Loading...
HomeMy WebLinkAboutPW15-113 - Amendment - #2 - National Barricade Co., LLC - S 224th St Project - 10/17/2016 y Records Y r^J, k EN T `� lNA9NINOTON d 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: P 15- 11` )-- 003 This is assigned by City Clerk's Office Project Name: S. 224th St Project Description: ❑ Interlocal Agreement ❑ Change Order ® Amendment ❑ Contract ❑ Other: Contract Effective Date: 10/17/16 Termination Date: 3/31/17 Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Garrett Inouye Department: Engineering Contract Amount: $7,000.00 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Provide traffic control plans for the SR 167 overpass portion of the project. As of: 08/27/14 KNT AMENDMENT NO. 2 NAME OF CONSULTANT OR VENDOR: National Barricade Co., LLC CONTRACT NAME & PROJECT NUMBER: S. 224th 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: Provide traffic control plans for the S. 224th Street - SR 167 Overpass. For a description, see the Consultant's Scope of Work which is attached as Exhibit A and incorporated by this reference. 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 $4,6.50.00 including all previous amendments Current Amendment Sum $7,000.00 Applicable WSST Tax on this $0 Amendment Revised Contract Sum $11,650.00 AMENDMENT - 1 OF 2 Original Time for Completion 3/31/16 (insert date) Revised Time for Completion under 12/31/16 prior Amendments (insert date) Add'I Days Required (f) for this 90 calendar days Amendment Revised Time for Completion 3/31/17 (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/VEND R: CITY OF KENT: By: By,- ✓r r �/;�, (signature) - --p ( ign T�"�� ° Print Name: �z� �✓ � `4-q Print Name: Its 5:t--t-e t O Its r e r 1 IW r DATE: /tie 1 z. / DATE:_ ylylzyfe. APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department Mb...l Barricade-224°'Amd 2/Inouye AMENDMENT - 2 OF 2 EXHIBIT A National Barricade Co . , LLC 6518 RAVENNA. AVE LATE SEATTLE, WA 98115 PH ; (206) 523-4045 / (800) 884-4045 ( WA Only ) FAX (206) 525-2042 "DA2E February20 2016_ ATTN City of Kent Public Works CONTACT t Garrett Inouye raoNa t (253) 856.5548 moaxx,a / PAcsa: I PROJECT : So 224th &SR 167 New Overpass(Traffic oWMn t Control) MATERIAL SUPPLY0U0TATIOIV BldlteM Quantity . Degodotien U/1 -Unit price Amgunt Traffic Control Plan(Per page price) (see below) 1 38 Includes 3 minor or 2 major revisions per page ea 175A0 6,650A0 Overview/pCMs NB/SB (4) NB SR 167 So 228th Mainline 3 t Detour Route 1 /Lane Closures 4/Shoulder 1 {9} SB SR 167 So 212th Mainline 31 Detour Route 1 /Lane Closures 4/Shoulder b (9) Full Closure NB/SB 10 So 212th NS Ramp Closure (1) So 212th NB Ramp Closure (1) 2 2 88th AveSo Closure&Detour Route ea 175.00 350,00 Due Date to be determined by the WSDOT stt down meeting, 2 weeks after the meeting should suffice. 7,000,00 All Pricing Is For Quantities Listed+/-10 Material Quotation Only.Installation,Set-Up, Epoxy &Other Services Are Not Included In Quote Payment Terms: Net 30 1 112%Charged On All Past Due Accounts National Barricade Co., Inc, has many other items not listed as pay Items but required for overall jobsite safety: Traffic Canes-Vehicle Lighting -Batteries-Construction&Custom Signing If you have any questions please feel F.O.B.: a-mall free to contact Steve Vita CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYW) �✓ 6/6/2016 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 .,ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(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 endorsement(s). PRODUCER CONT PACT Michele Stonecipher NAME: PLC Insurance, LLC PHONE 11N ExtP (425)712-3664 _ - FAX No, faasl7lz-n7a6 4211 Alderwood Mall Blvd, #210 AORESS:mlChe 1.0plcins.coup INSURESSI AFFORDING COVERAGE NAIC If Lynnwood. _ WA 98036 INSURER A American States Insurance Comp INSURED INSURER B STavi ators S ecialt In6uran_ce National Barricade Co. , LLC. INSURER C: 6518 Ravenna Ave. N.E. INSURER D: _ INSURER E: Seattle WA 98115 INSURER F: COVERAGES CERTIFICATE NUMBER:16/17 GL/AL/EX 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. INSR ADD POLICY EFF POLICY EXP - - LTR TYPE Of INSURANCE D. POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ -- A (CLAIMS-MADE. a]OCCUR DAMAGE TO RENTED 200,000 PREMISES Ea accmrence $ __. OICH480624-01 6/9/2016 6/9/2017 MFD EXP(Any one person) $ 10,000 _. PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GF.NFRAL AGGREGATE $ 2,000,000 —I POLICY JECT LOG PRODUCTS-COMPIOPAGG__$ 2,000,000 � �OTHER: $ 'AUTOMOBILE LIABILITY COMB(NED SINGLE LIMIT $ 1000,D00 Ea accdent _ A X ANY AUTO BODILY INJURY(Perpemon) $ ALL OWNED SCHEDULED AUTOS AUTOS 01CH480624-01 6/9/2016 6/9/2017 BODILY INJURY(Per accident) $ - NON OWNED PROP'RTY CAMAGE ---- ' HIRED AUTOS AUTOS _(Perawidenl) S BMBRELLALIAB CCUR EACH