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2020-079 PO 20200329- Ausland Builders Inc
l ASND qy Purchase Order �R ,° CITY Fiscal Year 2020 Page: 1 of: 1 �S$'RE.,„„ Y nc 5 Eilzg_o B Ashland Parks Commission [&.---Z- _ I ATTN: Accounts Payable Purchase L Ashla d, OR 97520 Order# 20200329 T Phone: 541/552-2010 0 Email: payable@ashland.or.us V S C/O Parks Department E AUSLAND BUILDERS, INC H Admin Office 340 South Pioneer N 3935 HIGHLAND AVE D GRANTS PASS, OR 97526 P Ashland , OR 97520 ` 0 T Phone: 541/488-5340 R o Fax: 541/488-5314 '7tcL J.+� €-i°aL 3 3_ i -._ €E5� `: , 1 1 �� -,. `Z � - 1 ie1 - .,.- -i..€-I-- - � -'--. _ Ig�€=i.�_: _ i i —_.�. -�—..-- t-1�.1_� c —. (541) 476-3788 Michael Black �s (�3.�i..)�.Is_-cr3.J--� F -- Ti } 1 TT Z.7-7 leaf_-, " -� e Jl iA lid( ' r e i sa" ! eYI@v6: 1'_€2c1�_i((eiz 02/10/2020 O 603 FOB ASHLAND OR/NET30 ParksAccounts Payable `_•- �_ —_ __ � e..:=1E€ I 2°Ei5. _ - Vie. E-i€ r� 2�€3_34P.__t -. E__i�-1'a-- Eng Svcs Pedestrian Bridge 1 Engineering services for proposed Kestrel pedestrian bridge 1 $20,290.0000 $20,290.00 Personal Services Agreement ($25,000.00 or less) Completion date: 04/10/2020 Project Account: E-000768-100 $20,290.00 *.k*************GL SUMMARY*************** 123000-704200 $20,290.00 I • By: Phi; �:l5 Date: P-1 (�� ---...--7-- ----=_-____ - Authorized Signature E _ 71-E-1----7--" :5z---- $20 290.00 ,K:::;)c....e_._-de_..Z- -(6' C.__&) FORM #3 _ CITY OF ASHLAND A recuestfora Purchase Order REQUISITION �F . O '5 'late of request: 1/31/20 Re. lied date for delivery: Vendor Name Ausland Group Address,City,State,Zip 130 A Street Ste.#6F Ashland OR 97520 Contact Name&Telephone Number Greg Ausland 541-476-3788 Email address , SOURCING METHOD 7 • ❑ Exempt from Competitive Bidding ❑ Emergency ❑ Reason for exemption: 0 Invitation to Bid ❑ Form#13,Written findings and Authorization j ❑ AMC 2.50 Date approved by Council: 0 Written quote or proposal attached ❑ Written quote or proposal attached _(Attach copy of council communication)_ _(If council approval required,attach copy of CC) ❑ Small Procurement ❑ Request for Proposal Cooperative Procurement Not exceeding$5,000 Date approved by Council: 0 State of Oregon ❑ Direct Award _(Attach copy of council communication) Contract# O Verbal/Written bid(s)or proposal(s), ❑ Request for Qualifications(Public Works) 0 Sate of Washington Date approved by Council: Contract# • ^(Attach copy of council.communication) ❑ Other government agency contract , Intermediate Procurement ❑ Sole Source Agency GOODS&SERVICES 0 Applicable Form(#5,6,7 or 8) Contract# Greater than$5,000 and less than$100,000 ❑ Written quote or proposal attached Intergovernmental Agreement ❑ (3)Written bids&solicitation attached 0 Form#4,Personal Services$5K to$75K. Agency PERSONAL SERVICES ❑ Special Procurement ❑ Annual cost to City does not exceed$25,000. Greater than$5,000 and less than$75,000 ❑ Form#9,Request for Approval Agreement approved by Legal and approved/signed by 0 Less than$35,000,by direct appointment ❑ Written quote or proposal attached City Administrator.AMC 2.50.070(4) ❑ (3)Written proposals&solicitation attached Date approved by Council: 0 Annual cost to City exceeds$25,000,Council O Form#4,Personal Services$5K to$75K Valid until: (Date) approval required.(Attach copy of council communication) Description of SERVICES Total Cost Engineering Services for proposed Kestrel pedestrian bridge . ;, ,v?0290:OCY. Item # Quantity Unit Description of MATERIALS Unit Price Total Cost, ❑ Per attached quotelproposal _ TOTAL_COST Project Number 0_00'7.0b, I DO Account Number 12.300 . —7 0 q2_00 _ j _20.;200:0.0"- Account Number - Account Number - _ , *Expenditure must be charged to the appropriate account numbers for the financials to accurately reflect-the actual expenditures. IT Director in collaboration with department to approve all hardware and software purchases: 1T Director Date Support-Yes/No By signing this requisiti orm,I certify that the City's publi contracting requirements have been satisfied. Employee: (CUL& Department Head: (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: Y / NO eauh.,(-1 • c -f tr)'l d-d Deputy Finance Director-(Equal to or greater than$5,000) Date Comments: ' Form#3-Requisition PERSONAL SERVICES AGREEMENT($25,000.00 or less) p8 y� CONSULTANT: Ausland Group o lIk,e/ CONSULTANT'S CONTACT: Gregory W. Ausland,PE sa'REC4 fp'• City of Ashland ADDRESS: 130 A Street Ste. #6F Ashland, OR 97520 Ashland Parks and Recreation 340 S Pioneer Street TELEPHONE: 541-476-3788 Ashland,Oregon 97520 Telephone: 541-488-5340 EMAIL: gausland@auslandgroup.com auslandgroup.com Fax: 541-488-5314 This Personal Services Agreement (hereinafter"Agreement") is entered into by and between the City of Ashland,an Oregon municipal corporation(hereinafter"City") and Ausland Group for engineering services for the preliminary design of a new pedestrian bridge to be called Kestrel Bridge,crossing of Bear Creek. NOW THEREFORE,in consideration of the mutual covenants contained herein,the City and Consultant hereby agree as follows: • 1. Effective Date and Duration: This Agreement shall become effective on the date of execution on behalf of the City,as set forth below(the"Effective Date"),and unless sooner terminated as specifically provided herein,shall terminate upon the City's affirmative acceptance of Consultant's Work as complete and Consultant's acceptance of the City's final payment therefore,but not later than April 10, 2020. 2. Scope of Work: Consultant will provide lands and planning service to formally incorporate two parcels into the City of Ashland primarily for Parks and Recreation purposes,as more fully set forth in the Consultant's Proposal dated January 21,2020,which is attached hereto as"Exhibit A"and incorporated herein by this reference, Consultant's services are collectively referred to herein as the "Work." 3. Supporting Documents/Conflicting Provisions: This Agreement and any exhibits or other supporting documents shall be construed to be mutually complementary and supplementary wherever possible. In the event of a conflict which cannot be so resolved,the provisions of this'Agreement itself shall control over any conflicting provisions in any of the exhibits or supporting documents. 4. All Costs Borne by Consultant: Consultant shall,at its own risk,perform the Work described above and,unless otherwise specified in this Agreement,furnish all labor,equipment,and materials required for the proper performance of such Work. S. Qualified Work: Consultant has represented,and by entering into this Agreement now represents,that all personnel assigned to the Work to be performed under this Agreement are fully qualified to perform the service to which they will be assigned in a skilled and worker-like manner and,if required to be registered,licensed or bonded by the State of Oregon,are so registered,licensed and bonded. Page 1 of 5: Personal Services Agreement with Ausland Group. , t i) ` s' 's i 6. Compensation: City shall pay Consultant the sum of$20,290(twenty thousand two hundred and ninety dollars)as full compensation for Consultant's performance of all Work under this Agreement. In no 1 E event shall Consultant's total of all compensation and reimbursement under this Agreement exceed the 1 sum of$20,290(twenty thousand two hundred and ninety dollars)without the express,written approval g from the City official whose signature appears below,or such official's successor in office. Payments t shall be made within thirty(30)days of the date of receipt by the City of Consultant's invoice. Should 1 a this Agreement be terminated prior to completion of all Work,payments will be made for any phase of the Work completed and accepted as of the date of termination. , 7. Ownership of Work/Documents: All Work,work product,or other documents produced in furtherance of this Agreement belong to the City,and any copyright,patent,trademark proprietary or s any other protected intellectual property right shall vest in and is hereby assigned to the City. i if 8. Statutory Requirements: The following laws of the State of Oregon are hereby incorporated by reference into this Agreement: ORS 279B.220,279B.230 and 279B.235. 9. Living Wage Requirements: If the amount of this Agreement is$21,127.46 or more, Consultant is t 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 r required to post the notice attached hereto as`Exhibit B"predominantly in areas where it will be seen by all employees. z 10. Indemnification: Consultant hereby agrees to defend,indemnify,save,and hold City,its officers, employees,and agents harmless from any and all losses,claims,actions,costs,expenses,judgments,or other damages resulting from injury to any person(including injury resulting in death),or damage 1 (including loss or destruction)to property,of whatsoever nature arising out of or incident to the 'r performance of this Agreement by Consultant(including but not limited to,Consultant's employees, agents,and others designated by Consultant to perform Work or services attendant to this Agreement). t However,Consultant shall not be held responsible for any losses,expenses, claims,subrogations, 1 actions,costs,judgments,or other damages,caused solely by the negligence of City. ' 11. Termination: g a. Mutual Consent. This Agreement may be terminated at any time by the mutual consent of both parties. i b. City's Convenience. This Agreement may be terminated by City at any time upon not less than I thirty(30)days'.prior written notice delivered by certified mail or in person. i c. For Cause. City may terminate or modify this Agreement,in whole or in part,effective upon delivery of written notice to Consultant,or at such later date as may be established by City under I any of the following conditions: ' i. If City funding from federal,state,county or other sources is not obtained and continued at levels sufficient to allow for the purchase of the indicated quantity of services; _ ii. If federal or state regulations or guidelines are modified,changed,or interpreted in such a way that the services are no longer allowable or appropriate for purchase under this Agreement or are no longer eligible for the funding proposed for payments authorized by this 1 Agreement or 1 t 6 7 Page 2 of 5: Personal Services Agreement with Ausland Group. - I y s• t E 1 • • iii. If any license or certificate required by law or regulation to be held by Consultant to provide the services required by this Agreement is for any reason denied,revoked,suspended, or not renewed. . d. For Default or Breach. • - i. Either City or Consultant may terminate this Agreement in the event of a breach of the Agreement by the.other. Prior to such termination the party seeking termination shall give to the other party written notice of the breach and its intent to terminate. If the party • committing the breach has not entirely cured the breach within fifteen(15)days of the date of the notice,or within such other period as the party giving.the notice may authorize in writing, r _ then the Agreement may be terminated at any time thereafter by a written notice of • termination by the party giving notice. 