HomeMy WebLinkAboutInsurance Certificate: Key Manufacturing & Rentals, Inc. ACC)R" CERTIFICATE OF LIABILITY INSURANCE FDATE{MMIDDIYYYY)
5/27/2026
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).
CONCT
PRODUCER NAME Alexis Cole
Hagan Hamilton Insurance Solutions PHONE FAX
448 SE Baker St AlC No E •971-225-3254 Arc No
Mcminnville OR 97128 AOID'`uREss: alexis ha anhamilton.com
INSURERS AFFORDING COVERAGE NAIC#
INSURERA:SAIF 36196
INSURED KEYMANU-CL INSURERS:Chubb Indemnity Insurance Co. 22667
Key Manufacturing&Rentals,Inc.
PO Box 2180 INsuRERc:Federal Insurance Co 20281
Tualatin OR 97062 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:1153353497 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 TYPE OF INSURANCE INSO SUER POLICY NUMBER MM DD
LTR EFF MO0LICY EXP LIMITS
B X COMMERCIAL GENERAL LIABILITY Y Y D03715401 5/112026 5/112027 EACH OCCURRENCE $1,000,000
DAMAGE TO RETED
CLAIMS-MADE 1K OCCUR PREMISES Ea occurrence $1,000,000
MED EXP(Any one person) $10,000
PERSONAL&ADV INJURY $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
X POLICY JEGT El LOC PRODUCTS-COMP/OP AGG $2,000,000
OTHER: EPLI $100,000
B AUTOMOBILE LIABILITY 73662598 5/1/2026 5/112027 CO Ea accideMBINEDINGLELIMIT
nts $1,000,000
IX ANYAUTO BODILY INJURY(Per person) $
OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
�( HIRED X NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Per accident
C X UMBRELLA LIAB X OCCUR 56735224 51112026 5/1/2027 EACH OCCURRENCE $2,000,000
EXCESS LIAR CLAIMS-MADE AGGREGATE $2,000,000
DED I I RETENTION$ $
A WORKERS COMPENSATION 854251 9/112025 911/2026 STATUTE ERH
AND EMPLOYERS'LIABILITY ---
ANYPROPRIETORIPARTNERIEXECUTIVE YIN N t A E.L.EACH ACCIDENT $1,000,000
OFFICERIMEMBEREXCLUDED?
(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
B Equipment Floater D03715401 5/112026 5/1/2027 Lease/Rented 100,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required)
City of Ashland is listed as additional insured per policy provisions
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
City of Ashland
20 E Main AUTHORIZED REPRESENTATIVE
Ashland OR 97520
01988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
CHUBS`
OREGON-COMMERCIAL GENERAL LIABILITY ENHANCEMENT ENDORSEMENT
Named Insured
KEY MANUFACTURING&RENTALS INC.
Policy Number T-Policy Period Effective Date of Endorsement
D03715401 05-01-2026 to 05-01-2027 05-01-2026
Name of Company
Westchester Fire Insurance Company
THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
If any other endorsement attached to this policy amends any provision also amended by this enhancement
endorsement,then that other endorsement controls with respect to such provision,and the changes made by this
enhancement endorsement with respect to such provision do not apply.
TABLE OF CONTENTS
A. Expected Or Intended Injury-Exception For Property Damage Caused By Reasonable Use Of Force
B. Non-Owned Watercraft Under 55 Feet
C. Non-Owned Aircraft Exception
D. Damage To Property-Exception For Equipment Loaned Or Rented To The Insured
E. Electronic Data-Exception For Physical Injury To Tangible Property
F. Pollution-Exception For Damage To Rented Premises Caused By Hostile Fire
G. Personal And Advertising Injury Coverage-Contractual Liability Exception For Insured Contracts
H. Medical Expenses Coverage-Three Years To Report Expenses
I. Supplementary Payments-Increased Limits
J. Who Is An Insured - Subsidiaries Or Newly Acquired Or Formed Organizations - Including New And
Existing Subsidiaries,Partnerships,joint Ventures,Limited Liability Companies
K. Who Is An Insured-Employees Including Incidental Healthcare Professional Services
L. Additional Insureds
Controlling Interest
Lessors Of Leased Equipment
Managers Or Lessors Of Premises
Mortgagee,Assignee Or Receiver
Other Persons Or Organizations Pursuant To A Contract Or Agreement
Trade Show Event Lessor
Vendors
M. Medical Expense Limit-$15,000
N. Knowledge/Notice Of Occurrence
O. Primary And Non-Contributory
P. Unintentional Failure To Disclose Hazards
Q. Waiver Of Subrogation Required By Contract
R. In Rem
S. Coverage Territory-Limited Worldwide
T. Insured Contract Amended-Railroad Limitations Removed
A. Expected Or Intended Injury-Exception For Property Damage Caused By Reasonable Use Of Force
Exclusion a. under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property
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Damage Liability is deleted and replaced by the following:
a. Expected Or Intended Injury
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This
exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable
force to protect persons or property.
