HomeMy WebLinkAboutPW15-334 - Original - The Granger Company - Contract - 9/24/15 K$'* 'A $' i
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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.
Vendor Name: The Granger Company
Vendor Number:
JD Edwards Number
Contract Number: YVJ 1
This is assigned by City Clerk's Office
Project Name: Upper Russell Road Levee - South Reach
Description: ❑ Interlocal Agreement ❑ Change Order ❑ Amendment M Contract
❑ Other:
Contract Effective Date: 9/24/15 Termination Date: 12/31/15
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Ingrid Willms-Dixon Department: Engineering
Contract Amount: $1,000.00
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Provide appraisal services for the Upper Russell Road Levee - South reach project
As of: 08/27/14
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PROFESSIONAL SERVICES AGREEMENT
between the City of Kent and
The Granger Company
THIS AGREEMENT is made between the City of Kent, a Washington municipal corporation
(hereinafter the "City"), and The Granger Company organized under the laws of the State of Washington,
located and doing business at 7312 Meridian Rd. SE, Olympia, WA 98513, Phone: (360) 459-8203/Fax:
(360) 870-5039 (hereinafter the "Contractor").
I. DESCRIPTION OF WORK.
following services for the City:
Contractor shall perform the g Y
The Contractor shall provide appraisal review services for the Upper Russell
Road Levee Project. For a description, see the Contractor's Scope of Work
which is attached as Exhibit A and incorporated by this reference.
Contractor further represents that the services furnished under this Agreement will be performed in
accordance with generally accepted professional practices within the Puget Sound region in effect at the
time those services are performed.
II. TIME OF COMPLETION. The parties agree that work will begin on the tasks described in
Section I above immediately upon the effective date of this Agreement, and Contractor shall complete the
work by December 31, 2015,
III. COMPENSATION. The City shall pay Contractor a total amount not to exceed One
Thousand Dollars ($1,000.00) for the services described in this Agreement. The Contractor shall invoice
the City monthly based on time and materials incurred during the preceding month. The hourly rates
charged for Contractor's services shall be as delineated in the attached and incorporated Exhibit A. All
hourly rates charged shall remain locked at the negotiated rates throughout the term of this Agreement.
IV. INDEPENDENT CONTRACTOR. The parties intend that an Independent Contractor-
Employer Relationship will be created by this Agreement. By their execution of this Agreement, and in
accordance with Ch. 51.08 RCW, the parties make the following representations:
A. The Contractor has the ability to control and direct the performance and details of its
work, the City being interested only in the results obtained under this Agreement.
B. The Contractor maintains and pays for its own place of business from which
Contractor's services under this Agreement will be performed.
C. The Contractor has an established and independent business that is eligible for a
business deduction for federal income tax purposes that existed before the City
retained Contractor's services, or the Contractor is engaged in an independently
established trade, occupation, profession, or business of the same nature as that
involved under this Agreement.
D. The Contractor is responsible for filing as they become due all necessary tax
documents with appropriate federal and state agencies, including the Internal
Revenue Service and the state Department of Revenue.
'SIONAL SERVICES AGREEMENT - 1
JO or Less)
E. The Contractor has registered its business and established an account with the state
Department of Revenue and other state agencies as may be required by Contractor's
business, and has obtained a Unified Business Identifier (UBI) number from the
State of Washington.
F. The Contractor maintains a set of books dedicated to the expenses and earnings of
its business.
V. TERMINATION. Either party may terminate this Agreement, with or without cause, upon
providing the other party seven (7) calendar days written notice at its address set forth on the signature
block of this Agreement.
VI. DISCRIMINATION. In the hiring of employees for the performance of work under this
Agreement or any subcontract, the Contractor, its subcontractors, or any person acting on behalf of the
Contractor or subcontractor shall not discriminate against any person who is qualified and available to
perform the work to which the employment relates as provided for by the City of Kent's Equal
Employment Opportunity Policy. Contractor shall execute the attached City of Kent Equal Employment
Opportunity Policy Declaration, Comply with City Administrative Policy 1.2, and upon completion of the
contract work, file the attached Compliance Statement.
VII. INDEMNIFICATION. Contractor shall defend, indemnify and hold the City, its officers,
officials, employees, agents and volunteers harmless from any and all claims, injuries, damages, losses or
suits, including all legal costs and attorney fees; arising out of or in connection with the Contractor's
performance of this Agreement, except for that portion of the injuries and damages caused by the City's
negligence. The City's inspection or acceptance of any of Contractor's work when completed shall not be
grounds to avoid any of these covenants of indemnification. The provisions of this section shall survive
the expiration or termination of this Agreement.
In the event Contractor refuses tender of defense in any suit or any claim, if that tender was made
pursuant to this indemnification clause, and if that refusal is subsequently determined by a court having
jurisdiction (or other agreed tribunal) to have been a wrongful refusal on the Contractor's part, then
Contractor shall pay all the City's costs for defense, including all reasonable expert witness fees and
reasonable attorneys' fees, plus the City's legal costs and fees incurred because there was a wrongful
refusal on the Contractor's part.
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VIII. INSURANCE. The Contractor shall procure and maintain for the duration of the
Agreement, insurance of the types and in the amounts described in Exhibit B attached and incorporated by
this reference.
IX. CONTRACTOR'S WORK AND RISK. The Contractor agrees to comply with all federal,
state, and municipal laws, rules, and regulations that are now effective or in the future become applicable
to Contractor's business, equipment, and personnel engaged in operations covered by this Agreement or
accruing out of the performance of those services. All work shall be done at Contractor's own risk, and
Contractor shall be responsible for any loss of or damage to materials, tools, or other articles used or held
for use in connection with the work.
X. MISCELLANEOUS PROVISIONS.
A. Recyclable Materials. Pursuant to Chapter 3.80 of the Kent City Code, the City requires its
contractors and consultants to use recycled and recyclable products whenever practicable. A price
preference may be available for any designated recycled product.
B. Non-Waiver of Breach. The failure of the City to insist upon strict performance of any of the
covenants and agreements contained in this Agreement, or to exercise any option conferred by this
Agreement in one or more instances shall not be construed to be a waiver or relinquishment of those
covenants, agreements or options, and the same shall be and remain in full force and effect.
PROFESSIONAL SERVICES AGREEMENT - 2
($20,000 or Less)
C. Resolution of Disputes and Governing Law. This Agreement shall be governed by and
construed in accordance with the laws of the State of Washington. If the parties are unable to settle any
dispute, difference or claim arising from the parties' performance of this Agreement, the exclusive means
of resolving that dispute, difference or claim, shall only be by filing suit exclusively under the venue, rules
and jurisdiction of the King County Superior Court, King County, Washington, unless the parties agree in
writing to an alternative dispute resolution process. In any claim or lawsuit for damages arising from the
parties' performance of this Agreement, each party shall pay all its legal costs and attorney's fees incurred
in defending or bringing such claim or lawsuit, including all appeals, in addition to any other recovery or
award provided by law; provided, however, nothing in this paragraph shall be construed to limit the City's
right to indemnification under Section VII of this Agreement.
D. Written Notice. All communications regarding this Agreement shall be sent to the parties at
the addresses listed on the signature page of the Agreement, unless notified to the contrary. Any written
notice hereunder shall become effective three (3) business days after the date of mailing by registered or
certified mail, and shall be deemed sufficiently given if sent to the addressee at the address stated in this
Agreement or such other address as may be hereafter specified in writing.
E. Assignment. Any assignment of this Agreement by either party without the written consent
of the non-assigning party shall be void.
F. Modification. No waiver, alteration, or modification of any of the provisions of this
Agreement shall be binding unless in writing and signed by a duly authorized representative of the City
and Contractor.
G. Entire Agreement. The written provisions and terms of this Agreement, together with any
Exhibits attached hereto, shall supersede all prior verbal statements of any officer or other representative
of the City, and such statements shall not be effective or be construed as entering into or forming a part
of or altering in any manner this Agreement. Should any language in any of the exhibits to this
Agreement conflict with any language contained in this Agreement, the terms of this Agreement shall
prevail.
H. Public Records Act. The Contractor acknowledges that the City is a public agency subject to
the Public Records Act codified in Chapter 42.56 of the Revised Code of Washington and documents,
notes, emails, and other records prepared or gathered by the Contractor in its performance of this
Agreement may be subject to public review and disclosure, even if those records are not produced to or
possessed by the City of Kent, As such, the Contractor agrees to cooperate fully with the City in satisfying
the City's duties and obligations under the Public Records Act.
I. City Business License Required. Prior to commencing the tasks described in Section I,
Contractor agrees to provide proof of a current city of Kent business license pursuant to Chapter 5.01 of
the Kent City Code.
i
PROFESSIONAL SERVICES AGREEMENT - 3
($20,000 or Less)
J. Counterparts and Signatures by Fax or Email. This Agreement may be executed in any
number of counterparts, each of which shall constitute an original, and all of which will together constitute
this one Agreement. Further, upon executing this Agreement, either party may deliver the signature page
to the other by fax or email and that signature shall have the same force and effect as if the Agreement
bearing the original signature was received in person.
IN WITNESS, the parties below execute this Agreement, which shall become effective on
the last date enterelbe w.
CONTRACTOR: CITY OF KENT:
y; L—(signature)
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BY:
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Pri 9 FrrQd}�/�?? Print Name: Mark Howlett, P.E.
Its: a I P Its: Design Engineering Manager
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DATE: � DATE: �'�`�'(1
NOTICES TO BE SENT TO: NOTICES TO BE SENT TO:
CONTRACTOR: CITY OF KENT:
Joe Granger Timothy J. LaPorte, P.E.