0 ii. Time is of the essence for Consultant's perfonnance'of each and every obligation and duty • under this Agreement. City,by written notice to Consultant of default or breach,may at any • • time terminate the whole or any part of this Agreement if Consultant fails to provide the Work called for by this Agreement within the time specified herein or within any extension thereof. iii. The rights and remedies of City provided in this subsection(d)are not exclusive and are in - addition to any other rights and remedies provided by law or under this Agreement. 12. Independent Contractor Status: Consultant is an independent contractor and not an employee of the City for any purpose. 13. Assignment: Consultant shall not assign this Agreement or subcontract any portion of the Work • without the written consent of City. Any attempted assignment or subcontract without written consent, of City shall be void. 14. Default. The Consultant shall be in default of this Agreement if Consultant: commits any material breach or default of any covenant,warranty,certification,or obligation under the Agreement;institutes an action for relief in bankruptcy or has instituted against it an action for insolvency;makes a general assignment for the benefit of creditors;or ceases doing business on a regular basis of the type identified in its obligations under the Agreement;or attempts to assign rights in,or delegate duties under,this Agreement.' 15. Insurance. Consultant shall,at its own expense,maintain the following insurance: a. Workers'Compensation. Consultant shall obtain and maintain Workers' Compensation insurance in compliance with ORS 656.017,which requires subject employers to provide Oregon Workers' Compensation coverage for its subject workers,unless such employers are exempt under ORS 656.126. If exempt under ORS 656.126,Consultant shall certify such exemption to the City. b. Professional Liability insurance with a combined single limit, or the equivalent,of not less than $;2;;00000,0_(twomilhoii doilars)per occurrence. This is to cover any damages caused by error, 'oov�p0a e. omission or negligent acts related to the Work to be provided under this Agreement. c. General Liability insurance with a combined single limit,or the equivalent,of not less than 2;000_,V0 per occurrence for Bodily Injury,Death,and Property Damage. d. Automobile Liability insurance with a combined single limit,or the.equivalent,of not less than $;1�0 0,000.(one hillt;ksli iia%s)for each accident for Bodily Injury and Property Damage,including coverage for owned,hired or non-owned vehicles,as applicable. • Page 3 of 5: Personal Services Agreement with Ausland Group. 1 i S Y i O % e.. Notice of cancellation or change. There shall be no cancellation,material change,reduction of limits or intent not to renew the insurance coverage(s)without thirty(30)days'prior written notice from the Consultant or its insurers)to the City. f. Additional Insured/Certificates of Insurance. Consultant shall name the City of Ashland,Oregon, f: and its elected officials,officers and employees as Additional Insureds on any insurance policies, k excluding Professional Liability and Workers'Compensation,required herein,but only with r respect to Consultant's services to be provided under this Agreement. The consultant's insurance is primary and non-contributory.As evidence of the insurance coverages required by this Agreement, 1 the Consultant shall furnish acceptable insurance certificates and endorsements prior to commencing t the Work under this Agreement. • t 16. Nondiscrimination: Consultant 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 i disability,sexual orientation,gender identity or source of income,suffer discrimination in the 1 performance of any Work under this Agreement when employed by Consultant. Consultant agrees to E comply with all applicable requirements of federal and state civil rights and rehabilitation statutes,rulest _ and regulations. Further,Consultant agrees not to discriminate against a disadvantaged business • enterprise,minority-owned business,woman-owned business,a business that a service-disabled veteran 1 owns or an emerging small business enterprise certified under ORS 200.055,in awarding subcontracts as required by ORS 279A.110. 17. Consultant's Compliance With Tax Laws: s 17.1 Consultant represents and warrants to the City that: 1 17.1.1 Consultant shall,throughout the term of this Agreement,including any extensions hereof, E 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 E to Consultant;and E (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any hk of the foregoing tax laws or provisions. 1 17.1.2 Consultant,for a period of no fewer than six(6)calendar years preceding the Effective Date 1 of this Agreement,has faithfully complied with: L (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 Consultant;and (iii) Any rules,regulations,charter provisions,or ordinances that implement or enforce any 1 of the foregoing tax laws or provisions. 1 r 18. Governing Law;Jurisdiction: This Agreement shall be governed and construed in accordance i with 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 r be in the federal district court for the district of Oregon. Each party expressly waives any and ailrights to maintain an action under this Agreement in any other venue. , Page 4 of 5: Personal Services Agreement with Ausland Group. 1 I Y t F 1 I i 19. Amendments. This Agreement may be amended only by written instrument executed by both parties . with the same formalities as this Agreement. , 1 20. THIS AGREEMENT AND THE ATTACHED EXHIBITS CONSTITUTE THE ENTIRE UNDERSTANDING BETWEEN THE PARTIES. THERE ARE NO UNDERSTANDINGS, i AGREEMENTS,OR REPRESENTATIONS, EITHER ORAL OR WRITTEN,NOT SPECIFIED k HEREIN REGARDING THIS AGREEMENT. CONSULTANT,BY SIGNATURE OF ITS AUTHORIZED REPRESENTATIVE,HEREBY ACKNOWLEDGES THAT HE/SHE HAS READ THIS AGREEMENT,UNDERSTANDS IT,AND AGREES TO BE BOUND BY ITS TERMS AND € CONDITIONS. 21. Certification. Consultant shall execute the certification attached hereto as"Exhibit C"and incorporated herein by this reference. _ 1 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. 1 - CITY OF ASHLAND: Gregory W.Ausland,PE. (CONSU/ TANT): i By: A. By. ..s•j.. l_ . i • Signature - ,Signa re I Mt�►� A . Made-- a, Printed Name Prin .-d Name i . DI re-c4tsr ,netr �k Title Title i 7- 151 oib % A.7 AO , 1 Date Date r (W-9 is to be submitted with this signed Agreement) --e' '77 , Purchase Order No. 4 iii I . 1 Page 5 of 5: Personal Services Agreement with Ausland Group. 1 1 I i I • EXHIBIT B 'C:I IT Y ,O,F .A S�H,,L:A,N.D, O�R�E(G(O iN Cot y 'ff ,\\shun 1 LIVING ALL employers described ! h� ( ~ below must comply with City � of Ashland laws regulating ,•a ment of a livin• wase. $_1:5:12 per hour, effective June 309 20100 The Living Wage is adjusted annually every11/1111 June 30 by the Consumer Price index. Employees.must be paid a ; portion of business of'their 401K and IRS eligible living wage: employer,if the employer has cafeteria plans(including ten or more employees,and childcafe)benefits to the has received financial amount of wages received by ➢ For all hours worked under a assistance for the project or .• theemployee: business from the City of service contract between their Ashland in excess of ➢ Note: For temporary and employer and the City of i$21,127.46. part-time employees,the Ashland if the contract Living Wage does not apply \ exceeds$21,127.46 or more. ➢ If their employer is the City of to the first 1040 hours worked Ashland,including the Parks in any calendar year. For ➢ For all hours worked in a and Recreation Department. more details,please see month if the employee spends Ashland.Municipal Code 50%or more of the ➢ In calculating the living wage, Section 3.12.020. employee's time In that month employers may add the value working on a project or of health care,retirement, • For additional information: Call the Ashland City Administrator's office at 541-488-6002 or write to the City Administrator, City Hall,20 East Main Street,Ashland,OR 97520,or visit the City's website at www.ashland.or.us. \Notice to Employers:This notice must be posted predominantly in areas where it can be seen by all employees. CITY OF IASHLAND Page I of 1 EXHIBIT • r- Z i . I EXHIBIT C • i CERTIFICATIONS/REPRESENTATIONS: Consultant,by and through its authorized t representative,under penalty of perjury,certifies that(a)the number shown on the attached W-9 form is its correct taxpayer ID(or is waiting for the number to be issued to it and(b) Consultant i is not subject to backup withholding because: (i)it is exempt from backup withholding,or(ii)it has not been notified by the Internal Revenue Service(IRS)that it is subject to backup t withholding as a result of a failuroto report all interest or dividends,or(iii)the IRS has notified it that it is no longer subject to backup withholding. Consultant further,represents and warrants to City that: (a)it has the power and'authority to enter into this Agreement and perform the • Work,(b)the Agreement,when executed and delivered,shall be a valid and binding obligation • of Consultant enforceable in accordance with its terms,(c)the work under the Agreement shall .be performed in accordance with the highest professional standards,and(d) Consultant is qualified,professionally competent,and duly licensed(if applicable)to perform the Work. p Consultant also certifies under penalty of perjury that its business is not in violation of any t • Oregon tax laws,it is an independent contractor as defined in the Agreement,it is authorized to l • do business in the State of Oregon,andConsultant has checked four or more of the following - } criteria that apply to its business. F • % (I)Consultant caries out the work or services at location separate from a private i residence or is in a specific portion of a private residence,set aside as the location of k / the business. , • �/ (2)Commercial advertising or business cards or a trade association membership are , / purchased for the business. J (3)Telephone listing is used for the business separate from the personal residence listing. .