HomeMy WebLinkAboutCSG, Inc. (21)AGREEMENT
THIS AGREEMENT is made and entered into on the &day of October, 2020 by and
between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and
CSG Consultants, Inc. (hereinafter referred to as "CONTRACTOR"). In consideration of
their mutual covenants, the parties hereto agree as follows:
1. CONTRACTOR. Shall provide or furnish the following specified services and/or
materials:
Construction inspection services for the pedstrian bridge
construction at the Lands of Natoma Oaks Subdvision
2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a
part of this Agreement:
Proposal from CONTRACTOR dated October 6, 2020
3. TERMS. The services and/or materials furnished under this Agreement shall
commence October 7, 2020 and shall be completed by October 30, 2020, unless
terminated pursuant to Section 5(f).
4. COMPENSATION. For the full performance of this Agreement:
a. TOWN shall pay CONTRACTOR an amount not to exceed Ten thousand seven
hundred thirty dollars and zero cents ($10,730.00) within thirty (30) days
following receipt of invoice and completion/delivery of services/goods as detailed
in Sections 1, 2, and 3 of this Agreement and only upon satisfactory
delivery/completion of goods/services in a manner consistent with
professional/industry standards for the area in which CONTRACTOR operates.
TOWN is not responsible for paying for any work done by CONTRACTOR or any
subcontractor above and beyond the not to exceed amount.
Town shall not reimburse for any of CONTRACTOR's costs or expenses to
deliver any services/goods. Town shall not be responsible for any interest or late
charges on any payments from Town to CONTRACTOR.
c. CONTRACTOR is responsible for monitoring its own forces/employees/agents/
subcontractors to ensure delivery of goods/services within the terms of this
Agreement. TOWN will not accept or compensate CONTRACTOR for
incomplete goods/services.
Town of Los Altos Hills Page 1 of 4
Short form
Updated 4/23/10
5. GENERAL TERMS AND CONDITIONS.
HOLD HARMLESS. CONTRACTOR agrees to indemnify, defend and hold
harmless the TOWN, its officers, agents and employees from any and all
demands, claims or liability of personal injury (including death) and property
damage of any nature, caused by or arising out of the performance of
CONTRACTOR under this Agreement. With regard to CONTRACTOR'S work
product, CONTRACTOR agrees to indemnify, defend and hold harmless the
TOWN, its officers, agents and employees from any and all demands, claims or
liability of any nature to the extent caused by the negligent performance of
CONTRACTOR under this Agreement.
b. INSURANCE. CONTRACTOR shall file with the TOWN a certificate of insurance
before commencing any services under this Agreement as follows:
WORKERS COMPENSATION INSURANCE: Minimum statutory
limits.
COMMERCIAL GENERAL LIABILITY AND PROPERTY DAMAGE
INSURANCE: General Liability and Property Damage Combined.
$1,000,000.00 per occurrence including comprehensive form,
personal injury, broad form personal damage, contractual and
premises/operation, all on an occurrence basis. If an aggregate limit
exists, it shall apply separately or be no less than two (2) times the
occurrence limit.
iii. AUTOMOBILE INSURANCE: $1,000,000.00 per occurrence.
iv. ERRORS AND OMISSIONS INSURANCE: $1,000,000.00 aggregate.
v. NOTICE OF CANCELLATION: The City requires 30 days written
notice of cancellation. Additionally, the notice statement on the
certificate should not include the wording "endeavor to" or "but failure
to mail such notice shall impose no obligation or liability of any kind
upon the company, its agents or representatives."
vi. CERTIFICATE OF INSURANCE: Prior to commencement of services,
evidence of insurance coverage must be shown by a properly
executed certificate of insurance and it shall name "The Town of Los
Altos Hills, its elective and appointed officers, employees, and
volunteers" as additional insureds.
vii. To prevent delay and ensure compliance with this Agreement, the
insurance certificates and endorsements must be submitted to:
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
Town of Los Altos Hills Page 2 of 4
Short farm
Updated 4/23/10
NON-DISCRIMINATION. No discrimination shall be made in the employment of
persons under this Agreement because of the race, color, national origin, age,
ancestry, religion or sex of such person.
d. INTEREST OF CONTRACTOR. It is understood and agreed that this Agreement
is not a contract of employment and does not create an employer-employee
relationship between the TOWN and CONTRACTOR. At all times
CONTRACTOR shall be an independent contractor and CONTRACTOR is not
authorized to bind the TOWN to any contracts or other obligations without the
express written consent of the TOWN. In executing this Agreement,
CONTRACTOR certifies that no one who has or will have any financial interest
under this Agreement is an officer or employee of TOWN.
e. CHANGES. This Agreement shall not be assigned or transferred without
advance written consent of the TOWN. No changes or variations of any kind are
authorized without the written consent of the City Manager. This Agreement may
only be amended by a written instrument signed by both parties.
f. TERMINATION. This Agreement may be terminated by TOWN upon seven (7)
days written notice to CONTRACTOR. Monies owed for work satisfactorily
completed shall be paid to CONTRACTOR within 14 days of termination.
g. RECORDS. All reports, data, maps, models, charts, studies, surveys,
calculations, photographs, memoranda, plans, studies, specifications, records,
files, or any other documents or materials, in electronic or any other form, that
are prepared or obtained pursuant to this Agreement and that relate to the
matters covered hereunder shall be the property of the TOWN. CONTRACTOR
hereby agrees to deliver those documents to the TOWN at any time upon
demand of the TOWN. It is understood and agreed that the documents and
other materials, including but not limited to those described above, prepared
pursuant to this Agreement are prepared specifically for the TOWN and are not
necessarily suitable for any future or other use. Failure by CONTRACTOR to
deliver these documents to the TOWN within a reasonable time period or as
specified by the TOWN shall be a material breach of this Agreement. TOWN and
CONTRACTOR agree that until final approval by TOWN, all data, plans,
specifications, reports and other documents are preliminary drafts not kept by the
TOWN in the ordinary course of business and will not be disclosed to third
parties without prior written consent of both parties. All work products submitted
to the TOWN pursuant to this Agreement shall be deemed a "work for hire."
Upon submission of any work for hire pursuant to this Agreement, and
acceptance by the TOWN as complete, non-exclusive title to copyright of said
work for hire shall transfer to the TOWN. The compensation recited in Section 4
shall be deemed to be sufficient consideration for said transfer of copyright.
