENTS AND 2600 FRESNO ST RM 1059 FRESNO, CA 93721-3620 *VOLUNTEERS THE CITY OF LAS VEGAS, ITS OFFICERS, EMPLOYEES AND AGENTS C/O INSURANCE TRACKING SERVICES PO SOX 21919 LONG BEACH, CA 90801-4919 THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4058 THE COUNTY OF PLACER C/O EBIX BPO PO BOX 257 PORTLAND, MI 48875-0257 *ITS OFFICERS, AGENTS, EMPLOYEES, AND VOLUNTEERS REF #103-32995 VIL 229 06 12 Copyright 2012, OneBeacon Insurance Group LLC Page 1 of 1 E -INSURED POLICY NUMBER: 711-01-37-43-0003 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Name Of Additional Insured Parson(s) Or Organization (s): THE CITY OF SANTA ANA 20 CIVIC CENTER PLAZA SANTA ANA, CA 92701-4058 Location(s) Of Covered Operations; Location Building 3 1 Information required to complete this Schedule, If not shown above, will be shown in the Declarations. A. Section II —Who Is An Insured is amended to Include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; In the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The Insurance afforded to such additional Insured only applies to the extent permitted by law; and 2. if coverage provided to the additional in- sured is required by a contract or agree- ment, the insurance afforded to such addi- tional insured will not be broader than that which you are required by the contract or agreement to provide for such additional in- sured. B. With respect to the insurance afforded to these additional insureds, the following additional ex- clusions apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, Including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf.of the additional insured(s) at CO20 1004 iti 4 Insurance Services Office, Inc., 2012 Page 1 of 2 E -INSURED the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or sub- contractor engaged In performing operations for a principal as a part of the same project. Page 2 of 2 O Insurance Services Office, Inc.. 2012 CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. @VANTAGE FOR GENERAL LIABILITY TECHNOLOGY COMPANIES This endorsement modifles insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM The following schedule lists the coverage extensions provided by this endorsement. Refer to the individual provisions to determine the extent of your coverage. 1. ^Zttlullgl❑IMPlcu- Mumu FU1111 vmIUWIQ 2. Addikional Insured — by Contract, Agreement or Permit relating to: o Work performed by you o Premises you own, rent, lease or occupy o Equipment you lease 3. Aggregate Limit Per Location 4. Blanket Waiver of Subrogation S. Bodily Injury Redefined- Mental Anguish 6. Broadened Named Insured 7. Broadened Property Damage o Borrowed Equipment o Customers' Goods Q Use of Elevators a. wvulayu IenaUly—vv Vuuwn.c 9. Duties in Event of Occurrence, Claim or Suit 10. Expected or Intended Injury (PD) 11, Incidental Medical Malpractice 12. Medical Payments 13. Mobile Equipment Redefined 14. Newly Acquired or Formed Organizations 15. Non -Owned Aircraft 16. Non -Owned Watercraft 17. Personal and Advertising Injury 18, Product Recall Expense 19. Supplementary Payments Increased Limits 1. ADDITIONAL INSURED - BROAD FORM VENDORS Section 11 • Who Is An Insured is amended to include as an additional insured any persons) or organizations) (referred to below as vendor) with whom you agreed In a written contract or agreement to provide insurance, but only with respect to "bodily Injury' or "property damage" arising out of "your produots" which are distributed or sold in the regular course of the vendor's business, subject to the following additional exclusions: a. This provision I. does not apply to: (1) "Bodily injury' or "property damage" for which the vendor is obligated to pay damages by reason of the assumption of liability in a contract or agreement. This exclusion does not apply to liability for damages that the vendor would have In the absence of the contract or agreement; (2) Any express warranty not authorized by you; (3) Any physical or chemical change In the product made intentionally by the vendor; (4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration, testing or the substitution of parts under instructions from the manufacturer, and then repackaged in the original container; (6) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make In the usual course of business, in connection with the distribution or sale of the products; " (6) Demonstration, installation, servicing or repair operations, except such operations performed at the vendor's promises in connection with the sale of the product; (7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or forthe vendor; or VCG 207 11 13 Includes coppyrighted material of Insurance services Otflce, Inc. Page i of 8 Copyright, oneae000n insurance Group LLC E-INSURED- I, I., I.. (8) "Bodily injury' or "property damage° arising out of the sole negligence of the vendor for its own acts or omissions or those of its employees or anyone else acting on its behalf, However, this exclusion does not apply to: (a) The exceptions contained in Subparagraphs 4. or 6.; or (b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally undertakes to make in the usual course of business, In connection with the distribution or sale of the products. (8) Any vendor, person or organlzation''If the "products -completed operations hazard" is excluded either by the provisions of the Coverage Form or by endorsement. b. 