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HomeMy WebLinkAboutBUNNELL ENTERPRISES (DBA TOTAL NETWORK SOLUTIONS)-2017 AMENDMENTMAYOR Miguel A. Pulido MAYOR PRO TEM Michele Martinez COUNCILMEMBERS P. David Benavides Vicente Sarmiento Jose Solorlo Sal Tinajero Juan Villages !NSURANCE NOT ON FILE WORK MAYNOTPROCEEE CLERK ODC0iN9 ala DATE: Decernber 6, 2017 CITY OF SANTA ANA INFORMATION TECHNOLOGY DEPARTMENT 20 We Center Plaza . P.O. Box 1988 Santa Ana, California 92702 www.santa-ana.ora Total Network Solutions Attn: James Bunnell, President 5150 East Pacific Coast Hwy., Ste. 530 Long Beach, CA 90804 A-2017-019-01 CITY MANAGER Raul Godtnez II CITY ATTORNEY Sonia R. Carvalho CLERK OF THE COUNCIL Marla D. Huizar Re: Extension of Consultant Agreement No, A-2017-019 to furnish information technology professional services on an on-call basis Dear Mr. Bunnell: Pursuant to Section 3 ("Term") of Agreement No. A-2017-019 entered into by Total Network Solutions and the City of Santa Ana, dated February 7, 2017, the time period for said Agreement is hereby extended for an additional one (1) year period, from February 7, 2018 to February 6, 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. Sincerely, Jac 1 iulla Cl f Technolofry Innovations Officer In ormation Technology Department APPROVED AS TO FORR2: Sonia R. Carvalho City Attorney n Lisa Storck Assistant City Attorney C1'1� ANTA ANA Raul God nez II City Manager t-iem or trio t.ouncu SANTA ANA CITY COUNCIL Wguei X Pulido Michele Munro. Vicenle sarrmeMo Jose Salado P. Dodd aanaddea Juan Wages Sal Tinajem Mayor r4aya, Pro Tem, Ward 2 Wave Ward Were Wards We'd@ .JL:dnS� art an ory mimarliraz�santaana.oro vs�migmo(a7aanta ana.ora Isotor'm�o sa7ta-aria org fiber addes�santa-ena wa ivttlaoastdsa,Ya-a�a as, sSinai QQx4ua na ora AC40IIIRV CERTIFICATE OF LIABILITY INSURANCE DATE CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 2/Y4/20wv) 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 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 Bryson Casualty Insurance Services, Inc. NAME: T 3777 Long Beach Blvd., 5th Floor Long Beach, CA 90807 PHONEFAX 562-435-4267(AIc No: 562-951-5747 EMAIL ADDRESS' INSURERS AFFORDING COVERAGE NAIL# 680-3BO82516-16 INSURER A: Travelers Casualty Insurance Co. of America 19046 www.bryson`nancial.com OF89838 INSURED Bunnell Enterprises Total Network Soultions INSURER 8: Scottsdale Insurance Company 41297 INSURER C: INSURER D: 5150 Park Tower, Suite 530 Long Beach CA 90804 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 34379088 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 TR OF INSURANCE ADDTYPE INSD ME POLICY NUMBER MIDIYMIOLICY YVY XP rYYV MMIDOfX LIMITS COMMERCIAL GENERAL LIABILITY V 680-3BO82516-16 3/5/2017 3/5/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE OCCUR ✓ DAMAGE TO RENTED PREMISES Ea occurrence $ 300,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 GEN'L ✓ POLICY jEOT [:] LOC PRODUCTS-COMP/OPAGG $ 2,000,000 Hired/NonOwned $ Included OTHER: A AUTOMOBILE LIABILITY COMBINED Ea accident SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ ANY AUTO ✓ OWNED SCHEDULED AUTOS ONLY AUTOS AUTOS ONLY ✓ AUTOS ONLLY 680-38082516-16 680-38082516-16 3/5/2017 3/5/2017 3/5/2018 3/5/2018 BODILY INJURY (Per accident) $ Peon cde DAMAGE It $ A UMBRELLA LIAB ,/ OCCUR CUP -8D959001-16 3/5/2017 3/5/2018 EACH OCCURRENCE $ 1000,000 AGGREGATE $ 1,000,000 EXCESS LIAB CLAIMS -MADE DED RETENTION$ $ WORKERS COMPENSATION EM PLOYERS' LIABI LITY YIN ANYPROPRIETORTARTN ER/EXEC UTIVEE. F-1OFFICER/MEMBER EXC LU DE DT NIA STATUTE STATUTE ER L. EACH ACC IDENT $ E.L. DISEASE- EA EMPLOYEE $ (Mandatory in NH) If yes, describe nd., DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ A Business Personal Property 680-3BO82516-16 3/5/2017 3/5/2018 $27,583 / $500 Deductible B Errors & Omissions EKS3170728 10/24/2016 10/24/2017 $1,000,000 / $5,000 Deductible B Employment Practices Liability EKS3192390 6/19/2016 6/19/2017 $1,000,000 / $15,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Add lllonal Remarks Schedule, may be attached If more space is required) City of Santa Ana, its officers, agents and employees are named as additional insured on the General Liability as their interest may appear per attached CGT3301188. 