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Home My WebLink AboutC37040A - COI Approval4/1I2021 PbSYSTEM City of Palm Desert F7 oi 8 C Back to Insurance Certificate Search PB System - Insurance Cert Detail Insurance for H&H GENERAL CONTRACTORS, INC. (ID 78399) i s oPe i Status Created On March 12, 2021 Last Modified by Agency March 25, 2021 Last Modified by Vendor March 25, 2021 Close Out Date 2/28 2 22 Insured siai s Approved me:s;rs ory Vendor Name H&H GENERAL CONTRACTORS, INC. Doing Business As H&H GENERAL CONTRACTORS, INC. FEI/TaxID 330882569 Owner's Name JUAN OLVERA Contact Name JUAN OLVERA Address 7919 PALM AVENUE Highland, California 92346 United States Phone 909-425-3907 Email monica@hhgcinc.com Contracts o, ;; President's Plaza Improvements Done Copyright : 2021 https://p bsystem. pla netbids. co m/h u b/icm/icm-detai I/78399 Privacy Policy Terms and Conditions 7/7 4/1/2021 PbSYSTEI"1 City of Palm Desert t-'UfCflaSe VfQefS w y L c PB System - Insurance Cert Detail No purchase orders have been added Agency Documents Document Library File - Sample Certificate of Insurance Sample GL Waiver of Subrogation Sample WC Waiver of Subrogation Sample G.L. Additional Insured Endorsement Sample Auto Additional Insured Endorsement Sample Minimum Insurance Specifications Sample Primary Non-Contributing Endorsement Contract Documents Vendor pocuments Certificate - City of Palm Desert.pdf 1.6 mb) 03/25/2021 Notes to Vendor Nntes Copyright O 2021 https:/Ipbsystem. planetbids.com/hub/icm/icm-detail/78399 tir, ,_ , ;,s:: Done Privacy Policy Terms and Conditions zn 4/1/2021 PI75YSTEMv., _, .;_, i IOI s I n 88a C PB System - Insurance Cert Detail City of Palm Desert uabmty and Huro uabiuty poucies. VVorKer's c;ompensation is requirea to meet statutory limits with Employers Liability Limits of $1,000,000 and include a waiver of subrogation in favor the City of Palm Desert, its officers, agents, empioyees, and volunteers. Blanket additional insured and waiver of subrogation endorsements are accepted, but specific wording should follow Ianguage in the contract if used. Primary/noncontributing endorsement is also requested for General Liability Pollcy. Producer Name' INLAND EMPIRE-ALLIANT INSURANCE SERVICE Address 685 CARNEGIE DRIVE SUITE 265 Gnntacf Name CHRISTINA MOUNTZ Phone' 909-886-9861 Ext Fax 909-886-2013 Email CMOUNTZ@ALLIANT.COM Insurers Name• ASSOCIATED INDUSTRIES INSURANCE COMPANY INC. NAICS nn Done Copyright : 2021 Privacy Policy Terms and Conditions https://pbsystem. pl anetb ids. com/h u b/icm/icm-deta i I/78399 3l7 4 2 2 PB System - Insurance Cert Detail F]bSYSTEM City of Palm Desert GENERAL CASUALTY CO OF WI (QBE) Nnics 24414 w Rating A (XV) Get Ra[ing Name' BENCHMARKINSURANCECOMPANY Q NAICS 41394 Rating A (VIII) 9! Coverages 88 C'd Coverage for General Liability s alus Approved Insurer ` SSOCIATED INDUSTRIES Poucy u • AES 119416001 Each Occurrence h-r 2,000,000.00 na,a - 6,000,000.00 Aggregate EffecGva ` 03/15!2021 Expires' 03/15/2022 Done Copyrigh[ OO 2021 Privacy Policy Terms and Conditions https://pbsystem. pia n etbi d s. comlh ublicm/icm-detail/78399 an 4/1I2021 PB System - Insurance Cert Detail bSYSTEM City of Palm Desert Contractor meets insurance limit requirements through an umbrella policy. w cc Coverage for Auto Liability status Approved Insurer " GENERAL CASUALTY CO c - Po icy # ` BCA0004933-01 Each Occurrence Min ' 0. Adu tl ' 1,000,000.00 Aggregate nn 88 $1,000.000.00 a Actual ` 2,,. C Other Details Effective ` 03l15/2021 Ezpires' 03/15/2022 Coverage for Workers Compensation (Statutory Limits) sta!us Approved Insurer' ERer,tive ` BENCHMARK INSURANCE 01l01/2021 Policy # ` Expires' CST5020730 01 /01 /2022 Copyright OO 2021 https://pbsyslem. pla netbids. com/h ublicm/ic m-deta i I/78399 LL JJ L Done Privacy Policy Terms and Conditions 5/7 4/1/2021 PbSYSTEM City oi Palm Desert i w J ul Aggregate ra n 1,000,000.00 n<<i 1,000,000.00 Other Details PB System - Insurance Cert Detail Coverage for Umbrella Policy status Approved Insurer' ASSOCIATED INDUSTRIES Policy t!' EXA119550602 Each Occurrence Min ` 88 $Z,,0. Artual' 5.000,000.00 C Aggregate ha 2,000,000.00 nciva ' 5.000.000.00 Effective ' 03/15/2021 Expires' 03/ 15/2022 Other Details I.