Loading...
Accurate Machine & Tool A2016-117 A2016-117 Services Agreement Below you will find a checklist relating to Insurance and other requirements that are required for doing business with the City of Chino Hills, Only those items checked-off are MANDATORY, however if your standard policies exceed the minimum requirements please include. Commercial general liability insurance must meet or exceed the requirements of ISO-CGL Form No.CG 00 01 1185 or 88. The amount of insurance set forth below will be a combined single limit per occurrence for bodily injury,personal injury,and property damage for the policy coverage. Liability policies will be endorsed to name the City,its officials,and employees as "additional insured's"under said insurance coverage and to state that such insurance will be deemed"primary"such that any other insurance that may be carried by the City will be excess thereto. Workers'Compensation policies shall waive all rights of subrogation against City,its officers,officials,employees and agents for losses arising from work performed by Consultant for City. Such insurance must be on an"occurrence,"not a'"claims made,"basis and will not be cancelable or subject to reduction except upon thirty(30)days prior written notice to the City. Please find additional Terms and Conditions on the reverse side of this Services Agreement. This is not a Contract order or an authorization to begin work, ® Comprehensive General Liability, including coverage for premises, products and completed operations, independent contractors, personal injury and contractual obligations with combined single limits of coverage of at least $1,000,000 per occurrence. The City of Chino Hills is to be listed as an additionally insured party. ® Auto Liability, including owned, non-owned and hired vehicles with at least: ►1 $1,000,000 per occurrence. ❑ $100.000-300,000 per occurrence. ❑ As required by State Statutes. A copy of your current policy must be submitted naming yourself and or your company. ® Workers' Compensation Insurance:as required by State Statutes including Waiver of Subrogation. (Not needed if Self-employed with no employees and CONTRACTOR signs statement to this effect,) ® Business License: The SERVICE PROVIDER shall agree to have a current City of Chino Hills license on file at City Hall or purchase said license(at no cost to the City), ® Scone of Services and/or Compensation Attachments ® Total Annual Compensation Not-to-Exceed: $15.000.00 ® Total Contract Compensation Not-to-Exceed: ® Expiration Date: June 30. 2017 PLEASE NOTE: ALL APPLICABLE INFORMATION LISTED ABOVE MUST BE OBTAINED AND ON FILE, PRIOR TO THE ISSUANCE OF A CITY CONTRACT BEING SENT TO YOU(VIA FAX OR HARD COPY)BY THE CONTRACT COMPLIANCE OFFICER,THUS AUTHORIZING COMMENCEMENT OF WORK FOR THE CITY. Company Name: By(Print name&title): Accurate Machine&Tool Terry Fore Company Street Address: City,State,Zip: 1561 Commerce St. I Corona,CA 92880 Phone: I E-Mail Address: 951-249-1008 I tfc amt-inc.com Mail two copies of the original agreement along with proof of insurance to:City of Chino Hills—City Clerk,14000 City Center Drive,Chino Hills,CA 91709 Originator/Department Contact: Deborah Hill Date initiated: 4/12/16 Vendor's Authorized Signature: %T 7Z 7' SeC-" Date signed: S,2 1& v Risk Management Approval: / rY„ �, i 0 Date Approved: /l4 /,�0 .-�A Department Director/City Manager Appr6val ` - �r Date Approved: 11041/,E 7 / 1.GENERALLY. The services ( °Contract") covered by this should any claim be brought against it by suit or otherwise, services agreement must be furnished by Contractor subject to all whether the same be groundless or not, arising out of the the terms and conditions contained in this contract which Contract or their performance, Contractor will defend City (at Contractor, in accepting this contract, agrees to be bound by and City's request and with counsel satisfactory to City) and indemnify comply with in all particulars. No other terms or conditions are City for any judgment rendered against it or any sums paid out in binding upon the parties unless subsequently agreed to in writing. settlement or otherwise. For purposes of this section "City" Written acceptance of all or any portion of the Contract covered includes City's officers, elected officials, and employees. It is by this contract constitutes unquaiified acceptance of ail terms expressly understood and agreed that the foregoing provisions and conditions in this contract. The terms of any proposal will survive termination of this contract. The requirements as to referred to in this contract are included and made a part of the the types and limits of insurance coverage to be maintained by contract only to the extent it specified the Contract, the price, and Contractor, and any approval of such insurance by City, are not the delivery, and then only to the extent that such terms are intended to and will not in any manner limit or qualify the liabilities consistent with the terms and conditions of this contract. and obligations otherwise assumed by Contractor pursuant to this 2.CHANGES. City may make changes within the general scope contract, including, without limitation, to the provisions concerning of this contract by giving notice to Contractor and subsequently indemnification. confirming such changes in writing. If such changes affect the B,WARRANTY. Contractor agrees that the Contract is covered by cost of or the time required for performance of this contract, an the most favorable commercial warranties the Contractor gives to equitable adjustment in the price or delivery or both must be any customer for the same or substantially similar services, or made. No change by Contractor is allowed without City's written such other more favorable warranties as is specified in this approval. Any claim by Contractor for an adjustment under this contract. Warranties will be effective notwithstanding any section must be made in writing within thirty (30) days from the inspection or acceptance of the Contract by City. date of receipt by Contractor of notification of such change unless 9.ASSIGNMENT. City may assign this contract. Except as to any City waives this condition in writing. Nothing in this section payment due under this contract, Contractor may not assign or excuses Contractor from proceeding with performance of the subcontract the contract without City's written approval. Should contract as changed. City give consent, it will not relieve Contractor from any 3. TERMINATION. This agreement will terminate on the date obligations under this contract and any transferee or noted unless extended in advance and in writing by the City subcontractor will be considered Contractor's agent. Manager or Department Director, as applicable. City or 10.INSURANCE. Contractor must provide the insurance Contractor may terminate this contract at any time, either verbally indicated on the face sheet of this Services Agreement. or in writing,with or without cause. Should termination occur, City 