• J (4)Labor or services are performed only pursuant to written contracts. .1 —7— (5)Labor or services are performed for two or more different persons within a period • I of one year. t (6)Consultant assumes financial responsibility for defective workmanship or for 1 service not provided as evidenced by the ownership of performance bonds, 1 warranties,errors and-omission(professional liability)insurance or liability insurance relating to the Work or services to be provided. - k Consult. g s si: :ture 1 • i • ___ X/277 i 1 Date 1 • 1 • 1 1 Page 1 of 1 EXHIBIT c - . ti 130 A Ste#6F Ashshlandd,,OROR 975200Aft. 321 Mill Street,Ste#3 Air Eugene,OR 97401 3935 Highland Avenue A U S LA N D GROUP Grants Pass,OR 97526 www.auslandgroup. Engineers • Builders • Consultants corn EXHIBIT A-SCOPE OF WORK & FEE January 21, 2020 Ashland Parks & Recreation Commission (APRC) • Michael Black, Parks Director 340 S. Pioneer St. Ashland, OR 97520 • RE: Kestrel Bridge Crossing of Bear Creek Preliminary Design Dear Mr. Black, We are pleased with the opportunity to provide you with engineering services for the preliminary design of a new pedestrian bridge to be called Kestrel Bridge, crossing of Bear Creek. Based on our project understanding with the information we currently have, we propose moving forward as follows: Task 1: Kick-off Meeting & Site Investigation Ausland will meet with representatives of APRC, and the Bear Creek Greenway Foundation to clarify and review the draft scope of work and budget of the project, identify Team members and decision makers, discuss atimeline for deliverables, and make a Site visit to the proposed Kestrel Bridge crossing of Bear Creek location to preliminarily choose an alignment for the new bridge, and note site opportunities and constraints. Lump Sum Fee: $2,660. Task 2: Bridge Crossing Survey &Base Map Ausland will perform a three-line ground profile survey at the assumed centerline and up and down stream of the proposed bridge, set elevation stakes, tie to a known bench mark, andproduce an electronic basemap to be used for design. Lump.Sum Fee: $2,260. Task 3: Project Management & Coordination Ausland will maintain effective communication with the owner Team throughout the project. Ausland will develop a detailed Milestone Project Schedule (MPS) describing the milestones and work tasks and responsible party to perform the work and communicate schedule expectations to the design team and owner Team in order to ensure adherence to the defined expectations and deliverable dates. Lump Sum Fee: $2,790. Task 4: Preliminary Design, Report, Bridge Alternatives, & Proposed Bridge Ausland will investigate bridge alternatives, and develop a preliminary report describing the constraints and opportunities of various bridge types and alternatives. The report will include a narrative of geotechnical foundation expectations, and key environmental criteria, and bridge compliance to ensure that environmental permits are not triggered. The report will also include the engineers proposed bridge type based on span and cost efficiencies, pedestrian functions, and commensurate Bear Creek Bridge aesthetics. • Lump Sum Fee: $8,850. Task 5: Report and Plan-in-Hand Review Meeting f Ausland will meet with the owner Team to present the findings contained within the preliminary report, the proposed bridge type and location, and next steps when funding is available for final , design, and construction. Lump Sum Fee: $3,730. Total Engineering Services Fee: $20,290. Thank you for this opportunity. We are truly looking forward to providing our services to assist the APRC, and Bear Creek Foundation for the expansion of the Bear Creek Greenway trail system. Sincerely, te j 1 ,' Gregory W. Ausland, PE Principal/Senior Project Manager Mob: 541-914-1725 gausland@auslandgroup.com Agreed to by: Ashland Parks & Recreation Commission • Michael Black, Parks Director l ,q� ,�/0' CERTI DC/\TE OF LNM DUTfY NSURM CE DAT,/3/2020 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 rights to the certificate holder in lieu of'such endorsement(s). PRODUCER CONTACTAKiril Schnetzky Ward Insurance Agency Inc. PHONE FAX PO Box 10167 (NC.No.Ext):541-687-1117 (Arc,No):541-342-8280 Eugene OR 97440 ADDREss: kim@wardinsurance.net INSURERS)AFFORDING COVERAGE NAIC# INSURERA:Continental Western Insurance Company 10804 INSURED • AUSLBUI-01 INSURER B:Axis Surplus Insurance Company 26620 Ausland Builders Inc Ausland Group INSURER C: 3935 Highland Avenue INSURERD: Grants Pass OR 97526. INSURERE: INSURER F: 1 COVERAGES CERTIFICATE NUMBER:1960380531 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. - ILTR• TYPE OF INSURANCE ADDL SUBR POLICY EFF` POLICY EXP INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y CPA2967760 2/1/2019,, 2/.1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $300,000 MED FRCP(Any one person) $10,000 _ PERSONAL 8 ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 ' • POLICY X '?l LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: WA Stop Gap $1,000,000 A AUTOMOBILE LIABILITY Y Y CPA2967760 2/1/2019 2/1/2020 COMBIN aaccid EDSenqINGLELIMIT $1,000,000 (E X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS _ X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _AUTOS ONLY (Per accident) Cyber/NetworkSecurty $$1,000;000 A X UMBRELLALIAB X OCCUR CPA2967760. 2/1/2019 2/1/2020 EACH OCCURRENCE $5,000,000 _ EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED RETENTION$ $ WORKERS COMPENSATION • PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE N/A E.LEACH ACCIDENT $ OFFICER/MEMBEREXCLUDED7 - . ' (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ A Installation Floater CPA2967760 2/1/2019 2/1/2020 Limit$500,000 Ded:$2,500 B Professional CM002114032019 2/1/2019 2/1/2020 Limit$1,000,000 0cc $2,000,000 Agg Pollution Limit$1,000,000 Occ- $1,000,000 Agg • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) • Certificate holder and all entities required by written contract are included as additional insureds on a primary and non-contributory basis with waiver of subrogation with respects to the general liability including completed operations and auto liability as required by written contract per attached endorsements. Umbrella follows form.Subject to policy limits,terms,conditions and exclusions. - RE:Personal Services Agreement-Kestrel Bridge#19-0728.Certificate holder includes City of Ashland,Oregon and its elected officials,officers and employees. • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Ashland ACCORDANCE WITH THE POLICY PROVISIONS. Ashland Parks and Recreation 340 S Pioneer Street AUTHORIZE REPRESENTATIVE Ashland OR 97520 (� I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD l • • • b. The insurance afforded by this provision performed by or on behalf of COMMERCIAL GENERAL LIABILITY does not apply to any person or such additional insured. CL CO 04920916 insured included as an orsaddeonat (4)Lessor Of Leased Equipment insured by a separate endorsement THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. policyIssued orby coverage us and part.maa part of this My drum person(s) or oquipment but orcaverage from whom you lease equipment but GENERAL LIABILITY ULTRA PLUS ENDORSEMENT a Only the following persons or orrans onuyNmrraperl toamage"ability or"per- sonal rations are addhional Insureds under This Injury properly damage"or s er- provision, with coverage for such somal and advertising injury'caused, additional insureds limited as provided In whole or in part, by your This endorsement modifies Insurance provided under thefollowing: • herein: maintenance, operation or use of equipment leased to you by such COMMERCIAL GENERAL LIABILITY COVERAGE PART (1)Managers Or Lessors Of Premises person(s)or organization(s). A manager or lessor of premises but A person's or organization's status only with respect to liability arising as an addtilonal Insured under this SUMMARY OF COVERAGE EXTENSIONS out of the ownership.maintenance or endorsement ends when their written use of that part of the premises contract or written agreement with Provision Name Of Coverage Extension Included or Limit of leased to you and subject to the you for such leased equipment ends. Insurance following additional exclusions This Insurance does not apply to any A. Miscellaneous Additional Insureds Included This insurance does not apply to: "occurrence"which takes place after B. Expected Or Intended Injury Or Damage Included (a)Any "occurrence"winch takes the equipment lease expires. C. Knowledge Of Occurrence Included - place after you cease to be a (5)State,Municipality,Governmental D. Legal Liability—Damage To Premises Rented To YouFire,Lightning, $300,000 tenant In that premises. Agency Or Subdivision Or Other Explosion,Smoke,Or Leakage From Automatic Fire Protective Systems) (b)Structural alterations,new con- AuthoPolitical suhdivislen—Permits Or E. Medical Payments $10,000 strdPremises ion or demolition operations slza0ons Relating To F. Mobile Equipment Redefined Included performed by or on behalf of Peerless G. Newly Formed Or Acquired Organization,Partnership OrUmked Liability Included such additional Insured. My state, municipality, govem- CompanyAndExtendedPeriodOfCoverage (2)Mortgagee,Assignee Or Receiver -mental agency or subdivision or other political subdivision subject to H. Who Is An Insured—Amendment Included A mortgagee,assignee,or receiver the following additional provisions: • I. Nan-Owned Watercraft(Increased to maximum length of less than 51 Included - •but only with respect-to their liability (a)This Insurance applies only with feel) • as mortgagee,assignee,or receiver J. Supplementary Payments—Increased Limits and arising out of the