Loading...
HomeMy WebLinkAboutCALIFORNIA BARRICADE RENTALS INC-2017INSURANCE ON FILE Professional Liability Insurance A-2017.389 NIORK MAY PROCEED required if contractor is or NTILpSUi if. EX; "I. employs a licensed professional DATE: DEC 2 8 2017 111AVV1UJsn1ctctr.:rrra THIS FIRST AMENDMENT to the above -referenced agreement is entered into on December 5, 2017 by and between California Barricade Rentals, Inc. ("Contractor"), and the City of Santa Ana, a charter city and municipal corporation organized and existing under the Constitution and laws of the State of California ("City"). p, pV\fAL) REcrrAa,s A. The parties entered into Agreement #A-2017-057, dated March 21, 2017 ("Agreement"), by which Contractor agreed to provide traffic barricade equipment to the Parks, Recreation, and Community Services Agency for various City -hosted events. B. The Agreement remains in effect through December 31, 2017, and maybe extended for an additional two years. The maximum amount to be expended through December 31, 2017 is $70,000, The maximum amount to be expended for each additional year is also $70,000. C. Under the Agreement, the City may request additional equipment or services during the term of the Agreement. Such equipment and services have been utilized by the Public Works Agency for the provision of traffic control equipment at the First Street Bridge, as a result of testing and repairs being made to the bridge. D. The Agreement remains in effect, and the parties now wish to amend the Agreement by expanding the scope of services to allow the continued provision of equipment to the Public Works Agency to maintain lane closures and ensure traffic safety on the First Street Bridge and to adjust the compensation for the period ending December 31, 2017. The parties therefore agree: 1. Section 1, Scope of Services, is amended to include the provision of traffic control equipment to the Public Works Agency to maintain lane closure and ensure traffic safety on the First Street Bridge. 2. Section 2, Compensation, is amended to include an additional $50,000 for services to be performed by Contractor through Deccmber 31, 2017, so that the total sum to be expended through that date shall not exceed $120,000, 3. Section 2, Compensation, is further amended such that the applicable rates and charges for services and equipment, provided by Contractor shall be those described in Exhibit A to this First Amendment, Exhibit A shall fully supersede the original Exhibit A included in the Agreement. 4. Except as modified by this First Amendment, and all prior amendments, all terms and conditions of the Agreement remain unchanged aril in full force and effect, -- signatures appear on following page -- Exhibit 1 Page 1 of 2 IN WITNESS WHEREOF, the cities hereto have executed thus First Amendment to the Agreement the date and ear first writ` n ab ATT r = CITY OF SANTA ANA RIA D. I I R RAUL GODINEZ Clerk of the Council City Manager APPROVED AS TO FORM SONIA R. CARVALHO, City Attorney Ely: 1w IVi'_ f .A JO x— JO .FUNK Assistant City Attorney FOR APPROVAL Works Agency RECOMMENDED FOR PROVAL _ .IV4 kotie U4erardo Monet, Executive Director Parks, Recreation, and Community Services Agency CO' CTO CTOR CA $ Call, tri Name: Title: Wt Pa -61 Page 2 of 2 EXHIBIT A ATTACHMENT 3-7 PRICE LIST SERVICE: TRAFFIC CONTROL EQUIPMENT California Barricade, Inc. is a company with the capacity to provide traffic control equipment for various events. Below is our proposal based on the sample listing of equipment provided for previous large scale events. Rental Quantity Price Per Unit Per Day ;: Extended Price Per Day; Arrow Boards 7 $35.00 '' $245.00 Message Board 1 $95.00 $95.00 Pedestrian Barricade 100 $3.30 $330.00 Parade Barricade 100 $1.65 $165.00 Water Filled IC -Rail 49 $3.30 $161.70 Type I Barricade 35 $0.25 $8,75 Type III Barricade 45 $1.35 $60.75 Type I Barricade with Sign 166 $0.70 `: $116.20 Type III Barricade with Sign 40 $ L.95 $78.00 Service Quantity Pnce Per Occurrence ., Extended Price Water Truck Service (49 units) 1 W $900.00 '. $900.00 Labor Quantity Per;1our .. Per Technician, Bxtended Price Per Hour Traffic Control Technician-Cexufied 15 $70.00 $1,050.00 It is understood traffic control plans will be specific for individual events. The contractor is expected to work with various city departments, particularly the Santa Ana Police department and Planning and Building Agency. California Barricade has done so in the past with great success, and will continue to do so. ATTACHMENT 3-7 PRICE LIST First St. & Fairview St., Santa Ana — Lon Term Rental Rental Quantity Price Per Unit Per Month Ektended Price Per. Month Arrow Boards 2 $800.00 $1,600.00 Message .Board 1 $1,200.00 .; $1,200,00 Type I Barricade with Flasher & Sign 4 $19.80 $79.20 Type I Barricade with Sign 4 $16.80$67.20 Type III Barricade with Flasher & Sign 11 $52.80 ' $580.80 Delineators 58 $4.80: $278.40 service Quantity" Price Per, Occutreuce. 