B. Non-Owned Watercraft Under 55 Feet
Paragraph(2)of Exclusion g.under Paragraph 2.Exclusions of Section I-Coverage A-Bodily Injury And
Property Damage Liability is deleted and replaced by the following.
This exclusion does not apply to:
(2) A watercraft you do not own that is:
(a) Less than 55 feet long;and
(b) Not being used to carry persons or property for a charge;
C. Non-Owned Aircraft Exception
Exclusion g. under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is amended to include the following exception:
This exclusion does not apply to:
(6) An aircraft you do not own provided:
(a) The pilot in command holds a currently effective certificate,issued by the duly constituted authority
of the United States of America or Canada, designating that person as a commercial or airline
transport pilot;
(b) It is rented with a trained,paid crew;and
(c) It does not transport persons or cargo for a charge.
D. Damage To Property-Exception For Equipment Loaned Or Rented To The Insured
Exclusion j. under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is amended to include the fallowing exception:
Paragraphs(3)and(4)of this exclusion do not apply to"property damage"to equipment rented or loaned to
the insured,provided such equipment is not being used to perform any operations at a construction job site.
E. Electronic Data-Exception For Physical Injury To Tangible Property
Exclusion p. under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property
Damage Liability is deleted and replaced by the following:
p. Electronic Data
Damages arising out of the loss of,loss of use of,damage to,corruption of,inability to access,or inability
to manipulate electronic data.
However,this exclusion does not apply to:
(1) "Bodily injury";or
(2) Physical injury to tangible property.
As used in this exclusion,electronic data means information,facts or programs stored as or on,created or
used on,or transmitted to or from computer software,including systems and applications software,hard
or floppy disks,CD-ROMs,tapes,drives,cells,data processing devices or any other media which are used
with electronically controlled equipment.
F. Pollution-Exception For Damage To Rented Premises Caused By Hostile Fire
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Exclusion f. under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Properly
Damage Liability is amended to include the following exception:
This exclusion does not apply to"property damage"to premises while rented to you or temporarily occupied
by you with the permission of the owner and caused by a"hostile fire",explosion,smoke or leakage from fire
protection equipment.
G. Personal And Advertising Injury Coverage-Contractual Liability Exception For Insured Contracts
Exclusion e.under Paragraph 2.Exclusions of Section I- Coverage B-Personal And Advertising Injury
Liability is deleted and replaced by the following:
e. Contractual Liability
"Personal and advertising injury"for which the insured has assumed liability in a contract or agreement
This exclusion does not apply to liability for damages:
(1) That the insured would have in the absence of the contract or agreement,or
(2) Assumed in a written contract or agreement that is an"insured contract"provided the"personal and
advertising injury" is caused by an offense first committed after the execution of the contract or
agreement
H. Medical Expenses Coverage-Three Years To Report Expenses
Subparagraph 1.a.(b) under Section I - Coverage C - Medical Payments is deleted and replaced by the
following:
(b) The expenses are incurred and reported to us within three years of the date of the accident;and
I. Supplementary Payments-Increased Limits
Paragraph 1.under Section I-Supplementary Payments-Coverages A And B is deleted and replaced by
the following:
1. We will pay,with respect to any claim we investigate or settle,or any"suit"against an insured we defend:
a. All expenses we incur.