ownership, respect to: 1.Bail Bonds ' 53,000 maintenance,or use of a covered (I) The following hazards for 2.Loss Of Earnings S 1,000 premises by you. which the state,municipality, This insurance does net applyto governmental agency or K. Unintentional Omission Or Unintentional Error In Disclosure Included subdivision or other political L Waieer Of Transfer Of Rights Of Recovery Against Others Included — structural alterations, new con- sub&vislon has issued a structiM. Liberalization Clause Included " on or demolition operations permit or aulhoraation In performed by or on behalf of such connection with premises N. Incidental Medical Malpractice Included • additional insured. you own,rent or control and • The above is a summary only.Please consult the specific provisions that•folowfor complete information on the (3)Owners Or Other Interests From to which this insurance extensions provided. Whom Land Has Been Leased applies: • The provisions of the Commercial General Liability additional Insured on your policy,provided An owner or other Interest from (1.1)The existence, Coverage Part apply except as otherwise provided In that whom land has been leased to you maintenance, repair, this endorsement This endorsement applies only if but only with respect to liabilityconstruction, erection ouch Coverage Part Is Included in this policy. a. The written contract or written agreement arising out of the ownership,maims- or removal of adver- Is: • mance or use of that part of the.land tieing signs,awnings, A. MISCELLANEOUS ADDITIONAL INSUREDS (1) currently in effect or becoming leased to you and sub)ect to the canopies, cellar 1. Section it—Who Is An Insured Is amended effective during the term of this following additional exclusions entrances,coal holes, to Include as an Insured any person or policy,and This insurance does not apply to: driveways, manholes, organization(referred to as an additionalmarquees,hoist away (2)Fully executed by you and the (a)My'occurrence"which takes openings, sidewalk Insured below) described in Paragraphs A.1.s,(i)through A.l c.(e)below when you additional insured prior to the"bodily place after you cease to trace vaults,street banners and such person or organization have agreed Injury',"property damage`or"per- that land. or decorations and in writing in a contract or agreement that conal and advertising Injury". (b)Structural aileratiors,new con- similar exposures;or such person or organization be added as an _ strudion or demolition operations . CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Orce,Ina, Page 1 of 7 Cl_CO 04920916 Includes copyrighted material of Insurance Services Office,Inc., Page 2 of 7 with Its permission with its permission • • • 1 . • / • • ' (1.2)The construction,erect The insurance afforded the (viii)"godly Injury'or"property 3. With respect to the insurance afforded to the tion or removal of vendor does not apply to: • - damage"arising out of the additional Insureds within this Provision A. elevators;or (i) "godly injury' "property sole negligence of the Miscellaneous Additional Insureds, the (1.3)The ownership,main- damage" for or"pvendor for its own acts or following is added to Section Il—Limits Of Midi the emissions or those of its Insurance: terrane or use of any vendor Is obligated to pay employees or anyone else elevators covered by damages by reason of theThe most we pay on behalf of the acing on its behalf. How- this Insurance. assumption of liabilityliability•Ina additionalhawedd Is ts the amount of insurance: written contract or written • ever,this exclusion does not (II)Operations performed by you apply to: a. Required by the written contract or agreement This exclusion or written agreement or on your behalf for which does not apply to liability for (1.1)The exceptions • the state, municipality, damages that the vendor . contained In Sub- b. Available under the applicable Limits Of governmental agency or would have in the absence of • paragraphs(Iv)or(vi); Insurance shover in the Declarations; subdivision or other political the written contract or written or subdivision has Issued a agreementwhichever is less. •permit arauthorizatiorh. (1.2)Such Inspections,ad- This endorsement shag not increase the (g)My express warranty unau- justments, tests or (b)This Insurance dots not apply to applcable Limits Of Insurance shown In the - "bodily Injury., "property dam- Norized by you; vendorservicinH me Declarations, age"or"personal and advertising (Ili)My physical or chemical _ hasor agreednormally to injury"arising out of operations change in theproduct made make es IB. EXPECTED OR INTENDED INJURY OR Pe undertake to make of DAMAGE performed for the state, or Intentionally aly by the - the usual course Of • pally,governmental agency or vendor, business in con-• Exclusion 2a Expected Or Intended Injury of subdivision or other politicaliv Re ckn iSection I—Coverage A—Bodily Injury And subdnrision, l ) Pa DnB� except when nection with the I • Property Damage Liability Is deleted and unpacked solely for the distribution or sale of replaced bythe following: (6)Controlling Interest purpose of Inspection, the products. demonstration,n,testing,or the a. Expected Or Intended Injury Or Damage My person(s)or organization(s)vrith dem substitution of parts under @)This Insurance does not apply to a controlling interest In the Namedinstructions from the mane- any Insured person or organo- 'Bodily Injury or"property damage"expected ' Insured but only with respect to their zallon, from whom you,have or intended from the standpoint of the • factual; and then acquiredproducts, or liability arising out of: W any Insured. This exclusion does not apply to repackaged.in the original Ingredient part or container, "bodily injury'or"property damage"resulting (a)Their financial control of you;or • container; • entering into,accompanying or from the use of reasonable force to protect (b)Premises they over,maintain or i (v)My failure to make such containing such products. • persons or property. control while you lease or occupy Inspections, adjustments, 2. With respect to coverage provided by this C. KNOWLEDGE OF OCCURRENCE these premises. tests or servicing as the Provision A. Miscellaneous Additional vendor has agreed to makeInsureds,the followingadditional provisions Paragraph 2.a. Duties In The Event Of This insurance does not apply to or normally undertakes to Occurrence,Offense,Claim Or Suit of Section structural alterations, new con- make In the usual course of • apply - IV—Commercial General Liability Conditions struction or demolition operations business,in connection with a. My insurance provided to an additional Is deleted and replaced by the foliating: performed by or for such person(s) the distribution or sale of the Insured•designated under Paragraphs ororganaation(s). products; - A.1.c.(1)through A.1.e.(8)above does a. You must see to it that we are notified as Co-Owner Of Insured Premises not apply, coon as practicable of an"occurrence or an (7) (v1)Demonstration, •installation• . offense which may result to a claim only A co-owner o1 a premises co-owned servicing or repair opera- (1)To ."boclly injury' or "property when the"occurrence"or offense is known by you and covered under this tions,except such operations damage" Included within the to: . insurance but only with respect to the performed at the vendor's ' • 'products-completed operations co-owners lability as co-owner of premises In connection with hazard',or (1)You,If you are an individual, such premises, the sale of the product (2)To�'6odliy In)ury',"property damage" (2)A partner,If you area partnership; (8)Vendors (vII)Products welch,alter dad- " • or"personal and advertising injury' (3)A manager,if you are a limited lability button or sale by you,have arising out of the'sde negligence of company,or (a)My person(s)or organization(s) been labeled or relabeled or such additional Insured. (referred to as vendor),but only used as a container,part or (4)An"executive officer"or the"employee" with respect to"bodily Injury'or ingredient of any other thing b.•The Insurance afforded to such additional designated by you to gNe such notice,if "property damage"arising out of or substance by or for the Insured only applies to the extent you are an organization other than a "your products" which are vendor,or permitted by law partnership ora limited liability company. distributed or sold In the regular c. The insurance afforded to such additional course of the vendor's business. i insured will not be broader than that To the extent possible,notice should include: which you are required to provide by the (I) How,when and vdrere the"occurrence" written contract or written agreement or offense took place; CL CG 0492 09 161 Includes copyrighted material of Insurance Services Office,Inc., Page 3 017 • CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office,Inc, Page4of7 'with its permissionwith Its permission • i • 0 _ • . I (ii)The names and addresses of any Injured you,-or in the case of damage by fire, (1)Equipment with a gross vehicle weight of partnership or limited liability company persons and witnesses;and lightning,explosion,'smoke",or leakage 1,000 pounds ar more and designed primarily are the same or similar to the operations lilt)The nature and location of any injury or from automatic fire protective systems, fon of insureds already covered under this w damage arising out of the"occurrence' vale rented to you or temporarily (a)Snow removak insurance; or offense. occupied by you with permission of the . owner. {b)Road maintenance,but not construction (v)Coverage only applies for those limited D. LEGAL LIABILITY—DAMAGE TO PREMISES or resurfacing;or liability companies who have established RENTED TO YOU(Fire,Lightning,Explosion. This krait will apply to all damage a dale-of formation as recorded within Smoke, Or Leakage From Automatic Fire proximately caused by the same event, (c)Street cleaning; the filed state articles of organization, Protective Systems) whether such damage results from fire, G. NEWLY FORMED OR ACQUIRED ORGANIZA- certificates of formation or certificates of lightning, explosion, 'smoke", leakage organization;and If damage to premises rented to you is not from automatic fire protective systems,or • TION,PARTNERSHIP OR LIMITED LIABILITY otherwise excluded from this policy or coverage other covered causes of loss or any COMPANY AND MENDED PERIOD OF (el)Coverage only applies for those part- pad,then the following provisions apply: combination thereof. t COVERAGE nerships who have established a date of Paragraph 9.of Section II—Wfio Is An Insured formation as recorded within a written1. Under Section I—Coverage A—Bodily 4. Subparagraph b.