30 Day Notice of Cancellation / 10 Day Notice of Nonpayment CERTIFICATE HOLDER CANCELLATION Cit Santa Ana City: f SantPurchAg SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Of At De artment THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Civic Center plDep laza ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 AUTHORIZED REPRESENTATIVE Brett H Hlista © 1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 34319088 1 '17 Pkg/XS; '16 2&0; X16 Eecx I Gina Gradillas 1 2/24/2017 10:09:45 AM (PLT( I Page 1 of 1 COMMERCIAL GENERAL LIABILITY POLICY NUMBER: 680-3E082519-16-42 ISSUE DATE: 02/23/2017 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 1111111721 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. SCHEDULE Name of Person or Organization (Vendor): CITY OF SANTA ANA ATTN: PURCHASING DEPARTMENT 20 CIVIC CENTER PLAZA SANTA ANA CA 92701 Your products: IT SERVICES (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) B. PROVISIONS WHO IS AN INSURED (Section II) is amended to include as an insured any person or organization (referred to below as "vendor") shown in the Schedule, but only with respect to "bodily injury" or "property damage" arising out of "your products" shown in the Schedule which are distributed or sold in the 'regular course of the vendor's business subject to the following additional provisions: 1. The insurance afforded the vendor 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 agree- ment; c. Any physical or chemical change in the product made intentionally by the ven- dor; d. Repackaging, unless unpacked solely for the purpose of inspection, demonstra- tion, testing, or the substitution of parts under instructions from the manufac- turer, and then repackaged in the original container; e. Demonstration, installation, servicing or repair operations, except such opera- tions performed at the vendor's premises In connection with the sale of the product; f. Products which, after distribution or sale by you, have been labeled or relabeled or used as a container, part or ingredient of any other thing or substance by or for the vendor; g. The sole negligence of the vendor. b. Any express warranty, or any distribution 2. This insurance does not apply to any insured or sale for a purpose unauthorized by person or organization, from whom you have you; acquired such products, or any ingredient, part or container, entering into, accompany- ing or containing such products. Includes copyrighted material of Insurance Services Office, Inc., with Its permission CG T3 30 1188 (Rev. 12-95) Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 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 DO- SURANCPOLICYNUMBER POLICY EFFECTIVE POLICY EXPIRATION 02/20/2018 LIMITS A GENERALLIABILITY 72SBAAKS642 02/20/2017 Y X COMMERCIAL GENERAL UASILITY CLAIMS MADE X OCCUR EACH OCCURRENCE S 1000000 O O N PREMISS Eao umrn S 1 000 000 MEDEXP Any one person) $ 10000 PERSONALSADVINJURY S 1000000 GENERALAGGREGATE S 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGO S 2000000 PRO- LOC X POLICY A AUTOMOBILE LIABILITY 72SBAAK5642 02/20/2017 ANYAUTO 02/20/2018 CO aBINEDSINGLE LIMIT S 1,000,000 (EaALL OWNED AUTO$ X SCHEOULEOAUTOS HIREDAUTOS BODILY INJURY S (Perperwn) X NON-OWNEDAUTOS BOOILYINJURY (Peramdenp S PROPERTY DAMAGE (Pere enU S GARAGE LI ABILITY ANYAUTO I AUTO ONLY -EAACCIDENT $ OTHER THAN EA ACC S AUTO ONLY: AGO S EACHOCCURRENCE S 5,000,000 A IXCE RELLALIA 725BAAK5642 02/20/2017 X OCCURCCUR CUI CIAIMS MADE 02/20/2018 AGGREGATE 5 5,000 000 S DEDUCTIBLE S X RETENTION 510000 X WCSTATU- 0TH- S IT B WORKERS COMPENSATION AND EIG1255230 07 10/27/2017 EMPLOYERS' LIABILITY 10/27/2018 ANYPROPRIETOR/PARTNERIIXECUTIVE Y OFFICER/MEMBER EXCLUDED? EL EACH ACCIDENT S 1,000,000 E.L. DISEASE -EA EMPLOYE S 1,000,000 IIm.d.aIbe Vnder SPECIAL PROVISIONS bekAv OTHER E.L. DISEASE -POLICY UNIT S 1000,000 C A DESCRIPnON Crimeshield Bond 72TP0271195 08/29/2017 Errors & Omissions 72SBAAK5642 02/20/2017 OF OPERATIONS / LOCATIONS / VEHICLES I EXCLUSIONS AnnEn nv Eunnoeo.eu.,���..............._..