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HomeMy WebLinkAboutPW15-171 - Amendment - #1 - National Barricade Co., LLC - Central Ave Improvements - 05/04/2015 Records A' e 0-tit WAS„,„oto„ Document 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: National Barricade Co., LLC Vendor Number: JD Edwards Number Contract Number: PVV 1Ci- 11 This is assigned by City Clerk's Office Project Name: Central Ave Improvements Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/22/15 Termination Date: 8/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Mark Madfai Department: Engineering Contract Amount: $0.00 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 August 1, 2016 because the project is ongoing and additional traffic control plans may be needed. As of: 08/27/14 KENO wA=� xo.o AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: National Barricade Co., LLC CONTRACT NAME & PROJECT NUMBER: Central Ave. Improvements ORIGINAL AGREEMENT DATE: May 4, 2015 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 August 31, 2016 because the project is ongoing and additional traffic control plans may be needed. 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, $2,700.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $2,700.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $2,700.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/15 (insert date) j Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (f) for this 224 calendar days Amendment Revised Time for Completion 8/31/16 (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. 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: By nature) �' (signature) Print Name: b Print Name: Timothy J. LaPorte, P.E. Its cy-A va �°/�5���a' �_�_ Its Public Works Director (titl ) g V f ( 'le) DATE: It I t DATE:_ _ af , APPROVED AS TO FORM: (applicable if Mayor's signature required) '. Kent Law Department National Barricade-Central Al 1/Madfal AMENDMENT - 2 OF 2 CERTIFICATE OF LIABILITY INSURANCE DATE(?/201Y5) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES .LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Miche e on l Steci her NAME: p PLC Insurance, LLC gHONo E». (425)712-3664 _. FAX No): )425)712 37e6 4211 Alderwood Mall Blvd, #210 a�DeEss:micheleBplcins.com INSURER(SZAFFORDING COVERAGE N_AICIT Lynnwood WA 98036 INSURER AAmerican States Insurance Comp 11 INSURED INSURER B Navigators Specialty Insurance National Barricade CO., LLC. INSURERC: ' 6518 Ravenna Ave. N.E. INSURER D: INSURER E: Seattle WA 98115 INSURER F: COVERAGES CERTIFICATE NUMBER:15/16 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD '.. INDICATED. NOTWITHSTANDING ANY RECUIREMLNT, 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. INSRRI TYPE OF INSURANCE iADDL SUER I POLICY NUMBER MMVDDD(YYYYY Po MIDIVYYXYY LIMITS IX COMMERCIAL GENERAL LIABILITY 1 EACH OCCURRENCE $ 1,000,000 DAMAGE TORE TED A CLAIMS-MADE X�OCCUR I PREMISES'Ea occurrence $ 200,000 OICH480624-9 6/9/2015 6/9/2016 MEDEXP(Anyoco Person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMI r APPLIES PER GENERAL AGGREGAI F $ 2,000,000 �y� POLICY -- jtr°- [Or PRODUCTS-COMPIOP AGO $ 2,000,000 OTHER: $ 'I .AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Es accident A X ANY AUTO BODILY INJURY(Perperson) $ ALL OWNED SCHEDULED OICe480624-9 6/9/2DIS 6/9/2o16 BODILY INJURY(Peraccldeni) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ i� UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 2,000,000 EXCE55 LIAB CLAIMS-MADE AGGREGATE $ 2,000,000 I LED RETENTION$ SEI5EXC7317671V 6/9/2015 6/9/2016 $ JMDRlWR6)CY+PVPBtv'6d(D(0NC PER OTIT f ](EMPLOYERS'LIABILITY YIN S1ATUTE ER ANY PROPRIETORMARTNFRIFXFCUTIVE NIA _E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? A (Mandetoryin NH) 01CR48C624-9 6/9/201.5 6/9/2016 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If s de WA Ste scribe under DESCRIPTION OF OPERATIONS below P Cap IEL.DISEASE-POLICY LIMIT $ 2,000,0 0 D DESCRIPTION OF OPERATIONS)LOCATIONS(VEHICLES (ACORD 101,Additional Remarks schedule,maybe attached It more space is required) Project: S. 224th St. City of Kent is added as Additional Insured per attached CC7680 1002, CG8672 1002 and CA7110 0307. Coverage is Primary and Non-Contributory. i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN '.. 