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. 2. ADDITIONAL INSURED —CONTRACT, AGREEMENT OR PERMIT a. Section II -Who Is An Insured is amended to include as an additional insured any person(s) or organization(s) with whom you agreed in a written contract, written agreement or permit to provide insurance such as is afforded under this Coverage Part: 1. 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: (a) In the performance of "your work" for the additional insured(s) at the location designated in the contract, agreement or permit; or (b) In the maintenance, operation or use of equipment leased to you by such person(s) or organization(s). or (c) In connection with premises you own, rent, lease or occupy, 2. with respect to liability for "bodily Injury" or "property damage" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf and occurring after: (a) Ali work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured at the site of the covered operations has been completed; or (b) That portion of "your work" out of which the injury or damage arises has been put to its Intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as part of the same project. This Insurance applies on a primary or primary and non-contributory basis if that is required in writing by the contract, agreement or permit. b. The Insurance provided to the additional Insured herein is limited. This insurance does not apply, 1. Unless (a) the written contract, agreement or permit is currently in effect or becomes effective during the term of this policy; and (b) the contract or agreement was executed or permit issued prior to the "bodily injury', "property damage", or "personal and advertising injury"; 2. To any person or organization included as an Insured under the Additional insured - Broad Form Vendors provision of this endorsement; 3. To any person or organization included as an insured by an endorsement Issued by us and made part of this Coveraga Part; 4, To any person or organization if the "bodily injury', "property damage", or "personal and advertising injury" arises out of the rendering of or failure to render any professional architeotural, engineering or surveying services by or for you including: (a) The preparing, approving, or falling to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or (b) Supervisory, inspection, architecture[ or engineering activities. VCG 207.11 19 Includes copyrlghted material of Insurance Services Office, Inc. . Page2 of 0 copyright, Cneaeacon Insurance Group LI.0 i, 5, To any: i'. (a) Lessor of equipment after the equipment lease terminates or expires; or (b) Owners or other interests from whom land has been leased; or (e) Managers or lessors of premises if: (1) The "occurrence" takes place after you cease to be a tenant In that premises; or (2) The "bodily injury", "property damage", "personal and advertising injury" arises out of structural alterations, new construction or demolition operations performed by or on behalf of the manager or lessor, c. Limits of Insurance applicable to the additional insured are those specified in the contract, agreement or permit or in the Declarations of this policy, whichever is less, and fix the most we will pay regardless of the number of: 1. Insureds; a 2. Claims made or "suits" brought; or 3. Persons or organizations making claims or bringing "suits", These Limits of Insurance are Inclusive of and not in addition to the Limits of Insurance shown in the Declarations. 3. AGGREGATE LIMIT PER LOCATION a. Under Section 111— Limits of Insurance, the General Aggregate Limit applies separately to each of your "locations" owned by or rented or leased to you. b, Under Section V— Definitions, the following definition is added: "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. 4. BLANKET WAIVER OF SUBROGATION Section IV - Transfer of Rights of Recovery Against Others to Us Condition is amended to add the following: We will waive any right 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 done under a written contract or agreement with that person or organization and included in "your work" or the "products -completed operations hazard". This waiver applies only to persons or organizations with whom you have a written contract, executed prior to the "bodily injury" or "property damage", that requires you to waive your rights of recovery. 5. BODILY INJURY REDEFINED — MENTAL ANGUISH Under Section V, the definition of "bodily injury" Is replaced by the following: "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. 