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PAULUS ENGINEERING, INC.
MAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorio Sal Tinataro Juan Vllfegas D : 'Pvyv A INSURANCE NOT ON RILE A-2014-229.01 WORK MAY ME PROCEED I i CLERK OR COUNCIL INTERIM CITY MANAGER Cynthia J. Kurtz DATE SEP 0 5 2017 CITY ATTORNEY Sonia R. Carvalho .a, CLERK OF THE COUNCIL Maria D. Hulzar PUBLIC WORKS AGENCY 20 Civic Center Plaza, M38 a P.O. Box 1988 Santa Ana, California 92702 wow .sapta-ana.oro September I, 2017 Paulus Engineering, Inc. Attn: Jason Paulus, President 2871 E. Coronado St. Anaheim, CA 92806 Re: Extension of On -Call Sewer and Water System Repair Services Agreement No. A-2014-229 Dear Mr. Paulus: Pursuant to Section 4 ("Term") of Agreement No. A-2014-229 entered into by Paulus Engineering, Inc., and the City of Santa Ana, dated September 16, 2014, the time period of said Agreement is hereby extended for an additional two (2) year period from September 16, 2017 to September 15, 2019. The 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 [natter, please contact the eater Resources Division at 714-647-3320. Sincerely, A , r2_� Fred Mou avipour Executive Director — Publi,c Works Agency APPROVED AS TO FORM: Sonia R. Carvalho City Attorney, J a M. Funk Assistant City Attorney c: Clerk of the Council T OF S TA AN Cynthia J. urtz Interim City Manager ATTEST: Maria D. Iluizar Clerk of the Council PAULUS ENG JLOF , ` �► CERTIFICATE OF LIABILITY INSURANCE C4AtElMM11lDlMYYYI -^ 0510212017' 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 IBY 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 endorsoment(s). PRODUCER NAME: THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. PHONE (AtC (949) 2$7-5677._— 20261 SW ,Acacia St., Suite 200 No, EXt): ............. Newport Beach, CA 92660 a oriLss: -_INPyRERIS)„AFFORDING COVERAGE - _...._NAIc# ....__- - .... ................... _ ........, INSURER A: Executive Risk Indemnity, Inc. INSURED INSURER. B : Federal Insurance Company 20281 -- Paulus Engineering, Inc. INSURER 2871 E. Coronado Street INSURER D Anaheim, CA 92806 - _...,.._.. _ _ ._.... INSURER E1E INSURER F ;. COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT', TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 'WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. tlLT R ........ ......ADDL SUBR. POLICY EFF POLICY EXP -_-_ TYPE OF INSURANCE NSD WVD ....POLICY NUMBER .�� IDD,YYYY � LIMITS A ,,1(. COMM'.ERCIALGENERALLIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE i( OCCUR L. X 54303105 05/0112017 05/01/2018 DAMAGE TO RENTEb PI3I=�1SES (E.2 occu�rence4_ 100,000 S.. i Ma EX'� IAny,ernepersonl. 5,040.. $ __. Seas©pan a aov IN�uizv $ 1,000 000 _ GEN"LAGGREGATE LIWTAPPLIES PER: � i GENERALAGGREGATE_.. $ 2,000000 n POLICY PR(]- y LOC � 2,000 000 JECT PRCDDUG75-CCMPdgPAGG' $ ,..... OTHER B AUTOMOBILE LIABILITY COMBINED SINGLE. LIMIT Ea accident,,,. 1,00'0.000 _ -- ANY AUTO - -- 54303104 05/01 /2017 , 05101' 12018 BODILY INJURY (Per Pems ) $ CW'NED SCHEDULED AUTOS ONLY AUTOS 1 11 BORILY INJURY (Per aoctidenC I S HIRED NON- WNED .. PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY ,_(Per,a�cldent) ..... ..- $ -- i $ UMBRELLA LIAR OCCUR '.I EACH (OCCURRENCE. $ f EXCESS LIAB CLAIMS -MADE. AGGREGATE S ._ .._......,. � C}ED RETENTI ON5 S B WORKERS COMPENSATION - PER OTH. STATE ER - YIN _ ACCIDENT..._. . ,. ... 1,�%Q00f}�I' '$ ' IANYPROPRIETORIPARTNERFEXECUITiVE OF�FIC RPM�MBER EXCBLILITY UDED? N r p, I A$0' 1d6 0$10112017 05101/2�if0 ,Mandatory in NH) If yes describe under L�ESCR#PTIr}N below E.IL. DISEASE �................. S ....... EA EMPLOYEE E$ 1 ,000,000 $ .,,... . 1,0..00,00.0 C?F,OPERAI'IQNS __.._-, _ -_...... .........._...... E.L. DISEASE - POUCY LIMIT S ._ DESCRIPTION OF OPERATIONS I LOCATIONS, VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required) - -- -- RE: Santa Ana Emergency Work. RE: Santa Ana Emergency Work.. glaip City of Santa Ana, its officers, employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. City of Santal Ana, 220 S. Daisy Ave.,. M-85 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PRO7VISION'S. AUTHORIZED REPRESENTATIVE 11/9/17, Page 1 of 5 ACORD 25 (2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD C]NOOV 10 S)IJBW pejo4sl6OA ale 0601 pup oweu (]NOOV all 'PGAJOSaJ SNBIJ IIV 'NOI.LVW&100 alAOOV 90OZ 9 Minn) m (INOOV 910 Z abed 'L1164� .,IueweejBe jo lociluoo jad uoijoe vans aiinbei t43lqm sJaPlOH WoUlli90 esoqj al aoijou UG:P!AM SAep (AIJ1141) OC J!EW ll!M'OUI 'SODIAieS jeiajawwoo a6enjoi3 aq.L 'alep uoi;eJidxa aqj ajolaq polleoueo eq Aoilod sit43 pino4s -wniLuO.Id 10 IuOwAed-uONJOj UOIJE11GOULID JO 83RON sAeC] 0p I&9x3, :uoilelleoueo oweinsul 14!pqe!