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2020-057 PO 20200416- Chown Security
OITY REGORDER Purchase Order FrArag Fiscal Year 2020 Page: 1 of: 1 B, City of Ashland + _ ^^— L ATTN:Accounts Payable Purchase 20 E. Main L Ashland, OR 97520 Order# 20200416 T Phone:541/552-2010 O Email: payable@ashland.or.us V H C/O Public Works Department ECHOWN SECURITY I 51 Winburn Way PO BOX 2888 P Ashland, OR 97520 0 PORTLAND, OR 97208 Phone:541/488-5347 R O Fax: 541/488-6006 800 547-1930 _ Paula Brown • 05/06/2020 182 FOB ASHLAND OR Cit Accounts Pa able SMS Upgrade 1 SMS Upgrade with Active Single Sign-On 1 $2,407.7600 $2,407.76 Goods&Services Agreement Completion date: 06/30/2020 Project Account: • ***************GL SUMMARY*************** 082400-602400 $2,407.76 SA. /go By: Date: Authorized Signature tlk ',2 407.76 FORM #3 7-0 � n�� CITY OF <<, ASHLAND request for a 'urchase Ordt(, REQUISITION Date of request: 104/29/2020, Vendor Name Chown Hardware Address,City,State,Zip 333 NW 16th Avenue Portland,OR 97209 Contact Name John Breninger Telephone Number 503-243-6500 Email address SOURCING METHOD E Exempt from Competitive Bidding ❑ Emergency ❑ Invitation to Bid O Reason for exemption:software Date approved by Council•_ ❑ Form#13,Written findings and Authorization ❑■ AMC 2.50 090M(21Software _(Attach copy of council communication) ❑ Written quote or proposal attached ❑ Written quote or proposal attached _(If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: ❑ State of Oregon ❑ Direct Award (Attach copy of council communication) Contract# ❑ Verbal/Written quote(s)or proposal(s) 0 Request for Qualifications(Public Works) ❑ State of Washington Intermediate Procurement Date approved by Council: Contract# GOODS&SERVICES (Attach copy of council communication) 0 Other government agency contract Greater than$5,000 and less than$100,000 ❑ Sole Source Agency ❑ (3)Written quotes and solicitation attached ❑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 ❑ Form#4, Personal Services>$5K&<$75K Agency ❑Direct appointment not to exceed$35,000 ❑Annual cost to City does not exceed$25,000. ❑ Special Procurement 0(3)Written proposals/written solicitation Agreement approved by Legal and approved/signed by ❑Form#4,Personal Services>$5K&<$75K ❑ Form#9,Request for Approval City Administrator.AMC 2.50.070(4) 0 Written quote or proposal attached Date approved by Council: 0 Annual cost to City exceeds$25,000,Council Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost SMS Upgrade with Active Single Sign-On Y$ 2 407 76 Item# Quantity Unit Description of MATERIALS Unit Price Total Cost NI Per attached quote/proposal ,TOTAL COST ,> Expenditure must be charged to the appropriate account numbers for the financials to reflect the actual expenditures accurately. Project Number -— — — Account Number 082400 - 602400 $ 2,407.76,— 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,l certify that the City's public contracting requirements have been satisfied. IT Director Date Support;Yes/No Employee: 9a1flA..D `"eintptio Department Head: 7/1446.--72.-1._ (Equal to or greater than$�0) Department Manager/Supervisor: City Administrator: (Equal to or greater than$25,000) Funds appropriated for current fiscal year: YES / NO Finance Director-(Equal to or greater than$5,000) Date Comments: Form#3-Requisition • GOODS & SERVICES AGREEMENT PROVIDER: Chown Hardware CITY OF PROVIDER'S CONTACT: John Breninger ASH LAN D 20 East Main Street ADDRESS: 333 NW 16th Ave. Ashland,Oregon 97520 Portland,OR 97209 Telephone: 541/488-5587 Fax: 541/488-6006 PHONE: 503-243-6500 This Goods and Services Agreement (hereinafter "Agreement") is entered into by and between the City of Ashland, an Oregon municipal corporation (hereinafter "City") and Chown Hardware, a domestic business corporation("hereinafter"Provider"), for SMS Upgrade with Active Directory Single Sign-on. 1. PROVIDER'S OBLIGATIONS 1.1 Provide SMS Upgrade with Active Directory Single Sign-on as set forth in the "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 goods and 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 • 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. Page 1 of 5: Agreement between the City of Ashland and Chown Hardware 1.3 All subject employers working under this Agreement are either employers that will comply with ORS 656.017 or employers that are exempt under ORS 656.126. As evidence of the insurance required by this Agreement,the Provider shall furnish an acceptable insurance certificate prior to commencing any Work under this Agreement. 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. 2. CITY'S OBLIGATIONS 2.1 City shall pay Provider the sum of two thousand four hundred seven dollars and seventy-six cents ($2,407.76) 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 two thousand four hundred seven dollars and seventy-six cents($2,407.76)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. 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. Page 2 of 5: Agreement between the City of Ashland and Chown Hardware 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 Quotation dated 04/14/20. 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. 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. Page 3 of 5: Agreement between the City of Ashland and Chown Hardware 6. TERM AND TERMINATION 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 June 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: Jason Wegner 20 E. Main Street Ashland,Oregon 97520 Phone: (541)488-5587 With a copy to: City of Ashland—Legal Department 20 E. Main Street Ashland,OR 97520 Phone: (541)488-5350 If to Provider: Chown Hardware Attn: John Breninger 333 NW 16th Ave. Portland,OR 97209 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: 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; Page 4 of 5: Agreement between the City of Ashland and Chown Hardware (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: CHOWN HARDWARE (PROVIDER): By: /4By: ___Jaiald—z. Pki012 Signature AU( e . l,dt-1 Vl(A ctikitim Printed Name Printed Name / may zo Date Title Date Purchase Order No. ®/7°j6 (W-9 is to be submitted with this signed Agreement) Page 5 of 5: Agreement between the City of Ashland and Chown Hardware from Chown Hardware www.chown.com since 1879 Portland Showroom 333 NW 16th Ave Portland, OR 97209 Toll Free (US & Can) (800) 547-1930 Fax: (800) 758-7654 Local Telephone (503) 243-6500 Fax: (503) 243-6519 QTE ID: 118343 *** QUOTATION *** Page 1 of 1 To: CHANCE METCALF PO: CITY OF ASHLAND Job: SMS UPGRADE V6 .4 .2 51 WINBURN WAY FAX No. : 541-488-6006 ASHLAND, OR 97520 Phone No. : 541-552-2448 USA We are pleased to present the following quotation for your consideration. Ship To: JASON WEGNER CITY OF ASHLAND PUBLIC WORKS 20 EAST MAIN STREET ASHLAND OR 97520 541-552-2417 Date: 4/14/20 2 :55 PM Salesperson No. : 498 John Breninger Line Item # Qty U/M Description Price Extended 1 242004* 1 EA VANIN VSMSUP-E1 SOFTWARE UPGRAD 604 . 00 604 . 00 2 N21610* 1 EA VANIN VELSMSCL CLIENT LICENSE 1103 . 