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HomeMy WebLinkAboutCAG2021-543 - Insurance Certificate - Berger Partnership PS - Liability Coverage - 10/24/2022 ACC?R" CERTIFICATE OF LIABILITY INSURANCE F DATE YY) 5/25/2p23 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Gurry&Rogers Insurance Agency, Inc. PAH/cNro Ext: (206)621-6444 C No: (206)515-0560 2901 NE Blakeley St. #3A ADDRESS: INSURERS AFFORDING COVERAGE NAIC# Seattle WA 98105 INSURER A:Travelers Property Casualty 25674 INSURED INSURERB:THE TRAVELERS INDEMNITY COMPANY OF 25658 Berger Partnership, P.S. INSURER C: 1927 Post Alley INSURER D: Suite 2 INSURER E Seattle WA 98101 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1410103316 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 ADDLTYPE OF INSURANCE INSR WVDSUBR POLICY NUMBER POLICY EFF POLICY EXP LTR MMIDD/YYYY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ A CLAIMS-MADE FO OCCUR X 68061484050 10/24/2022 10/24/2023 MED EXP(Any one person) $ 5,000 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICY X PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident 1,000,000 ANYAUTO BODILY INJURY(Per person) $ B ALL OWNED SCHEDULED A1R14187A 10/24/2022 10/24/2023 X AUTOS AUTOS X BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED RETENTION $ X CUPSD43488A 10/29/2022 10/29/2023 $ A WORKERS COMPENSATION X Y/N WC STATU- OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A A STOP GAP E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? 6806H89050 10/29/2022 10/29/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1 000 000 A PROFESSIONAL LIABILITY X 105340249 10/4/2022 10/4/2023 $5,000,000OCCURRENCE $40,000 Ded. $5,000,000 AGGREGATE DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) City of Kent is named as additional insured as respects the operations of the named insured. Project: Kent Industrial Valley Wayfinding Signage 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. Parks, Recreation and Community Services AUTHORIZED REPRESENTATIVE 220 Fourth Avenue South Kent, WA 98032 Kari DiJulio/KD 09_1`1 I ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD Policy 6806H84050 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ARCHITECTS, ENGINEERS AND SURVEYORS XTEND ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART GENERAL DESCRIPTION OF COVERAGE Provisions A. - T. and V. of this endorsement broaden coverage. Provisions U. and W. of this endorsement may limit coverage. The following listing is a general coverage description only. Limitations and exclusions may apply to these coverages. Read all the PROVISIONS of this endorsement carefully to determine rights, duties, and what is and is not covered. A. Broadened Named Insured N. Additional Insured - Architect, Engineer Or B. Incidental Medical Malpractice Surveyor C. Reasonable Force - Bodily Injury Or Property O. Who Is An Insured- Newly Acquired Or Formed Damage Organizations D. Non-Owned Watercraft - Increased To Up To 75 P. Who Is An Insured - Unnamed Partnership Or feet Joint Venture-Excess E. Aircraft Chartered With Crew Q. Per Project General Aggregate Limit F. Extension Of Coverage - Damage To Premises R. Knowledge And Notice Of Occurrence Or Rented To You Offense G. Malicious Prosecution - Exception To Knowing S. Unintentional Omission Violation Of Rights Of Another Exclusion T. Waiver Of Transfer Of Rights Of Recovery H. Medical Payments Limit Against Others To Us When Required By Con- I. Increased Supplementary Payments tract Or Agreement J. Additional Insured - Owner, Manager Or Lessor U. Amended Bodily Injury Definition Of Premises V. Amended Insured Contract Definition - Railroad K. Additional Insured -Lessor Of Leased Equipment Easement W. Amended Property Damage Definition- Tangible L. Additional Insured - State Or Political Subdivi- Property sions- Permits Relating To Premises X. Additional Definition - Contract or Agreement M. Additional Insured - Stale Or Political Subdivi- Requiring Insurance sions- Permits Relating To Operations PROVISIONS coverage for any such additional organization A. BROADENED NAMED INSURED will cease as of the date, if any, during the policy period, that you no longer are the sole 1. The Named Insured in Item 1. of the Com- owner of, or maintain the majority ownership mon Policy Declarations is amended as fol- interest in, such organization. lows: 2. This Provision A. does not apply to any per- The person or organization named in Item 1. son or organization for which coverage is ex- of the Common Policy Declarations and any cluded by another endorsement to this Cov- organization, other than a partnership, joint erage Part. venture, limited liability company or trust, of B. INCIDENTAL MEDICAL MALPRACTICE which you are the sole owner or in which you maintain the majority ownership interest on 1. The following is added to Paragraph 1. Insur- the effective date of the policy. However, ing Agreement of COVERAGE A BODILY CG D3 79 09 07 0 2001 The Travelers Companies,Inc Pace 1 of 8 COMMERCIAL GENERAL LIABILITY INJURY AND PROPERTY DAMAGE LI- C. REASONABLE FORCE — BODILY INJURY OR ABILITY in COVERAGES (Section 1): PROPERTY DAMAGE "Bodily injury" arising out of the rendering of, The Expected Or Intended Injury Exclusion in or failure to render, "first aid" or "Good Sa- Paragraph 2. Exclusions of COVERAGE A maritan services" to a person, other than a BODILY INJURY AND PROPERTY DAMAGE co-"employee" or "volunteer worker", will be LIABILITY in COVERAGES (Section I) is de- deemed to be caused by an "occurrence". leted and replaced by the following: For the purposes of determining the applica- Expected Or Intended Injury Or Damage ble limits of insurance, any act or omission together with all related acts or omissions in Bodily injury" or 'property damage" expected or the furnishing of the services to any one per- intended from the standpoint of the insured. This son will be deemed one"occurrence". exclusion does not apply to "bodily injury' or 2. As used in This Provision B.: "property damage" resulting from the use of rea- sonable force to protect any person or property, a. "First aid" means medical or nursing ser- D. NON-OWNED WATERCRAFT — INCREASED vice, treatment, advice or instruction; the TO UP TO 75 FEET related furnishing of food or beverages;the furnishing or dispensing of drugs or 1. The exception contained in Subparagraph (2) medical supplies or appliances; of the Aircraft, Auto Or Watercraft Exclu- sion in 2. Exclusions of COVERAGE A b. "Good Samaritan services" means (hose i BODILY INJURY AND PROPERTY DAM" medical services rendered or provided in AGE LIABILITY in COVERAGES (Section 1) an emergency and for which no remu- is deleted and replaced by the following: neration is demanded or received. 3. Paragraph 2.a.(1)(d) of WHO IS AN IN. (2) A watercraft you do not own that is: SURED (Section 11) does not apply to any of (a) Less than 75 feel long, and your "employees", who are not employed as (b) Not being used to carry persons or a doctor or nurse by you, but only while per- property for a charge; forming the services described in Paragraph 2, Only as respects the insurance provided by 1. above and while acting within the scope of this Provision D., WHO IS AN INSURED their employment by you. Any such "employ- (Section 11) is amended to include as an in- ees" rendering "Good Samaritan services" sured any person who, with your expressed will be deemed to be acting within the scope or implied consent, either uses or is respon- of their employment by you. sible for the use of the watercraft. 4. The following exclusion is added to Para- 3. The insurance provided by this Provision D. graph 2. Exclusions of COVERAGE A BOD- shall be excess over any valid and collectible ILY INJURY AND PROPERTY DAMAGE other insurance available to the insured, LIABILITY in COVERAGES (Section 1): whether primary, excess, contingent or on Sale of Pharmaceuticals any other basis, except for insurance pur- "Bodily injury" or "property damage' aris- chased specifically by you to apply in excess ing out of the willful violation of a penal of the Limits of Insurance shown in the Decla- statule or ordinance relating to the sale of rations for this Coverage Part. pharmaceuticals committed by or with the E. AIRCRAFT CHARTERED WITH CREW knowledge or consent of the insured. 1. The following is added to the exceptions con- k. The insurance provided by this Provision B. tained in the Aircraft, Auto Or Watercraft shall be excess over any valid and collectible Exclusion in Paragraph 2. Exclusions of other insurance available to the insured, COVERAGE A BODILY INJURY AND whether primary, excess, contingent or on PROPERTY DAMAGE LIABILITY in COV- any other basis, except for insurance pur- ERAGES (Section 1): chased specifically by you to apply in excess Aircraft chartered with crew, including a pilot, of the Limits o1 Insurance shown in the Decla- to any insured. rations for this Coverage Part. Page 2 of 8 0 2007 ine Traveie,s Companies. Inc CG D3 79 09 07 COMMERCIAL GENERAL LIABILITY 2. This Provision E. does not apply if the char- any one premises while rented to you, or tered aircraft is owned by any insured. temporarily occupied by you with permission 3. The insurance provided by this Provision E. of the owner, caused by: fire; explosion; light- shall be excess over any valid and collectible ning; smoke resulting from such fire, explo- other insurance available to the insured, sion, or lightning; or water. The Damage To whether primary, excess, contingent or on Premises Rented To You Limit will apply to any other basis, except for insurance pur- all "property damage' proximately caused by chased specifically by you to apply in excess the same "occurrence", whether such dam- of the Limits of Insurance shown in the Decla- age results from: fire; explosion; lightning; rations for this Coverage Part. smoke resulting from such fire, explosion, or lightning; or water; or any combination of any F. EXTENSION OF COVERAGE — DAMAGE TO of these causes. PREMISES RENTED TO YOU The Damage To Premises Rented To You 1. The last paragraph of COVERAGE A BOD- Limit will be the higher of: ILY INJURY AND PROPERTY DAMAGE LIABILITY in COVERAGES (Section 1) is a. $1,000,000;or deleted and replaced by the following: b. The amount shown for the Damage To Exclusions c. through n. do not apply to dam- Premises Rented To You Limit in the age to premises while rented to you, or tem- Declarations for this Coverage Part. porarily occupied by you with permission of 4. Paragraph a. of the definition of"insured con- the owner,caused by: tract" in DEFINITIONS (Section V)is deleted a. Fire; and replaced by the following: b. Explosion; a. A contract for a lease of premises. How- ever, that portion of the contract for a c. Lightning; lease of premises that indemnifies any d. Smoke resulting from such fire, explo- person or organization for damage to sion, or lightning; or premises while rented to you, or tempo- e. Water. rarily occupied by you with permission of the owner, caused by: fire; explosion; A