-ji jo ojeoy!poo �=I'Jjjj fflJo=1 9Z 02100V :2meiNnN WHOA 'moj adoov o.L 31i11(13HOS V Sl VM04 SAHVWMI IVNOIII, SMIIVWB�l IVNOUIGOV . ..... . ....... L B0Vd43S:3lVG3AII03.ii3 d 33S� 4 DE)Vd 39S 3000 OWN NAINHVO L 3DVd 33S N38MN A W-10d 90SZ6 vo 'LUIOqeuv 108j) ? opeuojoo 'g "Z -3ul `S301AM3S 3ONvunSNI -lVIONBVVWOO 30"3NONS alll 3 . upeeui6u3 sninud OildnSNI aBWVN AON30V . .. . . . . .. ... . ..... ......... Jo I 069d 31nO3HOS SNIIVW3N 1VNOIIICI(3V 0 :900-11 Z3doir 9N3sn-lnVd:oid9woisn3 AONaE)V A-2014`229-01 Policy No. 54303105 This endorsement mmdrfieminsurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. SECTION U—WHO |SANINSURED is amended to include any person or organization that you agree in a~vvrittem contract requiring insurance" to include aman insured on this Coverage Pert, but a. Only with respect to liability for "bodily injury", .'property damage" or "personal injury"; and b. If, and only tmthe extent that, the injury or damage in oeumod by acts or omissions of you oryour subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qua|fy as an insured with respect to the independent mota or omissions ofsuch person or organization. 2. The insurance provided to the insured by this endorsement islimited asfollows: a. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the applicable Limits ufInsurance shown inthe Declarations. 6. The insurance provided to the insured does not apply to damages, loss, cost orexpense arising out of the rendering of, or heWure to render, any professional onchiteoona|, engineering or surveying aemimam. including: (1) The proparing, apprVvinQ, or failing to prepare or appruva, mapa, shop drevvimgs, opinions, neports, sumeya, field orders orchange orders, orthe preparing, eppnoving, or failing to prepare or approve, drawings and specifications-, and COMMERCIAL GENERAL, LIABILITY c: The insurance prov�cled to the insured does not apply to "bodily injury/ or "property damage~ caused by "your work" and included in the "prod uctm-comp|eted operations hazard" unless the "written contract requiring insurance" specifically requires you toprovide such coverage for that insured, and then the insurance provided tothe insured applies only to such "bodily injury~ or "property damage" that occurs before: (1) The end of the period of time for which the "written contract requiring insurance" requires you toprovide such coverage; mr (2) The end mfthe po1[oyperiod: whichever is earlier. 3. The insurance provided to the insured by this endorsement is excess over any valid and collectible other inaursnoe, whether primnery, exoonm, contingent or on any other bemin, that in available hothe insured fora loss we cover under this endorsement. Howemer, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or primary and non-contributory baaia, this insurance is primary to other insurance available to the insured which covers that person or organizofion as a named insured for such |uuo, and we will not share with that other insurance. But the insurance provided to the immured by this endorsement still in excess over any other valid and collectible inmuramoa, whether phmery, mxonms' contingent oron any other basis, that is available to the insured when that person or organization is an additional' insured under such other insurance. 4. As a condition of coverage provided to the insured bythis endorsement: (2) Supenvinory, inmpecbnn, architectural or a. The insured must give us written notice as engineering activities. soon as practicable of an "occurrence" or an t _a 10-02-2608(Ed.7-16) Includes copyrighted material ofInsurance Services Office, [no., Page iof2 UOISSILUjad sj! qj!m �-L T3) 809Z-Z0-0 "OU1 'GOp110 SGOIAJOS aouejnsul to leuejew polqI50doo sgpnloul Z 10 Z 06ed 9 JO 17 96ed 'L 1/6/ 1, ,pound Aoilod eqj jo pue aqj ajopqE] "o pue :Joajja Ut si juawaaAe Jo joeiluoo aqj jo Ijed jeqj el!qAA q I .noA Aq juaweeibe Jo joeiluoo 9q; jo uopoexe pue 6upu6is aqj jaj1V -e :papwwoo asuallo ue Aq pasneo si ,AAnlfu,i louosiad, aqj pue sin000 ,96ewep Aliedoid,, pue ,,Ajnfu.i Al!poq,, 8qj JeLIJ PGP!Aoid ':Ped @BeJaAOC) siqj uO pGjnsul leuoippe Ue se UoijeZIU06jo Jo uosied e apnloui of pajinbei aje noA qoiqm japun juawaajft jo poiluoo uapim, Sue jo Ijed jcqj sueaw ,eouejnsui 6upinbai peiluoo uajj!jAA,, :91NI01111NIJ30 — A N01103S 01 P@PP6 S' uOl;!u'JGP Bu]mOIIOJ Gq-L -S . @Aoqe -C qdeibeied ui paq!josep se painsui paweu e se UO1jBz1ue6jo Jo uosied JeLIJ SJGAOO qoiqm painsui Gqj qalqejueAe aouejnsui jaqjo of Ajewijd si juawasiopue siqj Aq painsui 9q; of papAoid eoueinsui aqj joqjqqM belle IOU S90P UO13!PUO3 S1qj 'JGAGmOH 1UGLUOSIOPUG