'Extended Price . Double Lane Closure —Set&Leave 1 $1,180.00 $1,180.00 Double Lane Closure --Removal 1 $1,180.00 $1,180.00 Closure Maintenance 7 $300.00 $2,100.00 Delivery and/or Pick Up 3 $50.00 $100.00 Overtime. Delivery and/or Pick Up 2 $330.00 $660,00 First St. & Fairview St„ Santa Ana — Arrow Board Damave Sales Eten Quantity Unit Price, 8ztended Pa'ice Damaged Arrow Board #100 Total Loss) 1 $3,1.95.00 $3,195.00 Damaged Arrow Board #108 (replaced fender, axleasserably.jaek legs, lilt cable, tail light assembly, 1 $690,80 $690,80 wheel, fire & hitch) Subtotal $3,885.80 Sales Tax $301.15 TOTAL $4,186.95 Labor Quantity Extended Price Labor for Arrow Board Repair 1 $380.00 ATTACHMENT 3-7 PRICE LIST First St. & Fairview St.. Santa Ana — Purchase Item Quantity. Unit Pr ce , Extended Price WANCO Solar Powered Trailer Mounted Arrow Board (WTSP55- 2 $3,750.00 $7,500.00 LSAC C30 Lane Closed 3000 Engineer Grade Aluminum Sign 8 $39.15 $313,20 G20-2 End Road Work 36x18 Engineer Grade Aluminum Sign 4 $30.15 $120.60 W20-1 Road Work Ahead 3606 Engineer Grade Aluminum Sign 4 $51.90 ,. $207.69 W20 -5R Right Lane Closed Ahead 36x36 Engineer Grade Aluminum 1 $51.90 :;: $51.90 Sign W4 -2R Transition Symbol Right 3606 Engineer Grade Aluminum 2 $51.90 $103.80 Sign Type 1 Barricade 4 $23.75 r $95.00 Type IBarricade with Flasher 4 $41.00 $164.00 Type III Barricade with (2) Flashers 11 $130.80 $1,438.80 Delineators 58 $15.30 $887.40 Subtotal $10,882.30 Sales Tax $843.38 TOTAL $11,725.68 -:'-COVERAGES ^.'CERTIFICATENUMBER:17-18 GL,WC,BA,XS,E&O,PL �Rhr CERTIFICATE OF LIABILITY INSURANCE D6/26 roDIYYYY) 6/2fi/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcypes) must be endorsed. If SUMROGATION 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 Ileu of such endorsement(s). PRODUCER CONTACT Fernando Rivas ISU Tasurance Services - Centinal Agency, LLC PNor (415)657-2000 uc B ,(416)687.2002 250 Executive Park Blvd ao..BEI Fernando®isuca.com Suite 4600 INSURERS AFFORDING COVERAGE NAICN San Francisco CA 94134 INSURER A:SCOttsdale Insurance Company INSURED 'y �p tx� s�T INSU ERS -American Fire and CasualtyCompany California Barricade Rentals TOO fik-rQ 7'"4�i.C...a I INSURERCSTational Union Fire Ins Cc of 1550 E Saint Gertrude Place INSURERD:State Compensation Zoe. Fund -- - =: -.- INSUrsErsEIHieCOX Insurance Company Inc Santa I� t1471 Cc1011 J l dU h41:14 r==THIS 18 TO CERTIFY THAT THE POLICIES OF 1NSURANCE:ISTED. BELOW HAVEBEEN-ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD `T INDICATED,NOTWITHSTANDING ANY REOUIREMENT;-TERMOR-CONDITION CIF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS "-.CERTIFICATE MAY Be ISSUED OR MAYTERTAIN'THEINSURANCE 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 INSURANCEAUDL SEEMS POLICY UMBER POLICY EFF Ana CA -52705 LIMITS A X COMMERCIAL GENERAL LIABILITY -:-- CLAIMS MAGE aDCCUR ,y, 1NSUReRF:Xinsale Insurance Company -:'-COVERAGES ^.'CERTIFICATENUMBER:17-18 GL,WC,BA,XS,E&O,PL �Rhr CERTIFICATE OF LIABILITY INSURANCE D6/26 roDIYYYY) 6/2fi/2017 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($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcypes) must be endorsed. If SUMROGATION 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 Ileu of such endorsement(s). PRODUCER CONTACT Fernando Rivas ISU Tasurance Services - Centinal Agency, LLC PNor (415)657-2000 uc B ,(416)687.2002 250 Executive Park Blvd ao..BEI Fernando®isuca.com Suite 4600 INSURERS AFFORDING COVERAGE NAICN San Francisco CA 94134 INSURER A:SCOttsdale Insurance Company INSURED 'y �p tx� s�T INSU ERS -American Fire and CasualtyCompany California Barricade Rentals TOO fik-rQ 7'"4�i.C...a I INSURERCSTational Union Fire Ins Cc of 1550 E Saint Gertrude Place INSURERD:State Compensation Zoe. Fund -- - =: -.- INSUrsErsEIHieCOX Insurance Company Inc Santa I� t1471 Cc1011 J l dU h41:14 r==THIS 18 TO CERTIFY THAT THE POLICIES OF 1NSURANCE:ISTED. BELOW HAVEBEEN-ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD `T INDICATED,NOTWITHSTANDING ANY REOUIREMENT;-TERMOR-CONDITION CIF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS "-.CERTIFICATE MAY Be ISSUED OR MAYTERTAIN'THEINSURANCE 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 INSURANCEAUDL SEEMS POLICY UMBER POLICY EFF POLICY EXP DDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY -:-- CLAIMS MAGE aDCCUR ,y, EACH OCCURRENCE $ 1,000.,000 ISES Me..c ED ' - ESE o currenco - $ .100,000 PCB0036349" -:-- - 7/1/2017.