6. BROADENED NAMED'INSURED Section II - Who Is An Insured is amended to Include as an insured the following Any organization which is a legally incorporated entity in which you own a financial interest of more than 50 percent of the voting stock on the effective date of this endorsement will be a Named Insured until the 1 Both day or the end of the policy period, whichever comes first, provided there is no other similar Insurance avallable to that organization. The insurance afforded herein does not apply to any entity which is also an insured under another policy or would bean insured under such policy but for its termination or the exhaustion of Its limits of insurance. VCG 207 1119 Includes copyrighted material of Insurance services office, Inc, page a ore Copyright, Oneaeacon Insurance Group Lt -C 7. BROADENED PROPERTY DAMAGE —BORROWED EQUIPMENT, CUSTOMERS' GOODS AND USE OF ELEVATORS The insurance for "property damage" liability is subject to the following: a. The Damage To Property exclusion under Section I Coverage A is amended as follows: 1. The exclusion for personal property in the care, custody or control of the insured does not apply to "property damage" to equipment you borrow while at a job site and provided it is not being' used by anyone to perform operations at the time of loss, 2. The exclusions for (a) Property loaned to you; (b) Personal property In the care, custody or control of the insured; and (c) That particular part of any property that must be restored, repalred or replaced because "your work" was Incorrectly performed on it do not apply to "property damage" to "customers' goods" while on your premises nor do they apply to "property damage" arising from the use of elevators at premises you own, rent, lease or occupy. Subject to the Each Occurrence Limit, the most we will pay for 'property damage" to "Customers' Goods" is $36,000 per °occurrence". b. Under Section V — Definitions, the following definition is added: "Customers' Goods" means goods of your customer on your premises for the purpose of being: 1. Repaired; or 2. Used in your manufacturing process. c. The insurance afforded by this provision Is excess over any other valid and collectible property insurance (including any deductible) available to the insured whether such Insurance is primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance — Excess provisions in the COMMERCIAL GENERAL LIABILITY CONDITIONS. 8. COVERAGE TERRITORY - WORLDWIDE The definition of "coverage territory" Is replaced by the following: "Coverage territory" means anywhere provided the insured's responslbllityto pay damages must be determined In a settlement we agree to or in a "suit" on the merits brought within the United States of America (including Its territories and possessions), Puerto Rico or Canada. 9. DUTIES IN THE EVENT OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Section IV . Duties In The Event Of Occurrence, Claim or Suit is amended by adding the following paragraphs: a. The requirements that you must 1, notify us of an "occurrence" offense, Balm or "suit" and 2. send us documents concerning a claim or "suit" apply only when such 'accident" claim, "suit" or "loss" Is known to: 1. You, if you are an individual; 2. A partner, if you are a partnership; 3. An executive officer of the corporation or insurance manager, if you .are a corporation; or 4, A manager, if you are a limited liability company. b. The requirement that you must notify us as soon as practicable of an "occurrence" or an offense that may result in a claim does not apply if you report an "occurrence" to your workers compensation Insurer which later develops Into a liability claim for which coverage Is provided by this policy. However, as soon as you have definite knowledge that the particular "occurrence" is a liability claim rather than a workers compensation claim, you must comply with the Duties In The Event Of Occurrence, Offense, Claim Or Suit Condition. VCG 2071113 Inoludes copynghted material of Insurance Services Office, Inc. Page 4 ofs . Copyright, One6eaeon Insurance Group LLC 10. EXPECTED OR INTENDED INJURY (PROPERTY DAMAGE) The Expected Or Intended Injury exclusion under Coverage A Bodily Injury and Property Damage Is replaced by, "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. 11. INCIDENTAL MALPRACTICE — EMPLOYED PHYSICIANS, NURSES, EMUS AND PARAMEDICS a. Under Section II - Who Is An Insured, the paragraph that excludes an employee or volunteer worker as insured for "bodily Injury' or "personal and advertising injury" arising out of his or her providing orfailing to provide professional health care services does not apply to a physician, dentist, nurse, emergency medical technician or paramedic employed by you if you are not engaged in the business or 000upation of providing medical, paramedical, surgical, dental, x-ray or nursing services. b. The insurance afforded by this provision Is excess over any other valid and collectible Insurance whether such Insurance is primary, excess, contingent or on any other basis. Any payments by us will follow the Other Insurance — Excess Insurance provisions in the COMMERCIAL GENERAL LIABILITY CONDITIONS, 12. MEDICAL PAYMENTS - INCREASED LIMITS AND TIME PERIOD In the Insuring Agreement