CONTRACTOR retains the right to use any project records, documents and
materials for marketing of their professional services.
Town of Los Altos Hills Page 3 of 4
Short form
Updated 4/23/10
h. ENTIRE AGREEMENT. This Agreement represents the entire agreement
between the Parties. Any ambiguities or disputed terms between this Agreement
and any attached Exhibits shall be interpreted according to the language in this
Agreement and not the Exhibits.
6. INVOICING. Send all invoices to the contract coordinator at the address below.
This Agreement shall become effective upon its approval and execution by TOWN. In
witness whereof, the parties have executed this Agreement the day and year first
written above.
CONTRACT COORDINATOR and
representative for TOWN:
Nichol Bowersox
Public Works Director
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
Town of Los Altos Hills
Short form
Updated 4123110
CONTRACTOR:
By. 10/6/20
Signature Date
Nourdin Khayata, Vice President
Print name, Title
TOWN OF LOS ALT I S:
2-v
By:
Ca a i I, Ci y M na . er Date
Page 4 of 4
Cover Letter
October 6, 2020
Kaho Kong, PE
Senior Engineer
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
RE: Construction Inspection Services for Pedestrian Bridge Abutments at Natoma Oaks
Dear Mr. Kong,
CSG Consultants, Inc. (CSG) is pleased to present this proposal to provide construction inspection
services for the above-mentioned project (Project).
QUALIFICATIONS
CSG is proposing Kent Edwards to perform the inspection of this project. Mr. Edwards has over 28 years
of experience in a diverse array of construction projects throughout California, including 18 -years of
field supervisor experience. Prior to joining CSG, Mr. Edwards worked as a Project Inspector/ Office
Engineer providing valuable experience to leverage in his construction management services.
FEE SCHEDULE
CSG understands this project is to be completed in 8 working days. CSG is proposing full time inspection
for the duration, as well as 2 hours for preconstruction and 8 hours for project closeout. Given the
anticipated level of effort and the duration of the project, we are proposing the following cost.
All hourly rates include overhead costs including, but not limited to, salaries, benefits, Workers Compensation
Insurance, and office expenses.
We look forward to working with the Town of Los Altos Hills on this project. If you have any questions,
please contact me at (650) 522-2524.
Sincere/ly,
Nourdin Khayata, PE
Vice President, CSG Consultants, Inc.
CSG
CONSULTANTS
550 Pilgrim Drive, Foster City, CA 94404
650.522.2500 1650.522.2599 1 www.csgengr.com
Kent Edwards CSG
CONSULTANTS
Construction Inspector
EDUCATION
Mr. Edwards has over 28 years of experience in a diverse array of construction projects
A.S., Engineering Technology
throughout California, including 18 -years of field supervisor experience. Prior to joining
Modesto Junior College
CSG, Mr. Edwards worked as a Project Inspector/ Office Engineer providing valuable
Modesto, CA
experience to leverage in his construction management services. Through the variety of
Reinforced Concrete Special Inspector,
construction projects on which he has worked, Mr. Edwards has developed the
ICC
knowledge necessary to effectively identify public and job site safety issues and the ability
to maintain complete knowledge of plans, specs, and construction processes.
AWARDS
APWA 2019 Public Works
Specifically, Mr. Edwards is familiar with heavy civil, large concrete projects such as the
Project Award
South Bay pumping station expansion for the Department of Water Recourses, domestic
Disaster and Emergency
water/wastewater treatment facilities, water control structures, domestic water storage
Construction/Repair
tanks, sheet pile operations, CDIH construction, vehicle and pedestrian bridge
Rifle Range Road Retaining wall Project
construction of both metal and concrete design, tie -back retaining walls, pre -stressed
Richmond CA
concrete construction, underground infrastructure as well as a multi-year construction of
APWA 2017 Public Works
an offshore production platform (Chevron's Platform Gail).
Project Award
El Cerrito Relief Line Project
RELEVANT EXPERIENCE
San Mateo CA
CSG Public Works Inspector I Town of Hillsborough
Vista Water Tank Project — 680,000 -gallon prestressed concrete water tank with pump
station. Construction cost: $4.5M
Water Main Replacement Project— Replacement of several water main segments
throughout the Town, involving installation, structural back -fill, and trench paving.
Construction cost: $11M
Sewer replacement project — Replacement of several segments of sanitary sewer main with
HDPE throughout the Town utilizing pipe bursting, pipe reaming and open cut methods.
Construction cost: $2.2M
Cherry Creek Pump Station — Replacement of an existing domestic water pump station
which sources from a SFPUC turnout. Construction cost: $1.7M
CSG Public Works Inspector I Town of Portola Valley
Provides inspection services for various development and encroachment permit projects as
well as utility projects in the ROW. Inspection scope includes grading, drainage, utilities, storm
water compliance and roadway construction.
Provided inspection services on the 2018 CIP Street Resurfacing Project. This project included
dig -outs, slurry seal and cape seal.
BCDC Bay Trail Embankment Repair Project, Oyster Cove I South San Francisco, CA
Mr. Edwards served as the inspector for this project which involved 600' embankment repair
of South side of Oyster Cove consisting of excavation and placement of Rip Rap slope
protection.
Main and Madrone Pipeline Restoration Project
Kent served as the Assistant Resident Engineer for this $10 Million underground project that
consisted of replacement of 16,000' of distribution pipeline with up to 36" HDPE from the
Anderson reservoir to the Madrone and Main Ave groundwater re -charging ponds. Duties
included all inspections, reviewing change orders, RFI review and response, schedule and
submittal review, and monthly estimates. Kent provided day and nighttime inspections on all
utility work.
Vista Tank Project I Town of Hillsborough, CA
Kent served as the Assistant Resident Engineer for the construction of a $4.5 Million concrete,
DN design, 680,000 -gal prestressed concrete water tank. Project involved removal of existing
tanks and construction of new tank and control structure. Project was located adjacent to
estates which involved extensive outreach during construction.
ACC>R" CERTIFICATE OF LIABILITY INSURANCE
FDATE(MMIDD0YYY)
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
Arthur J. Gallagher & Co.