b. The cost of:
(1) Bail bonds;or
(2) Bonds required to:
(a) Appeal judgments;or
(b) Release attachments;
but only for bond amounts within the available limit of insurance.We do not have to furnish these
bonds.
c. All reasonable expenses incurred by the insured at our request to assist us in the investigation or
defense of the claim or"suit",including actual loss of earnings up to$1,000 a day because of time off
from work.
d. All court costs taxed against the insured in the"suit".
e. Prejudgment interest awarded against the insured on that part of the judgment we pay. If we make
an offer to pay the applicable limit of insurance,we will not pay any prejudgment interest based on
that period of time after the offer.
E All interest on the full amount of any judgment that accrues after entry of the judgment and before
we have paid, offered to pay, or deposited in court the part of the judgment that is within the
applicable limit of insurance.
J. Who Is An Insured-Subsidiaries Or Newly Acquired Or Formed Organizations-Including New And
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Existing Subsidiaries,Partnerships,Joint Ventures,Limited Liability Companies
Paragraph 2.under Section II-Who Is An Insured is deleted and replaced by the following:
2. If there is no other insurance available,each of the following is also a Named Insured:
a. A subsidiary organization of the first Named Insured shown in the Declarations of which, at the
beginning of the policy period and at the time of loss,the first Named Insured controls,either directly
or indirectly, more than 50 percent of the interests entitled to vote generally in the election of the
governing body of such organization;or
b. A subsidiary organization of the first Named Insured shown in the Declarations that the first Named
Insured acquires or forms during the policy period, if at the time of loss the first Named Insured
controls,either directly oy indirectly,more than 50 percent of the interests entitled to vote generally
in the election of the governing body of such organization.
It. Who Is An Insured-Employees Including Incidental Healthcare Professional Services
Paragraph 3.a.under Section II-Who Is An Insured is deleted and replaced by the following:
3. Each of the following is also an insured:
a. Your"employees"but only for acts within the scope of their employment by you or while performing
duties related to the conduct of your business.However,no"employee"is an insured for:
(1) "Bodily injury"or"personal and advertising injury":
(a) To you, to any of your directors, managers, members, "executive officers" or partners
(whether or not an"employee") or to any co-"employee"while such injured person is either
in the course of his or her employment or while performing duties related to the conduct of
your business;
(b) To the brother,child,parent,sister or spouse of such injured person as a consequence of any
injury described in Paragraph(1)(a)above;or
(c) For which there is any obligation to share damages with or repay someone else who must
pay damages because of any injury described in Paragraph(1)(a)or(b)above.
With respect to"bodily injury"only,the limitations described in Paragraph 3.a.(1)above do not
apply to:
(i) You or to your directors, managers, members, "executive officers", partners or supervisors
as insureds;
(H) Your "employees" as insureds, with respect to such damages caused by cardiopulmonary
resuscitation or first aid services administered by such an"employee;or
(iii)Your "employees" who are nurses, emergency medical technicians, or paramedics as
insureds, with respect to such damages that are caused by providing or failing to provide
professional healthcare services, but only if you are not engaged in the business or
occupation of providing medical,paramedical,surgical,dental,x-ray or nursing services.
(2) "Property damage"to any property owned,occupied or used by you or by any of your directors,
managers,members, "executive officers"or partners (whether or not an"employee") or by any
of your "employees". This limitation does not apply to "property damage" to premises while
rented to you or temporarily occupied by you with the permission of the owner.
L. Additional Insureds
Paragraph 3.under Section II-Who Is An Insured is amended by including the following:
Controlling Interest
Any person or organization that has financial control of you or owns,maintains or controls premises while
you lease or occupy such premises,but only with respect to their liability arising out of:
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(1) Their financial control of you;or
(2) Premises they own,maintain or control while you lease or occupy these premises.
However, no such person or organization is an insured with respect to structural alterations, new
construction or demolition operations performed by or for that person or organization.