under Coverage C Medical Payments, the requirement that expenses are incurred and reported to us within one year of the date of the accident is changed to three years. a, The Medical. Expense Limit is $15,000 per person or the amount shown in the Declarations as the Medical Expense Limit, whichever is greater. In. This provision 12, does not apply if Coverage C -Medical Payments Is otherwise excluded either by the provisions of the Coverage Form or by endorsement, 13. MOBILE EQUIPMENT - SELF-PROPELLED SNOW REMOVAL, ROAD MAINTENANCE AND STREET CLEANING EQUIPMENT The following is added to the "mobile equipment" doflnition: Vehicles maintained primarily for purposes other than the transportation of persons or cargo that are self- propelled vehicles of less than 1,000 pounds gross vehicle weight with the following types of permanently attached equipment Will be considered "mobile equipment": a, Snow removal; b. Road maintenance, but not construction or resurfacing; or c. Street cleaning. 14, NEWLY FORMED OR ACQUIRED ORGANIZATIONS Under Section II - Who Is An Insured, the time period limitation for newly acquired or formed organizations is replaced by: Coverage under this provision is afforded only until the end of the current policy period. 15. NON -OWNED AIRCRAFT The Aircraft, Auto Or Watercraft exclusion under Coverage A Bodily Injury And Property Damage Liability does not apply to an aircraft that is: 1 Hired, chartered or loaned with a paid crew; and 2 Not owned by any insured. VC3207 11 13 includes eopydghted material of insurance Services Office, Inc, Page 5 of 8 .. .Oopyrlghl,,Oneaeacon Insurance.group LLC 1 a. The Insurance afforded by this provision 16. is excess over any other valid and collectible Insurance (including any deductible or Self Insured Retention) available to the insured, whether such insurance Is primary, excess, contingent or on any other basis, Any payments by us will follow the Other Insurance - Excess Insurance provisions in the COMMERCIAL GENERAL LIABILITY CONDITIONS. 16, NON -OWNED WATERCRAFT a. Section II -Who Is An Insured Is amended to Include as an Insured for any watercraft that is covered by this policy, any person who, with your expressed or implied consent, either uses or is responsible for the use of a watercraft. However, no person or organization Is an insured with respect to; 1. "Bodily injury" to a co -"employee" of the person operating the watercraft; or 2. "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 underthis provision. b. In the exception to the Aircraft, Auto Or Watercraft exclusion under Coverage A Bodily Injury And Property Damage Liability, the limitation on the length of a watercraft is increased to 66 feet. c. The Insurance afforded by this provision 16. is excess over any other valid and collectible insurance (including any deductible or Self Insured Retention) available to the Insured, whether such insurance Is primary, excess, contingent or on any other basis. Any payments by us vdill follow the Other Insurance - Excess Insurance provisions in the COMMERCIAL GENERAL LIABILITY CONDITIONS. 17, PERSONAL AND ADVERTISING INJURY The following exclusions under the definition of "personal and advertising injury" are amended as follows: a, Insureds In Media Type Businesses 'Personal and advertising Injury" committed by an insured whose business is: (1) Advertising, broadcasting, publishing or telecasting; or (9) Designing or developing content of websites for others, However, this exclusion does not apply to paragraphs 14 a., b. and c. of "personal and advertising injury" under the Definitions Section. For the purposes of this exclusion, the placing of frames, borders or links, or advertising, for you is not by itself, considered the business of advertising, broadcasting, publishing or telecasting. b. Electronic Chatrooms Or Bulletin Boards . "Personal and advertising injury' arising out of an electronic chatroom or bulletin board the insured hosts, owns, or maintains for others. 18. PRODUCT RECALL EXPENSE With respect to this Provision 18„ the Recall Of Products, Work Or Impaired Property exclusion under Coverage A Bodily Injury And Property Damage Liability is deleted. a. The following Is added to Section III - Limits Of Insurance section: f. The Limits of Insurance shown in the Product Recall Schedule and rules below fix the most we will pay regardless of the number of (a) Insureds; (b) "Covered recalls" Initiated; or (c) Number of "your products" recalled, 2. The Product Recall Aggregate Limit is the most we will reimburse you for the sum of all "product recall expenses" incurred for all "covered recalls" Initiated during the policy period. 