11.PERMITS. Contractor must procure all necessary permits and will pay Contractor as full performance until such termination the licenses, and abide by all federal, state, and local laws, for unit or pro rata contract price for the performed and accepted performing this contract. portion of the Contract. City may provide written notice of 12.INDEPENDENT CONTRACTOR. City and Contractor agree termination for Contractor's default if Contractor refuses or fails to that Contractor will act as an independent contractor and will have comply with this contract. If Contractor does not cure such failure control of all work and the manner in which is it performed. within a reasonable time period, or fails to perform the Contract Contractor will be free to contract for similar service to be within the time specified (or allowed by extension), Contractor will performed for other employers while under contract with City. be liable to City for any excess costs incurred by City. Contractor is not an agent or employee of City and is not entitled 4.TIME EXTENSION. City may extend the lime for completion if, to participate in any pension plan, insurance, bonus or similar in City's sole determination, Contractor was delayed because of benefits City provides for its employees. Any provision in this causes beyond Contractor's control and without Contractor's fault contract that may appear to give City the right to direct Contractor or negligence. In the event delay was caused by City, as to the details of doing the work or to exercise a measure of Contractor's sole remedy is limited to recovering money actually control over the work means that Contractor will follow the and necessarily expended by Contractor because of the delay; direction of the City as to end results of the work only. there is no right to recover anticipated profit. 13.WAIVER. City's review or acceptance of, or payment for,work 5.REMEDIES CUMULATIVE. City's rights and remedies under product prepared by Contractor under this contract will not be this contract are not exclusive and are in addition to any rights construed to operate as a waiver of any rights City may have and remedies provided by law. under this Agreement or of any cause of action arising from 6.PAYMENT. City will pay Contractor after receiving acceptable Contractor's performance. A waiver by City of any breach of any invoices for services rendered and accepted. Drafts will not be term, covenant, or condition contained in this contract will not be honored. deemed to be a waiver of any subsequent breach of the same or 7.INDEMNIFICATION. Contractor agrees to indemnify and hold any other term, covenant, or condition contained in this contract, City harmless from and against any claim, action,damages, costs whether of the same or different character. (including, without limitation, attorney's fees), inyuries, or liability, 14.INTERPRETATION. This Agreement was drafted in,and will arising out of the Contract, or their performance, regardless of be construed in accordance with the laws of the State of City's passive negligence, but excepting such loss or damage California,and exclusive venue for any action involving this which is caused by the sole active negligence or willful agreement will be in San Bernardino County. misconduct of the City. Should City be named in any suit,or Exhibit A Scope of Work Contractor (Company): WIMP ef,O.AmiranY: Accurate Machine &To.ol-__ Description of Service: Maintenance services, parts, and repalr of eauloment No charge for estimates (unless agreed upon In advance. due to a complex piece of eauloment that reauires a labor intense inspection) Dlaanostic services Valve repairs Field retrofits Actuator repair and maintenance Work must be approved in advance Payment term is net 30 from day of invoice receipt after completion of work ® I DATE II,:MI00/YYYY) AC 'CI CERTIFICATE OF LIABILITY INSURANCE 2/18/2016 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 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). PRODUCERCONTACT I , Venture Pacific Insurance Services, Inc. NAME Ellen Okuda_ _._ 27201 Puerta Real Suite#270 PHONE `" `— FAx Mission Viejo, CA 92691 mc,,,NLo_Exn 949.421_3531E4AATrAig�): 949-297-4911 I gpoREAS• eokudeenturepadfidnsurance.com INSURERt$)AFFORDING COVERAGE NA1C R___ www,venturepaeificinsurance.com LIC#0D10299. INSURER A: Ohio Casually insurance Company,- INSURED I INSURER B: American Fire&Casualty Company Accurate Machine& 1561 Commerce Street INSURER C: Ohio SecuNt Insurance Company -_ Corona CA 92880 INSURER D_Slate Compensation Insurance Fund __ INSURER E: I INSURER P: COVERAGES CERTIFICATE NUMBER: 28695863 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. IWSR DD ISUBR P PDLICYEFF POUCYEXP LTR i TYPE OF INSURANCE IINsnlwvn POLICY NUMBER I(MM/OD/YYYYI /MM/DDIYYYYI I LIMITS A s/ COMMERCIAL GENERAL LIABILITY BK055714884 7/11/2015 7/11/2016 . EACH OCCURRENCE I$ 1,000,000 TRE NT III CLAMS-MADE ✓ OCCUR PREMAISES(Ea elartrance $ 500,000 MED EXP(Any one person) $ 15,000 • — -- I PERSONAL&ADV INJURY IS 1,000,000 OEN'LAGGREGATELIMITAPPLIE�SPER I GENERAL AGGREGATE I$ 2,000,0001 POLICY LI PRO- - i 1 LOC I PRODUCTS•COMP/OP AGG I S 2,000,000 _—OTHER: I I$ C AUTOMOBILE LIABILITY BAW55714884 8/15/2015 8/15/2016 IlEoya�a�NEoso+cLE LIMIT Is 1,000,000 ANY AUTO i BODILY INJURY(Per person) I$ ALLOWNED ` SCHEDULED BODILY INJURY(Per atddenhi$ AUTOS — NO�ALVNED [BODILY DAMAGE I$ HIRED AUTOS ✓. AUTOS I icier accidenli I$ B ,_ ; .UMBRELLA MAD ✓ OCCUR USA55714884 7/11/2015 7/11/2016 I EACHOCCURREN'CE i s 5,00000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,00D000 DEO I ✓I RETENTIDN$lO,ODO Prod Comp Ops Agg s 5,000,000 D WORKERS COMPENSATION 907013815 . 8/29/2015. 8/29/2016 I ✓ I°STATUTE i 1011 _i AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YtN I E L.EACH ACCIDENT I$ 1,000,000 OFFCERRAEMBER EXCLUDED? I Y I NIA IMandate/1Yln NN) I EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes.dasedbe under DESCRIPTION OF OPERATIONS oelow EL.DISEASE-POLICY LEW $ 1,000,000 e DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES WORD 101.Additional Remarks Schedule,may be attached If mere space Is required) Re:Service Agreement The City,its officials,and employees as additional Insureds under said Insurance coverage and tO state that such insurance will be deemed primary such that any other insurance that may be carried by the City will be excess thereto. Workers Compensation shall waive all rights of subrogation against City,Its officers,officials,employees and agents for work performed. WC waiver attached 30 Days Notice of Cancellation except 10 days for non payment of premium. • CERTIFICATE HOLDER CANCELLATION Cityof Ctl(n0 Kitts SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City Clerk ACCORDANCE WITH THE POLICY PROVISIONS. Cheryl Yeamans 14000 City Center Drive Chino Hills CA 91709 AUTHORIZED REPRESENTATIVE /f yg I James Barton 1 ©1988.2014 ACORD CORPORATION, All rights reserved. i„ ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t 28616863 2016-2o16 OL,UHB