HomeMy WebLinkAboutSignificant Cleaning Services 12.17.2025AGREEMENT
THIS AGREEMENT is made and entered into on thelltay of December, 2025 by and
between the TOWN OF LOS ALTOS HILLS (hereinafter referred to as "TOWN") and
Significant Cleaning Services (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:
Monthly cleaning services for:
• Town Hall — 5 days per week
• Parks & Recreation Building — 2 days per week
• Corporation Yard —1 day per week
• Little Leage — 2 days per week
• Multipurpose Room —1 day per week
• Westwind Barn —1 day per week
• Heritage House —1 day per week
Carpet cleaning services for:
• Town Hall —10 cleanings
2. EXHIBITS. The following attached exhibits are hereby incorporated into and made a
part of this Agreement:
Proposal from CONTRACTOR dated December 3, 2025
3. TERMS. The services and/or materials furnished under this Agreement shall
commence January 1, 2026, and shall be completed by December 31, 2026, 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 fifty two thousand nine
hundred fifty two dollars and zero cents ($52,952.00) 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.
b. 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.
Town of Los Altos Hills Page 1 of 5
Short form
Updated 4/26/22
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.
a. GENERAL TERMS AND CONDITIONS.
a. 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:
i. 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 Page 2 of 5
Short form
Updated 4/26/22
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
c. 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
Town of Los Altos Hills Page 3 of 5
Short form
Updated 4/26/22
for said transfer of copyright. CONTRACTOR retains the right to use any project
records, documents and materials for marketing of their professional services.
h. CONTRACT ADMINISTRATION. The TOWN hereby designates the Public Works
Director and the City Manager as Contract Administrator for this agreement. The
CONTRACTOR shall only take direction regarding the services provided under this
Agreement from the Contract Administrator. Furthermore, CONTRACTOR agrees
that the Contract Administrator shall be included any meeting, teleconference or
written communication between any Town representative including Committee
members and the CONTRACTOR. The TOWN may modify the Contract
Administrator at any time upon providing written notice to the CONTRACTOR.
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:
WooJae Kim
Public Works Director
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
CONTRACTOR:
By: �� ��� 12/9/2025
Signature Date
Eduardo Cardoza, Sr. VP Finance
Print name, Title
TOWN OF LOS ALTOS HILLS:
By.
Cody Einfalt, Acting City Manager Date
Town of Los Altos Hills Page 4 of 5
Short form
Updated 4/26/22
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SPECIALIZING IN COMMERCIAL OFFICE CLEANING
Town of Los Altos Hills 2026 Budget
Monthly Services:
• Los Altos Hills City Hall
$2,020.00 per month
o 5 days per week
• Parks & Recreation Building
$285.00 per month
o 2 days per week
• Corporation Yard
$465.00 per month
o 1 day per week
• Little League
$450.00 per month
o 2 days per week
• Multipurpose Room
$206.00 per month
o 1 day per week
• Westwind Barn
$445.00 per month
o 1 day per week
• Heritage House
$250.00 per month
o 1 day per week
Carpet Cleaning Services
• Carpet Cleaning of City Hall $350.00 per service
o $3,500.00 for 10 Cleanings
Supplies are not included.
148 E. Virginia Street, Suite 1 - San Jose, CA 95112 - (408) 559-5959
A� RV® CERTIFICATE OF LIABILITY INSURANCE
DATE(MMIDD/YYYY)
12/16/2025
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(les) must 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
Leavitt Pacific Insurance Brokers, Inc.
License #OD79674
1570 The Alameda, Suite 101
San Jose CA 95126
NAME: Micheal Bonham
Ptic NNo Ext • i408) 288-6262 ac N0: (408)298-7635
E-MAIL
A DDRESS: mbonham@leavitt.com
INSURERS AFFORDING COVERAGE NAIC #
INSURER A:Employers Mutual Casualty Company 021415
INSURED
Significant Cleaning Services, LLC
148 E Virginia St #1
San Jose CA 95112
INSURER B: Burlington Insurance Company 23620
INSURER C:C ress Insurance Company 10855
_
INSURER D: Palomar Excess and Surplus Insurance Cc 16754
INSURER E: Travelers Casualty and Surety Company 31194
INSURER F:
COVERAGES CERTIFICATE NUMBER:25 REVISION NUMBER:
THIS ISM 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.