-. 7/1/2018-MEOEXP (Any one person). $ Excluded 'PERSONAL & ADV INJURY $ ` 11000,000- GEHLAGGREGATE LqIIMITAPPLIESPER X POLICY�jpC`: LOC _- GFNERALAGGREGATE $.- 2,000,000 --PRODUCTS -COMPIOP AGO $ 2,000,000 Employee BeneQls $ 11000,000 OTHER: -'` - - AUTOMOBILE LIABILITY - - - COMBINE 9 G LIMIT Ea cede $ 110011,000 BODILY I N4URY(Per person) $ B X- - X ANY AUTO NED ACUTHOESDULED AUTOS NO -. HIRED AUTOS X. AUTOS X Back (18) 58 08 63 03 7/1/2017 - 7/1/2018 - BODILY INJURY(Por Aoclden0 $ PROPERTY DAMAGE _ Per on1 $ $ UMBRELLA LIAS X OCCUR EACH OCCURRENCE $ 5,000,000 AGGREGATE $ 51000,000 L, X EXCESS LIAS CLAIMS MADE DED FT NTI N $ SE 065409561 7/1/2017 7/0./2018 -D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRICTORIPARTNERIEXECUTIVE Y�NIA OFFICERIMEMBER EXCLUDED? (Mandatory In NH) -_ Edyaa. daepriba under DESCRIPTIONOFOPERATIONS below 9063608-17 - 7/1/2017' 7/1/2018. X8EATUTE E.L. EACH ACCIDENT $ 1000 000 E.L. DISEASE -EA EMPLOYEE $ - 1,000 000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 E 1137020SaiOndl Liability MPL'1B63490.16 12/0./203.6 12/1/2017 Each Clelm $1,0001000 F Pollution Liability 0100052798-0 7/1/2017 7/1/2018 Each Pollution Condition, $1,000,000 a DESCRIPTIONOF OPERATIONS I LOCATIONS /VEHICLES (ACORD 101,Additlonal Renhuiu SChodule,nlay be attached K raorospace la required) FLi The City of Santa Ana,. its officers, employees, agents, and representative aap��ereed as additi insured per form CG 20 33 04 13 and CG 20 37 04 13 on the OL policy. ��2i `' oJ Additional Insured applies per form CA 88 10 01 13 on the Auto policy. / Q,r,� Those usual to the insured's operations. ...QCJ� City of Santa .Ana 20 Civic Center Plaza - M-23 Santa Ana, CA 92702 ACORD 25 (2014/01) INS025 (9014011 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE Josh Ferenc/FR ©1988.2014 ACORD CORPORATION. All rlahts reserved. The ACORD name and logo are registered marks of ACORD '=COVERAGES - CERTIFICATE NUMBER:17-18 GL,WC BA,XS,E&O,FL REVISIONNUMBER; R CERTIFICATE OF LIABILITY INSURANCE D6/ATEze�zo 7 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(a). PRODUCER T? Fernando Rivas ISU Insurance Services - Centinel Agency, LLC PHONE Eau (]15)657-2000 PA AX 1416)687-1002 250 Executive Park Blvd 'MAIL ,fernando®ieuca.com Suite 4800 INSURERSAFFORDING COVERAGE NAICe San .Francisco CA $4134 INSURER A:SGottedale Insurance Company INSURED INSURER B American Fire and CasualtyCompany California Barricade Rentals Inc INSURER C National Union Fire Ina Cc of 1550 8 Saint Gertrude Place INSURERD:State Compensation Ins. Fund sCO% Insurance Company Inc S&uta Ana -y CA 92705 IN6URER F:XIA@ale- IAaUY`aADe Company -�: THIS 1S.TOICERTIFV THATiTHE POLICIESI OF INSURANGE.LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR-THE"POLICY PERIOD -. INDICATED NOTWITHSTANDING ANY:-REOUIREMENT,'TERM-0R CONDITION OF ANY, CONTRACT OR ATHERDOCUMENT;WITH RESPECT -'f0 WHICH THIS <: CERTIFICATE MAY -BE -ISSUED OR-MAY'PERTAIN; THE INSURANCE -AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, `EXCLUSIONS AND CONDITIONS OF SUCFIPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - - LTR TYPE OF INSURANCE ADD 1011? 6 aR w.2 POLICY NUMBER MMIICYEFF YY YB LIMITS _ X COMMERCIAL GENERAL LIABILITY ;,- '=COVERAGES - CERTIFICATE NUMBER:17-18 GL,WC BA,XS,E&O,FL REVISIONNUMBER; R CERTIFICATE OF LIABILITY INSURANCE D6/ATEze�zo 7 ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(a). PRODUCER T? Fernando Rivas ISU Insurance Services - Centinel Agency, LLC PHONE Eau (]15)657-2000 PA AX 1416)687-1002 250 Executive Park Blvd 'MAIL ,fernando®ieuca.com Suite 4800 INSURERSAFFORDING COVERAGE NAICe San .Francisco CA $4134 INSURER A:SGottedale Insurance Company INSURED INSURER B American Fire and CasualtyCompany California Barricade Rentals Inc INSURER C National Union Fire Ina Cc of 1550 8 Saint Gertrude Place INSURERD:State Compensation Ins. Fund sCO% Insurance Company Inc S&uta Ana -y CA 92705 IN6URER F:XIA@ale- IAaUY`aADe Company -�: THIS 1S.TOICERTIFV THATiTHE POLICIESI OF INSURANGE.LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR-THE"POLICY PERIOD -. INDICATED NOTWITHSTANDING ANY:-REOUIREMENT,'TERM-0R CONDITION OF ANY, CONTRACT OR ATHERDOCUMENT;WITH RESPECT -'f0 WHICH THIS <: CERTIFICATE MAY -BE -ISSUED OR-MAY'PERTAIN; THE INSURANCE -AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 7HE TERMS, `EXCLUSIONS AND CONDITIONS OF SUCFIPOLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - - LTR TYPE OF INSURANCE ADD 1011? 6 aR w.2 POLICY NUMBER MMIICYEFF YY YB LIMITS _ X COMMERCIAL GENERAL LIABILITY ;,- EACH CCCURRENCE -.$.'. 