The Granger Company City of Kent
7312 Meridian Rd SE 220 Fourth Avenue South
Olympia, WA 98513 Kent, WA 98032
(360) 459-8203 (telephone) (253) 856-5500 (telephone)
(360) 870-5039 (facsimile) (253) 856-6500 (facsimile)
I,
PROFESSIONAL SERVICES AGREEMENT - 4
($20,000 or Less)
DECLARATION
CITY OF KENT EQUAL EMPLOYMENT OPPORTUNITY POLICY
The City of Kent is committed to conform to Federal and State laws regarding equal opportunity.
As such all contractors, subcontractors and suppliers who perform work with relation to this
Agreement shall comply with the regulations of the City's equal employment opportunity
policies.
The following questions specifically identify the requirements the City deems necessary for any
contractor, subcontractor or supplier on this specific Agreement to adhere to. An affirmative
response is required on all of the following questions for this Agreement to be valid and binding.
If any contractor, subcontractor or supplier willfully misrepresents themselves with regard to the
directives outlines, it will be considered a breach of contract and it will be at the City's sole
determination regarding suspension or termination for all or part of the Agreement;
The questions are as follows:
1. I have read the attached City of Kent administrative policy number 1.2.
2. During the time of this Agreement I will not discriminate in employment on the basis of
sex, race, color, national origin, age, or the presence of all sensory, mental or physical
disability.
3. During the time of this Agreement the prime contractor will provide a written statement to
all new employees and subcontractors indicating commitment as an equal opportunity
employer.
4. During the time of the Agreement I, the prime contractor, will actively consider hiring and
promotion of women and minorities.
5. Before acceptance of this Agreement, an adherence statement will be signed by me, the
Prime Contractor, that the Prime Contractor complied with the requirements as set forth
above.
By signing below, I agree to fulfill the five requirements referenced above.
Dated this day of 20 ��•
By. - z
Title: d
Date: �S—/S
EEO COMPLIANCE DOCUMENTS - 1
CITY OF KENT
ADMINISTRATIVE POLICY
NUMBER: 1.2 EFFECTIVE DATE: January 1, 1998
SUBJECT: MINORITY AND WOMEN SUPERSEDES: April 1, 1996
CONTRACTORS APPROVED BY Jim White, Mayor
POLICY:
Equal employment opportunity requirements for the City of Kent will conform to federal and
state laws. All contractors, subcontractors, consultants and suppliers of the City must guarantee
equal employment opportunity within their organization and, if holding Agreements with the City
amounting to $10,000 or more within any given year, must take the following affirmative steps:
1. Provide a written statement to all new employees and subcontractors indicating
commitment as an equal opportunity employer.
2. Actively consider for promotion and advancement available minorities and women.
Any contractor, subcontractor, consultant or supplier who willfully disregards the City's
nondiscrimination and equal opportunity requirements shall be considered in breach of contract
and subject to suspension or termination for all or part of the Agreement.
Contract Compliance Officers will be appointed by the Directors of Planning, Parks, and Public
Works Departments to assume the following duties for their respective departments.
1. Ensuring that contractors, subcontractors, consultants, and suppliers subject to these
regulations are familiar with the regulations and the City's equal employment opportunity
policy.
2. Monitoring to assure adherence to federal, state and local laws, policies and guidelines.
EEO COMPLIANCE DOCUMENTS - 2
CITY OF KENT
EQUAL EMPLOYMENT OPPORTUNITY COMPLIANCE STATEMENT
This form shall be filled out AFTER COMPLETION of this project by the Contractor awarded the
Agreement.
I, the undersigned, a duly represented agent of
Company, hereby acknowledge and declare that the before-mentioned company was the prime
contractor for the Agreement known as that was entered into on
the (date), between the firm I represent and the City of
Kent.
I declare that I complied fully with all of the requirements and obligations as outlined in the City
of Kent Administrative Policy 1.2 and the Declaration City of Kent Equal Employment Opportunity
Policy that was part of the before-mentioned Agreement.
I
Dated this day of 20—•
By:
For:
Title:
Date:
EEO COMPLIANCE DOCUMENTS - 3
EXHIBIT A
the ranger Company
Right of Way Appraisal Review and Consulting
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August 1a,2015
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I In rid Wilims-Dixon,Project Analyst
QI of Kent
40o Wyye��st poWe
KentN"A 08032-5895
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re:Kent CityLeveeProjectsl
Consultation Services
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Dear Project Analyst W llms-Dixon: 1
Please be advised that my fee proposal to advise Kent City legal counsel on appraisal matters as they 1
relate to negotiations and/or court case preparations is$1,000.This fee proposal is based on my hourly,,
rate of$100 per hour which I.charge my best clients.Il Is a total to which Includes all.my charges, i
costs,expenses and taxes,
My deliVerables will be professional advice directly to Kent City counsel as the need arises for their.
S negotiations and condemnation court preparations on the above projects. i
My availability Is immediate and my turnaround time Not be about I wodang day per cons,ultadon
1
E reclneat.
Please also be advised that t am currently on the WSDOT List ofApproved Reviewers.
i
! Thank you for the opportunity of bidding on this important project.If you have any questions,please
1 contact M.
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Sincerely,
€ k
Joseph H.Granger,Appraisal Reviewer, l
WA State Cortlfled General Appraiser#1100549
7312 Mtddldir Ad SE voice&fax.(360)dS9-8203 u0 060)870d039
Olympin,WA $9$13 einrsii GrangeMmnynnyg¢drrl�tink,ii5t
__- ... ... __..__...
EXHIBIT B
INSURANCE REQUIREMENTS FOR
CONSULTANT SERVICES AGREEMENTS
Insurance
The Consultant shall procure and maintain for the duration of the Agreement,
Insurance against claims for Injuries to persons or damage to property which
may arise from or in connection with the performance of the work hereunder
by the Consultant, their agents, representatives, employees or
subcontractors.
A. Minimum Scope of Insurance
Consultant shall obtain Insurance of the types described below:
1. Automobile Liabilitv Insurance covering all owned, non-owned,
hired and leased vehicles. Coverage shall be written on Insurance
Services Office (ISO) form CA 00 01 or a substitute form providing
equivalent liability coverage. If necessary, the policy shall be
endorsed to provide contractual liability coverage.
2. Commercial General Liability insurance shall be written on ISO
occurrence form CG 00 01 and shall cover liability arising from
premises; operations, independent contractors, products-completed
operations, personal injury and advertising injury, and liability
assumed under an Insured contract. The City shall be named as an
Insured under the Consultant's Commercial General Liability
Insurance policy with respect to the work performed for the City
using ISO additional insured endorsement CG 20 10 1185 or a
substitute endorsement providing equivalent coverage.
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3. Workers' Compensation coverage as required by the Industrial
Insurance laws of the State of Washington.
4. Professional Liabilitv Insurance appropriate to the Consultant's
profession.
B. Minimum Amounts of Insurance
Consultant shall maintain the following insurance limits:
1. Automobile Liability insurance with a minimum combined single
limit for bodily injury and property damage of$1,000,000 per
accident.
2. Commercial General Liability insurance shall be written with limits
no less than $1,000,000 each occurrence, $2,000,000general
= =EXHIBITS (Continued)
aggregate and a $1,000,000 products-completed operations
aggregate limit.
3, Professional Liability insurance shall be written with limits no less
than $1,000,000 per claim and $1,000,000 policy aggregate limit.
C. Other Insurance Provisions
The insurance policies are to contain, or be endorsed to contain, the following
provisions for Automobile Liability and Commercial General Liability
insurance:
1. The Consultant's insurance coverage shall be primary Insurance as
respect the City. Any Insurance, self-insurance, or insurance pool
coverage maintained by the City shall be excess of the Consultant's
Insurance and shall not contribute with it.
2. The Consultant's insurance shall be endorsed to state that coverage shall
not be cancelled by either party, except after thirty. (30) days prior
written notice by certified mail, return receipt requested, has been given
to the City.
3. The City of Kent shall be named as an additional Insured on all policies
(except Professional Liability) as respects work performed by or on behalf
of the Consultant and a copy of the endorsement naming the City as
additional insured shall be attached to the Certificate of Insurance. The
City reserves the right to receive a certified copy of all required insurance
policies. The Consultant's Commercial General Liability Insurance shall
also contain a clause stating that coverage shall apply separately to each
insured against whom claim is made or suit is brought, except with
respects to the limits of the insurer's liability.
D. Acceptability of Insurers
Insurance Is to be placed with insurers with a current A.M. Best rating of not
less than A,VII.
E. Verification of Coverage
Consultant shall furnish the City with original certificates and a copy of the
amendatory endorsements, Including but not necessarily limited to the
additional insured endorsement, evidencing the insurance requirements of
the Contractor before commencement of the work.
F. Subcontractors
Consultant shall Include all subcontractors as insureds under its policies or
shall furnish separate certificates and endorsements for each subcontractor.
All coverages for subcontractors shall be subject to all of the same insurance
requirements as stated herein for the Consultant.
CERTIFICATE OF LIABILITY INSURANCE Ros9 zzo%zols
THIS CERTIFICATEIS 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 pollcy(les)must be endorsed. If SUBROGATIONIS WAIVED,subject to the
terms and conditions of the policy,certain policies may require an endorsement. Astatement on this certificate does not confer rights to the
certificate holder in lieu of such endorsemem(s).