TR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MM/DD
POLICY EXP
MM/DD
LIMITS
X COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE $ 1,000,000
A
CLAIMS-MADEOCCUR
DAMAGE TO RENTED PREMISES (Ea o cur ence $ 200,000
MED EXP (Any one person) $ 10,000
X
BB05901
6/1/2025
6/1/2026
PERSONAL $ ADV INJURY $ 1;000,000
_
GEMLAGGREGATELIMITAPPLIESPER:
GENERAL AGGREGATE $ 2,000,000
X POLICY ❑ PRO ❑ LOC
JECT
PRODUCTS $ 2,000 000
�
$
OTHER:
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT $ 1,000,000
Ea accident
X
BODILY INJURY (Per person) $
A
ANYAUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
6E73039
6/1/2025
6/1/2026
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Per accldent
HIRED AUTOS NON -OWNED
AUTOS
UMBRELLALIAB
X
OCCUR
EACH OCCURRENCE $ 5,000,000
X
AGGREGATE- $ 5,000,000
B
EXCESS LIAB
CLAIMS -MADE
387BE1009401
6/1/2025
6/1/2026
DED X RETENTION $ 0
_
$
WORKERS COMPENSATIONg
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
STATUTE ERH
E.L. EACH ACCIDENT $ 1,000,000
C
OFFICERIMEMBER EXCLUDED? L-1
(Mandatory In NH)
N/A
gIWC667801
6/1/2025
6/1/2026
E.L. DISEASE - EA EMPLOYEE $ 1,000,000
If yes, describe under
DESCRIPTION OF OPERATIONS below
E.L. DISEASE -POLICY LIMIT $ 1,000,000
D
Second Layer Excess Liability
PESXS015444
6/1/2025
6/1/2026
Limit $5M XS $5M
E
3rd Party Crime
107239010
6/1/2025
6/1/2026
I.ImiNDeductible $1M/$101000
DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space Is required)
Re:New Bathroom at LAH Corp Yard
The Town of Los Altos Hills, its elective and appointed officers, employees, and volunteers are included
per attached general liability blanket additional insured endorsement.
CERTIFICATE HOLDER CANCELLATION
Town of Los Altos Hills
26379 Fremont Road
Los Altos Hills, CA 94022
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
Stafford/JOROME
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
INS025 (201401)
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
The COMMERCIAL GENERAL LIABILITY COVERAGE FORM is amended to include the following clarifications and
extensions of coverage. The provisions of the Coverage Form apply unless modified by endorsement.
A. EXPECTED OR INTENDED INJURY
Section I — Coverage A, Exclusion a. is amended
as follows:
a. "Bodily injury" or "property damage" expected
or intended from the standpoint of an insured.
This exclusion does not apply to "bodily injury"
or "property damage" resulting from the use of
reasonable force to protect persons or property.
B. NON -OWNED WATERCRAFT
Section I — Coverage A, Exclusion g.(2) is
amended as follows:
(2) A watercraft you do not own that is:
(a) Less than 60 feet long; and
(b) Not being used to carry person(s) or
property for a charge;
C. EXTENDED PROPERTY DAMAGE COVERAGE
Section I — Coverage A, Exclusions j.(3) and (4) is
amended to add the following:
Paragraphs (3) and (4) of this exclusion do not
apply to tools or equipment loaned to you, provided
they are not being used to perform operations at
the time of loss.
SCHEDULE
Limits Of Insurance
Deductible
$5,000 Each Occurrence
$250 Per Claim
$10,000 Annual Aggregate
a. The each occurrence limit listed above is the
most we will pay for all damages because of
"property damage" to property in the care,
custody and control of or property loaned to an
insured as the result of any one "occurrence",
regardless of the number of:
(1) insureds;
(2) claims made or "suits" brought;
(3) persons or organizations making claims or
bringing "suits".
The aggregate limit listed above is the most we will
pay for all damages because of "property damage"
to property in the care custody and control of or
property loaned to an insured during the policy
period.
Any payment we make for damages because of
"property damage" to property in the care, custody
and control of or property loaned to an insured will
apply against the General Aggregate Limit shown in
the declarations.
b. Our obligation to pay damages on your behalf
applies only to the amount of damages in
excess of the deductible amount listed above.