separate limit of insurance applies to this coverage as described in LIMITS OF IN- lightning; smoke resulting from such fire, explosion, or lightning; or water is not an SURANCE(Section Ill). "insured contract"; 2. The insurance under this Provision F. does 5. This Provision F. does not apply if coverage not apply to damage to premises while rented for Damage To Premises Rented To You of to you, or temporarily occupied by you with COVERAGE A BODILY INJURY AND permission of the owner, caused by: PROPERTY DAMAGE LIABILITY in COV- a. Rupture, bursting, or operation of pres- ERAGES (Section 1) is excluded by another sure relief devices; endorsement to this Coverage Part. b. Rupture or bursting due to expansion or G. MALICIOUS PROSECUTION —EXCEPTION TO swelling of the contents of any building or KNOWING VIOLATION OF RIGHTS OF AN- structure, caused by or resulting from wa- OTHER EXCLUSION ter; or The following is added to the Knowing Violation c. Explosion of steam boilers, steam pipes, Of Rights Of Another Exclusion in 2. Exclu- steam engines, or steam turbines. sions of COVERAGE 8 PERSONAL INJURY, 3. Paragraph 6. of LIMITS OF INSURANCE ADVERTISING INJURY AND WEB SITE IN- (Section III) is deleted and replaced by the JURY LIABILITY of the WEB XTEND LIABILITY following: Endorsement: Subject to 5. above, the Damage To Prem- This exclusion does not apply to "personal injury" ises Rented To You Limit is the most we will caused by malicious prosecution. pay under Coverage A for the sum of all damages because of "properly damage" to CG D3 79 09 07 0 200?The Travelers Companies.err. Page 3 of 8 COMMERCIAL GENERAL LIABILITY H. MEDICAL PAYMENTS LIMIT (2) Any structural alterations, new con. The Medical Expense Limit shown in the Declara- struction or demolition operations tions for this Coverage Pan is increased to performed by or on behalf of such $10,000. additional insured, or I. INCREASED SUPPLEMENTARY PAYMENTS (3) Any premises for which coverage is Paragraphs 1.b. and 1.d, of SUPPLEMENTARY excluded by another endorsement to this Coverage Part. PAYMENTS — COVERAGES A AND B in COV• ERAGES (Section 1) are amended as follows: 3. This Provision J. does not apply on any 1. In Paragraph 1.b., the amount we will pay for basis to any person or organization for which coverage as added additional insured the cost of bail bonds is increased to $2500. specifically is added by another en- 2. In Paragraph 1.d., the amount we will pay for dorsement to this Coverage Pan. loss of earnings is increased to $500 a day. K. ADDITIONAL INSURED — LESSOR OF J. ADDITIONAL INSURED — OWNER, MANAGER LEASED EQUIPMENT OR LESSOR OF PREMISES 1. WHO IS AN INSURED (Section 11) is 1. WHO IS AN INSURED (Section 11) is amended to include as an insured: amended to include as an insured: Any person or organization that you have Any person or organization that you have agreed in a contract or agreement to include agreed in a contract or agreement to include as an additional insured on this Coverage as an additional insured on this Coverage Part, but: Part, but: a. Only with respect to liability for"bodily in- a. Only with respect to liability for "bodily in- jury' or"property damage" that occurs, or jury" or "property damage" that occurs, or "personal injury" caused by an offense "personal injury' caused by an offense committed, after you have entered into committed, after you have entered into that contract or agreement. and that contract or agreement; and b. Only if the "bodily injury". ry". "property dam- b. Only if the "bodily injury", "properly dam- age" or "personal injury' is caused, in age" or "personal injury' is caused, in whole or in part, by acts or omissions of whole or in part, by acts or omissions of you or any person or organization per- you or any person or organization per- forming operations on your behalf, in the forming operations on your behalf, and maintenance, operation or use of equip- arises out of the ownership, maintenance ment leased to you by such additional in- or use of that part of any premises leased sured. to you under that contract or agreement. 2. The insurance provided to such additional 2. The insurance provided to such additional insured under this Provision K. is subject to insured under this Provision J. is subject to the following provisions: the following provisions: a. The limits of insurance afforded to such a. The limits of insurance afforded to such additional insured shall be the limits additional insured shall be the limits which you agreed to provide in the con- which you agreed to provide in the con- tract or agreement, or the limits shown in tract or agreement, or the limits shown in the Declarations for this Coverage Part, the Declarations for this Coverage Part, whichever are less; and whichever are less; and b. The insurance afforded to such additional b. The insurance afforded to such additional insured does not apply: insured does not apply to: 1 To an "bodily injury" or( ) y y j y' "property (1) Any "bodily injury" or "property dam- damage"that occurs, or "personal in- age" that occurs, or "personal injury" jury" caused by an offense commit- caused by an offense committed, af- ted, after the equipment lease ex- ter you cease to be a tenant in that pires; or premises, Page 4 of 8 C'20117 The iravele-s Companies Inc CG D3 79 09 07 COMMERCIAL GENERAL LIABILITY (2) If the equipment is leased with an N. ADDITIONAL INSURED - ARCHITECT, ENGI- operator. NEER OR SURVEYOR 3. This Provision K. does not apply on any basis 1. The following is