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HomeMy WebLinkAboutPW14-045 - Amendment - #1 - Historical Research Associates, Inc. - Green River Natural Resources Area Pump - 12/13/2014 Recordsana ve ,. KENT Document wAs,,, �to �� -S KMi a h w YJ x CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. i Vendor Name: Historical Research Associates, Inc. Vendor Number: JD Edwards Number Contract Number: This is assigned by City Clerk's Office Project Name: Green River Natural Resources Area Pump Station Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: Date or the Mayor's signature Termination Date: 12/31/15 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Garrett Inouye Department: Engineering Contract Amount: Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Extend the time of completion to December 31, 2015. The consultant is needed to obtain a U5 Army Corps of Engineers 404 Permit. Submittal of the permit was delayed as we concentrated on higher priority projects. As of: 08/27/14 li REQUEST FOR MAYOR'SSIGNATURE T Please Fill In All Applicable Boxes fi Y iewed YS car Originator's Name: Garrett In De t/Div. Engineering Extension; 5548 Date Sent: 1 f c + Date Required: /zip Return to: Nanccoshitake CONTRACT TERMINATION DATE: 12j31J15 VENDOR- Historical Research Associates, DATE OF COUNCIL APPROVAL: N/A Inc. ATTACH THE COUNCIL MOTION SHEET FOR THE MAYOR - if applicable Brief Explanation of Document: The attached Amendment No. 1 is necessary to extend the time of cp_mpletion to December 31, 2015. The consultant is needed to obtain a US Army Corps of Engineers 404 Permit for the Green River Natural Resources Area Pump Station projects, Submittal of the permit was delayed as we concentrated on higher priority projects. All'Contracts Must Be Rooted Through The Law Department (This area to be completed by the Law Department) Received: it h9+ r Approval of Law Dept Law Dept,: Comments: zr �' i3r f `J "� ` ,.\yx i ,. i .7, Tr Date Forwarded to Mayor: Shaded Areas To Be Completed By Administration Staff Received:' i" ,, E ' Recommendations and Comments:;.' . , R . Disposition ? ' lyp ;a' Date Returned: :i' i 3€ l tis [CENT AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: Historical Research Associates Inc. CONTRACT NAME & PROJECT NUMBER: Green River Natural Resources Area Pump Station ORIGINAL AGREEMENT DATE: February 27, 2014 This Amendment is made between the City and the above-referenced Consultant or Vendor and amends the original Agreement and all prior Amendments. All other provisions of the original Agreement or prior Amendments not inconsistent with this Amendment shall remain in full force and effect. For valuable consideration and by mutual consent of the parties, Consultant or Vendor's work is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, the Consultant or Vendor shall: The scope of work remains the same, however an amendment is needed to extend the time of completion to December 31, 2015. The consultant is needed to obtain a US Army Corps of Engineers 404 Permit. Submittal of the permit was delayed as we concentrated on higher priority projects. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are modified as follows: Original Contract Sum, $13,537.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $13,537.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $13,537.