Insurance Brokers of CA, Inc. LIC #0726293
1255 Battery Street, Suite 450
San Francisco CA 94111
CONTACT
NAME:
PHONE FAX
A1C No Ext): 415-536-8617(A/C.No :415-536-8627
ADDRESS: certrequests@ajg.com
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: Arch Insurance Company 11150
Y
INSURED CSGCONS-01
CSG Consultants, Inc.
550 Pilgrim Drive
INSURER B: Redwood Fire and Casualty Insurance Co 11673
INSURER C: Zurich American Insurance Company of IL 27855
INSURER D; Travelers Property Casualty Cc of America 25674
Foster City, CA 94404
INSURER E :
INSURER F:
COVERAGES CERTIFICATE NUMBER: 1880065354 REVISION NUMBER -
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVO
POLICY NUMBER
POLICY EFF
MM/DD/YYYY
POLICY EXP
MM/DDIYYYY
LIMITS
C
X COMMERCIAL GENERAL LIABILITY
Y
Y
CPO -7414724-00
2/2/2020
12/4/2020
EACH OCCURRENCE $ 1,000,000
CLAIMS -MADE a OCCUR
DAMAGE(a TED
PREMISESS ( Ea occurrence) $,SOO:OOD
MED EXP (Any one person) $ 5,000
.
PERSONAL & ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
_
GENERAL AGGREGATE $ 2,000,000
POLICY PRO- [flJECT LOC
PRODUCTS - COMP/OP AGG $ 2,OOD,00D
No Ded $
OTHER:
C
AUTOMOBILE
LIABILITY
Y
Y
CPO -7414724-00
2/2/2020
12/4/2020
COMBINED SINGLE LIMIT $1,000,000
Ea accident
X
ANY AUTO
BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS
BODILY INJURY Per accident $
( )
HIRED NON -OWNED
AUTOS ONLY AUTOS ONLY
PROPERTY DAMAGE
Per accident $
No Ded $
D
X
UMBRELLA LIAB
X
OCCUR
Y
Y
ZUP-21P37869-20-NF
2/2/2020
12/4/2020
EACH OCCURRENCE $ 5,000.000
AGGREGATE $ 5,000,000
EXCESS LIAB
CLAIMS -MADE
-
DED X RETENTION $
.._ ._..........-....-----
$
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
Y
CSWC036787
12/4/2019
12/4/2020
XSTATUTE ERH NO Ded
E.L. EACH ACCIDENT $ 1,000,000
ANYPROPRIETOR/PARTNER/EXECUTIVEN
OFFICER/MEMBER EXCLUE
/ A
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
(Mandatory in NH)
If yes, describe under
E.L. DISEASE- POLICY LIMIT $ 1,000,000
DESCRIPTION OF OPERATIONS below
A
Professional Liability
retro date: 1/1/1991
Y
PAAEP0008804
12/4/2019
12/4/2020
Each Claim $5,000,000
Aggregate $5,000,000
Deductible: $50,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
re: Consulting Services Agreement. The Town of Los Altos Hills, its officers, officials, employees and volunteers are included as additional insureds on a
Primary & Non -Contributory basis on GL & Auto with 30 Day Notice of Cancellation per attached. Waiver of Subrogation on WC per attached. Contractual
Liability on Professional is not available. Defense on Professional erodes policy limit.
�.crti „rii.ri nv�✓cn tAIVt r_LLAI [UPI
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills CA 94022
USA
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
1 \ 4
91988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
General Liability Supplemental Coverage Endorsement
ZURICH
Policy No.
Eff. Date of Pol. Exp. Date of Pol.
Eff. Date of End.
Producer No.
Add'I. Prem.
Return Prem.
CPO -7414724-00
02/02/2020 12/04/2020
N/A
N/A
N/A
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the:
Commercial General Liability Coverage Part
The following changes apply to this Coverage Part. However, endorsements attached to this Coverage Part will
supersede any provisions to the contrary in this General Liability Supplemental Coverage Endorsement.
A. Broadened Named Insured
1. The following is added to Section II — Who Is An Insured:
Any organization of yours, other than a partnership orjoint venture, which is not shown in the Declarations, and
over which you maintain an ownership interest of more than 50% of such organization as of the effective date of
this Coverage Part, will qualify as a Named Insured. However, such organization will not qualify as a Named
Insured under this provision if it:
a. Is newly acquired or formed during the policy period;
b. Is also an insured under another policy, other than a policy written to apply specifically in excess of this
Coverage Part; or
C. Would be an insured under another policy but for its termination or the exhaustion of its limits of
insurance.
Each such organization remains qualified as a Named Insured only while you maintain an ownership interest of
more than 50% in the organization during the policy period.
2. The last paragraph of Section II — Who Is An Insured does not apply to this provision to the extent that such
paragraph would conflict with this provision.
B. Newly Acquired or Formed Organizations as Named Insureds
1. Paragraph 3. of Section II —Who Is An Insured is replaced by the following:
3. Any organization you newly acquire or form during the policy period, other than a partnership orjoint
venture, and over which you maintain an ownership interest of more than 50% of such organization, will
qualify as a Named Insured if there is no other similar insurance available to that organization. However:
a. Coverage under this provision is afforded only until the 1801" day after you acquire or form the
organization or the end of the policy period, whichever is earlier;
b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired
or formed the organization; and
c. Coverage B does not apply to "personal and advertising injury" arising out of an offense committed
before you acquired or formed the organization.
An additional premium will apply in accordance with our rules and rates in effect on the date you acquired
or formed the organization.
U -GL -1345-B CW (04/13)
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2. The last paragraph of Section II —Who Is An Insured does not apply to this provision to the extent that such
paragraph would conflict with this provision.
C. Insured Status—Employees
Paragraph 2.a.(1)ofSection 11 —Who ls An Insured is replaced by the following:
2. Each of the following is also an insured:
a. Your "volunteer workers" only while performing duties related to the conduct of your business, or your
"employees", other than either your "executive officers" (if you are an organization other than a
partnership, joint venture or limited liability company) or your managers (if you are a limited liability
company), but only for acts within the scope of their employment by you or while performing duties
related to the conduct of your business. However, none of these "employees" or "volunteer workers" are
insureds for:
(1) "Bodily injury" or "personal and advertising injury":
(a) To you, to your partners or members (if you are a partnership orjoint venture), to your members
(if you are a limited liability company), to a co -"employee" while in the course of his or her
employment or performing duties related to the conduct of your business, or to your other
"volunteer workers" while performing duties related to the conduct of your business;
(b) To the spouse, child, parent, brother or sister of that co -"employee" or "volunteer worker" as a
consequence of Paragraph (1)(a) above;
(c) Forwhich there is any obligation to share damages with or repay someone else who must pay
damages because of the injury described in Paragraphs (1)(a) or (b) above; or
(d) Arising out of his or her providing or failing to provide professional health care services.