S�Llj Apun J8AOO 9M SSOI e joj painsui aq; J9AOO pinom qo!qm G)ouejnsui J@qJ0 10 JGP!Aoid Aue of ,I!ns,, Jo wielo Aue jo Apwapu! PUB asuejap aqj Japual jsnw peinsui eq.L -p -suoil!puoo Aoqod Ile q;!AA Aldwoo qsjmjeqjo pue `„ps" eqj Isuleft esualap JO LUMID @qj JO JU9LUeIjj8S JO UOrJE6IJS9AUI aqj U! sn q;!m 9;ejad000 ',,I!ns,, Jo wielo aqj q;!M UOI;09UUOO U1 P@AIGOGJ siaded le6al Ile to saidoo sn puas Aleleipewwi ;snw peinsui aqi -a -elqeoijoeid se uoos se ,I!ns,, Jo wielogql ;o aoi;ou w9pim @AI@O@J am jeqj j! of eas ;snw painsui eq_L .alqeoijoejd se uoos se sn 4ION (Z) pue .PGAIGOGJ Glep Gqj PUB ,;!ns,, Jo wielo aqj jo soilpads aqj pjooei Alajetpawwl :Isnw painsui eqj 'painsui aqj ;suie6e IqBnojq si ,I!ns,, Jo apew si wielo e 11 q -asuallo Jo ,aou@jjn000,, all jo Ino 6uisije 96ewep Jo Ainfui ,due to uoijeool pue ainjeu E)q_L (C) pue 'sassaujp pue suosjGd pain.lui Aue jo sassaippe pue sawn aqi (Z) 'aoeld stool asuallo Jo .,aouajjn000,, a1qj aiaqm PUB UGqm WOH -.apnloui.i pInoqs aoijou dons `,qlqssod juaIxo eqj of -wielo e Ul jInsai Aeon qoiqm asuallo solfut's 'ON sallo'l W-6ZZ171,N-V POLICY NUMBER: 54303105 COMMERCIAL GENERAL LIABILITY 10-02-2461 (Ed. 7-16) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART Additional Insured: Where required by written contract SCHEDULE Location Of Covered Operations: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) With respect only to the Additional Insured and at the Location Of Covered Operations shown in the Schedule, the following is added to SECTION IV — COMMERCIAL GENERAL LIABILITY CONDITIONS, Paragraph 4. Other Insurance and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to the Additional Insured with respect to the Location Of Covered Operations shown in the Schedule under this policy provided that: (1) The Additional Insured is a named insured under such other insurance-, and (2) You have agreed in writing, in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Additional Insured. 11/9/17, Page 5 of 10-02-2461 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1' with its permission, PAULUS ENG 2UI'f • L2_�'1 - Lam! ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer riahts to the certificate holder in lieu of such endorsement(s). PRODUCER THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 INSURED Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 (AICNN., Ex):(949) 287-5677 (AIC, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: Executive Risk Indemnity, Inc. INSURER B: Federal Insurance Company INSURER C : INSURER D : INSURER E : f`COTICIPATE M1 Dataco- REVISION NUMBER: NAIC If 35181 20281 V THIS, IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE �ABBO 8UE. POLICY NUMBER MM DCY EFF MM DD EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE X occuR X 54303105 05/01/2018 05/01/2019 PPREMISES(Ea occurrence) $ 10Q,000 5,000 MED EXP(Any one person) $ 1,000,000 PERSONAL &ADV INJURY S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY X JECT LOC PRODUCTS - COMPIOP AGO S 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO 54303104 05/0112018 05/01/2019 BODILY INJURY (Per person) $ AUTOS ONLY AWNED UTOS BODILY INJURY (Per accident $ ) qNp NN AUTOS AUT030NLV PROPERTY accdent)AMAGE $ ONLY 8 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ S WORKERS COMPENSATION PESTATUTE OTRH- AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNEWEXECUTIVE E.L. EACH ACCIDENT $ EXCLUDF_D? NIA WFICERIMEMBER .(mandatory:. NH) -- EL. DISEASE- EA EMPLOYEE ,$ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (ACORO 101, Additional Remarks Schedule, maybe attached if more space is required) RE: Emergency Sewer Repairs and/or Water Repairs for and in the. City of Santa Ana. glalp City of Santa Ana, 20 Civic Center Plaza, Santa Ana, CA 92701, Its Officers, Employees, Agents, Volunteers & Representatives are named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsment. ✓,/J i City of Santa Ana 20 Civic Center Plaza M-93 Santa Ana, CA 92702 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 ACORD 25 (2016/03) W 198tI-2D1 b ACONU f UKIPIJKA I lulu. Au rlgnrs reserves. The ACORD name and logo are registered marks of ACORD ,IV -;1_01 t ` '2'_ZA C 1 ACORO AGENCY CUSTOMER ID: PAULUS ENG LOC III: 0 ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED HE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. Paulus Engineering Inc. 2871 E. Coronado Street POLICYNUMBER Anaheim, CA 92806 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liabilitv Insurance JLOPEZ Page 1 of 1 Cancellation: *Except 10 Days Notice of Cancellation for Non -Payment of Premium. Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* AI:UKU 1U1 (2UU6/U1J © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD & - z- 01It - L y<-1. 01 Insured: Paulus Engineering, Inc. Effective: 05/01 /2018-05/01 /2019 Policy Number: (18) 5430-31-05 COMMERCIAL GENERAL LIABILITY 10-02-2508 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. SECTION II —WHO IS AN INSURED is amended to include any person or organization that you agree in a "written contract requiring insurance" to include as an insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", '.property damage' or "personal injury'; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance" applies. The person or organization does not qualify as an insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the insured by this endorsement is limited as follows: a. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the .,written contract requiring insurance", the insurance provided to the insured shall be limited to the limits of liability required by that "written contract requiring insurance'. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. b. The insurance provided to the insured does not apply to damages, loss, cost or expense arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and c. The insurance provided to the insured does not apply to "bodily injury" or "property damage' caused by "your work" and included in the "products -completed operations hazard" unless the "written contract requiring insurance' specifically requires you to provide such coverage for that insured, and then the insurance provided to the insured applies only to such "bodily injury" or "property damage' that occurs before: (1) The end of the period of time for which the "written contract requiring insurance' requires you to provide such coverage; or (2) The end of the policy period; whichever is earlier. 3. The insurance provided to the insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance' specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But the insurance provided to the insured by this endorsement still is excess over any other valid and collectible insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when that person or organization is an additional insured under such other insurance. 4. As a condition of coverage provided to the insured by this endorsement: (2) Supervisory, inspection, architectural or a. The insured must give us written notice as engineering activities. soon as practicable of an "occurrence" or an 10.02-2508 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. Insured: Paulus Engineering, Inc. Effective: 05/01 /2018-05/01 /2019 Policy Number: (18) 5430-31-05 offense which may result in a claim. To the extent possible, such 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. b. If a claim is made or "suit" is brought against the insured, the insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. The insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. The insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d. The insured must tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover the insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the insured by this endorsement is primary to other insurance available to the insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V — DEFINITIONS: 'Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage" occurs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and A- 2-0If-"2-X-0•01 c. Before the end of the policy period. J Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., 10-02.2508 (Ed. 7.15) with its permission. # • 2-011-f •zap• 01 PAULUS ENG ACORO" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYYI THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsementfsL PRODUCER THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 INSURED Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 PHONE FAX (MC, No, Ext): (949) 287-5677 (AC, No): EMAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIL If INSURER A: Executive Risk Indemnity, Inc. 35181 INSURER B. Federal Insurance Company 20281 INSURER C : Travelers Property Casualty Company of America 25674 INSURER D INSURER E COVERAGES CERTIFICATE NIIMRFR DFtncfnM Nn MDCD• 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. INSft TYPE OF INSURANCE ADDLGUBR LTR IN D POLICY NUMBER POLICY EFF POLICYEXP M MM DDIYVYY LIMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS -MADE X OCCUR X 54303105 05/01/2018 05/01/2019 DAMAGERENTED TeE(Dence) APREMGET 700'QQQ Ea $ MED EXP (Any one person) $ 5,000 - PERSONAL B ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY X PRO- JECT LOC PRODUCTS-COMPIOP AGO $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 