-....-....I C h..+ AI..F....+...-. 1 :.. Copyright OO 2021 https://pbsystem. pla n etbids. com/h ub/icm/icm-detail/78399 Done Privacy Policy Terms and Conditions 6/7 4/1/2021 PbSYSTEM i w i c City of Palm Desert Copyrighl OO 2021 PB System - Insurance Cert Detail Done Privacy Policy Terms and Condltlons https://pbsystem.planetbids.com/hub/icmlicm-detail/78399 7l7 From:Aryan, Stephen To:Bowman, Randy; Sanchez, Gloria Subject:FW: Revised Certificate for H & H General Contractors Inc - City of Palm Desert Date:Wednesday, April 7, 2021 6:58:43 PM Attachments:Certificate - City of Palm Desert.pdf image001.png image002.png Please update your files, if needed, for H&H General Contracting with the attached insurance documents. This lists the City as the correct certificate holder. They uploaded it on the same day as interim approval, so you may have it already. I would just check that the City is listed on the first page under certificate holder, for the document you already have, and update if needed. Thank you! Stephen Stephen Y. Aryan Risk Manager Ph: 760.346.0611 Direct: 760.776.6326 saryan@cityofpalmdesert.org www.cityofpalmdesert.org Install the Palm Desert In Touch app to stay in touch with your community Android Apple Mobile Web H&HGENE-01 TWANG aCoi2o CERTIFICATE OF LIABILITY INSURANCE OATE(MMI00/YVYY) 3/26/2021 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 BYTHEPOLICIES 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 endorsement1 s. PRODUCER License # OC36861 I coNrncr Christlna M MountzNAME: Inland Empire•Alliant Insurance Services, Inc. I q C No, Ezt (909 886-9867 Fax 685 Carnegie Dr Ste 265 l ) ) (aic, rvo:(909) 886-2013 San Bernardino, CA 92408 I E-ma' cmountz@alliant.comADDRESS: INSIIRER(SI AFFOR ING COVERAGE iNsuaeRn:Associated Industries Insurance Company Inc INSURED H 8 H General Contrectors Inc PO Box 536 Highland, CA 92346 COVERAGES CERTIFICATE NUMBER: I iNsuaeae:Generol Casualtv Co of WI (QBE) I wsuaeac:Benchmark Msurance Companv NAIC # 23140 24414 41394 i iNsurserco: I INSURER E : I INSURER i : THIS IS TO CERTIFY THAT THE POLICIES OF WSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICV PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANV CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAV BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREINISSUBJECTTOALLTHETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY 'AID CLAIMS. INSR rypE OF INSURANCE ADDLSUBR pOLICV NUMBER POLICY EFF POLICY EXP LIMITSLTRIN50WVDIMMIOIYYYYIIMMIDDIYYYYI A X GOMMERdALGENERALLIABILITY EACHOCCURRENCE g OOO OOO CLAIMS-MADE OCCUR X ( AES119416001 $$ZQZ 3$ZO22 I DAMAGETORENTED QQ,p plPRFMIFFRIFanrnurenral $ X$2,500 BI/PD Ded/Occ I n eo exP (nnv one oerson) S 5,OOOI I PERSONAL&ADVINJURV $ OOO OOOI GEN'L AGGREGATE LIMIT APPLIES PER' GENERAI AGGREGATE $ Z,OOO,OOO POLICY JECT LOC I PROOUCTS-COMPIOPAGG $ Z OOO OOOI OTHER; $ B AUTOM081LE LIA9ILITY COMBMED SINGLE LIMIT 'I,OOO,OOOIIFaacndenl $ nNvnuro X X BCA0004933-01 3I15/2021 3/15/2022 I goo v NduRv(Peroerson7 8 I OWNED SCHEOULED AUTOSONLY AUTOS I BO ILVINJURV/!Peracciden0 $ I X HIRED X NON-OWNE PROPERTVOAMAGE AUTOS ONLV AUTOS ONLY fPer accitlentl $ X`$500 Comp Detl X 550 Coll Detl I G A UMBRELLA LIAB I X I OCCUR X EXCE55 LIAB I CLAIMS-MADE I DE I% I RETENTION$ below Y/N NIA EXA119550602 X CST5020730 3I15/2021 3/15/2022 EACHOCCURRENCE 5,000,000 S,OOO,OOOI 1,000,OOOI 1,000,000 r 0 00 REVISION NUMBER: AGGREGATE $ Over GLIAL/EL $ X I STATl1TF I I F RH i/i/YOYi i i YOYP I ELEACHACCIDENT ELOISEASE-EAEMPLOYEE $ ELOISEASE-POLICVLIMIT $ OESCRIPTION OF OPERATIONS I LOCATIONS NEHICLE$ (ACORO 101, Atltlitional Remarks ScM1etlule, may be a tacM1etl If more space is requiretl) Re: Project #758-14, Contract MC37040A, Presideofs Plaza Parking Lot Improvements Con[ractor and Ci[y of Palm Desert, including