- 08/29/2018 02/20/2018 Ded:10,00D I 1,000,000 Per Aggregate 1,000,000 Computer Consultant and Staffing Services. Subject to Policy Terms, Conditions and Exclusions Insured for Location at : 20640 E Oak Crest Drive, Diamond Bar, CA 91764 ACORD City of Santa Ana Its Officers, Agents and Employees 20 Civic Center Plaza P.O. Box 1988-M12 Santa Ana, CA 92702 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SNALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTS OR © ACORD rnmea DY NLJU on January 16. 2018 at 11:04AM �� � T Ice I I� AC �® CERTIFICATE OF LIABILITY INSURANCE Dnr 2'MM 018 ) 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(s). PRODUCER Bry$On Casualty Insurance Services, Inc. CONTNAMEACT Liz Borbon 3777 Long Beach Blvd., 5th Floor Long Beach, CA 90807 PHONE (AIC. No. Exit562-435-4267 nAXc No : 562-951-5747 EMAIL ADDRESS: lizCclibrysonfinancial.com INSURERS AFFORDING COVERAGE NAICM INSURERA: Travelers Casualty Insurance Co. of America 19046 WWw.brysonfinancial.com OF89838 INSURED Bunnell Enterprises Total Network Soultions INSURER B: Scottsdale Insurance Company 41297 INSURER C INSURER D: 5150 E. Pacific Coast Hwy, Suite 530 Long Beach CA 90804 NSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 40917w.i 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 OF INSURANCE ADDLSUBRTYPE INSD WVD POLICY NUMBER POLICY Err POLICY EXP LIMITS COMMERCIAL GENERAL LIABILITY ✓ 680-313082519-17-42 3/5/2017 3/5/2018 EACH OCCURRENCE $1000000 CLAIMS -MAGE OCCUR DAMAGE TO R PREMISES I ar=N`u`,DdceT $300000 MED EXP (Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENT, AGGREGATE LIMIT APPLIES PER GENERALAGGREGATE $2,000,000 ✓ POLICY JECT LOC PRODUCTS - COMP/OP AGG $2000000 Hired/NonOwned $Included OTHER: A I AUTOMOBILE LIABILITY EOa a8INE"tS INGLE LIMIT $1,000,000 BODILY INJURY (Per person) $ ANYAUTO H OWNEDSCHEDULED AUTOS ONLY AUTOS HIRED AUTOS ONLY ✓ AUTOS ONLD 680-38082519-17-42 680-38082519-17-42 3/5/2017 3/5/2017 3/5/2018 3/5/2018 BODILY INJURY (Per accident) $ Par ac id nDAMAGE $ A UMBRELLA LIAR ,/ OCCUR 680-3BO82519-17-42 3/5/2017 3/5/2018 EACH OCCURRENCE $1000000 AGGREGATE $1,000,000 EXCESS LIAB CLAIMS -MADE DED I I RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANYPROPRIETOMPARTNEMEXECUTIVE❑ PER H. STATUTE ER E.L. EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? NIA E.L. DISEASE - EA EMPLOYEE $ (Mandatory in NH) dyes tlescribe under DESCRIPTION OF OPERATIONS be. E.L. DISEASE -POLICY LIMIT $ A Business Personal Property 680-38082519-17-42 3/5/2017 3/5/2018 $27,583 / $500 Deductible B Errors & Omissions EKS3236524 10/24/2017 10/24/2018 $1,000,000 / $5,000 Deductible B Employment Practices Liability EKS3225189 6/19/2017 6/19/2018 $1,000,000 1$15,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City of Santa Ana, its officers, agents and employees are named as additional insured on the General Liability as their interest may appear per attached CG D4 17 01 12. 30 Day Notice of Cancellation / 10 Day Notice of Nonpayment Ci SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City Purchasing of Santa Ana THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN At Civic Center PlDeazaartment ACCORDANCE WITH THE POLICY PROVISIONS. Santa Ana CA 92701 kw" /f/�tI b ^f o�/'���,I �,, /� AUTHORIZED REPRESENTATIVE I "' •'" . `Y, 1 "`^"�"vVtX ' �l Brett H Hlista j /v ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 40217023 1 '17 Pkg/XS; '17 E&O; '17 EPLS I Liz Bozbon 12/5/2018 1:36:35 PM (PST) I Page 1 of 4 F. WHO IS AN INSURED — EMPLOYEES AND VOLUNTEER WORKERS — FIRST AID 1. The following is added to the definition of "oc- currence" in the DEFINITIONS Section: Unless you are in the business or occupation of providing professional health care services, 'occurrence" also means an act or omission committed by any of your "employees" or "volunteer workers", other than an employed or volunteer doctor, in providing or failing to provide first aid or "Good Samaritan services" to a person. 