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HomeMy WebLinkAboutPW15-228 - Amendment - #1 - J. A. Brennan Associates PLLC - Upper Russell Road Levee South Reach - Document Preparation - Time Extension k , :%'"''mow Records KEN 1 Document F , WASHING IGN 4 Mkt t>I t 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: J.A. Brennan Associates PLLC Vendor Number: JD Edwards Number Contract Number: Fo I D-- 2,7$- o0- This is assigned by City Clerk's Office Project Name: SR 516 to 231't Way Levee - I2,VS`>f 1� 1�(J S IC, OC l Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 12/22/15 Termination Date: 12/31/16 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Hallock 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 December 31, 2016 because project work continues on these Levee systems and support is necessary. As of: 08/27/14 KET AMENDMENT NO. 1 NAME OF CONSULTANT OR VENDOR: J.A. Brennan Associates PLLC CONTRACT NAME & PROJECT NUMBER: SR 516 to 2315t Way Levee ORIGINAL AGREEMENT DATE: June 19, 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 December 31, 2016 because project work continues on these Levee systems and support is necessary. 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, $8,977.00 including applicable WSST Net Change by Previous Amendments $0 including applicable WSST Current Contract Amount $8,977.00 including all previous amendments Current Amendment Sum $0 Applicable WSST Tax on this 1 $0 Amendment Revised Contract Sum $8,977.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/15 (insert date) Revised Time for Completion under n/a prior Amendments (insert date) Add'I Days Required (f) for this 366 calendar days Amendment Revised Time for Completion 12/31/16 (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 V NDOR: CITY OF KENT: J Y: (signature), ignature) Print Name _,", i'-? Print Name: Timothy J. LaPorte P.E. Its ��¢•te �tiL� Its Public Works Director DATE:Git�0!' DATE:_ APPROVED AS TO FORM: (applicable if Maya's signature required) Kent Law Department JA Brennan-SR 516 to 231"Amd 11H,11.ck AMENDMENT - 2 OF 2 ACORD. Client#: 328420 JABRENNA ACCRD. CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYYI 5l1912015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Kihble&Prentice,a USI Co PR PHDNE- 206 441.6300 A 610.3628530 Ale No,E%Q'_ AIG,N. __. _.... 601 Union Street,Suite 1000 aooaess: PL.CertRequest@kpcom.com Seattle,WA 98101 INSURERCLAFFORDINGCOVERAGE NAIC# I INSURERA:Phoenix Insurance Company _ . 25623 INSURED - INSURERS:Travelers Casualty& Surety_Co. - 31194 J.A.Brennan Associates,PLLC INSURER c:Travelers Property Cas. Co.of _ 25674 100 S.King St., Suite 200 INsuaeR D Seattle,WA 98104 - INSURES E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIONOF ANY CONTRACTOR Ol'HER DOCUMENT WITH RESPECT 1'0 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. yy F _. NS TYPE OF INSURANCE IN9RL WV_pR POLICYNUMRER MMIOIo,YYVY MMIO�DmYP LIMITS A GENERAL LIABILITY 6806614P276 03/0112015 03/01(201 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITY G pRENTED tilS -sT`Ee occurrence $1,U96666 CLAIMS-MADE OCCUR MEDEXP(Anyone eAPn) $16000_______ PERSONAL&AOV INJURY s2,000.000 GENERALAUGREGATE s4,000,000 GEN'LAGGREGATF LIMIT APPLIES PER: -PRODUCTS-COMPIOP AGG $4,000,000 _ POLICY X PEP LOC _ _ _ $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY � BA6614P268 03/01/2015 03/011201 1,000,000 C i (Ea 9ccltlant X_ ANY AUTO BODILY INJURY(Par person) S ALL OWNED SCHEDULED BODILY INJURY(Peraccldenl) $ AUTOS NONOWNED PROPERTY DAMAGE - $ X AIRED AUTGB X AUTOS Peraccldenf $ UMBRELLA HAS OCCUR EACH OCCURRENCEi$ EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION$ A WORKERS COMPENSATION 6806614P276 0310112015',..031011201 X WC$TATV- iOTH- — AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE 1Y NJ (WA Stop Gap) E.L.EACH ACCIDENT $1,000,000 OFFICEWMEMDER EXCLUDED9 L'J NIA (Mandatary In NH) Et.DISEASE-EA EMPLOYEE $1,000,000 Iryas,descnbounder E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIP rION OF OPERATIONS helaw B Professional 105408190 i03101l2015 03/01/201 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aftaeh ACORD 101,AddltlonaI Re,nerks Schedule,If more space la requlred) RE:Project Name: Neely Homestead Rain Garden project. The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder,only when there Is a written contract that requires such status, and only with regard to work performed on behalf of the