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HomeMy WebLinkAboutCAG2024-531 - Change Order - #1 - Combined Cutting Contractors, Inc. dba P & D Tree Service - McSorley Log Placement - 12/19/24 FOR CITY OF KENT OFFICIAL USE ONLY Sup/Mgr: Agreement Routing Form Dir Asst: • For Approvals,Signatures and Records Management Dir/Dep: KE N T This form combines&replaces the Request for Mayor's Signature and Contract Cover (Optional) WASHINGTON Sheet forms. Originator: Department: Dani Hodgins for Jens Vincent Public Works Date Sent: Date Required: c 12/19/2024 12/23/2024 CL Director or Designee to Sign. Date of Council Approval: Q N/A Budget Account Number: Grant?[:]YesZNo D00063 Budget?R]Yes:No Type: N/A Vendor Name: Category: Combined Cutting Contractors,Inc.DBA P&D Tree Service Contract Vendor Number: Sub-Category: = Change Order 0 Project Name: McSorley Log Placement - CO 1 E c Pro)ectDetails:Additional time was necessary for Log Placement project. � Y 9 p J _ 40 g $28 500 other Agreement Amount: Basis for Selection of Contractor: 47 `Memo to Mayor must be attached 11- Start Date: 12/19/2024 Termination Date: 1/31/2025 Q Local Business?F--]YesF--]No* If meets req uiremen ts per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions'form on Cityspace. Business License Verification:Yes:ln-Process:Exempt(KCC 5.01.045) Notice required prior to disclosure? Contract Number: F1Yes�✓ No CAG2024-531 Comments: a1 _ 3 4) H •� i N 3 f0 _ V1 Date Routed to the City Clerk's Office: 12/19/24 Interlocal Agreement has been uploaded to website: adccW22313_1_20 Visit Documents.KentWA.gov to obtain copies of all agreements rev.20210513 • KEN T WASHINGTON CHANGE ORDER NO. 1 NAME OF CONTRACTOR: Combined Cutting Contractors, Inc. P&D Tree Service()"Contractor") CONTRACT NAME & PROJECT NUMBER: McSorley Wetland Log Placement ORIGINAL CONTRACT DATE: November 25, 2024 This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual consent of the parties, the project contract 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, Contractor shall provide all labor, materials, and equipment necessary to: A Change Order for additional time is necessary to complete the project. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: Original Contract Sum, $28,500 (including applicable alternates and WSST) Net Change by Previous Change Orders $0 (incl. applicable WSST) Current Contract Amount $28,500 (incl. Previous Change Orders) Current Change Order $0 Applicable WSST Tax on this Change $0 Order Revised Contract Sum $28,500 CHANGE ORDER - 1 OF 3 Original Time for Completion 12/31/2024 (insert date) Revised Time for Completion under NIA prior Change Orders (insert date) Days Required (f) for this Change Order 31 calendar days Revised Time for Completion 1/31/2025 (insert date) In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order 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 contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be consistent with the revised contract sum shown in section 2, above, IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. CONTRACTOR: CITY OF KENT: Digitally signed by David A.Brock DN:cn=David A.Brock,o=City of Kent, David A. Brockou=Public Works Operations, email=dbrock@kentwa.gov,c=US By: �] + By: Date:2024.12.1 9 11:42:53-08'00' Print Name: CkrfS L'VW`{ 4 Print Name: David A. Brock, P.E. Its y� C.?,. �+f''C�1 Its: Deputy Director Operations DATE: �(C_,L., �C1 DATE: CHANGE ORDER- 2 OF 3 ATTEST: APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent City Clerk Kent Law Department P:\Ad min\Contracts\Dani CHANGE ORDER - 3 OF 3 Ai+ ® DATE(MMIDDNYYY) 11`.� CERTIFICATE OF LIABILITY INSURANCE 11/18/2024 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 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 in lieu of such endorsement(s). IA PRODUCER NAME:CT FirstMark Insurance Group,Inc. FirstMark Insurance Group,Inc. ac No Ext: (425)582-9037 (AIC,No): (425)608-9187 Agent:Rob Balderas ApDBE55: commercial@firstmarkinswmeo.com 210 5th Avenue S.Suite 102 INSURER(S)AFFORDING COVERAGE NAIC# Edmonds WA 98020 INSURER A: ADMIRAL INSURANCE CO 24856 INSURED INSURER B: ASCOT SPECIALTY INSURANCE CO 45055 Combined.Cutting Contractors Inc.and PND Tree Service INSURER C: EVANSTON INS CO 35378 20311 SE 240TH ST INSURER D: NSURER E: MAPLE VALLEY, WA 98039-8618 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER (MMIDD/1'YVY MMIDD/YYYYI LIMITS x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES E�aEoc�currence $ 300,000 MED EXP(Any one person) $ 5,000 A Y Y CA000040031.05 11/09/2024 11/09/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY ®JECT PRI- �LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: I I $ AUTOMOBILE LIABILITY Ee,ccldwa) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED Y Y ESAL2310000563-04 11/09/2024 11/09/2023 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED yr NOMOWNED $ AUTOS ONLY I� AUTOS ONLY (Per accident) UMBRELLA LIAB x OCCUR EACH OCCURRENCE $ 4,000,000 C �( EXCESS LyIAB CLAIMS-MADE Y MKLV5EUL10592.5 11/09/2024 11/09/2023 AGGREGATE $ 4,000,000 DED ^ RETENTION$ $O - $ ORKERS COMPENSATION y ND EMPLOYERS'LIABILITY STATUTE ^ ER WA-STOP GAP %NY PROPRIETORIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 A FFICER(MEMBER EXCLUDED? NIA CA000040031-05 11/09/2024 11/09/2025 1,000,000 Mandatoryln NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under ESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) Re:Project:McSorley Wetland on the West Hill of Kent. The City of Kent,et,al.,is included as Additional Insured with respect to the General Liability,and Auto liability where required by a written contract.Excess follows form. Coverage provided is Primary and Noncontributory over any other insurance.Waiver of Subrogation applies in favor of the Additional Insured with respect to the General Liability and Auto Liability,where required by written contract.30-day written notice of cancellation applies. 10 days in the event of non-payment of premium. 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. 220 Fourth Avenue South AUTHORIZED REPRESENTATIVE Tarv;Ia M W94 Kent,WA 98032 ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD CG 20 10 12 19 Policy Number:CA000040031-05 Effective Date: 1 110 9/2 0 24 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location(s)Of Covered Operations Or Organization(s) Any person or organization that is an owner,lessor or All locations at which the Named Insured is perform- manager of real property or personal property on ing ongoing operations. which you are performing ongoing operations,or a contractor on whose behalf you are performing ongo- ing operations, but only if coverage as an additional insured is required by a written contract or written agreement that is an"insured contract",and provided the "bodily injury"or"property damage"first occurs, or the"personal and advertising injury"offense is first committed, subsequent to the execution of the contract or agreement. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. CG 20 10 12 19 © Insurance Services Office, Inc.,2018 Page 1 of 2 A. Section 11—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury","property damage"or"personal and advertising injury" caused, in whole or in part,by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following additional exclusions apply: This insurance does not apply to"bodily injury"or"property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (otherthan service, maintenance or repairs)to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of"your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations fora principal as a part of the same project. C. With respect to the insurance afforded to these additional insureds,the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement;or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 10 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 O CG 20 37 12 19 Effective Date: 11/09/2024 Policy Number:CA000040031-05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Or Organization(s) Completed Operations Any person or organization that is an owner, lessee or All locations except locations where"your work" is or manager of real property or personal property for was related to a job or project involving single-family whom you work or have worked, or a contractor on dwellings, multi-family dwellings(other than rental whose behalf you work or have worked, but only if apartments in an apartment building: (a)originally coverage as an additional insured extending to"bodily constructed and at all times used for such purpose, or injury"or"property damage" included in the (b)converted from a commercial building), "products-completed operations hazard" is required condominiums,townhomes,townhouses, time-share by a written contract or written agreement that is an units,fractional-ownership units, cooperatives and/or "insured contract"and provided that the "bodily any other structure or space used or intended to be injury" or"property damage"first occurs subsequent used as a residence. to the execution of the contract or agreement. Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II—Who Is An Insured is amended to include as an additional insured the person(s)or organization(s)shown in the Schedule, but only with respect to liability for"bodily injury"or"property damage" caused, in whole or in part, by"your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". However: CG 20 37 1219 © Insurance Services Office, Inc.,2018 Page 1 of 2 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds,the following is added to Section III— Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement,the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available underthe applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. CG 20 37 12 19 © Insurance Services Office, Inc., 2018 Page 2 of 2 Policy Number: CA000040031-05 PRIMARY AND NONCONTRIBUTORY— OTHER INSURANCE CONDITION (Insurance Services Office Endorsement CG 20 010413) The following is added to the Other Insurance Condition and supersedes any provision to the contrary: Primary And Noncontributory Insurance This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and (2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek con- tribution from any other insurance available to the additional insured. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (Insurance Services Office Endorsement CG 24 04 05 09) SCHEDULE Name Of Person Or Organization: Any person or organization, but only if the following conditions are met: (1) You have expressly agreed to the waiver in a written contract;and (2) The injury or damage first occurs subsequent to the execution of the written contract. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8.Transfer Of Rights Of Recovery Against Others To Us of Section IV—Con- ditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or"your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. AD 68 93 0117 Includes copyrighted material of Insurance Services Office, Inc., Page 5 of 13 E3 with its permission, 2009, 2012 &2013. POLICY NUMBER: ESAL2310000563-04 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Combined Cutting Contractors Inc and PND Tree Service Endorsement Effective Date: 1 110 9/2 0 24 SCHEDULE Name Of Person(s)Or Organization(s): Any person(s) or organization(s)for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. The written contract or agreement must be signed by both parties prior to the "accident" or the"loss" Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.I. of Section II — Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I — Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 48 10 13 0 Insurance Services Office, Inc., 2011 Page 1 of 1 COMMERCIAL AUTO POLICY NUMBER: ESAL2310000563-04 CA 01 05 0821 00 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY (WAIVER OF SUBROGATION - SCHEDULED) This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM BUSINESS AUTO PHYSICAL DAMAGE COVERAGE FORM GARAGE COVERAGE FORM MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Combined Cutting Contractors Inc Endorsement Effective Date: 11/09/2024 SCHEDULE Name(s) Of Person(s)Or Organization(s): Any person(s)or organization(s)for whom you are required to waive subrogation with respect to the coverage provided under this Coverage Form Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Oth- ers To Us Condition does not apply to the person(s) or organization(s) shown in the Schedule above, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 0105 082100 Includes copyrighted material of Insurance Services Office, Inc. with Page 1 of 1 O its permission. Effective 11/09/2024 AD 66 21 11 21 Policy Number: CA000040031-05 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. STOP GAP EMPLOYERS LIABILITY ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART It is agreed that this policy is hereby amended as indicated. All other terms and conditions of this policy remain unchanged. SECTION I COVERAGES COVERAGE D.EMPLOYERS LIABILITY 1. Insuring Agreement: a. We will pay those sums that you become legally obligated to pay as damages because of"bodily injury"caused by an accident or disease to any employee of yours arising out of and in the course of their employment provided the employee is reported and declared under a workers'compensation fund of one or more of the following states: Washington,Wyoming,North Dakota or Ohio. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SUPPLEMENTARY PAYMENTS--COVERAGES A AND B. This insurance applies only to "bodily injury"which occurs during the policy period. The "bodily injury" must be caused by an'occurrence." The"occurrence"must take place in the "coverage territory." We will have the right and duty to defend any"suit" seeking those damages. But: (1) The amount we will pay for damages is limited as described herein; (2) We may investigate and settle any claim or"suit"at our discretion; and (3) Our right and duty to defend end when we have used up the applicable limit of insurance in the payment of judgments or settlements under Coverages A,B or D or medical expenses under Coverage C. b. Damages because of"bodily injury"include damages claimed by any person or organization for care,loss of services or death resulting at any time from the"bodily injury." 