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/14 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required for this 365 calendar days Amendment Revised Time for Completion 12/31/15 (insert date) The Consultant or Vendor accepts all requirements of this Amendment by signing below, by its signature waives any protest or claim it may have regarding this Amendment, and acknowledges and accepts that this Amendment constitutes full payment and final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Amendment, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Amendment, unless otherwise provided, does not relieve the Consultant or Vendor from strict compliance with the guarantee and warranty provisions of the original Agreement. All acts consistent with the authority of the Agreement, previous Amendments (if any), and this Amendment, prior to the effective date of this Amendment, are hereby ratified and affirmed, and the terms of the Agreement, previous Amendments (if any), and this Amendment shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this Amendment, which is binding on the parties of this contract. I IN WITNESS, the parties below have executed this Amendment, which will become effective on the last date written below. CONSULTANT/VENDOR: CITY OF KENT: By: rj By P ~ r _ (signatur ) 1 (signature) Print Name: Print NWe: �Sdzette Cooke Its t? �> Its L , Mavor (title) ft (title) DATE: l2ry DATE: APPROVED AS TO FORM: (applicable,ifMayor's signature re`�Wred) i P rj 14 rf i f , Kent Law Department HRA-GRNRA PS AmR 1/Omuye AMENDMENT - 2 OF 2 q HRAHIST-01 SBOWIE ~f�„-% CERTIFICATE OF LIABILITY INSURANCE DATE(MM1001YYYYI 2/26/2014 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 POLICIF'` ' BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S),AUTHORIZE+, REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. '.. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: � Missoula-Front St.Office PHONE (gg6)728.291v FAX No: '.. Pa neWest insurance,Inc. AIq y E-MAIL P.O.Box 3327 ADOREss: Missoula,MT 69806 INSURERISI AFFORDING COVERAGE NAIC# INSURER A:Charter Oak Fire Insurance CO INSURED INSURER B:Trayelers Indemnity Company Of Conn HRA-Historical Research Associates INSURER c:Travelers Indemnity 25658 ',..... P.O.Box 7086 INSURERD:Darwin Select Insurance Co. Missoula,MT 59807 ''t INSURER E: I INSURER F: COVERAGES CERTIFICATE,NUMBER: - REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FORTHE POLICY PERIOD INDICATED, NOTWITHSTANDING Af V'REQUIREMEgT,`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. POLICY EFF POLICY E%P LIMITS IL7ft TYPE OF INSURANCE + ' '�POL/CY NUMBER MMIDDNYYY MMIDDIYYYY GENERAL LIABILITY r ti' EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY X z' 6805C56032814421 1/1/2014 1/1/2015 pREMISE-DAMAUESEaoccur�mnca $ 300,000 CLAIMS-MADE OCCUR f f"r=�} t s % .�c<„ MED EXP(Any one person) $ 5,000 5" , y 1,000,00 f }tt PERSONAL INJURY $ ¢ t GENERALAGGREGATE $ 2,000,000 t3{ PRODUOTS-COMPlOP AGO $ 2,000,000 CENT AGGREGATE LIMIT APPLIES PER: x �e.3, ;z�, PRO- i$ $ POLICY L06 It '' AUTOMOBILE LIABILITY w ldYL: . COMBINED BI GLE LIMIT 1,00' Ea accident $ B ANY AUTO t .X BA3636W365145EL 1/1/2014 1/112016 BODILY INJURY(Per person) $ X ALL OWNED SCHEDULED$ , V(' ''" x;<, BODILY INJURY(Par acadenl) $ i AUTOS AUTOS,`..# ' ' !'_:' PROPERTY DAMAGE NON OWNED 3 p _ peraccklent $ X HIREDAUTOS X AUTOS $ 1 S X UMBRELLA LIAR X. &CUR J �. EACH OCCURRENCE $ 1,000,000 - C EXCESS UAB EOLAIMS-MADE, X CUP703W52581442 1l1i2014 1/1i2015 AGGREGATE $ DED X RETENTION$'•. 10,000 If n-P 1,000,000 WORKERS COMPENSATION OTH-AND EMPLOYERS'LIABILITYANV PROPRIETORlPARTNERIEXECUTNGYIN ENT $OFFICERIMEMSER EXCLUDED? NIA EMPLOYEE $ (Mandatory in NH) ,yes,desribeunderLICY LIMIT $ DESCRIPTION OI=OPERATIONS below p Professional Liab. + 03062472 1/112014 11112015 9,000,000 ID Professional Liabili -03062472' 1/1/2014 1/1/2015 } 2,000,000 17�s DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Adach ADORD107 AddR,enal Rem'arka Sehedule,lFmore apace is mquiretl) +a ^ Washington State Employers Overhead Liability policy#6805C5603Y81442 r ' ? sic Effective 111114-111/15 ^; $1,000,000 Each Accident,$1,000,000 Disease Per Employee,$1,000,000 Dlsea§e Policy Limit= „a'x, `` ' fi r- ',"�e. 4 a c , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE '.. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 220 Fourth Avenue South Kent,WA 98032 -{ AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD TRAVELERS One Tower Square, Hartford,Connecticut 06183 OTHERINTEREST CHANGE ENDORSEMENT INSURING COMPANY: THE CHARTER OAK FIRE INSURANCE COMPANY Named Insured: HISTORICAL RESEARCH ASSOCIATES INC. Policy Number: 680-5C5 6032 8-14-42 Policy Effective Date: 01/01/2014 Policy Expiration Date: 01/01/2015 issue Date: 02/17/2014 ADDITIONAL Premium$ 89.00 Effective from 02/10/14 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS: Under the Commercial General Liability Coverage Part, Who Is An Insured is changed to include Blanket Additional Insured - Owners, Lessees or Contractors as provided under endorsement CC DI 05. The following forms and/or endorsements is/are included with this change. These forms are added to the policy or replace forms already existing on the policy: CG D1 05 04 94 j IL TO 07 09 87 NAME AND ADDRESS OF AGENT OR BROKER Countersigned by PAYNEWEST INS-MISSOULA PO BOX 3327 Aut orized Representative MISSOULA MT 59806-3327 DATE: 02/17/2014 IL TO 07 09 87 (Page 1 of 1 } Office: SEATTLE WA POLICY NUMBER: 680-5C560328-14-42 EFFECTIVE DATE: 01/01/2014 ISSUE DATE: 02/17/2014 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS * IL TO 07 09 87 CHANGE ENDORSEMENT IL TO 19 02 05 COMMON POLICY DECLARATIONS MP TO 01 02 05 BUSINESSOWNERS COVERAGE PART DECLARATIONS * IL TS 01 01 01 FORMS ENDORSEMENTS AND SCHEDULE NUMBERS IL T3 16 05 12 COMMON POLICY CONDITIONS - WASHINGTON IL TO 20 02 05 ADDITIONAL LOCATIONS BUSINESSOWNERS MP TO 25 02 05 SPECIAL PROVISIONS - LOSS PAYEE CP 12 18 06 95 LOSS PAYABLE PROVISIONS CP T9 62 07 11 LOSS PAYABLE PROVISIONS-WA MP T1 30 02 05 TABLE OF CONTENTS - BUSINESSOWNERS COVERAGE PART - DELUXE PLAN MP T1 02 02 05 BUSINESSOWNERS PROPERTY COVERAGE SPECIAL FORM MP T1 05 02 05 AMENDATORY PROVISIONS - OFFICES MP T3 07 03 97 PROTECTIVE SAFEGUARDS ENDORSEMENT FOR SPRINKLERED LOCATIONS AND RESTAURANTS MP T3 25 01 08 TERRORISM RISK INSURANCE ACT OF 2002 DISCLOSURE MP T3 50 11 06 EQUIPMENT BREAKDOWN - SERVICE INTERRUPTION LIMITATION MP T3 56 02 08 AMENDATORY PROVISIONS - GREEN BUILDING AND BUSINESS PERSONAL PROP COV ENHANCEMENTS CP O1 60 12 98 WASHINGTON CHANGES - DOMESTIC ABUSE CP T4 38 05 42 LENDERS' LOSS PAYABLE ENDORSEMENT MP T4 31 12 09 WASHINGTON CHANGES COMMERCIAL GENERAL LIABILITY CG TO 34 11 03 TABLE OF CONTENTS - COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 00 01 10 01 CG 00 01 10 01 COMMERCIAL GENERAL LIABILITY COVERAGE FORM CG 21 70 OS 08 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG D2 55 11 03 AMENDMENT OF COVERAGE - POLLUTION CG D2 69 11 03 ADDITIONAL INSURED - STATE OR POLITICAL SUBDIVISIONS - PERMITS CG D3 09 11 03 AMENDATORY ENDR- PRODUCTS-COMPLETED OPERATIONS HAZARD CG D4 71 02 09 AMENDMENT OF COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY GN 01 13 11 03 EMPLOYERS OVERHEAD LIABILITY CG DO 37 04 05 OTHER INSURANCE - ADDITIONAL INSUREDS * CG D1 05 04 94 BLANKET ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS *TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. IL TS 01 01 01 PAGE: 1 OF 3 POLICY NUMBER: 680-5C560328-14-42 EFFECTIVE DATE: 01/01/2014 ISSUE DATE: 02/17/2014 '.... COMMERCIAL GENERAL LIABILITY (CONTINUED) CG DI 86 11 03 XTEND ENDORSEMENT CG D2 03 12 97 AMEND - NON CUMULATION OF EACH OCC CG T8 Ol 01 14 GENERAL PURPOSE ENDORSEMENT CG D4 13 04 08 AMEND COVG - POLLUTION-EQUIP EXCEPTION CG D2 56 11 03 AMENDMENT OF COVERAGE - PROPERTY DAMAGE CG D3 26 10 11 EXCLUSION - UNSOLICITED COMMUNICATION CO D3 56 01 05 