76 1103 . 76 3 000032 4 EA BOMGAR SERVICE OFFSITE 150 . 00 600 . 00 4 000073 1 EA PROJECT MANAGEMENT 100 . 00 100. 00 Total Amount 2407. 76 (*) Items with asterisk are nonstock and not returnable. Quotation good for 30 days. Thank you for this opportunity to quote our products and we hope we may be of service to you. Sincerely, John Breninger Chown Hardware Vanderbilt Industries 2 Cranberry Rd. \JAN D E R B I LT Parsippany,N3 07054 Tel(855)316-3900 Fax(973)316-3999 www.vanderbiltindustries.com Release Notes Title:Vanderbilt Security Management System 6.4.2 Release Date: February 2020 Superseded Version: 6.4.1 PREREQUISITES Read and follow the instructions in this document while installing or upgrading Vanderbilt SMS Version 6.4.2. Failure to do so may result in software malfunction after installing Version 6.4.2. Note: Vanderbilt strongly recommends backing up the SMS database(s)before performing this upgrade.The Database Maintenance Utility(DatabaseMaintenance.exe)is accessible from the Bin folder,and can be used to back up the database(s). If an error occurs during the upgrade, and no backup is available, all the data in the database(s) may be lost. The SMS v6.4.2 upgrade is fully compatible with SMS version 6.0.0 and higher (including beta version 5.4.1). Installations upgrading from a version lower than 6.0.0 (or from beta version 5.4.0) should contact Vanderbilt Technical Support for assistance before performing the upgrade. SMS Web compatible with SMS v6.4.2 is expected to be released 4—6 weeks after SMS v6.4.2 release. Existing SMS Web installations will cease to function after upgrade to SMS v6.4.2. Free disk space on the SMS PC/ Server for an upgrade should be at least four times the total size of the SMS database(s). Please contact Vanderbilt Technical Support at techsupport@vanderbiltindustries.com for assistance determining the size of the SMS SQL database(s). NOTICE SMS v6.3.x and above require version specific licensing. A v6.4 license is required in order to upgrade to v6.4.x. There is no additional charge for the license update if licensed clients, licensable video cameras and licensable 3rd party devices have not changed. This document outlines the new modules, enhancements and features that are added to SMS Software v6.4.2. SMS v6.4.2 is designated to work with VRCNX-R and VSRC firmware v6.68V; VRCNX-M and VSRC-M firmware v6.94M and VRCNX-A and VSRC-A firmware v7.31A. SRCNX (Legacy)controllers should be upgraded to firmware v6.58L.While it is possible to utilize the SMS v6.4.2 software with lower firmware versions not all new features will be available. It is recommended that all controllers be updated to the latest firmware version available. VANDERBILT SMS VERSION INSTALLATION REQUIREMENTS OPERATING SYSTEM Vanderbilt SMS v6.4.2 software is compatible with the following 64-bit operating systems: • Microsoft Windows 7 SP1 (except Home edition) • Microsoft Windows 8 or 8.1 (except Home edition) • Microsoft Windows 10 (except Home edition) • Microsoft Windows Server 2012 or 2012 R2 Essentials,Standard or Datacenter Editions • Microsoft Windows Server 2016 Essentials, Standard or Datacenter Editions • Microsoft Windows Server 2019 Essentials, Standard or Datacenter Editions Windows Server 2008 and 2008 R2 are not supported 32-bit Operating Systems are not supported SQL SERVER Vanderbilt SMS v6.4.2 software supports the following versions of Microsoft SQL Server: • SQL Server 2012: Express/Standard/Enterprise SP2 or above • SQL Server 2014: Express/Standard/Enterprise SP1 or above • SQL Server 2016: Express/Standard/Enterprise SP1 or above • SQL Server 2017: Express/Standard/Enterprise SQL Server 2008 and 2008 R2 are no longer supported The SMS Install Media Includes 64-bit SQL 2014 Express SP3 UPGRADE You may install Vanderbilt SMS v6.4.2 upgrade on any of the following SMS Versions: • v5.4.1(limited customer release) • v6.2.x • v6.0.x • v6.3.x • v6.1.x • v6.4.x WHAT'S NEW? LICENSING All SMS v6.4.x installations require a v6.4 Electronic License Key. Page 2 of 4 ELECTRONIC LICENSE KEY • SMS requires an Electronic License Key • All v6.3.x and below Electronic License Keys must be upgraded • The Electronic License is tied to a specific computer and cannot be transferred • Easily upgradable when expanding SMS features such as concurrent client workstations in use,V-VMS cameras integrated, Guest Pass Locations, etc. • New or upgraded v6.4.x installations will include a one-time use, unlimited SMS functionality,5-day"Installation License" THIRD PARTY DEVICE LICENSING Vanderbilt SMS v6.1.0 and newer require individual licensing for all non-Vanderbilt devices: • The Electronic License Key contains the maximum number of 3rd party online devices which may be activated within SMS • The Electronic License Key contains the maximum ,number of offline (local decision) devices which may be activated within SMS • Device licensing is easily upgradeable ENHANCEMENTS SUPPORT FOR SQL CONNECTIONS VIA TLS V1.2 SMS v6.4.2 includes full native support for SQL database connections via TLS v1.2. TLS v1.0 and v1.1 may be disabled on SMS client workstations and servers. SQL TLS v1.2 support requires the following components which are installed by the SMS installers: • MS OLE DB Driver for SQL v18.3 • MS ODBC Driver for SQL v17 • 32-bit System DSN for ODBC Driver • .NET v4.8 TLS v1.0 or v1.1 may be required for Vanderbilt or 3'party custom imports. Verify TLS requirements for all non-SMS applications and custom processes before disabling TLS v1.0 or v1.1. All custom reports should be verified due to differences in the'.drivers required for TLS v1.2 support. Vanderbilt will update Vanderbilt created custom reports for compatibility at no cost if required. Note The updated f 1Icr0oft SQL drivers,supportin4 T1L5 0,210061:0190r than previously used drivers Some SQLbased SMS oPer tions may take longerto.,peir,orm Page 3 of 4 MERCURY CIM • Implement database maintenance • Increased logging details • Increase event processing performance SYSTEM PROCESSOR • Increase transaction and alarm processing throughput • Incorporate additional diagnostic logging FIXES The following issues have been resolved in this version: DATABASE MAINTENANCE • Display of long filenames truncated SYSTEM MANAGER • Poor performance editing Timezone Description and Notes fields • VSRC-A based controllers incorrectly blocked from Controller Groups VANDERBILT PRIVACY POLICY SMS does not transmit any data back to Vanderbilt. Any personal data collected within SMS is managed and used exclusively by the end-user of SMS entirely on customer owned equipment. Vanderbilt does not collect, manage or sell personal data. Please visit the Vanderbilt website at https://usa.vanderbiltindustries.com/legal for more information on our privacy policy. Page 4of4 Client#:325772 CHOWNINC 'ACORDT, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)2/27/2020 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Bambi Brown,CIC,CRM NAME: USI Insurance