Loading...
HomeMy WebLinkAboutPW16-433 - Amendment - #3 - Gray & Osborne, Inc. - 640 Zone Booster Station - 12/14/2018 I M ANTRecords Management Document CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to the City Clerk's Office, ,ill portions are to be completed. ff you have questions, please contact the City Clerk's Office at 25 3-8S£x-5725, Vendor Name: Gray & Osborne, Inc. Vendor Number (JDE): Contract Number (City Clerk): Cate orY: Agreement 9 Sub-Category (if applicable): Amendment Project Name: 640 Zone Booster Station Contract Execution Date: 1 2/1 4/1 8 Termination Date: 1 2/31 /1 9 Contract Manager: Bryan Bond Department: PW Operations Contract Amount: $4752.00 Budgeted: Grant? Part of NEW Budget: 0 Local: l� State: 0 Federal: 0 Related to a New Position: 0 Basis for Selection of Contractor? Bid: 8 Small Works Roster: ❑ Direct Negotiation: EJ RFP; Quotes: Approval Authority: O Director 0 Mayor (�) City Council Other Details: Provide additional bidding support services for the project. ``'��KEN T AMENDMENT NO. 3 NAME OF CONSULTANT OR VENDOR: Gray & Osborne, Inc. CONTRACT NAME & PROJECT NUMBER: 640 Zone Booster Station ORIGINAL AGREEMENT DATE: December 16, 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 additional bidding support services for the project. 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, $241,627.00 including applicable WSST _....__ _..---- Net Change by Previous Amendments $14,580.00 including applicable WSST _... ""-tract ' . ......w __-- ----- Current Contract Amount $256,207.00 including all previous amendments ..... ....... �_......._- — Current Amendment Sum $4,752.00 _._ ____W_SS"T__­ __. ........... --...... ._..... Applicable WSST.__ Tax on t--his— $0.. Amendment . _.._ — ...._....... ... .._,. _— .... ....... �. Revised Contract Sum $260,959.00 AMENDMENT - 1 OF 2 Original Time for Completion 12/31/17 (insert date) - — _ _— _.-,_... — .. . ..._ I I Revised Tlme far Completion under 1213i%IS prior Amendments (insert date) �`...,. .__- .._,W ....._ -- — Add'I Days Required (t) for this 99 calendar days Amendment _ ..... _. .... - Revised Time for Completion 2I28I79 (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: CITF KENT: By, b BY — � (sigrta[ure) sf{yn )v+e) Print Name:_Brian Sourwine. P.L. Print Name:-Timothy , I pPoi-e, e E, Its Principal DATE. ._, 77"Z), erHere) s VVr<s L7:rect DATE:_ 12/13/18 Z l - ....__ — .... ATTEST: APPROVED_AS_ —TO FORM:-- (applicable if Mayor's signature required) a i Kent City Clerk Kent Law Department .a,1.OAomn 1 W Z,.rP 1Bu,,,11,1—1-11,1P1 AMENDMENT - 2 OF 2 EXHIBIT A SCOPE OF WORK CITY OF KENT 640 ZONE BOOSTER STATION ADDITIONAL BIDDING SUPPORT SERVICES This Proposal is for additional engineering services for bidding support. The changes are included below. ADDITIONAL SCOPE OF WORK Gray&Osborne will perform the following tasks. Task 1—Bidding Support Gray&Osborne provided support during bidding that exceeded the initial estimate including preparing clarifications and addenda, and conformed plans and specifications. G&o 916627 Page 1 of 1 C O T V [ r = 00 7 O C� N vi y O ^ N 69 N O E 00 H A N 7 69 iN p O U G O CIAN D M W x O 69 69 GU 40. hU � � N O b0 N 'O � •� x � 69 69 w U > W 'Nr' CG F b u y y�^9 r � E a .� .d _. F+ c A It f 69 [C bA oGo� o cl) a m o b v v it U O 9n, U 0 m p � OC ', C C y p � a ', CCl P] � 'v0 _ _U U C 'O d Uj F. C L ° N ° b c cn W U _ 71 O d C W CQ cc C 0 rt 0 O '�- CERTIFICATE OF LIABILITY INSURANCE F DATE IMM1DDlYYYY) 9/6/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS "7 RTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES ,LOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 m lieu of such endprseme t$ . PRODUCER Hall&Company NAMEA T Allison Barga 19660 1 OUT Ave NE APWC,.Na,EnO, ..,. 1 PRorvE 3di0 626 2007 FAX wu 360 626 2pQd __. PoulSbo WA 98370 E-MAIL AgoaESs abprgpt�hallarlcicUmpamy com .. ...,...,.,. NSURER(St AFFORDIMGCOVERAGE II .,19 ...... _.... ... .-_. ...... INSURER A: Hartford Casualty_Insurance Coml_ ._ 29424 INSURED ^ INSURER e Travelers Casualty and Surety Comical 19038 Gray 8 Osborne Inc _-... -..... ......... ......... ........ ..... 1130 Rainier Avenue South, Suite 300 INSURER Seattle WA 98144 INSURERO� . . ........... ._. . ........ ......_ _.. INSURER E. INSURER F COVERAGES CERTIFICATE NUMBER:1230890418 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 ...... �"...- ____.Arabi$011A ............. __— POLICY Err POLICY E%P _. LTR TYPE OF INSURANCE — _. AMU POLICY BOMBER MMi rYYYy MM! YY LIMITS A X COMMERCIAL GENERAL LIABILITY 52SBAOU7303 911012018 911012019 EACH OCCURRENCE $1,WQ,07UD -_. DAF,IACF Tty?"fk NtPEC7 .. ......CLAIMS-MADE ` X... OCCUR PRLM!$r5,(EA trvcuraun�.pM..,. $'.ASe a%D X OCP/XCU/BFPO .., MEDEXP,QAnyvnvµnaill....... S10,000 anpAre6Pae lneas PERSONAL&ADVINJURY 5I' M)No GEN L AGGREGATE LIMIT APPLIES PER: GENERALACT I. ATE 52,o,wo ... I..