(1)(a)(ti) of Paragraph 4. \is deleted and replaced bythepartnership agreement or partnership Injury And Property Damage Liability,the Other Insurance of Section IV ly fallowing: certificate last paragraph (after the exclusions) is Commercial General Liability Conditions 3. Any organization you needy acquire or form, H. WHO15 AN INSURED—AMENDMENT deleted and replaced by the folowing: Is deleted and replaced by the following: other than a joint venture,and over which Exclusions c.through n.do not apply to dam- (II)That is fire,lightning,explosion,"smoke" you maintain ownership on. The last paragraph of Section II—Who Is An age by fire,lightning,explosion,"smoke",or or leakage from automatic fire protective a. Majority Interest of more than 50%if you Insured is deleted and replaced by the following: leakage from automatic fire protective systems insurance for premises rented to are a corporation; No person or organization Is an Insured with . systems to premises while rented to you or you or temporarily occupied by you with of more than 50%as a respect to the conduct of any: b, Majority temporarily occupied by you with the permission of the owner, permission of the owner.A separate limit of general partner of a newly acquired or a. Current partnership or limited liability 5. Subparagraph a.of Definition 9."Insured rammed partnership;a insurance.applies to this coverage as pa p; idiot company, unless otherwise provided for descnbed In Section 111 — Limits Of contract'of Section V—Definitions is c. Majority Interest of more than 50%as an under Paragraph 3.of Section II—Who Is Insurance, •deleted and replaced bythefollow following: An Insured; f owner of a newly acquired or fanned 2. The paragraph Immediately ager Sub- a. A contract for a lease of premises. limited liability company, b. Current joint venture;or paragraph J:(6)of Paragraph 2.Exclusions a leasHowever,that portion of the contract for p a lease of premises that indemnifies any vitt quality as a Named Insured if there Is no a Past partnership, joint venture or lunged .' of Section 1—Coverage A—Bodily Injury other similar insurance available to that liability company; And PropertyDamage Liability is deleted person or organization for damage by ty g tyfire, lightning, explosion, 'smoke" or organization. However,for these organize- that is not shown as a Named Insured In the and replaced byte following: leakage from automatic fire protective tiD°S Declarations. Paragraphs(1),(3)and(4)of this exclusion systems to premises while rented to you (I) Coverage under this provision is afforded do not apply to"property damage"(other or temporarily occupied by you with only until the next anniversary date of I. NON-OWNED WATERCRAFT than damage by fire,lightning, explosion, permission of the owner is not an this policys effective date after you Subparagraph(2)of Exclusion 2g.Aircraft, "smoke", or leakage from automatic fire "Insured contract". acquire or form the organization, Auto Or Watercraft of Section 1—Coverage A protective systems)to premises,including 6. As used In this Provision D.Legal Llahillty— partnership or finked liabili y company, —Bodily Injury And Property Damage Liability the contents of such premises,rented to you Damage To Premises Rented 7o You: or the end tette policy period,Whichever Is deleted and replaced by the fotowing: for a period of seven or fewer consecutive Is eadier, days.A separate limit of insurance applies to "Smoke" does not Include smoke from (2)Awatercraft you do not own that is: • Damage To Premises Rented To You as agricultural smudging,Industrial operations (II)Section I—Coverage A—Bodily Injury (a)Less than 51 feet long;and described in Section III — Limits Of or"hostile fire". And Property Damage Liability does Insurance E. MEDICAL PAYMENTS • tapply to'bodily ol.urcur before (b)Nd being used to carry persons or • 3. Paragraph 6.of Section 111—Limits Of damage" you • property for acharge. If Coverage C—Medical Payments is not acquired or funned the organization, Insurance is deleted-and replaced by the otherwise excluded from this poficy or coverage • partnership or fanged UabTty company, I. LIMRSSUPPLEMENT/1RY PAYMENTS—INCREASED following: • part, the Medical Expense Limit Is changed, (til)Section I—Coverage B—Personal . 6. Subject to Paragraph 5. above, the subject jo the leans of Section III—Limits Of And Advertising injury Liability does Section I — Supplementary Payments — ater of Insurance,tetegreater ofCoverages A And B is changed as follows greater not apply to'personal and advertising a. 5300,000,or a. 570,000;or injury' arising out of an -offense 1. The limit shown In Paragraph 1.b.for the committed before you acquired orconned cost of bag bonds Is changed from$250 to b. The Damage To Premises Rented b. The Medical Expense Limit shown In the the organization,partnership or limited 53,000;and To You limit shown In the - Declarations. fmbliitycompany, ' Declarations, F. MOBILE EQUIPMENT REDEFINED 2. The limit shown In Paragraph 1.d.for loss of Is the most we will pay under Coverage (Iv)Coverage applies only when operations earnings because of throe off from Work is A for damages because of"property Subparagraph 1.(7) of Definition 12."Mobile of the needy acquked organization, changed from$250 a day to 91,000 a day. damage"to premises while rented to equipment"of Section V—Definitions is deleted . and replaced by the following CL CO 04 92 09 16 Includes copyrighted material of Insurance Services Office,Ina, Page 5 of 7 CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office,Inc., Page 6 017 with its permission with its permission , ( • K. UNINTENTIONAL. OMISSION OR UNINTEN- M.LIBERALIZATION CLAUSE TIONAI.ERROR IN DISCLOSUREThe following Is added to Section IV — The following provision Is added to Paragraph G. Commercial General Liability Conditions: - Representations of Section IV—Commercial If we adopt a mandatory attachment form change ' • . _ General liability Conditions: which broadens coverage under this edition of ` t However, the unintentional omission of, or the Commercial General Liability CG0001 for no unintentional error in,any information given or- additional charge, and those changes are provided by you shall not prejudice your rights intended to apply to all Insureds under this edition under this insurance. of CG0001,that change w91 automatically apply This provision does not affect our right to collect to your insurance as of the date we Implement • ` additional premium or to exercise our right of the change In your state.This liberalization • Pr clause does not apply to changes Implemented cancellation or norxenewo4-. / ) through introduction of a subsequent edition of L WAIVER OF TRANSFER OF RIGHTS OF' the Commercial General Liability form CG0001. • RECOVERY AGAINST OTHERS • N. INCIDENTAL MEDICAL MALPRACTICE The following is added to Paragraph 8.Transfer 1. paragraph 2.a.(1)(d)of Section II—Who Is Of Rights Of Recovery Against Others To Us An Insured does not apply to a physlden, of Section IV—Commercial General liabilitynurse practitioner,physician ass'(stant,nurse, , Conditions; emergency medical technician or paramedic We waive any right of recovery we may have employed by you If you are not In the , against any person or organization because of business or occupation of providing medical, payments we make for Injury or damage arising paramedical, surgical, dental, x-ray or out of your ongoing operations or'yourwork'and nursing services. C Included in the-"products-completed operations • 2. This provision is excess aver any other valid hazard'when you have agreed In a written and collectible insurance whether such contract or written agreement that any right of insurance is primary,excess,contingent or • recovery is waived for suc• h person or on any other basis.Any payments by us will organization, This Waiver applies only to the • follow Paragraph r.b. of Section IV — person(s)or organization(s)agreed to in the Commercial General Liability Conditions. , written contract or written agreement and Is subject to those provisions. This waiver does not apply unless the written • contract or written agreement has been executed prior to the"bodily Injury'or"property damage". However. if any person or organization is separately scheduled on a separate waiver of ' transfer of rights of recovery which is attached to - ' this policy,then this waiver does not appfy. • - ' r CL CG 04 92 09 16 Includes copyrighted material of Insurance Services Office.Inc., Page 7of7 • , . with its permission \ 1 • ' 3. Exclusions a. Required by the contract or agreement or COMMERCIAL GENERAL LIABILITY With respect to the insurance afforded to these b. Available under the applicable Limits of CL CG OS 291017 additional Insureds,the following additional Insurance shown In the Declarations; exclusions apply to"bodily Injury',"property whichever is Tess THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. damage"or"personal and advertising injury' arising out of. This endorsement shall not increase the GENERAL LIABILITY ULTRA PLATINUM The rendering of or failure to render any applicable Limits of Insurance shown In the professional services by you or on your Declemtions. ENHANCEMENT COVERAGES nal,but only with respect to either or 5. Other Insurance both of the following operations: For purposes of this endorsement, the (1)Providing engineering,architectural or folowing Is added to the Section Er- This endorsement modities insurance provided cirderthe following: surveying services to others to your Commercial General Liability Conditions.4. capacity as an engineer,architect or Other COMMERCIAL GENERAL LIABILITY COVERAGE FORM surveyor,and Insurance condition and supersedes any • (2)Providing, or hiring independent provision la the contrary A.The following coverage Is added: paragraph 2,a.above,the words caused professionals to provide,engineering, architectural or surveying services in This insurance