OCCURRENCE $ 21000,000 B X X OJEXCESS LIAR CLAIMS-MADE AGGREGATE $ 2,000,000 DED RETENTIONS I S816EXC7317673V 6/3/2016 6/9/2017 I $ WRR¢�tfi &M3CM9N( - UI y(EMPLOYERS'DABILITY YIN �BTAI UTF IEERH_ _ _ X ANY PROPRIETOR/PARTNER/aECUTIVE El EACH ACCIDENT - $ 11000,000 OFFICER/MEldBER EXCWDED? � N/A ------._._ A (Mandatory In NH) 01Cll480629-01 1 6/9/2016 6/9/2017 E.L.DIBEABE-EA EMPLOYE $ 11000,000 I Ves,describe under - ----'---- SORPTION OF OPERATIONS dom WA Stop GapI EL.DISEASE-POLICY LIMIT $ 2,000,000 ❑ESCRIP71ON OF OPERATIONS l LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached IF more space Is required) Project: S. 224th St. City of Kent is added as Additional Insured per attached CG7680 1002, CG8672 1002 and CA7110 0307. Coverage is Primary and Non-Contributory. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Kent INC EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 400 West Gowe ACCORDANCE WITH THE POLICY PROVISIONS. i Kent, WA 98032 AUTHORIZED REPRESENTATIVE Mike Rucker/SHANND ©1988.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS02512o1 aml Policy Number:OICH480624-0 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.h, of the CANCELLATION Common SECTION 11 LIABILITY COVERAGE -- A.I. WHO Palloy Cohdition is replaced by the fallowing: IS AN INSURED provision is amended by the addition b. 66 days before the effective data of cancellation of the following: If we cancel for any other reason, e, Any person or organization for whom you are to. qulred by an "Insured contract' to provide insur- TEMPORARY SUBSTITUTE AUTO — PHYSICAL once Is an 'insured", subject to the following DAMAGE COVERAGE additlonal provisions: Under paragraph C CERTAIN TRAILERS, MC- (1) The "insured contract" must be In effect p g during the polioy period shown In the Decla- WLE EQUIPMENT AND TEMPORARY SUBSTITUTE rations, and must have been executed prior AUTOS of SECTION 1 — COVERED AUTOS, the to the "bodily Injury" or "property damage", following Is added: (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 eraga Form, than 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 white used with the per- only to the extent you are held lable for an mission of its owner as a temporary substitute for a "aoeldent" eoourring while et covered "auto,, covered °auto" you own that Is out of service be- is being driven by you or one of your am- cause of its breakdown, repair, servicing, "loss" or ployeae. 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 It — LIABILITY COVERAGE — A.1. WHO property. IS AN INSURED provision Is amended by the addition (4) Coverage for this person or organization of the fallowing: shall 6e limited to the extent of your nogll- gence or fault according to the applicable d. Any bustnesa entity newly acquired or formed by principles of comparative negligence or fault. you during the policy period provided you awn (g) The defense of any claim or "cult" 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 insurarma for such up to a maximum of 180 days following acquisl- claim or "salt". Ilan or formation of the business entity, Coverage under this provision Is afforded only until the end of the policy period. Includes Copyrighted material of Insurance Services Offlee, Inc., with Its permission. Copyright, Insurance Services Offloo, Inc., 1997 CA 71 10 03 07 Page 1 of 8 EP r - I (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 at this polioy, ACE, A.a. COVERAGE EXTENSIONS, Is or amended by adding the following: (b) The coverage inciter limits required by c, personal Effects Coverage the °Insured contract For any Owned °auto^ that Is involved Ina I (T) A person's or organization's status as an covered °loss", we wlli 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 doduotible. 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 hls owned "auto", or an "auto" owned by s 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 II — addedf LIABILITY COVERAGE -- S, EXCLUSIONS Is amended by the additlon 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 "bodlly 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. Seollon III —PHYSICAL DAMAGE COVERAGE sec- [ion 2 Is amended an follows: BLANKET WAIVER OF SUBROGATION 2, An adjustment for daprectailon and physical com We waive the right of recovery we may have for pay- ditlon will be made In determining actual cash mente made for "bodily Injury" or "property damage" value In the event or a total loss. However. In the on behalf of the persons or organlzallons 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 veriflable "new vehicle" purchase price you pald for your damaged vehicle, not In- PHYSICAL DAMAGE — ADDITIONAL TRANS. cluding any Insurance or warranties pur- PORTATION EXPENSE COVERAGE chased; The first senleneo of paragraph A.4. of