MOBILE EQUIPMENT REDEFINED - EXCLUSION OF VEHICLES SUBJECT TO MOTOR VEHICLE LAWS CG D4 21 07 08 AMEND CONTRAL LIAB EXCL - EXC TO NAMED INS CG D6 18 10 11 EXCLUSION - VIOLATION OF CONSUMER FINANCIAL PROTECTION LAWS CG D1 42 01 99 EXCLUSION - DISCRIMINATION CO D3 37 02 05 PROFESSIONAL SERVICES EXCLUSION - LEGAL SERVICES CG F2 45 07 02 EXCLUSION - WAR - WASHINGTON - CG T4 78 02 90 EXCLUSION - ASBESTOS CG 26 61 10 01 MONTANA CHANGES - MEDICAL PAYMENTS CO F2 66 11 03 WASHINGTON CHANGES - EMPLOYMENT-RELATED PRACTICES EXCLUSION CO F4 66 01 08 WASHINGTON CHANGES - WHO IS AN INSURED i MULTIPLE SUBLIME ENDORSEMENTS CG T3 33 11 03 LIMITATION WHEN TWO OR MORE POLICIES APPLY COMMERCIAL INLAND MARINE CM TO 07 01 88 PROPERTY FLOATER COVERAGE - DECLARATIONS CM TO 11 08 05 COMMERCIAL INLAND MARINE COVERAGE PART - TABLE OF !! CONTENTS CM 0001 09 04 COMMERCIAL INLAND MARINE CONDITIONS CM T1 12 02 89 PROPERTY FLOATER COVERAGE - SPECIAL FORM CM 01 07 03 09 WASHINGTON CHANGES '... CM T9 39 06 12 WASHINGTON CHANGES - VOLCANIC ACTION AND REPLACEMENT COST INTERLINE ENDORSEMENTS IL T4 00 12 09 DESIGNATED ENTITY - NOTICE OF CANCELLATION OR NONRENEWAL PROVIDED BY US !, IL T3 82 05 13 EXCLUSION OF LOSS DUE TO VIRUS OR BACTERIA IL O1 39 12 02 OREGON CHANGES IL O1 42 09 08 OREGON CHANGES - DOMESTIC PARTNERSHIP IL O1 57 07 02 WASHINGTON CHANGES - ACTUAL CASH VALUE '..' IL O1 67 09 08 MONTANA CHANGES - CONFORMITY WITH STATUTES IL O1 73 07 02 WASHINGTON CHANGES - EXCLUDED CAUSES OF LOSS *TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. IL T8 01 01 01 PAGE: 2 OF 3 POLICY NUMBER: 680-5C5 6 032 8-14-42 EFFECTIVE DATE: 01/01/2014 ISSUE DATE: 02/17/2014 INTERLINE ENDORSEMENTS (CONTINUED) IL 01 80 09 07 MONTANA CHANGES - CONCEALMENT, MISREPRESENTATION OR FRAUD IL 01 98 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM) IL T3 79 01 08 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM *TEXT IN THIS FORM HAS CHANGED, OR THE FORM WAS NOT ON POLICY BEFORE. PAGE: 3 OF 3 IL T8 01 01 01 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 680-5C560328-14-42 OFFICE PAC ISSUE DATE: 02/17/2014 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED ENGINEERS ARCHITECTS OR SURVEYORS This endorsement modifies insurance provided under the following COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II Who Is An Insured is amended to include as an insured any architect engineer or surveyor engaged by you but only with respect to liability arising out of your premises or ongoing operations performed by you or on your behalf. B. With respect to such architects engineers or surveyors described in Paragraph A. above the following exclusion is added to Paragraph 2. Exclusions of Section I Coverage A Bodily Injury And Property - Damage Liability and Section I Coverage B Personal And Advertising Injury Liability This insurance does not apply to bodily injury property damage personal injury or advertising injury arising out of the rendering of or the failure to render any professional services by or for you including 1. The preparing approving or failing to prepare or approve maps shop drawings opinions reports surveys field orders change orders or drawings and specifications and 2. Supervisory inspection architectural or engineering activities. CG D2 68 11 03 Copyright The Travelers Indemnity Company 2003 Includes copyrighted material of Insurance Services Office Inc. i i CG T8 01 01 14 Page 1 of 1 TRAVELERS�J� POLICY NUMBER: BA-3635W365-14-SEL EFFECTIVE DATE: 01-01-14 ISSUE DATE: 11-11-13 LISTING OF FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS THIS LISTING SHOWS THE NUMBER OF FORMS, SCHEDULES AND ENDORSEMENTS BY LINE OF BUSINESS. IL TO 02 11 89 COMMON POLICY DECLARATIONS IL T8 01 10 93 FORMS, ENDORSEMENTS AND SCHEDULE NUMBERS