Services NW CLI PHONE Ext):503.295.8312 FAX,No): 610.362.8189 (AIC,No, I(A/C 825 NE Multnomah,Suite 1500 aooRess: bambi.brown@usi.com Portland,OR 97232 503 224-8390 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:Middlesex Insurance Company 23434 INSURED INSURER B: Chown,Inc. - - P 0 Box 2888 INSURER C Portland,OR 97208 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY(MM/DD/YY EF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY A0146691003 03/01/2020 03/01/2021 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISES(ERENTED occu ence) $1,000,000 MED EXP(Any one person) $15,000 PERSONAL BADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 PRO- X POLICY JECT LOC PRODUCTS-COMP/OPAGG $2,000,000 OTHER: WS Stop Gap $Included A AUTOMOBILE LIABILITY A0146691001 03/01/2020 03/01/2021 {Ea COMBaccideINEDnt) j1,000,000 SINGLE LIMIT X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY X NON-OWNED - PROPERTY DAMAGE AUTOS ONLY (Per accident) A x UMBRELLA LIAB X OCCUR A0146691004 03/01/2020 03/01/2021 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X RETENTION$10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: Inventory. The General Liability(CG2010 and CG2037)and Automobile Liability(CA2048)policies include an automatic Additional Insured endorsement that provides Additional Insured status to City of Ashland, Oregon, its officers,agents and employees,only when there is a written contract that requires such status,and only with regard to work performed on behalf of the named insured.The General Liability (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION CitOf Ashland SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 20 East Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Ashland,OR 97520 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S28054166/M28053997 BABJT DESCRIPTIONS, `(Continued from3'Page 1) (CG2001) policy contain a special endorsement with Primary wording,when required by written contract.The General Liability policy(CG2404)includes a Waiver of Subrogation endorsement in favor of the Certificate Holder as referenced above. SAGITTA 25.3(2016/03) 2 of 2 #S28054166/M28053997 • POLICY NUMBER: A0146691001 COMMERCIAL AUTO CA 20 48 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED FOR COVERED AUTOS LIABILITY COVERAGE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement. This endorsement identifies person(s)or organization(s)who are"insureds"for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Chown Inc Endorsement Effective Date: 03/01/2020 SCHEDULE Name Of Person(s) Or Organization(s): Any person or organization you are required to add as an additional insured under a written contract or written agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above,will be shown in the Declarations. Each person or organization shown in the Schedule is an "insured"for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured"under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph. D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form. CA 20 4810 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 A0146691 02/27/2020 Middlesex Insurance Company 1 00001 0000000000 20058 0 N 652eb3a5-0f6f-40d9-9d36-85c545e6725d 0027020044354738473797208288888 POLICY NUMBER: A0146691001 COMMERCIAL AUTO CA 04 44 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: Chown Inc Endorsement Effective Date: 03/01/2020 SCHEDULE Name(s)Of Person(s) Or Organization(s): Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 A0146691 02/27/2020 Middlesex Insurance Company 1 00001 0000000000 20058 0 N bc31504f-c2fb-42c9-b005-8c0746a38a48 0027020044354738473597208288888 COMMERCIAL GENERAL LIABILITY CG 70 21 0618 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. SPECIAL BROAD FORM GENERAL LIABILITY ENDORSEMENT This endorsement modifies the insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART 1. Coverage D. Employee Benefits Liability 2. Exclusions A. The following is added to Section I - This insurance does not apply to: Coverages a. "Bodily injury" or mental injury to any 1. Insuring Agreement person, "property damage"or"personal a. We will pay those sums that the insured and advertising injury". becomes legally obligated to pay as b. Liability assumed by the insured under "damages" because of an "occurrence" any contract or agreement. to which this insurance applies. We will c. Any claim for: have the right and duty to defend the insured against any "suit" seeking (1) Failure of performance of a contract those "damages". However, we will by any insurer or other fiduciary have no duty to defend the insured entrusted with monies intended to against any "suit" seeking "damages" fund"employee benefits"; to which this insurance does not apply. (2) Insufficiency of funds to meet any We may, at our discretion, investigate obligations under any "employee any "occurrence" and settle any claim benefits"; or"suit"that may result. But: (3) Inadequacy of performance of (1)The amount we will pay for investments, errors in providing "damages"is limited as described in information on past performance of paragraph B.of this coverage; and investment vehicles or advice given (2) Our right and duty to defend ends with respect to participation; when we have used up the (4)Your failure to establish any applicable limit of insurance in the "employee benefits" in compliance payment of judgments or with the mandatory provisions of settlements under Coverage D. any law governing workers' No other obligation or liability to pay ' compensation, unemployment sums or perform acts qr services is insurance, social security or covered unless explicitly provided for disability benefits or any similar under Supplementary Payments. state or federal law; b. This insurance applies only to (5)Avgiiven any participatepsno damages caused by an "occurrence" participate not to i during the policy period. The any"employee benefits'; "occurrence" must take place in the (6)Taxes, fines or penalties, including "coverage territory". those imposed under the Internal c. "Damages" sustained by any one Revenue Code or any similar state "employee", including "damages" or local law; sustained by such "employee's" (7) "Damages" arising out of wrongful dependents and beneficiaries, ..as a termination of employment, result of a series of related errors or discrimination, or other omissions shall be considered one employment-related practices. "occurrence". CG 70 21 0618 Page 1 of 9 A0146691 02/27/2020 Middlesex Insurance Company 1 00005 0000000000 20058.0 N 6b6a89d3-9593-40bb-9759-bObad7932a3f 0027020044354738479997232259875 d. Liability based on: b. Your duties in the event of an (1) Medical malpractice of any occurrence, claim or"suit" physician or surgeon; apply regardless of the application of the (2) Dishonest, fraudulent, criminal or deductible amount. malicious acts or omissions 4. We may pay any part of all of the committed by any insured; deductible amount to effect settlement of (3)The Employee Retirement Income any claim or"suit"and, upon notification of Security Act of 1974 or any the action taken, you should promptly amendment thereof; or reimburse us for each part of the deductible amount as has been paid by us. (4) Circumstances of which you were aware, or should have been aware, D. Coverage D Definitions at the inception of this insurance. 