SECTION III b. The purchase prioo, as negotiated by us, of — PHYSICAL DAMAGE COVERAGE Is amended as a now vehicle of the same make, modol and follows: equipment, not including any fumehings, parts or equlpmont 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" purehaso price of the most slmilar model of the private passenger type, ovaliabie; Page 2 d N 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 appliss 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 "(oss", 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. (1) Overdue payment and financial panalttes associated with those TWO OR MORE DEDUCTIBLES payments as of the date of the Under SECTION M 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 Jesse 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- Ibie 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. lbla Is net the smaller (or smallest) de- (A) Transfer or rollover balances from ductible It will be reduced by the amount previous loans or leases. of the smaller (or smallest) deductible; (5) Finaf payment due under a "Balloon or Loan". c. if the loss Involves two or more Busl- (6) The dollar amount of any nose Auto coverage forms or policies un-repaired damage that occurred the smaller (or smallest) deductible will prior to the 'total loss"of a covered be waived. "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 pald 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 mant 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 ill 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 2.2. — 'accident" Is the greater of the following, subject DUTIES IN THE EVENT OF ACCIDENT, CLAIM, io a 81,500 maximum limit: SUIT OR LOSS — cf SECTION IV — BUSINESS AUTO CONDITIONS that you must nollfy us of an CA 71 10 03 07 Page 3 of 6 FP I I I i r:.. , "accident"applies only when the "accident" is (mown deductible and excess provisions, we will provide to: coverage equal to the broadest coverage applicable to any covered "auto" you awn, if you are an Indivldual; HIRED AUTO PHYSICAL DAMAGE COVERAGE (2) A partner, if you are a partnership;or LOSS OF USE (3) An executive officer or Insurance manager,if you are a corporation. SECTION IiI — PHYSICAL DAMAGE A4,b. Form does not apply, UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Subject to a maximum of$1,D00 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 addltlon of the followings curs an actual f nanelal loss, If you unintentionally fall to disclose any hazards ax- RENTAL REIMBURSEMENT COVERAGE )sting at the Inception date of your policy, we will not A, We will pay for rental reimbursement burseent axpenses 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, plleable amount of each coverage you have on a HIRED AUTO — LIMITED WORLD WIDE COVER- covered No deductibles apply to this °sate". coverage, AGE 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 pollcy's (t) 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 loss, t. The number of days reasonably required to repair or roplaoe 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. la replaced by the to locate the covered "auto" and return It to fallowing: you, "Bodily Injury" moans bodily Injury, sickness or dlo- 2. 30 days. ease sustained by a person Including menial angulsh C. Our payment Is limited to the lesser of the fol- or death resulting from any of theno, lowing amounts: HIRED AUTO PHYSICAL DAMAGE COVERAGE J. 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 Form for any "auto" you awn, 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 lose to any hired "auto" is under this coverage only that amount of your $50,000 or Aotual Cash'Value or Cost of Repair, rental reimbursement expenses which is not el- whichever Is smallest, minus a deducllbfe. The de- ready provided for under the PHY51GAL DAM- ducilble will be equal to the largest deductible appli- AGE COVERAGE Coverage Extenslon. cable to any owned "auto" of file private passenger F. The Parini Reimbursement Coverage described or light truck type for that coverage. Hired Auto Phy- above does not apply to a Covered "auto" that Is steal Damage coverage Is excess over any other col- described or designated as a covered "auto" on edible Insurance. Subject to the above limit, PHp 4 of 6 I i f l Ci Rental Reimbursement Coverage Form the manufacturer for the Installation of a CA 99 23. radio. AUDIO, VISUAL AND DATA ELECTRONIC C, Limit of lnsurance EQUIPMENT COVERAGE With respect to this coverage, the LIMIT OF IN- SURANCE provision of PHYSICAL DAMAGE A. Coverage COVERAGE Is replaced by the following: 1, We will pay with respect to a covered "auto" t, The most we will pay for "loss" to audio, vl- for "loss" to any electronic equipment that sual or data electronic aqulpment and any recalves 