2. The following is added to Paragraph 2.a.(1) of SECTION II — WHO IS AN INSURED: Unless you are in the business or occupation of providing professional health care services, Paragraphs (1 )(a), (b), (c) and (d) above do not apply to "bodily injury" arising out of pro- viding or failing to provide first aid or "Good Samaritan services" by any of your "employ- ees" or "volunteer workers", other than an employed or volunteer doctor. Any of your "employees" or "volunteer workers' providing or failing to provide first aid or "Good Samari- tan services" during their work hours for you will be deemed to be acting within the scope of their employment by you or performing du- ties related to the conduct of your business. 3. The following is added to Paragraph 5. of SECTION III — LIMITS OF INSURANCE: For the purposes of determining the applica- ble Each Occurrence Limit, all related acts or omissions committed by any of your "employ- ees" or "volunteer workers" in providing or failing to provide first aid or "Good Samaritan services" to any one person will be deemed to be one "occurrence". 4. The following is added to the DEFINITIONS Section: "Good Samaritan services" means any emer- gency medical services for which no compen- sation is demanded or received. G. WHO IS AN INSURED — EMPLOYEES — SU- PERVISORY POSITIONS The following is added to Paragraph 2.a.(1) of SECTION II —WHO IS AN INSURED: Paragraphs (1)(a), (b) and (c) above do not apply to "bodily injury" or "personal injury" to a co - "employee" in the course of the co -"employee's" employment by you arising out of work by any of COMMERCIAL GENERAL LIABILITY your "employees" who hold a supervisory posi- tion. H. WHO IS AN INSURED — NEWLY ACQUIRED OR FORMED ORGANIZATIONS The following replaces Paragraph 4. of SECTION II — WHO IS AN INSURED of the Commercial General Liability Coverage Form, and Paragraph 3. of SECTION 11— WHO IS AN INSURED of the Global Companion Commercial General Liability Coverage Form, to the extent such coverage forms are part of your policy: Any organization you newly acquire or form, other than a partnership or joint venture, of which you are the sole owner or in which you maintain the majority ownership interest, will qualify as a Named Insured if there is no other insurance which provides similar coverage to that organiza- tion. However: a. Coverage under this provision is afforded only: (1) Until the 180th day after you acquire or form the organization or the end of the policy period, whichever is earlier, if you do not report such organization in writing to us within 180 days after you acquire or form it; or (2) Until the end of the policy period, when that date is later than 180 days after you acquire or form such organization, if you report such organization in writing to us within 180 days after you acquire or form it, and we agree in writing that it will con- tinue to be a Named Insured until the end of the policy period; 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 in- jury" or "advertising injury" arising out of an offense committed before you acquired or formed the organization. 1. BLANKET ADDITIONAL INSURED — OWNERS, MANAGERS OR LESSORS OF PREMISES The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a premises owner, manager or lessor is an insured, but only with respect to liability arising out of the owner- ship, maintenance or use of that part of any prem- ises leased to you. The insurance provided to such premises owner, manager or lessor does not apply to: CG D4 17 01 12 02012 The Travelers Indemnity Company. All rights reserved. Page 3 of 6 Includes copyrighted material of Insurance Services Office, Inc, with Its permission. 