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HomeMy WebLinkAbout2020-027 PO 20200339- Devore Electric & Construction �p ,9 Purchase Order ,MRECOncq S Fiscal Year 2020 Page: 1 of: 1 B City of Ashland ATTN: Accounts Payable Purchase20 E. Main Ashland, OR 97520 0 Order# 20200339 T Phone: 541/552-2010 . O Email: payable@ashland.or.us - V H C/O Public Works-Operations E DEVORE ELECTRIC AND CONSTRUCTION , I 90 North Mountain Ave. N 792 E DUTTON RD p Ashland, OR 97520 8 EAGLE POINT, OR 97524 Phone: 541/488-5353 R T Fax: 541/552-2329 Wf,`Ti.Z-31..1851..1117-1k l.�le�l' VA 1E0 r +{IT!-anal l :'� i91 I! jih ,la+isl 1�: tt�`e E �E_jJi! — -- Paula Brown !` `— 1a 1 E 11 rlal _ _ 6 1 s -"P!1.I -= - E3z(fa 02/14/2020 4431 _ FOB ASHLAND OR/NET30 City Accounts Payable Guardrail Replacement 1 Guardrail replacement per the ITB scope of services. , 1 $11,157.4300 $11,157.43 Goods&Services Agreement Completion date: 04/30/2020 , Project Account: ***************GL SUMMARY*************** 081200-602400 $11,157.43 11'1 Pi B /. Date: F = Authorized Signature , ___ $11 157.43 Yei."----9- -g P-i'' . __ . - / FORM #3 67osCITY OF • A request fora Purchase Order ASHLAND REQUISITION • Date of request: 02/10/2020 Vendor Name DeVore Electric and Construction Address,City,State,Zip 792 E Dutton Road Eagle Point,OR 97524 Contact Name Reginald DeVore "--°6) 7 Telephone Number 541-944-3380 1 % , G Email address r SOURCING METHOD ❑ Exempt from Competitive Bidding ❑ Invitation to Bid 0 Emergency ❑ Reason for exemption: Date approved by Council: 0 Form#13,Written findings and Authorization ❑ AMC 2.50 _(Attach copy of council communication) 0 Written quote or proposal attached O Written quote or proposal attached ,_ _(If council approval required,attach copy of CC) ❑ Smell Procurement 0 Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Coupcil: 0 State of Oregon ❑ Direct Award (Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) 0 State of Washington Intermediate Procurement Date approved by Council: Contract# GOODS&SERVICES (Attach copy of council communication) -❑ Other government agency contract Greater than$5,000 and less than$100,000 0 Sole Source Agency 0 (3)Written quotes and solicitation attached 0 Applicable Form(#5,6,7 or 8) Contract# PERSONAL SERVICES 0 Written quote or proposal attached Form Intergovernmental Agreement . Greater than$5,000 and less than$75,000 0 Form#4, Personal Services>$5K&<$75K Agency 0 Annual cost to ❑Direct appointment not to exceed$35,000City does not exceed$25,000. ❑ Special Procurement Agreement approved byLeal and approved/signed ❑(3)Written proposals/written solicitation 9 PP 9by ❑Form#4,Personal Services>$5K&<$75K 0 Form#9,Request for Approval City Administrator.AMC 2.50.070(4) 0 Written quote or proposal attached Annual cost to Cityexceeds$25,000,Council Date approved by Council: 0 Valid until: (Date), approval required.(Attach copy of council communication) Description of SERVICES Total Cost , Guardrail replacement '.$,1; 1.5T,43 ; Item# Quantity Unit Description of MATERIALS Unit Price Total Cost • © Per attached quote/proposal ' TOTALCOST • Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number -_ - - Account Number 081200 - 602400 $ 11,157.43 - _ — Project Number -- _ _ Account Number - $ , Project Number ` -_ _ _ Account Number _ _ _ _ _- IT Director in collaboration with department to approve all hardware and software purchases: By signing this requisition form,I certify that the City's public contracting requirements have been satisfied. IT Director Date I Support;Yes/No ae EmployeAparY0Oeirle.— j ,)'i, Department Head: P w 71) (Equal to or greater than$5,000) Department Manager/Supervisor: City Administrator (Equal to or greater than$25,000) • Funds appropriated for current fiscal year: YES / NO 24 11 o fji Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition • GOODS & SERVICES AGREEMENT ($25,000.00 or less) PROVIDER: DeVore Electric and Construction CITY OF PROVIDER'S CONTACT: Reginald DeVore AS H LAN D 20 East Main Street ADDRESS: 792 E Dutton Rd Ashland, Oregon 97520 Eagle Point, OR 97524 Telephone: 541/488-5587 PHONE: (541)944-3380 Fax: 541/488-6006 This Services Agreement(hereinafter"Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation(hereinafter"City")and DeVore Electric and Construction, an assumed business name("hereinafter"Provider"), for City of Ashland guardrail replacement as stated in Form#2 ITB-Trade Services in Scope of Services. 1. PROVIDER'S OBLIGATIONS 1.1 Provide for City of Ashland guardrail replacement as stated in Form#2 ITB-Trade Services in Scope of Services "SUPPORTING DOCUMENTS" attached hereto and, by this reference, incorporated herein. Provider expressly acknowledges that time is of the essence of any completion date set forth in the SUPPORTING DOCUMENTS, and that no waiver or extension of such deadline may be authorized except in the same manner as herein provided for authority to exceed the maximum compensation. The services defined and described in the"SUPPORTING DOCUMENTS"shall hereinafter be collectively referred to as"Work." 1.2 Provider shall obtain and maintain during the term of this Agreement and until City's final acceptance of all Work received hereunder, a policy or policies of liability insurance including commercial general liability insurance with a combined single limit, or the equivalent, of not less than $2,000,000 (two million dollars) per occurrence for Bodily Injury and Property Damage. 1.2.1 The insurance required in this Article shall include the following coverages: • Comprehensive General or Commercial General Liability, including personal injury, contractual liability, and products/completed operations coverage; and • Automobile Liability. 1.2.2 Each policy of such insurance shall be on an "occurrence" and not a "claims made" form, and shall: • Name as additional insured "the City of Ashland, Oregon, its officers, agents and employees" with respect to claims arising out of the provision of Work under this Agreement; • Apply,.to,each named and additional named insured as though a separate policy had been issued to each, provided that the policy limits shall not be increased thereby; • Apply as primary coverage for each additional named insured except to the extent that two or more such policies are intended to "layer" coverage and, taken together, they provide total coverage from the first dollar of liability; • Provider shall immediately notify the City of any change in insurance coverage Page 1 of 5: Agreement between the City of Ashland and DeVore Electric and Construction . • Provider shall supply an endorsement naming the City, its officers, employees and agents as additional insureds by the Effective Date of this Agreement; and • Be evidenced by a certificate or certificates of such insurance approved by the City. 1.3 Provider shall,at its own expense,maintain Worker's Compensation insurance in compliance with ORS 656.017, which requires subject employers to provide workers' compensation coverage for all of its subject workers. 1.4 Provider agrees that no person shall, on the grounds of race, color, religion, creed, sex, marital status, familial status or domestic partnership, national origin, age, mental or physical disability, sexual orientation, gender identity or source of income, suffer discrimination in the performance of this Agreement when employed by Provider. Provider agrees to comply with all applicable requirements of federal and state civil rights and rehabilitation statutes, rules and regulations. Further, Provider agrees not to discriminate against a disadvantaged business enterprise,minority-owned business,woman-owned business, a business that a service-disabled veteran owns or an emerging small business enterprise certified under ORS 200.055, in awarding subcontracts as required by ORS 279A.110. 1.5 In all solicitations either by competitive bidding or negotiation made by Provider for work to be performed under a subcontract, including procurements of materials or leases of equipment, each potential subcontractor or supplier shall be notified by the Providers of the Provider's obligations under this Agreement and Title VI of the Civil Rights Act of 1964 and other federal nondiscrimination laws. 1.6 Living Wage Requirements: If the amount of this Agreement is $21,127.46 or more, Provider is required to comply with Chapter 3.12 of the Ashland Municipal Code by paying a living wage,as defined in that chapter, to all employees performing Work under this Agreement and to any Subcontractor who performs 50% or more of the Work under this Agreement. Consultant is also required to post the notice attached hereto as "Exhibit A"predominantly in areas where it will be seen by all employees. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of$11,157.43 as provided herein as full compensation for the Work as specified in the SUPPORTING DOCUMENTS. 2.2 In no event shall Provider's total of all compensation and reimbursement under this Agreement exceed the sum of$11,157.43 without express, written approval from the City official whose signature appears below, or such official's successor in office. Provider expressly acknowledges that no other person has authority to order or authorize additional Work which would cause this maximum sum to be exceeded and that any authorization from the responsible official must be in writing. Provider further acknowledges that any Work delivered or expenses incurred without authorization as provided herein is done at Provider's own risk and as a volunteer without expectation of compensation or reimbursement. 3. GENERAL PROVISIONS 3.1 This is a non-exclusive Agreement. City is not obligated to procure any specific amount of Work from Provider and is free to procure similar types of goods and services from other providers in its sole discretion. 3.2 Provider is an independent contractor and not an employee or agent of the City for any purpose. 3.3 Provider is not entitled to, and expressly waives all claims to City benefits such as health and disability insurance, paid leave, and retirement. Page 2 of 5: Agreement between the City of Ashland and DeVore Electric and Construction 3.4 This Agreement embodies the full and complete understanding of the parties respecting the subject matter hereof. It supersedes all prior agreements, negotiations,and representations between the parties, whether written or oral. 3.5 This Agreement may be amended only by written instrument executed with the same formalities as this Agreement. 3.6 The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220, 279B.230 and 279B.235. 3.7 This Agreement shall be governed by the laws of the State of Oregon without regard to conflict of laws principles. Exclusive venue for litigation of any action arising under this Agreement shall be in the Circuit Court of the State of Oregon for Jackson County unless exclusive jurisdiction is in federal court, in which case exclusive venue shall be in the federal district court for the district of Oregon. Each party expressly waives any and all rights to maintain an action under this Agreement in any other venue, and expressly consents that, upon motion of the other party, any case may be dismissed or its venue transferred, as appropriate, so as to effectuate this choice of venue. 3.8 Provider shall defend,save,hold harmless and indemnify the City and its officers, employees and agents from and against any and all claims, suits, actions, losses, damages, liabilities, costs, and expenses of any nature resulting from, arising out of, or relating to the activities of Provider or its officers, employees, contractors, or agents under this Agreement. 3.9 Neither party to this Agreement shall hold the other responsible for damages or delay in performance caused by acts of God, strikes, lockouts, accidents, or other events beyond the control of the other or the other's officers, employees or agents. 3.10 If any provision of this Agreement is found by a court of competent jurisdiction to be unenforceable, such provision shall not affect the other provisions, but such unenforceable provision shall be deemed modified to the extent necessary to render it enforceable, preserving to the fullest extent permitted the intent of Provider and the City set forth in this Agreement. 4. SUPPORTING DOCUMENTS The following documents are,by this reference,expressly incorporated in this Agreement,and are collectively referred to in this Agreement as the "SUPPORTING DOCUMENTS:" • The Provider's complete written Proposal dated 01/30/2020. 5. REMEDIES 5.1 In the event Provider is in default of this Agreement, City may, at its option, pursue any or all of the remedies available to it under this Agreement and at law or in equity, including, but not limited to: 5.1.1 Termination of this Agreement; 5.1.2 Withholding all monies due for the Work that Provider has failed to deliver within any scheduled completion dates or any Work that have been delivered inadequately or defectively; 5.1.3 Initiation of an action or proceeding for damages, specific performance, or declaratory or injunctive relief; 5.1.4 These remedies are cumulative to the extent the remedies are not inconsistent,and City may pursue any remedy or remedies singly, collectively, successively or in any order whatsoever. Page 3 of 5: Agreement between the City of Ashland and DeVore Electric and Construction 5.2 In no event shall City be liable to Provider for any expenses related to termination of this Agreement or for anticipated profits. If previous amounts paid to Provider exceed the amount due, Provider shall pay immediately any excess to City upon written demand provided. 6. TERM AND TER1VIINATION 6.1 Term This Agreement shall be effective from the date of execution on behalf of the City as set forth below (the "Effective Date"), and shall continue in full force and effect until April 30, 2020, unless sooner terminated as provided in Subsection 6.2. 6.2 Termination 6.2.1 The City and Provider may terminate this Agreement by mutual agreement at any time. 6.2.2 The City may, upon not less than thirty (30) days' prior written notice, terminate this Agreement for any reason deemed appropriate in its sole discretion. 6.2.3 Either party may terminate this Agreement, with cause, by not less than fourteen (14) days' prior written notice if the cause is not cured within that fourteen (14) day period after written notice. Such termination is in addition to and not in lieu of any other remedy at law or equity. 7. NOTICE Whenever notice is required or permitted to be given under this Agreement, such notice shall be given in writing to the other party by personal delivery, by sending via a reputable commercial overnight courier, or by mailing using registered or certified United States mail, return receipt requested, postage prepaid, to the address set forth below: If to the City: City of Ashland—Public Works Department Attn: Avram Biondo 20 E. Main Street Ashland, Oregon 97520 Phone: (541) 488-5313 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland, OR 97520 Phone: (541)488-5350 If to Provider: DeVore Electric and Construction Attn: Reginald DeVore 792 E Dutton Rd Eagle Point, OR 97524 8. WAIVER OF BREACH One or more waivers or failures to object by either party to the other's breach of any provision,term,condition, or covenant contained in this Agreement shall not be construed as a waiver of any subsequent breach,whether or not of the same nature. 9. PROVIDER'S COMPLIANCE WITH TAX LAWS 9.1 Provider represents and warrants to the City that: Page 4 of 5: Agreement.between the City of Ashland and DeVore Electric and Construction 9.1.1 Provider shall, throughout the term of this Agreement, including any extensions hereof, comply with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules,regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.1.2 Provider, for a period of no fewer than six (6) calendar years preceding the Effective Date of this Agreement, has faithfully complied with: (i) All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318; (ii) Any tax provisions imposed by a political subdivision of the State of Oregon applicable to Provider; and (iii) Any rules, regulations, charter provisions, or ordinances that implement or enforce any of the foregoing tax laws or provisions. 