1,000,000 A CIAIMS MACE-�X�OOCUR„PREMISE E . RENTED $ 100,000- MED EKE (Ary one person) $--- Excluded . 0090036349 a." 7/1/2017 7/1/2018.- - PERSONAL& ADV INJURY- $ 11000,000- _ -- GENERAL AGGREGATE '. $.. 2,000,x000 - GEN'LAGGREGA7ELIMITAPPLIESPER. '.' X POLICY-❑ JECT LOC _ - -PRODUCTS-COMP/OP AGO -$ -' 21000.,000 Enplpy0a Benefits _$_ 1,000,000. OTHER: -4 -- - AUTOMOBILE LIABILITY - COMBIN EO BIN OLE LI MIT- $ 1)000,000 acclde BODILY INJURY (Per person) $ B X X ANY AUTO AOS SCHEDULED UT HIRED AUTOfi X- Nd -OWNED 'AUTOS.'. - -_. BAA (18) 58 05 63 03 7/1/2017 7/1/2010 BODILY INJURY (Per accident) $- .PROPERTY DAMAGE - $ - - e, I, UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 51000,000 AGGREGATE $ 5,000,000 L, X EXCESS LIAR CLAIMS MADE OED RETENTION $ BR 065409561 7/1/2017 7/1/2018 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNFR/FXECUTIVE Y�N/A OFFICER/MEMBER EXCLUDED? (Mandatory in NH) - 9063608-17 7/1/2017 7/1/2018 PER OTH y. STATUTE ER - EL, EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below - - - E.L. DISEASE -POLICY LI MIT $ 1,000,000 E PXofasaicnal Liability MPL1863490.16- 12/1/2016 12/1/2017 Each Clalm - $1,000,000 F. Pollution Liability 0100052798-0 7/1/2017 7/1/2018 Each Pollu110n Conches $1,0001000 DESCRIPTION OF OPERATIONS1 LOCATIONS / VEHICLES (ACORD .101,Addlllonal Remarks Schedule, may be attached if mold a pace Is required) ,,ww11 Those usual to the insured.' -s. operations. - ��e01*4Y. - �`, Parks, Recreation & Community Services Agency - M23 20 Civic Center Plaza P.O. BOX 1988 Santa Ana, CA 92702 ACORD 25 (2094101) INS025 POIan1) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Ferenc/FR The ACORD name and logo are registered marks of ACORD POLICY NUMBER: BCS0036349 COMMERCIAL GENERAL LIABILITY CG 20 33 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section, II:- Who Is An Insured .1s amended to B. With respect to the insurance afforded lo` these include as an additional -insured any person or additionalInsureds;_ the following additional-_= organization for -whom you :are performing exclusions apply: - operations when you and such person or This insurance does not apply to: ' organization have agreed in writing in a contract or agreement, that such person or organization be 1. "Bodily injury", "property damage" or "personal -added"as�an additional insured on your policy. and advertising Injury" arising out of the Such person or organization As an additional rendering of, or the failure to render, any insured only with respect to' liability for "bodily professional architectural, engineering or injury", "property "dam age" or "personal and surveying services, including' advertising-injury".caused, in whole or in part, by. a. The preparing, approving, or failing to '= ' 1;1 Your acts or omissions; or prepare or approve, maps, shop drawings, 2. The acts or omissions of those acting on your opinions, reports, surveys, field orders, _ change orders or drawings and behalf; specifications; or in the performance of your ongoing operations for b. Supervisory, inspection, architectural or the additional insured. engineering activities.. However, the insurance afforded to such This exclusion applies even if the claims against additional insured: any insured allege negligence or other wrongdoing 1. Only applies to the extent permitted by law; in the supervision, hiring, employment, training or and monitoring of others by that insured, if the 2. Will not be broader than that which you are "occurrence" which caused the "bodily injury" or required by the contract or agreement to "property damage", or the offense which caused - provide forsuch additional insured. the "personal and advertising injury';' involved the rendering of or the failure to render any A person's or organization's status as an professional architectural, engineering or additional insured under this endorsement ends surveying services. when your operations for that additional Insured are completed. 66 N °I CG 20 33 04 13 Q Insurance Services Office, Inc., 2012 Page 1 of 2 2. 