tis officers, officials employees and agen[s are additional insureds, primary and non-con[ribu[ory, waiver of subrogation as respects to general liability per endorsements attached; additional insureds, waiver of subrogation as respects to auto liability per endorsement a[tached; waiver of subrogation as respects to workers' compensation per endorsement. CERTIFICATE HOLDER City of Palm Desert 73-510 Fred Waring Drive Palm Desert, CA 92660-2578 CANCELLATION SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZE REPRESENTATIVE P . ACORD 25 (2016/03) OO '1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 04 03 06 ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA 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 yo to obtain this agreement from us.) You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 2_0 % of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Orqanization Job Descri tion Any person or organization as required by written contract 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 Date: 1/1/2021 Policy No. CST5020730 Endorsement No. Policy Effective Dates: 01/01/2021 - 01/01/2022 Premium $ Insured: Carrier Name / Code: Benchmark Insurance CompanyA W C 04 03 06 P Ed. 4-84) Countersigned by Page 1 of 1 POLICY NLJMBER: BCA0004933-01 COMMERCIAL AUTO AH CA 85 90 09 17 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CHANGES IN COMMERCIAL AUTO COVERAGE FORM This endorsement modifies insurance pro ded under the following: BUSINESS AUTO COVERAGE FORM A. BROADENED WHO IS AN INSURED Paragraph A.1. Who Is an Insured of SECTION II LIABILITY COVERAGE is amended to include the following: d. Any "employee" of yours is an "insured" while using a co,ered "auto" you don't own, hire or borrow in your business or your personal affairs. e. Any "employee" of yours is an "insured" while using an "auto" hired or rented under a contract or agreement in that "employ- ee's" name, with your permission, while performing duties related to the conduct of yourbusiness. f. Each person or Organization to whom you are required by a written contract or agreement to pro de additional insured status is an "insured" under Liability Cov- erage, but only to the extent that person or organization qualifes as an "insured" un- der the Who is an Insured Provision con- tained in Section II of the co 2rage form. The written contract or agreement must be in effect during the policy period shown in the Declarations and must ha 2 been exe- cuted prior to the "bodily injury" or "proper- ty damage." B. LIABILITY COVERAGE EXTENSIONS SUPPLE- MENTARY PAYMENTS Paragraphs A.2.a. (2) and A.2.a. (4) Coverage Extensions — Supplementary Payments of SECTION II — LIABILITY COVERAGE are deleted and replaced with the following: 2) Up to $5,000 for the cost of bail bonds including bonds for related traffic law violations) required because of an "ac- cidenY' 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. C. FELLOW EMPLOYEE COVERAGE Paragraph B.S. Fellow Employee Exclusion con- tained in SECTION II — LIABILITY COVERAGE does not apply if the "bodily injury" results from the use of a co,ered "auto" you own or hire that is not a bus, motorcycle or van used to transport em- ployees. This Fellow Employee Co rage is excess o,er any other collectible insurance. D. POLLUTION LIABILITY — BROADENED COV- ERAGE FOR COVERED AUTOS 1. Liability Coverage is changed as follows: a. Paragraph B.11.a. of the Pollution Exclu- sion in SECTION II — LIABILITY COV- ERAGE applies only to liability assumed under a contract or agreement. b. With respect to the co erage afforded by Paragraph 1.a. Above, Exclusion B.6. Care, Custody or Control of SECTION II LIABILITY does not apply. 