accident) $ X ANY AUTO 54303104 05/01/2018 05/01/2019 BODILY INJURY BODILY (Per person) $ OWNED SCHEDULED . AUTOS ONLY AUTOS BODILY INJURY (Per accident( $. HIRED NON -OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ $ C UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 3,000,000 X EXCESS LIAB CLAIMS -MADE ZUP-15T82203-18-NF 05/01/2018 05/01/2019 3,000,000 . DED X RETENTION$ 10,000 AGGREGATE $ $ B WORKERS COMPENSATION X PER OTH AND EMPLOYERS' LIABILITY YIN STATUTE ER ANY PROPRIETOMPARTNER/EXECUTIVE 54303106 OSI01I2D78 05/0112019 E.L. EACH ACCIDENT $ 1,000,000 OFFICEWMEMBER EXCLUDED? NIA (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be aaached if more space is required) RE: All operations performed by the Named Insured during the current policy period. glaip City of Santa Ana, its officers, employees, agents, volunteers and representatives are included as Additional Insureds as respects General Liability per attached endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. City of Santa Ana 20 Civic Center Plaza Santa Ana, CA 92702 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 / 2 _ ACUKU 25 (2016103) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AIR" AGENCY CUSTOMER ID: PAULUS ENG LOC #: 0 ADDITIONAL REMARKS SCHEDULE AGENCY THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. POLICY NUMBER SEE PAGE 1 CARRIER NAIL CODE 3EE PAGE 1 'SEE P 1 NAMED INSURED 'aUIUS Engineering Inc. 2871 E. Coronado Street Anaheim, CA 92806 EFFECTIVE DATE: SEE PAGE 1 JLOPEZ Page 1 of 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Cancellation: *Except 10 Days Notice of Cancellation for Non -Payment of Premium. Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* ACORD 101 (20081011 n 9nnR Arnon rnoononr:nr,: nu -:_..._ - The ACORD name and logo are registered marks of ACORD 4-avl-f-7Z0,01 Insured: Paulus Engineering, Inc. Effective: 05/01 /2018-05/01 /2019 Policy Number: (18) 5430-31-05 COMMERCIAL GENERAL LIABILITY 10-02-2508 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. SECTION II — WHO IS AN INSURED is amended to include any person or organization that you agree in a "written contract requiring insurance' to include as an insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", '.property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of "your work" to which the "written contract requiring insurance' applies. The person or organization does not qualify as an insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the insured by this endorsement is limited as follows: a. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the insured shall be limited to the limits of liability required by that "written contract requiring insurance'. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. b. The insurance provided to the insured does not apply to damages, loss, cost or expense arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and c. The insurance provided to the insured does not apply to "bodily injury" or "property damage' caused by "your work" and included in the "products -completed operations hazard" unless the "written contract requiring insurance' specifically requires you to provide such coverage for that insured, and then the insurance provided to the insured applies only to such "bodily injury" or "property damage" that occurs before: (1) The end of the period of time for which the "written contract requiring insurance" requires you to provide such coverage; or (2) The end of the policy period; whichever is earlier. 3. The insurance provided to the insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance" specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But the insurance provided to the insured by this endorsement still is excess over any other valid and collectible insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when that person or organization is an additional insured under such other insurance. 4. As a condition of coverage provided to the insured by this endorsement: (2) Supervisory, inspection, architectural or a. The insured must give us written notice as engineering activities. soon as practicable of an "occurrence' or an f'RoK 707'1 10.02-2508 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. Insured: Paulus Engineering, Inc. Effective: 05/01 /2018-05/01 /2019 Policy Number: (18) 5430-31-05 offense which may result in a claim. To the extent possible, such 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. b. If a claim is made or "suit" is brought against the insured, the insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. The insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. The insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d. The insured must tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover the insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the insured by this endorsement is primary to other insurance available to the insured which covers that person or organization as a named insured as described in paragraph 3. above. 