We may pay any part or all of the deductible
amount listed above. We may pay any part or
all of the deductible amount to effect settlement
of any claim or "suit" and upon notification by
us, you will promptly reimburse us for that part
of the deductible we paid.
c. If two or more coverages apply under one
"occurrence", only the highest per claim
deductible applicable to these coverages will
apply.
d. Insurance provided by this provision is excess
over any other insurance, whether primary,
excess, contingent or any other basis. Since
insurance provided by this endorsement is
excess, we will have no duty to defend any
claim or "suit" to which insurance provided by
this endorsement applies if any other insurer
has a duty to defend such a claim or "suit". If
no other insurer defends, we will undertake to
do so, but we will be entitled to the insured's
rights against all those other insurers.
D. PROPERTY DAMAGE — ELEVATORS
Section I — Coverage A.2. Exclusions paragraphs
J.(3), j.(4), j.(6) and k. do not apply to use of
elevators. This insurance afforded by this provision
Is excess over any valid and collectible property
insurance (including any deductible) available to
the insured and Section IV — Commercial General
Liability Conditions Paragraph 4. Other
Insurance is changed accordingly.
CG7578(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 6
E. FIRE, LIGHTNING OR EXPLOSION DAMAGE
Except where it is used in the term "hostile fire", the
word fire includes fire, lightning or explosion wherever
it appears in the Coverage Form.
Under Section I — Coverage A, the last paragraph
(after the exclusions) is replaced with the following:
Exclusions c. through n. do not apply to damage by
fire, smoke or leakage from automatic fire protection
systems to premises while rented to you or
temporarily occupied by you with permission of the
owner. A separate limit of insurance applies to this
coverage as described in Section III — Limits of
Insurance.
F. MEDICAL PAYMENTS
If Section I — Coverage C. Medical Payments
Coverage is not otherwise excluded from this
Coverage Form:
The requirement, in the Insuring Agreement of
Coverage C., that expenses must be incurred and
reported to us within one year of the accident date is
changed to three years.
G. SUPPLEMENTARY PAYMENTS
Supplementary Payments — Coverages A and B
Paragraphs 1.b. and 1.d. are replaced by the
following:
1.b. Up to $5,000 for 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.
1.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.
H. SUBSIDIARIES AS INSUREDS
Section II — Who Is An Insured is amended to add
the following:
1.f. Any legally incorporated subsidiary in which you
own more than 50% of the voting stock on the
effective date of this policy. However, insured
does not include any subsidiary that is an insured
under any other general liability policy, or would
have been an insured under such a policy but for
termination of that policy or the exhaustion of that
policy's limits of liability.
I. BLANKET ADDITIONAL INSUREDS — AS
REQUIRED BY CONTRACT
1. Section II — Who Is An Insured is amended to
include as an additional insured any person(s) or
organization(s) subject to provisions in Paragraph
2. below, (hereinafter referred to as additional
insured) when you and such person(s) or
organization(s) have agreed in a written contract
or written agreement that such person(s) or
organization(s) be added as an additional insured
on your policy provided that the written contract or
agreement is:
a. Currently in effect or becomes effective
during the policy period; and
b. Executed prior to an "occurrence" or
offense to which this insurance would
apply.
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 contract or agreement to
provide for such additional insured; and
c. Applies only if the person or organization is
not specifically named as an additional
insured under any other provision of, or
endorsement added to, Section II — Who
Is An Insured of this policy.
2. As provided herein, the insurance coverage
provided to such additional Insureds is limited
to:
a. Any Controlling Interest, but only with
respect to their liability arising out of their
financial control of you; or premises they
own, maintain, or control while you lease or
occupy these premises.
This insurance does not apply to structural
alterations, new construction and
demolition operations performed by or for
that person or organization.
b. Any architect, engineer, or surveyor
engaged by you but only with respect to
liability for "bodily injury", "property
damage" or "personal and advertising
injury" caused, in whole or in part, by your
acts or omissions or the acts or omissions
of those acting on your behalf:
(1) In connection with your premises; or
(2) In the performance of your ongoing
operations.
With respect to the insurance afforded to
these additional insureds, the following
additional exclusion applies:
This insurance does not apply to "bodily
injury", "property damage" or "personal and
advertising injury" arising out of the
rendering of or the failure to render any
professional services by or for you,
including:
(1) The preparing, approving, or failing to
prepare or approve, maps, shop
drawings, opinions, reports, surveys,
field orders, change orders or drawings
and specifications; or
(2) Supervisory, inspection, architectural or
engineering activities.