added to Paragraph 2. of to any person or organization for which cov- WHO IS AN INSURED (Section 11)to include erage as an additional insured specifically is as an insured added by another endorsement to this Cov- Any architect, engineer or surveyor engaged erage Part. by or for you that you agree in a "contract or L. ADDITIONAL INSURED - STATE OR POLITI- agreement requiring insurance" to include as CAL SUBDIVISIONS - PERMITS RELATING an additional insured on this Coverage Part, TO PREMISES but only with respect to liability for 'bodily in- The following is added to Paragraph 2. of WHO jury", 'property damage" or "personal injury' IS AN INSURED (Section 11) to include as an that is caused, in whole or in part, by acts or insured: omissions of you or any person or organiza- tion acting on your behalf in connection with Any state or political subdivision that has issued a your premises or"your work', permit in connection with premises owned or oc- cupied by, or rented or loaned to, you, but only 2. This Provision N. does not apply on any basis with respect to 'bodily injury", 'property damage", to any person or organization for which cov- "personal injury" or "advertising injury" arising out erage as an additional insured specifically is of the existence, ownership, use, maintenance, added by another endorsement to this Cov- repair,construction, erection or removal of adver- erage Part. using signs, awnings, canopies, cellar entrances. 0. WHO IS AN INSURED-NEWLY ACQUIRED coal holes, driveways, manholes, marquees, hoist OR FORMED ORGANIZATIONS away openings, sidewalk vaults, elevators, street 1. Paragraph 4.a. of WHO IS AN INSURED banners or decorations for which that state or (Section II) is deleted and replaced by the political subdivision has issued such permit. following: M. ADDITIONAL INSURED - STATE OR POLITI- a. Coverage under this provision is afforded CAL SUBDIVISIONS - PERMITS RELATING TO OPERATIONS only until the day after you acquire or form the organization or the end of the The following is added to Paragraph 2. of WHO policy period, whichever is earlier. Any IS AN INSURED (Section 11) to include as an such newly acquired or formed organiza- insured: tion that you report in writing to us within Any state or political subdivision that has issued a 180 days after you acquire or form the permit. but only with respect to 'bodily injury", organization will be covered under this "property damage", 'personal injury" or "advertis- provision until the end of the policy pe- ing injury" arising out of operations performed by riod, even if there are more than 180 you or on your behalf for which that stale or po- days remaining until the end of the policy litical subdivision has issued such permit. How- period: ever, no such state or political subdivision is an 2. This Provision 0. does not apply to any or- insured for: ganization for which coverage is excluded by 1. 'Bodily injury", 'property damage", "personal another endorsement to this Coverage Part injury" or "advertising injury' arising out of P. WHO IS AN INSURED-UNNAMED PART. operations performed for that state or political NERSHIP OR JOINT VENTURE-EXCESS subdivision; or 1, The last paragraph of WHO IS AN INSURED 2. 'Bodily injury" or "property damage" included (Section II) is deleted and replaced by the within the "products - completed operations following: hazard" No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named In- sured in the Common Policy Declarations. CIS D3 79 09 07 Ci 2007 The Travelers Companies.Inc Page 5 of 8 COMMERCIAL GENERAL LIABILITY However, this exclusion does not apply to Any payments made under Coverage A for your liability with respect to your conduct of damages and under Coverage C for medical the business of any current or past partner- expenses shall reduce the Per Project Gen- ship or joint venture: eral Aggregate Limit for that "project", but a. That is not shown as a Named Insured in shall not reduce: the Common Policy Declarations, and a. Any other Per Project General Aggregate b. In which you are a member or partner Limit for any other"project": where each and every one of your co- b. The General Aggregate Limit; or ventures in that joint venture is an archi- c. The Products-Completed Operations Ag- tectural, engineering, or surveying firm. gregate Limit. 2. This Provision P. does not apply to any per- The limits shown in the Declarations for this son or organization for which coverage is ex- Coverage Part for Each Occurrence, Dam- cluded by another endorsement to this Cov- age To Premises Rented To You and Medical erage Part. Expense are also subject to the Per Project 3. The insurance provided by this Provision P. General Aggregate Limit when the Per Pro- shall be excess over any valid and collectible jecl General Aggregate Limit applies. other insurance, whether primary, excess. 