However:
Paragraphs (1)(a) and (1)(d) do not apply to your "employees" or "volunteer workers", who are not
employed by you or volunteering for you as health care professionals, for "bodily injury" arising out of
"Good Samaritan Acts" while the "employee" or "volunteer worker" is performing duties related to the
conduct of your business.
"Good Samaritan Acts" mean any assistance of a medical nature rendered or provided in an emergency
situation for which no remuneration is demanded or received.
Paragraphs (1)(a), (b) and (c) do not apply to any "employee" designated as a supervisor or higher in
rank, with respect to "bodily injury" to co -"employees". As used in this provision, "employees" designated
as a supervisor or higher in rank means only "employees" who are authorized by you to exercise direct or
indirect supervision or control over"employees" or"volunteer workers" and the manner in which work is
performed.
D. Additional Insureds— Lessees of Premises
1. Section II —Who Is An Insured is amended to include as an additional insured any person(s) or organizations)
who leases or rents a part of the premises you own or manage who you are required to add as an additional
insured on this policy under written contract or written agreement, but only with respect to liability arising out of
your ownership, maintenance or repair of that part of the premises which is not reserved for the exclusive use or
occupancy of such person or organization or any other tenant or lessee.
This provision does not apply after the person or organization ceases to lease or rent premises from you.
However, the insurance afforded to such additional insured:
a. Only applies to the extent permitted bylaw; and
b. Will not be broader than that which you are required by the written contractor written agreement to provide for
such additional insured.
2. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added to
Section III —Limits Of Insurance:
U -GL -1345-B CW (04/13)
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The most we will pay on behalf of the additional insured is the amount of insurance:
a. Required by the written contract or written agreement referenced in Subparagraph D.I. above (of this
endorsement); or
b. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This Paragraph D. shall not increase the applicable Limits of Insurance shown in the Declarations.
E. Additional Insured—Vendors
1. The following change applies if this Coverage Part provides insurance to you for "bodily injury" and "property
damage" included in the "products -completed operations hazard":
Section II —Who Is An Insured is amended to include as an additional insured any person or organization
(referred to throughout this Paragraph E. as vendor) who you have agreed in a written contract orwritten
agreement, prior to loss, to name as an additional insured, but only with respect to "bodily injury" or "property
damage" arising out of "your products" which are distributed or sold in the regular course of the vendor's
business:
However, the insurance afforded to such vendor:
a. Only applies to the extent permitted bylaw; and
b. Will not be broader than that which you are required by the written contractor written agreement to provide for
such vendor.
2. With respect to the insurance afforded to these vendors, the following additional exclusions apply:
a. The insurance afforded the vendor does not apply to:
(1) "Bodily injury" or "property damage" for which the vendor is obligated to pay damages by reason of the
assumption of liability in a contractor agreement. This exclusion does not apply to liability for damages
that the vendor would have in the absence of the contract or agreement;
(2) Any express warranty unauthorized by you;
(3) Any physical or chemical change in the product made intentionally by the vendor;
(4) Repackaging, except when unpacked solely forthe purpose of inspection, demonstration, testing, or the
substitution of parts under instructions from the manufacturer, and then repackaged in the original
container;
(5) Any failure to make such inspections, adjustments, tests or servicing as the vendor has agreed to make
or normally undertakes to make in the usual course of business, in connection with the distribution or sale
of the products;
(6) Demonstration, installation, servicing or repair operations, except such operations performed at the
vendor's premises in connection with the sale of the product;
(7) Products which, after distribution or sale by you, have been labeled or relabeled or used as a container,
part or ingredient of any other thing or substance by or for the vendor; or
(8) "Bodily injury" or "property damage" arising out of the sole negligence of the vendor for its own acts or
omissions or those of its employees or anyone else acting on its behalf. However, this exclusion does not
apply to:
(a) The exceptions contained in Subparagraphs (4) or (6); or
(b) Such inspections, adjustments, tests or servicing as the vendor has agreed to make or normally
undertakes to make in the usual course of business, in connection with the distribution or sale of the
products.
b. This insurance does not apply to any insured person or organization, from whom you have acquired such
products, or any ingredient, part or container, entering into, accompanying or containing such products.
c. This insurance does not apply to any of "your products" for which coverage is excluded under this Coverage
Part.
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3. With respect to the insurance afforded to the vendor under this endorsement, the following is added to Section 111
— Limits Of Insurance.-
The
nsurance:The most we will pay on behalf of the vendor is the amount of insurance:
a. Required by the written contract or written agreement referenced in Subparagraph E.1. above (of this
endorsement); or
b. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This Paragraph E. shall not increase the applicable Limits of Insurance shown in the Declarations.
F. Additional Insured — Managers, Lessors or Governmental Entity
1. Section II —Who Is An Insured is amended to include as an insured any person or organization who is a
manager, lessor or governmental entity who you are required to add as an additional insured on this policy
under a written contract, written agreement or permit, but only with respect to liability for "bodily injury",
"property damage" or "personal and advertising injury" caused, in whole or in part, by:
a. Your acts or omissions; or
b. The acts or omission of those acting on your behalf; and
resulting directly from:
a. Operations performed by you or on your behalf for which the state or political subdivision has issued a
permit;
b. Ownership, maintenance, occupancy or use of premises by you; or
c. Maintenance, operation or use by you of equipment leased to you by such person or organization.
However, the insurance afforded to such additional insured:
a. Only applies to the extent permitted by law; and
b. Will not be broader than that which you are required by the written contractor written agreement to provide
for such additional insured.
2. This provision does not apply:
a. Unless the written contract or written agreement has been executed, or the permit has been issued, prior to
the "bodily injury", "property damage" or offense that caused "personal and advertising injury'
b. To any person or organization included as an insured under Paragraph 3. of Section II— Who Is An Insured;
c. To any lessor of equipment if the "occurrence" or offense takes place after the equipment lease expires;
d. To any:
(1) Owners or other interests from whom land has been leased by you; or
(2) Managers or lessors of premises, if.