IL TO 01 01 07 COMMON POLICY CONDITIONS - COMMERCIAL AUTOMOBILE CA TO Ol 02 07 BUSINESS AUTO COV PART ITEMS 1, 2 CA TO 02 11 06 BUSINESS AUTO COV PART DEC- ITEM 3 CA TO 03 03 10 BUS AUTO COV PART DECLARATIONS-4&5 CA TO 30 11 06 BUSINESS AUTO/TRUCK COV PART-SUPPL SCHD CA TO 31 03 10 TABLE OF CONTENTS-BUSINESS AUTO COV FORM CA 00 O1 03 10 BUSINESS AUTO COVERAGE FORM CA FO 75 11 07 MONTANA UM COVERAGE - NON-STACKED CA T4 20 07 10 AUTO COVERAGE PLUS ENDORSEMENT CA T4 59 03 10 AMENDMENT OF EMPLOYEE DEFINITION CA 01 35 01 08 WASHINGTON CHANGES CA Ol 49 01 10 OREGON CHANGES CA 21 05 Ol 10 OR UM MTRSTS COV - B2 '.-_---- CA 21 34 Ol 08 WA UNDERINSURED MOTORISTS COVERAGE CA 22 36 01 10 OREGON PERSONAL INJURY PROTECTION CA 99 W 03 06 AUTO MED PAY COVERAGE CA T3 01 02 99 ADDITIONAL INSURED CA T3 40 02 99 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY CA 02 20 10 03 MT CHANGES-CANCELLATION & NONRENEWAL CA T3 04 Ol 87 AMENDED TITLE-AUTO COVERAGE PARTS INTERLINE ENDORSEMENTS IL T4 00 12 09 DESIGNATED ENTITY-C/NR PROVIDED BY US IL 00 21 09 08 NUCLEAR ENERGY LIAB EXCL END-BROAD FORM IL Ol 42 09 08 OREGON CHANGES-DOMESTIC PARTNERSHIP IL 01 67 09 08 MT CHANGES-CONFORMITY WITH STATUES IL 01 80 09 07 MT CHANGES-CONCEAL, MISREPRESENT, FRAUD IL 01 98 09 08 NUCLEAR ENERGY LIABILITY EXCLUSION IL 02 79 09 08 OR CHANGES-CANCELLATION AND NONRENEWAL PAGE: 1 OF 1 ILT8011093 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorse- (d) Costs for extended warranties, Credit Life ment, the provisions of the Coverage Form apply Insurance, Health, Accident or Disability unless modified by the endorsement. Insurance purchased with the loan or A. PERSONAL EFFECTS COVERAGE lease; and SECTION III — PHYSICAL DAMAGE COVER- (a) Carry-over balances from previous loans AGE, A. Coverage, 4, Coverage Extensions is or leases. amended by adding the following: C. COVERAGE EXTENSION — AUDIO, VISUAL Personal Effects Coverage AND DATA ELECTRONIC EQUIPMENT NOT DESIGNED SOLELY FOR THE PRODUCTION We will pay up to $400 for "loss" to wearing so- OF SOUND pare)and other personal effects which are: SECTION III — PHYSICAL DAMAGE COVER- (1) owned by an"insured"; and AGE, B. Exclusions, exception paragraph a. to (2) in or on your covered "auto"; exclusions 4.c & 4.d is deleted and replaced with In the event of a total theft "loss" of your covered the following: "auto". a. Equipment and accessories used with such equipment, except tapes, records or discs, No deductibles apply to Personal Effects Cover- provided such equipment is permanently in- age. stalled in the covered "auto"at the time of the ' B. AUTO LOAN LEASE GAP COVERAGE "loss" or is removable from a housing unit SECTION III — PHYSICAL DAMAGE COVER- which is permanently installed in the covered AGE, A. Coverage, 4. Coverage Extensions is "auto" at the time of the "loss", and such amended by adding the following: equipment is designed to be solely operated by use of the power from the "auto's" elecfri- Auto Loan Lease Gap Coverage for Private cal system, in or upon the covered "auto"; or Passenger Type Vehicles In the event of a total "loss"to a covered "auto" of D. WAIVER OF DEDUCTIBLE—GLASS the private passenger type shown In the Schedule SECTION III — PHYSICAL DAMAGE COVER- or Declarations for which Physical Damage Cov- AGE, D. Deductible is amended by adding the erage is provided,we will pay any unpaid amount following: due on the lease or loan for such covered "auto" No deductible for a covered "auto" will apply to less the following: glass damage if the glass is repaired rather than (1) The amount paid under the Physical Damage replaced. Coverage Section of the policy for that"auto"; E. HIRED AUTO PHYSICAL DAMAGE COVER. and AGE (2) Any: SECTION III — PHYSICAL DAMAGE COVER. (a) Overdue