5. The following definition is added to SECTION V — DEFINITIONS: 'Written contract requiring insurance' means that part of any written contract or agreement under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury" and "property damage' occurs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. A - 2i1 (. 2,Z0 • oI Pam �ot� Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., 10-02-2508 (Ed. 7-15) with its permission. A - 2 o ►` t. 2-" • o f PAULUS ENG ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sl. PRODUCER THE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. 20261 SW Acacia St., Suite 200 Newport Beach, CA 92660 INSURED Paulus Engineering, Inc. 2871 E. Coronado Street Anaheim, CA 92806 CONTACT NAME: PHONE FAX INC, No, Ext): (949) 287-5677 (AIC, No): E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE INSURER A: Executive Risk Indemnity, Inc. INSURER B: Federal Insurance Company INSURER C : INSURER D INSURER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NAIC # 35181 20281 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AD SUER LTR SD WVO POLICY NUMBERIMMIDDIYYYYI PMLpD EFF POLICY EXP LIMITS A X COMMERCIAL GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR 54303105 5/1/2019 5/1/2020 DAMAGE TO RENTED 100,000 X PREMISES (En occurrence) $ 5,000 MED EXP (Any one person) $ PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY X PEA LOG PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER' $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 $ X ANY AUTO 54303104 5/1/2019 5/1/2020 BODILY BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ HIRED NON -AWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Peraccidem) S S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION$ $ B WORKERS ND EMPLOYERS' LIABILIITY X PER H YIN STATUTE ER _ PROPRIETOWPARTNEWEXECUTIVE 54303106 SI712019 $/1 /2020 E.L. EACH ACCIDENT $ 1,000,000 AApNY FFFICERIMtor,rE BERNH) EXCLUDED? NIA 1,000,000 If yes, describe under E.L. DISEASE - EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS) LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: Santa Ana Emergency Work. RE: Santa Ana Emergency Work. glaip City of Santa Ana, its officers, employees, agents, volunteers and representatives are Named as Additional Insureds as respects General Liability per Attached Endorsement. This Insurance shall apply as Primary and Non -Contributory per attached endorsement. REVIEWED BY: /V/l% City of Santa Ana 220 S. Daisy Ave., M-85 Santa Ana, CA 92702 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 ACORD 25 (2016103) 9)1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD A • 2-ol j. 1.1.q . of AGENCY CUSTOMER ID: PAULUS ENG LOC.#: 0_ _ ACORO L� ADDITIONAL REMARKS SCHEDULE AGENCY NAMED INSURED HE BROKERAGE COMMERCIAL INSURANCE SERVICES, Inc. Paulus Engineering Inc. 2871 E. Coronado Street POLICY NUMBER Anaheim, CA 92806 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Lialiilitv Insurance JLOPEZ Page 1 of 1 Cancellation: *Except 10 Days Notice of Cancellation for Non -Payment of Premium. Should this policy be cancelled before the expiration date, The Brokerage Commercial Insurance Services, Inc. will mail 30 (thirty) days written notice to those Certificate Holders which require such action per contract or agreement.* REVIEWED BY: PA G E Fes_ ra Vmu I I twvolu 1) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 14-- 2,0/y. 2-" - pI Insured: Paulus Engineering, Inc. Effective: 05/01 /2019-05/01 /2020 Policy Number: 54303105 COMMERCIAL GENERAL LIABILITY 10-02-2508 (Ed. 7-15) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY BLANKET ADDITIONAL INSURED (CONTRACTORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. SECTION II — WHO IS AN INSURED is amended to include any person or organization that you agree in a "written contract requiring insurance' to include as an insured on this Coverage Part, but: a. Only with respect to liability for "bodily injury", "property damage" or "personal injury"; and b. If, and only to the extent that, the injury or damage is caused by acts or omissions of you or your subcontractor in the performance of 'your work' to which the "written contract requiring insurance' applies. The person or organization does not qualify as an insured with respect to the independent acts or omissions of such person or organization. 