(a) The "occurrence" or offense takes placeafter the expiration of the lease or you cease to be a tenant
in that premises;
(b) The "bodily injury", "property damage" or "personal and advertising injury" arises out of the structural
alterations, new construction or demolition operations performed by or on behalf of the manager or
lessor; or
(c) The premises are excluded underthis Coverage Part.
3. With respect to the insurance afforded to the additional insureds under this endorsement, the following is added
to Section III — Limits Of Insurance:
The most we will pay on behalf of the additional insured is the amount of insurance:
a. Required by the written contract or written agreement referenced in Subparagraph F.1. above (of this
endorsement); or
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b. Available under the applicable Limits of Insurance shown in the Declarations,
whichever is less.
This Paragraph F. shall not increase the applicable Limits of Insurance shown in the Declarations.
G. Damage to Premises Rented or Occupied by You
1. The last paragraph under Paragraph 2. Excl usions of Section I —Coverage A— Bodily Injury And Property
Damage Liability is replaced by the following:
Exclusions c. through n. do not apply to damage by "specific perils" to premises while rented to you or temporarily
occupied by you with permission of the owner. A separate Damage To Premises Rented To You Limit of
Insurance applies to this coverage as described in Section III — Limits Of Insurance.
2. Paragraph 6. of Section III —Limits Of Insurance is replaced by the following:
6. Subject to Paragraph 5. above, the Damage To Premises Rented To You Limit is the most we will pay under
Coverage A for damages because of"property damage" to anyone premises while rented to you, or in the
case of damage by one or more "specific perils" to any one premises, while rented to you or temporarily
occupied by you with permission of the owner.
H. Broadened Contractual Liability
The "insured contract' definition under the Definitions Section is replaced by the following:
"Insured contract" means:
a. A contract for a lease of premises. However, that portion of the contract for a lease of premises that indem n ifi es
any person or organization for damage by "speck perils" to premises while rented to you or temporarily occupied
by you with permission of the owner is not an "insured contract';
b. A sidetrack agreement;
c. Any easement or license agreement;
d. An obligation, as required by ordinance, to indemnify a municipality, except in connection with work for a
municipality;
e. An elevator maintenance agreement;
f. That part of any other contract or agreement pertaining to your business (including an indemnification of a
municipality in connection with work performed for a municipality) under which you assume the tort liability of
another party to pay for "bodily injury", "property damage", or "personal and advertising injury" arising out of the
offenses of false arrest, detention or imprisonment, to a third person or organization. Tort liability means a liability
that would be imposed by law in the absence of any contract or agreement.
Paragraph f. does not include that part of any contract or agreement:
(1) That indemnifies an architect, engineer or surveyor for injury or damage arising out of:
(a) Preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys,
field orders, change 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; or
(2) Under which the insured, if an architect, engineer or surveyor, assumes liability for an injury or damage
arising out of the insured's rendering or failure to render professional services, including those listed in
Paragraph (1) above and supervisory, inspection, architectural or engineering activities.
I. Definition—Specific Perils
The following definition is added to the Definitions Section:
"Specific perils" means:
a. Fire;
b. Lightning;
c. Explosion;
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d. Windstorm or hail;
e. Smoke;
f. Aircraft orvehicles;
g. Vandalism;
h. Weight of snow, ice or sleet;
i. Leakage from fire extinguishing equipment, including sprinklers; or
j. Accidental discharge or leakage of water or steam from any part of a system or appliance containing water or
steam.
J. Limited Contractual Liability Coverage— Personal and Advertising Injury
1. Exclusion e. of Section I —Coverage B —Personal And Advertising Injury Liability is replaced by the following:
2. Exclusions
This insurance does not apply to:
e. Contractual Liability
"Personal and advertising injury" forwhich the insured has assumed liability in a contract or agreement.
This exclusion does not apply to:
(1) Liability for damages that the insured would have in the absence of the contract or agreement; or
(2) Liability for "personal and advertising injury" if.
(a) The "personal and advertising injury" arises out of the offenses of false arrest, detention or
imprisonment;
(b) The liability pertains to your business and is assumed in a written contract or written agreement in
which you assume the tort liability of another. Tort liability means a liability that would be
imposed by law in the absence of any contractor agreement; and
(c) The "personal and advertising injury" occurs subsequent to the execution of the written contract
or written agreement.
Solely for purposes of liability so assumed in such written contract orwritten agreement, reasonable
attorney fees and necessary litigation expenses incurred by or fora party other than an insured are
deemed to be damages because of "personal and advertising injury" described in Paragraph (a)
above, provided:
(i) Liability to such party for, orforthe cost of, that party's defense has also been assumed in the
same written contract or written agreement; and
(ii) Such attorney fees and litigation expenses are for defense of that party against a civil or
alternative dispute resolution proceeding in which damages to which this insurance applies are
alleged.
2. Paragraph 2.d. of Section I —Supplementary Payments— Coverages A and B is replaced by the following:
d. The allegations in the "suit" and the information we know about the "occurrence" or offense are such that no
conflict appears to exist between the interests of the insured and the interests of the indemnitee;
3. The following is added to the paragraph directly following Paragraph 2.f. of Section I — Supplementary
Payments— CoveragesA and B:
Notwithstanding the provisions of Paragraph 2.e.(2) of Section I — Coverage B —Personal And Advertising Injury
Liability, such payments will not be deemed to be damages for "personal and advertising injury" and will not
reduce the limits of insurance.
K. Supplementary Payments
The following changes apply to Supplementary Payments— Coverages A and B:
Paragraphs 1.b. and 1.d. are replaced by the following:
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b. Up to $2,500 for the cost of bail bonds required because of accidents or traffic law violations arising out of the use
of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds.
d. All reasonable expenses incurred by the insured at our request to assist us in the investigation or defense of the
claim or "suit", including actual loss of earnings up to $500 a day because of time off from work.
