HomeMy WebLinkAboutPW15-113 - Amendment - #1 - National Barricade Co., LLC - S 224th St Project - 03/28/2016 Records ern
EN`T'
/ iirGfrr
wwss�INcsTar4
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.
f you have questions, please contact City Clerk's Office.
Vendor [dame: National Barricade Co., LLC
Vendor Number:
3D Edwards Number
Contract Number: PW 1 - 1173
This is assigned by City Clerk's Office
'project Name: S. 224t" Street Prgject
Description: 0 Interlocal Agreement ❑ Change Order x Amendment ❑ Contract
0 Other:
Contract Effective Date: 3/2812016 Termination Date: 12/31/1
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Garrett Inouye Department: Public Works - Engineering
Contract Amount: 450.C7
Approval Authority: X Department Director❑ Mayor ® +City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
This Amendment was needed to extend the time of completion only.
As of: 08/27/14
•
KEN TT
W A S H I N O T O N
AMENDMENT NO. 1
NAME OF CONSULTANT OR VENDOR: National Barricade Co.. LLC
CONTRACT NAME & PROJECT NUMBER: S. 224t" Street Project
ORIGINAL AGREEMENT DATE: March 31, 2016
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 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, $4,650.00
including applicable WSST
Net Change by Previous Amendments $0
including applicable WSST
Current Contract Amount $4,650.00
including all previous amendments
Current Amendment Sum $0
Applicable WSST Tax on this $0
Amendment
Revised Contract Sum $4,650.00
AMENDMENT - 1 OF 2
Original Time for Completion 3/31/16
(insert date)
Revised Time for Completion under N/A
prior Amendments
(insert date)
Add'I Days Required for this 275 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/VENDOR: CITY OF KENT:
By: By:
--rs—ignature) 7 Y(signature)
Print Name: '5-re)jc V � (29 Print Name: Timothy J. LaPorte, P.E.
Its e4,2 /7'?Q 9 Its Public Works Director
title) C/ title)
DATE: DATE:
APPROVED AS TO FORM:
(applicable if Mayor's signature required)
Kent Law Department
[In this field,yoh may enter the Electronic filepath where the contract has been saved]
AMENDMENT - 2 OF 2
® DATE(MM1DDNYYY)
AC�
CERTIFICATE OF LIABILITY INSURANCE 6/9/2015
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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu of such endorsement(s).
PRODUCER c Michele Stonecipher
PLC Insurance, LLC PHONE , (425)712-3664 FAX (425)712-3786
4211 Alderwood Mall Blvd, #210 'AIL .micheleQplcins.com
INSUR AFFORDING COVERAGE NAIC 0
Lynnwood WA 98036 INSURER AAmerican States Insurance Comp
INSURED INSURER a-Havicrators Specialty Insurance
National Barricade Co., LLC. -INSURER C:
6518 Ravenna Ave. N.E. INSURERD: _
INSURER E
Seattle WA 98115 1 INSURERF:
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 REQUIREMENT,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.
IN R LTR TYPE OF INSURANCE POLICY NUMBER EFF PO OpY EXP LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURR�NC 5 1,000,000
- i DAMAGE TOA CLAIMS-MADE OCCUR o, MEW S 200,000
OICH480624-9 6/9/2015 6/9/2016 MEDEXP one parson) S 10,000
PERSONAL A ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
PR0 PRODUCTS-COMPIOPAGO S 2,000,000
POLICY a JECT LAC S
OTHER;
AUTOMOBILE LIABILITY IliaM dd-a I S 1,000,OQO
A X ANY AUTO BODILY INJURY(Perperaw) S
ALL OWNED AUTOS
OICH480624-9 6/9/2015 6/9/2016 BODILY INJURY(PeroeddeM) $
DAMAGE
HIRED AUTOS AUTOSSYNED POf S
' S
UMBRELLA UAB X OCCUR EACH OCCURRENCE $ 2,000,000
8 X EXCESS UAB CLAIMS-MADE AGGREGATE $ 2,000,000
QED I REJENTION SB15E%C731767SV 6/9/2018 6/9/2016 1 $
)8Q)(I1hX )=)(PwKMK T
AW(EMPLOYERS'LIABILITY Y f N
ANY PROPRIErORMARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $ 1,000,000
OFFICERIMEMBER EXCLUDED? N I A
A (Mandabuy In MR) OICH490624-9 6/9/2015 6/9/2016 E.L.DISEASE-EA EMPLOYEE S 1,000,000
6ya7 desaib°unda WA Stop Gap E.LDISEASE-POLICYUMR $ 2 000 000
DESCRIPTION OF OPERATIONS below F D
DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101,Addslonal Remarks Schedule,may be attached U more space Is required)
Projectr S. 224th St.
City of pent is added as Additional Insured per attached C97680 1D02, CG8672 1002 and CA7110 -0307.
Coverage in Primary and Non-Contributory.
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
ACCORDANCE WITH THE POLICY PROVISIONS.