'Bodily Injury" or "property damage" occurring C. With respect to the insurance afforded to these after: additional insureds, the following is added to a. All work, Including materials, parts or Section III — Limits Of Insurance: equipment furnished In connection with The most we will pay on behalf of the additional such work, on the project (other than insured is the amount of insurance: service, maintenance or repairs) to be 1. Required by the contract or agreement you performed by or on behalf of the additional have entered into with the additional Insured; insured(s) at the location of the covered or operations has been completed; or 2. Available under the applicable Limits of b. That portion of "your work" out of which the Insurance shown in the Declarations, injury or damage arises has been put to its intended use by any person or organization whichever is less. other than another contractor or This endorsement shall not Increase the subcontractor -engaged in performing applicable Limits of Insurance shown in the operations for a principal as a part of the Declarations, same project. aU�G'`1 �e;4 t�,1 Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 33 0413 POLICY NUMBER: BCS0036349 COMMERCIAL GENERAL LIABILITY CG 20 37 0413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies Insurance provided under the following; COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Persons) —'-- Or O anization s Location And Description Of Completed Operations ANY PERSON OR ORGANIZATION WHEN YOU AND ALL LOCATIONS SUCH PERSON:OR ORGANIZATION. HAVE. AGREED- - - IN WRITING IN A CONTRACT OR AGREEMENT, - - - - - EXECUTED PRIOR TO THE "".00CURRENCE". TO - - WHICH THIS. INSURANCE APPLIES, THAT: SUCH PERSON OR ORGANIZATION BE ADDED ASAN- - - -- - ADDITIONAL INSURED ON YOUR POLICX - 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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products -completed operations hazard". 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 insured Is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional Insured. CO 20 37 0413 O Insurance Services Office, Inc„ 2012 Page 1 of 2 B. With respect to the insurance afforded to these additional insureds, the following is added to Section III — Limits Of Insurance: If coverage provided to the additional insured Is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the app ica is emits o nsurance s own in e Declarations. Page 2 of 2 0 Insurance Services Office, Inc., 2012 CG 20 37 0413 ❑ COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. COVERAGE INDEX SUBJECT PROVISION N IM.13ER ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT ACCIDENTAL AIRBAG DEPLOYMENT AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS AMENDED -.FELLOW EMPLOYEE EXCLUSION AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE BROAD FORM INSURED BODILY INJURY REDEFINED EMPLOYEES AS INSUREDS (including employee hired auto) EXTENDED CANCELLATION CONDITION EXTRA EXPENSE -"BROADENED' COVERAGE ' GLASS REPAIR —WAIVER OF DEDUCTIBLE HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) HIRED AUTO COVERAGE TERRITORY LOAN f LEASE GAP PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) _ PERSONAL EFFECTS COVERAGE_ PHYSICAL DAMAGE—ADDITIONAL TRANSPORTATION EXPENSE COVERAGE RENTAL REIMBURSEMENT SUPPLEMENTARY PAYMENTS TOWING AND LABOR TWO OR MORE DEDUCTIBLES UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 3 12 19 5 13 1 22 2 23 10--' 15 6 20 14 16 11 8 9 4 7 17 18 20 SECTION If — LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the following as an insured; d. Any legally Incorporated entity of which you own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization that: (1) Is a partnership or joint venture; or (2) Is an insured under any other automobile policy; or (3) Has exhausted its Limit of Insurance under any other automobile policy. r � Paragraph d. (2) of this provision does not apply to a policy written to appl Nrifsfly �ss of this policy. Gs p�i e. Any organization you newly acquire or form, other than a partnership or jointure, of which you own more than 50 percent of the voting stock. This automatic coverage is afforded only for 180 days from the date of acquisition or formation. However, coverage under this provision does not apply: (1) If there Is similar insurance or a self-insured retention plan available to that organization; ® 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 1 of 7 (2) If the Limits of Insurance of any other insurance policy have been exhausted; or (3) To "bodily injury" or "property damage" that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSURED$ SECTION II — LIABILITY COVERAGE, paragraph A.1. —WHO IS AN INSURED is amended to include the following as an insured: f. Any "employee" of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorsement is excess over any other insurance available to any "employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's" name, with your permission, while performing duties related to the conduct of your business and within the scope of their employment. Insurance provided by this endorsement is excess over any other insurance available to the "employee". 3:: ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION II — LIABILITY- COVERAGE, paragraph A.1. -WHO IS AN INSURED is amended to include the following as an insured: In. Any person or' organization with respect to the operation, maintenance or use of a covered 'auto', provided that you and such person or organization have agreed in a written contract, agreement, or permit issued to -you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an "Insured", However, such person or organization is an "insured": (1) Only with respect to the operation, maintenance or use of a covered "auto"; "' (2) Only for=bodily injury' or property damage" caused by an accident" which takes place after you executed the written contractor agreement, or the permit has been issued to you; and (3) Only for the duration of that contract, agreement or permit 4. SUPPLEMENTARY PAYMENTS SECTION, II -LIABILITY COVERAGE, Coverage Extensions, 2.a. Supplementary Payments, paragraphs (2) and (4) are replaced by the following: (2) Up to $3,000 for cost of bail bonds (including bonds for related traffic violations) required because of an "accident" we cover. We do not have to furnish these bonds. (4) All reasonable expenses incurred by the insured at our request, including actual loss of earnings up to $500 a day because of time off from work. 5. AMENDED FELLOW EMPLOYEE EXCLUSION In those Jurisdictions -where, -by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II -LIABILITY, exclusion 6,5. FELLOW EMPLOYEE does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire. SECTION III — PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE ���I�p C✓ Paragraph A.4, Coverage Extensions of SECTION III — PHYSICAL DAMAGE COVERmended by adding the following: �jiy �. I If hired "autos" are covered "autos' for Liability Coverage, and if Comprehe�a�� �*6a uses of Loss or Collision coverage are provided under the Business Auto Coverage F for ayou own, then the Physical Damage coverages provided are extended to "autos": a. You hire, rent or borrow; or © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Circe, Inc., with its permission. Page 2 of 7 b. Your "employee" hires or rents under a written contract or agreement In that "employee's" name, but only if the damage occurs while the vehicle Is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for "loss" in any one "accident" or "loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the "loss"; or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. -: Subject -to the aimit, deductible and excess provisions described in this provision, ,we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. D. Subject to a maximum of $1-,000 per "accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial loss. E. This coverage extension does hot apply to: (1) Any "auto" that is hired, rented or borrowed with a driver; or (2) Any "auto" that is hired, rented or borrowed from your "employee". -For the purposes of this provision, SECTION V- DEFINITIONS is amended by adding the following; "Total loss" means a "loss" in which the cost of repairs plus the salvage value exceeds the actual cash value. 7. TOWING AND LABOR SECTION III - PHYSICAL DAMAGE COVERAGE, paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is disabled: a; For private passenger type vehicles, we will pay up to $50 per disablement. b. - For "light trucks*,we will pay up to $50 per disablement. "Light trucks" are trucks that have a gross vehicle weight (GVW) of 10,000 pounds or less, C. For "medium trucks" , we will pay up to $150 per disablement. "Medium trucks" are trucks that have a gross vehicle weight (GVVV) of 10,001 - 20,000 pounds. However, the labor must be performed at the place of disablement. 8. PHYSICAL DAMAGE - ADDITIONAL TRANSPORTATION EXPENSE COVERAGE _A Paragraph A.4.a., Coverage Extension of SECTION III - PHYSICAL provide a limit of $50 per day and a maximum limit of $1,500 © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with Its permission. to Page 3 of 7 9. RENTAL REIMBURSEMENT SECTION III - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is amended by adding the following: a, We will pay up to $75 per day for rental reimbursement expenses incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto" for which we also pay a "loss" under Comprehensive, Specified Causes of Loss or Collision Coverages. We will pay only for those expenses incurred after the first 24 hours following the "accident" or "loss" to the covered "auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many cases may be substantially less than $75 per day, and will only be allowed for the period of time it should take to repair or replace the vehicle with reasonable speed and similar quality, up to a maximum of 30 days. C. We will also pay up to $500 for reasonable and necessary expenses Incurred by you to remove and replace your tools and equipment from the covered "auto". - d. - This coverage: doss not apply unless you have a business necessity that other "autos" available for your use and operation cannot fill. -e. If loss: "results -from -the total theft of a covered "auto" of the private passenger type, we will pay under this coverage only that amount of your rental reimbursement expenses which is not already provided under Paragraph 4. Coverage Extension. I. No deductible applies to this coverage. --For'the purposes of this endorsement provision, materials and equipment do not Include "personal effects" as defined in provision 11. 