1. For Coverage D, only, the following 3. The Supplementary Payments provisions definitions replace the corresponding are extended to Coverage D. definitions found in the Commercial B. Limit Of Insurance General Liability Coverage Part: a. "Employee" means a person actively For this additional coverage, Section employed or formerly employed by or III - Limits Of Insurance is amended as on leave of absence, disabled or retired follows: from the named insured. Employee 1. Paragraph 2.is replaced by the following: does not include a"leased worker"or a 2. The General Aggregate Limit is the "temporary worker". most we will pay for the sum of: b. "Occurrence" means an error or a. Medical Expenses under Coverage omission in the "administration" of C; "employee benefits". c. "Suit"means a civil proceeding in which b. Damages under Coverage A., "damages" because of an "occurrence" except damages because of"bodily injury" or "property damage" l which Coverage D. applies are a included in the "products- completed alleged. "Suit" includes: operations hazard"; (1)An arbitration proceeding in which c. such "damages" are claimed and to Damages under Coverage B; and which the insured must submit or d. Damages under Coverage D. does submit with our consent; or 2. Subject to the General Aggregate Limit (2)Any other alternative dispute described in paragraph B.1. above, the resolution proceeding in which Each Employee Limit is the most we will damages are claimed and to which pay under Coverage D. for all "damages" the insured submits with our sustained by any one "employee", consent. including "damages" sustained by such 2. The following definitions are added for "employee's" dependents and Coverage D only: beneficiaries, because of any one "occurrence". a. "Administration" means: C. Deductible (1) Providing information to employees, 1. Our obligation under Coverage D. to pay including their dependents and beneficiaries, with respect to "damages" on behalf of the insured applies eligibility for or scope of "employee only to the amount of"damages" in excess benefits"; of any Each Employee Deductible amount shown in the Declarations. (2) Interpreting "employee benefits"; 2. The deductible amount applies to all (3) Handling of records in connection "damages" sustained by any one with the"employee benefits"; or "employee", including such "employee's" (4) Effecting, continuing or terminating dependents and beneficiaries, because of any employee's participation in any any one occurrence. benefit included in "employee 3. The terms of this insurance, including benefits" those with respect to: by you or a person or organization a. Our right and duty to defend the authorized by you to perform such insured against "suits" seeking those acts. "damages"; and However, "administration" does not include handling payroll deductions. Page 2 of 9 CG 70 21 0618 A0146691 02/27/2020 Middlesex Insurance Company b. Damage"means" b. Paragraph 1.d. is amended to pay for loss of (1) Those sums that the insured is earnings up to$750 a day because of time off legally obligated to pay as a result of from work. negligent errors or omissions to 3. Fellow Employee Bodily Injury which this insurance applies. For the Paragraph 2.a.of Section II -Who Is An Insured purpose of this coverage, "dam- is replaced by the following: ages" does not include punitive or exemplary damages, requests for 2. Each of the following is also an insured: restitution, requests for injunctive or a. Your "volunteer workers" only while declarative relief, including performing duties related to the conduct of associated requests for costs or your business, or your "employees", other fees or any other costs, fees or than either your"executive officers" (if you penalties that are not insurable by are an organization other than a law; or partnership, joint venture or limited liability (2) Other costs, fees or penalties company) or your managers (if you are a required to be paid by order of limited liability company), but only for acts enforcement of any federal, state, or within the scope of their employment by local statutes to the extent they are you or while performing duties related to insurable by law. the conduct of your business. However, none thee lo c. "Employee benefits"means: worke sf"are insureds foees" or "volunteer (1) Insurance programs for: (1) "Personal and advertising injury": (a) Group Life; (a)To you,to your partners or members (b)Group accident and health; (if you are a partnership or joint (c) Dental,vision and hearing plans; venture), to your members (if you Flexibles spending accounts; are limited liability company), to a (d) P g co-"employee" while in the course (e)Workers' compensation; of his or her employment or (f) Unemployment; and performing duties related to the conduct of your business or to your (g)Social security and disability other "volunteer workers" while benefits. performing duties related to the (2) Group Plans for: conduct of your business; (a) Profit Sharing; (b)To the spouse, child, parent, brother or sister of that co-"employee" or (b) Pensions; "volunteer worker" as a (c) Employee stock subscription; consequence of paragraph (1)(a) (d) Employee savings plans; and above or (e) Employee stock ownership (c) For which there is any obligation to plans; share damages with or repay someone else who must pay (3)Vacation plans, including buy and damages because of the injury sell programs; leave of absence described in paragraphs (1)(a) or(b) programs, including military, above. maternity, family, and civil leave; (2) "Bodily injury or "personal and tuition assistance plans; transportation and health club advertising injury" arising out of his or subsidies; and her providing or failing to provide professional health care services. (4) Other similar employee benefits, But this does not apply to "bodily identified by separate endorsement. injury"arising out of nurses, emergency The above plans must be provided by medical technicians or paramedics you and are applicable to you and your providing or failing to provide employees. professional health care services. 