9.2 Provider's failure to comply with the tax laws of the State of Oregon and all applicable tax laws of any political subdivision of the State of Oregon shall constitute a material breach of this Agreement. Further, any violation of Provider's warranty, as set forth in this Article 9, shall constitute a material breach of this Agreement. Any material breach of this Agreement shall entitle the City to terminate this Agreement and to seek damages and any other relief available under this Agreement,at law,or in equity. IN WITNESS WHEREOF the parties have caused this Agreement to be signed in their respective names by their duly authorized representatives as of the dates set forth below. CITY OF ASHLAND: DE VORE ELECTRIC I CONSTRUCTION (PRO fl R): By: /144-42-P,141- Signature By: p Signature Gere-0 rn/� Printed Name # ;l n I �, Vor,Q PIA/ .77,/2.6-c_7272._ Printed Name Title Ou)n-P r Title //Fes Zo Zv Date t) / 070 otO Date '-9 is to be submitted with this signed Agreement) Purchase Order No. 40-0 o J gy Page 5 of 5: Agreement between the City of Ashland and DeVore Electric and Construction Supporting Documents c-'-' `-L 3PeaNgb.ltePROPOSAL c;t4A,t, sr.,-,,,, �1� // DATE ESTIMATE# Reginald DeVore"Reggie" 1/30/2020 1983 792E Dutton Rd Eagle Point,OR 97524 Cell 541-944-3380 Fax 541-879-0563 regdevore@charter.net CCB#134196 NAME/ADDRESS City of Ashland Street Division Avram Biondo 20 East Main Street Ashland,OR 97520 PROJECT Guardrail Replacement ITEM DESCRIPTION TOTAL Labor-Equipment&Materials Supply all material,labor and equipment necessary to repair guardrail for City of Ashland 11,157.43 as stated in Form#2 ITB-Trade Services in Scope of Services/Lump Sum Thank you for your business. It is a pleasure to work with you. TOTAL $11,157.43 CITY OF FORM #2 ASHLAND INVITATION TO BID—TRADE SERVICES INTERMEDIATE PROCUREMENT Release date: 01/21/2020 Requested by: Avram Biondo City of Ashland Street Division Phone: 541-552-2345 Fax: 541-552-2304 avram.biondo@ashland.or.us Bids are due: 10:00.AM Thursday 01/30/2020 Project name: City of Ashland Guardrail Replacement Job site locations: Granit ST,Ashland Mine RD,and Alta AV within the City of Ashland Project completion required by: 3/31/2020 Bids may be faxed,emailed or hand delivered.Contractors shall submit bid on their company letterhead. Informal email bids and/or late bids will not be accepted.Terms or discounts which are conditioned upon payment within a certain time will not be considered for purposes of comparison of bids. The successful contractor will be required to enter into a contract with the City for the services and provide insurance certificates in their own name for General Liability,Automobile and Workers' Compensation. Workers' Compensation insurance is mandatory. Subcontracting will not be permitted. "OR EQUAL":Any brand name listed in the specifications as"or equal"or"or equivalent"shall establish the minimum requirements for quality,utility, durability,function,purpose,etc.Other product brands may be offered that are equal to or better than the product brand name.Bidder may show cost difference,alternates and options in the space provided in the quote.This clause is not meant to be restrictive,but to set the minimum standard.THE CITY SHALL DETERMINE,IN ITS SOLE DISCRETION,WHETHER A PRODUCT OFFERED IS"EQUAL."When the designation is"or equal"or "equivalent"City shall make its decision after Bid Closing. SCOPE OF SERVICES Supply all material, labor, and equipment necessary to repair guardrail at the following locations: 1) General: a) Replace approx. 29' at the intersection of Ashland Mine RD and Fox ST. Replace existing guard rail and round posts with new standard W beam guard rail &post system. b) Replace approx. 35' at the intersection of Alta AV and Grandview. Replace existing wooden rail with new standard W beam guard rail and post system. Extend guard rail to existing Carsonite stakes. Include rounded end treatment on leading edge. c) Repair existing guard rail structure on Granit ST at Strawberry LN. Four existing posts are broken and/or out of alignment. Replace approx. one section of W beam guard rail and one rounded end treatment. Repair/replace any other components deemed damaged while performing work. 2) Ancillary Activities: The contractor performing the repairs shall be responsible for any additional activities or equipment required to safely perform the work. This includes but is not limited to calling 811 before digging and acquiring any needed permits. Additionally,the contractor will be responsible for any traffic control necessary while work is being performed per the P Form#2—Intermediate Procurement,Invitation to Bid,Trade Services,Page 1 of 2,2/4/2020 ' �, MUTCD and OTTCH, ensuring BMPs for erosion control and run off are followed, and ensuring the safety of any public in the area. Contractor will be required to return any disturbed areas due to the work being performed to the same condition prior to starting work. 3) Finished Product: All replacement guard rail, posts,and parts used shall be new condition. All new equipment and material used shall conform to current FHWA and ODOT specifications and design. 4) Payment: Work will be performed under a lump sum and that for said lump sum, all materials, labor, equipment and all work necessary to complete the project in accordance with the plans, details, and specifications shall be furnished for the named price. *Upon award, contractor will be required to enter a goods and services contract with the City of Ashland. Sample contract is included with bid request. All Pricing Must Be Held Firm For 30 Days Method of Award:ORS 279B.070 Intermediate Procurements. (4)If a contract is awarded, the contracting agency shall award the contract to the offeror whose quote or proposal will best serve the interests of the contracting agency, taking into account price as well as considerations including, but not limited to, experience, expertise,product functionality,suitability for a particular purpose and contractor responsibility under ORS 279B.110. C:\Users\campost\Desktop\1-21-2020 misc guard rail repairs Form#2-Intermediate Procurement Invitation to Bid-TRADE SERVICES.doc 2 • It C AC CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODNYYY) _ 02i07i2020 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,ANDTHE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is'an:ADDITIONAL INSURED,thepoiicy(les)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 endcrsentent(st: PRODUCER CONTACT •Debbie D Reed NAME;" Insurance Marketplace,Inc.: ( No:Eats: (541) 7794177rc,Nd:(641)772.8235 1998 Sky Park fir' 'E-MAIL p ss: debbie a@insmarket.com Medford,OR 97501 INSURERISI AFFORDING COVERAGE, NAIC p -INSURER A': Allied Insurance Company .23782_ INSURED Reginald DeVore INSURER B: Allied Insurance Groups 23787 DBA:.DeVore Electric&Construction INSURER C: Allied Insurance Group 792,E Dutton RdINSURER DI SAIF Corporation . Eagle Point,OR 97524-7975 INSURERS: INSURER F:COVERAGES CERTIFICATE NUMBER 00000000-1.059869 REVISION NUMBER: 21 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,TERMOR CONDITION OFANY 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 REDUCEDBY PAID CLAIMS:; INSR ADM SUER POLICY EFF POLICY EXP LIMITS LTR TYPE.OF INSURANCE IBM WVD,.... POLICY NUMBER IMMIDD1VYYVI,IMMIDOIYYYYI A, X COMMERCIAL GENERAL.IJAEILITY "Y ACP7555924983 0211712019 0211712020 EACH DAMAGE TO RENTED OCCURRENCE: $ 1,000,000 CLAIMS-MADE l.X I OCCUR PREMISES(Ea accurrence) . $ 100,000 MED EXP(Any ape'person) $ '10,000 PERSONAL S ADV INJURY S 1,000,000 GEPL AGGREGATE LISUT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY. JECfi LOC PRODUCTS-COMPJOPAGG--$ 2,000,000 ..... OTHER: $ AUTOMCalLELIABILITY 'COMBINED.SINGLELIMIT $ Y ACP7555924983 0211712019. 0211712020 iE®acoldenl) 1,000,000 ANY AUTO .BODILY INJURY(Per person) $ OWNED SCHEDULED. BODILY INJURY(PeracUderd) $ AUTOS ONLY X AUTOS HIRED I NON.AWNED' PROPERTYOAMAGE. A X AUTOS ONLY !X AUTOS ONLY 1(Fes BEC dent}. $ C UMBRELLA,UAB X. OCCUR ACP7555924983 02/0712020 02/17/2020 EACH OCCURRENCE: $ 1,000,000 X •EXCESS UAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION S $ WORKERS COMPENSATION STATUTE ER D AND EMPLOYERS'LIABILITY Y`JN . 769387 0310412019: .0310112020 X. PER oTH•ANY PROPRIETORIPARTNERIEXECUTIVE I� EL EACH ACCIDENT $ 500;000 OFFICER/MEMBER EXCLUDED? n N 1A (Mandatory In NH) EL.DISEASE-EA EMPLOYEE$ 6600,000 J ityes,'descreeunder . DESCRIPTION OF.OPERATIONS below EL DISEASE POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD lel,Additlanal:Romorke Schedule,may be attached It morn spate.Ia required) City of Ashland,Oregon,its officers,agents:and employees with respect to claims arising out,of the provision of work under this agreement-perattached endorsements cg7288 1216&CG 724611 15&auto AC:7005 0316 CERTIFICATE HOLDER. CANCELLATION . SHOULD ANY QF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION.DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE,WITH THE:POLICY PROVISIONS. 