L. Broadened Property Damage
1. Property Damage to Contents of Premises Rented Short -Term
The paragraph directly following Paragraph (6) in Exclusion j. of Section I —Coverage A —Bodily Injury And
Property Damage Liability is replaced by the following:
Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" to premises (other than damage
by "specific perils"), including "property damage" to the contents of such premises, rented to you under a rental
agreement for a period of 14 or fewer consecutive days. A separate Limit of Insurance applies to Damage to
Premises Rented to You as described in Section III — Limits Of Insurance,
2. Elevator Property Damage
a. The following is added to Exclusion j. of Section I — CoverageA— Bodily Injury And Property Damage
Liability:
Paragraphs (3) and (4) of this exclusion do not apply to "property damage" arising out of the use of an
elevator at premises you own, rent or occupy.
b. The following is added to Section III — Limits Of Insurance:
Subject to Paragraph 5. above, the most we will pay under Coverage A for damages because of "property
damage" to property loaned to you or personal property in the care, custody or control of the insured aris i ng
out of the use of an elevator at premises you own, rent or occupy is $25,000 per "occurrence".
3. Property Damage to Borrowed Equipment
a. The following is added to Exclusion j. of Section I —CoverageA —Bodily Injury And Property Damage
Liability:
Paragraph (4) of this exclusion does not apply to "property damage" to equipment you borrow from others at a
jobsite.
b. The following is added to Section III — Limits Of Insurance:
Subject to Paragraph 5. above, the most we will pay under Coverage A for damages because of "property
damage" to equipment you borrow from others is $25,000 per "occurrence".
M. Expected or Intended Injury or Damage
Exclusion a. of Section I — Coverage A— Bodily Injury And Property Damage Liability is replaced by the following:
a. Expected Or Intended Injury Or Damage
"Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does
not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or
property.
N. Definitions— Bodily Injury
The ''bodily injury" definition under the Definitions Section is replaced by the following:
"Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, mental
injury, shock, fright or death sustained by that person which results from that bodily injury, sickness or disease.
O. Insured Status—Amateur Athletic Participants
Section II —Who Is An Insured is amended to include as an insured any person you sponsorwhile participating in
amateur athletic activities. However, no such person is an insured for:
a. "Bodily injury" to:
(1) Your "employee", "volunteer worker' or any person you sponsor while participating in such amateur athletic
activities; or
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(2) You, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited
liability company) while participating in such amateur athletic activities; or
b. "Property damage" to property owned by, occupied or used by, rented to, in the care, custody or control of, or
over which the physical control is being exercised for any purpose by:
(1) Your "employee", "volunteer worker" or any person you sponsor; or
(2) You, any partner or member (if you are a partnership or joint venture), or any member (if you are a limited
liability company).
P. Non -Owned Aircraft, Auto and Watercraft
Exclusion g. of Section I —Coverage A—Bodily Injury And Property Damage Liability is replaced by the following:
g. Aircraft, Auto Or Watercraft
"Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of
any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes operation
and "loading or unloading".
This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the
supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused
the "bodily injury" or "property damage" involved the ownership, maintenance, use or entrustment to others of any
aircraft, "auto" or watercraft that is owned or operated by or rented or loaned to any insured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 51 feet long; and
(b) Not being used to carry persons for a charge;
(3) Parking an "auto" on, or on the ways next to, premises you own or rent, provided the "auto" is not owned by
or rented or loaned to you or the insured;
(4) Liability assumed under any "insured contract" for the ownership, maintenance or use of aircraft or watercraft;
(5) An aircraft that is hired or chartered by you or loaned to you, with a paid and licensed crew, and is not owned
in whole or in part by an insured; or
(6) "Bodily injury" or "property damage" arising out of:
(a) The operation of machinery or equipment that is attached to, or part of, a land vehicle that would qual ify
under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibi I ity
law or other motor vehicle insurance law where it is licensed or principally garaged; or
(b) The operation of any of the machinery or equipment listed in Paragraph f.(2) or f.(3) of the definition of
"mobile equipment".
Q. Definitions—Leased Worker, Temporary Worker and Labor Leasing Firm
The "leased worker' and "temporary worker" definitions under the Definitions Section are replaced by the
following:
"Leased worker" means a person leased to you by a "labor leasing firm" under a written agreement between you
and the "labor leasing firm", to perform duties related to the conduct of your business. "Leased worker" does not
include a "temporary worker'.
"Temporary worker" means a person who is furnished to you to support or supplement your work force during
"employee" absences, temporary skill shortages, upturns or downturns in business or to meet seasonal or s hort-
term workload conditions. "Temporary worker" does not includea "leased worker".
2. The following definition is added to the Definitions Section:
"Labor leasing firm" means any person or organization who hires out workers to others, including any:
a. Employment agency, contractor or services;
b. Professional employer organization; or
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c. Temporary help service.
R. Definition —Mobile Equipment
Paragraph f. of the "mobile equipment" definition under the Definitions Section is replaced by the following:
f. Vehicles not described in Paragraph a., b., c. or d. above maintained primarily for purposes other than the
transportation of persons or cargo.
However, self-propelled vehicles with the following types of permanently attached equipment, exceeding a
combined gross vehicle weight of 1000 pounds, are not "mobile equipment' but will be considered "autos":
(1) Equipment designed primarily for:
(a) Snow removal;
(b) Road maintenance, but not construction or resurfacing; or
(c) Street cleaning;
(2) Cherry pickers and similar devices mounted on automobile or truck chassis and used to raise or lower
workers; and
(3) Air compressors, pumps and generators, including spraying, welding, building cleaning, geophysical
exploration, lighting and well servicing equipment.
S. Definitions—Your Product and Your Work
The "your product" and "your work" definitions under the Definitions Section are replaced by the following:
"Your product":
a. Means:
(1) Any goods or products, other than real property, manufactured, sold, handled, distributed or disposed of by:
(a) You,-
(b)
ou;(b) Others trading under your name; or
(c) A person or organization whose business or assets you have acquired; and
(2) Containers (other than vehicles), materials, parts or equipment furnished in connection with such goods or
products.
b. Includes:
(1) Warranties or representations made at anytime with respect to the fitness, quality, durability, performance,
use, handling, maintenance, operation or safety of"your product"; and
(2) The providing of or failure to provide warnings or instructions.
c. Does not include vending machines or other property rented to or located for the use of others but not sold.
"Your work":
a. Means:
(1) Work, services or operations performed by you or on your behalf; and
(2) Materials, parts or equipment furnished in connection with such work, services or operations.
b. Includes:
(1) Warranties or representations made at any time with respect to the fitness, quality, durability, performance,
use, handling, maintenance, operation or safety of"your work"; and
(2) The providing of or failure to provide warnings or instructions.