Is excess of al other ADDITIONAL •INSURED-OWNERS,LESSEES whole or In part by are replaced by the Y'nB connection with construction work you insurance available to an additional OR CONTRACTORS-AUTOMATIC STATUS words arising out or. c perform. insured whether on a primary, excess, INCLUDING PRIMARY NON-CONTRIBUTORY 4 The insurance afforded to such additional contingent or any other basis. But, if 1. Section U-Who le An Insured Is amended to insured only applies to the extent b, Subject to Paragraph c below, required by a written contractor written Include as an additional insured any person(s) permitted by law,and professional services Include: agreement to be primary and or erganlza0on(a)for whom you are required d. It coverage provided to the additional (1)Preparing, approving, or falling to noncontnbulory, this Insurance will be by agreement Insured is required.by a contract or prepareapprove, maps, shop primary to and will not seek contribution virtue of a written contract or or from any Insurance on which the additional that such person(s) or organization(s) be agreement,the Insurance afforded to such drawings,opinions,repods,surveys, insured is a Named Insured added as an additional insured on your policy. additional Insured will not be broader than _field orders, change orders, or 2. The insurance provided to the additionalthat which you are required by the contract - drawings and specifications;and No crow coverage or limit In the policy Insured is limited as follows: or agreement to provide for such (2)Supervisory or inspection activities applies to loss or damage insured by this additional insured, performed as part of any related coverage. • a. Such person or organization Is an e. This Insurance ends at the earliest of the architectural or engineering activities B. The following coverage is added: additional Insured only With respect to following times: liabilityfor "bodilyinjury', ng o. Professional services do not includemeans, -RAILROADS )ry, services Within construction means, CONTRACTUAL UABILINdamage" or "personal and advertising (1)When any Named Insured(s) work methods, techniques, sequences and' 1. With respect to operations performed for a Injury'caused in whole or in part by. - called for In the written contract has q Railroad within 50 feet of railroad been completed procedures employed by you or performed property,the (1)Acts or omissions of the Named a by or for the construction manager,jts peflni�tbof ne b replacedsuredcontract'following:son V- Insured;or (2)When all of any Named Insured(s) employees or its subcontractors InY (2)The acts or omissions of those acting work done at a job site has been connection with your ongoing operations. 0. "Insured Contract'means: ' on behalf or em Named Insured; completed'If the written contract calls forwnrkat more than one job This exclusion applies even if the claims 1 a. A contract for a lease of premises. In the performance of the Named Insureds against any Insured allege negligence or other However,that portion of the contract • work for the additional insured(s)specified (3)When that part of any Named employment, In the rslon, hiring, for a lease 'of premises that in the written contract provided the Insureds work done at a job site has emplo ent,trainingor,monitoringof others been t to its Intended useindemnifies any person or contract or agreement requiresyou to W by any by that insured, if the"occurrence"which person or organization other than the • caused the II in organization for damage by fire to provide the additional Insured such "bodily injury' or property tempo an whileocrented to youou Wor ith coverage and is: Named Insured or those acting on the damage",or the offense which caused the g Named Insured(s)hehalLInjury', tem permission y occupied by with "personal and advertisingIn u Involved the permission of the owner is not an • I. Currently In effect or becomes Wpm that may need service,maintenance, rendering of, or the failure to render, any 'insured contract; effective during the tens of this_ correction,repair or replacement but is professional architectural, engineering or _ poky, otherwise complete,not be treated as surveying services. b. Asidetrack agreement II. Was executed prior to the"bodily completed. 4. Limits of Insurance c. Any easement or license agreement injury", 'property damage" or I. This Insurance does notd. An obligation, .personal and advertising In)ury'. apply to any With respect to the Insurance afforded to mesaIas required by additional Insured scheduled on your additional insureds,the following Is added to ordinance,to Indemnifya municipality, b. If the written contract specifically requires policy by separate endorsement Section III-Limits Of Insurance: . except In connection with workfor a you to provide additional insured coveragemunicipality, via the 10/01 edifion of CG2010(aka CG g. For purposes of paragraph A. of this 1(coverage provided to the insured 20 10 10 Si)or via the 11185 edition of endorsement the terms"yon'and In is required by a contract or agreement,the a. An elevator maintenance agreement' CG2010(aka CG 20 10 11 85),then in refer to the Named Insured show in the most we will pay on behalf of the additional k That part of any other contract or Declarations. insured Is the amount of insurance: agreement_pertatning to your business • • CL CG 05 291017 Includes copyrighted material of Insurance Services Office,Inc., Page 1 of 3 Page 2 of 3 Includes copyrighted material of Insurance Services Office,Inc., CL CO 05 29 10 17 with its pemdssion, with its permission. • • b r • • • (including an Indemnification of a C. AGGREGATE LIMITS OF INSURANCE munictpalgy In connection with wade The General Aggregate Limit under SECTION 111'- phich you assumesa municipality)lundof WAFTS OF INSURANCE applies separately to which you the tort liability of . ti another party to pay for"bodily Injury' each of your. • or property damage"to a third person 1. Projects away from premises owned by or or organization.Tort liability means a rented to you. liability that would be Imposed by law • In the absence of any contract or 2. °Locations"owned by or rented to you. agreement "Location"means premises Involving the same Paragraph L does not Include that part or connecting lots, or premises whose -- of any contract or agreement connection Is interupted only by a street • (1)That indemnifies an architect, roadway, waterway or right-of-way of a engineer or surveyor for Injury or railroad. • damage arising out of When paragraph B.Construction Project • • , (a)Preparing,approving.or failing General Aggregate Limit on form CLCD 0020 Is to prepare or approve maps. a part of this policy,then this endorsement shop drawings, opinions, CL CG 05 29 paragraph D.Aggregate UmIts Of reports,surveys,field orders, Insurance does not apply. charge orders or drawings and specifications;or • (b)Giving directions or Instructions,or failing to give them, If that Is the primary cause of the injury or damage; (2)Under which the Insured, if an archilect engineer or surveyor, assumes liability for an Injury or damage arising out of the Insureds rendering or failure to render professional services, Including these fisted in Paragraph (1) above and supervisory, Inspection, architectural or engineering activities. 2. Other Insurance r For purposes of this endorsement,the following is added to the Section IV- Commercial General. Uabltiry Conditions,4.Other Insurance condition , and supersedes any provision to the contrary. This Insurance is excess of all other , insurance that is Railroad Protective Liability or similar coverage for'yourwork' performed for a Railroad.But,if required by a written contract or written agreement to be primary and nonconmbutory,this - ' Insurance_w+ll be primary to and writ not • seek conrnbugon from any insurance en • which the Railroad is a Named Insured. No other coverage or limit In the policy applies to loss or damage insured by this - coverage. • CL CG 05291017 Includes copyrighted material of Insurance Services Office,Inc., Page 3 of 3 with hs permission. • • • • • • b. Supervisory or Inspection activities 0. Other insurance COMMERCIAL GENERAL LIABILITY performed as part of any itelated For purposes of this endorsement,the following is CL CG 20 71 0918 architectural or engineedng activities, added to the Section IV-Commercial General 3. Professional services do not include services Liability Conditions, 4. Other Insurance THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. within construction means, methods, condition and supersedes any provision to the techniques, sequences and procedures contrary. ADDITIONAL INSURED-OWNERSLESSEES employed by you orperformedbyorfor the construction manager,its employees or Its This Insurance tsexcessotail other Insurance s s available to an additionalxcess Insured whether on a CONTRACTORS OR OTHERS-COMPLETED OPERATIONSsubcontractors to connection with your ongoing operations primary,excess,contingent or any other basis. -AUTOMATIC STATUS,INCLUDING PRIMARY C. Limits of insurance agreemIf ent to be uired prnd noncontributory,or written rite is 9 primary ry NONCONTRIBUTORY With respect to the Insurance afforded to these Insurance will be primary to and wit not seek additional Insureds,the following Is added to contribution from any Insurance on which the This endorsement modifies insurance provided under'the following: Section 10-Limits Of Insurance; additional insured Iso Named Insured. If coverage provided to the additional insured is No other coverage or limit In the policy applies to COMMERCIAL GENERAL LIABILITY COVERAGE PART required by a contract or agreement,the most we loss or damage insured by this coverage. • . will pay on behalf of the additional insured Is the A. SECTION II-WHO IS AN INSURED Is amended For purposes dela endorsement,throughout amount of Insurance: to Include'as an additional Insured any person(s) the policy,the terms'you'and"your"referto 1. Required by the contract or agreement or • or organisations)when you are obligated by the Named Insured shovm In the Declarations. 