2. Broadened Supplementary Payments (3) "Property damage"to property: Under Section I - Coverages, Supplementary (a)Owned, occupied or used by; Payments-Coverages A And B: (b)Rented to, in the care, custody or a. Paragraph 1.b. is amended to pay up to control of, or over which physical $3,000 for cost of bail bonds; and control is being exercised for any purpose by; CG 70 21 0618 Page 3 of 9 A0146691 02/27/2020 Middlesex Insurance Company 3 00005 0000000000 20058 0 N 6b6a89d3-9593-40bb-9759-b0bad7932a3f 0027020044354738479997232259875 you, any of your "employees", (3)Any of the other insurance, whether "volunteer workers", any partner or primary, excess, contingent or on member(if you are a partnership or joint any other basis: venture), or any member (if you are a (a) If the insured's liability to pay limited liability company). damages is determined in a 4. World Wide Coverage Territory "suit" brought outside the United a. Under Section V - Definitions, Paragraph 4. States of America (including its is replaced by the following: territories and possessions), Puerto Rico or Canada; or 4. "Coverage territory" means anywhere in (b)That is coverage wired bylaw, the world. g q regulation or other governmental b. The following is added to Section IV - authority in a part of the Conditions: "coverage territory" that is Expanded Coverage Territory outside of the United States of (1) If a"suit" to which this insurance applies is America (including its territories brought outside the United States of and possessions), Puerto Rico or America (including its territories and Canada. possessions), Puerto Rico or Canada, we 5. Engine Rebuilding And Overhaul Operations will have the right but not the duty to If this insurance applies to "property damage" defend the insured against such "suit". included within the "products-completed In any such case in which we elect not to operations hazard", the following exception is defend, the insured will at our option and added to exclusion I. under Paragraph 2., under our supervision: Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Liability: (a) Make or cause to be made such This exclusion does not apply if "property investigation and defense as are damage" arises from "engine rebuilding or reasonably necessary; and overhaul operations" conducted by you or on (b)To the extent possible, effect such your behalf. settlement or settlements as we shall "Engine rebuilding or overhaul operations" means deem proper. repair of internal combustion engines or We will reimburse the insured, under component parts of such engines owned by Supplementary Payments, for the others if the repair involves the complete reasonable cost of such investigation and disassembly and reassembly of the engine or defense and, within the limits of liability, for component part of the engine. the amounts of such authorized This insurance does not apply to "property settlement. damage" to engines or component parts of engines which are used in, or while in practice or (2)All payments or reimbursements we make preparation for, any prearranged racing, speed, for damages because of judgments or demolition or stunting activity. settlements will be made in U.S. currency 6. Incidental Medical Malpractice at the prevailing exchange rate at the time the insured became legally obligated to a. Under Section V - Definitions, the definition pay such sums. All payments or of "bodily injury" is amended to include injury reimbursements we make for expenses arising out of the rendering or failure to render under Supplementary Payments will be medical services to persons by any physician, made in U.S. currency at the prevailing dentist, nurse, emergency medical technician exchange rate at the time the expenses or paramedic who is employed by you to were incurred. provide such services. (3)Any disputes between you and us as to b. This insurance does not apply: whether there is coverage under this policy (1) If you are engaged in the business or must be filed in the courts of the United occupation of providing medical services; States of America (including its territories or and possessions), Puerto Rico or Canada. (2) To liability assumed in a contract or c. The following is added to Paragraph 4.b. agreement. under the Conditions section: 4. Other Insurance b. Excess Insurance This insurance is excess over: Page 4 of 9 CG 70 21 0618 A0146691 02/27/2020 Middlesex Insurance Company 7. Damage To Premises Rented To You We waive the right of recovery we may have a. The final paragraph under Paragraph 2., because of payments we make for "bodily injury" Exclusions of Section I - Coverage A - under Section I - Coverage C - Medical Bodily Injury And Property Damage Liability Payments. is replaced by the following: 11.Aircraft Chartered With A Crew Exclusions c., d., e. and g. through n. do not The following is added to Exclusion g. under apply to damage to premises while rented to Paragraph 2. Exclusions of Section I -Coverage you or temporarily occupied by you with A - Bodily Injury And Property Damage permission of the owner. A separate limit of Liability: insurance applies to this coverage as This exclusion does not apply to an aircraft, not described in Section III - Limits Of owned by any insured, charted with a crew by or Insurance. on behalf of the insured. This insurance does not apply to "property This insurance is excess over any other valid and damage" (other than damage by fire) to collectible aircraft insurance available to the premises rented to you for a period of 7 or insured, whether such insurance is primary, fewer consecutive days. excess, contingent or on any other basis. b. Except for damage arising out of fire, 12.Extended Property Damage explosion or water discharge, our obligation under this coverage to pay for premises Exclusion a. under Paragraph 2., Exclusions of "property damage" on your behalf applies Section I Coverage A - Bodily Injury And only to the amount of damages in excess of a Property Damage Liability is replaced by the $5,000 per claim deductible. The deductible following: applies to all damages sustained by any one a. "Bodily injury"or"property damage" expected person or organization because of premises or intended from the standpoint of the insured. "property.damage". This exclusion does not apply to"bodily injury" The terms of this insurance, including those or"property damage"resulting from the use of with respect to: reasonable force to protect persons or (1) Our right and duty to defend the insured property. against any "suit" seeking damages to 13.Hostile Fire-Pollution Clean Up which this insurance applies; and The following is added to Paragraph (2) of (2)Your duties in the event of an Exclusion f. under Paragraph 2., Exclusions of 'occurrence", claim or"suit" Section I - Coverage A - Bodily Injury And Apply irrespective of the application of the Property Damage Liability: deductible amount. Subparagraphs (2)(a) and (b) do not apply to loss, cost or expense arising out of heat, smoke We may pay any part of or all of the deductible or fumes from a "hostile fire" covered under amount to effect settlement of any claim or paragraph f.