HomeMy WebLinkAboutContracts & Agreements_208A-2018 rs-t.t t���i�ts�
AGREEMENT TO PERFORM PROFESSTONAL SERVICES
Tflis agreement far tl�e pxavision of off-site £'zre plan review services ("Agreement") is
made and entered in this 26th day of October, 2018 ("Effecti�ve Date"}, by and between the City
o�'Redlands, a municipal corporatian ("City}" and CSG Cozxsultants, Sz�c. ("Cozasultant"}. City
and Consl�ltant axe sozn�times individually i�efen�ed to herein as a "Party" and, together, as the
"Parties." In consid�ration of the muhial promises contained herein, City and Consultant agree as
follows:
ARTICLE 1 —ENGAGEMENT O�' C4NSULTANT
I.I City hereby engages Consultant to provide aff-site fire plan i•eview services foz• City(the
"Sezvices"). The Services that Consultant shall pei�form are more particularly dEscribEd in
Exhi�it "A," entitled "Scope ofi Services," wliich is attached hereto and incoiporated
herein by re£erence.
1.2 The Services sl�all be per£ormed by Consultant i�� a pzo£essionai zna��ner, and Consultant
z-�presents that it has the skill and the professional experCise necessary to provide the
Services to City at a level of cam�etency p�-esently inaintained $y ot�er pxacticing
professional cansultants in the zn.d�stxy praviding Iike and simila��types of Services.
ARTICLE 2— SERVICES OF CONSULTANT
2.1 Consultant shall comply with applicable federal, state and local laws and reglilations in
t�e perforzxi.azace af t�is Agreement including, but not limited to, State pre�vailmg �;vage
Iaws.
ARTICLE 3—RESPONSIBILITIE� OF CITY
3.1 City shall zxzake available to Consultant znfarrznatiozz in its passession that may assist
Consultant in performing the Servic�s.
3.2 City designates Nathan Cooke, City's Chief, as City's representative with respec� to
p�rfoiznance of the Services, and such person shall have the authority ta trans��it
instructions, receive informatzon, intezpret and define Czty's policies and decisions witn
respect ta performance of the Seivices.
ARTICLE 4�-PERFORMANCE OF SERVICES
4.1 Consultant shall perform and complete the Services in a prQinpt and diligent manner in
accordance with the schedule se� forth in Exhibit "A," entitled "Scape of Seivices and
Appraach to Wo�•k,"whic�is attacl�ed�ereto and incozporated�.exein by r•eference.
4.2 Cor�sultant sl�all cominence the Setvices on the Effective Date of tiiis Agreez�aent and
cozxiplete the Sezvices an March 31, 2019, unless the Seivices are terminated earlier as
provided �or her�in.
� L:1ca1djmlAgreecuentslFire P1an Rcvicw Prafessional.Secviccs.PS-1.l.dac
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PS-l.l(9/11/l8)
4,3 If Consultant's Services include deli�erable electronic visual presenfation materials, such
�naterials shall b� delivered in a fonn, and �nade available ta the City, consistent with
City Council adopted policy for the san�e. It shall be the obligation of Consultant to
obtain a cop�of such policy frorn City staff
ARTICLE 5—PAYMENTS TO CONSULTANT
S.1 Total co�npensation for Consultant's performance of the Services shall be i� the amottnt
of five thausand dollars ($5,000). City shall pay Cons��ltant in accordance with Exhibit
"B" entitled "�'ro�essional Sexvices Fees" attached hereta and inco�porated herein by
�•eference.
S.2 Cozasultant shall submit monthIy invoices to City describing the Services performed
during the pr�ceding manth. Cans�ltant's invoices shall include a brief description o�the
Services per£o�aed, tl�e dates th� Sezvices were perfoimed, the numbe�• of hours spent
and by �hom, and a description a�reimbursable expenses related to the Services. City
shall pay Cansultant no later than thiz-ty (30) days after zeceipt an.d appxoval by Czty of
Consultant's iilvoice.