named insured.The General Liability policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract. CERTIFICATE HOLDER CANCELLATION of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Toby Hallock ACCORDANCE WITH THE POLICY PROVISIONS. Environmental Engineering/Public Works AUTHORIZED REPRESENTATIVE 220 Fourth Avenue S. Kent WA 98032 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) - 1 of 1 The ACORD name and logo are registered marks of ACORD #S15126280/M74514351 KKUZP ACORD,, //�� Client#:328420 JA@B[RRENNA ACORD,u CERTIFICATE OF LIABILITY INSURANCE GATE92 '1IYYYYI 5/1 912 0 1 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ieS)must he 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 endorscment(s). PRODUCER CONTACT NAME: _ Kibble&Prentice,a U51 Co PR PHONE- 206 441-6300- 610-362.8530 ac N¢,Exf IAIC Nel: 601 Union Street,Suite 1000 ADDS"" PL.CertR_equest@kpcom.com _ Seattle,WA 98101 INSURER(S)AFFORDING COVERAGE ' NAIC# INSURER A _P y 25623 Phoenix Insurance Comp an INSURED INSURER e:Travelers Casualty&Surety Co. 31194 J.A.Brennan Associates, PLLC -a INSURER c:Travelers Property Gas.Co.of _ 125674 100 S.King St.,Suite 200 INSURER 0: Seattle,WA 98104 - _ INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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, LIA41TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. �AODL�SUfiR POLICY EFF POLICY EXP ILTRR TYPE OF INSURANCE 1 S 'MD POLCY NUMBER MMIODMIVV MMIDDIYYY _ LIMITS A GENERALLIAHILITY 6806614P276 03/01/2015 031011201 EACH OCCURRENCE $2,000,000 j DA�p,GE 7a RENTED _X;COMMERCIAL GENERAL LIABILITY PREiv113E�Ea ocou,rencl_ $1,Ogg 666 7-1 CLAIMS-MADE FXIOCCUR MED EXP(Any one arson) $19000 PERSONAL&ADVINEURY s2,00J000 GENERALAGGREGAfU $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COtiPIOP ASH $4,000,000 _ POLICY X P-CTRO- $ LOG (; AUTOMOBILE LIABILITY BA6614P288 3/01/2015 03101/201 cG aaiuED SINGLE LnNIT"- 1,000,000 X ANY AUTO BOD'LY INJURY(Par person) $ ALL S HEDLJLED BODILY INJURY AUTOS OWNER _ NOR OWNED $ f PROPERTY DAMAGE X X HIRED AUTOS AUTOS 1P acridenl $ UMBRELLA LIAS OCCUR _EACH OCCURRENCE $ EXCESS OAS CLALMS-MADE' AGGREGATE _ $ I BED I RETENTION$ _ $ A WORKERS COMPENSATION 6806614P276 03/01/2015 03101/201 X we sTAnl- oTH- AND EMPLOYERS'LIABILITY - � ------— -- -"-_— ANY PROPRIETORPARTNERIEXEOUTIVEY� I�i (WA Stop Gap) E.L.EACH ACCIDENT Stoou'096 OFFICEPoMEMSER EXCLUDED? N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE`_ Ifyes,desenbe under OESCRIFTION OF OPERATIONS below E.L.DISEASE-POLICYLIMIT $1 r966,906 B Professional 105408190 03/01/2015 03101120161 $1,000,000 per claim Liability $2,000,000 annl aggr. DESCRIPTION OF OPERATIONS I LOCATIONS l VEHICLES(Attach ACORD 101,Additional Remarks B¢M1¢tlule,if more space Is requlredl RE:Project Name:Neely Homestead Rain Garden project. The General Liability and Automobile Liability policies include an automatic Additional Insured endorsement that provides Additional Insured status to the Certificate Holder, only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured.The j General Liability policy contains a special endorsement with Primary and Noncontributory wording,when required by written contract. CERTIFICATE HOLDER CANCELLATION i Clt of Kent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Y 7HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn:Toby Hallock ACCORDANCE WITH THE POLICY PROVISIONS. Environmental EngineeringlPublic Works AUTHORIZED REPRESENTATIVE 220 Fourth Avenue S. glow Kent. 98032 1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S151262801M14514351 KKUZP 6806614P276 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED INSURANCE (Section III) for this Coverage (Section II): Part. Any person or organization that you agree in a B. The following is added to Paragraph a. of 4. "contract or agreement requiring Insurance" to in- Other Insurance in COMMERCIAL GENERAL clude as an additional insured on this Coverage LIABILITY CONDITIONS (Section IV): Part, but only with respect to liability for"bodily in- However, if you specifically agree in a"contractor jury", "property damage" or "personal Injury" agreement requiring insurance" that the Insurance caused, in whole or In part, by your acts or orris- provided to an additional insured under this Cov- slons or the acts or omissions of those acting on erage Part must apply on a primary basis, or a your behalf: primary and non-contributory basis, this insurance