400 West Gowe ACCORDANCE WITH THE POLICY PROVISIONS. Kent, WA 98032 AUTHORIZED REPRESENTATIVE c. — Mike Rucker/MONICA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/0,1) The ACORD name and logo are registered marks of ACORD INS025 oni4nu Po..icy Number: CICH480624-9 COMMERCIAL AUTO CA 71 10 03 07 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. AUTO PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. EXTENDED CANCELLATION CONDITION BLANKET ADDITIONAL INSURED Paragraph 2.b. of the CANCELLATION Common SECTION II — LIABILITY COVERAGE — A.1. WHO Policy Condition is replaced by the following: IS AN INSURED provision is amended by the addition b. 60 days before the effective date of cancellation of the following: if we cancel for any other reason, e. Any person or organization for whom you are re- quired by an "insured contract" to provide insur- TEMPORARY SUBSTITUTE AUTO — PHYSICAL ance is an insured", subject to the following DAMAGE COVERAGE additlonal provisions: Under paragraph C. — CERTAIN TRAILERS, MO- {1} The Insured contract" must be In effect BILE EQUIPMENT AND TEMPORARY SUBSTITUTE during the policy period shown In the Decla- AUTOS of SECTION 1 — COVERED AUTOS, the rations, and must have been executed prior following is added: to the "bodily injury" or "property damage". (2) This person or organization Is an `insured" If Physical Damage coverage is provided by this Cov- only to the extent you are liable due to your erage Form, then you have coverage for: ongoing operations for that insured, whether the work is performed by you or for you, and Any "auto" you do not own while used with the per- only to the extent you are held liable for an mission of its owner as a temporary substitute for a "accident" occurring while a covered "auto" covered "auto" you own that Is out of service be- is being driven by you or one of your em- cause of its breakdown, repair, servicing, "loss" or ployees. destruction. (3) There is no coverage provided to this person or organization for "bodily injury" to its em- BROAD FORM NAMED INSURED ployees, nor for "property damage" to its SECTION II — LIABILITY COVERAGE — AA. WHO property. IS AN INSURED provision is amended by the addition (4) Coverage for this person or organization of the following: shall be limited to the extent of your negli- gence or fault according to the applicable d. Any business entity newly acquired or formed by principles of comparative negligence or fault. you during the policy period provided you own (5) The defense of any claim or "suit" must be 50% or more of the business entity and the tendered by this person or organization as business entity is not separately insured for soon as practicable to all other insurers Business Auto Coverage. Coverage is extended which potentially provide insurance for such up to a maximum of 160 days following acquisi- claim or suit". tlon or formation of the business entity. Coverage under .his provision is afforded only until the end of the policy period. Includes copyrighted material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services Office, Inc., 1997 CA 71 ID 03 N Page 1 of a EP (6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE lesser of: A. SECTION III — PHYSICAL DAMAGE COVER- (a) The coverage and/or limits of this policy; AGE, A.4. COVERAGE EXTENSIONS, is or amended by adding the following: (b) The coverage and/or limits required by c. Personal Effects Coverage the "insured contract". For any Owned "auto" that is involved in a (7) A person's or organization's status as an covered "loss", we will pay up to $500 for "Insured" under this subparagraph d ends personal effects" that are lost or damaged when your operations for that "Insured" are as a result of the covered "loss", without completed. applying a deductible. EMPLOYEE AS INSURED EXTRA EXPENSE — BROADENED COVERAGE Under Paragraph A. of Section II — LIABILITY COV- Paragraph A. — COVERAGE of SECTION III — ERAGE item f. Is added as follows: PHYSICAL DAMAGE COVERAGE is amended to add: Your "employee" while using his owned `auto", or an "auto" owned by a member of his or her household, 5. We will pay for the expense of returning a stolen in your business or your personal affairs, provided you covered "auto" to you, do not own, hire or borrow