20 E Main Street Ashland,OR 97520 AUTNO IZED REPRESENTATIVE t- ll (DDR). O'19884015 ACORD CORPORATION. All rights.reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks'of ACORD . Printed by DOR on February 07,2020 at 10:55AM. COMMERCIAL AUTO AC 70 05 0316 THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BUSINESS AUTO PROTECTION a GOLD This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM SUMMARY OF COVERAGES A. Effect of This Endorsement B. Newly Acquired or Formed Entities C. Employees as insureds—Nonowned Autos D. Additional Insured by Contract,Permit or Agreement E. SupplementaryPayments—Bail Bonds F. Supplementary Payments—Loss of Earnings G. Personal Effects and Property of Others Extension H. Prejudgment Interest Coverage I. Fellow Employee—Officer,Managers and Supervisors J. Hired Auto Physical Damage K Temporary Substitute Autos—Physical Damage Coverage L. Expanded Towing Coverage M. Auto Loan or Lease Coverage N. Original Equipment Manufacturer Parts—Leased Private Passenger Types O. Deductible Amendments P. Rental Reimbursement Coverage 0. Expanded Transportation Expense R. Extra Expense—Stolen Autos S. Physical Damage Limit of Insurance T. New Vehicle Replacement Cost U. Physical Damage Coverage Extension V. Transfer of Rights of Recovery Against Others To Us W. Section IV—Business Auto Conditions—Notice of and Knowledge of Occurrence X. Hired Car Coverage Territory Y. Emergency Lock Out Z. Cancellation Condition • AC 70 05 0316 Includes copyrighted material of Insurance Services Office,Inc. - Page 1 of 7 with Its permission ACP 0AP0754.69249113 511K 18353 INSURED COPY AC70050311300 0001 47 0024783 AC 70 05 03 16 A. EFFECT OF THIS ENDORSEMENT If specifically required by the ; r: : nd ithe Coverage provided under this.policy is modified any coverage.providedby this endorsement to by the provisions of this endorsement if there an additional Insured,.shall be primary and is any conflict between the provisions of this ' any other valid and collectible insurance avail- endorsement and the provision(s)of any state- able to the additional insured shag be non- specific endorsement also attached to this poll- contributory with;this, insurance If the written cy, then the provision(s) of the state-specific contract: does not require this coverage to be endorsement shall apply instead of the ;provi pricey and the additional insured's.c overage to slons of this endorsement that are in conflict, be non-contributory, then this insurance will be but only to the extent of,the conflict,andonly to excess over any other valid and collectible Insur the extent-necessary to bring suchprovisions ance availabie to the addibonat insured. into conformance with the state.requiremen.t(s) contained in the provision(s)of the state-specific endorsement. E. SUPPLEMENTARY PAYMENTS — BALL B. NEWLY ACQUIRED OR FORMED ENTITIES BONDS The Named.Insured shown.in theDeciarat ons is SupPleme!Lary Payments of '.SECTION II; amended"to include any organization you newly COVERED. AUTOS LIABILITY COVERAGE is acquire'or tom, other.than.a partnership,joint revised as follows: venture, or limited 'liability Company, and over (2) Up to$2,500 for cost of ball bonds(including which you maintain ownership or majority (more bonds for related traffic law violations) than 50%)interest;if there is no other similar in- required because of an"accident"we cover.. surance-available to that organization.Coverage We do not have to furnish these bonds.. under this provision is afforded until the 180th F. SUPPLEMENTARY PAYMENTS — LOSS OF day after you acquire or form the organization or EARNINGS -the end of the policy period,whichever,is later. Supplementary Payments of the'SECTION II C. EMPLOYEES AS INSUREDS —"NONOWNED COVERED AUTOS LIABILITY COVERAGE .is AUTOS revised as.follows: The following is added to paragraph Al.Who Is (4) All reasonable expenses incurred by the"in- An Insured of SECTION II—COVERED AUTOS sured at our request, including actual loss LIABILITY COVERAGE: of earnings up to $500:a day because of d. Any "employee" of yours is an "insured" time off from work: while using a covered"auto"you don't owns, G. PERSONAL EFFECTS AND PROPERTY' OF hire or borrow;in your business or your per OTHERS EXTENSION. serial affairs. 1. The. Care, Custody or Control Exclusion of D. ADDITIONAL INSURED BY: CONTRACT, SECTION Ii. COVERED AUTOS PERMIT OR AGREEMENT LIABILITY COVERAGE, does not apply to The following is added to A.1. Who IS An in- "property damage" to property, other than sured of SECTION II. COVERED AUTOS your property,up to an:amount.not exceed- LIABILITY COVERAGE: 1,10'5250 in::anyone "accident". Coverage Any- person or organization that you are re- "is excess over any other valid and collectible qulred to name as an additional,Insured in a. insurance. written contract or agreement that is executed .2-. The following paragraph isadded to A.4. or signed by you prior to a °bodily injury" or Coverage Extensions of SECTION III -- "property "property damage"occurrence'is an Insured" PHYSICAL DAMAGE COVERAGE: for Covered Auto Liability *overage. How- c. We will pay up to$500 for your property ever, with respect to covered 'autos" such that is lost-or damaged as a result of a person or.organizationis an insured only to covered "loss",;without applying a de the extent that person or organization qualifies ductibie. Coverage is excess over any as an"Insured"under A.1. Who is an insured of other valid and collectible insurance. SECTION II -- COVERED AUTOS LIABILITY COVERAGE: Page 2 of 7 Includes copyrighted material of insurance Services Office, Inc. AC 70 05 03 16 ' with its-permission ACP DAPD76.64024,83 511H 11383; INSURED COPY AC700603100G 0001 47 0004 COMMERCIAL'AUTO AC 70 05 03 10 H. PREJUDGMENT INTEREST COVERAGE substitute:kr a:covered"auto"you OWn that The,following paragraph is:added to.SECTIONII Is out of servioebecouse of its: – COVERED: AUTOS LIABILITY COVERAGE,. a. Breakdown; 2. Coverage Extensions, a. Supplementary b Repair; Payments: c.. "Servicing; (7) PrejUdgnient interest awarded against the . ', Insured" on that part of the judgment we d, Lossor Pay. If we,Make an Offer to:pay the appli- e. Destruction cable. limit Of insurance, we will' not pay The coverage that applies Is the same as any, prejudgment: -interest based on: that the'toverage.provided for the vehicle being period cif tithe-after'the offer. replaced. J ._ f.E0.,.LOW__-__.EMP_LOY-EE----- --MACFAS,,- : - - , . - ' • MANAGERS,AND SUPERVISORS L. EXPANDED TOWING COVERAGE The Fellow Employee Exclusion in SECTION II 1.'. We'will Oay up replated asfollows; to: –COVERED AUTOS'LIABILITY COVERAGE is a. $100 for a covered'"auto" you. own of iVate,passenger type,or A. "Bodily injury' to any fellow employee"" of b. $500,the prfor a covered"auto"you own that the"insured"arising out of and In theicourse of the -fellow "OROjayee's" employment or is not of the private passenger type, while performing duties related to. the con- for towing: and labor costs incurred each , duct of your business. This. exclusion'does time the coverecrauto" is disabled. Howev- not apply to an "insured" who occupies a et, the labor must be performed'at the place , position as an officer, manager,or.supervi- of disablement. sor. 2 This coverage applies only for an "auto" J. HIRED AUTO PHYSICAL DAMAGE covered on this policy for Comprehensive or if covered`auto"designation symbols 1 Or 13,0p- Specified Causes. of Loss Coverage and ply to Liability Coverage and if at least one"au, ,Collision Coverages to" you own is coveredby this policy for Corn- 3, Payment applies In addition to the otherwise prehertilve,Specified Causes of Loss, or.Coll- applicableamount of each coverage you Sion coverages, then the Physical Damage have on a covered"auto": coverages provided are extended to'autos"you M. AUTO LOAN OR'LEASE COVERAGE lease,hire, rent or borrow without a&Kier; and t... In the-event.of a.total "loss" to a coVered provisions:In the Business Auto,Coverage FOMI "auto",we will pay any unpaid amount due applicable to Hired' Auto physical Damage apply on the loan or teats, including:up to a mak, up to.a limit of$190,000,The deductible-will be . irnum of $5001 for early termination' feet or equal to the largest-deductible.applicable.tO any '• - perraltThe ies,for your tOveredltuto"less: owned "auto" for that coverage. Any Corripre- amoupa hensive deductible does not apply to fire. or a ntid under SECTION. III — PHYSICAL DAMAGE COVERAGE of lightning. thisand. K. TEMPORARY SUBSTITUTE AUTOS – .polloy: PHYSICAL DAMAGE COVERAGE b. Any: 1). Overdue lease/loan payments at the The following is added to paragraph C. Certain Trailers, Mobile Equipment And Tempora' time of the lose; Substitute Autos of SECTION i - COVERED 2)- FIrianciel penalties imposed under a AUTOS: lease, for excessive use, abnormal. If Physical DaMoge COVerage Is provided by wear and tearor high Mileage; this Coverage Form; the following-types of 3) Security deposits not refUnded by a vehicles are also.coVered'autos' for Phyti- lessor;' cal Damage Coverage: 4) Costs otextendedwarranties,Credit Any "auto" you do not own While used with Life Insurance, Health, Accident,.or . the permission of its owner ata temporary Disability instirance.purchased with the leasCand AC 70 05 03 16 Includescopyrightedmaterial of Insurance Service&Office,Inc., Page 3'of 7 with'its permission ACP BAPO754542.49113 511H 18353 INSURED COPY AC750505111100 0001 47 0024785 , . mr-..