3. As used in the Provision C.: contingent or on any other basis, which is available covering your liability with respect "Project" means an area away from premises to your conduct of the business of any current owned by or rented to you at which you are or past partnership or joint venture that is not performing operations pursuant to a contract shown as a Named Insured in the Common or agreement. For the purposes of determin- Policy Declarations and which is issued to ing the applicable aggregate limit of insur- such partnership or joint venture. ante, each "project" that includes premises involving the same or connecting lots, or O. PER PROJECT GENERAL AGGREGATE LIMIT premises whose connection is interrupted 1. Paragraph 2. of LIMITS OF INSURANCE only by a street, roadway, waterway or right- (Section III) is deleted and replaced by the of-way of a railroad shall be considered a sin- following. gle "project". The General Aggregate Limit is the most we R. KNOWLEDGE AND NOTICE OF OCCUR. will pay for the sum of: RENCE OR OFFENSE a. Damages under Coverage B: and The following is added to Paragraph 2. Duties In b. Damages from "occurrences" under Cov- The Event of Occurrence, Offense, Claim Or erage A and for all medical expenses Suit of COMMERCIAL GENERAL LIABILITY caused by accidents under Coverage C CONDITIONS (Section IV): which cannot be attributed only to opera- Notice of an "occurrence" or of an offense which tions at a single "project". may result in a claim must be given as soon as 2. The following is added to LIMITS OF IN- practicable after knowledge of the "occurrence" SURANCE(Section 111): or offense has been reported to you, one of your "executive officers" (if you are a corporation), one A separate Per Project General Aggregate of your partners who is an individual (if you are a Limit applies to each "project" for all sums partnership), one of your managers (if you are a which the insured becomes legally obligated limited liability company), one of your trustees to pay as damages caused by "occurrences" who is an individual (if you are a trust), or an under Coverage A and for all medical ex- "employee" (such as an insurance, loss control or penes caused by accidents under Coverage risk manager or administrator) designated by you C which can be attributed only to operations to give such notice. at a single "project", and that limit is equal to the amount of the General Aggregate Limit Knowledge by any other "employee"of an "occur- shown in the Declarations for this Coverage rence" or offense does not imply that you also Part have such knowledge. Page 6 of 8 0 2001 Tne lravcleis companies Inc CG D3 79 09 07 COMMERCIAL GENERAL LIABILITY Notice of an "occurrence" or of an offense which 4. "Your products". may result in a claim will be deemed to be given We waive these rights only where you have as soon as practicable to us if it is given in good agreed to do so as part of a contract or agree. faith as soon as practicable to your workers'com- ment entered into by you before, and in effect pensation, accident, or health insurer. This ap- when, the "bodily injury" or "property damage" plies only if you subsequently give notice of the occurs, or the "personal injury" offense or "adver- occurrence" or offense to us as soon as practi- tising injury" offense is committed. cable after you, one of your "executive officers" (if you are a corporation), one of your partners U. AMENDED BODILY INJURY DEFINITION who is an individual (if you are a partnership), The definition of "bodily injury" in DEFINITIONS one of your managers(if you are a limited liability (Section V) is deleted and replaced by the follow- company), one of your trustees who is an individ- ing: ual (if you are a trust), or an "employee"(such as "Bodily injury"means: an insurance, loss control or risk manager or ad- ministrator)designated by you to give such notice a. Physical harm, including sickness or disease, discovers that the "occurrence" or offense may sustained by a person; involve this policy. b. Mental anguish, injury or illness, or emotional S. UNINTENTIONAL OMISSION distress, resulting at any time from such 1. The following is added to Paragraph 6. Rep- physical harm, sickness or disease;or resentations of COMMERCIAL GENERAL c. Care, loss of services or death resulting at LIABILITY CONDITIONS (Section IV): any time from such physical harm, sickness The unintentional omission of, or uninten- or disease. tional error in, any information provided by V. AMENDED INSURED CONTRACT DEFINITION you which we relied upon in issuing this pol- —RAILROAD EASEMENT icy shall not prejudice your rights under this 1. Subparagraph c. of the definition of "insured insurance. contract" in DEFINITIONS (Section V) is de- l. This Provision S. does not affect our right to leted and replaced by the following: collect additional premium or to exercise our c. Any easement or license agreement; right of cancellation or nonrenewal in actor- 2. Subparagraph f.(t) of the definition of "in- dance with applicable insurance laws or regu- lations. sured contract" in DEFINITIONS (Section V) is deleted. T. WAIVER OF TRANSFER OF RIGHTS OF W. AMENDED PROPERTY DAMAGE DEFINITION RECOVERY AGAINST OTHERS TO US WHEN —TANGIBLE PROPERTY REQUIRED BY CONTRACT OR AGREEMENT The following is added to Paragraph S. Transfer The definition of "properly damage" in DEFINI- TIONS (Section V) is deleted and replaced by of Rights of Recovery Against Others to Us of the following: COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): "Property damage" means: We waive any rights of recovery we may have a. Physical injury to tangible properly, including against any person or organization because of all resulting loss of use of (hat property. All payments we make for "bodily injury", "property such loss of use shall be deemed to occur at damage", "personal injury" or "advertising injury" the time of the physical injury that caused it; arising out of: or 1. Premises owned by you, temporarily occu- b. Loss of use of tangible property that is not pied by you with permission of the owner, or physically injured. All such loss of use shall leased or rented to you; be deemed to occur al the time of