Lessors Of Leased Equipment
Any person or organization from whom you lease equipment,but only with respect to the maintenance or use
by you of such equipment,and only if you are obligated pursuant to a contract or agreement to provide them
with such insurance as is afforded by this Coverage Part, However, no such person or organization is an
insured with respect to an"occurrence"that takes place,or an offense that is committed,after the equipment
lease ends.
Managers Or Lessors Of Premises
Any person or organization from whom you lease premises, but only with respect to the ownership,
maintenance or use of that particular part of such premises leased to you and only if you are obligated
pursuant to a contract or agreement to provide them with such insurance as is afforded by this Coverage Part.
However,no such person or organization is an insured with respect to:
(1) An `occurrence"that takes place,or an offense that is committed,after you cease to be a tenant in such
premises;or
(2) Any structural alteration,new construction or demolition operations performed by or on behalf of them.
Mortgagee,Assignee Or Receiver
A mortgagee,assignee or receiver of premises,but only with respect to such mortgagee,assignee or receiver's
liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of your
ownership,maintenance or use of a premises by you.However,no such person or organization is an insured
with respect to structural alterations,new construction or demolition operations performed by,on behalf of,
or for such additional insured.
Other Persons Or Organizations Pursuant To A Contract Or Agreement
Any person or organization that you are obligated pursuant to a contract or agreement to provide with such
insurance as is afforded by this policy are insureds.
However,the person or organization is an insured only:
(1) To the extent such contract or agreement requires the person or organization to be afforded status as an
insured;
(2) For activities that did not occur, in whole or in part,before the execution of the contract or agreement,
and
(3) With respect to damages,loss,cost or expense for injury or damage to which this insurance applies.
No person or organization is an insured:
(1) That is more specifically identified under any other provision of Section II - Who Is an Insured
(regardless of any limitation applicable thereto).
(2) With respect to any assumption of liability(of another person or organization) by them in a contract or
agreement.This limitation does not apply to the liability for damages,loss, cost or expense for injury or
damage, to which this insurance applies, that the person or organization would have in the absence of
such contract or agreement.
Trade Show Event Lessor
With respect to your participation in a trade show event as an exhibitor,presenter or displayer,any person or
organization whom you are required to include as an additional insured,but only with respect to such person
or organization's liability for"bodily injury","property damage"or"personal and advertising injury"caused
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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 at the trade show event premises during the trade show
event.
However,no such person or organization is an insured with respect to"bodily injury"or"property damage"
included within the"products-completed operations hazard".
Vendors
Any person or organization who is a vendor of"your products",but only with respect to liability for"bodily
injury"or"property damage"resulting from the distribution or sale of"your product"in the regular course of
their business.However,no such person or organization is an insured with respect to any:
(1) Assumption of liability (of another person or organization) by them in a contract or agreement. This
limitation does not apply to the liability for damages for"bodily injury"or"property damage" that such
person or organization would have in the absence of such contract or agreement-,
(2) Representation or warranty unauthorized by you;
(3) Physical or chemical change in"your product"made intentionally by the vendor;
(4) Repackaging, except when unpacked solely for the purpose of inspection, demonstration,testing or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(5) Failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make or
normally undertakes to make in the usual course of business,in connection with the distribution or sale
of"your product;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of"your product!;or
(7) Of"your products"which, after distribution or sale by you,have been labeled or relabeled or used as a
container,ingredient or part of any other thing or substance by or for the vendor.
Further, no person or organization is an insured from whom you have acquired "your product", or any
ingredient,part or container entering into,accompanying or containing"your product".
Limitations Applicable To Additional Insureds
With respect any person or organization that qualifies as an additional insured under paragraph L.above,the
following limitations apply to such insured:
(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.
Limits Of Insurance Applicable to Additional Insureds
With respect any person or organization that qualifies as an additional insured under paragraph L.above,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;
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whichever is less.
However,the above paragraph shall not increase the applicable limits of insurance.