(1). above.A separate aggregate limit "suit" and, upon notification of the action of $25,000 is the most we will pay under this taken, you shall promptly reimburse us for coverage for losses during the policy period. such part of the deductible amount as has been paid by us. The above provision does not apply if a Total 8. Extended Medical Payments Pollution Exclusion endorsement is part of this y Coverage Part. Section I - Coverage C - Medical Payments is 14.Newly Acquired Organizations extended to apply to medical expenses incurred and reported to us within three years of the date Paragraph 3.a.of Section II -Who Is An Insured of the accident. is amended, substituting 180th day for 90th day. 9. Extended Non-Owned Watercraft 15.Broad Knowledge Of Occurrence, Claim Or Paragraph (2)(a) of Exclusion g. under Paragraph Suit 2., Exclusions of Section I - Coverage A - Under Section IV - Commercial General Bodily Injury And Property Damage Liability is Liability Conditions, Condition 2. Duties In The amended, substituting 51 feet for 26 feet. Event Of Occurrence, Offense, Claim Or Suit is 10.Medical Payments - Waiver Of Transfer Of amended by the addition of the following: Rights Of Recovery Under Section IV - Commercial General Liability Conditions, Condition 8. Transfer Of Rights Of Recovery Against Others To Us is amended by the addition of the following: CG70210618 Page5of9 A0146691 02/27/2020 Middlesex Insurance Company 5 00005 0000000000 20058 0 N 6b6a89d3-9593-40bb-9759-b0bad7932a3f 0027020044354738479997232259875 Knowledge of an "occurrence", offense, claim or 19.Additional Insureds "suit" by an agent or"employee"of any insured or a. The following is added to Section II -Who Is receipt of any demand, notice, summons or other An Insured. legal paper in connection with a claim or"suit" by any agent or "employee" of any insured shall not The following are included as Additional in itself constitute knowledge of the named Insureds when you have agreed to add the insured or receipt of the named insured, unless a person or organization as an Additional partner, member, manager, "executive officer" or Insured on your policy in a written contract, director shall have such knowledge or shall have written agreement or because of a permit received such demand, notice, summons or legal issued by a state or political subdivision; paper. provided the injury or damage occurs 16.Sold Premises Property Damage subsequent to the execution of the contract or agreement or issuance of the permit: Exclusion j.(2) under Paragraph 2., Exclusions of (1)Any Person or Organization you are Section I - Coverage A - Bodily Injury And Performing Work For Property Damage Liability does not apply. 17.Unintentional Failure To Disclose Hazards Any person(s) or organization(s) not an insured under paragraphs 2. through 6. Under Section IV - Commercial General below, but only with respect to liability for Liability Conditions, the following is added to "bodily injury", "property damage" or Condition 6. Representations: "personal and advertising injury"caused, in If in your representations to us you whole or in part, by your acts or omissions unintentionally failed to disclose all hazards and or the acts or omissions of those acting on exposures subject to this insurance, we shall not your behalf; in the performance of your deny all coverage under this policy because of. ongoing operations for the Additional such oversight. Insured. 18.Stop Gap Liability A person's or organization's status as an Additional Insured under this endorsement The following exception is added to Exclusion e. ends when your operations for that under Paragraph 2., Exclusions of Section I - Additional Insured are completed. Coverage A - Bodily Injury And Property Damage Liability: (2) Lessor of Leased Equipment This exclusion does not apply to "bodily injury" to Any person(s) or organization(s), but only an employee of the insured arising out of the with respect to liability for "bodily injury", course of: "property damage" or "personal and a. Employment by the insured; or advertising injury" caused, in whole or in part, by your maintenance, operations or b. Performing duties related to the conduct of use of equipment leased to you by such the insured's business person(s)or organization(s). provided such employee is reported and declared With respect to the insurance afforded to under the Workers Compensation Fund of the these Additional Insureds, this insurance states of North Dakota, Ohio, Washington or does not apply to any "occurrence"which Wyoming, whichever is applicable as respects takes place after the equipment lease such injured employee. expires. As used herein, employee includes a "leased (3) Lessor of Leased Land worker"or"temporary worker". Any person(s) or organization(s), but only The insurance provided by this coverage with respect to liability arising out of the extension does not apply to: ownership, maintenance or use of that a. Punitive or exemplary damage because of part of the land leased to you by that "bodily injury" to an employee employed in person(s)or organization(s), subject to the violation of law; following additional exclusions: b. "Bodily injury"to an employee while employed This insurance does not apply to: in violation of law with your actual knowledge (a)Any "occurrence" which takes place or the knowledge of any of your "executive after you cease to lease the land; officers"; or (b) Structural alterations, new construction c. Damages arising out of the discharge of, or demolition operations performed by coercion of, or discrimination against any or on behalf of the person(s) or employee in violation of law. organization(s) that are Additional Insureds under this provision. Page 6 of 9 CG 70 21 0618 A0146691 02/27/2020 Middlesex Insurance Company • • (4) Managers or Lessors of Premises This exclusion applies even if the claims Any person(s) or organization(s); but only against any insured allege negligence or with respect to liability arising out of the other wrongdoing in the supervision, ownership, maintenance or use of that part hiring, employment, training or of the premises leased to you by that monitoring of others by that insured if person(s) or organization(s); subject to the the "occurrence" which caused the following additional exclusions: "bodily injury" or "property damage" or the offense which causes the"personal This insurance does not apply to: and advertising injury" involved the (a)Any "occurrence" which takes place rendering of or the failure to render any after you cease to be a tenant in that professional architectural, engineering premises. or surveying services. (b)Structural alterations, new construction (b) Bodily injury" or "property damage" or demolition operations performed by occurring after: or on behalf of the person(s) or (i) All work, including materials,parts or organization(s) that are Additional equipment furnished in connection Insureds under this provision. with such work, on the project(other (5) Owners, Lessees or Contractors than service, maintenance or Any person(s) or organization(s), but only repairs) to be performed by or on with respect to liability for "bodily injury", behalf of the Additional Insured(s)at "property damage" or "personal and the location of the covered advertising injury" caused, in whole or in operations has been completed; or part, by: (ii) That portion of "your