CG7578(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 2 of 6
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", or the offense which
caused the "personal and advertising
Injury", involved the rendering of or the
failure to render any professional services
by or for you.
c. Any manager or lessor of a premises
leased to you, but only with respect to
liability arising out of the ownership,
maintenance or use of that part of a
premises leased to you, subject to the
following additional exclusions:
This insurance does not apply to:
(1) Any "occurrence" which takes place
after you cease to be a tenant in that
premises.
(2) Structural alterations, new construction
or demolition operations performed by
or on behalf of such additional insured.
d. Any state or governmental agency or
subdivision or political subdivision, subject to
the following:
(1) This insurance applies only with respect
to the following hazards for which any
state or governmental agency or
subdivision or political subdivision has
issued a permit or authorization in
connection with premises you own, rent
or control and to which this insurance
applies:
(a) The existence, maintenance, repair,
construction, erection or removal of
advertising signs, awnings,
canopies, cellar entrances, coal
holes, driveways, manholes,
marquees, hoist away openings,
sidewalk vaults, street banners or
decorations and similar exposures;
or
(b) The construction, erection or
removal of elevators; or
(c) The ownership, maintenance or use
of any elevators covered by this
insurance.
(2) This insurance applies only with respect
to operations performed by you or on
your behalf for which any state or
governmental agency or subdivision or
political subdivision has issued a permit
or authorization.
This insurance does not apply to:
(a) "Bodily injury", "property damage" or
"personal and advertising injury"
arising out of operations performed
for the federal government, state or
municipality; or
(b) "Bodily injury" or "property damage"
included within the "Products -
completed operations hazard".
e. Any vendor, 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.
With respect to the insurance afforded to
these vendors, the following additional
exclusions apply:
(1) The insurance afforded any vendor does
not apply to:
(a) "Bodily Injury" or "property damage"
for which any vendor is obligated to
pay damages by reason of the
assumption of liability in a contract or
agreement. This exclusion does not
apply to liability for damages that any
vendor would have in the absence of
the contract or agreement;
(b) Any express warranty unauthorized
by you;
(c) Any physical or chemical change in
the product made intentionally by
any vendor;
(d) Repackaging, except when
unpacked solely for the purpose of
inspection, demonstration, testing,
or the substitution of parts under
instructions from the manufacturer,
and then repackaged in the original
container;
(e) Any failure to make such
inspections, adjustments, tests or
servicing as any 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;
(f) Demonstration, installation,
servicing or repair operations,
except such operations performed
at any vendor's premises in
connection with the sale of the
product;
(g) 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 any vendor;
or
CG7578(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 3 of 6
(h) "Bodily injury" or "property
A person's or organization's status as an
damage" arising out of the sole
additional insured under this endorsement
negligence of any vendor for its
ends when their contract or agreement with
own acts or omissions or those of
you for such leased equipment ends.
Its employees or anyone else
With respect to the insurance afforded to
acting on its behalf. However, this
these additional insureds, this insurance
exclusion does not apply to:
does not apply to any "occurrence" which
(i) The exceptions contained in
takes place after the equipment lease
Subparagraphs (d) or (f); or
expires.
(ii) Such inspections, adjustments,
1. Any Owners, Lessees, or Contractors for
tests or servicing as any
whom you are performing operations, but
vendor has agreed to make or
only with respect to liability for "bodily
normally undertakes to make in
injury", "property damage" or "personal and
the usual course of business,
advertising injury" caused, in whole or in
in connection with the
part, by:
distribution or sale of the
(1) Your acts or omissions; or
products.
(2) The acts or omissions of those acting
(2) This insurance does not apply to any
on your behalf;
insured person or organization, from
whom you have acquired such
in the performance of your ongoing
products, or any ingredient, part or
operations for the additional insured.
container, entering into, accompanying
A person's or organization's status as an
or containing such products.
additional insured under this endorsement
f. Any Mortgagee, Assignee Or Receiver, but
ends when your operations for that
only with respect to their liability as
additional insured are completed.
mortgagee, assignee, or receiver and
With respect to the insurance afforded to
arising out of the ownership, maintenance,
these additional insureds, the following
or use of the premises by you.
additional exclusions apply:
This insurance does not apply to structural
This insurance does not apply to:
alterations, new construction and
demolition operations performed by or for
(1) "Bodily injury", "property damage" or
that person or organization.