a. In the performance of your ongoing opera- is primary to other Insurance that Is available to tions; such additional Insured which covers such addi- h. In connection with premises owned by or tional Insured as a named Insured, and we will not rented to you;or share with the other insurance, provided that C. In connection with "your work" and included (1) The "bodily Injury" or "property damage" for within the "products-completed operations which coverage is sought occurs; and hazard", (2) The "personal Injury" for which coverage is Such person or organization does not qualify as sought arises out of an offense committed; an additional insured for "bodily Injury", "property after you have entered into that "contract or damage" or "personal injury' for which that per- agreement requiring Insurance". But this insur- son or organization has assumed liability in a con- ance still is excess over valid and collectible other tract or agreement. insurance, whether primary, excess, contingent or The Insurance provided to such additional Insured on any other basis, that is available to the Insured is limited as follows: when the insured Is an additional insured under d. This insurance does not apply on any basis to any other Insurance. any person or organization for which cover- C. The following Is added to Paragraph 8. Transfer age as an additional Insured specifically Is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON- age Part. DITIONS Section IV e. This Insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure to render any "professional against any person or organization because of services". payments we make for "bodily Injury", "property f. The limits of Insurance afforded to the addi- damage" or "personal injury" arising out of "your tional Insured shall be the limits which you work" performed by you, or on your behalf, under agreed In that "contract or agreement requlr- a"contract or agreement requiring Insurance"with Ing insurance" to provide for that additional that person or organization, We waive these Insured, or the limits shown In the Declara- rights only where you have agreed to do so as tions for this Coverage Part, whichever are part of the"contract or agreement requiring insur- less.This endorsement does not increase the ance" with such person or organization entered limits of insurance stated in the LIMITS OF Into by you before, and in effect when, the "bodily CG D3 81 09 07 C 2007 The Travelers Companies,Inc. Page 1 of 2 Includes the copyrighted material of Insurance Services Office,Inc., with Its permission COMMERCIA LGENERALLIABILITY Injury" or "property damage" occurs, or the "per- erage Part, provided that the "bodily Injury" and sonal Injury" offense is committed. "property damage" occurs, and the "personal In- D. The following definition is added to DEFINITIONS jury"is caused by an offense committed: (Section V): a. After you have entered Into that contract or "Contract or agreement requiring insurance" agreement; means that part of any contract or agreement un- b. While that part of the contract or agreement Is der which you are required to include a person or in effect; and organization as an additional insured on this Cov- c. Before the end of the policy period. Page 2 of 2 ©2007 The Travelers companies,Inc. GO D3 81 09 07 mrAudes the copyrlghled material of insurance Services Office,Inc.,with its permission COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE - ADDITIONAL INSUREDS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PROVISIONS b. The"personal Injury" or"advertising injury"for COMMERCIAL GENERAL LIABILITY CONDITIONS which coverage Is sought arises out of an of- (Section IV), Paragraph 4. (Other Insurance), is fense committed amended as follows: subsequent to the signing and execution of that 1. The following Is added to Paragraph a. Primary contract or agreement by you. Insurance: 2. The first Subparagraph (2) of Paragraph b. Ex. However, If you specifically agree in a written con- cess Insurance regarding any other primary in- tract or written agreement that the insurance pro- surance available to you is deleted, vided to an additional Insured under this 3. The following is added to Paragraph b. Excess Coverage Part must apply on a primary basis, or Insurance, as an additional subparagraph under a primary and non-contributory basis, this insur- Subparagraph (1): ance Is primary to other insurance that is avail- That is available