�fRO ,... .,., -. I. .._.. .. POLICY X JECr LOC PiODUC I gOMPIOP AGO s4wuaou ,... Or>9ER. ..... _..., ..... S_ AUTOMOBILE LIABILITY 52UECJS3276 COMBI EO, s1000000 l 9I1012018 9110I2019 CC'1MBXNED yNNDI HI X ANY AUTO A[sBODILY INJURY(Per person) $ GAINED P SCHEDULED -AUTOS ONLY AUTOS BODILV INJURY(Par accdwrl) $ HIRED NON-OWNED SOOI'L PROPER DAMAC'E,.,_. AUTOS ONLY AUTOS ONLY ... .. .., A X UMBRELLA LIAR X OCCUR 52SBADU7303 9110201E 9AN2019 EACIT f7f,tl3.URREN(;r $p.CbO 000 EXCESS LIAR CLAIMS MADE... .. _..._. A((Nk CAT'E %T(XKI COD DEC X RETENTIONS A WORKERS COMPENSATION 52SBAD07303 9/10/2010 9lID12015 PER C7All $ AND EMPLOYERS LIABILITY Y4N 4rfT "� Er2 WA ym (y ff OFFICEANYP MEM5IRIPACME5ME4Ui1wE EL EACHA,G,P DENT S ,cao 000 OPrICE Rry la NIRENOWI3EO? NIA ....... (A4.d ..rib to E L DISEAEE EA EM[>LfINE&" B Y,WJ00Cn _ r SC Iff ON uruivr _ E L DISEA__ .. _- __-..... ......... B Pryofess Professional Clram3 de 4Wawn 9/1012013 9/t 012019 $ 1000,OOO sf.-POLIOV LIMIT $1.r#1D.t1UD iJESCfW1pTIpN OF OPERA orlolfion Made 105339619 Fenn Per Claim Aggregate DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES kACOR01tl1,.A6UIIIvmnt Ram�nrpv Scboaub,anoy ba aMtiacbetl Ill&PACK In ruquinad) Re:54O Water Reservoir City of Kent is an additional insured per Written contract or agreement between insured and insured's client on the General Liability and Automobile Liability regardin�liability arising Out of activities by or OF behalf of the named insured. This Insurance is primary Insurance and any other insurance mainlalned b the Adddtionat insured shalt be excess only and non-contributing with this Insurance. A waiver Of aubragalion applies to the General Liability,Auto Liability,Z Employers Liability and Umbrella I Excess Liability In favor of the Additional Insured, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Of Kent ACCORDANCE WITH THE POLICY PROVISIONS. 4uu West Gowe Kent WA 98032 AUTHORIZEDREPRESENTATIVE ©1VUH-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Policy#52SBADU7303 BUSINESS LIABILITY COVERAGE FORM (b) Rented to, In the care, custody or b. Coverage under this provision does not control of, or over which physical apply to: control is being exercised for any (1) "Bodily injury" or "property damage" purpose by you, any of your11 that occurred; or employees", "volunteer workers", any partner or member (if you are (2) "Personal and advertising injury" a partnership or joint venture), or arising cut of an offense committed any member (if you are a limited before you acquired or formed the liability company). organization. b. Real Estate Manager 4. Operator Of Mobile Equipment Any person (other than your"employee"or With respect to "mobile equipment" registered in "volunteer worker"), or any organization your name under any motor vehicle registration while acting as your real estate manager. law, any person is an insured while driving such c. Temporary Custodians Of Your equipment along a public highway with your Property permission. Any other person or organization responsible for the conduct of such person is Any person or organization having proper also an insured, but only with respect to liability temporary custody of your property if you arising out of the operation of the equipment, and die,but only: only if no other insurance of any kind is available (1) With respect to liability arising out of the to that person or organization for this liability. maintenance or use of that property;and However,no person or organization is an insured (2) Until your legal representative has with respect to: beer appointed. a. 'Bodily injury" to a co-"employee" of the d. Legal Representative If You Die person driving the equipment;or Your legal representative if you die, but b. "Property damage" to property owned by, only with respect to duties as such. That rented to, in the charge of or occupied by representative will have all your rights and you or the employer of any person who is duties under this insurance. an insured under this provision. e. Unnamed Subsidiary 5. Operator of Nonowned Watercraft Any subsidiary and subsidiary thereof, of With respect to watercraft you do not own that yours which is a legally incorporated entity is less than 51 feet long and is not being used of which you own a financial interest of to carry persons for a charge, any person is an more than 50% of the voting stock on the insured while operating such watercraft with effective date of this Coverage Part, your permission. Any other person or herein for any organization responsible for the conduct of The insurance afforded her subsidiary not shown Jr. the ein for such person is also an insured, but only with respect to liability arising out of the operation as a named insured does not apply to of the watercraft, and only if no other injury or damage with respect to which an Insurance of any kind is available to that insured under this insurance is also an person or organization for this liabiiity. Insured under another