2. Available under the applicable Limits of virtue ofa written contract or agreement that B. Exclusions Insurance shown In the Declarations; such person or organization(s)be added as an additional Insured to your policy. With respect to the Insurance afforded to these whichever Is less. Such person(s)or organizations)Is an additional additional Insureds, the following additional This endorsement shall not Increase the • Insured only with respect to lability for"bodily exclusions apply to"bodily injury`and"property applicable Limits of Insurance shown In the Injury"or"property damage"or"personal and damage"arising out of Declarations. advertising Injury'caused,in whole min part by, 1. The rendering of or failure-to render any • (1)Acts or omissions of the Named Insured; professional services by you Oran your behalf, • or but only with respect to either or both of the following operations: (2)The acts or omissions of those acting on a. Providing engineering, architectural or behalf of the Named Insured; surveying services to others In your and included In the 'products-completed capacity as an engineer, architect or operations hazard' surveyor,and This Insurance applies only when you are required b. Providing, or hiring independent to add the additional Insured by virtue of a written professionals to provide, engineering, contract or agreement,provided the contract or architectural or surveying services in agreement Is: connection with construction work you 1. Currently in effect or becomes effective during pedonn• • the term of thls policy,and This exclusion applies even if the claims against, 2. Was executed prior to the"bodily injury'or any Insured allege negligence or other • "property damage" or 'personal and wrongdoing In the supervision, hiring, advertising injury.. employment,training or monitoring of others by that insured,tithe"occurrence"which caused the However. "bodily injury.or"prepedydamage",orthe offense a. The insurance afforded to such additional which caused the "personal and advertising Insured only applies to the extent permitted by Injury",Involved the rendering of,or the failure to lave and or any professional architectural,engineering • • • ersurveying services. • b. if coverage provided to the additional Insured 2'Subject to,Paragraph 3.below,professional Is required by a contract or agreement,the services include: Insurance afforded to such additional insured will nal be broader thorn that which you are a. Preparing,approving,or failing to prepare required by the contract or agreement to or approve, maps, shop drawings, provide far such additional Insured. opinions,reports,surveys,field orders, change orders; or drawings and specifications;and CL CO 20 71 0916 Includes copyrighted material of Insurance Services Page 1 of 2 Page 2 of 2 Includes copyrighted material of Insurance Services CL CG 20 71 0916 Office,Inc.,with its permission - Office,Inc.,vdth is permission • • • • • • • • • "-- b. Paragraph 5.e.Ls deleted In its entirety. 2. We will also pay reasonable and necessary COMMERCIAL AUTO 6. Paragraph A.1.c.under Section I1-Covered expenses to facilitate the return of the stolen CL CA01490617 Autos Liability Coverage Is deleted In its 'auto'to you. entirety. 3. Itis agreed and understood and Itis our slated • THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. 7. The definition of'Insured contract'under Intent that expanses Incurred by you under the • Section V-Definitions is amended to add the Transportation Expenses Coverage following Extension will not also be covered or paid _ COMMERCIAL AUTOMOBILE EXPANSION under the Rental Reimbursement Coverage An Insured contract'does not Include that presided by this endorsement or any rental ENDORSEMENT-PLATINUM part of any contract or agreement reimbursement coverage added by separate That pertains to the ownership,maintenance endorsement to this policy. - or use of en'auto'end which Indemnities a H. EXTENDED COVERAGE-AIRBAGS This endorsement modifies Insurance provided under the following: person or organization for other then the vicarious liabilityof such The onlowingIII-P Is added ta og 8.3.a.of BUSINESS AUTO COVERAGE FORM person or Section ill-Physical Damage Coverage: organization fare "boby yilyou injury' or'property With respect to the coverages provided by this endorsement,the provisions of the Business Auto Coverage Font damage'caused by your operation or use of However,this exclusion does not apply to the apply unless modified by this endorsement . a covered'auto", unintended discharge of an airbag. ' However,a person or organization Is an This coverage Is excess over any other collectible A. NEWLY ACQUIRED OR FORMED 'property damage':because ofthe conductor additional'Insured'under this provision only insurance or warranty providing such airbag ORGANIZATIONS an'insured'under Paragraphs a.or b.under 10 the extent such person or organization Is coverage. Paragraph A.1.Who Is An Insured of Section not named as an Insured' by separate LAUTO LOAN/LEASE GAP COVERAGE The following Is added to Paragraph Al.Who Is endorsement to IbIs policy. II-Cwe'ac Autos resultinguverggfrCaused An Insured of Section 0-Covered Autos Liability The following is added to Section III-Physical Coverage: oyer 'accident' and from the C. EMPLOYEES AS INSUREDS g _ ownership,maintenance or use of a covered Damage Coverage, Paragraph C. Limits of Any organization you newly acquire or form,other 'auto'; The following Is added to Paragraph A.1.Who Is Insurance. NAn Insured Section II-Covered Autos Llabllitygan a partnership,Joint venture or limited liability 2. The written contract or agreement described Coverage: 4. In the event of a total loss'toa covered company or any organization excluded either byabove must have been executed prior to the 'auto',we will pay the lesser of: this Coverage Part or by endorsement,and over 'accident'that caused the'bodilyInjury'or My'employee'of yours Is an'insured'while which you maintain ownership or majority Interest 'property damage'and be In effecat thtime using a covered'auto'you don't own,hire or a. Any unpaid amount due on Ne lease or P P rtY 9' loan for a coveted auto',less. of more than 50 percent will qualify as a Named of such'acddenC; borrow In your business or your personal affairs. Insured.However. /� 3. The Insurance afforded to any such additional • D. INCREASED COVERAGE-BAIL BONDS (1)The amountCoverageer Na Physical 1. This Insurance does not apply to any newly Insured'does note 1 to any"accident' policy; Damage section of the acquired or formed organization that Is an f timeY The on Supplementary Payments Coverage policy;and beyond the period of required by red Extension of amended IIs Coveredws: Autos Liability would underIncur d'undersuch automobile policy or writtenabove: contract or agreement described Coverage Is amended as follows: (2)Any. for er ainion orthundersuon of to but above; g for Its termination ortha exhaustion of its Limit The Limit of Insurance In paragraph 0.2.a.(2)Is (a)OveMue lease/loan payments at of Insurance. 4. The most we wilt pay on behalf of such increased to$5, loss';'insured(s)'Is the lesser of: 000. the time of the 2. Coverage does not a pty to'bodily injury'or E. INCREASED COVERAGE - LOSS OF (b)Financial penalties Imposed 'property damage'that scared before you a. The Limits of Insurance specified In the EARNINGS under a lease for excessive use, acquired orformed the organization. written contract or agreement descohed _ abnormal wear and tear or high above;orThe Supplementary Payments Coverage mileage; 3. Coverage under Nis provision is afforded only Extension of Secdon 11-Covered Autos Liability • until the IRON day after you acquire or form b. The Limits of Insurance shown In the ' Coverage Ls amended as follows: (e)Security deposits not returned by the organization or the end of the policy Declarations. ' the lessor, period,whichever Is earlier. The Lfmitof Insurance In paragraph A.2a.(4) is This provision shall not Increase the Limit of increased to$1,000. (d)Costs for extended warranties, B.ADDITIONAL INSURED BY CONTRACT OR Insurance shown In the Declarations In this Credit Lite Insurance, Health, AGREEMENT policy or coverage pad;and F. FELLOW EMPLOYEE COVERAGE Accident m Disability Insurance The following Is added to Paragraph Al.,Who Is 5. The following changes are made to Paragraph The Fellow Employee Exclusion contained in and urchaped with the loan or lease; An Insured of Section II-Covered Autos Liability• S.Other Insurance of B.General Conditions - Section II-Covered Autos LlabllityCoverage does Coverage: under Section IV-Business Auto Conditions: not apply.This coverage is excess over any other • (e)Carryover balances from collectable Insurance. previous loans or leases;or When you have agreed In a writtencontract or a. The following is added toParagraph 5.a.: • agreement to Include a person or organization as If required by the written contract or G.COVERAGE NEXTENSION-TRANSPORTATION b. $5,000. an additional "Insured', such person or agreement descr@ed above, the However,this provision does not apply ro the organization Is Included as an Insured'subject to Insurance afforded to the additional • Paragraph A4.a.Transportation Expenses of extent Ioangease gap coverage has been the following: insured under this provision will be ' Section III-Physical Damage Coverage is provided by separate endorsement to this 1. Such person or organization is an additional primary to,and will not seek contribution amended as follows: policy. . Insured'only to the extent such person or from, the additional Insured's own 1. The Whits of Insurance are Increased to$75 organization is liable for bodily Injury'or insurance. per day to a maximum of$2,500. CL CA 0149 0617 Includes copyrighted material of Insurance Services Page 1 of 5 • Page 2 of 5 Includes copyrighted material of Insurance Services CL CA 0149 0617 Office,Inc.,with its permission Office,Ino.,with Its permission • • • • • • J. GLASS REPAIR-NO DEDUCTIBLE When fire extinguishers are kept In your covered result of which a monetary loss is (1)You,if you are designated In the The following Is added to Paragraph D.Deductible auto and any are discharged in an attempt to sustained by the leasing or rental Oedare[lons as an Individual; extinguish a fire,we will pay the lesser of the concern. of Section 111-Physical Damage Coverage: (2)Your partners or members,If you are actual cost of recharging or replacing such fire However, Paragraph A4.6. Loss of Use designated In the Declarations as a Any Comprehensive Coverage deductible shown extInguisher(s). • Expenses under Section 111-Physeal Damage partnership orjoint venture; in the Declarations does not apply to'loss'to No deductible applies to MIS coverage. Coverage of the Business Auto Coverage Form glass when you elect to patch or repair rather than does not apply. (3)Your members or managers,if you replace the glass. O. HIRED AUTO PHYSICAL DAMAGEare designated In the Declarations as K. INCREASED COVERAGE - ELECTRONIC COVERAGE P. RENTAL REIMBURSEMENT COVERAGE a limited lability company, EQUIPMENT . The following is added to Paragraph A.4. We will pay for rental reimbursement expenses (4)Your executive officers If you are The$1,000 limit indicated in Paragraph C.1.h. Coverage Extensions of Section III-Physical Incurred by you for the rental of an'auto'because designated In the Declarations as an Physical Damage Coverage Is Damage Coverage: of loss'to a covered'auto'. organization other than an Individual, under Section Iii- Increased to$2500. / If hired'autos'are covered'autos'for Covered 1. Payment apples In addition to the otherwise partnership,joint venture or limited liability company;and Autos Liability Coverage and If Physical Damage applicable amount of each coverage you have• L EXTENDED COVERAGE - PERSONAL Coverage Is provided for any'auto"you awn,then on the covered'auto'. (5)The spouse of any person named In PROPERTY the Physical Damage coverages provided are Paragraphs 1.a.)1(.through 1.a.