to the Insured when the Insured able to such additional insured which covers such is added as an additional Insured under any other additional Insured as a named Insured, and .we policy, Including any umbrella or excess policy, will not share with that other Insurance, provided that: a. The "bodily injury" or "property damage" for which coverage is sought occurs; and CG DO 37 04 05 Copyright 2005 The St. Paul Travelers Companies, Inc.All rights reserved. Page 1 of 1 COMMERCIAL GENERAL LIABILITY However, this exclusion does not apply to Any payments made under Coverage A for your liability with respect to your conduct of damages and under Coverage C for medical the business of any current or past partner- expenses shall reduce the Per Project Gen- ship orjoint venture: eras Aggregate Limit for that "project", but a. That Is not shown as a Named Insured In shall not reduce: the Common Policy Declarations, and a. Any other Per Project General Aggregate b. In which you are a member or partner Limit for any other"project"; where each and every one of your co- b, The General Aggregate Limit; or ventures in that joint venture is an archi- c. The Products-Completed Operations Ag- tectural, engineering, or surveying firm. gregate Limit. 2. This Provision R does not apply to any per- The limits shown In the Declarations for this son or organization for which coverage Is ex- Coverage Part for Each Occurrence, Dam- cluded by another endorsement to this Cov- age To Premises Rented To You and Medical erage Part. Expense are also subject to the Per Project 3, The Insurance provided by this Provision P. General Aggregate Limit when the Per Pro- shall be excess over any valid and collectible ject General Aggregate Limit applies. other Insurance, whether primary, excess, 3. As used in the Provision Q.: contingent or on any other basis, which Is available covering your liability with respect "Project" means area away from premises to your conduct of the business of any current owned by or rented to you at which you are or past partnership orjoint venture that Is not performing operations pursuant to a contract shown as a Named Insured in the Common or agreement. For the purposes of determin- Policy Declarations and which is issued to ing the applicable aggregate limit of insur- such partnership or joint venture, ance, each "project" that includes premises involving the same or connecting lots, or Q. PER PROJECT GENERAL AGGREGATE LIMIT premises whose connection is interrupted 1. Paragraph 2, of LIMITS OF INSURANCE only by a street, roadway, waterway or right- (Section ill) is deleted and replaced by the of-way of a railroad shall be considered a sin- following: gle"project". The General Aggregate Limit is the most we R. KNOWLEDGE AND NOTICE OF OCCUR. will pay for the sum of: RENCE OR OFFENSE a. Damages under Coverage B; and The following Is added to Paragraph 2. Duties In b, Damages from "occurrences" under Cov- The Event of Occurrence, Offense, Claim Or erage A and for all medical expenses Suit of COMMERCIAL GENERAL LIABILITY caused by accidents under Coverage C CONDITIONS (Section IV): which cannot be attributed only to opera- Notice of an "occurrence" or of an offense which tions at a single"project". may result In a claim must be given as soon as 2. The following Is added to LIMITS OF IN- practicable after knowledge of the "occurrence" SURANCE (Section III): or offense has been reported to you, one of your "executive officers" (if you are a corporation), one A separate Per Project General Aggregate of your partners who is an Individual (if you are a Limit applies to each "project" for all sums partnership), one of your managers (if you are a which the insured becomes legally obligated limited liability company), one of your trustees to pay as damages caused by "occurrences" who is an Individual (if you are a trust), or an under Coverage A and for all medical ex- "employee" (such as an insurance, loss control or penses caused by accidents under Coverage risk manager or administrator) designated by you C which can be attributed only to operations to give such notice. at a single "project", and that limit is equal to the amount of the General Aggregate Limit Knowledge by any other"employee" of an "occur- shown in the Declarations for this Coverage rence" or offense does not Imply that you also Part. have such knowledge. Page 6 of 8 0 2007 The Travelers companies,Inc, CG D3 79 09 07 3P-6614P288 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. A11TO COVERAGE 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 mod!