policy or would be an insured under such policy but for Its However, no person or organization is an termination or upon the exhaustion of its insured with respect to; limits of insurance. a, 'Bodily injury" to a co-"employee" of the 3. Newly Acquired Or Formed Organization person operating the watercraft;or Any organization you newly acquire or form, b. "Property damage" to property owned by, other than a partnership, joint venture or rented to, in the charge of or occupied by . limited liability company, and over which you you or the employer of any person who is maintain financial interest of more than 60% of an insured under this provision. the voting stock, will qualify as a Named A 6. Additional Insureds When Required By Insured if there is no other similar insurance Written Contract, Written Agreement Or available to that organization. However: Permit a. Coverage under this provision is afforded The person(s) or organization(s) identified in only until the 180th day after you acquire Paragraphs a. through f. below are additional or form the organization or the end of the insureds when you have agreed, in a written policy period,whichever Is earlier,, and Form SS DO 08 04 OS Page 11 of 24 The Hartford Policy#b25BADU7303 BUSINESS LIABILITY COVERAGE FORM contract, written agreement or because of a (e)" Any failure to make such permit issued by a state or political inspections, adjustments, tests or subdivision, that such person or organization servicing as the vendor has be added as an additional insured on your agreed to make or normally policy, provided the injury or damage occurs undertakes to make in the usual subsequent to the execution of the contract or course of business, in connection agreement, or the issuance of the permit. with the distribution or sale of the A person or organization N an additional products; Insured under this provision only for that {f) Demonstration, installation, period of time required by the contract, servicing or repair operations, agreement or permit. except such operations performed at the vendor's premises in However, in such person or organization manionf is an connect'on with the sale of the additional insured under this provision if such product; person or organization is included as an additional Insured by an endorsement issued (g) Products which, after distribution by us and made a part of this Coverage Part, or sale by you, have been labeled including all persons or organizations added or relabeled or used as a as additional insureds under the specific container, part or ingredient of any additional insured coverage grants in Section other thing or substance by or for F.—Optional Additional Insured Coverages. the vendor, or a. Vendors (h) "Bodily injury' or "property Any persons)or organizations) (referred to damage" arising cut of the sole below as vendor), but only with respect to negligence of the vendor for its "bodily Injury" or "property damage" arising own acts or omissions or those of Its employees or anyone else out of "your products" wMch are distributed acting on its behalf. However, this or sold the regular course of the enda exclusion does not apply to: business and only If this Coveragge Part provides coverage for "bodily injury" or (i) The exceptions contained in "property damage" included within the Subparagraphs (d)or(f); or "products-completed operations hazard". (ii) Such inspections, adjustments, (1) The insurance afforded to the vendor tests or servicing as the vendor is subject to the following additional has agreed to make or normally exclusions: undertakes to make In the usual This insurance does not apply to: course of business, in connection with the distribution (a) "Bodily injury" or "property or sale of the products. damage" for which the vendor is obligated to pay damages by (2) This insurance does not apply to any reason of the assumption of Insured person or organization from liability in a contract or agreement whom you have acquired such products, This exclusion does not apply to or any ingredient, part or container, Liability for damages that the entering into, accompanying or vendor would have in the absence containing such products. of the contract or agreement; b. Lessors Of Equipment (b) Any express warranty (1) Any person or organization from unauthorized by you; whom you lease equipment; but only c Any physical or chemical change with respect to their liability for "bodily in the product made intentionally injury", "property damage" or by the vendor; "personal and advertising injury" caused, in whole or in part, by your (d) Repackaging, except when maintenance, operation or use of unpacked solely for the purpose of equipment leased to you by such inspection, demonstration, testing, person or organization. or the substitution of parts under instrucfrons from the manufacturer, and then repackaged in the original container; Page 12 of 24 Form SS 00 08 04 05 