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COVERAGES CERTIFICATE NUMBER: REVISION NUMBERI
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 AFFORD€O 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,
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Insured per the Business Liability Coverage Form SS0008, attached to this
policy. Certificate holder is an Additional Insured per the Commercial Auto
Broad Form Endorsement HA99160312 attached to this policy.
CERTIFICATE HOLDEN CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE
City of Kent "D T C
Attn: Nany Yoshitake AI/rNOR2a0aEraseEl9rATn•E
400 W GOWE ST
RENT, WA 98032
019882014 CORD CORPORATION,All rights reserved.
ACORD 25(2014101) The ACORD name and logo are registered marks of ACORO
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INSURER: HARTFORD CASUALTY INSURANCE COMPANY
ONE HARTFORD PLAZA, HARTFORD, CT 06155
COMPANY CODE: 3
Policy Number: 65 SBA GN8933 DX
SPECTRUM POLICY DECLARATIONS ORIGINAL . .
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USAA #: 10085,009$ itisi€,s a ,r +
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Name ofAgentlBroker: USAA INSURANCE AGENCY INC/PHS
Code: 812846
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Insurance Provided: In returnfor the payment ofihe premium and subjectto all
agree with you to provide Insurance as stated In this policy. 'fg` C `it
TOTAL ANNUAL PREMIUM IS: $1,fi27
IN RECOGNITION OF THE MULTIPLE COVERAGES INSURED WITH THE HART ".
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THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PERSON-ORGANIZATION
N ISLAND COUNTRY
o PO BOX 5000
COUPEVILLE WA 98239-5000
SKILLINGS CONNOLLY INC
o CONSULTING EINGINEER
PO BOX 5080
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LACEY WA 95809-5080
CITY OF TUMWATER
N 555 ISRAEL RD SE .
o TUMWATER WA 98501 -
CH214 HILL
a 777 108TH AVE NE
PO BOX 91500
BELLEVUE, WA 98009 -
CITY OF FEDERAL WAY
33530 1ST WAY SOUTH
ATTN; CITY NANAGER
FEDERAL WAY WA 9B003
ABEYTA & ASSOCIATES
f= 1001 4TH AVE PLAZA #3200
SEATTLE WA 98154
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CITY OF KENT, KING COUNTY AND KING COUNTY FLOOD CONTROL DISTRICT
ATTN; NANCY YOSHITAXE
220 4TH AVE SOUTH
KENT, WA 98032
CITY OF SEATAC
4900 S 1SBTH ST
s SEATAC, WA 9B188
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Form IH 12 00 11 85 T SEO,NO. 001 Printed In U.S.A. Page 001
Process Date: 01/2 0/15 Expiration Date: 03/04/16
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Liberty_
Real Estate Appraisers Professional International
Linderivritero.
Liability
Date Issued Pal icy Number Previ ous Pol i cy N umber Ali
02/04/2015 LI0001247-014 LIU001247-013 !i
]LIBERTY INSURANCE UNDERWRITERS INC.
(A Stock Insurance Company,hereinafter the"Company")
55 Water Street, 18th Floor
Ncw York NY 10041
THIS IS A CLAIMS MADE AND REPORTED POLICY. PLEASE READ IT CAREFULLY.
Item DECLARATIONS
1. Customer ID: 124016
Flamed Insured:
GRANGER COMPANY, THE
Joseph H. Granger
7312 Meridian Rd. SE
Olympia, WA 98513 ',
2, Policy Period: ],
Fromt 03/01/2015 To: 03/01/2016
12:01 A.M.Standard Time at the address stated in
Itcm 1.
3. Deductible: $1,000 Each Claim
4. Retroactive Date: 01/01/1994
5. Inception Date: 03/01/2002
6. Limits of Liability: The Limit of Liability for Each Claim and In
A. $1,000,000 Each Claim the Aggregate is reduced by Damages and
B, $2,000,000 Aggregate Claims Expenses as defined In the Policy.
7. Mail all notlees, Including notice of claim,to Agent:
LIA Administrators&Insurance Services
1600 Anacapa Street
Santa Barbara,California 93101
(800)334-0652; Fax:'(805)962-0652
8. Arsonist Premium: $1,039.00
9, Number of Appraisers: I
10, Forms attached atissues LIA002 (10/11) LIAWA (12/11) LIA012 (08/11) LIA013 (08/11)
OFAC (08/09)
This Declarations Page together with the completed and signed Policy Application Including all attachments and exhibits thereto,and the
Real Estate Appraisers Professional Ijabillty Insurance Policy shall constl to thpMct hetween the Named Insured and the Company,
8y 2J
LIA001 (04/10) Authorized Signature
P0LICYNUMBER: 65 SBA GN8933
XA4
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - PERSON-ORGANIZATION
ISLAND COUNTRY
PO BOX $000
COUPEVILLE WA 98239-5000
SKILLINGS CONNOLLY INC
CONSULTING EINGINHER
PO BOX 5080
LACEY WA 95809-5080
CITY OF TUMWATER '
555 ISRAEL RD SE
TUMWATER WA 98501
CHW HILL
777 108TH AVE NO -
PO BOX 91500
BELLEVUE, WA 98009
CITY OF FEDERAL WAY - -
33530 1ST WAY SOUTH -
ATTNt CITY MANAGER
FEDERAL WAY WA 98003
ABEYTA & ASSOCIATES
1001 4TH AVE PLAZA #3200
SEATTLE WA 98154
CITY OF KENT, KING COUNTY AND KING COUNTY FLOOD CONTROL DISTRICTI,
ATTNt NANCY YOSHITAKE
220 4TH AVE SOUTH
KENT, WA 98032
CITY OF SEATAC
4800 S 188TH ST
SEATAC, WA 98188
II
Form IH 12 0011 85 T SEQ.NO.001 Printed In U,S.A. Page 001
Process Date: DI/23/14 ExpiratlonQate: 03/04/15
The Insurance afforded to any such E. Primary and Non-Confrlbutory If
additional Insured applies only If the Required by Contract
"bodily Injury" or "property damage" Only with respect to Insurance provided to
occurs;. an additional Insured In 1.D. - Additional
(1) During the polloy period,and Insured If Required by Contract, the
(2) subsequent to the execution ofsuch following provisions apply:
written contract,and (3) primary insurance When Required By
(3) Prior to the expiration of the period Connect
of time that,the written contract This,Insurance Is primary if you have
requires such insurance be provided agreed In a written contract or written
to the additional Insured, . agreement that thle Insurance be
(?) How Limits Apply primary. If other Insurance Is also
primary,we will share with all that other
If you have agreed In a written contract insurance by.the method described in
or written agreement that another Otherinsurance6A.
person or organization be added as an 4 prim And Non-Contributory To Other
addlllonal Insured.on your policy, the O ry
most we will pay on behalf of such Insurance When Required By Contract
additional insured is the lasserof: • If you have agreed in a.written oontraot
(a) The limits of Insurance specified In pr written agreement that this Insurance
the written contract or written Is primary and non-oonfrlbutory with the
agreement;or additional Insureds own insurance, this
(b) As Limits Of Insurance shown in .V Insurance Is primary and we will not
the Declarations, q_ , seek coriGibullon from that other
insurance.
Such amount shall he a part of and not paregiaphs(a)and(4)do nqt apply to other
in addition to Llmlta of Insurance shown �oauranoe to which the additional insured
In the Declarations and described In this
Section. :.,his been added as an additional insured'.
(3) Additional insureds other Insurance Whenfthls Insurance Is excess,we will have no
duty to defend the Insured against any suit If
If we cover a claim or"sult" under tills any, gther In°surer has a duty to defend the
Coverage Part that may also be covered Insured against that 'suit'. 9 no other insurer
by other Insurance available to an defends,we will undertake to do so, but we will
addltfonal Insured, such additional be entKied to the Insured's rights agafnst all
Insured must submit such claim or"suit" those other Insurers.
to the other Insurer for defense and When this Insurance Is excess over other
Indemnity. insurance, we will pay only our share of the
However, tills provision does not apply amount of1he loss,If any,that exceeds the sum
to the extent that you have agreed In a of
written contract or written agreement (1)•The Total amount that all sudh other
that this Insurance Is primary and non- Insurance would pay for the lose In the
contributory with the additional Insured's absence of thls insurance;and
own Insurance. (2) The total of all daduotlble and self-insured
(4) Duties In The Event Of Accldent, Claim, amounts under all that other Insurance, '
cult or Loss
If you have agreed In a written contract me Will share the remaining lose, If any, by the
or written agreement that another methodd described In Other Insurance 54, _.. ..
Parson or organization be added as an 2, AUTOS RENTED BY EMPLOYEES
addifinai Insured on your policy, the Any "auto" hired or rented by your "employee"
addlllonal Insured shall be required to on your behalf and at your direction will be
comply with 'the provisions In LOSS considered an`auto"you hlre.
CONDITIONS 2. - DUTIES IN THE The OTHER INSURANCE Condition Is amended
EVENT OF ACCIDENT, CLAIM ,-BU(T byaddingthefollowing
,* OR;-LOSS--: OF...'SECTI(3N= IV =-_.. . _._
_.
--- BUSINESSAUT.o-CONDITIONS, Intime manner as the Named Insured,
A2.011,TheHartford(InctudesocPYrighimaterlat............
_.