5.3 An.y notice or other comtr�unication required, or which inay be given, pursuant to this
Agreeznent, shall be in writing. Any such notice shall be deeined delivered (i} on the date
of delivezy in pez•son; (ii) five (5) days after deposit in �rst class reaistered rnail, with
return receipt rec�uested; (iii) on the actuai delive�y date if de�asited with an overnight
courier; or (iv) on the date sent by facsimile, if confirzned with a copy sent
contezxaporaneously by first class, ce��tified, registered or express mail; in each case
prop�rly pos�ed and fizlly prepaid to the appropriate address set forth below, or such ot�ei-
address as a�arty z�ay provid�notice in accordance with this section:
City Cansultant
City Clerk George Apple, Fire Services Manager
City of Redlands CSG Consul�ants,Inc.
3S Cajon ��reet 1303 J Street#270
P.O. Box 3005 (mailing} Sacramento, CA 95814
Redlands, CA 92373 georgea@csgengr.com
(916) 492�227b
ARTICLE b—INSURANCE AND INDEMNIFTCATION
S.I The following instu-ance covexage xequired by this Aareeznent shall be �naintazned by
Consultant for the dura�ion of its pei�formance of the Selvices. Cons�iltant shall not
perfo�-m any Services unless and until the requi�-ed ins�u-ance Iisted below is obtained by
Cansultant. Cozasultant shall provide City wzth certi�cates of insfirance and endoxse�ments
evidencing such insurance prior ta cominenceinent of the Services. Insurance policies
shall inchide a pravision prohibiting canceliatian o�� �nodification af the policy except
upon thirry (30) days prio�•written notice �o City.
L:Icaldjs�tlAgreementslF'sre Plan Reviea�Professiona].Services.PS-1.I.doc
�s-�.���it�ns)
A. Worlcers' Campensation and Employer's Liability insurance in the a�nount that meets
stat�.itory requirements with an insurance carz�ier acceptab�e to City, or cez�ti�catzon to
City t�at Consultant is self insured o�• exempt fi�am tile r�orkers' compensation taws
of t��e State nf California. Consultant si�alt execute and pravide City witl�Exhzbit"C"
entitled "Worlcers' Compensation Insuz•ance Certification," wl�ich is attached here�o
and incorporated hereii7 by this refer�nce prior to performance of tl�e Seivices.
B. Coinprehei3sive Generai Liability ins�Yra�ice with carriers acceptable �o City in the
minim�im a�nount af One Million DoIlars ($1,Q00,400) pei' occilrrence and Two
Milkion Dollars ($2,000,000} aggregate, for public Iiability, property damage and
personal injury is required. Ciry shall be named as an additional insured and such
insurance shall be priznary and z�.on-cantributing to any insurance or self insu�•ance
inaintained by City.
C. Susiness Auto Liability coverage, with lninimum limits of One Million Dollars
($1,000,000) per occurrence, cambined single li�nit bodzly i��juzy liabzlzty and
p�•apez•ty dazzaage liability. This coverage sha11 include all Cons�rlfant ovcrned vehicles
used in corulection with Consultant's provisian of the Services, hired and non-owned
�ehicles, and employee non-ownership vehicles. City shall be named as an additional
ins�ued and such insurance shall be primary and non-contributing to any insurance ar
sel�ins�.u-ance�naintained�y City.
D. Consulfant shall secure and maintain professional Iiability insurance thra�ghout the
terin of this Agreezx�ent in. the amount of One Million Dollars (�1,000,000} �aer clai�n
made.