Policy#52SBADU7303Policy# 52SBADU7303 BUSINESS LIABILITY COVERAGE FORM (2) With respect to the insurance afforded e. Permits Issued By State Or Political to these additional insureds, this Subdivisions insurance does not apply to any (1) Any state or political subdivision, but occurrence" which takes place after only with respect to operations you cease to lease that equipment. performed by you or on your behalf for c. Lessors Of Land Or Premises which the state or political subdivision (1) Any person or organization from has issued a permit. whom you lease land or premises, but (2) With respect to the insurance afforded only with respect to liability arising out to these additional insureds, this of the ownership, maintenance or use insurance does not apply to: of that part of the land or premises leased to you, (a) "Bodily injury", "property damage" or "personal and advertising (2) With respect to the insurance afforded injury" arising out of operations to these additional Insureds, this performed for the state or insurance does not apply to: municipality; or (a) Any "occurrence" which takes (b) "Bodily injury" or"property damage" place after you cease to lease that included within the "products- land or be a tenant in that completed operations hazard". premises; or f. Any Other Party (b) Structural alterations, new (1) Any other person or organization who construction or demolition is not an insured under Paragraphs a. operations performed by or on through e. above, but only with behalf of such person or respect to liability for "bodily injury", organization. "property damage' or "personal and d. Architects, Engineers Or Surveyors advertising injury" caused, in whole or (1) Any architect, engineer or surveyor, but in part, by your acts or omissions or only with respect to liability for "bodily the acts or omissions of those acting injury", "property damage" or "personal _ on your behalf: and advertising injury" caused, in whole (a) In the performance of your or in part, by your ads or omissions or ongoing operations; the ads or omissions of those acting on (b) In connection with your premises your behalf: owned by or rented to you; or (a) In connection with your premises; (c) In connection with "your work" and or included within the "products- (b) In the performance of your completed operations hazard", but ongoing operations performed by only if you or on your behalf. (i) The written contract or written (2) With respect to the insurance afforded agreement requires you to to these additional insureds, the provide such coverage to following additional exclusion applies: such additional insured;and This insurance does not apply to (it) This Coverage Part provides "bodily injury", "property damage" or coverage for "bodily injury" or "personal and advertising injury" "property damage" included arising out of the rendering of or the within the products- failure to render any professional completed operations hazard". services by or for you, including: (2) With respect to the insurance afforded (a) The preparing, approving, or to these additional Insureds, this failure to prepare or approve, insurance does not apply to: maps, shop drawings, opinions, "Bodily injury", "property damage" or reports, surveys, field orders, "personal and advertising injury" change orders, designs or arising out of the rendering of, or the drawings and specifications;or failure to render, any professional (b) Supervisory, inspection, architectural, engineering or surveying architectural or engineering services, including: activities. Form SS 00 08 04 05 Page 13 of 24 PoJicy#52SRADU7303 BUSINESS LIABILITY COVERAGE FORM (a) The preparing, approving, or This General Aggregate limit does not failure to prepare or approve, apply to "property damage" to premises maps, shop drawings, opinions, white rented to you or temporarily reports, surveys, field orders, occupied by you with permission of the change orders, designs or owner, arising out of fire, lightning or drawings and specifications; or explosion. (b) Supervisory, inspection, 3. Each Occurrence Limit architectural or " engineering Subject to 2.a. or 2.b above, whichever activities. applies, the most we will pay for the sum of all The limits of insurance that apply to additional damages because of all "bodily injury", insureds are described in Section D. — Limits "property damage" and medical expenses Of Insurance. arising out of any one "occurrence" is the How this insurance applies when other Liability and Medical Expenses Limit shown in insurance is available to an additional insured the Declarations. is described in the Other Insurance Condition The most we will pay for all medical expenses in Section E. — Liability And Medical Expenses because of "bodily injury" sustained by any General Conditions. one person is the Medlcat Expenses Limit No person or organization is an insured with shown in the Declarations. respect to the conduct