work" out of (a)Your acts or omissions; or which the injury or damage arises has been put to its intended use by (b)The acts of omissions of those acting any person or organization other on your behalf; than another contractor or In the performance of your ongoing subcontractor engaged in the operations for the Additional Insured(s). performing operations for a principal With respect to the insurance afforded to as a part of the same project. these Additional Insureds, the following (6)!State or Political Subdivisions - Permits additional exclusions apply: ,Or Authorizations Related To Premises This insurance does not apply to: Any state or governmental agency or (a) "Bodily injury", "property damage" or subdivision or political subdivision; but only "personal and advertising injury"arising 'with respect to the following hazards for out of the rendering of, or the failure to which the state or governmental agency or render any professional, architectural, .subdivision has issued a permit or authorization in connection with premises engineering or surveying services, ;you own, rent or control and to which this including: insurance applies: (i) The preparing, approving, or failing (a)The existence, maintenance, repair, to prepare or approve, maps, shop construction, erection or removal of drawings, opinions, reports, advertising signs, awnings, canopies, surveys, field orders, change orders cellar•entrances, coal holes, driveways, or drawings and specifications; or manholes, marquees, hoist away (ii) Supervisory, inspection, openings, sidewalk vaults, street architectural or engineering banners or decorations and similar activities. exposures; or ,(b)The construction, erection or removal of elevators; or (c) The ownership, maintenance or use of any elevators covered by this insurance. However; (1) The insurance afforded to such Additional Insureds only applies to the extent permitted by law; and CG 70 21 0618 Page 7 of 9 A0146691 02/27/2020 Middlesex Insurance Company 7 00005 0000000000 20058 0 N 6b6a89d3-9593-40bb-9759-bObad7932a3f 0027020044354738479997232259875 (2)The insurance afforded to such Additional (i) This insurance is primary if you have Insured will not be broader than that which agreed in a written contract or written you are required by the contract or agreement that this insurance be agreement to provide for such Additional primary. If other insurance is also Insureds. primary, we will share with that other A person or organization is an Additional insurance by the method described in Insured under this provision only for the Method of Sharing section below. period of time required by the contract or (ii) If you have agreed in a written contract, agreement. written agreement or permit that this However, no such person or organization is insurance is primary and an insured under this Additional Insured non-contributory with the Additional coverage if included as an insured by an Insured's own insurance, this insurance endorsement issued by us and made a part is primary and we will not seek of this coverage part. contribution from that other insurance. b. The following is added to Section III - Limits Paragraphs(i)and (ii)do not apply to other of Insurance insurance to which the Additional Insured has been specifically named as an If you have agreed in a written contract or Additional Insured under a separate written agreement that another person or endorsement. organization be added as an Additional 20.Mental Anguish Insured on your policy, the most we will pay on behalf of that Additional Insured is the The definition of "bodily injury" under Section V lessor of: -Definitions is replaced by the following: 1. The Limits of Insurance specified in the "Bodily injury" means bodily injury, sickness or written contract or written agreement; or disease sustained by a person, including "mental 2. Available under the applicable Limits of anguish" or death resulting from any of these at Insurance shown in the Declarations. any time. This amount shall be a part of and not in The following definition is added to Section V addition to. Limits of Insurance shown in the -Definitions: Declarations and described in Section III. "Mental anguish" means extreme pain or distress c. The following is added to Section IV - inflicted upon an individual's emotional and Commercial General Liability Conditions: intellectual condition with regard to the individual's response to the environment. If we cover a claim or "suit" under this 21.Non-Employment Related Discrimination Coverage Part that may also be covered by other insurance available to an Additional The following is added to the definition of Insured, such Additional Insured must submit "personal and advertising injury"under Section V such claim or "suit" to the other insurer for -Definitions: defense and indemnity. Discrimination against or harassment of a person However, this provision does not apply to the if: extent that you have agreed in a written a. Coverage for such discrimination or contract or written agreement that this harassment is permitted by law; and insurance is primary and non-contributory with the Additional Insured's own insurance. b. The discrimination or harassment is not d. The following is added to Section IV - committed by or at the direction of: Commercial General Liability Conditions (1)You; 4.b.(1)of Excess Insurance: (2) If you are an individual,your spouse; (c)Any other insurance available to an (3) If you are a partnership, a partner or his or Additional Insured covered by this policy. her spouse; However, the following provisions apply to (4) If you are a joint venture, a member of the other insurance available to any person or joint venture or his or her spouse; organization who is an Additional Insured (5) If you are a limited liability company, any of under this coverage part. your members or managers; or (6) If you are an organization other than a partnership, joint venture, or limited liability company, any of your"executive officers", directors or stockholders. Page 8 of 9 CG 70 21 0618 A0146691 02/27/2020 Middlesex Insurance Company This insurance does not apply to "personal and advertising injury" arising out of any insured's - failure to comply with any responsibilities or duties required by the Americans With Disabilities Act, any amendments or additions or any similar state or local law. All other terms and provisions of this policy remain unchanged. CG 70 21 0618 Page 9 of 9 A0146691 02/27/2020 Middlesex Insurance Company 9 00005 0000000000 20058 0 N 6b6a89d3-9593-40bb-9759-bObad7932a3f 0027020044354738479997232259875 • POLICY NUMBER: A0146691003 COMMERCIAL GENERAL LIABILITY CG 20 37 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Location And Description Of Completed Or Organization(s) Operations Any person or organization you are required to add as Jobsites and operations as described in written an contracts with the named insured additional insured under a written contract or written agreement in effect prior to any loss or damage Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section ll -Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following is added to organization(s) shown in the Schedule, but only Section III-Limits Of Insurance: with respect to liability for "bodily injury" or If coverage provided to the additional insured is "property damage" caused, in whole or in part, by required by a contract or agreement, the most we "your work" at the location designated and will pay on behalf of the additional insured is the described in the Schedule of this endorsement amount of insurance: performed for that additional insured and included in the"products-completed operations hazard". 