Fonn HA 991603.18: of 180 Properttas,Uia.,with Its permfolon.) Page 2 of S
(4) Necessary for the normal If snolh®r Hartford Financial Services Group,
operation of the cpvered"auto"or Inc,company policy or coverage form that Is not
the monitoring of the covered an automobile policy or coverage form applies to
"auto's"operating system. the same"accident",the following applies;
b,Sectlon IIi- Versloh CA 00 01 03 10 of the (1) If the deductible under this Business Auto
Business Autb Coverage Form, Physical Coverage Form Is the smaller(or smallest)
Damage Coverage, Limit of Insuranca, ' deductible,it will be waived;
Paragraph 0,2 and Version Oq 00 0110 01 of . (2) If the deductible under this Huslnesa Auto
the Business Auto Coverage Form, Physical Coverage Form to not the smaller (or
Damage coverage, Limit of Insurance, -smallest) deductible, It will be reduced by
Paragraph C are each amended to add the the amount of the smaller (or smallest)
following: deductible.
$1,600 is the most we will pay for"loss"in 12. AMENDED DUTIES IN THE EVENT OF
any one "acoldent't to all electronic ACCIDENT,CLAIM,SUIT OR LOSS
equipment(other than equipment designed ' The'r ulrement In LOSS CONDITIONS 2 a. -
solely for the.reproduction of sound, and DUTIES IN THE EVENT 0FACCiDENTCLAIM,
acoassodes used with such equipment) SUIT OR LOSS-of SECTION IV-BUSINESS
that reproduces, receives or transmits AUTO CONDITIONS that you must notify us of
time of looss
audio, "llss"or data signals which, at the an"aootdent"applies only when the"acddent"Is
,Is: known to;
(1)Permanently installed in or upon ;
the covered "auto" In a housing, (1) You,If you are an individual
opening or other location that Is not (2) A partner,If you ale a partnership;
normally used by the "auto" (3) A member, If you era a limited liability
manufacturer for the Installation of company;or
such equipment; (4) An executive officer or Insurance manager,If
(2)Removable from a parmanehtiy you are a eolporatlon,
installed housing unit as described In Paragraph 2.a, above or is an 13. UNINTENTIONAL FAILURE TO pISCLOSE Integral part of that equipment or HAZARDS
(3)An Integral part of such equlpment If you unintentionally fell to disclose any hazards
existing at the lnopptlon date of your pollcy, we
o.For each covered"auto",should loss be limited. will not deny coverage under this Coverage
to electronic equipment only, our obligation to Form because of such failure,
Pay for, repair, return or replace damaged or 14, tryREQAU70-CCVERAGETERR17oRY
stolen electronic equipment will be reduced by
the applicable deductible shown 1n the Paragraph e. of GENERAL CONDITIONS 7. -
Declarations, or$230, whichever deductible is POLICY PERIOD, COVERAGE TERRITORY -
less, of SECTION IV - BUSINESS AUTO
9. EXTRA EXPENSE BROADENED CONDITIONS Is replaced by the following;
COVERAGE e. For short-term hired "autos", the coverage
Under Paragraph A,-COVERAGE-of SECTION territory with respect to Liability Coverage Is
III - PHYSICAL DAMAGE COVERAGE we will anywhere in the world provided that If the
Pay for the expense of raturhing a stolen covered ' Insured's"responsibility to pay damages for
"auto"to you. 'bodily injury "or "properly damage Is
determined Ina Butt the ault"is brought.in
10. GLASS REPAIR-WAIVER OF DEDUCTIBLE the United States of America, the territories
Under paragraph D.-DEDUCTIBLE-of SECTION and possessions of the United States of
III - PHYSICAL DAMAGE COVERAGE, the America, Puerto Rico or Canada or in a
following Is eddad: settlement we agree ta.
No deductible applies to glass damage If the 15, WAIVER OF SUBROGATION
glass Is repaired rather than replaced, TRANSFER OF RIGHTS OF RECOVERY
"A, TWO OR MORE DEDUCTIBLES - - AGAINST OTHERS TO US - of SECTION IV
Under Pa
BUSINESSAUTOCONDITIONS Is amended.tiy
ggrapti Dc-DEDUCTIBLE of SECTION
addingtlie tokowino:
-- III -"-PHYSICAL DAMAGE COVERAGE,:the
following Is added;
�2D11,The HartfoM((ncludas copyrighted material -
Fomi HA 89 18 03 12- " of ISO Ptopertles,Inc;,wlih Its permission,) Page 4 of 5 - "
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BUSINESS LIABILITY COVERAGE FORM
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—Form 38 00 08 04 03 ---.=------ — _--- ---
2606- — ,The HarHord :: :
BUSINESS LIABILITY COVERAGE FORM
Various provisions in this policy restrict coverage. Read the entire policy oarefuliyto determine rights,duties and what
is and Is not covered.
Throughout this policy the words"you"and"your"referto the Named Insured shown In the Declarations. The words
'We"."us"and"our"rarer to the stock insurance company membor of The Hartford providing this insurance.
The word"insured"moans any person or organlzatlon qualifying as such under section C.-Who Is An Insured.
Other words and phrases that appear In quotation marks have special meaning. Refer to Section d.-Liability And
Medical Expenses Datinitlons.
A. COVERAGES (a) The "bodily injury" or "property
1. BUSINESS LIABILITY COVERAGE (BODILY damage" is caused by an
INJURY, PROPERTY DAMAGE PERSONAL 'occurrence"that takes place in the
AND ADVERTISING INJURY) "coverage teMtory"i
InsuringAgrsement (b) The-' "bodlly lyury" or "property
damage" occurs during the policy
a. We vAl pay those sums that the Insured period and
beeome4 legally obligated to pay as (c),Prlorlo the policy period, no Insured
damages because •cif"bodily Injury,, Listed under Paragraph !. of Section
"propeHy damage` or "personal and
adverNsng Injury" to which this Insurance "• Who is An Insured aril no
spplles. We will have the right and duly to employee authorized byyoutogNe
�-
defend the insured against any "suit or receive notice of an"occurrence"or calm,knew that the bodllylrl(ury
seeking those damages. However,we wlil or"property damage" had occurred; '
have no duly to defend the Insured against in whole or In part. If such a listed
any 'suit" seeking damages for "bodily ,
Injury", "properly damage"or"personal and Insured or authorized "employee'
advertising Injury' to which this Insurance knew,priorto the policy period, that
does not apply, the bodlly Ihjury" or property
damage occurred, then any
We may, at our discretion, Investigate any continuation, change or resumption
"occurrence"or offense end settle any claim of such "bodily Injury" or 'property
or"suit"that may result But: damage" during or after the policy
(1) The amount we will pay for damages Is period will be deemed to have been
limited as described In section D. - known pdorto the policy period: '
Llablllty And Medical Expenses Limits (2) To "personal and advertising Injury"
Of Insurance;and caused by an offense arising out of your
(2) Our right and duly to defend ends when business, but only If the offense was
we have used up the applicable limit of commifted In the "coverage territory"
Insurance in the payment of judgments, during the policy period.
settlements or medical expenses to which c. "Bodily Injury"or"property damage"will he
this Insurance applies, deemed to have been known to have
No•other obligation or 8ablilly to pay sums or occurred at the earliest time when any
perform acts or services is covered unless Insured listed under Paragraph 1.of Section
explicitly provided for under Coverage C.—Who Is An Insured or any"employee"
Extenslon-Supplementary peyment3. authorized by you to give or receive notice
b. This insutanos applies: of an"oocurrence"or dalm:
j1) Tp:. "bodlly Injury" and_. "property . _. (1) Reports all, or any part, of the "bodily ..
I— damage"only l#
_injury`.cr "propertjr_demage" taus or
other lnsursr, ,.
—Form SS 00 08 04.Q8: ._ 1 of 24
2o0 - __.._ _ . __. . .. .... 5;The Hartford: . .. _...
BUSINESS LIABILITY COVERAGE FORM
b. If we defend on Ihsursd against a "suit" :So tong as the above condittons are met,
and an Indemnitee of the insured is also attorneys' fees Incurred by us in the
named as a'party to the "suit", we will defense of that Indemnitee, necessary
defend that Indemnites If, all of the litigation expenses Incurred by us and
following condltlons are met: necessary Iftlgatton expenses Incurred
(1) The "suit" against the. Indamnitee by the indemnities at our request will be
soaks damages for which the insured paid as Supplementary Payments.
has assumed the liability of the Notwithstanding the provisions of
Indemnitee In a,contract or agreement Paragraph 1.b.(b) of section B.that is an"insured contract"i Exclusions,such payments will not be
(2) This Insurance applies to such liability deemed to be damages for "bodily
assumed by the Insured; Injury"and"property damage"and will
(3) The obligation to defend,or the cost of not reduce the Limits of insurance. I
the defense of, that Indemnitee, has our obligation to defend an Insured's
also boon assumed by the insured in Indemnities and to pay for attorneys' fees
the same`insured contract"; and necessary litigation expenses as
(G) The allegations In the "suit" and the Supplementary payments ends when:
information we know about the (1) We have used up the applicable limit
"occurrence" are such that no conflict of Insurance in the payment of
appears to exist between the Interests judgments orsettfements;or
pf the Insured and the interest of the (2) The,codlilond set forth above, or the
Indemnitee,, terms,;pf,the agreement described in
(6) The Indemnitee and the tnsufetf egk Paragraph(6)above,are no longer met
us to conduct and control the d6feriss B, EXCLUSIONS.'f%, ,
of that Indaipnftee against aucli"su14' 1 Applicable i o 13pgPoess Liability coverage
and agree that we can asslg6f1hs
same counsel to defend the Insured Thls Insurance d'oas not applyto:
(-r` and the lndemnitea;and a. Expected 4rintended injury
(6) The Indemnitee: (1) "Bodlfy Injury",or,"properly damage"
(a) Agrees In writing to: -expected. or intended from the
(1) Cooperate with us In' the standpoint of 'the Insured, Thfs
investigation, settlement or excluslon•does not apply to "bodily
defense of the"suit"; Injury",or"property damage" resulting
_ from the use of reasonable force to
(11) Immediately send us copies of protect persons or property;or
any .demands, notices,
summonses or legal papers (2) Personal and advertising Injury„arising
received In connection, with out of an offense committed by, at the
the"suit"; dlrectlon of or with the consent or
III Notify an other acquiescence of the Insured with the
( ) fY y expectatlon of Inflating personal and
coverage Is available to. the . advsrHsing frJury',
Indemnitee;and- b. Contractual Llabillty
(lv)Cooperate with us' with respect to cooidlnhffng other (1) "So dlly Injury'or"propattydamaga";br
applicable Insurance avalfabfe (2) "Personal and advertising Injury"
to the lndemnitea;and for Mich the Insured Is obligated to pay
(b) Provides us with written damages by reason of the nssumptfon of
authodzatlon to: liability In a contract or agreement,
(1) obtain records and other This exclusion does not apply to liability
infonnagori related to the for damages because of:
.-... "suit',,and (a) "Sodllylnfury","property damage"or
=(II) Conduct end-.--control thelilskgit9uury"that
- - -_defense;of the Indemnitee in =_fie insured--would have-In. the -
such"suit". absence .. .. dra contract or -
agreement;or .....