e AUTO PC I sen oksde I x/38/2916 9,48:99 AM IPstl I rage T of 2? r" TATs ceztificate cancels and supersedes ALL paevtcusly Issued certificates. BK055714884 Accurate Machine&Tool COMMERCIAL GENERAL LIABILITY CG 88 62 0413 THIS ENDORSEMENT CHANGES THE POLICY, PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - BLANKET VENDORS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART A. Section II-Who Is An Insured is amended to include as an additional insured any person(s)or organization(s) (referred to throughout this endorsement as vendor)whom you have agreed to add as an additional insured in a written contract or written agreement,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: 1. The insurance afforded to such additional insured only applies to the extent permitted by law;and 2. If coverage provided to the additional insured is required by a contract or agreement,the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B: With respect to the insurance afforded to these vendors, the following exclusions apply: 1. The Insurance afforded the vendor does not apply to: a: "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. b. Any express warranty unauthorized by you; c. Any physical or chemical change In the product made intentionally by the 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 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; f. Demonstration,installation, servicing or repair operations,except such operations performed at the 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 the vendor;or h, "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; (1) The exceptions contained in Subparagraphs d.or f.; or (2) 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, is C. 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. (�J 2013 Liberty Mutual Insurance CG 88 62 0413 includes copyrighted material of insurance Services Office Inc.,with its permission. Page 1 of 1 hisszI zas 22.02$nolo gilts Okuda I iueicaMST) ( aaxs z or 1/ This ceicitiratecancels wdaupexsedes ALL gc4vigsiy issued certificates, i._. Accurate Machine&Tool 2/18/2016 BAW55714884 COMMERCIAL AUTO CA 88 10 01 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO COVERAGE ENHANCEMENT ENDORSEMENT This endorsement modifies Insurance provided under the following: 1 BUSINESS AUTO COVERAGE FORM With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement, COVERAGE INDEX SUBJECT. PROVISION NUMBER ADDITIONAL INSURED BY CONTRACT,AGREEMENT OR PERMIT 3 1 ACCIDENTAL AIRBAG DEPLOYMENT 12 AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS 19 AMENDED FELLOW EMPLOYEE EXCLUSION 5 AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE 13 BROAD FORM INSURED 1 BODILY INJURY REDEFINED 22 EMPLOYEES AS INSUREDS (including employee hired auto) 2 EXTENDED CANCELLATION CONDITION 23 EXTRA EXPENSE-BROADENED COVERAGE 10 GLASS REPAIR-WAIVER OF DEDUCTIBLE 15 HIRED AUTO PHYSICAL DAMAGE (including employee hired auto and loss of use) 6 HIRED AUTO COVERAGE TERRITORY 20 LOAN /LEASE GAP 14 PARKED AUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE) 16 PERSONAL EFFECTSCOVERAGE 11 PHYSICAL DAMAGE ADDITIONAL TRANSPORTATION EXPENSE COVERAGE 8 RENTAL REIMBURSEMENT 9 SUPPLEMENTARY PAYMENTS 4 TOWING AND LABOR 7 TWO OR MORE DEDUCTIBLES 17 UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS 18 WAIVER OF TRANSFER OF RIGHTS OF RECOVERYAGAINST OTHERS TO US 20 SECTION II-LIABILITY COVERAGE is amended as follows: 1. BROAD FORM INSURED C SECTION II-LIABILITY COVERAGE,paragraph A.1. •WHO IS AN INSURED is amended to include the following as an insured: ° is d. Any legally incorporated entity of which yet, own more than 50 percent of the voting stock during the policy period. However, "insured" does not include any organization (hat: (1) Is a partnership or joint venture; or b (2) Is an insured under any other automobile policy, or (3) Has exhausted its Link of Insurance under any other automobile policy. Paragraph d. (2) of this provision does not apply to a policy written to apply specifically in excess of this policy. e. Any organization you newly acquire or form, other than a partnership or 1St venture, of which you own more than 60 percent of the voting stock, This automatic coverage Is afforded only for ', 180 days from the date of acquisition or formation. However, coverage under this provision r does not apply, (1) If there is similar insurance or a self-Insuredretention plan availableto that.organization; 4. C. © 2013 Liberty Mutual Insurance CA$$ 10 01 13. Includes copyrighted material of Insurance Services Office,Ines,with its.permission. Patti' t If 7 This�osrtsflclta cancels4ands persede' ALL prevtaasl]'2 issued!con .Cafes,{PST) I pogo 3 of 37 (2) If the Limits of Insurance of any otherinsurance policy have been exhausted; or (3) To "bodily Injury" or"property damage' that occurred before you acquired or formed the organization. 2. EMPLOYEES AS INSUREDS SECTION II -LIABILITY COVERAGE,paragraph Al. -WHO IS AN INSURED Is amended to Include the following as an insured: f. Any "employee' of yours while using a covered "auto" you do not own, hire or borrow, but only for acts within the scope of their employment by you. Insurance provided by this endorse- meet is excess over any other insurance available to any"employee". g. An "employee" of yours while operating an "auto" hired or borrowed under a written contract or agreement in that "employee's° name, with your permission, while performing duties re- lated to the conduct of your business and within the scope of their employment. insurance �$ provided by this endorsement is excess over any other insurance available to the "employee". 3. ADDITIONAL INSURED BY CONTRACT, AGREEMENT OR PERMIT SECTION !! - LIABILITY COVERAGE,paragraph A.1. WHO IS AN INSURED is amended to Include the following as an insured: h, Any person or organization with respect to the operation, maintenance or use of a covered "auto", provided that you and such person or organization have agreed in a written contract, agreement, or permit Issued to,you by governmental or public authority, to add such person, or organization, or governmental or public authority to this policy as an"insured". However, such person or organization is an'insured": (1) Only with respect to the operation, maintenance or use of a covered °auto"; (2) Only for "bodily Injury" or "property damage" caused by an "accident" which takes E place alter you executed the written contract or agreement, or the permit has been Issued to you; and (3) Only for the duration of that contrast, agreement or permit 4, SUPPLEMENTARY PAYMENTS SECTION II - LIABILITY COVERAGE, Coverage Extensions, 2,a. Supplementary Payments, para- graphs (2)and (4)are replaced by the following: (2) Up to $3,000 for cost of ball bonds (including bonds for related traffic 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 earn- ings up to$500 a day because of time off from work. r 6. AMENDED FELLOW EMPLOYEE EXCLUSION In those jurisdictions where, by law, fellow employees are not entitled to