- _ -tied by'.the endorsement .n GEN 1.ERAL DESCRIPTION OF COVERAGE-.Tbls endorsement broadens coverage ev Hower,coverage for any Injury, darn age or medical expenses described in any of the provisions of this endorsement may be excluded or limited byanother endorsementto the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage Is excluded or limited by such an endors0m6rite The following listing is a general cover- agedescrip on oy;Limltatio tihins'and exclusions may apply to these coverages:Read all the provisions of this an- dorssment and,the rest of your policy carefully to determine nghtsrduties,and what Is and is not covered. A. BLANKET ADDITIONAL INSURED - H. AUDIO, VISUAL'AND DATA ELECTRONIC B. EMPLOYEE;HIREDAUTO,- - EQUIPMENT INCREASED LIMIT C. EMPLOYEES'AS INSURED 1. WAIVER OF DEOt1CTIBLE-GLASS D. SUPPLEMENTARY PAYMENTS 'INCREASED J. PERSONAL EFFECTS LIMITS K. AIRBAGS E. TFL4ILERS—INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL, DAMAGE - TRANSPORTATION r EXPENSES-INCREASED LIMIT A. BLANKET ADDITIONAL INSURED- performing duties related to the .conduct of The following Is added to Paragraph A 1. Who Is your business. An Insured,'of SECTION IF LIABILITY COY- 2. The following replaces Paragraph b. in B.5., ERAGE: - - - Otherlinsurance,-�of-SECTION IV-- BUSI- ` - Any person or organlzapon who is requir led under NESS AUTO:CONDITIONS: a written contract"ar agreement between;you and b. For Hired Auto Physical Damage.Cover- that person'-or organization,that is signed and age,the fgllowing predeemed to be cov- executed by you "bbfoie'the` �bodilyJnjury?. or -ered"autos".you own: ., - 'properly damage occurs acid that is'In.effect (1) Any covered "auto". you lease, hire, during the policy period, to be named as an addi- rent or borrow,and tional insuredis an !insured"-.for Llability�Cover- age, but only for dama es to which this Insurance (2) Any covered auto".,hired,or rented by g our "em to ee under a contract in applies and only to the extent that person or or- t - p .- - ganizalion,qualifes as an "insured" .under the that Individualpear , 'employee's" name, Who Is An Insured provision contained In Section with your permission, whtleperform- I[ - Ing ;duties related to the conduct of B. EMPLOYEE HIRED AUTO your business. A. The followingis added .to Paragraph A.1., However, any"auto that is leased, hired, . rented or borrowed with e driver is not a Who Is-An Insured, of SECTION II -- LI- covered"auto". ABILITY COVERAGE: ` C. EMPLOYEES AS INSURED An "employee" of yours Is an "insured" while operating a covered "auto" hired or rented The following Is added to Paragraph AA.,Who Is under a contract or agreement in that "am_ An Insured, of SECTION 11 LIABILITY COV- ployees" name, with your permission, while ERAGE- CA T4 20 07 10 ®2010 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc.with he perMSsion. COMMERCIAL AUTO Any"employee"of yours Is an "Insured"while us- (3) If a repair or replacement results in better ing a covered"auto"you don't own, hire or borrow than like kind or quality,we will not pay for the In your business or your personal affairs. amount of betterment. D. SUPPLEMENTARY PAYMENTS — INCREASED (4) A deductible equal to the highest Physical LIMITS. - Damage deductible applicable to any owned 1. The following replaces Paragraph A.2.a.(2)of covered"auto". SECTION 11 LIABILITY COVERAGE: (5) This Coverage Extension does not apply to: (2) up to $3,000 for cost of ball bonds (In- (a) Any "auto" that is hired, rented or bor- eluding bonds for related traffic law viola- rowed with a driver, or dons) required because of an "accident" (b) Any "auto" that is hired, rented or bor- we cover: We do hot have to famish rowed from your"employee".'.. these bonds. G. PHYSICAL DAMAGE — TRANSPORTATION 2. The following replaces Paragraph A.2,a.