(4) The following Is added to Paragraph A.4. extended to'autos'you lease,rent,hire or borrow 2. No deductible applies to this coverage. while a resident of the same Coverage Extensions of Section III-Physical from someone other than your'employees', 3. We will pay only for those expenses Incurred household; Damage Coverage: partners or members of their households subject during the policy period beginning 24 hours Except Physical Damage Coverage on a covered'auto' to the following: after the loss'and ending,regardless of the • may be extended to'loss"to your personal 1. The most we will pay In any one'loss'Is the expiration date of the policy,with the lesser of (a)Any 'auto' owned by that property or,If you we an Individual,the personal lesser of: the following number of days: individual or by any member of his property of a family member,that Is in the covered a. The number of days when the covered or her household. 'auto'at the time of loss'and caused by an a. The actual cash value of the'auto'; auto'has been repaired or replaced,or (b)Anrauto'used by thatlndMdual 'accident' and resulting from the ownership, b. The cost to repair or replace the'auto";orb. 45 days. - orhls or her spousewhleworking • maintenance or use of a covered'auto'. 0, $100,000. In a business of selling,servicing, The Insurance provided by this coverage 4. Our payment is limited to the lesser of the repairing or parking autos". 2. Paragraph 1.above is subject to a deductible. flowing amounit extension Is excess over any other collectible 2. Changes In Auto Modica!Payments And The deductiblebe equalthe amount shall to tof Insurance.The mostwe will payfor any one loss' a. Necessary and actual expenses Incurred; Uninsured And Underinsured Motorists under this coverage extension is$500.However, the highest deductible shown for any owned of the same classification for that °r Coverages our payment for'loss'to personal property will n e. In the event there Is no owned only be for the account of the owner of the cove'auto'of the same classification,the highest - b. Not more than$75 for any one day, The following Is added to Who Is An Insured: properly. deductible for any owned'auto'will apply for 5. We will pay up to en additional$300 for the Any Individual named in 1.a above and his or Under this provision,personal properly does not that coverage. reasonable and necessary expenses you her'family members'are'Insured'white include and we will not pay for loss'of currency, incur to remove your materials and equipment "occupying'or while a pedestrian when being coins,securities or contraband. No deductible will apply to loss'caused by from the covered'auto'and replace such struck by any'auto'you don't own except Ore or lightning. materials and equipment on the rental auto'. Any'auto'owned by that Individual or by any No deductible applies to this coverage extension. 3. Hired Auto Physical Damage Coverage Is 6. This coverage does not apply while there are 'family member". M.TOWING subject to thefolowing: spare or reserve autos'available to you for 3. Changes In Physical Damage Coverage Paragraph A.2.Towing of Section III-Physical a. If symbol a)s shown In the Covered Auto your operations. • Damage Coverage,Is replaced by the following: section of the Declarations page for any of 7. If loss'results from the total theRefa covered Any private passenger type'auto'you don't the Physical Damage coverages,then the • 'auto'of the'private passenger type',we will own,in hireocusodyw Irantroereanytndd "while idual If a private passenger type'auto'or light truck Hired Auto P slcal Dama a covers a nam care.cuss, oer his or herrdpouse 'auto'(0-10,000 the,GVW)is provided both Physical e 9 youru rentalner this reimbursement tex that s whict of named In resident above or his or spouse described in this endorsement does not eat already provided for under es which Comprehensive andfor towing ingand Coverage,we WO apply not already provided for under the Physical while a of the same house-hold pay up to$150 for rowing labor costs Intoned except each time such'ergo'Is disabled. If a medium. b. Other than Indicated N Paragraphs a. Damage Coverage Extension of the Business heavy or extra-heavy truck or extra-heavy Truck- directly above,coverage provided under Auto Coverage Form or any endorsements a. Any'auto'owned by that Individual or by tractor'auto'(greater than 10,000 Lbs.GVW)Is .this provision will be excess over any thereto. any member of his or her household;or provided both Comprehensive and Collision other collectible Insurance or coverage. However,this provision does not apply to the b. Any'auto'used by that individual or his or Coverage,we will pay up to$250 for towing and • extent that rental reimbursement is provided ' her spouse while working N a business of 4. In addition to the Omit set forth In Paragraph 1. labor costs Incurred each time such"auto"Is above we will pay up to$500 per day,toe by separate endorsement this policy.t to licy. selling, servicing,repairing or parking disabled.However,the labor must be periortned maximum.1$3,500 per loss'fern Q. DRIVE OTHER CAR COVERAGE autos'' at the place of disablement. 4. The most we will pay for the total of all a. My costs or fees associated with the 1. The following Is added to Section II-Covered N. FIRE EXTINGUISHER RECHARGE Uninsured damages under Covered Autos Liability 'loss"to a hired'auto':and Autos Liability Coverage: UninsuMotorists Coverage and The following is added to Paragraph At,. b. Loss of use of the Irked'auto',provided k a. Any"auto'you don't own,hire or borrow Underinsured Motorists Coverage Is the LimitCoverage Extensions of Section IV-Physical Is the consequence of an acddenr for is a covered'auto'for tlablity Coverage Of Insurance shown In the Declarations as Damage Coverage; which you are legally fable,and as a while being used by, applicable to owned'autos'. _ CL CA 01 49 0617 Includes copyrighted material of Insurance Services Page 3 of 5• Page 4 of 5 Includes copyrighted material of Insurance Services CL CA 0149 0617 Office,Inc.,with Its permission Office,Inc.,with Its permission' • • f r ' • • I 5. Our obligation to pay for,repair,return or T. UNINTENTIONAL OMISSIONS replace damaged or stolen property under The following Is added Paragraph 5,2.of Section Physical Damage Co will be reduced IV-Business Auto Conditions: by a deductible equall to to the amount of the highest deductible shown for any owned If you fail to disclose any hazards existing at the private passenger type"auto'applicable to inception date of this policy,such failure will not that coverage.If there are no owned private prejudice the coverage provided to you.However, passenger type'autos",the deductible shall this provision does not affect our right to collect be$250 for Comprehensive Coverage and additional premium or exercise our right of $500 for Collision Coverage, No deductible cancellation or nonrenewal. will apply to loss"caused by fire or lightning. • U. LIBERALIZATION 6. Additional Definition If we revise this endorsement to provide greater As used in this DRIVE OTHER CAR coverage without additional premium charge,we • Provision: will automatically provide the additional coverage 'Family member'means a person related to to all endorsement holders as of the day the the Individual named In 1,a. by blood, revision Is effective in your state. marriage or adoption who Is a resident of the •Individual's household,including a ward or foster child. •• R. KNOWLEDGE OF AN ACCIDENT,CLAW,SUIT OR LOSS The following Is added to Paragraph A.2of Section IV-Business Auto Conditions: Your obligation to provide prompt notice of an 'accident",claim,'suit"or'loss'is satisfied If yes ora person designated'by you lobe responsible for Insurance matters is notified of,or rn any manner made aware of an"accident',claim,"suit' or'loss'and provides us such notice as soon as practicable S. WAIVER OF SUBROGATION BY CONTRACT OR AGREEMENT The following is added to Paragraph AS of Section IV-Business Auto Conditions: ' We waive any right of recovery we may have against a person or organization because of payments we make for"bodily Injury or"property damage" when you and such person or Organization have agreed In writing in a contract or agreement to waive such right of recovery, provided: 1. Such written contract or agreement was: a. Made prior to the'accident'or'loss' resulting in the covered'bodily Injury'or • "property damage:and b. Was In effect at the lMeof the covered 'bodily injury"or'property damage'. 2. The covered 'bodily Injury or "property • damage"must arise out of the operations specified In such written contract or agreement 3. At our request you must provide us with a copy of the aforementioned written contractor agreement CL CA 0149 0617 includes copyrighted material of insurance Services Page 5 of 5 Office,Inc.,with its permission • • • • • . I •