the"occur- 2. Ongoing operations performed by you, or on rence"that caused it. your behalf, under a contract or agreement For the purposes of this insurance, tangible prop - with that person or organization: erty does not include data. 3. "Your work",or C G D3 79 09 07 0 2007 The Travelers Companies Inc Page 7 of 8 COMMERCIAL GENERAL LIABILITY X. The following definition is added to SECTION V— and "property damage"occurs, and the "personal DEFINITIONS: injury"is caused by an offense committed "Contract or agreement requiring insurance" a. After you have entered into that contract or means that part of any contract or agreement agreement: under which you are required to include a person b. While that part of the contract or agreement or organization as an additional insured on this Coverage Part, provided that the "bodily injury" is in effect; and c. Before the end of the policy period. Page 8 of 8 ©2007 Tee TraveieT=Companies [, CG D3 79 09 07 Policy BASD434565 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION 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 modi- fied bythe endorsement. GENERAL DESCRIPTION OF COVERAGE—This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Pan, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement. The following listing is a general cover- age description only. Limitations and exclusions may apply to these coverages. Read all the provisions of this en- dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF USE—INCREASED LIMIT B. BLANKET ADDITIONAL INSURED I. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT C. EMPLOYEE HIRED AUTO J. PERSONAL EFFECTS D. EMPLOYEES AS INSURED K. AIRBAGS E. SUPPLEMENTARY PAYMENTS — INCREASED L. NOTICE AND KNOWLEDGE OF ACCIDENT LIMITS OR LOSS F. HIRED AUTO — LIMITED WORLDWIDE M. BLANKET WAIVER OF SUBROGATION COVERAGE—INDEMNITY BASIS G. WAIVER OF DEDUCTIBLE—GLASS N. UNINTENTIONAL ERRORS OR OMISSIONS PROVISIONS A. BROAD FORM NAMED INSURED executed by you before the "bodily injury" or The following is added to Paragraph A.1., Who Is "properly damage" occurs and that is in effect An Insured, of SECTION 11 — LIABILITY COV• during the policy period, to be named as an addi- ERAGE: tional insured is an "insured" for Liability Cover- Any organization you newly acquire or form dur- age, but only for damages to which this insurance ing the policy period over which you maintain ganapplies and only to the extent that person r he 50% or more ownership interest and that is not Who I A qualifies as an "insured" under the separately insured for Business Auto Coverage. If- Coverage under this provision is afforded only un- til the 1801h day after you acquire or form the or- C. EMPLOYEE HIRED AUTO ganization or the end of the policy period, which- 1. The following is added to Paragraph A.1., ever is earlier. Who Is An Insured. of SECTION 11 — LI- B. BLANKET ADDITIONAL INSURED ABILITY COVERAGE: The following is added to Paragraph c. in A.1., An "employee" of yours is an "insured" while Who Is An Insured, of SECTION 11 — LIABILITY operating an "auto' hired or rented under a COVERAGE: contract or agreement in that "employee's" Any person or organization who is required under name, with your permission, while performing duties related to the conduct of your busi- a written contract or agreement between you and that person or organization, that is signed and ness. CA T3 53 03 10 t 2010 The Travelers Indemnity Company Page 1 of 4 Includes ropyrighied material of Insurance serv,ces office.Inc. xr111 115 permission COMMERCIAL AUTO 2. The following replaces Paragraph b. in 8.5., within such country or jurisdiction, for Liability Other Insurance, of SECTION IV - BUSI- Coverage for any covered "auto" that you NESS AUTO CONDITIONS: lease, hire, rent or borrow without a driver for b. For Hired Auto Physical Damage Cover- a period of 30 days or less and that is not an age, the following are deemed to be cov- "auto" you lease, hire, rent or borrow from ered "autos"you own: any of your "employees", partners (if you are (1) Any covered "auto" you lea a partnership), members (if you are a limited se, hire, liability company) or members of their house- rent or borrow: and holds. (2) Any covered "auto" hired or rented by your "employee" under a contract in (a) With respell to any claim made or "suit" brought outside the United States of that individual "employee's" name, America, the territories and possessions with your permission, while perform- of the United States of America, Puerto ing duties related to the conduct of Rico and Canada: your business. (I) You must arrange to defend the "in. However, any "auto" that is leased, hired, sured"against, and investigate or set- rented or borrowed with a driver is not a fie any such claim or "suit" and keep covered "auto". us advised of all proceedings and ac- D. EMPLOYEES AS INSURED tions. The following is added to Paragraph A.1., Who Is (if) Neither you nor any other involved An Insured, of SECTION If - LIABILITY COY- "insured" will make any settlement ERAGE: without our consent. Any "employee" of yours is an "insured" while us- (iii) We may, at our discretion, participate ing a covered "auto"you don't own, hire or borrow in defending the "insured" against, or in your business or your personal affairs in the settlement of, any claim or E- SUPPLEMENTARY PAYMENTS - INCREASED "suit". LIMITS (fv) We will reimburse the "insured" for 1. The following replaces Paragraph A.2.a.