- -tc-,4.),==.4.ftb=mta,o,w,_gazdstlteolse.... ,46 :04e,vmutriaetxt,amqvyk.•,•••- -• ••••••• - ... . - • •-,"-rs4muthoilgkrbaitkd atxttcaltzt.e114.1,11.=' AC 70 05 03 16 5) Carry-over balances from previous No deductible applies to glass if the glass is re , leases. paired,in a manner eicceptable to us,ratherthan Z This coverage only applies to a lose which replaced. is also covered under this policy for Com- P. RENTAL REIMBURSEMENT COVERAGE prehensive, Specified Causes of Loss, or 1. This coverage applies only to a covered lau Collision coverage. to" for which Physical Damage Coverage is 3. Coverage does not apply to any unpaid provided on this policy. amount due on a loan for which the collared 2. We will pay.for rental reimbursement ex- 'auto"is not the sole collateral. penses incurred by you for the rental of an N. ORIGINAL EQUIPMENT MANUFACTURER "auto"because of lost"to a covered"auto". PARTS — LEASED PRIVATE PASSENGER Payment applies In addition to the otherwise TYPES applicable amount of each coverage you Under Paragraph C. Limit of Insurance of have on.a covered "auto." No deductibles SECTION ill — PHYSICAL. DAMAGE apply to this coverage. COVERAGE,Section 4 isadded as follows: 3. We will pay only for those expenses incurred 4. We will use new original equipment vehicle during the policy period beginning 24 hours manufacturer parts for any private passen- after the loss°andending,regardless of the ger type.covered "auto' where,required by policy's expiration, with the lesser of the the lease.agreement which has a term of at following number of days: least six Montt* if a new original equip- a. The number of days reasonably ment vehicle manufacturer part is not in pro- required to repair or replace the covered duction or distribution IND may use a like, "auto'. If loss" Is caused by theft, this kind and quality replacement part. number of days is added to the number O. DEDUCTIBLE AMENDMENTSof days it it takes to locate e covered " to"and return to . th The following are added to the Deductible provi- auyou sion of SECTION III:— PHYSICAL. DAMAGE b. The number of days shown in the COVERAGE: Schedule. If another policy or coverage form that is not an. 4. Our payment is limited to the lesser of the automobile policy or coverage'form issued by following,amounts: this comPany apPlies to the same vaccidenr,,the a. Necessary and actual expenses following applies: incurred. 1. If the deductible:under this coverage is the b. $75 for any one day or kir a maximum smaller (or smallest). deductible, It wilt be of'30 days: waived: 5. This coverage does riot apply while there 2. If the deductible'under this coverage is not are.spare or reserve"autos"available to you the smaller(or smallest)deductible,it will be for your operations. reduced by the amount of the smaller (Or 6. If "loss" results from'the total theft of a coy- smallest)deductible. Bred "auto" of the private passenger type. If a Comprehensive or Specified Causes of Loss we will pay under this 'coverage only. that Coverage "loss" from one "accidenr involves, amount of' your rental reimbursement ex- two or more covered "autos", only the highest penses which is not already providedfor un deductible applicable to those coverages WIT be der SECTION ill — PHYSICAL DAMAGE applied to the,"accident,"if the cetuse of the loss COVERAGE CoVerage Extension. is covered for those vehicles.This provision only Q. EXPANDED TRANSPORTATION EXPENSE applies If you carry Comprehensive or Specified Paragraph A.4 a. of SECTION III —PHYSICAL Causes of Loss Coverage for those vehicles, DAMAGE COVERAGE is replaced by the follow- and does not extend coverage to any covered ing:. !'autos" for whichtyou do not' carry such coverage. We will pay up to$50 per day a,maximum of $1500 for temporary transportation expense in- curred by you because of the total-theft of a Page 4 ot 7 Includes copyrighted material of inturance Services Office, Inc AC 70 05 03 16 with its permission. ACP 8APD76.641924903 AIM 18353 INSURED COPY AC7005031000 0001 47, 00247013 • COMMERCIAL AUTO AC70050316 covered "auto" of the private 'passenger type. merit:manufacturer- or other sources in- We will only pay for those covered "autos" for eludingnon-originalequipment manu- which you carrComprehensive or'Specified facturers.and Causes of Loss Coverage:We will-pay for tern- b: If a repair or replacement results in bet- porary transportation expenses incurred during the period beginning 24 hours after the theft and ter than like kind or quality, we will,not pay for the ending, regardless of the policy's expiration, e amount of the net improve- ending, the covered'auto"is returned to use or we anent. pay for its "loss". 6; If we offer to pay the actwel cash value of R. EXTRA EXPENSE—STOLEN AUTOS the damaged or stolen property, we will value auto advertising wraps, paint customi- The following paragraph is added to Coverage ration,and similar business related advertis- Extensions of SECTION_-.iii- _.._PHYSICAL . .,__ ___ing-rtodlfloationsr-in-addition-lite-aet+aaP. DAMAGE COVERAGE:- cash value of the property.Auto advertising c. We will pay for up to-$5,000for the expense fps, Dint customization, and similar of returning a stolen covered "auto"to you. business related advertising modifications We will pay only for those covered"autos" will be valued at the cost to replace them for which you carry Comprehensive or Sped- with an adjustment made for depreciation ified Causes of Loss Coverage and physical condition. S. PHYSICAL DAMAGE LIMIT OF INSURANCE T. NEW VEHICLE REPLACEMENT COST Under SECTION IRI - PHYSICAL DAMAGE The following is added to the Limit of Insurance. COVERAGE, Paragraph C:, Limit of Insurance provision of SECTION iII — PHYSICAL is replaced bythe DAMAGE COVERAGE: G.Limit Of Insurance 3: The provisions of paragraphs 1. and 3. do 1. The most we will pay for loss" in any one not apply to a,covered'"autoi" of the private ora vehicle with a. "accident'is ilia lesser of: passenger type grass. a. The actual cash value of the.d ed vehicle weight rating of 20,000 pounds or damaged less which lea'new vehicle." or stolen property as of the time of the "toss",or in the eventel a total loss"to your new ve- hicle to which this coverage applies,we will b. The cost of repairing ;or replacing the pay at your option:. damaged or st len property. a'. The verifiable "new vehicle" purchase 2; $1500 Is the most we will pay for "loss"in any one "accidenC to, all electronic equip- price you paid for your damaged vehl- ment that reproduces,receives or transmits rarities quaany insurance or war- audio, visual er data signals'which, at the purchasseh d; time of"loss",is: b: If it Is'available, the purchase price, as a. Permanently installed In or upon the negotiated by us, of a "new vehicle" of the same make, model, and equipment covered"auto":in a housing, opening or other location that is not: normo used or the most similar:model available, not y including any furnishings, 'parts, or by the "auto" manufacturer for the In- equfpment.not installed by the manufac- stallation of such equipment. turer or manufacturers'dealership;'or-. b. Removable from a permanently installed c. The market, value of your damaged ye- housing unit as described in Paragraph hide, not including any 'furnishings,. 2.a. above or is an Integral part of that equipntentor 1 .or equipment not installed:by the manufacturer or manufacturer's dealer- c, An integral part of such equipment.; ship. • 3. An'adjustment for depreciation and physical We will not pay for initiation or set up costs condition will be made in determining actual associated with loans or leases, cash value in the eventof a tete! 