10, EXTRA EXPENSE - BROADENED COVERAGE r- Under SECTION III- PHYSICAL DAMAGE COVERAGE, A. COVERAGE, we will pay for the expense of returning a stolen covered"auto" to you. The maximum amount we will pay is $7;000: 11. PERSONAL EFFECTS COVERAGE A. SECTION III PHYSICAL, DAMAGE COVERAGE, A. COVERAGE, is amended ,by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" is stolen, we will pay, without application of a deductible, up to $600 for "personal effects" stolen with the "auto." The insurance provided under this provision is excess over any other collectible insurance, B. SECTION V - DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that Is worn or carried by an insured.. "Personal effects" does not include tools, equipment, jewelry, money or securities. 12. ACCIDENTAL AIRBAG DEPLOYMENT SECTION Ill - PHYSICALDAMAGECOVERAGE, B. EXCLUSIONS is amended by adding the following:, If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag: Any insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty. However, we agree to pay any deductible applicable to the gt%ooverage or warranty. g*IJG' AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE �L'�e ;n�1 SECTION III - PHYSICAL DAMAGE COVERAGE, B. EXCLUSIONS, exception paragraa}Atlusions 4.c. and 4.d. is deleted and replaced with the following: \\rye\A�rniC�' QD 2013 Liberty Mutual Insurance GA 88 10 01 13 Includes copyrighted mnterlal of Insurance Services Office, Inc., with Its pennisslon. Page 4 of 7 Exclusion 4.c. and 4.d. do not apply to: a. Electronic equipment that receives or transmits audio, visual or data signals, whether or not designed solely for the reproduction of sound, If the equipment is permanently installed in the covered "auto" at the time of the "loss" and such equipment is designed to be solely operated by use of the power from the "auto's" electrical system, in or upon the covered "auto" and physical damage coverages are provided for the covered "auto"; or If the "loss" occurs solely to audio, visual or data electronic equipment or accessories used with this equipment, then our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by a $100 deductible. 14. LOAN / LEASE GAP COVERAGE A. Paragraph C., LIMIT OF INSURANCE of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by adding the following: = The most we will pay for a "total loss" to a covered 'auto owned by or leased to you In any one - "accident" is the greater of -the: 1. Balance due under the terms of the loan or lease to which the damaged covered "auto" is subject at the time of the "loss" less the amount of: a. Overdue payments and financial penalties associated with "those payments as of the date of the "loss", b Financial penalties Imposed under a lease due to high mileage, excessive use or abnormal wear and tear, - -< c. Costs for'extended warranties, Credit Life Insurance Health, Accident or Disability `Insurance purchased with the loan or lease, d. Transfer or rollover balances from previous loans or leases, e. Final payment due under a "Balloon Loan", f. The dollar amount of any unrepaired damage which occurred prior to the "total loss" of a covered "auto", g. Security deposits not refunded by a lessor, h. All refunds payable or paid to you as a result of the early termination of a lease agreement or as a result of the early termination of any warranty or extended service agreement on a covered "auto", I. Any amount representing taxes, J. Loan or lease termination fees; or 2. The actual cash value of the damage or stolen property as of the time of the "loss An adjustment for depreciation and physical condition will be made in determining the actual cash value at the time of the "loss". This adjustment is not applicable in Texas. CA 88 10 01 13 B. ADDITIONAL CONDITIONS This coverage applies only to the original loan for which the covered "auto" that incurred the loss serves as collateral, or lease written on the covered "auto" that incurred the loss. C. SECTION V - DEFINTIONS is