the protection afforded to the employer by the workers compensation exclusivity rule, or similar protection, the following provision is added: SECTION II - LIABILITY, exclusion B.6. FELLOW EMPLOYEE does not apply if the "bodily Injury' - results from the use of a covered "auto" you own or hire. SECTION III "PHYSICAL DAMAGE COVERAGE is amended as follows: 6. HIRED AUTO PHYSICAL DAMAGE Paragraph A:4. Coverage Extensions of SECTION III -PHYSICAL DAMAGE COVERAGE,Is amended by adding the following: If hired "autos" are covered "autos" for Liability Coverage, and if Comprehensive, Specified Causes of Loss or Collision coverage are provided under the Business Auto. Coverage Form for any if "auto" you own, then the Physical Damage coverages provided are extended to"autos": a You hire, rent or borrow; or 2013 Liberty Mutual Insurance CA 88 10 01 13 Includes copyrighted material.or Insurance Services Office,Inc.,with its permission. Pr@n? Cr' }}ft 2“15863 t 201S-2916 OL,MT AUTO he I EliOn Okuda 12/1s/2616 9,99 49 1"M t9 T) I Paga s o. 17 chis cocetttcatt cEn:ela a d anvatsedes ALL 91evia'uly issuei cartat.rcate". } b. Your "employee" hires or rents under a written contract or agreement in that "employee's" name, but only If the damage occurs while the vehicle is being used in the conduct of your business, subject to the following limit and deductible: A. The most we will pay for 'loss" in any one"accident" or loss" is the smallest of: (1) $50,000; or (2) The actual cash value of the damaged or stolen property as of the time of the"loss" or (3) The cost of repairing or replacing the damaged or stolen property with other property of like kind and quality, minus a deductible. B. The deductible will be equal to the largest deductible applicable to any owned "auto" for that coverage. C. Subject to the limit, deductible and excess provisions described in this provision, we will provide coverage equal to the broadest coverage applicable to any covered "auto" you own. D, Subject to a maximum of$1,000 per"accident", we will also cover the actual loss of use of the hired "auto" if it results from an "accident", you are legally liable and the lessor incurs an actual financial toss. E. This coverage extensiondoes not apply to: (1) Any "auto" that Is hired, rented or borrowed with a driver; or (2) Any "auto' that is hired, rented or borrowed from your "employee". For the purposes of this provision, SECTION V- DEFINITIONS is amended by adding the following: "Total loss" means a"loss' in which the cost of repairs plus the salvage value exceeds the actual cash value. 7, TOWING AND LABOR SECTION III-PHYSICAL DAMAGE COVERAGE,paragraph A.2. Towing, is amended by the addition of the following: We will pay towing and labor costs incurred, up to the limits shown below, each time a covered "auto" classified and rated as a private passenger type, "light truck" or "medium truck" is dis- abted: a. For private passenger type vehicles, we will pay up to$50 per disablement, b. For "light trucks", we will pay up to $50 per disablement. "Light trucks" ate trucks that have a gross vehicle weight (GM)of 10,000 pounds or less. c For "medium trucks" ,we will pay up to$150 per disablement 'Medium trucks" are trucks that have a gross vehicle weight (GVW)of 10,001 -20,000 pounds, However, the labor must be performed at the place of disablement 8,. PHYSICAL DAMAGE -ADDITIONAL TRANSPORTATION. EXPENSE COVERAGE Paragraph 4.4.a., Coverage Extension of SECTION OI -PHYSICAL DAMAGE COVERAGE,is amend- ed to provide a limit of$50 per day and a maximum limit of$1,500 2ot31,iberty Mutual Insurance CA 08 1001 13 includes copyrighted material of Insurance Services orrice,Inc.,with its permission, pate 3 of h4lf225caEnctU5pA=afid"t5 ALL n[OdslY "(J2x416 e?cie9 5:. PST) I P95 S of S - y:. 9. RENTAL REIMBURSEMENT SECTION HI-PHYSICAL DAMAGE COVERAGE,A.COVERAGE,is amended by adding the following: a. We will pay up to$75 per day for rental reimbursement expenses Incurred by you for the rental of an "auto" because of "accident" or "loss", to an "auto' for which we also pay a "lose" i under Comprehensive, Specified causes of Loss or Collision Coverages. We will pay only for those expenses Incurred after the first 24 hours following the "accident' or "loss" to the covered "auto." b. Rental Reimbursement will be based on the rental of a comparable vehicle, which in many .war,...—,... cases may be substantially less than $75 per day, and will only be allowed for the period of time it should.take to repair or replace the vehicle with reasonabie speed and similar quality, up mor• to a maximum of 30 days. c. We will also pay up to $500 for reasonable and necessary expenses Incurred by you to remove E and replace your tools and equipment from the covered "auto". d. This coverage does not apply unless you have a business necessity that other "autos" avail- able for your use and operation cannot fill. e. If "loss" results from the total theft of a covered "auto" of the private passenger type, we wig pay under this coverage only that amount of your rental reimbursement expenses which Is not already provided under Paragraph 4.Coverage Extension. f. No deductible applies to this coverage. For the purposes of this endorsement provision, materials and equipment do not include "personal effects" as defined in provision 11. 10. EXTRA EXPENSE BROADENED COVERAGE Under SECTION III•PHYSICAL DAMAGE COVERAGE,A.COVERAGE,we will pay for the expense of returning a stolen covered "auto" to you. The maximum amount we wilt pay is$1,000. '11. PERSONAL EFFECTS COVERAGE A. SECTION IIi - PHYSICAL DAMAGE COVERAGE, A. COVERAGE, is emended by adding the following: If you have purchased Comprehensive Coverage on this policy for an "auto" you own and that "auto" Is stolen, we will pay, without application of a deductible, up to Sono for "personal effects" stolen with the "auto." The Insurance provided under this provision Is excess over any other collectible insurance. B. SECTION V-DEFINITIONS is amended by adding the following: For the purposes of this provision, "personal effects" mean tangible property that is worn or carried by an Insured." "Personal effects" does not Include tools, equipment, jewelry, money Or securities. E e 12. ACCIDENTAL AIRBAG DEPLOYMENT 3. SECTION III-PHYSICAL DAMAGE COVERAGE,B. EXCLUSIONS is amended by adding the follow Ing: If you have purchased Comprehensive or Collision Coverage under this policy, the exclusion for "loss" relating to mechanical breakdown does not apply to the accidental discharge of an airbag. Any Insurance we provide shall be excess over any other collectible insurance or reimbursement by manufacturer's warranty: However, we agree to pay any deductible applicable to the other coy- . erage or warranty. 13. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT COVERAGE t i SECTION III- PHYSICAL DAMAGE COVERAGE,B. EXCLUSIONS, exception paragraph a to exults- r cions 4.c, and 4.d. is deleted and replaced with the following; i} f , C' 1 0 2013Liberty Mutual insurance r: CA 88 10 01 13 Inciudes copyrighted material of Insurance Services Offine.Ira. with Hs ttarrarssiun nt,:,4 I<f f' Thisscax[11;ace Cancels andAUTO 14C supazseded S p+eEllen viuusia 1Y2 tssrurdr eot .Cacti isaTi ( raga re€ 17 t-. 