that "auto". This coverage is excess to any other collectible insurance coverage. AIRBAG COVERAGE FELLOW EMPLOYEE COVERAGE Under paragraph B. — EXCLUSIONS of SECTION III — PHYSICAL DAMAGE COVERAGE, the following is j Exclusion 5. FELLOW EMPLOYEE of SECTION II — added: LIABILITY COVERAGE — B. EXCLUSIONS is amended by the addition of the following: The exclusion relating to mechanical breakdown does not apply to the accidental discharge of an airbag. However, this exclusion does not apply if the "bodily Injury" results from the use of a covered "auto" you NEW VEHICLE REPLACEMENT COST own or hire, and provided that any coverage under this provision only applies in excess over any other Under Paragraph C — LIMIT OF INSURANCE of collectible insurance. Section III —PHYSICAL DAMAGE COVERAGE sec- tion 2 Is amended as follows: BLANKET WAIVER OF SUBROGATION 2. An adjustment for depreciation and physical con- We waive the right of recovery we may have for pay- dition will be made in determining actual cash ments made for "bodily injury" or "property damage" value in the event of a total loss. However, in the on behalf of the persons or organizations added as event of a total loss to your "new vehicle" to 'Insureds" under Section II — LIABILITY COVERAGE which this coverage applies, as shown in the — A.I.D. BROAD FORM NAMED INSURED and declarations, we will pay at your option: A.1.e. BLANKET ADDITIONAL INSURED, a. The verifiable "new vehicle" purchase price you paid for your damaged vehicle, not in- PHYSICAL DAMAGE — ADDITIONAL TRANS- cluding any insurance or warranties pur- PORTATION EXPENSE COVERAGE chased; The first sentence of paragraph A.4. of SECTION If b. The purchase price, as negotiated by us, of — PHYSICAL DAMAGE COVERAGE is amended as a now vehicle of the same make, model and follows: equipment, not including any furnishings, parts or equipment not installed by the We will pay up to $50 per day to a maximum of manufacturer or manufacturer's dealership. $1,500 for temporary transportation expense incurred If the same model is not available pay the by you because of the total theft of a covered "auto" purchase price of the most similar model of the private passenger type, available; Page 2 of 8 c. The market value of your damaged vehicle, a. Actual cash value of the damaged or stolen not including any furnishings, parts or equip- property as of the time of the "foss", !ess an ment not installed by the manufacturer or adjustment for depreciation and physical manufacturer's dealership. condition: or This coverage applies only to a covered "auto" b. Balance due under the terms of the loan or of the private passenger, light truck or medium lease that the damaged covered "auto" is truck type (20,000 Ibs or less gross vehicle subject to at the time of the "loss", less any weight) and does not apply to initiation or set up one or all of the fallowing adjustments: costs associated with loans or leases. (1) Overdue payment and financial TWO OR MORE DEDUCTIBLES penalties associated with those payments as of the date of the Under SECTION HI — PHYSICAL DAMAGE COV- "loss". ERAGE, if two or more "company" policies or cover- (2) Financial penalties imposed under a age forms apply to the same accident, the following lease due to high mileage, exces- applies to paragraph D. Deductible: sive use or abnormal wear and tear. a. If the applicable Business Auto deduct- (3) Costs for extended warranties, Cre- ible is the smaller (or smallest) deduct- dit Life Insurance, Health, Accident ible it will be waived; or or Disability Insurance purchased b. If the applicable Business Auto deduct- with the loan or lease. ible is not the smaller (or smallest) de- (4) Transfer or rollover balances from ductible it will be reduced by the amount previous loans or leases, of the smaller (or smallest) deductible; or (5) Final payment due under a "balloon Loan". c. If the loss involves two or more Busi- ness Auto coverage forms or policies Th repaired damage that occurred the smaller (or smallest) deductible will be waived. prior to the "total loss" of a covered "auto". For the purpose of this endorsement `company" means: (7) Security deposits not refunded by a lessor. a. Safeco Insurance Company of America (8) All refunds payable or paid to you b. American States