2. The insurance provided to the insured by this endorsement is limited as follows: a. In the event that the Limits of Insurance of this Coverage Part shown in the Declarations exceed the limits of liability required by the "written contract requiring insurance", the insurance provided to the insured shall be limited to the limits of liability required by that "written contract requiring insurance". This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. b. The insurance provided to the insured does not apply to damages, loss, cost or expense arising out of the rendering of, or failure to render, any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders or change orders, or the preparing, approving, or failing to prepare or approve, drawings and specifications; and (2) Supervisory, inspection, architectural or engineering activities. c. The insurance provided to the insured does not apply to "bodily injury" or "property damage' caused by "your work' and included in the "products -completed operations hazard" unless the "written contract requiring insurance' specifically requires you to provide such coverage for that insured, and then the insurance provided to the insured applies only to such 'bodily injury" or "property damage' that occurs before: (1) The end of the period of time for which the "written contract requiring insurance' requires you to provide such coverage; or (2) The end of the policy period; whichever is earlier. 3. The insurance provided to the insured by this endorsement is excess over any valid and collectible other insurance, whether primary, excess, contingent or on any other basis, that is available to the insured for a loss we cover under this endorsement. However, if the "written contract requiring insurance' specifically requires that this insurance apply on a primary basis or a primary and non-contributory basis, this insurance is primary to other insurance available to the insured which covers that person or organization as a named insured for such loss, and we will not share with that other insurance. But the insurance provided to the insured by this endorsement still is excess over any other valid and collectible insurance, whether primary, excess, contingent or on any other basis, that is available to the insured when that person or organization is an additional insured under such other insurance. 4. As a c do of covera a provided to the inuur d�i�lh�er�D BY: a. The 'nsured must give us written notice as soot c bl rencegf&r�/�9 PAGE 3 O_ 10-02-2508 (Ed. 7-15) Includes copyrighted material of Insurance Services Office, Inc., Page 1 of 2 with its permission. f! • �-olY • z2.9 • of Insured: Paulus Engineering, Inc. Effective: 05/01 /2019-05/01 /2020 Policy Number: 54303105 offense which may result in a claim. To the extent possible, such 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. b. If a claim is made or "suit" is brought against the insured, the insured must: (1) Immediately record the specifics of the claim or "suit" and the date received; and (2) Notify us as soon as practicable. The insured must see to it that we receive written notice of the claim or "suit" as soon as practicable. c. The insured must immediately send us copies of all legal papers received in connection with the claim or "suit", cooperate with us in the investigation or settlement of the claim or defense against the "suit", and otherwise comply with all policy conditions. d. The insured must tender the defense and indemnity of any claim or "suit" to any provider of other insurance which would cover the insured for a loss we cover under this endorsement. However, this condition does not affect whether the insurance provided to the insured by this endorsement is primary to other insurance available to the insured which covers that person or organization as a named insured as described in paragraph 3. above. S. The following definition is added to SECTION V — DEFINITIONS: "Written contract requiring insurance" means that part of any written contract or agreement under which you are required to include a person or organization as an additional insured on this Coverage Part, provided that the "bodily injury' and "property damage' occurs and the "personal injury" is caused by an offense committed: a. After the signing and execution of the contract or agreement by you; b. While that part of the contract or agreement is in effect; and c. Before the end of the policy period. REVIEWED By.. PAGE y O F.�_ Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., 10-02-2508 (Ed. 7-15) with its permission.