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Forrn 88 00 08,04 06.. _ Page 3 of 24
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BUSINESS LIABILITY COVERAGE FORM
(111)'Bodily injury" or "property released as part of the
damage arising out of heat, operatons being performed
smoke or fumes from a by such Insured, contractor or
;'hostile fire"; subcontractor;
(b) At or from any premises, site or .(II) "Bodily Injury" or "property
location which Is or was -at any damage" sustalned within a
time used by.or for any Insured or buliding and oaused by the
others for the handling, storage, release of gases; fumes or
disposal, processing or treatment vapors from materials brought'
of waste; into that buliding in donnection
(c) Which are or were at any time wtih operatons being performed
transported, handled, stored, ¢y you or on your behalf by a
treated,dlsposed of; or processed contractor or subcontractor;or
as waste by or for: (tl)"Bodily Injury" or "property
(1) Anylnsured;or damage" arising out of heat,
(11) Any person or organization for smoke o w fumes
from a
whom you may be legally hostile fire';orr
(e)
responsible; At or from any premises, site or
(d) At or from any premises, site or location on which any Insured or any
location on Which any Insured or wonting directly
or subcontractors
any contractors or subcontractors Insured directly f Indirectlyarp on any
working directly or Indirectly on Insureds behalf are psrhare to
any insured's behalf ' are lastfor,
operations it the leanoper up, r are e,
perfnrming operations If the test for, monitor, dean up,remove,
"pollutants" Bra brought*on or to contain,n,treat;despond or neutralize,
assess
the premises, alto or location In the
in fedany way r'0 pond so,or assess
connection with such•oparallons ilo efieos of, p Ipense .
by such Insured, contractor or (2) Any lose, cost or expense arising out
subcontractor. However, this of any,'
subparagraph does not apply to: (a) Request,demand,order or statutory
(I) 'Bodily Injury" or "propertyor regulatory requirement that any
damage" arising out of the insured or others test for, monitor,
escape of fuels, lubricants or clean up; remove, contain, treat,
other operating Wide which are detoxify or neutralize,or in any way
needed to perform the normal respond to,or assess the effects of,
electrical, hydraulic or 'pollutants',or
mechanical functions (h) Claim or suit by or on behalf of a
necessary for the operation of governmental authority for
"mobile equipment"or Its parts, damages because of testing for,
9 such fuels,lubricants or other monitoring;cleaning up,removing,
operating fluids escape from a containing, treating, defoxlfying or
vehicle part designed to hold, neutralizing, or In any way'
store or receive them, This responding to, or assessing the
exception does not ap�y If the effects of,"pollutants".'
"bodily Injury" or 'property However, this paragraph dose not
damage" dries out of the apply to tabtty for damages because
Intentional discharge, die creel would have damage that the Insured
In the absents of such
p of ro er I
or release of the fuels
lubricants or other operating request,demand, order or statutory or
fiulft or If such fuels, regulatory requirement, or such claim
lubricants or other operating or "sus" 6y or on behalf of a
fluids are t premises, site or location with governmental acdhorlty -
firer®ddls ar ad hi on or to the
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Form O N 08 Q4 05 _ — _ ..:._ Page 8 of 24
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BUSINESS LIABILITY COVERAGE FORM
(13)Arising out of a violation of any anB, (a) May be awarded oa.inourted by
trustiaW; reason, of any dalm or suit
f (14)Arising out of the fluctuation in prios or alleging actual or threatemId Injury
value of any stocks, bonds or other or damage of any nature or kind to
securities;or persons or property which would
(16)Arising out of discrimination or not have occurred in whole or in
humiliation committed -by or at the part but forthe asbestos hazard";
ftectlort of•any "executive otherr", (b) Arise out of any request,demand,
director, stockholder, partner or order or statutory or regulatory
member of the Insured, requirement that any insured or
q. Electronic Data others test for, monitor, clean up,
Damages arising oyt of the igas of,loss of remove, encapsulate, contain,
treat, detoxify or neutralize or In
use of, damage-to, corruption of, inability • any way respond-to or assess the
to access, or Inability to manipulate effects of an"asbestos hazard or
"afeofronlo,data".
r, Emproyment•Related Practices (c) Arise e any claim suit for
damages s because of testing for,
"Bodily lnjury"or"personal end advertising . monitoring, desnipg up, removing,
irijury"to: encepgulaffng, containing, treating,
(1) A person arising out of any, detoAfying or neutralizing or in any
way responding to or assessing the
(a) Refusal to of-'t ttaperson; effects ofan'asbestos hazard",
(b) Terminationn of hat ';Serson's t. Violation Of StatkOW(That Govern E-
employment or Malty, Fax, phone Ghlts Or Other
(c) Employment-related , ' practices, Methods of sendihj • Material Or
policies,acts or omiseforp,such as Information • 'i...•.
coercion, demotion, luation, "Bodily NrJtrry"; 'pnJp'6 damage", or
(� reassignment Qfsdpifne, "personal and gdveidsf o injury" arising
defamation,harassment,'&WIliatlon dfraetiyy or indfreot(y;pgof any action or
pore 1ssodmfnatfon directed• at that onlissron that violates„rdr is alleged to
rson;or violate:
(2) The spouse, child, parent, brother or (1) The Telephone Consumer Protection
slater of that person as a Act(TCPA),Including any amendment
consequence of "bodily Injury" or of or addition toaueh law,
•
"personal and advertising Injury"to the
person at whom any of the (2) The CAN-SPAM Act of2003,including
employment-related practices any amendment of or addition to such
described In Paragraphs(a),(b),or(a) law;or
above Is directed. (3) Any statute, ordinance or regufation,
This exclusion applies: other than the TCPA or CAN-SPAM Act
of 2003, that prohibits or limits the
(1) Whather the Insured may be Ilable as sending,transrrtlfing, communlcating'or
an employer or in any other capacity; distribution ofmatedaior Information.
and Damage To'Prerdises Rented To You —
(2) To any obligation to share damages Exception For Damage By Fire, Lightning
with or repay someone else who must or[xplosion
pay damages because of the injury. Exclusions c.through h,and k:through o.do.
s. Asbestos not apply to damage by fire, lightning or
(1) "Bodily Injury", 'property damage" or explosion to 'premises rented fa you or
"personal and • advertising injury" temporadiyoocupledby you with permission of. {
arising out of the"asbestos hazard", the owner. A separate Limit of insurance
(2) Any damages, judgments, settlements, applies to this coverage as described In
loss,mats or expenses that section D. Liability And Medical Expenses
r Limits of Insurance
— -_ -
---farm SS 00 08 04 06 --- ---
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BUSINESS LIABILITY COVERAGE FORM
(13)Arlsing out of a violation of any anti- • (a) May be awarded or Incurred by
trust law; reason of any claim or suit
(14)Arlsing out of the fluctuation In price or alleging actual or t(rrsatened Injury
value of any stocks, bonds or other or damage of any nature or kind to
securities;or persons or properly which would
not have occurred In whole or In
(18)A humiliation
out of discrimination or
a part but for the"asbestos hazard",
humtllatton carry "fled by or at the (b) Arise out of any request, demand,
• direction of any executive officer",
director, stookholder, partner or order or statutory or regulatory
member of the Insured. requirement that any Insured or
others test for, monitor, clean up,
q. Electronic Data remove, encapsulate, contain,
Damages erlsing out of the loss of,loss of treat, detoxify or neutralize or In
USE) of, damage to, corruptlon of, Inabllity any way respond to or assess the
to access, or Inabllity to ,manipulate effects of an"asbestos hazard';or
"electronic data". (c) Arise out.of any claim or suit for
r. Employment-Related Practices damages because of testing for,
"Bodily Injury"or"personal and advertising monitoring, deaning up, removing,
Injury"to: encapsulating, containing, treating,
(1) A person arising out of any: dafo>3lying or neutralizing or in any
a Refusal to employ that erso "'} way responding to or as4essinp the
( } p Y p ., effects of an"asbestos h4do.