3. Subject to 2, above, the Each Product Recall Limit Is the most we will reimburse you for the sum of all "product recall expenses" arising out of any one "covered recall" for the same defect or deficiency, VCG 207 11 13 Includes aopydghted material of Insurance Services Office, Inc. Page 6 of 8 Copyright, One8eacon Insurance Group Luc 4, Subject to 3, above, we will pay only the amount of "product recall expenses" In excess of the deductible amount shown in the Product Recall Schedule, Products Recall Schedule Limits of Insurance Product Recall Aggregate Limit $ 50,000 Each Product Recall Limit $ 25,000 Each Product Recall Deductible $1,000 If any limits and deductible other than those above are shown in the Declarations as the Products Recall Expense Limits, the amounts shown In the Declarations will replace the Limits of Insurance and deductible provided for this coverage. The Limits of Insurance for this coverage.apply separately to each consecutive annual period and to any remaining period of less than 12 months, starting with the beginning of the policy period shown In the Declarations, 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 the purposes of determining the Limits of Insurance. b., The following is added to the Duties In The Event Of Occurrence, Offense, Claim Or Suit provision under Section IV - Conditions; You must see to It that the following are done In the event of an actual or anticipated "covered recall" that may result In "product recall expense": 1. Give us prompt notice of any discovery or notification that "your product" must be withdrawn or recalled. Include a description of "your product" and the reason for the withdrawal or recall; 2. Cease any further release, shipment, consignment or any other method of distribution of like or similar products until it has been determined that all such products are free from defects that could be a cause of loss under this insurance; 3. As often as may be reasonably required, permit us to inspect "your product" that demonstrates the need for the"covered recall" and permit us to examine your books and records, Also permit us to take damaged and undamaged samples of "your products" for inspection, testing and analysis; and permit us to make copies from your books and records; 4, Send us a signed, sworn, proof of loss containing the Information we requested to settle the claim. You must do this within 60 days after our request, We will supply you with the necessary forms; and 5, Permit us to examine any insured under oath, while not In the presence of any other insured and at such times as may reasonably be required, about any matter relating to this insurance or your claim, including an Insured's books and records. In the event of an examination, an insured's answers must be signed, c, The following definitions are added to the Deflpitions Section: 1. "Covered recall" means a recall mads necessary because the insured or a government body has determined that a known or suspected defect, deficiency, inadequacy or dangerous condition in "your product" has resulted in orw.ill result in "bodily Injury" or "property damage". 2.. "Product Recall Expense" mea re: (a). The following necessary and reasonable expenses you incur exclusively for the purpose of recalling "your product": (1) For communications, Including radio or television announcements or printed advertisements including stationery, envelopes and postage; (2) For shipping the recalled products from any purchaser, distributor or user to the place or places designated by you; VCG 207 1113 includes copyrighted materl&I of Insuronoo Srvicea Office, Inc. Pogo 7 of a Copyright, Oneaeacon Insurance Group LLC M (3) For remuneration paid to your regular "employees" for necessary overtime; (4) For hiring additional persons, other than your regular "employees"; (5) Incurred by "employees", including transportation and accommodations; (6) To rent additional warehouse or storage space; or (7) For disposal of"your products", but only to the 'extent that specific methods of destruction other than those employed for trash discarding or disposal are required to avoid "bodily injury" or "property damage" as a result of such disposal, but "product recall expenses".does not include costs of regaining your market share, goodwill, revenue or profit, (b) "Product Recall Expense" does not Include any expenses resulting from: (1) Failure of any product to accomplish its intended purpose; (2) Breach of warranties of fitness, quality, durability or performance; (3) loss of customer approval, or any cost Incurred to regain customer approval; (4) Redistribution or replacement of "your product" which has been recalled by like products or substitutes; (5) Caprice or whim of the Insured; (6) A condition likely to cause loss of which any insured knew or had reason to know at the inception of this insurance; and (7) Recall of "your products" that have no known or suspocted defect solely because a known or suspected defect in another of "your products" has been found 1% SUPPLEMENTARY PAYMENTS - INCREASED LIMITS Under Section I — Coverages, Supplementary Payments —Coverages A and 13, paragraphs 1.b. and 1.d. are replaced by the following: b. Up to $2,500 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. 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. ' VCG 207,11 19 Includes copyrighted material of Insurance Services Offloe, Ino. Page B of 6 "Copyright. OneBeaoon Insurance, Group LLC