'toss°. Asused in this endorsement, a "new 4. The costof repairing or replacing may: vehicle*means an "auto" of which you are a. Be based on an.estimate which includes the original owner that has not been previ-. parts' furnished by the original equip- AC 70 05 03 16 Includes copyrighted material of Insurance Services Office,Inc., Page 5 of with its permissIon ACP BAPD7s.5.5e28883 811N 10353 7..INSURED COPY AC70080018130 0001 {V ,0031787 cmts.. t.Ecszarid..v.t.tdoetirrlr.Sdziv«.sAoavoftrckzt.vtir:aaatximd-'c,e,-,,Itromwobtl,a4gfivv.,,. ' ", -',4, .-Wevarammilwavtoatzlyaatve.aco=noleamlaewdet,,t~mftratzta=icaztao '7. AC 70 Os 03 16 ously Ned and which you purchased less a., Your obligation in the Duties in the Event than 366days before the date of the lo •st",. or Accident, Claim, Suit or Loss Condi, don relative to notification requirements applies ordy when U. PHYSICAL DAMAGE COVERAGE the "accident" or loss"Is lcnown to: EXTENSIONS (1) You,ifyou are an individual; Under SECTION ill -- PHYSICAL DAMAGE COVERAGE, Coverage, Coverage, Exten- (2) A partner,if you are a partnership; sions, b. Loss of Use Expenses is replaced by (3) A member,if you are a. limited liability the following: company;or b. Loss of Use Expenses (4) An executive officer or insurance For Hired Auto Physical Damage,-we will manager,if you are a corporation. pay expenses for which an Insured" be- b. Your obligation in the. Duties in the Event comes legally responsible to pay for loss of of Accident,Claim, Suit or Loss Condition Use of a vehicle rented,or hired without a relative to providing us with documents driver, under a Written rental contract or concerning a claim or "suit' will not be agreement We will pay for loss of:use ex- considered breached unless the breach penses if caused by: ocours after such claim or"suit"is known. (1) Other than collision if the Declarations to: indicate that Comprehensive CoVerage (1) You,if you are an indivklual; is provided for any covered"auto"; ( (2) A partner;if you are a partnership; (2) Specified Causes of Loss only if the 'Declarations indicate that. Specified (3) A member, if you are a limited - liability company;Or Causes of Loss Coverage is provided (4) An executive officer or insurance for any covered"auto";or , manager,if you are a corporation. (3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered"auto." X HIRED CAR—COVERAGE TERRITORY However; the most we will pay for any item (5) of the Policy Period,Coverage Territory expenses for loss of use is$50 per day,to a GeneralConditionds replaced by the following: maximum of$1,500.The insurance prOVided (5) AnyWherdn theworldit a covered"auto"is, by this provision is excess over any other leased, hired, rented or borrowed without a collecdble insurance. driver br a period of 30 days or lose;and V. TRANSFER OF RIGHTS OF RECOVERY Y. EMERGENCY LOCKOUT AGAINST"OTHERS TO US We will reimburse you up to$100 orreasonable The following is added to the Transfer Of Rights expense incurred for the services of a locksmith Of Recovery Against Others To Us Condition to gain entry Into your covered"auto"subject to We waive any right of recovery we may these provisions: have against any person or organization to 1. Your-door key, electronic,key or key entry the extent required of you by a written con-, pad has been lost, stolen or locked in your tract executed prior to any "aoddenr be- covered"auto"and you are unable to enter cause of payments we make for damages such'auto",or under this coverage form. 2. Your keyless entry device battery dies and W. NOTICE OF AND KNOWLEDGE OF you are unable to enter such"auto"as a re- OCCURRENCE suit, SECTION IV—BUSINESS AUTO 3. Your key, electronic key, or key entry pad CONDITIONS, Paragraph A is amended as has been lost or stolen and you have follows: changed dm lock to prevent an unauthorized entry;and 6. NOTICE OF AND KNOWLEDGE OF OCCURRENCE' Page 8 ót'7 Includes copyrighted material of Jnsuranoo Services Office,inc AC 70 05 03 16 with its permission. ACP BAPD75-5-89248173 511H 18353 INSURED COPY AC7005031800 0001 47 0024788 COMMERCIAL AUTO AC70050316 4. Original copies of receipts for services of a If we cancel for any reason other than non- locksmith must be provided before reim- payment of premium,we.Will mall or deliver bursementIs payable. to the First Named Insured writtennotice of Z. CA►NCl4L{.a4'>110N:GONDi71ON cancellation at least 60 days before the of fective date of cancellation: This provision Paragraph A.2. of the COMMON POLICY does CONDITION — CANCELLATION applies not apply-kr those states that require except as follows: more:than 60 days prior notice of canceiia- Von. AC 10 05 0316 Includes copyrighted material of Insurance Services Office,Inc., with its permission: Page 7 of 7 ACP RJAPD7S.5 B2ta83 SIIH 16353 INSURED COPY 1107005031600 0001. 47 0024700 . . 0011IMERCIAL 0 ENERALLIABIUTY Can 68 12.10 T1118 ENDORSEMENT.CHANGES THE POLICY. PLEASE REApiT PAREFULLY, . . . . . „ . „ ... . CONTRACTORS ENHANCEMENT ENDORSEMENT INCLUDING MEDICAL PAYMENTS This endorsement modifies insurance provided under the'following; COMIVIErfiCIALGENERAL liABILITYCO'VERAGE.PART .A. ..Lost Key•f•ovaroge •C. ftenfOSinad Vileterartift 1. Under Section 1-•Coverages,Coverage A Under Section 1 7 Coverages, Coverege. A Bodily. Injury .And Property. Demage. Bodily Injury And Property Damage Liability, Liability, Coverage Is extended to Include 2.Exchsoloria ExclUsiong...Alicraft,'-Auto •Or the Watercraft Paragraph(2)(a)Is replaced It a customers master or grand key, (a) Less than.51 feetiong:and. , _ . ,,. . ex0bOing. electr011a .key -WO. is IPal• D. Expended.Proptrty IDentagetoverage- oamage0 or otoki° %OHO hi •Y°°°: •Wei 1... Porthe- 'pu- rposesolthitiendefsenleftiorifY: custody or control we St pay the cost of replacing the keys,including the master look SoCti011 1 -. ,COveragesi•, Coverage A . , , . and all keys used.in same lock,'Modest Bodily ..Injury And • Property. Damage of adjusting locks to accept the new keys,.or •Liability.' '2. ExplUsione, Exclusion J. the dist to replace the Jocks, whichever IS Damage To Property is amended as less. follows: I Umlii of ineurespe..-Per the.purpose of this O. ',Paragraphs(3)p,glY,:and(6)are deleted: .coverage, the most we.win pay Is $10,000 ' in.thoireournty.- per"Occurrence". b. Paragraph (4) Is deleted' in.its entirety „ . 2. Voluntary l'OPartT Damage „arid niplectidiritk 1. Under action 1 — covenogik• Covet*”,A (4) Perrionsi property .In the- care BotflY btorr And.Property Damage Pablilty, ' custody,Or Oland of the insured: COveragells eideridedb indude the fOlkoving: (0).,For storage or sale at premises AI -your :rawest,. We WI Pay .for 'proem! you own,rent or occupy,or damage"to.properly ef..othereCausedby you (b) While being transported by any. • and.Whiaint possession,istaingoutot:yout aircraft •"auto', or watercraft Warless •operidierkti and.orIctirringduring.the'. owned or operatedbyOrrented rift Paftack to or loaned to Intuited. 2. Urnitotinsurance.-,,Perth!pumps*of Ns' c, The coverage provided by this coverage the most we will pay is$1,,501)per endorsement does- not' an*. to 'occurrence'. 'property damage': C. NonuOvined Watercraft (1) 'Arising.041 of the disappearance or Under SeettOn..1 ... Coverages, Coverage A loss of use of pereeinal.Propertnor , Bodily btjtuy,And Property Damage Liability,: (2) Included In the wpmdOets-completed 2.Eitidualtio:Exclusion's. Aircraft, Auto. Or operations hazard' WitertraftParagisphm(a)ie replaced with ..