"personal and advertising injury" arising
g. Any Owners Or Other Interests From
out of the rendering of, or the failure to
render, any professional architectural,
Whom Land Has Been Leased, but only
with respect to liability arising out of the
engineering or surveying services,
ownership, maintenance or use of that part
including:
of the land leased to you.
(a) The preparing, approving, or failing
to prepare or approve, maps, shop
With respect to the insurance afforded to
drawings, opinions, reports, surveys,
these additional insureds, the following
field orders, change orders or
additional exclusions apply:
drawings and specifications; or
(1) This insurance does not apply to:
(b) Supervisory, inspection, architectural
(a) Any "occurrence" which takes
or engineering activities.
place after you cease to lease that
This exclusion applies even if the claims
land; or
against any insured allege negligence or
(b) Structural alterations, new
other wrongdoing in the supervision, hiring,
construction or demolition
employment, training or monitoring of
operations performed by or on
others by that insured, if the "occurrence"
behalf of such additional insured.
which caused the "bodily injury" or
h. Any person or organization from whom you
"property damage", or the offense which
lease equipment, but only with respect to
caused the personal and advertising
liability for "bodily injury", "property
injury", involved the rendering of or the
damage" or "personal and advertising
failure to render any professional
injury" caused, in whole or in part by your
architectural, engineering or surveying
maintenance, operation or use of
services.
equipment leased to you by such person(s)
(2) "Bodily injury" or "property damage"
or organization(s).
occurring after:
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(a) All work, including materials, parts
or equipment furnished in
connection with such work, on the
project (other than service,
maintenance or repairs) to be
performed by or on behalf of the
additional insured(s) at the location
of the covered operations has been
completed; or
(b) That portion of "your work" out of
which the injury or damage arises
has been put to its intended use by
any person or organization other
than another contractor or
subcontractor engaged in
performing operations for a
principal as a part of the same
project.
j. Any Grantor of Licenses to you, but only
with respect to their liability as grantor of
licenses to you.
Their status as additional insured under
this endorsement ends when:
1. The license granted to you by such
person(s) or organization(s) expires; or
2. Your license is terminated or revolted
by such person(s) or organization(s)
prior to expiration of the license as
stipulated by the contract or
agreement.
k. Any Grantor of Franchise, but only with
respect to their liability as grantor of a
franchise to you.
I. Any Co-owner of Insured Premises, but
only with respect to their liability as co-
owner of any insured premises.
m. Any Concessionaires Trading Under Your
Name, but only with respect to their liability
as a concessionaire trading under your
name.
3. Any insurance provided to any additional
insured does not apply to "bodily injury",
"property damage" or "personal and advertising
injury" arising out of the sole negligence or
willful misconduct of the additional insured or its
agents, "employees" or any other
representative of the additional insured.
4. With respect to the insurance afforded to these
additional insureds, the following is added to
Section III — Limits of Insurance:
If coverage provided to any additional insured
is required by a contract or agreement, the
most we will pay on behalf of the additional
insured is the amount of insurance:
a. Required by the contract or agreement; or
b. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the
applicable Limits of Insurance shown in the
Declarations.
J. COVERAGE FOR INJURY TO CO -EMPLOYEES
AND/OR YOUR OTHER VOLUNTEER WORKERS
Section II — Who is an Insured, Paragraph 2.a. (1) is
amended to add the following:
e. Paragraphs (a), (b), and (c) do not apply to your
"employees" or "volunteer workers" with respect
to "bodily injury" to a co -"employee" or other
"volunteer worker".
Damages owed to an injured co -"employee" or
"volunteer worker" will be reduced by any
amount paid or available to the injured co -
"employee" or "volunteer worker" under any
other valid and collectible insurance.
K. HEALTH CARE SERVICE PROFESSIONALS AS
INSUREDS - INCIDENTAL MALPRACTICE
Section II — Who is an Insured, Paragraph 2.a. (1)
(d) is amended as follows:
This provision does not apply to Nurses, Emergency
Medical Technicians, or Paramedics who provide
professional health care services on your behalf.
However this exception does not apply if you are in
the business or occupation of providing any such
professional services.
L. NEWLY FORMED OR ACQUIRED
ORGANIZATIONS
Section II — Who Is An Insured, Paragraph 3.a. is
replaced by the following:
3.a. Coverage under this provision is afforded until
the end of the policy period.
This provision does not apply if newly formed or
acquired organizations coverage is excluded either by
the provisions of the Coverage Form or by
endorsements.