6.2 Consultant s�.all defend, indemnify ar�d hoid harmless City and its elecCEd ofFicials,
employees and agents from and against any and all claims, losses ar �iability, including
attarneys' fees, a�szng fro�x� izzjuly or cf�at� to persons or damage to property occasioned
by any negligent act or omission by, or �he wiilful misconduct of, Cansultant, or its
officers, employees and agents in pezforming the Sezvices,
ARTICLE'7—CONFLICTS OF INTEREST
7.1 Consultant covenants a.nd represents that it does na� have any in�estment or interest in
any reat property that may be tt�e subject of this Ag�eeznent or any other source of
income, inte�•est in real pro�erry or int�es�nent that would be af�ected in any manner or
de�-ee by the perfarmance of Cansultant's Services. ConsuItant filrther covenants and
xepxesents that in the pei•foYmance of its duties hereunde�•, na person l�aving any such
inter�st shali perform any Ser�ices under this A�-eement.
7.2 Consultant agrees it is not a designated employee vcrithin the meaning of the Political
Ret'orm Act because Consultant:
A. DoEs not make a governinental decision wheti�ei-to:
L:1ca1djmlA�reementslFire Pla:i.Rc�ie���Prafessional.5en�'sces.PS-I.1.doC
PS-l.l(9/1 t/18)
(i) appra�e a rate, �ule oz•�•egulation, or adopt or enforce a City law;
(ii} issue, deny, suspend or revoke any City permit, license, appIication,
certification, approval, order or sinr�zlar authorization or entitIement;
(izi) authorize City ta enter into, rnodify or renew a contract;
(iv) grant City appraval to a contract that requix�s City app�•ovai and to which
City is a party, or to the specificatians for such a cnntract;
{v) grant City a�proval to a plan, desib, �-eport, study or similar item;
{vi} adapt, or grant City approval of, policies, standards or guidelia�es for City
or for any slrbdivision�he�•eof.
B. Daes not sexve in a staff capacrty with City and in that capacity, participate in
making a gavern�nental decisian or atherwise perforzn tl�e sa�ne or substantially
the same dtitzes for City that would otherwise be performed by an individual
halding a position specified in City's Conflict of Interest Code under Govez�ament
Code section $73�2.
7.3 In the event City determines that Consultant i�ust dzsclose its �nancial interests,
Cansultaz�t shall coinplete and file a Fair Political Practices Commissian Form '100,
Statelnent of Economic Interests, with the CiEy Clerk's office pursuant to t�e written
instiuctions pravided by t�e City Clerk.
ARTICLE 8—GENERAL CONSZDERATIONS
8.1 In the evEnt any action is commenced to enforce or interpzet any o� the tez-�ns or
conditions of fhis Agreement t�e pz�evailin�Pa�•ty shall, in addition to any costs and o�.ier
relief, be entitled to �he recovery of its reasonable atto�-neys' fees, including fees for the
use nf in-house counsel by a Party.
8.2 Consulfant shail not assib any of the Services, except with the prior wrrtten approval o£
City and i� stzict cozx�pliance witE� the tertns and conditians of this Abreement. Any
assib unent or attempted assignment without such prior written consent may, in the sale
discretion of City, results in City's immedia#e ter�nznatzan of this Agreement.
8.3 Consuitant is fnr all puEposes under this Agreement an independent contractor and shal�
per�o�-m t�e Services as a� izzdependent contractor. Neither City nor its abents shall have
control over the conduct of Consuitant o�• Consultant's employees, except as herein set
�orth. Consultant shaIl supply all �ecessazy tools and instrumentalities required to
perfo�-m the Services. Assigned personnel emplayed by Consultant are for its account
only, and in no event shall Consultant or persannel retained by it be dee�ned to �aave been
ernployed by City or en�aged by City for the account of, or on behal�of City. Consultant
shall have no authority, express or irnplied, to act on behalf of Cily in any capacity
whatsoever as an agent, nor shall Consultant have any authority, exp�-ess or i�nplied, to
bind City to any obligation.