lease/loan payments at the time AGE, A. Coverage, 4. Coverage Extensions is of the"loss"; amended by adding the following: (b) Financial penalties imposed under a Hired Auto Physical Damage Coverage Extent- lease for excessive use, abnormal wear sion and tear or high mileage; If hired "autos" are covered "autos" for Liability (c) Security deposits not returned by the les- Coverage and this policy also provides Physical sor; Damage Coverage for an owned "auto", then the CA T4 20 07 06 Includes the copyrighted material of Insurance Services Office, Inc.with its permission. Page 1 of 2 '........... Includes the copyrighted material of The St.Paul Travelers Companies,Inc. COMMERCIAL AUTO Physical Damage Coverage is extended to tent required of you by a written contract exe- "autos"that you hire, rent or borrow subject to the cuted prior to any "accident" or "loss"; pro- following: vided that the"accident"or"loss" arises out of (1) The most we will pay for"loss" in any one the operations contemplated by such con- "accident" to a hired, rented or borrowed tract.The waiver applies only to the person or "auto"is the lesser of: organization designated in such contract. (a) $50,000; G. BLANKET ADDITIONAL INSURED SECTION 11—LIABILITY COVERAGE, part A. 1. (b) The actual cash value of the dam- aged or stolen property as of the time Who Is An Insured, paragraph c. is amended by or adding the following: of the "loss"; (c) The cost repairing or replacing the Any person or organization that you are required damaged or stolen property with to include as an additional insured on this Cover- other properly of like kind and quality. age Form in a written contract or agreement that is signed and executed by you before the "bodily (2) An adjustment for depreciation and injury" or"property damage" occurs and that is in physical condition will be made in deter- effect during the policy period is an "insured" for mining actual cash value in the event of a Liability Coverage, but only for damages to which total "loss". this insurance applies and only to the extent that (3) If a repair or replacement results in better person or organization qualifies as an "insured" than like kind or quality, we will not pay under the Who Is An Insured provision contained for the amount of betterment. in Section II. (4) A deductible equal to the highest Physical H. EMPLOYEE HIRED AUTOS Damage deductible applicable to any SECTION II — LIABILITY COVERAGE, A. Cov- owned covered "auto". erage,1.Who Is An Insured is amended by add- (5) This Coverage Extension does not apply ing the following: to: An "employee" of yours is an "insured" while op- (a) Any"auto"that is hired, rented or bor- erating an "auto" hired or rented under a contract rowed with a driver; or or agreement in that "employee's" name, with (b) Any"auto"that is hired, rented or bor- your permission, while performing duties related rowed from your"employee". to the conduct of your business. F. BLANKET WAIVER OF SUBROGATION I. COVERAGE EXTENSION—TRAILERS SECTION I — COVERED AUTOS, C. Certain SECTION IV— BUSINESS AUTO CONDITIONS, Trailers, Mobile Equipment and Temporary A. Loss Conditions, 5. Transfer Of Rights Of Substitute Autos, paragraph 1. is deleted and Recovery Against Others To Us is deleted and replaced by the following: replaced by the following: 1. "Trailers" with a load capacity of 3,000 5. Transfer Of Rights Of Recovery Against pounds or less designed primarily for travel Others To Us on public roads. We waive any right of recovery we may have against any person or organization to the ex- Page 2 of 2 Includes the copyrighted material of Insurance Services Office,Inc.with its permission. CA T4 20 07 06 Includes the copyrighted material of The St,Paul Travelers companies,Inc.