2. Changes in Definitions For the purposes of this endorsement, Para- graph D. of SECTION V— DEFINITIONS is replaced by the following: D. "Co red pollution cost or expense" means any cost or expense arising out of: 1. Any request, demand, order or statuto- ry or regulatory requirement that any insured" or others test for, monitor, clean up, remo, contain, treat, de- toxiiy or neutralize, or in any way re- spond to, or assess the effects of "pol- lutants": or Includes copyrighted material of Insurance Sen,ices Offce, Inc., AH CA 85 90 09 17 with its permission. Page 1 of 6 2. Any claim or "suiY' by or on behalf of a go rnmental authority for damages be- cause of testing for, monitoring, cleaning up, removing, containing, treating, detoxiTy- ing or neutralizing, or in any way respond- ing to or assessing the effects of "pollu- tants". Co,ered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dis- persal, seepage, migration, release or escape of "pollutants": a. Before the "pollutants" or any property in which the "pollutants" are contained are mo ed from the place where they are accepted by the "insured" for mo,ement into or onto the co red auto"; or b. After the "pollutants" or any property in which the "pollutants" are contained are mo,ed from the co red "auto" to the place where they are finally deliv- ered, disposed of or abandoned by the insured". Paragraphs a. and b. abo do not apply to "accidents" that occur away from prem- ises owned by or rented to an "insured" with respect to "pollutants" not in or upon a co red "auto" if: 1) The "pollutants" or any property in which the "pollutants" are con- tained are upset, oeerturned or damaged as a result of the maintenance or use of a co red auto' ; and 2) The discharge, dispersal, seep- age, migration, release or escape of the "pollutants" is caused di- rectly by such upset, o erturn or damage. This Pollution Liability Co rage is subject to an Annual Aggregate Limit of Liability of $100,000. E. NEWLY ACQUIRED OR FORMED ORGANIZATI ONS Throughout this policy, the words you and your al- so refer to any organization you newly acquire or form, other than a partnership, joint nWre or lim- ited liability company, and oeer which you maintain ownership or majority interest, but only if there is no similar insurance available to that organization. Howe,er: 2. Unless you notify us to add co rage to your policy, the co rage under this pro sion is af- forded only until: a. The 120th day after you acquire or form the organization, or b. The end of the policy period, whiche,er is earlier. f i U7 j[Y 9I[7 Paragraph A.2. Towing of SECTION III — PHYS- ICAL DAMAGE COVERAGE is deleted and re- placed with the following: We will pay for towing and labor costs each time a co red "auto" is disabled. All labor must be per- formed at the place of disablement. If the "auto" is of the private passenger type, there will be no de- ductible. If the "auto" is other than a pri rate pas- senger type, a$100 deductible will apply. The most we will pay under this EXTENDED TOW- ING co erage is $750 per occurrence. G. PHYSICAL DAMAGE COVERAGE EXTENSIONS Paragraph A.4. — Coverage Extensions of SEC- TION III — PHYSICAL DAMAGE COVERAGE is amended as follows: a. Transportation Expenses The amount we will pay for temporary transportation expense is increased to $50 per day to a maximum of $3,000. b. Loss of Use Expenses The amount we will pay for loss of use is increased to $75 per day and to a maxi- mum limit of $1,000. H. RENTAL REIMBURSEMENT 1. This co erage applies only to a co red "auto" described or designated in the Schedule or in the Declarations as carrying physical damage co rage. 2. We will pay for rental reimbursement expenses incurred by you for the rental of an "auto" be- cause of "loss" to a co red "auto". Payment applies in addition to the othervvise applicable amount of co erage you ha on each co red auto". 