1 15. GLASS REPAIR"WAIVER OF DEDUCTIBLE Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE Is amended by the addition of the following: No deductible applies to glass damage if the glass is repaired rather than replaced. 16. PARKEDAUTO COLLISION COVERAGE(WAIVER OF DEDUCTIBLE) Paragraph D. Deductible of SECTION III - PHYSICAL DAMAGE COVERAGE is amended by the addition of the following: The deductible does not apply to "loss" caused by axillision to such coveted "auto' ci the private passenger type or light weight truck with a gross vehicle weight of 10,000 lbs. or less as defined by I ST the manufacturer as maximum loaded weight the "auto" is designed to carry while it is: a. In the charge of an "insured'; b, Legally parked; and c, Unoccupied, "Thebes must be reported to the police authorities within 24 hours of known damage, The total amount of the damage to the covered 'auto' must exceed the deductible shown in the EE Declarations: This provision does not apply to any "foss" if the covered "auto" Is in the charge of any person of organization engaged in the automobile business. 17. TWO OR MORE DEDUCTIBLES Under SECTION til PHYSICAL DAMAGE COVERAGE, if two or more company policies or coverage forms apply to the same accident, the following applies to paragraph D.Deductible; a, it the applicable Business Auto deductible is the smaller (or smallest) deductible it will be waived; or N b. If the applicable Business Auto deductible Is not the smaller (or smallest) deductible It will be reduced by the amount of the smaller (or smallest) deductible; or e. If the loss involves two or more Business Auto coverage forms or policies the smaller (or smallest) deductible will be waived. For the purpose of this endorsement company means any company that is pad of the Liberty Mutual Group. SECTION IV -BUSINESS AUTO CONDITIONS is amended as follows: 18. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS SECTION IV-BUSINESS AUTO CONDITIONS, Paragraph 8.2, is amended.by adding the following: If you unintentionally fall to disclose any hazards, exposures or material facts existing as of the Inception date or renewal date of the Business Auto Coverage Form, the coverage afforded by this policy will not be prejudiced. However, you must report the undisclosed hazard of exposure as soon as practicable after its discovery, and we have the right to collect additional premium for any such hazard or exposure. 19, AMENDED DUTIES IN THE EVENT OF ACCIDENT,CLAIM, SUIT, OR LOSS SECTION IV " BUSINESS AUTO CONDITIONS, paragraph Alta, is replaced in its entirety by the following: a. In the event of 'accident", claim, "suit` or "loss", you must promptly notify us when it is known to; 1. You, if you are an individual; 2. A partner, if you are a partnership; 3. Member, If you are a limited liability company 4, An executive officer or the `employee" designated by the Named Insured to give such [- notice, notice, if you are a corporation. 2013 Liberty Mutual Insurance CA 88 10 01 13 includescopyriphted material of Insurance Services Offix.Ira..with as rnrmisslon rr.ar 26615861 I eZcsneele a.d�auysrsedcs AL[.Opvevi0Uslyd}SSuedl cextifica,ca . 531 t Pa9L fi of.17 To the extent possible, notice to us should include; (1) How, when and where the "accident" or"toss" took place; (2) The"insureds" name and address; and (3) The names and addresses of any injured persons and witnesses. 20. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US SECTION IV - BUSINESS AUTO CONDITIONS, paragraph A.S., Transfer of Rights of Recovery Against Others to Us, Is amended by the addition of the following: If the person or organization has waived those rights before an"accident or °toss", our rights are waived also. 21. HIRED AUTO COVERAGE TERRITORY SECTION IV-BUSINESS AUTO CONDITIONS, paragraph 8.T., Policy Period, Coverage Territory, is amended by the addition of the following: ) f. For"autos" hired 30 days or less, the coverage territory is anywhere in the world, provided that the insured's responsibility to pay for damages is determined In a"suit', on the media, In the United States, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to, This extension of coverage does not apply to an `auto hired, teased, rented or borrowed with a driver. SECTION V-DEFINITIONS is amended as follows: 22. BODILY INJURY REDEFINED Under SECTION V-DEFINTIONS, definition C.is replaced by the following; { "Bodily injury" means physical injury, sickness or disease sustained by a person, Including mental anguish, mental injury, shock, fright or death resulting from any of these at any time. COMMMON POLICY CONDITIONS 23„, EXTENDED CANCELLATION CONDITION COMMON POLICY CONDITIONS, paragraph A. - CANCELLATION condition applies except as fol- lows: If we cancel for any reason other than nonpayment of premium, we will mail to the first Named Insured written notice of cancellation at least 60 days before the effective date of cancellation. This provision does not apply in those states which require more than 60 days prior notice of cancella- tion. rS u li t: 2013L.iberty Mutual insurance. CA BB 10 01'9$ includes copyrighted material of Insurance Services(Ace.leo. with its rnrmrss'on. n;.qr. '01E 88615863 1 4445-2015 08.8840 Aui° kc I 433e,01:u3e 12/18/2018 4:40,44 AN (Pitt 1 Faget 9 of 1:'++. r Thsu ce?teficAce can-els and supersedes A44 pe evusl/ issued Cel S1Ircatee. t`; Accurate Machine&Tool 2/18/2016 COMMERCIAL GENERAL LIABILITY BK055714884 CG 88 10 04 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL GENERAL LIABILITY EXTENSION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART INDEX SUBJECT PAGE NON-OWNED AIRCRAFT 2 NON-OWNED WATERCRAFT 2 PROPERTY DAMAGE LIABILITY •ELEVATORS 2 EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) 2 fteftt MEDICAL PAYMENTS EXTENSION 3 EXTENSION OF SUPPLEMENTARY PAYMENTS COVERAGES A AND B 3 ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 3 PRIMARY AND NON-CONTRIBUTORY- ADDITIONAL INSURED EXTENSION 5 ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" 6 WHO IS AN INSURED INCIDENTAL MEDICAL ERRORS/MALPRACTICE AND WHO IS AN INSURED •FELLOW EMPLOYEE EXTENSION •MANAGEMENT EMPLOYEES 6 NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES 7 FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES 7 KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT 7 LIBERALIZATION CLAUSE 7 BODILY INJURY REDEFINED 7 EXTENDED PROPERTY DAMAGE 8 • WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US • 8 WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU g.' 0 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page.1 of 8 I 2861 663 2015-2016 elry ane AWO HC I El lnp Okuda 3(18(2016 9:58:19 MI (PST! I Page 10 of St This rt l Beate cane-ls and a 'edea ALL previaysiy lssu d cerbificaies. With respect to coverage afforded by this