90211023 1 '17 ekg/xs; '17 e6o; '17 EPLI I Liz Bonbon 1 2/5/2018 1:35:35 em (PST) I Page 2 of 4 COMMERCIAL GENERAL LIABILITY a. Any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" or "advertising injury" caused by an offense that is committed, after you cease to be a tenant in that premises; or b. Structural alterations, new construction or demolition operations performed by or on be- half of such premises owner, manager or les- sor. J. BLANKET ADDITIONAL INSURED — LESSORS OF LEASED EQUIPMENT The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is an equipment lessor is an insured, but only with respect to liabil- ity for "bodily injury", "property damage", "per- sonal injury" or "advertising injury" caused, in whole or in part, by your acts or omissions in the maintenance, operation or use by you of equip- ment leased to you by such equipment lessor. The insurance provided to such equipment lessor does not apply to any "bodily injury" or "property damage" caused by an "occurrence" that takes place, or "personal injury" or "advertising injury" caused by an offense that is committed, after the equipment lease expires. K. BLANKET ADDITIONAL INSURED—PERSONS OR ORGANIZATIONS FOR YOUR ONGOING OPERATIONS AS REQUIRED BY WRITTEN CONTRACT OR AGREEMENT The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is not otherwise an insured under this Coverage Part and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with respect to liability for "bodily injury" or "property damage" that: a. Is caused by an "occurrence" that takes place after you have signed and executed that con- tract or agreement; and b. Is caused, in whole or in part, by your acts or omissions in the performance of your ongoing operations to which that contract or agree- ment applies or the acts or omissions of any person or organization performing such op- erations on your behalf. The limits of insurance provided to such insured will be the limits which you agreed to provide in the written contract or agreement, or the limits shown in the Declarations, whichever are less. L. BLANKET ADDITIONAL INSURED — BROAD FORM VENDORS The following is added to SECTION II — WHO IS AN INSURED: Any person or organization that is a vendor and that you have agreed in a written contract or agreement to include as an additional insured on this Coverage Part is an insured, but only with re- spect to liability for "bodily injury" or "property damage' that: a. Is caused by an "occurrence" that takes place after you have signed and executed that con- tract or agreement; and b. Arises out of "your products" which are dis- tributed or sold in the regular course of such vendor's business. The insurance provided to such vendor is subject to the following provisions: a. The limits of insurance provided to such ven- dor will be the limits which you agreed to pro- vide in the written contract or agreement, or the limits shown in the Declarations, which- ever are less. b. The insurance provided to such vendor does not apply to: (1) Any express warranty not authorized by you; (2) Any change in "your products" made by such vendor; (3) Repackaging, unless 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; (4) Any failure to make such inspections, ad- justments, tests or servicing as vendors agree to perform or normally undertake to perform in the regular course of business, in connection with the distribution or sale of "your products"; (5) Demonstration, installation, servicing or repair operations, except such operations performed at such vendor's premises in connection with the sale of "your prod- ucts" or (6) "Your products" which, after distribution or sale by you, have been labeled or re- labeled or used as a container, part or in- gredient of any other thing or substance by or on behalf of such vendor. Page 4 of 6 @ 2012 The Travelers Indemnity Company. All rights reserved. Includes copyrighted material of Insurance services Office, Inc. with its permission. 