3. We will pay only for those expenses incurred during the policy period beginning 24 hours af- ter the "loss" and ending, regardless of the pol- icy's expiration, with the lesser of the following number of days: 1. The co rage does not apply to an "accidenY' which occurred before you acquired or formed the organization. Includes copyrighted material of Insurance Sen,ices Offce, Inc., Page 2 of 6 with its permission. AH CA 85 90 09 17 a. The number of days reasonably required to repair or replace the co ered "auto". If loss" is caused by theft, this number of days is added to the number of days it takes to locate the coeered "auto" and re- turn it to you; or b. 30 days. 4. Our payment is limited to the lesser of the fol- lowing amounts: a. Necessary and actual expenses incurred; or b. $50 per day 5. This co,erage does not apply while there are spare or resen2 "autos" available to you for your operations. 6. If "loss" results from the total theft of a co 2red auto" of the private passenger type, we will pay under this co,erage only that amount of your rental reimbursement expenses which is not already pro ided for under the paragraph A.4. Coverage Extensions in SECTION III — PHYSICAL DAMAGE COVERAGE. No Deductible applies to this coeerage. I. AIRBAG COVERAGE Exclusion B.3. in SECTION III — PHYSICAL DAMAGE COVERAGE is amended to add: This exclusion does not apply to the accidental discharge of an airbag. J. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT 1. Coverage a. We will pay with respect to a co red "au- to" described in the Schedule for "loss" to any electronic equipment that recei s or transmits audio, tisual or data signals and that is not designed solely for the repro- duction of sound. This co rage applies only if the equipment is permanently in- stalled in the co,ered "auto" at the time of the "loss" or the equipment is removable from a housing unit which is permanently installed in the co red "auto" at the time of the "loss", and such equipment is de- signed to be solely operated by use of the power from the "auto's" electrical system, in or upon the co red "auto". b. We will pay with respect to a covered "au- to" described in the Schedule for "loss" to any accessories used with the electronic equipment described in Paragraph 1.a. abo. Howe,er, this does not include tapes, records or discs. 2. Exclusions The exclusions that apply to SECTION III — PHYSICAL DAMAGE, except for the exclusion relating to Audio, Visual and Data Electronic Equipment, also apply to co,erage pro ided by this endorsement. In addition, the following ex- clusions apply: We will not pay, under this endorsement, for either any electronic equipment or accessories used with such electronic equipment that is: a. Necessary for the normal operation of the co red "auto" or the monitoring of the co ered "auto's" operating system; or b. Bath: 1). An integral part of the same unit hous- ing any sound reproducing equipment designed solely for the reproduction of sound if the sound reproducing equip- ment is permanently installed in the co,ered "auto": and 2). Permanently installed in the opening of the dash or console normally used by the manufacturer for the installation of a radio. 3. Limit Of Insurance With respect to co rage under this endorse- ment, the Limit Of Insurance provision of SECTION III — PHYSICAL DAMAGE COV- ERAGE is replaced by the following: a. The most we will pay for all "loss" to audio, visual or data electronic equipment and any accessories used with this equipment as a result of any one "accident" is the lesser of: 1). The actual cash value of the damaged or stolen property as of the time of the loss"; 2). The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality; or 3). $1,500. b. An adjustment for depreciation and physi- cal condition will be made in determining actual cash value at the time of the "loss". c. If a repair or replacement results in better than like kind or quality, we will not pay for the amount of betterment. 