(b) Termination of that peYeon's4% t. Violation Of Statutes That Govern E-
employment;or Mall$, Fax, Phone Calls Ott' Other
(o) Employment-related pYadtcesp,• Methods Of Sendfrib • Material Or
policies,ads or omissions,such-as'-, Information
(_ coerdon, demotion, svalolcm• , "Bodily Injury", "property damage", or
teasslgnmant, discipline, "personal and advertising InJu(yn arising
defamation, harassment,humlllatloh directly or indirectly out of any sollon,or
or dtsoriminatton directed at thgt• omission that vlolstea or Is alleged to
person;or I •• violate;
(2) The spouse, child, parent, brother*or (1) The Telephone ConsumeeVrotection
sister of that person as a Act(TOPA),Including any amendment
consequence of "bodily Injury" or pforaddlffontosuchlaw;
"personal and advertising injury"to the (2) The CAN-SPAM Act of 2003,Including'
person at •whom any of the any amendment of or addition to such
employment-related practices law;or
described in Paragraphs(a),(b),or(a)
above Is directed. (3) Any statute, ordinance or regutatlon,
This exclusion applies; other than the TCPA or CAN-SPAM Act
of 2003, that. prohibits or limits the
(1) Whether the Insured may be lable as sending,transmitting,communicating or
an employer or in any other capacity; cfeiributtonof material orinfomnation.
and Damage To Premises Rented To You
(2) To any obligation to share damages Exceptlon For Damage By Fire, Lightning
with or repay someone else who must or Eyr ioslon. .
pay ,damages because ofthe injury, P
Exclusions c,through h.and k.through o, do
a. Asbestos not apply to damage by fire, lightning or
(1) "Bodily Injury", "properly damage" or explosion to premises rented to you or
"personal and advertising Injury" . : temporarily occupied by you with permission of
arlsing out of the"asbestos hazard". the owner. A separate Limit of insurance
(2) Ark! damages,Judgmepfs, settlements, applies to.this coverage as described In
- _Section 0Lleblli And,Medicat Doses_
ksss,costs orexperisesthaL
Limits Of Insurance. -: --
T� _
- . .
0Q.flfl ADA A AC .. ._ -.. ....-_ ._ .. _.
BUSINESS LIABILITY COVERAGE FORM
r (b) Rented to,,tn the cap,custody or b. Coverage under.this provision does not
oontro(of, or'over which physical •, apply to:
control Is being exercised for any (1) -'Bodily 'Injury" or "property damage"
purpose by you, any of your •that'aoourred;or .
"employees", "voJunteer workers", (2) "Personal , and advertising Injury"
any partner or member(If you are
a partnership op Joint venture), or arising out of an offense committed
any member (If you are a limited , before you acquired or formed the
Itabllltycompany). , organization.
b. Real Estate Manager 4. Operator Of Mobile Equipment
Anyperson(other than your"employee"or • - With respect to"mobile equipment"registered In
"vbiuntssr worker"), or, any organization your name under any motor vehicle reglshlion
while acting as your rbal estate manager. law,any person is an Insured while drving such
c. Tdmporary Cuslodfans Oi Your ' equipment along a public highway with your
Property permission. Any other person or organization
Any person or organization having proper responsible for the conduct of such person is
temporary custody of your property If you also an insured, but only with respect to liability
die,but only; ' arising out of the operation of the equipment,and
only If no other insurance of any klrtd Is available
(1) tin respect to liability arising out of the to that person or orgdriliatlon for this Ilablll(y,
mal nino.oruseofthatproperty;and However,no person or.organtzatibnisonInsured
(2) Unlit .your legal representative 'has withrespecttbt "
b®enappointed, a. "BodOy Injury'.to a co-'employes" of the
d. Legal Representative If You pie person diiving the equipment;or
Your legal representative If you dla, but b. "Property damage"to property owned by,
only Will respect to duties as such. That rented to,in the charge of or occupied by
(_ representative will have all your rights and you or the employer of any person who Is
duties underthis insurance• an Insured underthls provision..
a. Unnamed Subsidiary 6. Operator of Nonowned Watercraft
Any subsidlary and subsidiary thereof, of With respect to watercraft you do not own that
yours which Is a legally Incorporated entity . Is less than 61 feet long and Is not being used
of which you own a financial Interest of to carry persons for a charge,any person la an
more than 60% of the voting stock an the insured while operating such watercraft with
effective date of this Coverage Part, your,permission, Any other person or
in
The Insurance afforded harem for any organization responsible for the conduct of
subsidiary not shown In the atlony such person Is also an Insured, but only with
Eta a named Insured does not apply to respect to tarosity arising out of the operation
Injury or damage with respect to which an In the watercraft, and only a no other
Insured under this Insurance Is also an Insurance rg any kind it available io that
insurdd under another policy or would be
person ororganizatlon for this liability.
an Insured under such policy but for Its However, no person or organization Is an
terminatlon or upon the exhaustion of Its Insured with respect to:
Ilmlfs of Insurance. a. "Bodily Injury" to a co-"employee" of the
3, NawlyAcqutrad Or Formed Organization person operating•the watercraft;or
Any organization you newly acquire or firm, b, "Property damage"to property owned by,
other than a partnership, Joint venture or rented to, In the charge of or occupied by
limited liability company, and over which you you or the employer of any person who is
maintain financial interest of more than 60°%of an Insured under this provision.
the voting stook, will quality as a Named 6. Additional• Insureds When Required By
Insured IF there is no other similar Insurance Written Contract, Written Agreement Or
available to.that organization. However; Permit -
- -
4 a =Coveraps;under this provision ta'afforded The petsoF(s)_or olgahliatlon(aLentltted fn _ _ -
-. --onl untlf tho 160th day afteC-yolf 61blre. '=-_ =Paragraphs a.tf rough h below are additional T -
or form the organization or the end of the Insureds when you have agreed, in a written
- policy period,whichever Is earlier;and -. --
L
BUSINESS LIABILITY COVERAGE FORM
(2) Will respect to fne Insurance afforded e. Permits Issued By state' Or Political
to these additiorial Insureds, this subdivisions '
Insurance does not. apply to any (1) Any state or political subdivision, but
"occurrencs" which takes place after only Mill respect to operations
you cease to lease that equipment, performed by-you or on your behalf for
o. Lessors Of Lend Or Premises which the state.or political subdivision
(1) Any person or 8rgahization from has issued a permit,
whom you lease land or premises, but (2) With respectto the Insuranca.afforded
only with respect to liability arising out to• these addlflonal Insureds, this
of the ownership, maintenance or use Insurance does not apply to:
of that part of the land or promises (a) "Bodily Injury", "property damage"
leased to you. or "personal and adverlising
(2) With respect to the Insurance afforded Injury" arising out of operations
to these additional Insureds, this performed for the state or
insurance does not apply to; municipality;or
(a) Any "occurrence" which fakes (b) "Bodily Injury"or"property damage"
place afar you cease to lease that included within the "products-
land or be a tenant In that completed operations hazard
premises;or f. Any other Party
(b) Structural alterations, new (1) Any other person or organization who
construction or demolition is not an Insured under Paragraphs a.
operations performed by or on through e, above, but only with
o'' • rg behalf organization,of such perebn or respect to Itablify for "bodily injury",
rg "property damage" or "personal and
d. Architects,Engineers Or Surveyors advertising Injury"caused;Ih whole or
(1), Any architect, engineer, or surveyor,but In pail; by your acts or'omisslons or
(— only with respect to ilabllliyy for"bodily the acts or omissions of those-soling
inury', "properly damage" or"personal on your behalf;
and advertsing Injury"caused,In whole (a),in •tie performance of your
or In pad, by your sda or omissions or ongoing operations;
the tots or omissions of those acting on (b) In connection with your. premises
yourbehalf; owned by or rented to you;or
(a) In connection with your premises; (c) In oonnectiori with"your work"and
or Included within the "products-
(b) In the performance of your completed operations hazard", but
ongoing operations performed by only if
you oronyourbehalf. (1) The written contract or written
(2) With respect to the Insurance afforded agreement requires you to
to these additional Insureds, the provide such coverage .to
Wowing additional excluston applies; such additional Insured;and
This Insurance does not apply to (II) This Coverage Part provides
"bodily Injury", "property damage" or coverage for "bodily injury" or
"personal and advertising Injury" "property damage" Included
arising out of the rendering of or the within the "products-
failure to render any professional completed operations hazard".
services by or for you,Including; (2) With respect to the Insurance afforded
(a) The preparing, approving, or to these additional Insureds, this
failure to prepare or approve, insurance does not apply to;
maps, shop drawings, opinions, "Bodily Injury", "property damage" or
reports, surveys, field orders, ..._"personal and advertising Injury".
change orders, design_s,_ or, arising out of ihe;rendedn$of, or the -
- dtawings and epedfloatlons;'oi� — —
_ -fallure to.ran any professional
(b) supervisory, Inspecdon, archfteotural, spglnsering or suroying
archltectdral or engineerfng services,including:
adiyinas
Form 8S Dg 08 g405 <t PWns iR ni 7d -
BUSINESS LIABILITY COVERAGE FORM
if more than one emit of Insurance under this (1) Immedlately send us copies of any
policy and any endorsements attached thereto demands, notices, summonses or
applies to any claim or"suH",the most we w10 pay legal papers racelvsd In connection
under this policy aha the endorsements Is the with the claim or"suit";
single highest limit of liability of all coverages (2) Authorize us to obtain records and
applicable to such claim or"sulV. However, this other information;
paragraph doe's not apply to the Medical Expenses (3) Cooperate with us In the investigation,
limit set forth in Paragraph 3,above, settlement of the claim or defense
The Limits of Insurance of this Coverage Part apply against the"suit"i and -
separately to each consecutive annual period and to (4) Assist us, upon our request, In the
any remaining perlod of less than 12 months,starting enforcement of any-right against any.