changed by adding the fallowing: As used in this endorsement provision, the following definitions apply: --,06 + "Total loss" a "loss" in which the cost of repairs plus the salvage IIIth cash ' p p g ��'de excee value. IX5 ((^\W - ' A "balloon loan" is one with periodic payments that are insufficient to repa ne term of the loan, thereby requiring a large final payment. © 2013 Liberty Mutual Insurance X Includes copyrighted material of Insurance Services Office, Inc., with Its permission. Page 5 of 7 15. GLASS REPAIR -WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE Is amended by the addition of the following: No deductible applies to glass damage if the glass Is repaired rather than replaced. 16. PARKED AUTO COLLISION COVERAGE (WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE. COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by collision to such covered "auto" of the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by the manufacturer as maximum loaded weight the "auto" is designed to carry while it is: a. In the charge of an "insured"; -b. Legally parked; and C. .Unoccupied. - The ,"loss"must be reported to the police authorities within 24 hours of known damage. s= - The total amount of the damage to the covered "auto" must exceed the deductible shown in the Declarations. This provision does not apply to any "loss" if the covered "auto" is in the charge of any person or organization engaged in the automobile business. 17, TWO OR MORE DEDUCTIBLES UnderSECTION 111 PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply:to the same accident, the following applies to paragraph D. Deductible: zu = If the applicable Business Auto deductible is the smaller (or smallest) deductible it will be waived; or> b. If the applicable Business Auto deductible is not the smaller (or smallest) deductible it will be reduced by the amount of the smaller (or smallest) deductible; or c. If the loss involvestwo or more Business Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement company means any company that is part of the Liberty Mutual Group. SECTION IV - BUSINESS AUTO CONDITIONS is amended as follows: 16. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV -BUSINESS AUTO CONDITIONS, Paragraph B.2. is amended by adding the following: If you unintentionally fall to disclose any hazards, exposures or material facts existing as of the inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 19. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT, OR LOSS SECTION iV --BUSINESS AUTO CONDITIONS, paragraph A.2A. Is replaced in its entirety by the following: a. In the event of "accident", claim, "suit" or "loss', you must promptly notify us when it is known to: 1. You, if you are an individual;G�1� 1�) 2. A partner, if you are a partnership;��(�� 3. Member, if you are a limited liability company; 4. An executive officer or the "employee" designated by the Named Insured y�rC4mch notice, If you are a corporation. © 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 6 of 7 To the extent possible, notice to us should include: (1) How, when and where the "accident" or "loss" took place; (2) The "insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV — BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, is amended by the addition of the following: If the person or organization has waived those rights before an "accident" or "loss", our rights are waived also, 21. HIRED AUTO COVERAGE TERRITORY SECTION IV , BUSINESS AUTO -CONDITIONS, paragraph B.7„ Policy Period Coverage Territory, Is amended by the addition of the following: f. For "autos" hired 30 days or less, the coverage territory is anywhere in the world; provided that the insured's responsibility to pay for damages is determined in a "suit", on the merits, in the United -States, the territories and possessions of the United _States of America, Puerto Rico or Canada or in a settlement we agree to. = This extension of coverage does not apply'to an' auto" hired, leased, rented or borrowed with a driver. SECTION V — DEFINITIONS Is amended as follows: - 22. BODILY INJURY REDEFINED Under SECTION V — DEFINTIONS, definition C. is replaced by the following: "Bodily injury" means physical injury, sickness or disease sustained by a person, including mental anguish, mental Injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23. EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A,- CANCELLATION condition applies except as follows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancellation. E P�e��e� 6. 60 eve. � c,00, P © 2013 Liberty Mutual Insurance CA $B 10 01 13 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Page 7 of 7