of any current or past 4. Personal And Advertising Injury Limit partnership, joint venture or limited liability Subject to 2.b, above, the most we will pay for company that is not shown as a Named Insured in the sum of all damages because of all the Declarations. personal and advertising injury" sustained by D. LIABILITY AND MEDICAL EXPENSES any one person or organization is the Personal LIMITS OF INSURANCE and Advertising Injury Limit shown in the 1. The Most We Will Pay Declarations. The Limits of Insurance shown in the 5. Damage To Premises Rented To You Limit Declarations and the rules below fix the most The Damage To Premises Rented To You we will pay regardless of the number of: Limit is the most we will pay under Business Liability Coverage for damages because of a. Insureds; "property damage" to any one premises, while b. Claims made or"suits"brought; or rented to you, or in the case of damage by fire, c. Persons or organizations making claims or lightning or explosion, while rented to you or bringing "suits". temporarily occupied by you with permission of 2. Aggregate Limits the owner. The most we will pay for: In the case of damage by fire, lightning or explosion, the Damage to Premises Rented To a. Damages because of "bodily injury" and You Limit applies to all damage proximately "property damage" included in the caused by the same event, whether such "products-completed operations hazard" is damage results from fire, lightning or explosion the Products-Completed Operations or any combination of these. Aggregate Limit shown In the Declarations. 6. How Limits Apply To Additional Insureds b. Damages because of all other "bodily The most we will pay on behalf of a person or Injury", "property damage" or "personal organization who is an additional insured and advertising injury", including medical underthis Coverage Part is the lesser of; expenses, is the General Aggregate Limit a. The limits of insurance specified in a shown in the Declarations. written contract, written agreement or This General Aggregate Limit applies permit issued by a state or political separately to each of your "locations" subdivision;or owned by or rented to you. b. The Limits of Insurance shown in the "Location" means premises involving the Declarations, same or connecting lots, or premises Such amount shall be a part of and not in whose connection is interrupted only by a addition to the Limits of Insurance shown in street, roadway or right-of-way of a the Declarations and described in this Section. 1 railroad. Page 14 of 24 Form SS 00 08 04 05 Policy#52SBADU7303 BUSINESS LIABILITY COVERAGE FORM If more than one limit of insurance under this (1) Immediately send us copies of any policy and any endorsements attached thereto demands, notices, summonses or applies to any claim or"suit the most we will pay legal papers received in connection under this policy and the endorsements is the with the claim or"suit"; single highest limit of liability of all coverages (2) Authorize us to obtain records and applicable to such claim or "suit". However, this other information; paragraph does not apply to the Medical Expenses (3} Cooperate with us in the investigation, limit set forth in Paragraph 3.above. settlement of the claim or defense The Limits of Insurance of this Coverage Part apply against the "suit"; and separately to each consecubve annual period and to (4) Assist us, upon our request, in the any remaining period of less than 12 months,starting enforcement of any right against any with the beginning of the policy period shown in the person or organization that may be Declarations, unless the policy period is extended liable to the insured because m injury after issuance for an additional period of less than 12 or le to the in which this insurance months. In that case, the additional period will be may also apply. deemed part of the last preceding period for purposes of determining the Limits of Insurance. d. Obligations At The Insured's Own Cost E. LIABILITY AND MEDICAL EXPENSES No insured will, except at that insured's own cost, voluntarily make a payment, assume GENERAL CONDITIONS any obligation, or incur any expense, other 1. Bankruptcy than for first aid,without our consent. Bankruptcy or insolvency of the insured or of e. Additional Insured's Other Insurance the insured's estate will not relieve us of our If we cover a claim or "suit" under this obligations under this Coverage Part. Coverage Part that may also be covered 2, Duties In The Event Of Occurrence, by other insurance available to an Offense, Claim Or Suit additional insured, such additional insured a. Notice Of Occurrence Or Offense must submit such claim or "suit" to the other insurer for defense and indemnity, it- that we are notified as soon as You or any ad di insured must see to However, this provision does not apply to practicable of an "occurrence" or an the extent that you have agreed in a offense