with the beglnnfng of the policy period shown in the person or organization that may be
peclamHons, amass the pollcy period Is extended liable to the insured because of Injury
after issuance for an addticrial period of less than 12 or damage to which this Insurance
months. In that case, the additional polod will be may also apply;
deemed part of the last preceding paifocifor purposes d. Obllgatlons At The Insured's own Cost
of determining the Limits of Insurance,
E,•LIABILITY AND {MEDICAL EXPENSES co Insured will, except at that Insured's own
GENERAL CONDITIONS cost volution, make a paymentt,, assume
any obligation, or Incur any expense, other
�. Bankruptcy than for first ald,without our consent ,
Bankruptcy or Insolvency of tha insured or of e. Additional Ins ursd's other insurance
the Insureds estate will not relieve us of:our la'j ' if we cover.a claim or "suit" under;this '
Obligations under this Coverage Part Coverage:Part that may also be covdred-
.2. Ou(Ias In The Event of Occurrence, 4, by othen••'insurance available to an
Offense,Claim or Butt additional Insured; such addttlonai'Insured''
a. Notice Of Occurrence Or Offense must dg4mit :guch claim or "salt" to the '
You or any additional kisdred must see to other(nearer for defense and Indemnify.
r It that we' are notMBd as soon as However,INs provision does not apply to
practiceble of sn "occurrence" or an •an the extent that you have agreed In a
offense which may result in a claim. To written contract, written agreement, or
the extent poaslbie,notice should Includes permit that this Insurance Is prlmaty and
non-contributory with the addiHonal
(1) How,when and where the"occurrence" Insured's own Insurance,
oroffense took place; f, Knowledge Of An Occurrence, Offense,
(2) The names and addresses of any Claim Or Butt
Injured persons andwlfnesses;and Paragraphs a. and b. apply to you or to
(3) The nature and location of any Injury any addlHonal Insured only when such
or damage arising out of the "occurrence', offense, claim br "sult".Is
`occurrence"or offense. known to;
b. Notice Of Claim (1) You or any additlonal Insured that is
If a Balm Is mado or "suit' Is brought an individual;
against any Insured,you or any additional (2) Any partner, ti you or an additional
Insured must; Insured le a partnership;
(1) Immediately reoond the speclHos of the (3) Any manager,if you or an additional
claim or"suit" and the data received;
end Insured B a limited IfabHi(y c ;ompany '
(A) Any "executive officer" or Insurance
(2) Notify us as soon as practicable, manager, if you or an additional
You or any additional Insured must see to Insured is it corporation;
It that we reoelvd a written notice of the (5) Any trustee, If you or an addIttornal
claim or"suft".me soon tie pracgoable. Insured is a trust or
c•.,Assistanoe__And Cocpsratloh_Of=The
--r -� - °(8� Any elected ore 'olnted otflital If you
or:atl eddlHonal'Ihsured Is_a political
You and onq other Involved insured must:, subdhrlslon or public entity. .
Fonn89DoOB0408 =:'= " Psca19gf24 _r 1:
BUSINESS LIABILITY COVERAGE FORM
(8) When You Are Added As An When this Insurance is excess over other
Additional 'Insured To other Insurance, we will pay only our share of
Insurance the amount of the loss, If. any, that
net Is other Insurance available to exceeds the sum of.
you, covering liability for damages (1) The total amount that all such other
arising out -of the premises or insurance would pay for 6a loss In the
operations,or products and completed absence of this Insurance;and -
operations, for which you have been (2) The total of all deductible and self.
added as an additional Insured by that Insured amounts under all that other
Insurance;or Insurance.
(7) When You Add Others As An We will share the remaining loss,If any,with
Ad�iflonal Insured To This any other insurance that Is not described in
InsGranoq this Excess Insurance prevision and was not
That Is otier Insurance avallabls to an bought speolilcally to apply In excess of the
additional Uisured. Limits of ' Insurance• shown In the
However, the following provisions Declarations of this Coverage Part.
apply to other Insurance available to a, Method Of Sharing
any person or organization who is an If ' all' the other Insurance permits
additorlaiinsured under this Coverage , ' contribution by equal shares,we will follow
Pad: this method also. .Under this approach,
(a) Primary insurance When each Insurer contributes equal amounts
Required By Contract until It has paid Its appflogbie limit of
This Insurance Is primary If you insurance or none of the loss remains,
have agreed in a written contract, whlchavar Comes first, '
written agreement or permit that If any of the other Insurance does not permit
this insurance be primary. If other confribulion by equal shares, we will
(a insurance Is also primary, we will bontdbute by limits, Under this method,each,
-' share with all that other insurance ' Insurer's share Is based on the ratio of Its
by the method described in c. applicable Ilrrdt of Insurance to the total
below, appllcaVa limits of Insurance of all Insurers.
(b) Primary And Non-Contributory 8, Transfer Of Rights Of Recovery Against
To Other Insurance When Others To Us
Required By Contract a, Transfer Of Rights Of Recovery
If you have agreed In a written If the Insured has rights to recover all or
contract, written agreement or part of any' payment, Including
permit that this insurance Is supplementary Payments, we have made
primary and non-contributory with under this Coverage Part,those rights are
the additional Insited's own transferred to us, The insured must do
Insurance, this Insurance Is nothing after loss to Impair them, -At our
primary and we will not seek request, the Insured will tiring "suit' or
contribution . from that other transfer those rights to us and help us
Insuance; enforce them. This condition does not
Paragraphs(a)and (b)do notispplyto apply to Medical Expenses Coverage,
other Insurance towhIGhthe additional b. Welver of slights Of Recovery(Water
Insured has been added as an pf subrogation) .
additional Insured. If the, insured has waived any rights of
When this Insurance Is,excess, we will recovery , against any person or
have no duty under this Coverage Part to organization for all or part of any payment,
defend the jinsured agalnstany"suW'If any Including Supplementary Payments; we ,
other insurer has a duty to defend the have made under this Coverage Part,we
Insured against that 'suet". If no other also waive that right, provided the Insured
L ,, Insurer defends, cos-will underke to do waNad.Shelr dgMs of_recovery against
: so, buE a vrill bQ ei lde to the Insured a egream®rnt loror _prganl that was executed
—t
permi
rights againat all those other insurers:
prior to the inluryordamage.
i
Form SS 0008 0405 :;r = Pabh-1Y of 24
BUSINESS LIABILITY COVERAGE FORM
Insured •- State Or Pvlit)cai Subdlvjspn - (e) Any.• iellure• to make :.such
Permits, but only with respect to Inspections, adjustments, teats or
operations performed by you or on your aNvIdng as the vendor has agreed
behalf for which the state or pollAoal to make or normally undertakes to
subdivision has issued a permit r' make In the usual course of
b. With respect to the insurance afforded to business, in connection with the
these additional Insureds, fia 'fpIr6wfng dtetdbu0onor sale of the products;
additional exclusions apply; {t) Demonstration, Instalfellon,
This Insurance does not apply lb: servloing or repair operations,
except such operations performed
(t) NBodfly Injury", "property damage" or at the vendor's premises In
personal and advertising. Injury connection with the sale of the
adsing out of operetions performed for product; '
the state or muniolpallty;or
2 "Bodil i u " or "property damage" (g) Products which, after distribution
O y rY or sale by you,have been labeled
Included In the "product-completed or relabeled or used as a
operations"hazard, . " contginer,part or Ingredient of any
7. Additional Insured.-Vendors , other thing or substance by or for
a. WHO IS AN iNSPRED render$ectidll'C.Is the vendor;or
amended to Include tals%,an odditional (h) "Bodily Injury"; or "property
Insured the persgn(4) pr prganizatlon(s) damage" arising•out of the sole,
(referred tobeioyyas vendor)shown inthe negilgence bf,.ths ve0ttbr for Its
Declarations as,&,p dditlonal Insured - own acts or omissions o�fbbse-pf
Vendor, but'onOl respect to 'bodily Its employees or anybna -else
injury or"proprr,,��'$%mega"arising,out of acting an Its behalf, However,this
"your produefsr ytiljl i.are dlahtbuted or exclusion does not apply to:
sold In the tetl(�course of the vendor's i
(� business and Sjl "Ursa Of Part t) The exceptions contained In
provides oovtsrade,'Nr,, "bodily dnjury" or Subparagraphs(d)or(i ;or
"property damagai" 'lobfuded within the (II) Such Inspections,
"products-oomplated operations hazard". adjustments,tests or servicing
b. The Insurance afforded tothe vendor Is as the vendor has Agreed to
subject to the following addidandl exclusions; make or normally undertakes
to make In the usual course of
(t) This Insurance does not apply to; business, in connection with
(a) "Bodily Injury" or "properly the distribution or safe of the
damage" for which the vendor Is products.
obligated to pay damages -by (2) This Insurance does not apply to any
reason of the assumption of • Insured person or organization'from
liability In a contract or agreement. whom you have' acquired such
This exclusion does not apply to products, or any Ingredient, part or
Aablllly for damages that the container, entering Into,
vendor would have In the absence accompanying or containing such
ofee contractoragreement; products.