endorsement, the provisions of the policy apply unless modified by the endorsement. A. NON-OWNED AIRCRAFT Under Paragraph 2. Exclusions of Section t - Coverage A - Bodily Injury And Property Damage Liability, exclusion g.Aircraft, Auto Or Watercraft does not apply to an aircraft provided: 1, It is not owned by any insured; 2. It is hired, chartered or loaned with a trained paid crew; 3. The pilot In command holds a currently effective certificate, issued by the duly constituted authority of the United States of America or Canada, designating her or him a commercial or airline pilot; and 4. It is not being used to carry persons or property for a charge. However, the insurance afforded by this provision does not apply if there is available to the insured other valid and collectible insurance, whether primary, excess (other than insurance written to apply specifically in excess of this policy), contingent or on any other basis, thatwould alsoapply to the loss covered under this provision. B. NON-OWNED WATERCRAFT Under Paragraph 2.Exclusions of Section 1-Coverage A-Bodily Injury And Property Damage Liability, Subparagraph (2) of exclusion g. Aircraft, Auto Or Watercraft is replaced by the following: This exclusion does not apply to (2) A watercraft you do not own that is; (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge. C. PROPERTY DAMAGE LIABILITY-ELEVATORS 1. Under Paragraph 2. Exclusions of Section I - Coverage A - Bodily Injury And Property Damage Llabil- ity, Subparagraphs (3); (4) and (6) of exclusion j. Damage To Property do not apply if such "property damage" results from the use of elevators. For the purpose of this provision, elevators do not include vehicle lifts: Vehicle lifts are lifts or hoists used in automobile service or repair operations. 2. The following is added to Section IV -Commercial General Liability Conditions, Condition 4. Other Insurance, Paragraph b.Excess Insurance: The insurance afforded by this provision of this endorsement is excess over any property insurance,whether primary, excess, contingent or on any other basis. D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) If Damage To Premises Rented To You is not otherwise excluded from this Coverage Part: 1. Under Paragraph 2.Exclusions of Section I-Coverage A-Bodily Injury and Property Damage Liability: a. The fourth from the last paragraph of exclusion J. Damage To Property is replaced by the follow- " Ing: Paragraphs (1), (3) and (4) of this exclusion do not apply to "properly damage" (other than damage by fire, lightning, explosion, smoke, or leakage from an automatic fire protection system) to: Lf- (i) Premises rented to you for a period of 7 or fewer consecutive days; or (Ii) Contents that you rent or lease as part of a premises rental or lease agreement for a period of more than 7 days. Paragraphs (1), (3) and (41 of this exclusion do not apply to "property damage" to contents of premises rented to you for a period of 7 or fewer consecutive days. A separate limit of insurance applies to this coverage as described in Section III Limits of [- Insurance. Insurance. I' © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page.2 of 8 ' 206The ee I mat-zazs es a AUTO se sI Ellen ovula z15goe4 c rtafecs Ida ie>n I rase n of 17 Thio ceec [tCate eancela and avyeasedes ALL Fieviovaly Ysaved certi[tcates.. F c b, The last paragraph of subsection 2. Exclusions is replaced by the following: Exclusions c. through n. do not apply to damage by fire, lightning, explosion, 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 Damage To Premises Rented To You as described in Section III Limits Of Insurance. 2. Paragraph 6, under 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: a. Any one premise: _ (1) While rented to you; or (2) While rented to you or temporarily occupied by you with permission of the owner for damage by fire, lightning, explosion, smoke or leakage from automatic protection sys- ®_ tems; or b. Contents that you rent or lease as part of a premises rental or lease agreement. -- 3. As regards coverage provided by this provision D. EXTENDED DAMAGE TO PROPERTY RENTED TO YOU (Tenant's Property Damage) -Paragraph 9.a. of Definitions is replaced with the following: 9.a. A contract for a lease of premises, However, that portion of the contract for a lease of premises $ that Indemnifies any person or organization for damage by fire, lightning, explosion, smoke, or leakage from automatic fire protection systems to premises while rented to you or temporarily occupied by you with the permission of the owner, or for damage to contents of such premises that are included in your premises rental or lease agreement, is not an "insured contract". E. MEDICAL PAYMENTS EXTENSION f, if Coverage C Medical Payments is not otherwise excluded, the Medical Payments provided by this policy are amended as follows: Under Paragraph 1. Insuring Agreement of Section I—Coverage C-Medical Payments, Subparagraph (b)of Paragraph a. is replaced by the following: (b) The expenses are incurred and reported within three years of the dateof the accident; and F. EXTENSION OF SUPPLEMENTARY PAYMENTS -COVERAGES A AND B 1, Under Supplementary Payments -Coverages A and B;Paragraph 1,b, is replaced by the following; b. Up to $3,000 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. 2. Paragraph 1:d, is replaced by the following: d. All reasonable expenses incurred by the Insured at our request to assist us in the investigation or F defense of the claim or "suit", including actual loss of earnings up to $500 a day because of time ir off from work. G. ADDITIONAL INSUREDS -BY CONTRACT, AGREEMENT OR PERMIT 1, Paragraph 2 under Section II -Who Is An Insured is amended to include as an insured any person or organization whom you have agreed to add as an additional insured in a written contract, written agreement or permit. Such person or organization Is an additional insured but only with respect to liability for "bodily injury", "property damage or "personal and advertising injury" caused in whole or in part by: a. Your acts or omissions, or the acts or omissions of those acting on your behalf, in the performance of your on going operations for the additional insured that are the subject of the written contract or written agreement provided that the "bodily injury" or "property damage" occurs, or the "per- sonal and advertising injury" is committed, subsequent to the signing of such written contract or j=i written agreement or i l f 2013 Liberty Mutual Insurance CO 88 10 04 13 Includes copyrighted material of Insurance Services Office;Inc,with its permission. Page 3 of 8 I 28615863 12015-3016 SLUMS AUTO FC I Eller Okuda 12/1$/2016 9:48:49 PX. (P$21 I Page 13 of 1/ This cel taficate cancels ami Supersedes ALL Previously issuer certificates. -. b. Premises or facilities rented by you or used by you; or c. The maintenance, operation or use by you of equipment rented or leased to you by such person or organization; or d. Operations performed by you or on your behalf for which the state or political subdivision has issued a permit subject to the following additional provisions: (1) This insurance does not apply to "bodily injury", "property damage", or "personal and ad- vertising injury" arising out of the operations performed for the state or political subdivision; (2) This insurance does not apply to "bodily injury" or "property damage" included within the "completed operations hazard". (3) Insurance applies to premises you own, rent, or control but only with respect to the following ' hazards: (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 expo- sures; or (b) The construction, erection, or removal of elevators; or (c) The ownership, maintenance, or use of any elevators covered by this insurance. However. 