which may result in a claim. To written contract, written agreement or the extent possible, notice should include: permit that this insurance is primary and non-contributory with the additional (1) How, when and where the "occurrence" insured's own insurance. or offense took place; f. Knowledge Of An Occurrence, Offense, (2) The names and addresses of any Claim Or Suit injured persons and witnesses; and Paragraphs a. and b, apply to you or to (3) The nature and location of any injury any additional insured only when such or damage arising out of the "occurrence", offense, claim or "suit" is "occurrence"or offense. known to: b. Notice Of Claim (1) You or any additional insured that is If a claim is made or "suit" is brought an individual; against any insured, you or any additional (2) Any partner, if you ui an addiliunal Insured must: insured is a partnership; (1) Immediately record the specifics of the (3) Any manager, if you or an additional claim or "suit" and the date received; insured is a limited liability company; and (4) Any "executive oofficer" or insurance (2) Notify us as soon as practicable. manager, ifyou or an additional You or any additional insured must see to insured is a corporation; it that we receive a written notice of the (5) Any trustee, if you or an additional claim or"suit"as soon as practicable. insured is a trust; or c. Assistance And Cooperation Of The (6) Any elected or appointed official, If you Insured or an additional insured is a political You and any other involved insured must: subdivision or public entity. Farm SS 00 08 04 05 Page 15 of 24 Policy 8 52SBADU7303 BUSINESS LIABILITY COVERAGE FORM This Paragraph f. applies separately to (3) We have issued this policy in reliance you and any additional Insured, upon your representations. 3. Financial Responsibility Laws b. Unintentional Failure To Disclose a. When this policy is certified as proof of Hazards financial responsibility for the future under If unintentionally you should fail to disclose the provisions of any motor vehicle all hazards relating to the conduct of your financial responsibility law, the insurance business at the Inception date of this provided by the policy for "bodily injury" Coverage Part, we shall not deny any liability and "property damage" liability will coverage under this Coverage Part comply with the provisions of the law to because of such failure. Ole extent of the coverage and limits of 7, Other Insurance insurance required by that law. b. With respect to "mobile equipment" to If other valid and collectible insurance is which this insurance applies, we will available for a loss we cover under this Coverage Part, our obligations are limited as provide any liability, uninsured motorists, follows: underinsured motorists, no-fault or other coverage required by any motor vehicle �7 a. Primary Insurance law. We will provide the required limits for 1 This insurance is primary except when b. those coverages, below applies. If other insurance is also 4. Legal Action Against Us primary, we will share with all that other No person or organization has a right under insurance by the method described in c. this Coverage Form: below. a. To join us as a party or otherwise bring us b. Excess Insurance into a "suit" asking for damages from an This insurance is excess over any of the insured; or other insurance, whether primary, excess, b. To sue us on this Coverage Form unless contingent or on any other basis: all of its terms have been fully complied (1) Your Work with. That is Fire, Extended Coverage, A person or organization may sue us to recover Builder's Risk, Installation Risk or on an agreed settlement or on a final judgment similar coverage for"your work"; against an insured; but we will not be liable for (2) Premises Rented To You damages that are not payable under the terms of this insurance or that are in excess of the That is fire, lightning or explosion applicable limit of insurance. An agreed insurance for premises rented to you settlement means a set0ement and release of or temporarily occupied by you with liability signed by us, the insured and the permission of the owner; claimant or the claimant's legal representative. (3) Tenant Liability 5. Separation Of Insureds That is insurance purchased by you to Except with respect to the Limits of Insurance, cover your liability as a tenant for and any rights or duties specifically assigned "property damage" to premises rented in this policy to the first Named Insured, this to you or temporarily occupied by you insurance applies: with permission of the owner; a. As if each Named Insured were the only (4) Aircraft,Auto Or Watercraft Named Insured; and If the loss arises out of the maintenance b. Separately to each insured against whom or use of aircraft, "autos"or watercraft to a claim is made or"suit" is brought, the extent not subject to Exclusion g. of 6. Representations SectionA.