Insurance Company as a result of the early termination c. General Insurance Company of America of a lease agreement or any war- ranty or extended service agree- d. American Economy Insurance Company meni on a covered "auto". e. First National Insurance Company of (9) Any amount representing taxes. America (10) Loan or lease termination fees f. American States Insurance Company of Texas GLASS REPAIR — WAIVER OF DEDUCTIBLE g. American States Preferred Insurance Under paragraph D. — DEDUCTIBLE of SECTION III Company — PHYSICAL DAMAGE COVERAGE, the following is h. Safeco Insurance Company of Illinois added: LOAN/LEASE GAP COVERAGE No deductible applies to glass damage if the glass is repaired rather than replaced. Under paragraph C — LIMIT OF INSURANCE of SECTION III — PHYSICAL DAMAGE COVERAGE, AMENDED DUTIES IN THE EVENT OF ACCI- the following is added: DENT, CLAIM, SUIT OR LOSS 4. The most we will pay for a total "loss" in any one The requirement in LOSS CONDITION 2.a. — "accident" is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CIAIM, to a$1,500 maximum limit: SUIT OR LOSS — of SFCTION IV — BUSINESS ALTO CONDITIONS that you must notify us of an CA 71 10 03 07 Pepe 3 of 6 EP l "accident" applies only when the "accident" is known deductible and excess provisions, we will provide to: coverage equal to the broadest coverage applicable (1) You, if you are an individual; to any covered "auto" you own. , (2) A partner, if you are a partnership; or HIRED AUTO PHYSICAL DAMAGE COVERAGE -- LOSS OF USE (3) An executive officer or Insurance manager, If you are a corporation. SECTION III — PHYSICAL DAMAGE A.4.1b. Form does not apply. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Subject to a maximum of $1,000 per accident, we will cover loss of use of a hired "auto" If It results from SECTION IV — BUSINESS AUTO CONDITIONS — an accident, you are legally liable and the lessor in- B.2. is amended by the addition of the following: curs an actual financial loss. If you unintentionally fail to disclose any hazards ex- RENTAL REIMBURSEMENT COVERAGE Isting at the inception date of your policy, we will not A We will pay for rental reimbursement expenses deny coverage under this Coverage Font because of incurred by you for the rental "auto" be- such failure. However, this provision does not affect cause of a covered "loss" to a covered "auto". our right to collect additional premium or exercise our Payment applies in addition to the otherwise ap- right of cancellation or non-renewal, plicable amount of each coverage you have on a HIRED AUTO — LIMITED WORLD WIDE COVER- covered "auto". No deductibles apply to this AGE coverage. S. We will pay only for those expenses incurred Under Section IV — Business Conditions, Paragraph during the policy period beginning 24 hours after 13.7.b.e(1) Is replaced by the following: the "loss" and ending, regardless of the policy's (1) The "accident" or "loss" results expiration, with the lesser of the following number '.. from the use of an "auto" hired for of days: 30 days or less. 1. The number of days reasonably required to repair or replace the covered "auto". If RESULTANT MENTAL ANGUISH COVERAGE "loss" is caused by theft, this number of days is added to the number of days it takes SECTION V — DEFINITIONS —C. is replaced by the to locate the covered "auto" and return it to following: you. "Bodily Injury" means bodily injury, sickness or dls- 2. 30 days. ease sustained by a person including mental anguish C. Our payment is limited to the lesser of the fol- or death resulting from any of these. lowing amounts: HIRED AUTO PHYSICAL DAMAGE COVERAGE 1. Necessary and actual expenses incurred. It hired "autos" are covered "autos" for Liability Gov- 2. $50 per day. erage and if Comprehensive, Specified Causes of D. This coverage does not apply while there are Loss or Collision coverages are provided under this spare or reserve "autos" availableto you for your Coverage Form for any "auto" you own, then the operations. Physical Damage Coverages provided are extended to "autos" you hire or borrow. E. If "loss" results from the total theft of a covered "auto" of the private passenger type, we will pay The most we will pay for loss to any hired "auto" is under this coverage only that amount of your $50,000 or