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2: If coverage provided to the additional insured is required by a contract or agreement, the insur- ance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. With respect to Paragraph 1.a. above, a person's or organization's status as an additional insured under this endorsement ends when: (1) 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 (2) 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. With respect to Paragraph 1.b, above, a person's or organization's status as an additional insured under this endorsement ends when their written contract or written agreement with you for such premises or facilities ends. With respects to Paragraph 1.c. above, this Insurance does not apply to any"occurrence" which takes place after the equipment rental or lease agreement has expired or you have returned such equipment J.- to the lessor. The insurance provided by this endorsement applies only if the written contract or written agreement is signed prior to the "bodily injury" or "property damage". We have no duty to defend an additional insured under this endorsement until we receive written notice of a "suit" by the additional insured as required in Paragraph b. of Condition 2. Duties In the Event Of Occurrence, Offense, Claim Or Suit under Section IV - Commercial General Liability Condi. bons. 0 2013 Liberty.Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 4 of 8 ` 28(1684) I 2015-203E 0L,Utiii AUTO "C 1 Ellen Okuda2/10/2016 40.49 A, IPSI) t Page 13 Of 17 !_ ; This ceetiiicite cancels and Supersedes ALL previeus( 9 y issued ceaa(icates, p_ 2. With respect to the insurance provided by this endorsement, the following are added to Paragraph 2. Exclusions under Section I-Coverage A-Bodily Injury And Property Damage Liability: This insurance does not apply to: a. "Bodily injury" or"property damage" arising from the sole negligence of the additional insured. b. "Bodily injury" or "property damage" that occurs prior to you commencing operations at the location where such "bodily injury" or "property damage" occurs. c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the render- ing of, or the failure to render; any professional architectural, engineering or surveying services, including: (1) The preparing, approving, or fatting 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. 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 "occur- rence" 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 architectural, engineering or surveying services. s d. "Bodily injury" or"property damage" occurring after: (1) 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 (2) 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 principal as a part of the same project. e, Any person or organization specifically designated as an additional Insured for ongoing operations by a separate ADDITIONAL INSURED =OWNERS, LESSEES OR CONTRACTORS endorsement is- sued by us and made a part of this policy: 3. With respect to the insurance afforded to these additional insureds, the following is added to Section III Limits Of Insurance: If coverage provided to the 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 L Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. i$ This endorsement shall not increase the applicable Limits of Insurance shown in the Declaratio ns. H. PRIMARY AND NON-CONTRIBUTORY ADDITIONAL INSURED EXTENSION This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. Condition 4. Other Insurance of SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS is amend- ed as follows: a. The following is added to Paragraph a. Primary Insurance: If an additional insured's policy has an Other Insurance provision making its policy excess, and you have agreed In a written contract or written agreement to provide the additional insured coverage on a primary and noncontributory basis, this policy shall be primary and we will not seek contribution from [ the additional insured's policy for damages we cover. 0 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material or Insurance Services Office,Inc.,with its permission. Page.5 of 8 28615863 12015-4016 OL.N19 AUTO 4C I E11en Q24da 1I 2/18/2016 9.58,49 tv, IPS") I raga 19 of 17 TMS sett Lf1ca e.cancels ECA Socetsedea at,cre'1TC15l`f ,es„R'3 C stIticates,. b. The following is added to Paragraph b. Excess Insurance: When a written contract or written agreement, other than a premises lease, facilities rental contract or agreement, an equipment rental or lease contract or agreement, or permit issued by a state or political subdivision between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the addi- tional insured is designated as a Named Insured. Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies. 1. ADDITIONAL INSUREDS -EXTENDED PROTECTION OF YOUR "LIMITS OF INSURANCE" This provision applies to any person or organization who qualifies as an additional insured under any form or endorsement under this policy. 1. The following is added to Condition 2. Duties In The Event Of Occurrence, Offense, Claim or Suit: An additional insured under this endorsement will as soon as practicable; a. Give written notice of an "occurrence" or an offense that may result in a claim or "suit" under this insurance to us; b. Tender the defense and indemnity of any claim or "suit" to all insurers whom also have insurance available to the additional insured; and c. Agree to make available any other insurance which the additional insured has for a loss we cover under this Coverage Part. d. We have no duty to defend or Indemnify an additional insured under this endorsement until we receive written notice of a"suit" by the additional insured. 2. The limits of insurance applicable to the additional insured are those specified in a written contract or written agreement or the limits of insurance as stated in the Declarations of this policy and defined in Section III - Limits of Insurance of this policy, whichever are less These limits are inclusive of and not in addition to the limits of insurance available under this policy. J. WHO IS AN INSURED -INCIDENTAL MEDICAL ERRORS!MALPRACTICE WHO IS AN INSURED -FELLOW EMPLOYEE EXTENSION -MANAGEMENT EMPLOYEES Paragraph 2.a.