2. Exclusions: This insurance does not apply to: a. to"bodily injury"intentionally caused or aggravated by or at your direction, or"bodily injury"resulting from an act which is determined to have been committed by or at your direction with the belief that an injury is substantially certain to occur; b. to liability assumed by you under any contract or agreement; c. to any obligation for which you or any carrier as your insurer may be held liable under any workers'compensation or occupational disease law,any unemployment compensation or disability benefits law,or under any similar law; d. with respect to any employee employed in violation of law with your knowledge or acquiescence or any of your executive officers; e. to any claim brought against you by or on behalf of any employee for"bodily injury"or death resulting therefrom (1)if benefits therefore under any workers'compensation or occupational disease law are accepted by or on behalf of such employee or(2)with respect to which your defenses have been abrogated by reason of your failure to comply with the provisions of any workers'compensation or occupational disease law; f. to"bodily injury" or death resulting therefrom(1)sustained by any member of the flying crew of an aircraft,(2) sustained by a master or member of the crew of any vessel,(3)sustained by any person subject to the Longshoremen and Harbor Workers'Compensation Act(33 USC Sections 901-950),The Federal Coal Mine Health and Safety Act of 1969(30 USC Sections 931-942)or Tire Federal Employers'Liability Act(45 USC Sections 51-60), or any amendment to those laws; g. to any claim sustained by any employee not described in the Insuring Agreement of this endorsement;or AD 66 211121 Page 1 of 2 O h. to liability arising out of collusion,criticism,demotion,evaluation,reassignment,discipline,defamation harassment, humiliation,discrimination against or termination of any employee, or any personnel practices,policies,acts or omissions; i. to liability arising out of"bodily injury",disease or sickness,including death at any time resulting therefrom,for past,present or future claims arising in whole or in part,either directly or indirectly,out of the manufacture, distribution, sale,resale,rebranding,installation,repair,removal,encapsulation,abatement,replacement or handling of exposure to or testing for,asbestos or products containing asbestos whether or not the asbestos is or was at any time airborne as a fiber or particle contained in a product,carried on clothing,inhaled,transmitted in any fashion or found in any form whatsoever. SUPPLEMENTARY PAYMENTS-COVERAGES A AND B(SECTION I)is extended to apply to coverage provided by this endorsement. SECTION II-WHO IS AN INSURED You are an insured if you are an employer named in the Declaration of this policy. If that employer is a partnership,and if you are one of its partners,you are an insured,but only in your capacity as an employer of the partnership's employees. SECTION III-LIMITS OF INSURANCE Regardless of the number of(1)insureds under this policy,(2)persons who sustain"bodily injury" or(3)claims made or "suits"brought on account of"bodily injury"our liability for the coverage provided by this endorsement is limited as follows: 1. Bodily Injury by Accident$1,000,000 each accident,is the most we will pay for all damages covered by this endorsement because of"bodily injury"to one or more employees in any accident. A disease is not"bodily injury"by accident unless it results directly from"bodily injury"by accident. 2. Bodily Injury by Disease$1,000,000 each employee,is the most we will pay for all damages because of"bodily injury" by disease to any one employee. 3. Bodily Injury by Disease$1,000,000 policy limit,is the most we will pay for all damages covered by this insurance and arising out of"bodily injury"by disease,regardless of the number of employees who sustain"bodily injury"by disease. "Bodily injury"by disease does not include disease that results directly from "bodily injury"by accident 3. The General Aggregate Limit is the most we will pay for the sum of: a. Medical expenses under Coverage C; and b. Damages under Coverage A,Coverage B and Coverage D,except damages because of injury and damage included in the"products-completed operations"hazard SECTION IV-COMMERCIAL GENERAL LIABILITY CONDITIONS is extended to apply to coverage provided by this endorsement. DEFINITIONS(SECTION V-CG 00 01)(SECTION VI-CG 00 02)is extended to apply to coverage provided by this endorsement. The premium for this endorsement shall be computed upon the remuneration earned by such employees as are reported under a workers'compensation law of the state(s)named herein. AID 66 211121 Page 2 of 2 E3