4. Deductible No deductible applies to this co 2rage. The insurance pro ided by this extension is excess o r any other collectible insurance. Includes copyrighted material of Insurance Sen,ices Offce, Inc., AH CA 85 90 09 17 with its permission. Page 3 of 6 K. TAPES, RECORDS AND DISCS COVERAGE Exclusion B.4.a. of SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: a. Tapes, records, discs or other similar au- dio, visual or data electronic devices de- signed for use with audio, visual or data electronic equipment except when the tapes, records, discs or other similar au- dio, sual or data electronic devices: 1) Are your property or that of a family member, and 2) Are in a co,ered "auto" at the time of loss". a). The most we will pay for "loss" is 200. No Physical Damage Cov- erage deductible applies to this co rage. This extension provides co rage only to a coeered auto". L. PHYSICAL DAMAGE DEDUCTIBLE — SINGLE DEDUCTIBLE AND GLASS REPAIR Paragraph D. Deductible in SECTION III — PHYSICAL DAMAGE COVERAGE is deleted and replaced by the following: D. Deductible For each co red "auto," our obligation to pay for, repair, return or replace damaged or stolen property will be reduced by the applicable de- ductible shown in the Declarations. Any Com- prehensi Co rage deductible shown in the Declarations does not apply to "loss" caused by fre or lightning. When two or more co red "autos" sustain loss" in the same occurrence, the total of all the "loss" for all the inwl d co red "autos" will be reduced by a single deductible, which will be the largest of all the deductibles apply- ing to all such co 2red "autos." No deductible applies to glass damage if the glass is repaired rather than replaced. M. PERSONAL EFFECTS COVERAGE 1. If you purchase Comprehensi e Coverage on this policy for a stolen owned "auto", we will pay up to $600 for "personal effects" stolen with the "auto". 2. "Personal effects" as used in this extension means tangible property that is worn or carried by the "insured". "Personal effects" does not include tools, jewelry, money, securities, radar or laser detectors, or tapes, records, discs or similar audio, visual or data electronic equip- ment. No Deductible applies to this extension. The insurance provided by this extension is excess o r any other collectible insurance. N. LOAN/LEASE PAYOFF COVERAGE The SECTION III — PHYSICAL DAMAGE COV- ERAGE is amended by the addition of the follow- ing: In the event of a total "loss" to a covered "auto" shown in the Declarations, we will pay any unpaid amount due on the lease or loan for a co red "au- to", less: 1. The amount paid under the Physical Damage Coeerage Section of the policy; and 2. Any: a. O rdue lease/loan payments at the time of the "loss" b. Financial penalties imposed under a lease for excessi e use, abnormal wear and tear or high mileage. c. Security deposits not returned by the les- sor; d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-o r balances from previous loans or leases. O. CUSTOM SIGNS AND DECORATIONS In the e 2nt of a total loss to a ehicle insured for auto physical damage co rage on this policy, in addition to the ACV of the hicle, we will pay the actual cost to repair or replace signage or custom paint details up to $5,000. P. HIRED AUTO PHYSICAL DAMAGE If hired "autos" are covered "autos" for Liability Co erage and if Physical Damage Co.erage of Comprehensiee, Specified Causes of Loss, or Col- lision are pro ded under this Co rage Form for any "auto" you own, then the Physical Damage Co erage's provided are extended to "autos" you hire of like kind and use subject to the following limit: The most we will pay for any one loss is the lesser of the following: 1. $50,OOOperaccident, Includes copyrighted material of Insurance Sen,ices Offce, Inc., Page 4 of 6 with its permission. AH CA 85 90 09 17 2. Actual Cash Value, or 3. The cost of repair. The deductible will be equal to the largest deducti- ble applicable to any owned "auto" for that co er- age. No deductible applies to "loss" caused by fre or lightning. This Hired Auto Physical Damage cov- erage is excess o r any other collectible insur- ance. Subject to the above limit, deductible and excess provisions, we will provide co rage equal to the broadest coeerage applicable to any co red auto" you own. Q. DUTIES IN EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Subparagraphs A.2.a. of SECTION IV — BUSI- NESS AUTO CONDITIONS is deleted and re- placed by: a. In the e 2nt of "accidenY', claim, "suiY' or loss", you, your insurance manager or any other person you designate must gi,e us or our authorized representati prompt notice of such "accidenY' or "loss". Include: 1) How, when and where the "accident" or loss" occurred; 2) The "insured's" name and address; and 3) To the extent possible, the names and ad- dresses of any injured persons and wit- nesses. Knowledge of an "accident" or "loss" by your agent, servant or "employee" shall not be consid- ered knowledge by you unless you, your insurance manager or any other person you designate has recei d notice of the "accidenY' or "loss" from your agent, servant, or "employee." R. WAIVER OF SUBROGATION SECTION IV — BUSINESS AUTO CONDI- TIONS— A. 5. Transfer of Rights of Recovery Against Othersto Us is amended as follows: This condition does not apply to any person or or- ganization to which you wai.ed this condition by written contract or agreement, but only to the ex- tent that subrogation is wai d prior to the "acci- denY' or "loss" under a contract with that person or organization. S. UNINTENTIONAL FAILURE TO DISCLOSE HAZ- ARDS Paragraph B.2. Concealment, Misrepresentation Or Fraud in SECTION IV — BUSINESS AUTO CONDITIONS is amended by adding the following: Any unintentional failure to disclose all exposures or hazards existing as ofthe effecti e date ofthe Business Auto Co 2rage Form or at any time dur- ing the policy period will not invalidate or ad rsely affect the co rage for such exposure or hazard. Howe r, you must report the undisclosed expo- sure or hazard to us as soon as reasonably possi- ble after its disco ry. T. EXTENDED EMPLOYEE HIRED AUTO PHYSICAL DAMAGE Paragraph B.5.b. Other Insurance of SECTION IV BUSINESS AUTO CONDITIONS is deleted and replaced by the following: b. For Hired Auto Physical Damage Co,er- age, the following are deemed to be cov- ered "autos" you own: 1. Any co red "auto" you lease, hire, rent or borrow: and 2. Any coeered "auto" hired or rented by your "employee" under a contract in that individual "employee's" name, with your perrnission, while performing du- ties related to the conduct of your business. Howe r, any "auto" that is leased, hired, rented or borrowed with a dri 2r is not a co.ered "auto". U. POLICY PERIOD, COVERAGE TERRITORY Paragraph B.7. Policy Period, Coverage Territo- ry of SECTION IV — BUSINESS AUTO CONDI- TIONS is deleted and replaced by: 7. Policy Period, Coverage Territory Under this Coverage Form, we co r "acci- dents" and "losses" occurring: a. During the policy period shown in the Dec- larations; and b. Within the co rage territory. The co 2rage territory is: a. The United States of America; b. The territories and possessions of the United States of America; c. Puerto Rico; d. Canada; and e. Anywhere in the world if: 1) A co red "auto" is leased, hired, rented or borrowed for a period of 30 days or less; and Includes copyrighted material of Insurance Sen,ices Offce, Inc., AH CA 85 90 09 17 with its permission. Page 5 of 6 2) The "insured's" responsibility to pay damages is determined in a"suit" on the merits, in the United States of America, the territories and posses- sions of the United States of America, Puerto Rico, or Canada or in a settle- ment we agree to. We also co er "loss" to, or "accidents" inwlving, a co red "auto" while being transported between any of these places. V. DEFINITION OF BODILY INJURY AMENDED Paragraph C. of SECTION V— DEFINITIONS is amended to include: Bodily Injury" includes mental anguish or other mental injury resulting from "bodily injury." Howev- er, no co rage is provided for mental anguish or mental injury absent physical injury. None of the extensions provided under this co er- age endorsement apply if co,erage is more specif- cally identifed elsewhere in the policy or endorse- ments, for which a premium charge is made or a higher limit is identifed. Under no circumstances is any limit provided under this extension to be com- bined with a limit provided elsewhere in the policy or endorsements. Includes