M. DAMAGE TO PREMISES RENTED TO YOU
Section III — Limits of Insurance, Paragraph 6. is
replaced by the following:
Subject to 5.a. above, the Damage To Premises
Rented To You Limit, or $500,000, whichever is
higher, is the most we will pay under Coverage A for
damages because of "property damage" to any one
premises, while rented to you, or in the case of
damage by fire, smoke or leakage from automatic
protection systems, while rented to you or temporarily
occupied by you with permission of the owner.
N. MEDICAL PAYMENTS — INCREASED LIMITS
Section III — Limits of Insurance, Paragraph 7. is
replaced by the following:
7. Subject to Paragraph 5. above, $10,000 is the
Medical Expense Limit we will pay under
Coverage C for all medical expenses because of
"bodily injury" sustained by any one person,
unless the amount shown on the Declarations of
this Coverage Part for Medical Expense Limit
states:
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(a) No Coverage; or
(b) $1,000; or
(c) $5,000; or
(d) A limit higher than $10,000.
O. DUTIES IN THE EVENT OF OCCURRENCE,
OFFENSE, CLAIM OR SUIT
Section IV — Commercial General Liability
Conditions Paragraph 2. is amended to add the
following:
e. The requirement in Condition 2.a. that you must
see to it that we are notified as soon as
practicable of an `occurrence" or an offense
which may result in a claim, applies only when the
"occurrence" or offense is known to:
(1) You, if you are an individual or a limited
liability company;
(2) A partner, if you are a partnership;
(3) A member or manager, if you are a limited
liability company;
(4) An "executive officer" or insurance manager,
if you are a corporation; or
(5) A trustee, if you are a trust.
f. The requirement in Condition 2.b. that you must
see to it that we receive notice of a claim or "suit"
as soon as practicable will not be considered
breached unless the breach occurs after such
claim or "suit" is known to:
(1) You, if you are an individual or a limited
liability company;
(2) A partner, if you are a partnership;
(3) A member or manager, if you are a limited
liability company;
(4) An "executive officer" or insurance manager,
if you are a corporation; or
(5) A trustee, if you are a trust.
P. PRIMARY AND NONCONTRIBUTORY —
ADDITIONAL INSURED EXTENSION
Section IV — Commercial General Liability
Conditions Paragraph 4. Other Insurance is
amended to add the following:
This insurance is primary to and will not seek
contribution from any other insurance available to an
additional insured under your policy provided that:
(1) The additional insured is a Named Insured under
such other insurance; and
(2) You have agreed in writing in a contract or
agreement that this insurance would be primary
and would not seek contribution from any other
insurance available to the additional insured.
However, if the additional insured has been
added as an additional insured on other policies,
whether primary, excess, contingent or on any
other basis, this insurance is excess over any
other insurance regardless of the written
agreement between you and an additional
insured.
Q. UNINTENTIONAL FAILURE TO DISCLOSE
EXPOSURES
Section IV — Commercial General Liability
Conditions Paragraph 6. Representations is
amended to add the following:
If you unintentionally fail to disclose any exposures
existing at the inception date of your policy, we will not
deny coverage under the Coverage Form solely
because of such failure to disclose. However, this
provision does not affect our right to collect additional
premium or exercise our right of cancellation or non-
renewal.
This provision does not apply to any known injury
or damage which is excluded under any other
provision of this policy.
R. WAIVER OF TRANSFER OF RIGHTS OF
RECOVERY AGAINST OTHERS TO US
Section IV — Commercial General Liability
Condition Paragraph 8. Transfer Of Rights Of
Recovery Against Others To Us is amended to
add the following:
We waive any right of recovery we may have
against any person or organization because of
payments we make for injury or damage arising out
of:
1. Your ongoing operations; or
2. "Your work" included in the "products -
completed operations hazard".
However, this waiver applies only when you have
agreed in writing to waive such rights of recovery in
a contract or agreement, and only if the contract or
agreement:
1. Is in effect or becomes effective during the term
of this policy; and
2. Was executed prior to loss.
S. MENTAL ANGUISH
Section V — Definition 3. is replaced by the following:
"Bodily injury" means bodily injury, sickness or
disease sustained by a person, including mental
anguish or death resulting from bodily injury,
sickness or disease.
T. LIBERALIZATION
If we revise this endorsement to provide greater
coverage without additional premium charge, we
will automatically provide the additional coverage to
all endorsement holders as of the day the revision
is effective in your state.
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