Actual Cash Value or Cost of Repair, rental reimbursement expenses which is not al- whichever Is smallest, minus a deductible. The de- ready provided for under the PHYSICAL DAM- ductible will be equal to the largest deductible appli- AGE COVERAGE Coverage Extension, cable to any owned "auto" of the private passenger F. The Rental Reimbursement Coverage described or light truck type for that coverage. Hired Auto Phy- sical Damage coverage is excess over any other col- above does net apply to a covered "auto" that is lectible insurance. Subject to the above limit, described or designated as a covered "auto" on Pago 4 01 6 Rental Reimbursement Coverage Form the manufacturer for the installation of a CA 99 23. radio. AUDIO, VISUAL AND DATA ELECTRONIC C. Limit of Insurance EQUIPMENT COVERAGE With respect to this coverage, the LIMIT OF IN- A. Coverage SUR.ANCE provision of PHYSICAL DAMAGE COVERAGE is replaced by the following: 1. We will pay with respect to a covered "auto" 1, The most we will pay for "loss" to audio, vi- for "loss" to any electronic equipment that receives or transmits audio, visual or data scat data electronic equipment and any signals and that is not designed solely or the accessories used with this equipment a reproduction of sound.This coverage applies result of anyone "accident" is the lesserr of: only if the equipment is permanently Installed a. The actual cash value of the damaged in the covered "auto" at the time of the or stolen property as of the time of the "loss" or the equipment is removable from a `loss"; or housing unit which is permanently installed in the covered "auto" at the time of the b. The cast of repairing or replacing the 'loss", and such equipment Is designed to damaged or stolen property with other be solely operated by use of the power from property of like kind and quality. the "auto's" electrical system, in, or upon the c, $1,000. covered "auto". 2. An adjustment for depreciation and physical 2. We will pay with respect to a covered "auto" condition will he made in determining actual for "loss" to any accessories used with the cash value at the time of the "loss"_ electronic equipment described in paragraph 3. If a repair or replacement results in better A.I. above. than like kind or quality, we will not pay for However, this does not include tapes, the amount of the betterment, records or discs. D. Deductible 3. If Audio, Visual and Data Electronic Equip- ment Coverage form CA 99 60 or CA 99 94 1. If "lass" to the audio, visual or data elec- is attached to this policy, then the Audio, Vi- tronir, equipment or accessories used with sual and Data Electronic Equipment Cover- this equipment is the result of a "loss" to the age described above does not apply. covered "auto" under the Business Auto Coverage Form's Comprehensive or Colli- B. Exclusions sion Coverage, then for each covered "auto" The exclusions that apply to PHYSICAL DAM- our obligation to pay for, repair, return or re- AGE COVERAGE, except for the exclusion relat- place damaged or stolen property will be re- AGE to Audio, Visual and Data Electronic duced by the applicable deductible shown in the Declarations. Any Comprehensive Cov- Equipment, also apply to this coverage. In addi- erage deductible shown in the Declarations tion, the following exclusions apply: does not apply to "loss" to audio, visual or We will not pay for either any electronic equip- data electronic equipment caused by fire or maul or accessories used with such electronic lightning. equipment that is: 2. If "loss" to the audio, visual or data elec- 1. Necessary for the normal operation of the trend equipment or accessories used with covered "auto" for the monitoring of the this equipment is the result of a "loss" to the covered "auto's" operating system; or covered "auto" under the Business Auto 2. Both: Coverage Form's Specified Causes of Loss Coverage, then for each covered "auto" our a. an integral part of the same unit housing obligation to pay for, repair, return or replace any sound reproducing equipment de- damaged or stolen property will be reduced signed solely for the reproduction of by a$16D deductible. sound if the sound reproducing 3. If "loss" occurs sole) to the audio, visual or equipment is permanently installed in y the covered "auto"; and data electronic equipment accessories used with this equipment, then for each cov- b. permanently installed in the opening of ered "auto' our obligation to pay for, repair, the dash or console normally used by GA 71 10 03 U Page 5 of 5 EP return or replace damaged or stolen property SECTION V — DEFINITIONS is amended by adding will be reduced by a $100 deductible. the following: 4. In the event that there is more than one ap- Q. °Personal effects" means your tangible plicable deductible, only the highest deduct- property that is worn or carried by you, ex- ible will apply. In no event will more than one cept for tools, jewelry, money, or securities. deductible apply. R. "New vehicle" means any "auto" of which you are the original owner and the "auto" has not been previously titled and is less than 365 days past the purchase date. Nags 8 al 6 Li(1ert:- CG 88 72 10 02 POLICY NUMBER: OICH480624-9 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL. INSURED -® OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or org for whom you are required by written contract , agreement or permit to provide completed operations coverage. Location and Description of Completed Operations: Your work on all jobs at all locations for the named person or organization , Additional Premium: (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION If — WHO IS AN INSURED is amended to include as an insured the person or organization shown in the Schedule, but only to the extent you are held liable due to 'your work" at the location designated and described in the schedule of this endorsement for that insured and included in the "product-completed operations hazard". Includes Copyrighted information of ISO Properties, Inc., 2001 with permission CG 26 72 10 02 FP c-AG oaPPINTOCi 2575oceM RCPRIN1E0 rHOM THE ARC HIVE. THE ORIGINAL TRANSACTION MAY IPICWDE ADGITIDNAL FORMA Policy Number: 01CH480624-9 Liberty CG 76 80 10 02 Northwest. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization for whom you are required by written contract, agreement or permit to provide a primary and non— contributory additional insured endorsement . (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) SECTION II — WHO IS AN INSURED is amended you. Coverage shall be limited to the extent of your to include as an additional insured the person or negligence or fault according to the applicable princi- organization shown in the Schedule subject to the ples of comparative fault. fallowing provisions: The insurance provided will not exceed the lesser of: 1. The additional insured Is an insured but only for liability directly resulting from: a. The coverage and/or limits of this policy, or a. your ongoing operations for the additional in- b. The coverage and/or limits required by the sured whether the work is performed by you contract, agreement or permit. or for you; or With respect to the insurance afforded the additional It, the general supervision of your ongoing op- insured, paragraph 4. of SECTION IV — COMMER- erations by the additional insured. CIAL GENERAL LIABILITY CONDITIONS is de- 2. This insurance does not apply to: leted and replaced by the following: a. "Bodily injury" or "property damage" arising 4. Other Insurance out of any act or omission of, or for defects a. This Insurance is primary and noncontrib- in design furnished by or for, the additional artery, and our obligations are not affected by insured or any other insurance where the additional in- b. "Bodily Injury" or "property damage" in- sured is the Named Insured, whether pri- cluded within the "products-completed oper- mary, excess, contingent, or on any other ations hazard." basis; however, the defense of any claim or "suit" must be tendered as soon as practi- A person's or organization's status as an additional cable to all other insurers which potentially insured under this endorsement ends when your op- provide Insurance for such claim or °suit". Orations for that insured are completed. b. This additional provision applies only to the additional insured shown in the Schedule No coverage will be provided if, in the absence of this and the coverage provided by this endorse- endorsement, no liability would be imposed by law on merit. CG 76 90 10 02 EP AFP-ME A.V1 PHINT001.202 01531