T. Priority Condition
The following paragraph is added to Section III — Limits Of Insurance:
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In the event a claim is made or "suit" is brought against more than one insured seeking damages because of"bodily
injury" or "property damage" caused by the same "occurrence" or "personal and advertising injury" caused by the
same offense, we will apply the Limits of Insurance in the following order:
(a) You;
(b) Your "executive officers", partners, directors, stockholders, members, managers (if you are a limited liability
company) or "employees'; and
(c) Any other insured in any order that we choose.
U. Duties in the Event of Occurrence, Offense, Claim or Suit Condition
The following paragraphs are added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Clai m Or S u it
of Section IV —Commercial General Liability Conditions:
Notice of an "occurrence" or of an offense which may result in a claim under this insurance or notice of a claim or
"suit" shall be given to us as soon as practicable after knowledge of the "occurrence", offense, claim or "s uit" has
been reported to any insured listed under Paragraph 1. of Section II — Who Is An Insured or an "employee" authorized
by you to give or receive such notice. Knowledge by other"employees" of an "occurrence", offense, claim or "suit"
does not imply that you also have such knowledge.
In the event that an insured reports an "occurrence" to the workers compensation carrier of the Nam ed Insured and
this "occurrence" later develops into a General Liability claim, covered by this Coverage Part, the insured's failure to
report such "occurrence" to us at the time of the "occurrence" shall not be deemed to be a violation of this Condition.
You must, however, give us notice as soon as practicable after being made aware that the particular claim is a
General Liability rather than a Workers Compensation claim.
V. Other Insurance Condition
Paragraphs 4.a. and 4.b.(1) of the Other Insurance Condition of Section IV — Commercial General Liability
Conditions are replaced by the following:
4. Other Insurance
If other valid and collectible insurance is available to the insured for a loss we cover under Coverages A or B of
this Coverage Part, our obligations are limited as follows:
a. Primary Insurance
This insurance is primary except when Paragraph b. below applies. If this insurance is primary, our
obligations are not affected unless any of the other insurance is also primary. Then, we will share with all that
other insurance by the method described in Paragraph c. below. However, this insurance is primary to and
will not seek contribution from any other insurance available to an additional insured provided that:
(1) The additional insured is a Named Insured under such other insurance; and
(2) You are required by written contractor written agreement that this insurance be primary and not seek
contribution from any other insurance available to the additional insured.
Other insurance includes any type of self insurance or other mechanism by which an insured arranges for
funding of its legal liabilities.
b. Excess Insurance
(1) This insurance is excess over:
(a) Any of the other insurance, whether primary, excess, contingent or on any other basis:
(i) That is property insurance, Builder's Risk, Installation Risk or similar coverage for "your work";
(ii) That is property insurance purchased by you (including any deductible or self insurance portion
thereof) to cover premises rented toyou or temporarily occupied by you with permission of the
owner;
(iii)That is insurance purchased by you (including any deductible or self insurance portion thereof) to
cover your liability as a tenant for "property damage" to premises rented to you or temporarily
occupied by you with permission of the owner;
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(iv) If the loss arises out of the maintenance or use of aircraft, "autos" or watercraft to the extent not
subject to Exclusion g. of Section I —Coverage A— Bodily Injury And Property Damage Liability;
or
(v) That is property insurance (including any deductible or self insurance portion thereof) purchased
by you to cover damage to:
Equipment you borrow from others; or
Property loaned to you or personal property in the care, custody or control of the insured arisi ng
out of the use of an elevator at premises you own, rent or occupy.
(b) Any other primary insurance (including any deductible or self insurance portion thereof) available to
the insured covering liability for damages arising out of the premises, operations, products, work or
services for which the insured has been granted additional insured status either by policy provision or
attachment of any endorsement. Other primary insurance includes any type of self insurance or other
mechanism by which an insured arranges for funding of its legal liabilities.
(c) Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an
additional insured, in which the additional insured on our policy is also covered as an additional
insured on another policy providing coverage for the same "occurrence", claim or "suit". This
provision does not apply to any policy in which the additional insured is a Named Insured on such
other policy and where our policy is required by written contract or written agreement to provide
coverage to the additional insured on a primary and non-contributory basis.
W. Unintentional Failure to Disclose All Hazards
Paragraph 6. Representations of Section IV — Commercial General Liability Conditions is replaced by the
following:
6. Representations
By accepting this policy, you agree:
a. The statements in the Declarations are accurate and complete;
b. Those statements are based upon representations you made to us; and
c. We have issued this policy in reliance upon your representations.
Coverage will continue to apply if you unintentionally:
a. Fail to disclose all hazards existing at the inception of this policy; or
b. Make an error, omission or improper description of premises or other statement of information stated in this
policy.
You must notify us as soon as possible after the discovery of any hazards or any other information that was not
provided to us prior to inception of this Coverage Part.
X. Waiver of Right of Subrogation
Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Commercial General
Liability Conditions is replaced by the following:
8. Transfer Of Rights Of Recovery Against Others To Us
If the insured has rights to recover all or part of any payment we have made under this Coverage Part,
those rights are transferred to us. The insured must do nothing after loss to impair them. At our request,
the insured will bring "suit" or transfer those rights to us and help us enforce them.
If the insured waives its right to recover payments for injury or damage from another person or
organization in a written contract executed prior to a loss, we waive any right of recovery we may have
against such person or organization because of any payment we have made under this Coverage Part.
The written contract will be considered executed when the insured's performance begins, or when it is
signed, whichever happens first. This waiver of rights shall not be construed to be a waiver with respect
to any other operations in which the insured has no contractual interest.
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Y. Liberalization Condition
The following condition is added to Section IV—Commercial General Liability Conditions:
Liberalization Clause
If we revise this Coverage Part to broaden coverage without an additional premium charge, your policy will
automatically provide the additional coverage as of the day the revision is effective in the state shown in the mailing
address of your policy.
All other terms and conditions of this policy remain unchanged.
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Coverage Extension Endorsement
0
ZURICH
Policy No. Eff. Date of Pal.
Exp. Date of Pol Eff. Date of End.
Producer
Addl. Prem
Return Prem.