(a) 4.0sittort:51.feet-long; . . CG.72.6812 le- inckidescopyrtglited.niateitel of Insiaance Eteneces Office,Isc., Poge'l of5 with It5petrii$12p. ACP42L01554241295 L5014 18254 Itistmee coPy 47 002sea , CO 7213 1 12 16 2. lieu of Insurance-The most we will pay F. Supplementary Payments for loss adsing out of any one aocaurnence" Under Section I-Coverages,Supplementary Is$5,000. Payments--Coverages A and B Paragraphs 3. Deductible - Our obligation to pay for;a -t.b. and 1,d.,are replaced with: covered loss applies only to the amount of b. Up to$2,500 for cost of bail bonds required loss in excess of$250. because of accidents or traffic law violations We will pay the deductive amount toeffect arising out of the use of any vehicle to which settlement of any claim or 'stir and upon the Bodily injury Liability Coverage applies. notification having been taken you shall We do not haveto furnish these bonds. promptly reimburse us.for the deductrifle as d. All reasonable expenses incurred by the has been paid by US. insured at our request to assist,us In the This insurance is primary to,any expanded investigation or defense of the claim or damage coverage provided by a swarate "suit`,hrcluding,actual loss of warnings up to endorsemerd attached to this policy,and It $500 a day because of time off from work. will supplant any deductitit in said O. Newly Formed And Acquired Organizations . endorsement. Under Section N — Who its An Insured E. Damage To Premises Rented To You Paragraph 3.a.is replaced with: 1. Under Section I—Coverages,Coverage A a. Coverage under this provision is afforded Bodily injury And Property' Damage only until the 180m day after you acquire or liability, the last paragraph of 2. to the organization orlhe end of the policy Exclusions is replaced with: period.whichever Is earlier; It Damage To Premises Rented To You is H. Addle:mud Insured—Automatic Status When not otherwise excluded, Exclusions c. Required in,An Agreement Or Contract With through n.do not apply to damage by fee, You fobbing, eq:dosion, smoke, or sprinkler Section II—Who is An Insured is amended to leakage to premises white rented to you or include: temporarily occupied by you with permission 4. Any person(s) or es setisatiam(s) described of the owner: A separate Mill of— apples to this in P� a.—d.below with whom you coverage as described to . Section II—Limits insurance.Ofagreed an writing in a contract or 2. Under Section NI— Limits Of Insurance. written that such person or Is replaced with: be .added as an additional Paragraph IL6. Subject to 6. above, the Damage To insured h o your poleDeclarations.Owing the WADY premises Rented To You Limit la the periodshown iiathe most we will pay under Coverage A for The peeson or added as an damages because of'property damage' hewed by this endorsement is an insured to any one premises, while rented to only for liability afore to: you, or in the case of damage by fine, a. Lessors of Leased Equipment with iightning, explosion, smoke or sprinkler respect to their ilablity for'bodily Injury", leakage, while rented to you or "ProPerty damage", or 'personal and temporarily occupied by you with advertising kajany',Bused in whole or in permissbn of me owner. The Limit is part by your maintenance, operation or increased to$1,000,000. use of equipment leased to you by such 3. Under Section Pi— Commerdal General person(s) or .orgenization(s). This Liability Condition% Condition A. Other insurance does not apply to any Ineunrx b. Excess.Minimum(1)(a)(I0 "ooersrnetrroer'which takes place afterlife is replaced with: . lease expires. (N) That is Fire, Lightning, Explosion, Insured their status as additional k>sun Smoke, or Sprinkler leakage their under this ..policy ends what krsur ce for premises rented to you tease; contract, or m agreement expires.Willa you or temporarily occupied by you you for such teased equipment expires. with permission of the owner. Page 2 of 6 includes copyrighted material of instance Services Office,inc.. CG 72 881216 with topsnnlesi nr. 1 ACP OL,0 75/524851 LXO $ MN INSHem COPY 47 0026412. CO 72 881216 b. Managers or Lessors of Premises d_ Owners, Lessees,or Contractors with with respect to liability arising out of the respect to liability for "bodily injury", ownarehip, maintenance, or use of that "property damage", or "personal and part of the premis=,. you own, rent, advertising injury°caused,in whole or in lease,or occupy. part,by: This insurance does not apply to: (1) Your acts or omissions;or (1) Any"occurrence'which takes place (2) The acts or omissions of those after you cease to be a tenant in acting on your behalf; that premises. in the performance of your (2) Structural alterations, newongoing structien or demolition operations orations pewoe for that Perform_byr_on-beth of theed insured,whether the work _�_ ——_.a._ ---- i- ormed--by-you`or orr- P ororganhzatlon half. However, their status as additional The insurance does not apply to: insured under this policy ends when you (1) "Bodily`injury', cease to be a tenant of such premises $rolerti damau C. State or Political Subdivision - or'personal and end advertisingngof injury' the Permits Relating to Promises with arising too e de rendering professional the respect to the following hazards for failure to render any which state or ponce! subdivision architectural,ryes.incdg:engineering, or survey has issued a permit or authorization in srviCes,including: connection with premises you own,rent (a) faThpreparing,pepapproving, or or control and to which this insurance f upsng to s, approve applies: .shop drawings, opinions, (1) The existence.maintenance,repel', mom' survey, field orders, change order'sor erection,or removal of sons:i,r drawings and pelaftcations:Or advertising signs, awnings, (b) Supervisory, inspection, arche canopies, cellar entrances, coal tectural, or engineering activv- holes, driveways, manholes, Wee. marquees, hoist away openings, (2) lY i sidewalk " vaults, street banners, or diger or"popery damage" decorations and similar exposures; occurring.after: or (o) All wont, including materials, (2) The conetrucgon, erection, or Parts,or equipment finished in removal of elevators;or connection with such work, on • 'i fe ownership, maintenance, or use of the'lid (other than'service, any elevators covered by this insurance. performed maintenance orr onrbehalfs) otf be This insurance does not apply to: addanitsd bysas) a of the (1) "Bodo in' e+dcli'tiaaat insured(s) at the y jury°or operty dam location of the covered or °personal f or advertising injwY operations has been completed; arising out ormed or for the state or ma ;orpary (b) That portion of your worts° out (2) "Bodily kWor'peppery damage" arises which the injury or damage included within the °products- been Put to its completed cperations.hazard intended use by any paten or litical organization other than another However, such state or po subdivision's status as additional r or subcontractor insured under this policy ends when the operations in dingasperforming Pmt ends. operations for a minding as a part of the same project, CO 72 68 12 16 includes copyrighted matedst of insurance Services Office.iris, Pegs 3 of 5 with its permission. ACP 01.0 7556249298 MU 15254, COPY 47 002644111 i "+...,...,.:p.--.-.,.._;tom..". _. rs-c.-^ ,. ,. ,.._.:...�..,�..:«.,�;,,,...,..;,.,,, .mow..;.. . «,.,. .�w.�..�_...�..�:..:��'^��","^^"" ,.,�-^,-,« ...,:t." rs.�..l, •' .W.....,.,..,,.w.- -as..w�.w�:,..,.au:..,..,,..' `�..,.�.a.�,;. CG 72 881216.: However,a person or organizationa• This coverage does not apply if Coverage C— status :as,additional insured under llleidleel Payments; is excluded either by the this policy ends when your previsions Otanycroverage forms attached to the operations:for that additional insured: policy or by endorsement: ere completed. K. KnoWledge Of An Occurrence With.respect to the insurance afforded 10 Under Section IV —. Commercial General such additional insureds a. ., d. described Liability,Conditions, the following is added to above the fdiowing is added to the Section Condition 2, Dutlee In The Event Of In—Limits 01 Insurance:. occurred,Offeree,Claim Or Suit; If coverage provided to the additional tr. Knowtacigeof an Oecurrencef offense;:claim. insured is required by a conireci or cr suitby an spent or employee of any agreement,the Most we will pay on behalf of .insured shag; not in itself constitute the additional insured is the' SMOCK Of knowledge of the insured unless 'yeti, a insurance: partner, ff you area partnership; Or an I. Required by the contract or agreement: exec�uiive Officer, or insurance manager, if er you ere a corporation:receives such notice 2. Available under the applicable Umits of of On occurrence,offense,claim,or stilt from insurance.shown:in the Declarations;' the agentOr whthever:is-less. I. Therequirements in Paragraph b:will not be This endorsmnent shall not increase: the 'consideredknOwledbreachedunless there is i ble Limits of Insurance shown in the me 'of :oveurnence as outlined in 'epP Paragraph e.above. • Declarations., L. UnintentlonaiFailureTo:DlscloaeHezerd However, the insurance afforded to such Under :Section til . Commercial Qecurai additlonal.ineureds 6,—d.described abave 1. Only applies to the eident permitted by Liability' . , .Conditlane; paragraph. is law;and added: 2. WM not be treader than that which.you d. Your failure:to disclose all hazards or prior are required