1. Required by the contract or agreement; or However: 2. Available under the applicable Limits of Insurance shown in the Declarations; 1. The insurance afforded to such additional whichever is less. insured only applies to the extent permitted by law; and This endorsement shall not increase the 2. If coverage provided to the additional insured applicable Limits of Insurance shown in the is required by a contract or agreement, the Declarations. 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. CG 20 37 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 1 A0146691 02/27/2020 Middlesex Insurance Company 1 00001 0000000000 20058 0 N 8ccaa063-0866-46a1-833f-bbcbf583b6ae 0027020044354738473397208288888 • POLICY NUMBER: A0146691003 COMMERCIAL GENERAL LIABILITY CG 20 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations Any person or organization you are required to add as Jobsites as described in written contracts with the an named insured additional insured under a written contract or written Description: in effect prior to any loss or damage All operations with written contract with the named insured i Information required to complete this Schedule, if not shown above,will be shown in the Declarations. A. Section II - Who Is An Insured is amended to B. With respect to the insurance afforded to these include as an additional insured the person(s) or additional insureds, the following additional organization(s) shown in the Schedule, but only exclusions apply: with respect to liability for "bodily injury", This insurance does not apply to "bodily injury"or "property damage"_or "personal and advertising "property damage"occurring after: injury"caused, in whole or in part, by: 1. Your acts or omissions; or 1. All work, including materials, parts or equipment furnished in connection with such 2. The acts or omissions of those acting on your work, on the project (other than service, behalf; maintenance or repairs)to be performed by or in the performance of your ongoing operations for on behalf of the additional insured(s) at the the additional insured(s) at the location(s) location of the covered operations has been designated above. completed; or However: 2. That portion of "your work" out of which the 1. The insurance afforded to such additional injury or damage arises has been put to its intended use by any person or organization insured only applies to the extent permitted by other than another contractor or law; and subcontractor engaged in performing 2. If coverage provided to the additional insured operations for a principal as a part of the same is required by a contract or agreement, the project. 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. CG 2010 0413 ©Insurance Services Office, Inc., 2012 Page 1 of 2 A0146691 02/27/2020 Middlesex Insurance Company 1 00001 0000000000 20058 0 N 1c4c682e-64d2-4dbf-a65f-3456c193ac13 0027020044354738475497208288888 • C. With respect to the insurance afforded to these 2. Available under the applicable Limits of additional insureds, the following is added to Insurance shown in the Declarations; Section III -Limits Of Insurance: whichever is less. If coverage provided to the additional insured is This endorsement shall not increase the required by a contract or agreement, the most we applicable Limits of Insurance shown in the will pay on behalf of the additional insured is the Declarations. amount of insurance: 1. Required by the contract or agreement; or Page 2 of 2 ©Insurance Services Office, Inc.,2012 CG 2010 0413 A0146691 02/27/2020 Middlesex Insurance Company • POLICY NUMBER: A0146691003 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Any person or organization from whom you are required to waive your right to recover under a written contract or agreement in effect prior to any lossor damage Information required to complete this Schedule, if not shown above,will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV-Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 A0146691 02/27/2020 Middlesex Insurance Company 1 00001 0000000000 200580 N a37b7393-4b21--46b6-a56c-c3d9832c0692 0027020044354738475697208288888 Policy Number:A0146691003 COMMERCIAL GENERAL LIABILITY CG 20 01 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART The following is added to the Other Insurance (2) You have agreed in writing in a contract or Condition and supersedes any provision to the agreement that this insurance would be contrary: primary and would not seek contribution Primary And Noncontributory Insurance from any other insurance available to the additional insured. This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that: (1) The additional insured is a Named Insured under such other insurance;and CG 20 01 0413 ©Insurance Services Office, Inc.,2012 Page 1 of 1 r I A www.saif.com Oregon Workers' Compensation Work. Certificate of Insurance sail Life. Oregon. Mail to: Certificate holder: XEN 1 INC CITY OF ASHLAND 7401 SW WASHO CT STE 200 20 EAST MAIN STREET TUALATIN,OR 97062-8343 ASHLAND,OR 97520 The policy of insurance listed below has been issued to the insured named below for the policy period indicated.The insurance afforded by this policy is subject to all the terms,exclusions and conditions of such policy;this policy is subject to change or cancellation at any time. Insured Producer/contact Xen 1 Inc USI Northwest 7401 SW Washo Ct Ste 200 Chris Brisbee Tualatin,OR 97062-8343 503.224.8390 chris.brisbee@usi.com Issued 12/11/2019 Limits of liability Policy 949996 Bodily Injury by Accident $1,000,000 each accident Period 01/01/2020 to 01/01/2021 Bodily Injury by Disease $1,000,000 each employee Body Injury by Disease $1,000,000 policy limit Description of operations/locations/special items For all employees of Chown Hardware,SAIF Policy#950928 Important This certificate is issued as a matter of information only and confers no rights to the certificate holder.This certificate does not amend,extend or alter the coverage afforded by the policies above.This certificate does not constitute a contract between the issuing insurer,authorized representative or producer and the certificate holder. Authorized representative )(12) 6J'Dk— Kerry Barnett President and CEO • 400 High Street SE Salem,OR 97312 P:800.285.8525 F:503.584.9812 Policy_OLCA_CertiricateOH nsu rance