(2), sums that the "insured" legally must of SECTION II-LIABILITY COVERAGE: pay as damages because of "bodily injury" or "property damage" to which (2) Up to $3,000 for cost of bail bonds (in- this insurance applies, that the "in- cluding bonds for related traffic law viola- sured" pays with our consent, but tions) required because of an "accident" only up to the limit described in Para- we cover. We do not have to furnish graph C., Limit Of Insurance, of SEC. these bonds. TION 11- LIABILITY COVERAGE. 2. The following replaces Paragraph A.2.a.(4), (v) We will reimburse the "insured" for of SECTION 11-LIABILITY COVERAGE: the reasonable expenses incurred (4) All reasonable expenses incurred by the with our consent for your investiga. "insured" at our request, including actual tion of such claims and your defense loss of earnings up to $500 a day be- of the "insured" against any such cause of time off from work. "suit", but only up to and included F. HIRED AUTO - LIMITED WORLDWIDE COV- within the limit described in Para. ERAGE-INDEMNITY BASIS graph C., Limit Of Insurance, of SECTION 11 - LIABILITY COVER- The following replaces Subparagraph (5) in Para- AGE, and not in addition to such limit. graph B.7., Policy Period, Coverage Territory, Our duty 10 make such payments of SECTION IV - BUSINESS AUTO CONDI- ends when we have used up the ap- TIONS: plicable limit of insurance in pay- (5) Anywhere in the world, except any country or ments for damages, settlements or jurisdiction while any trade sanction, em- defense expenses. bargo, or similar regulation imposed by the (b) This insurance is excess over any valid United States of America applies to and pro- and collectible other insurance available hibits the transaction of business with or Pace 2 of 4 E 2010 The 1,a�e'iers indemnity Company CA T3 53 03 10 InrluceS Coyyughled material ul Insurance Services OII¢e Inc it,as permission COMMERCIAL AUTO to the "insured" whether primary, excess J. PERSONAL EFFECTS contingent or on any other basis. The following is added to Paragraph AA., Cover. (c) This insurance is not a substitute for re- age Extensions, of SECTION III — PHYSICAL quired of compulsory insurance in any DAMAGE COVERAGE' country outside the United States, its ter- Personal Effects ritories and possessions, Puerto Rico and Canada. We will pay up to $400 for 'loss" to wearing ap- You agree to maintain all required or parel and other personal effects which are: compulsory insurance in any such coun- (1) Owned by an "insured"; and try up to the minimum limits required by (2) In or on your covered "auto'. local law. Your failure to comply with compulsory insurance requirements will This coverage applies only in the event of a total not invalidate the coverage afforded by theft of your covered"auto'. this policy, but we will only be liable to the No deductibles apply to this Personal Effects same extent we would have been liable coverage. had you complied with the compulsory in- K. AIRBAGS surance requirements. The following is added to Paragraph B.3., Exclu- (d) It is understood that we are not an admit- sions, of SECTION III — PHYSICAL DAMAGE ted or authorized insurer outside the COVERAGE: United States of America, its territories and possessions, Puerto Rico and Can- Exclusion 3.a. does not apply to "loss" to one or ada. We assume no responsibility for the more airbags in a covered "auto" you own that in- furnishing of certificates of insurance, or flate due to a cause other than a cause of "loss" for compliance in any way with the laws set forth in Paragraphs A.1.b. and A.1.c., but of other countries relating to insurance. only: G. WAIVER OF DEDUCTIBLE —GLASS a. If that "auto" is a covered "auto' for Compre- The following is added to Paragraph D., Deducti- hensive Coverage under this policy; ble, of SECTION III — PHYSICAL DAMAGE b. The airbags are not covered under any war. COVERAGE: ranty;and No deductible for a covered "auto' will apply to c. The airbags were not intentionally inflated. glass damage if the glass is repaired rather than We will pay up to a maximum of $1,000 for any replaced. one'loss". H. HIRED AUTO PHYSICAL DAMAGE — LOSS OF L. NOTICE AND KNOWLEDGE OF ACCIDENT OR USE—INCREASED LIMIT LOSS The following replaces the last sentence of Para- The following is added to Paragraph A.2.a., of graph A.4.b., Loss Of Use Expenses, of SEC- SECTION IV—BUSINESS AUTO CONDITIONS: TION III— PHYSICAL DAMAGE COVERAGE: Your duty to give us or our authorized representa- However, the most we will pay for any expenses tive prompt notice of the "accident" or "loss" ap- for loss of use is $65 per day, to a maximum of plies only when the "accident" or "loss" is known $750 for any one "accident". to: 1. PHYSICAL DAMAGE — TRANSPORTATION (a) You (if you are an individual); EXPENSES—INCREASED LIMIT (b) A partner(if you are a partnership); The following replaces the first sentence in Para- (c) A member (if you are a limited liability corn- graph AA.a., Transportation Expenses, of pany); SECTION III — PHYSICAL DAMAGE COVER. AGE: (d) An executive officer, director or insurance manager (if you are a corporation or other or- We will pay up to $50 per day to a maximum of ganization): or $1,500 for temporary transportation expense in- curred by you because of the total theft of a cov- (e) Any "employee" authorized by you to give no- ered "auto"of the private passenger type. tice of the "accident" or"loss". CA T3 53 03 10 2010 The travelers indemnity Company Page 3 of 4 mcluoes co{ryr,pMetl rnwcnal N Insurance Services Office-Inc with its permission COMMERCIAL AUTO M. BLANKET WAIVER OF