(b) Any express • warranty S. Additional Insured—controlling Interest
unauthorized by you; WHO IS AN INSURED under Section C. is
(a) Any physical or chemical change amended to include as an additional Insured
In the product made Intentionally the parson(s) or organizatfon(s)shown-In the
bythavendor; Declarations as an Additional Insured —
(d) Repackaging, unless unpacked y Controlling Interest, but only with respect to
solely for the purpose of Inspection, their I(ablllty sdstng out of:
demonstration, fasting, or the a. Their Mendel control of you;or ,-
substitution of parts__ :under q._.Pramisel they own, malntalLpr coif of
n —_-frisintetiana irutn the merntfedurer,
.� _ �:and.th'on:rapadtsgedln_tiis.odgfnal �_-� -.�'�BY�®e`dsa[occupygtesep'remises -
• ,container,
_FOr m SS 00 08 040b::.:_; pone a of
BUSINESS LIABILITY COVERAGE FORM
a. The tlnited� tes of America(Including Its b. You have felled to fulfill the terms of a
t tereftories Ad.possesslors), Puerto Rlco ' contract or agreement;
and caneda;' If such property can be restored to use by,
b, InterA0 1 waters pr airspace,but only If a. The repair, replacement, adjustment or
the Injury,of damage occurs In the course removal of"your product"'or"your work°;
of travel br transportation between any or. v
places Included In a,above; b. Your fulfilling the terms of the contract or
c. All other parts of the world If the Injury or agreement,'
damage arises out of. 12. "Insured oontract'r means:
(1) Goods or products made or sold by you a, A contract 'for a lease of premises,
in the territory described in a.above; However,that.portion of the contract for a
(2) The activities of a person whose home 'lease of premises that indemnifies any
is In the territory described In a, person or organization for damage by fire,
above,but fs away for a short time on lightning or explosion to premises while
your business;or rented to you or temporarlly ocoupfed by
(8) "Personal and advertising Injury" you' with pennlsslon of the owner Is
offenses that take place through the subject to the Damage To Premises
Internet or similar electronic moans of Rented To You Iimlt desodbed in section
communlca8on D.—Liabllity and Medlcal Expenses Limits
provided the Insured's responsibility to pay of Ifrsurance.
damages is determined In the United States of b. A aldetrack agreement;
America (including Its tenitodes and c. Any -easement or license agreement,
possessions), Puerto Rloo or Canada, fn,,a inolu4ing 'an easement • or license
., "sult" on the merits according to the agreement In connection with construction
substantive law to such territory, or in a or demotltlon opperations on or within 60
settlement we agree to, feet of a ralitoad;
(—: 7. 'Electronic data" means information, fads or d. Any obligation, as required by ordinance,
programs: to Indemnify a munlelpallty, except in
s. stored as or on; connection with work for a municipafhy,'
h. created or used on;or a. An elevator maintenance agreement;or
o. Transmitted to or from f, That •part of any other contract or
.computer software, including systems and agreement pertalning to your business
applications software, hard or floppy dlsks, (Including on Indomnlflcation of a
CD-ROM8, tapes, drives, cells, data municipality In connection With wbric
processing devices or any other media which porionned for a municipality) under which
are used with electronically •,controlled you assume the toff Ilablllty of another
equipment party to pay for"bodily Injury"of"properly
S. 'Employee" •includes a 'leased worker", damage"to a third person or organization,
"Employee" does not include a "teMporaty provided the bcdlly Injury or properly
worker", demagew Is caused,in whole or In part,by
means a S. "Executive officer moans holding you or by those• acting on your behalf.
p g Tort Ilabillty means a liability that would be
any of the officer positions created by your Imposed by, law In the absence of any
charter, oonagtutlon, byfawa or any other contract or agreement.
similar governing document Paragraph f, Includes that part of any
10. "Hostile tire" means one which becomes contract or agreement that Indemnities a
uncontrollable or breaks out from where It was. railroad for "bodlly Injury" or "property
Intended to be, damage" arising out of construction or
11. "Impaired property" means tangible property, demolltlon-operations within 60 feet of any
other than'your product° or"your work", that , railroad properly and affecting any railroad
cannot be used or la less uaeful because: , brtdgs orftestla, Backs, road-beds,tunnel,
a .lt Moorporutes your produot"or"your'work" uridetpass_or crossing
_ _that is known or tlto0ght �ba: isfectl�s, — --r--Hofv®ver,'Paragfapfi f:=dogs not tn�de _ --
deffolent,Inadequate or dangerous;or thatpaaofanyconhctoragreement. V1
,--f:'orms3.0008adnR..-_.. . . PnAn94M51d
- . ...._ :-..
......__ _ __... .._-- ' --- _ --
BUSINESS LIABILITY COVERAGE FORM
o. The wrongful eviction from}wrongful entry Work that may need service,maintenance,
Into, or Invasion of the right of private correction, repair or replacement, but
occupancy of a room, dwelling or which .18 ,otherwise,complete, will be
premises that the person occupies, treated•aa compieted.
committed by or on behalf of Its owner, The "bodily Injury" or "property damage"
landlord or lessor; must,occur away from promises you own
d. oral, written or electronic publication of- or rent, unless your business Includes the
material that slanders or libels a person or selling, handling or distribution of "your
organization or disparages a person's or product"for consumption on promises you
organization's goods,products oraervlces; own or rent.
e. Oral, written or electronic publication of b, Does not Include "bodily• Injury" or
material that violates a person's right of "property damage"arising out of: -
pdvacy,, (1) The transportation of property, unless
f. Copying, in your "advertisement", a the Injury or damage arises out of a
Irson's or organization's "advertising condition In or on a vehicle not owned
idea"or style of"advartisoment"; or operated by you, and that condition
g, Infringement ofoopyrtghtstogu or title of was created by the 'loading or
any literary or argstic work, ,In your unloading" of that vehicle by any
"advertisement;or -luau red;or
h. Discrimination or humiliation that results In t2) ie existence of 'toots, unlnstailod
injury to the feelings or reputation of a equipment or abandoned or unused
natural person: materials.
18. "Pollutants"means any so% liquid; gaseous or, 20. "Property damage"means:
thermal frdtant or contaminant,Including smoke, a. Physical Injury to tangible property,
vapor,soot,fumes,adds,alkalis,chemicals and Inddding all resulting loss of us¢ of that l
waste, Waste Includes materials to be recycted, property, Ali such joss of use shall be'
reconditioned or reclaimed. deemed to occur at the time of the
"-' 19. 'Products-completed operations hazard"; physical Injury that caused It;or '
a. includes all "bodlly injury" and "property b. Loss of use of tangible property that is not
damage" occurring away from premises physically Injured, Ail such loss of use '
you own or rent and arising out of"your shall be deemed to occur at the time of
product'or"yourwork"except; "occurrence"that caused ft.
(1) Products that are still In your physical As used In this deftnitfon, "electronic data" Is
possession;or nottangibie property.
(2) Work that has not yet been completed 21. "suit" means a civil proceeding In which
or abandoned. However, "your work" damages because of"bodlly Injury", "Properly
will be deemed to be completed at the damage" or "personal and advertising Injury"
earliest of the following times: to which this Insumnce applies are alleged.
(a) When all of the work called for in "suit"Includes:
your contract has been completed, a, An arbitration proceeding in which such
(b) When all of the work to be done at damages are claimed and to which the
the job site has been completed if Insured must submit or does 'submit with
your contract calla for work' at our consent;or
more than one job site, b. Any other alternative dispute resolution
(c) When that part of tha work done at proceeding In which such damages are
a job site has been put to Its claimed and to which the Insured submits
Wended use by any person or with our consent,
organizaton other than another 22• 'Temporary worker" means a person who Is
contractor or subcontractor furnighad to you to substitute for a pemtanent
working on the same project "employee" on leave or to meet,seasonal or -
sftprEtemt wo_rlttoad oan_didons` '__
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Reef Estate Appraisers professionaletvaal
iTrrderarrifers,
Liability
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Datelssued Policy Number 'Previous Policy Number
01/22/2014 LIU001247.013 YIU001247-012
LIBERTY INSURANCE UNDERWRITERS INC.
(A StoekInsuranoe Company,hereinafter the"Company")
55 Water Street, 1801 Floor
NeW York,NY 10041
TIM 19 A CLAUB MADE AND REPORTED POLICY. PLEASE READ IT CAREFULLY.
Item DECLARATIONS
1. Lustomar ID.,124016 _
Named Insured
GRANGER COMPANY,THE
Joseph 11 Grant"
73122deridian Rd SR
Olympla WA98513
2. Palley Periods
From:03101/2014 Tor 03/01/2015
12:01 A.M.Standard Time at the address stated in
Item 1.
3. Deductible:,$1,000 Each Claba
4. Retroactive Date: 01/0111994
5. Inception Date: OU0112002
6. Limits ofLtabglty: The Limit ofLiahgElp for Each Ciaim and In
A. $1,000,000 Each Claim the Aggregate Isreduced'by Damages and
B. $2,000,000 Aggregate - Claim Expensesasdoftaed Its the Policy, '
7. Man aE notices,including notice of claim,to Agents LIA Administrators&Insurance Services Ali
1600 Anaeapa Sheet
Santa Barbara,CWbrnla 93101
(800)134-0652, Fax: (805)962-0652
S. Auuual Premium: $1.,039.a
% NumberofAppraiserat 1
10. Forms attached at issuer LTA002(le/11) LTA.WA(12/11) LTA012(08/11) LTA013(08/11)
OBAC(OSMY
I Declarations Pegs together with the completed and signed Poltcy Applioatlon lnctudtna an attachments and exhlbl(a thereto,and the
ial Estate elsans essto l bU' a oItc haU u na 1 u --ssjj-'L-�vAjU t2�Lamssd louradn
UAWI PV10) Authored 3igaxuie