by the; contract or meant to provide such. additional �+��. �offenses existing are of the Inception'. date of the policy shalt not insured• prejudice the coverage afforded: by this I. Aggregate Llritit Per Proieot policy provided'such failure.0..disclose all Under Section ill — la'Miite Of MOWN)* The, haze*or prior'occurrences`or offenses is follovdngpacagrapft is Added to Paraffrep'.2: not intentional. ' This. provision does ;not. LIMN under ate lli affect our right to collect additional premium The Qerrf!n.Aggregate or exercise our right of canoeilation:or non- t i Of I surrance applies separately to each: renewal. of your conetruttion projects away' from premises owned by.oriented to you. iL Waterer Of Subrogation J, Medical Papist** Under Section IV —. Commercial General Under Section Sl » tfnfit:e Of Ineutimoe, UebDity Cendltfone,B.TrdinhrOf Rights f Paragraph 7.is replaced with: Mowery Apelnet Other*To-Us the following 7. SrstBecl#o .above,the hiDher of; tg Esq added; e.Subject o0 or If requlr�ed.by a.written contract executed prior te.. loss,we Waive arty right of subrogation we may b. The.rent shown in the.ane: have "ainst the contracting person er for.Medical ExPense Limit Is the most 00°01140On because of payments we make for we will pay under Coverage C for all injury. or damage.arising out of your:pp going. medical expenses because of 'booty operations:or`your=work''done:under a contract IN*.sustained by.'one person., with that person or organization and Included in the'producisOompletedepetationt hazard': Page 4615 includes'copydghted metalled of tnsurarrce Services Otfio®,inc;, CO 728818.16 wfih iia pemtitulon. . ACP GLO 75562e12m LXOI9 14254 DOMED'COPY' 47 4054484. t i GQ 72881216 M. t beralizatloan O. Broadened Bodily Injury Definition (Mental Under Section IV Commercial Genera Anguish) i fabtiity Conditfoaao, the folbwir g condkion is under Seotiota V �afii ltlons Definition ; added "Bodily InJurr is replaced with;. 10. liberalization B. "fly injury means physical Injury, If 1Ne,revise this coverage form to provld8 sickness, or disease.to a person and if more coverage without additional premium arising'out of the foregoing,mental anguish, mental, injury, shock, or humiliation, charge,your policy will automatically provide including death at any time resulting the additional coverage as of the day the, ;therefrom. revision 1s effective in yyour state. dl-terns d=mile of thisl . _ i� aApiY`ttnfest3:tnoilii!>if.'thiti endorsement. • CO 72 881216° Includes:copyright d material cfinst rause Services Office,Inc,, Paged o1<8. with its permission. ACP GAM 75e824.129 •CXQ14 18254. INSUREDCOPY '47 0028488 J .. . COMMERCIAL GENERAL wastunn CG 72 4611 15. , 11116.EN* rRSEIWENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS --=, .AUTOMATIC STATUS FOR.OTHER . , PARTIES WHEN REQUIRED.-IN WRITTEN- CONSTRUCTION AGREEMENT Pris endorsement rriodineein.suranconoVided-underthe-foliowing:----------- --- ------- COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II-Who is An insured is amended to a, All ,wark, including material; Paris O include as an additional insured: equipment furnished In connection with Ongoing Operations Such wort, on the project (other than service, maintenarioe or repairs). to be 1, Any person or organization for whom you are performed by or on behalf of the performing eipergions when you and such additional insimed(s)at the location of the person or organk.cdion have agreed in wain; covered operatimur has been completed: in a contract or agreement that such person or or Organization be added as an additional insured on Your policyand b. that operation of"your work"out of which th 2. Any other person or Organization you; are. einjury Or damage arises has-been Putorto its intended use by any penson or , recoiled, to add as an additional insured .gterization Other 'than another under the contract or agreement described in contractor or subcontractor engaged in Paragraph iabisve. performing operations for a principal as a Such pierson(s).or orgarikation(s) is an additional part of the same project insured only with respect-to liability for "bodily B. section h ... Who tom inured is amended 10 injury", "propertY damage' or "personal and Maude as an additional iri tired* a . advertisirig Injuryyawed,in whole or In part by: Completed Products- Ope a. Your acts or omissions;or rations Any person or organization with whom you have b.. The-acts or omissioris of those acting on agreed In writing in a contract or agreement that your behalf; such person or organization be• added as an in the performance of your ongoing operations for additional Insured..on your petty with respect to the additional insuredliability for 'bodily injury" or 'property damage" . However, .the insurance afforded to such caused, in whole or in part, by *your work" additional insured described above: performed for such person.or organization and I. Only applies to the extent permitted by included in the Vtoducts-cOmpleted operatioris hazard". law;tand b. Will not be broader than that which you However, the insurance afforded to such additional Insiired deecribed above: are required by the contract or agreement to provide for such additional insured. a. Only applies to the-extent permitted by A person's or organization's status as an law;and additional insured for ongoing operations ends b. Will not be broader than that which you when your operations for the person or are required by the contract or agreement organization described in Paragraph 1.above are to provide for such additional insured. completed. C. With respect to the insurance afforded to these. With respect to, insurance afforded to these additional insureds,this insurance does not apply additional Insureds for ongoing operations, this to'bodily injuiy", "property damage"or "persenal- . - . - . insurance does not apply to "bodily Injury' or and advertising injury"arising out of the rendenng "property damage°occurring after:. CO 72 46 11 15 includes 00PYrighted material of thiurance ServiCes Moe,Inc. Pagel of 2 With its penniesion. ACP OLD07556324445 USA 18'163 INSURED COPY 47 0002594 - M.Y.GwTK+'s✓. 4 cY+vy- '--..-yw-��i---e'"-.ee.Rwm- -r�..., ..�M..a..-.-....-.•..:.--'� „d..e+:-.. _�r� . ....w, w v.. ..`. .,^ .;d- .. COi2461115 of, or the falure to render, any professional 2.. Available under the apppcable Limits of architectural, engineering or surveying services, Insurance shown in the Declarations: including: wtdchever Is less. 1. The preeparing,approving or failing 1D Pry This endorsement shall not increase the or appnave, maps, shop drawings, opinions, applicable Limits of Insurance shown in the report% surveys, field orders. change orders Declarations. or drawings and specifications;or S. Whh respect to the insurance afforded to these 2. Supervisory, inspection, architectural or additional insureds, the following is added to engineering activities. Section IV -- Cormnerciai General Liability Ttnis exclusion applies even if the claims against Conditions, Condition 4. Other Insurance and any insured allege negligence or other supersedes any provision to the contrary: wrongdoing in the supervision, hiring, Primary And Noncontributory Insurance employment, training or monitoring of others by This insurance is primary to and will.not seek that insured,if the'occurrence which caused the contrvution from any other insurance `bodNy injury' or property damages, or the available to an additional insured under your offense which caused the 'personal and policy provided that advertising injury', involved the rendering of, or insured a Named the failure to render, any professional (1) Insured under such other insurance;acrd architectural, 'engineering or surveying services. (2) You have agreed In writing in a contract D. With respect to the insurance afforded to these or agreement that this insurance would additional'insureds, the following is added to be primary and would not seek Section III—Limits Of insura contribution from any other Insurance The most we will pay on behalf of the additional available to the additional insured. insured is the amount of insurance: 1. Required by the contract or agreement described in Paragraph X1:1.or Paragraph g,; or Ali terms and conditions of this policy apply unless modified by this endorsement Page 2 of 2 indudes copyrighted material of Insurance Services Office,Inc. CO 7246 1115 . with its permission. ACP inD07444324474WA 18183 INSURED COPY 47 DOOM 7