CPO -7414724-00 02/02/2020
12/04/2020 N/A
$ N/A
$ N/A
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by
the endorsement.
1. Broad Named Insured Amendment
Subsidiaries and Newly Acquired or Formed Organizations
With regards to this endorsement, the words "you" and "your" refer to the Named Insured shown in the Declarations.
The Named Insured shown in the Declarations is amended to include:
A. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of
the policy. However, the Named Insured does not include any subsidiary that is an "insured" under any other
automobile policy or would be an "insured" under such a policy but for its termination or the exhaustion of its Limit
of Insurance.
B. Any organization that is acquired or formed by you and over which you maintain majority ownership. However,
the Named Insured does not include any newly formed or acquired organization:
1. That is a partnership, joint venture or limited liability company;
2. That is an "insured" under any other policy;
3. That has exhausted its Limit of Insurance under any other policy; or
4. 180 days or more after its acquisition or formation by you, unless you have given us notice of the acquisition
or formation.
Coverage does not apply to "bodily injury" or "property damage" that results from an "accident" that occurred
before you formed or acquired the organization.
2. Amendment -Supplementary Payments
Paragraphs A.2.a.(2) andA.2.a.(4) of Section II — Liability Coverage are replaced by the following:
2. Coverage Extensions
a. Supplementary Payments
In addition to the Limit of Insurance, we will pay for the "insured":
(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because
of an "accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to
$500 a day because of time off from work.
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3. Fellow Employee
Paragraph B.S. Fellow Employee Exclusion of Section II —Liability Coverage does not apply if you have worker's
compensation insurance in -force covering all of your "employees".
Coverage is excess over any other collectible insurance.
4. Lease Gap Coverage
Section III— Physical Damage Coverage is amended by the addition of the following:
In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered
"auto", less:
1. The amount paid under the Physical Damage Coverage Section of the policy; and
2. Any:
a. Overdue lease/loan payments at the time of the "loss";
b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;
c. Security deposits not returned by the lessor;
d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with
the loan or lease; and
e. Carry-over balances from previous loans or leases.
5. Physical Damage—Additional Temporary Transportation Expense Coverage
Paragraph A.4.a. of Section III —Physical Damage Coverage is replaced by the following:
4. Coverage Extensions
a. Transportation Expenses
We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you
because of the total theft of a covered "auto" of the private passenger type. We will pay only for those
covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. Wewill
pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and
ending, regardless of the policy's expiration, when the covered "auto" is returned to use orwe pay for its
"loss".
6. Airbag Coverage
The following is added to Paragraph B.3.a. of Section III — Physical Damage Coverage:
The exclusion relating tomechanical breakdown does not apply tothe accidental discharge of an airbag.
7. Two or More Deductibles
The following is added to Paragraph D. Deductible of Section III —Physical Damage Coverage:
If an accident is covered both by this policy or coverage form and by another policy or coverage form issued to you by
a Zurich Financial Services Group company, the following applies for each covered "auto" on a per vehicle basis:
A. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived;
B. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be
reduced by the amount of the smaller (or smallest) deductible.
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8. Amended Duties in the Event of Accident, Claim, Suitor Loss
The requirement in A.2.a. Duties In The Event of Accident, Claim, Suitor Loss of Section IV —Business Auto
Conditions that you must notify us of an "accident" applies only when the "accident" is known to:
A. You, if you are an individual;
B. A partner, if you are a partnership;
C. A member, if you are a limited liability company; or
D. An executive officer or insurance manager, if you are a corporation.
9. Unintentional Failure to Disclose Hazards
The following is added to Paragraph B. General Conditions of Section IV — Business Auto Conditions:
We will not deny coverage under this Coverage Form if you unintentionally:
A. Fail to disclose any hazards existing at the inception date of your policy; or
B. Make an error, omission, or improper description of autos or other statement of information stated in this policy.
You must notify us as soon as possible after the discovery of any hazards or any other information that was not
provided to us prior to the acceptance of this policy.
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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
WC 99 04 10B
(Ed. 9-14)
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA
BLANKET BASIS
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce
our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you
perform work under a written contract that requires you to obtain this agreement from us.)
The additional premium for this endorsement shall be 2% of the total manual premium otherwise due on such
remuneration. The minimum premium for this endorsement is $350.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
BLANKET WAIVER
Person/Organization Blanket Waiver— Any person or organization for whom the Named Insured has
agreed by written contract to furnish this waiver.
Job Description Waiver Premium
All CA Operations 3196.00
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
Endorsement Effective 12/04/2019 Policy No, CSWC036787 Endorsement No.
Insured CSG Consultants, Inc. Premium $
Insurance Company Redwood Fire And Casualty Insurance
WC 99 04 10B
(Ed. 9-14)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
NOTICE OF CANCELLATION - CERTIFICATE HOLDERS
(SPECIFIED DAYS)
The person(s) or organization(s) listed or described in the Schedule below have requested that they
receive written notice of cancellation when this policy is cancelled by us. We will mail or deliver to the
Person(s) or Organization(s) listed or described in the Schedule a copy of the written notice of
cancellation that we sent to you. If possible, such copies of the notice will be mailed at least 30 days,
except for cancellation for non-payment of premium which will be mailed 10 days, prior to the effective
date of the cancellation, to the address or addresses of certificate holders as provided by your broker or
agent.
Schedule
Person(s) or Organization(s) including mailing address:
All certificate holders where written notice of the cancellation of this policy is required by written
contract, permit or agreement with the Named Insured and whose names and addresses will be
provided by the broker or agent listed in the Declarations Page of this policy for the purposes of
complying with such request.
This notification of cancellation of the policy is intended as a courtesy only. Our failure to provide such
notification to the person(s) or organization(s) shown in the Schedule will not extend any policy
cancellation date nor impact or negate any cancellation of the policy. This endorsement does not entitle
the person(s) or organization(s) listed or described in the Schedule above to any benefit, rights or
protection under this policy.
Any provision of this endorsement that is in conflict with a statute or rule is hereby amended to conform to
that statute or rule.
All other terms and conditions of this policy remain unchanged,
Endorsement Number: 7
Policy Number. PAA-EP0.008804
Named Insured: CSG Consultants, Inc.
This endorsement is effective on the inception date of this Policy unless otherwise stated herein:
Endorsement Effective Date: December 4, 2019
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