400 West Gowe
Kent, WA 98032
AUTHORIZED REPRESENTATIVE
Mike Rucker/MONICA • ��--—
01988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025 nmann
Policy Number:01CH480624-9 COMMERCIAL AUTO
CA 7110 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.I. WHO
Policy Cohdhlon is replaced by the fallowing: IS AN INSURED provision is amended by the addition
b. 60 days before the effective date of cancellation of the fallowing:
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 additional 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
BROAD FORM NAMED INSURED or organization for "bodily Injury" to Its em-
ployees, nor for `property damage" to its
SECTION 11 — LIABILITY COVERAGE — A.I. 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
50% or more of the business entity and the (5) The defense of any claim or "suit" must be
business entity is not separately Insured for tendered practicable
this person or organization rs
Business Auto Coverage. Coverage is extended soon as practicable to all Iothernsurance
insurers
up to a maximum of 180 days following acquisi- which r "suitaliy provide lnsunarlce for such
tion or formation of the business entity. Coverage claim or "suit".
under this 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 10 03 07 Page 1 or 6 EP
1 1
(6) The coverage provided will not exceed the PERSONAL EFFECTS COVERAGE
lesser of:
A. SECTION Ill — 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
Exclusion 5. FELLOW EMPLOYEE of SECTION It — 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 ilf —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 foss. 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 If —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
PHYSICAL DAMAGE — ADDITIONAL TRANS- you paid for your damaged vehicle, not i -
cluding any insurance or warranties pur-
PORTATION EXPENSE COVERAGE chased;
The first sentence of paragraph A.4. of SECTION IIi b. The purchase price, as negotiated by us, of
— PHYSICAL DAMAGE COVERAGE Is amended as a new 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 o!8
I
i
A
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", less 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 following adjustments:
costs associated with loans or leases.
(t) Overdue payment and financial
TWO OR MORE DEDUCTIBLES penalties associated with those
payments as of the date of the
Under SECTION Ill — 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.
able 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; (5) Final payment due under a "Balloon
or Loan".
c. If the loss involves two or more Busi- (6) The dollar amount of any
ness Auto coverage forms or policies un-repalred 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 (7) Security deposits not refunded by a
"company"means: 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 ment 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:
LOANILEASE 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, CLAIM,
to a$1,500 maximum limit: SUIT OR LOSS — of SECTION IV — BUSINESS
AUTO CONDITIONS that you must notify us of an
GA 71 10 m 07 Nge 3 016 EP
"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 AA.b. 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 fall to disclose any hazards ex- RENTAL REIMBURSEMENT COVERAGE
Isting at the Inception date of your policy, we will not A. We will pky for rental reimbursement expenses
deny coverage under this Coverage Form because of Incurred by you for the rental of an "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.
B. We will pay only for those expenses Incurred
Under Section IV — Business Conditions, Paragraph during the policy period beginning 24 hours after
B.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 dis- 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.
If hired "autos" are covered "autos" for Liability cov- 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"available to you for your
Coverage Fort 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
$60,000 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 appii- 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- above does not apply to a covered "auto" that is
sical Damage coverage is excess over any other col- described or designated as a covered "auto" on
lectible insurance. Subject to the above limit,
Page 4 of 6
l
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 SURANCE 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 sual or data electronic equipment and any
receives or transmits audio, visual or data accessories used with this equipment as a
signals and that is not designed solely for the result of any one "accident" Is the lesser of:
reproduction of sound.This coverage applies
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 b, The cost of repairing or replacing the
In the covered "auto" at the time of the damaged or stolen property with other
"loss", and such equipment is designed to property of like kind and quality.
be solely operated by use of the power from
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 be 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 "loss" to the audio, visual or data elec-
ts attached to this policy, then the Audio, Vi- tronic 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 raiat- place damaged or stolen property will be re-
ing to Audio, Visual and Data Electronic duced by the applicable deductible shown In
Equipment, also apply to this coverage. In addi- the Declarations. Any Comprehensive Cov-
tion, the following exclusions apply: erage deductible shown In the Declarations
does not apply to "foss" to audio, visual or
We will not pay for either any electronic equip- data electronic equipment caused by flre or
ment or accessories used with such electronic lightning.
equipment that is: 2. If Noss" to the audio, visual or data elec-
t. Necessary for the normal operation of the tronic 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$100 deductible.
sound it the sound reproducing 3. If "loss" occurs solely to the audio, visual or
equipment is permanently Installed in data electronic equipment or accessories
the covered "auto"; and 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
CA 71 10 03 07 Page 5 of 6 EP
•-,,
i
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 wom 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.
Page 6 of 6
i
Liber[y CG 88 72 10 02
Nortitwrat.
POLICY NUMBER: 01 CH480624-9
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 myour work" at the location designated and
described In the schedule of this endorsement for that Insured and included in the "product-completed
operations hazard".
i�
Includes Copyrighted Information of ISO Properties, Inc.,
_ 2001 with permission.
CG 88 72 10 02 EP
C-AGOT-Pp[HT001-2518.ppG3.0
""REFRINTEOF OMTHEARCHNE.THE ORIGINAL TRANSACTION MAY rNCLUDEADOITONALFORMS•'^
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:
1. The additional insured is an insured but only for The insurance provided will not exceed the lesser of:
[lability 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
b, the general supervislon of your ongoing op- Insured, paragraph 4. of SECTION iV -- COMMER-
eratlons by the additional insured. CIAL GENERAL LIABILITY CONDITIONS Is de-
l. 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 noncontdb-
in design furnished by or for, the additional utory, 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 prl-
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".
erations 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 ment.
M 76 80 10 02 EP
AFP-FiETA2-1&FRKM1-T1"5M