40217023 1 '17 Pkg/Xs; '17 640; '17 &PLI I Liz eorbon 12/5/2018 1:36:35 PM )PST) I Page 3 of 4 CG D4 17 01 12 Coverage under this provision does not apply to: a. Any person or organization from whom you have acquired "your products", or any ingre- dient, part or container entering into, accom- panying or containing such products; or b. Any vendor for which coverage as an addi- tional insured specifically is scheduled by en- dorsement. M. WHO IS AN INSURED — UNNAMED SUBSIDI- ARIES The following is added to SECTION 11 — WHO IS AN INSURED: Any of your subsidiaries, other than a partnership or joint venture, that is not shown as a Named In- sured In the Declarations is a Named Insured if: a. You maintain an ownership interest of more than 50% in such subsidiary on the first day of the policy period; and b. Such subsidiary is not an insured under simi- lar other insurance. No such subsidiary is an insured for "bodily injury" or "property damage" that occurred, or "personal injury" or "advertising injury" caused by an of- fense committed: a. Before you maintained an ownership interest of more than 50% in such subsidiary; or b. After the date, if any, during the policy period that you no longer maintain an ownership in- terest of more than 50% in such subsidiary. N. WHO IS AN INSURED — LIABILITY FOR CON- DUCT OF UNNAMED PARTNERSHIPS OR JOINT VENTURES The following replaces the last paragraph of SECTION If —WHO IS AN INSURED: No person or organization is an insured with re- spect to the conduct of any current or past part- nership or joint venture that is not shown as a Named Insured in the Declarations. This para- graph does not apply to any such partnership or joint venture that otherwise qualifies as an in- sured under Section 11— Who Is An Insured. 0. MEDICAL PAYMENTS — INCREASED LIMITS The following replaces Paragraph 7. of SECTION III — LIMITS OF INSURANCE: COMMERCIAL GENERAL LIABILITY (b) The amount shown on the Declarations of this Coverage Part for Medical Expense Limit. P. CONTRACTUAL LIABILITY —RAILROADS 1. The following replaces Paragraph c. of the definition of "insured contract" in the DEFINI- TIONS Section: c. Any easement or license agreement; 2. Paragraph f.(1) of the definition of "insured contract" in the DEFINITIONS Section is de- leted. Q. KNOWLEDGE AND NOTICE OF OCCUR- RENCE OR OFFENSE The following is added to Paragraph 2., Duties In The Event of Occurrence, Offense, Claim or Suit, of SECTION IV — COMMERCIAL GEN- ERAL LIABILITY CONDITIONS: e. The following provisions apply to Paragraph a. above, but only for the purposes of the in- surance provided under this Coverage Part to you or any insured listed in Paragraph 1. or 2. of Section 11— Who is An Insured: (1) Notice to us of such "occurrence" or of- fense must be given as soon as practica- ble only after the "occurrence" or offense is known to you (if you are an individual), any of your partners or members who is an individual (if you are a partnership or joint venture), any of your managers who is an individual (if you are a limited liability company), any of your trustees who is an individual (if you are a trust), any of your "executive officers" or directors (if you are an organization other than a partnership, joint venture, limited liability company or trust) or any "employee" authorized by you to give notice of an "occurrence" or offense. (2) If you are a partnership, joint venture, lim- ited liability company or trust, and none of your partners, joint venture members, managers or trustees are individuals, no- tice to us of such "occurrence" or offense must be given as soon as practicable only after the "occurrence" or offense is known by: 7. Subject to 5. above, the Medical Expense (a) Any individual who is: Limit is the most we will pay under Coverage C for all medical expenses because of "bodily (i) A partner or member of any part- nership or joint venture; injury" sustained by any one person, and will be the higher of: (ti) A manager of any limited liability (a) $10,000; or company; CG D4 17 01 12 ® 2012 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission. 40217023 1 '17 Pkg/xs; '17 efio; '17 Eecx I uiz Boxbon 1 2/5/2018 1:36:35 Pm (PST) I Page 4 of 4