SUBROGATION such contract. The waiver applies only to the The following replaces Paragraph A.S., Transfer person or organization designated in such Of Rights Of Recovery Against Others To Us, contract. of SECTION IV — BUSINESS AUTO CONDI. N. UNINTENTIONAL ERRORS OR OMISSIONS TIONS: The following is added to Paragraph B.2., Con- 5. Transfer Of Rights Of Recovery Against cealment, Misrepresentation, Or Fraud, of Others To Us SECTION IV—BUSINESS AUTO CONDITIONS: We waive any right of recovery we may have The unintentional omission of, or unintentional against any person or organization to the ex- error in, any information given by you shall not tent required of you by a written contract prejudice your rights under this insurance. How- signed and executed prior to any "accident" ever this provision does not affect our right to col- or"loss", provided that the"accident"or"loss" lect additional premium or exercise our right of arises out of operations contemplated by cancellation or non-renewal. Page 4 of 4 11, 2010lne 1la,ele,s lndemndp Company CA T3 53 03 10 Ineludes copy,igl led marenaI o'Insurance serm,.es OOice.Inr. wim❑ prin+zy_.i Policy 6806HB4050 COMMERICAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED (ARCHITECTS, ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED INSURANCE (Section III) for this Coverage (Section II): Part. Any person or organization that you agree in a B. The following is added to Paragraph a. of 4. "contract or agreement requiring insurance" to in- Other Insurance in COMMERCIAL GENERAL clude as an additional insured on this Coverage LIABILITY CONDITIONS (Section IV): Part, but only with respect to liability for"bodily in- However, if you specifically agree in a "contract or jury", "property damage" or "personal injury" agreement requiring insurance"that the insurance caused, in whole or in part, by your acts or omis- provided to an additional insured under this Cov- sions or the acts or omissions of those acting on erage Part must apply on a primary basis, or a your behalf: primary and non-contributory basis, this insurance a. In the performance of your ongoing opera- is primary to other insurance that is available to lions; such additional insured which covers such addi- b. In connection with premises owned by or tional insured as a named insured, and we will not rented to you; or share with the other insurance, provided that: c. In connection with "your work" and included (1) The "bodily injury" or "property damage" for within the "products-cornpleted operations which coverage is sought occurs; and hazard". (2) The "personal injury" for which coverage is Such person or organization does not qualify as sought arises out of an offense committed; an additional insured for "bodily injury". "property after you have entered into that "contract or damage" or 'personal injury' for which that per- agreement requiring insurance". But this insur- son or organization has assumed liability in a con- ante still is excess over valid and collectible other tract or agreement. insurance, whether primary, excess, contingent or The insurance provided to such additional insured on any other basis, that is available to the insured is limited as follows: when the insured is an additional insured under d. This insurance does not apply on any basis to any other insurance. any person or organization for which cover- C. The following is added to Paragraph 8. Transfer age as an additional insured specifically is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON. age Part. DITIONS (Section IV): e. This insurance does not apply to the render- We waive any rights of recovery we may have ing of or failure to render any "professional against any person or organization because of services". payments we make for "bodilyinjury",Ju ry". "Property f. The limits of insurance afforded to the addi- damage" or "personal injury" arising out of "your tional insured shall be the limits which you work" performed by you, or on your behalf, under agreed in that "contract or agreement requir- a "contract or agreement requiring insurance"with ing insurance" to provide for that additional that person or organization. We waive these insured, or the limits shown in the Declara- rights only where you have agreed to do so as lions for this Coverage Part, whichever are part of the "contract or agreement requiring insur- less. This endorsement does not increase the ante" with such person or organization entered limits of insurance stated in the LIMITS OF into by you before, and in effect when, the "bodily CIS D3 81 09 07 C.7007 The travelers Companies.Inc Page 1 of 2 includes the copyrighted material of Insurance Services Office.Inc.with its Permission COMMERICAL GENERAL LIABILITY injury" or 'property damage" occurs, or the 'per- erage Part, provided that the "bodily injury" and sonal injury"offense is committed. "property damage" occurs, and the 'personal in.The following definition is added to DEFINITIONS jury'is caused by an offense committed: (Section 1): a. After you have entered into that contract or "Contract or agreement requiring insurance" agreement; means that part of any contract or agreement un- b. While that part of the contract or agreement is der which you are required to include a person or in effect; and organization as an additional insured on this Cov- c. Before the end of the policy period. Page 2 of 2 ( 2007 The Travelers Compamos,Inc CG D3 81 09 07 Includes the copyrighled material or Insurance Services O%me. Inc wmi its permission