(1) of Section II-Who Is An Insured is replaced with the following: (1) "Bodily injury" or "personal and advertising injury": (a) To you, to your partners or members (if you are a partnership or joint venture), to your members (if you are a limited liability company), to a co-"employee" while in the course of his or her employ- ment 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; ES (5) To the spouse, child, parent, brother or sister of that co"employee" or "volunteer worker" as a consequence of Paragraph (1)(a) above; (c) For which 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, if you are not in the business of providing professional health care services or providing proles- sional health care personnel to others, or if coverage for providing professional health care ser- vices is not otherwise excluded by separate endorsement, this provision (Paragraph (d))does not apply Paragraphs (a) and (b) above do not apply to "bodily injury" or "personal and advertising injury' caused by an "employee who is acting in a supervisory capacity for you. Supervisory capacity as used herein means the "employee's" job responsibilities assigned by you; includes the direct supervision of other "employ- ees" of yours. However, none of these "employees" are insureds for "bodily Injury" or "personal and © 2013 Liberty Mutual Insurance CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc,with its permission. Page h of S r 28615863 2015-2016 OL,On Arc FC I ElLen Okt9a 12/16/ Ol6 5:58 49 AH 12511 I Pa90 15 of 17 This certificate cancels and sUD=feadea ALL r,YeliouaJ' .Sas"¢ tificafes' advertising injury" arising out of their willful conduct, which is defined as the purposeful or willful intent to cause "bodily injury" or "personal and advertising injury", or caused in whole or in part by their intoxica- tion by liquor or controlled substances. The coverage provided by provision J. is excess over any other valid and collectable insurance available to your "employee". K. NEWLY FORMED OR ADDITIONALLY ACQUIRED ENTITIES Paragraph 3. of Section II-Who Is An Insured is replaced by the following: 3. Any organization you newly acquire or form and over which you maintain ownership or majority e interest, 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 expiration of the policy period in which the entity was acquired or formed by you; b. Coverage A does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and F., ®_ c. Coverage B does not apply to "personal and advertising Injury' arising out of an offense committed before you acquired or formed the organization. s d. Records and descriptions of operations must be maintained by the first Named Insured. t g - No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations or qualifies as an insured under this provision. — L. FAILURE TO DISCLOSE HAZARDS AND PRIOR OCCURRENCES Under Section IV- Commercial General Liability Conditions, the following is added to Condition 6. Repre- sentations: Your failure to disclose all hazards or prior "occurrences" existing as of the inception date of the policy _ shall not prejudice the coverage afforded by this policy provided such failure to disclose all hazards or prior "occurrences" is not intentional. M. KNOWLEDGE OF OCCURRENCE, OFFENSE, CLAIM OR SUIT Under Section IV - Commercial General Liability Conditions, the following is added to Condition 2. Duties In The Event of Occurrence, Offense, Claim Or Suit: Knowledge of an "occurrence", offense, claim or"suit" by an agent, servant or "employee" of any insured shall not in itself constitute knowledge of the insured unless an Insured listed under Paragraph 1. of Section II -Who Is An Insured or a person who has been designated by them to receive reports of 7. "occurrences", offenses; claims or "suits" shall have received such notice from the agent, servant or "employee" a N. LIBERALIZATION CLAUSE If we revise this Commercial General Liability Extension Endorsement to provide more coverage without additional premium charge, your policy will automatically provide the coverage as of the day the revision is x effective in your state. 0. BODILY INJURY REDEFINED Under Section V•Definitions, Definition 3. is replaced by the following: 3. "Bodily Injury' means physical injury, sickness or disease sustained by a person, This Includes mental anguish, mental injury, shock, fright or death that results from such physical injury, sick- ness or disease. t i` © 2013 Liberty Mutual Insurance [-i CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 7 of 8 2861506) 12015.2016 CLUES AVID NO I Ellen Oknda 12/18/2016 9:48,99 P14 (PST) I.Page 16 of 21 z This certiticate ceo_els aid sudedtedte ALL Etevicuely issued ceitittedtes. 11i- 11- P. EXTENDED PROPERTY DAMAGE Exclusion a. of COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY is replaced by the following: a. Expected Or intended Injury "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. Q. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US - WHEN REQUIRED IN A CONTRACT OR AGREEMENT WITH YOU Under Section IV -Commercial General Liability Conditions, the following is added to Condition 8.Trans- fer Of Rights Of Recovery Against Others To Us: We waive any right of recovery we may have against a person or organization 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" provided: 1. You and that person or organization have agreed in writing in a contract or agreement that you waive such rights against that person or organization; and 2. The injury or damage occurs subsequent to theexecution of the written contract or written agree- ment. rty © 2013 Liberty Mutual Insurance i-.--, CG 88 10 04 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Page 8 of 8 28615863 i 2015-2016 CL,t513 AUTO 6C I Ellen Okuda 1 2/18/2016 9:48.49 W. (9521 1.Page 17 of 11 TITh certificate cancels and supersedes ALL p'avlously Issued certificates. - Ii' STATE_ ENDORSEMENT AGREEMENT BROKER COPY COMPENSATION WAIVER OF SUBROGATION IN SUFIANCfl . . 9070138-15 F UIN D RENEWAL SP HOME OFFICE SAN FRANCISCO PAGE 1 OF 1 ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC EFFECTIVE FEBRUARY 12, 2016 AT 12.01 A.M. STANDARDIMEINDICATEDTIME ORAT THE AND EXPIRING AUGUST 29, 2016: AT 12.01 A.M. TIME AT PACIFIC STANDARD. TIME ACCURATE MACHINE & TOOL 1561 COMMERCE ST CORONA, CA 92880 ANYTHING IN. THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT THE STATE COMPENSATION INSURANCE FUND WAIVES ANY RIGHT OF SUBROGATION. AGAINST, CITY OF CHINO HILLS WHICH MIGHT ARISE BY REASON OF ANY PAYMENT UNDER THIS POLICY IN CONNECTION WITH WORK PERFORMED BY, ACCURATE MACHINE & TOOL IT IS FURTHER AGREED THAT THE INSURED SHALL MAINTAIN PAYROLL RECORDS ACCURATELY SEGREGATING THE REMUNERATION OF EMPLOYEES WHILE ENGAGED IN WORK FOR THE ABOVE EMPLOYER. IT IS FURTHER AGREED THAT PREMIUM ON THE EARNINGS OF SUCH EMPLOYEES SHALL BE INCREASED BY 03%, NOTHING IN THIS ENDORSEMENT CONTAINED SHALL RE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: FEBRUARY 19, 2016 2570 AUTHQRIZED REPRESENT IVE PRESIDENT AND CEO $CIF FORM 10217 (REV.7.2014) 010 DP 217