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 lessor 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 cast 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 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 equlement described in paragraph 3. It a repair or replacement results In better A.I. above. than Illw 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 t If "loss" to the audio, visual or data else- is 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 "lose"to the age described above does not apply. covered "auto" under the Business Auto Coverage Form's Comprehensive or Colli- es, Exclusions - sion Coverage, then for each covered "auto" our obligation to pay for, repair, return or re- The exclusions that apply to PHYSICAL DAM- place damaged AGE COVERAGE, except for the exclusion rslat- stolen property will a- ducad by the applicable icable deductible shown 1n Ing to Audio, Visual and Data Electronic the Deslaratlons. Any Comprehensive Cov- Equlpment, also apply to this coverage. In addi- emge deductible shown In the Declarations tion, the following exclusions apply: does not apply to "loss" to audio, visual or We will not pay for olther any electronic equip- data electronic equipment caused by fire or menl or accessories used with such electronic lghtning. equipment that is: 2, If "loss" to the audio, visual or data efec- 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 "aulo's" operating system; or covered "auto" under the Business Auto 2. Both: Coverage Form's Specified Causes of Loss Coverage, 1hon 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 do- damaged or stolen property will be reduced signed solely for the reproduotlon of bya$100 deductible. sound if the sound reproducing 3. if "loss" occurs solely to the audio,visual or l 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 Brad "auto" our obligation to pay for, repair, the dash or consols normally used by CA 71 10 03 07 Pege 5 d 6 EP return or replace damaged or stolen property SECTION V — DEFINITIONS Is amended by adding will be reduced by a$100 deductible. the following: l te-evenilhat-#har�ls"mote than-one-ap- Cl.'Personal—effects"—means your tangible plloabla deductible, only the highest deduct- property that is warn or earned by you, ex- Ible will apply. In no event wlll 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 to lose than 305 days past the purchase data, I I pgge B of 0 L.. L 6erty CO 66 72 10 02 iQnrthwest. POLICY NUMBER: DICH480624-9 THIS ENDORSEMENT CHANG5S,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. Locatlon and Description of Completed Operations: I 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 II — 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 duo 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". i i Includes Copyrighted Information of ISO Properties, Inc., =- 200i with permission. CQ fi0 72 10 02 EP araor.enimml-�s>3casu •'•'REPAINTEDFAOMTHEARCHNE,THE ORIGINAL TRANSACTION MAY INOLUEEAOOj7pNALFORMC"" Policy Number;01CH4806244 ( j Liberty CG 76 60 10 02 Northwest. IINCJ14nIIW 4w,+ THiS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED PRIMARY COVERAGE This endamoment modifies Insuranco provided under the following: CCIMMERCIAL GENERAL LIABILITY COVERAGE PART i SCHEDULE Name of Person or Organization: Any person or organization for whom you are regprLred by written contract, agreement or permit to provide a primary and non- contributory additional insured endorsement, (It no entry appears above,Information required to complete this endorsement will be shown In the Declarations as nppl(cable 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 a000rding to the applicable princi- organlzation shown In the Schedule subject to the pies of comparative fault. following provisions; The insurance provided will not exceed the tosser 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 contrast, agreement or permit, or far you; or With respect to the Insurance afforded the additional b, the general supervision of your ongoing op- Insured, paragraph 4. of SECTION IV — COMMER- orations by the addlllonal Insured, CIAL GENERAL LIABILITY CONDITIONS Is de- h 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 utory,and our obligations arc 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- ciuded within the "products-completed oper- mary, excess, contingent, or on any other ations hazard," basls; however, the defense of any claim or "suit" must be tendered as soon as practh A parson's or organizaticn's status as an additlonal cable to all other Insurers which potentially Insured under this endorsement ends when your op- provide Insuranoe.for such olalm or `suits'. erallons 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. 00 78 80 to 02 EP - AFPFI ETA24PoPRIN70Eh7�29015�1