(4)of EXPENSES—INCREASED LIMIT SECTION 11-LIABILITY COVERAGE: (4) All reasonable expenses Incurred by the The following replaces the first sentence In Para- _ . .. graph A.4.a., Transportation Expenses, of Insured" at our request, Including actual SECTION III — PHYSICAL DAMAGE COVER- loss of earnings up to $500 a day be- AGE: cause of time off from work, E. TRAILERS-INCREASED LOAD CAPACITY We will pry up to $50 pander to maximum of . $1,500 for temporary transportation expense In- The following replaces Paragraph CA. of SEC- curred by you because of the total theft of a cov- TION.1—COVERED AUTOS: ered"auto"of the private passenger type, 1. "Trailers" with a load capacity of 3,000 H. AUDIO,, VISUAL AND .DATA ELECTRONIC pounds or less designed primarily for travel EQUIPMENT INCREASED LIMIT onpubliC roads. Paragraph C.21. Limit Of-Insurance, of SEC- F. HIRED AUTO PHYSICAL DAMAGE TION III— PHYSICAL DAMAGE COVERAGE is The following Is added to Paragraph AA., Cover- deleted, ago.,Extensions t;aIf-SECTION III — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS DAMAGE COVERAGE: The following is added to Paragraph D.,Deduct!- '.. Hired Auto Physical Damage Coverage ble, :of.SECTION III — PHYSICAL DAMAGE If hired autos are covered "autos" for Liability COVERAGE: Coverage but not Covered- "autos" for Physical No deductible for a covered "auto" will apply to Damage:Coverage, anti this.policy also provides glass;damage If the glass is repaired,rather than Physical Damage Coverage for an owned "auto", replaced. then the Physical Damage.Coverage is extended J. PERSONAL EFFECTS to "autos"that you hire, rent or borrow subject to the following: The following Is added to Paragraph AA., Cover- (1) The most we will pay for "loss" in any one age Extensions; of SECTION III — PHYSICAL "accidsriC to a hired, rented or borrowed DAMAGE COVERAGE: "auto"is the lesser of: Personal Effects Coverage (a) $50,000; We will pay up to $400 for"loss"to wearing ap- (b) The actual cash value of the damaged or Parel and other personal effects which are: stolen-property as of the time of the (1) Owned by an"Insured";and "loss";or (2) In or on your covered"auto'. (c) The cost of repairing or replacing the This Coverage only applies in the event of a total damaged or stolen property with other theft of your covered"auto". property of like kind and quality. No deductibles apply to Personal Effects cover- (2) An adjustment for.depreciation and physical age. condition will be made in determining actual cash value in the event of a total"loss". Page 2 of 02010 The Travalere Indemnity Company.NI rights reserved. CA T4 20 0710 Includes copyrighted material of Insurance Services Office,Inc.with Its pemilssion. i COMMERCIAL AUTO K. AIRBAGS (2) Any: The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the slone, of SECTION III — PHYSICAL DAMAGE time of the"loss"; COVERAGE: -(b) Financial penalties Imposed under a Exclusion 3.a. does not apply to "loss" to one or lease for excessive use, abnormal wear more airbags in a covered "auto'you own that In- and tear or high mileage; (late due to a cause other than a cause of"loss" (c) Security deposits not returned by the les- set forth in Paragraphs A.1.b. and A.1.c., but sor; only: a. If that"auto' Is a covered "auto"for Compre- (d) Costs for extended warranties, Credit Life hensive Coverage under this policy; Insurance, Health, Accident or Disability Insurance purchased with the loan or b. The airbags are not covered under any war- lease; and ranty;and (e) Carry-over balances from previous loans c. The airbags were not intentionally inflated, or leases. We will.pay up to a maximum of $1,000 for any M. BLANKET WAIVER OF SUBROGATION one"loss". The following replaces Paragraph A.S., Transfer L, AUTO LOAN LEASE GAP Of Rights Of Recovery Against Others To Us, - The following Is added to Paragraph A.4., Cover- of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL TIONS: DAMAGECOVERAGE: S. Transfer Of Rights Of Recovery Against Auto Loan Lease Gap Coverage for Private Others To Us Passenger Type Vehicles We waive any right of recovery we may have In the event of a total"loss"to a covered"auto" of against any person or organization to the ex. the private passenger type shown in the Schedule tent required of you by a written contract axe- or Declarations for which Physical Damage Cov- cuted prior to any "accident' or "loss", pro- erage is provided,we will pay any unpaid amount vided that the"aocidehf or"loss"arises out of due on the lease Or loan for such covered "auto" the operations contemplated by such con- less the following: tract.The waiver applies only to the person or (1) The amount paid under the Physical Damage organization designated in such contract. Coverage Section of the policy for that"auto"; and CA T4 20 0710 ©2010 The Travelers Indemnity Company,All rights reserved. Page 3 of 3 Indudes copyrighted material or Insurance Services Office,Inc.veld,Its perm!salon. I