copyrighted material of Insurance Sen,ices Offce, Inc., Page 6 of 6 with its permission. AH CA 85 90 09 17 POLICY NUMBER: AE5119416001 COMMERCIAL GENERAL LIABILITY CG 20 33 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - AUTOMATIC STATUS WHEN REQUIRED IN CONSTRUCTION AGREEMENT WITH YOU This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART A. Section II — Who Is An Insured is amended to include as an additional insured any person or or- ganization for whom you are pertorming opera- tions when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy. Such person or organization is an additional insured only with re- spect to liability for "bodily injury", "property dam- age" or "personal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured. A person's or organization's status as an addition- al insured under this endorsement ends when your operations for that additional insured are completed. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to: 1. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the ren- dering of, or the failure to render, any profes- sional architectural, engineering or surveying services, including: a. The preparing, approving, or failing to pre- pare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica- tions; or b. Supervisory, inspection, architectural or engineering activities. 2. "Bodily injury" or "property damage" occurring after: a. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than ser- vice, maintenance or repairs) to be per- formed by or on behalf of the additional in- sured(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 subcon- tractor engaged in performing operations for a principal as a part of the same project. CG 20 33 07 04 OO ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: AES119416001 COMMERCIAL GENERAL LIABILITY CG 20 37 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): All persons or organizations where written contract with the Named insured requires completed Operations coverage. This form does not apply to your work on "residential property" Location And Description Of Completed Opera- tions Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard". CG 20 37 07 04 O ISO Properties, Inc., 2004 Page 1 of 1 POLICY NUMBER: AES119416001 COMMERCIAL GENERAL LIABILITY NX GL 009 08 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PRIMARY AND NON-CONTRIBUTING INSURANCE THIRD-PARTY) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Third Party: All persons or organizations where required by written contract with the Named Insured Absence of a specifically named Third Party above means that the provisions of this endorsement apply as required by written contractual agreement with any Third Party for whom you are performing work.) Paragraph 4. of SECTION IV: COMMERCIAL GENERAL LIABILITY CONDITIONS is replaced by the following: 4. Other Insurance: With respect to the Third Party shown above, this insurance is primary and non-contributing. Any and all other valid and collectable insurance available to such Third Party in respect of work performed by you under written contractual agreements with said Third Party for loss covered by this policy, shall in no instance be considered as primary, co-insurance, or contributing insurance. Rather, any such other insurance shall be considered excess over and above the insurance provided by this policy. NX GL 009 08 09 Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc., with its permission POLICY NUMBER: AES119416001 COMMERCIAL GENERAL LIABILITY CG 24 04 OS 09 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: All persons or organizations where required by written contract with the Named Insured Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV — Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or your work" done under a contract with that person or organization and included in the "products- completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 05 09 OO Insurance Services Office, Inc., 2008 Page 1 of 1