M. Medical Expense Limit-$15,000
Paragraph 7,under Section III-Limits Of Insurance is amended by including the following:
The Medical Expense Limit is the greater of:
a. $15,000;or
b. The amount shown in the Declarations for the Medical Expense Limit
N. Knowledge/Notice Of Occurrence
Paragraph 2. under Section IV - Commercial General Liability Conditions is amended to include the
following:
f. Knowledge of an "occurrence" or offense by an agent or "employee" of the insured will not constitute
knowledge by the insured,unless an"executive officer"(whether or not an"employee")of any insured or
an"executive officer's"designee knows about such"occurrence"or offense.
g. Failure of an agent or "employee" of the insured, other than an "executive officer" (whether or not an
"employee")of any insured or an"executive officer's"designee,to notify us of an`occurrence"or offense
that such person knows about will not affect the insurance afforded to you.
h. If a claim or loss does not reasonably appear to involve this insurance,but it later develops into a claim or
loss to which this insurance applies,the failure to report it to us will not violate this condition,provided
the insured gives us immediate notice as soon as the insured is aware that this insurance may apply to
such loss or claim.
O. Primary And Non-Contributory
Subparagraph 4.a.under Section IV-Commercial General Liability Conditions is amended to include the
following:
However,if you are obligated to a written contract or agreement to provide a person or organization that is
included in Section II-Who Is an Insured with primary insurance such as is afforded by this policy,then
this insurance is primary and we will not seek contribution from insurance available to such person or
organization.
P. Unintentional Failure To Disclose Hazards
Paragraph 6. under Section IV - Commercial General Liability Conditions is amended to include the
following:
Unintentional failure of an"employee"of the insured to disclose a hazard or other material information will
not violate this condition,unless an"executive officer" (whether or not an"employee")of any insured knows
about such hazard or other material information.
Q. Waiver Of Subrogation Required By Contract
Paragraph 8.under Section IV-Commercial General Liability Conditions is deleted and replaced by the
following:
8. Waiver Of Subrogation Required By Contract
We will waive the rights of recovery we would otherwise have had against another person or
organization, for loss to which this insurance applies, provided the insured has waived their rights of
recovery against such person or organization in a contract or agreement that is executed before such loss.
To the extent that the insured's rights to recover all or part of any payment made under this Coverage
Part have not been waived,those rights are transferred to us.The insured must do nothing after loss to
impair them.At our request,the insured will bring"suit"or transfer those rights to us and help us enforce
them.This paragraph does not apply to Coverage C.
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R. In Rem
The following is added to Section IV-Commercial General Liability Conditions:
Any"suit"brought as an action In Rem against any watercraft owned or operated by or for the insured shall
in all respects be treated in the same manner as though such"suit"were brought against the insured.
S. Coverage Territory-Limited Worldwide
Paragraph 4.under Section V-Definitions is deleted and replaced by the following:
4. "Coverage territory"means all parts of the world.
However,"coverage territory"does not include any:
a. "Bodily injury" or "property,.gamage" that takes place or any offense committed outside of the United
States of America(including its possessions and territories),Canada and Puerto Rico,unless the insured's
responsibility to pay damages is determined by a"suit"on the merits that is brought in the United States
of America(including its possessions and territories),Canada or Puerto Rico;or
b. Injury or damage in connection with any"suit"brought outside the United States of America (including
its possessions and territories),Canada and Puerto Rico.
T. Insured Contract Amended-Railroad Limitations Removed
Paragraph 9.under Section V-Definitions is deleted and replaced by the following:
9. "Insured contract"means:
a. A lease of premises;
b. A sidetrack agreement,
c. An easement or license agreement;
d. An obligation,as required by ordinance,to indemnify a municipality,except in connection with work
for a municipality;
e. An elevator maintenance agreement;or
f. Any other contract or agreement pertaining to your business (including an indemnification of a
municipality in connection with work performed for such municipality)in which you assume the tort
liability of another person or organization to pay damages,to which this insurance applies,sustained
by a third person or organization.
"Insured contract'does not include that part of any contract or agreement that indemnifies an architect,
engineer or surveyor for damages arising out of:
(1) Preparing, approving, or failing to prepare or approve, maps, drawings, opinions, reports, surveys,
field orders,change orders,designs or specifications;or
(2) Giving directions or instructions,or failing to give them.
All Other Terms And Conditions Remain Unchanged.
Authorized Representative
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