—Coverages. (5) Property Damage To Borrowed a. When You Accept This Policy Equipment Or Use Of Elevators By accepting this policy, you agree: Ir the loss arises out or "properly (1) The statements in the Declarations damage" to borrowed equipment or are accurate and complete; the use of elevators to the extent not (2) Those statements are based upon subject to Exclusion k, of Section A.— representations you made to us;and Coverages. Page 16 of 24 Form SS 00 08 04 05 Policy#52SRADU7303 BUSINESS LIABILITY COVERAGE FORM (6) When You Are Added As An When this insurance is excess over other Additional Insured To Other insurance, we will pay Only our share of Insurance the amount of the loss, if any, that That is other insurance available to exceeds the sum of: you covering liability for damages (1) The total amount that all such other arising out of the premises or insurance would pay for the loss in the operations, or products and completed absence of this insurance;and operations, for which you have been (2) The total of all deductible and self- added as an additional insured by that insured amounts under all that other insurance; or insurance. (7) When , You Add Others As An We will share the remaining loss, if any,with Additional Insured To This any other insurance that is not described In Insurance this Excess Insurance provision and was not That is other insurance available to an bought specifically to apply in excess of the additional insured. Limits of Insurance shown In the However, the following provisions Declarations of this Coverage Part, apply to other insurance available to c. Method Of Sharing any person or organization who is an If all the other insurance permits additional insured under this Coverage contribution by equal shares,we will follow Part' this method also. Under this approach, (a) Primary Insurance When each insurer contributes equal amounts Required By Contract until it has paid its applicable limit of This insurance is primary if you insurance or none of the loss remains, have agreed in a written contract, whichever comes first, written agreement or permit that If any of the other insurance does not permit this insurance be primary. If other contribution by equal shares, we will insurance is also primary, we will contribute by limits. Under this metliod, each share with all that other insurance insurer's share is based on the rat'o of its by the method described in c, applicable limit of insurance to the total below. applicable limits of insurance of all insurers. (b) Primary And Non-Contributory 8. Transfer Of Rights Of Recovery Against To Other Insurance When Others To Us Required By Contract a. Transfer Of Rights Of Recovery If you have agreed in a written If the insured has rights to recover all or contract, written agreement or part of any payment, including permit that this insurance is Supplementary Payments, we have made primary and non-contributory with under this Coverage Part, those rights are the additional insured's own transferred to us. The insured must do insurance, this Insurance is nothing after loss to Impair them. At oyr, primary and we will not seek request, the insured will bring "suit" or contribution from that other transfer those rights to us and help us insurance. enforce them. This condition does not Paragraphs (a) and (b) do not apply to apply to Medical Expenses Coverage. other insurance to which the additional b. Waiver Of Rights Of Recovery (Waiver insured has been added as an Of Subrogation) additional insured. If the insured has waived any rights of When this insurance is excess, we will recovery against any person or have no duty under this Coverage Part to organization for all or part of any payment, defend the insured against any "suit" if any including Supplementary Payments, we other insurer has a duty to defend the have made under this Coverage Part, we insured against that "suit". If no other also waive that right, provided the insured insurer defends, we will undertake to do waived their rights of recovery against so, but we will be entitled to the insured's such person or organization in a contract, rights against all those other insurers. agreement or permit that was executed prior to the injury or damage. Form SS 00 08 04 05 Page 17 of 24 a Pofj cy it 52UECJS3276 T THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED AND RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM A, Any person or organization whom you are required by contract to name as additional insured is an "insured"" for LIABILITY COVERAGE but Only to the extent that person or organization qualifies as an "insured" under the WHO IS AN INSURED provision of Section II - LIABILITY COVERAGE. B. For any person or organization for whom you are required by contract to provide a waiver of subrogation, the Loss Condition TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US is applicable. r Form HA 99 13 01 87 Printed in U.S.A.