L:1caldjntlAgreecnentslFire Platt Revictt�Professional.Seivices.P5-I.I.doc
• PS-I.€(9/l[I18)
$.4 City zx�ay tez�minate tliis Agreement, in its soie discretion, by providing not less than�lu•ee
(3) days prio�- written notice to Cons�ltant of City's intent ta te�zninate, and the
terzr�ination date. If this Ag�eezzaent is tenninated by City, an adjustment to Ca��sultant's
compensation shail he mad�, but {1} no arr�ount shall be allowed for anticipated profit or
unperforined Services, and {2) any paytxaent due Consultant at tl�:e time of tez-nainatio��
may be adjusted to the extent of any additianal costs to City occasioned by any default by
Consultant. Upon receipt of a terminatian notice, Consultant sF�all immediately
discontinlie its proviszon of the �ervices and, witt�in five (5) days of tlle date of the
termination notice, deliver or otherwise malce available to City, copies (in both hard copy
and electranic form, where applzcable) of any data, speci�catio�ns,z•eports, sunnmaz•ies and
such other informatiion and materials as may have been accuinulat�d by Consultant in
perfoi�ning the Services. Consultant shall be compensated on a pro-rata basis �or Seivices
campleted up to the date of l:erinination.
8.5 Consu�tant zz�ay tez�nizaate this Agreement, with ar witbout cause, by praviding no less
than thirty {30} days prior written notice to the City. In tl�e event af termination by the
Consultant, the Consulta��t shall l�e compensated in accordance with the provisions of
A.��ticle 5 for the services perfonned and expenses incurred to the date of such
termination.
8.6 Consultant shall maintain books, iedgers, invoices, accounts and other records and
documents evidencing costs atzd expenses z•elated to the Sez-vzces �ox a perioc� of th�•ee (3)
years, or for any longer period required by law, from the datE of final payment to
Consultant pursuant to this Agreement. Such boo�Cs shall be avaiiable at reasonable ti�nes
for examination by City at the office of Consultant.
8.7 Thzs Agreezz�e�t, including the Exhibits incozporated herein by reference, represents the
entire agreement and understanding between the Par�ies as to the matters contained
herein, and any priar negotiations, writ�en proposals or verUal agreements relating to such
matters are superseded by this Ab eement. Except as otherwise provided far herein, any
am�ndment to this Agree�nent shall be in w�-itin�, approved by City and signed by City
and Cores�ltant.
8.$ This Agreement shall be governed by and construed in accordance with the laws o£the
State af California.
8.9 If one or z�aoxe of t�e sentences, clauses, �axagraphs or sections contained in this
Ab eement is declared invalid, void or un�nfoi-ceable by a court o� coinpetent
jurisdictian, the same shall be deemed severable frona the rei�ainder of this Agreem�ent
and shall ilot affect, impair or invaiidate the remaining sentences, cla�tses, paragraphs or
sections contained herein, unless to do sa wauld deprive a Party of a material benefit of
zts bargain linder tl�is Ab eexnent.
L:1caldjmlP,grcementslFire Plan Revietiv Professional.Seivices.PS-l.l.doC
PS-l.l(9/11/I3)
IN WITNESS WHEREOF, duly authorized representatives of City and Consultant have signed
in confit�nation of this Agreement.
CITY OF REDLANDS CSG CONSULTANTS
! >
By. �l�Lc. ���(��,'l� By:
J� nic McConnell, , ' r
Acting City Manager Cyrus K anp ur, President
Attest:
nne Donaldson, City Clerk
L:\ca\djmWgreemecits�Fire Plan Revie���Professional.Seiviccs.PS-I.I.do�c
PS-l.l (9/I I/IS)
EXHIBIT "A"
Soope of Sen►ioe.s and Approach to Work
CSG's proposed team has been selected to best support the project and will deliver the highest level of
service through its application of technical expertise, knowledge of municipal processes and procedures,
efficient and effective customer care, and application of code compliance combined with innovative and
helpful alternatives. Our extensive experience in furnishing comprehensive fire life safety services to
jurisdictions provides a consistent, strong technical foundation to all projects. CSG will continue to
deliver the highest quality services to the City of Rediands Fire Department.
Key benefits that we offer include:
I Fully committed and qualified personnel. We maintain a staff fully licensed and
certified at the highest level of industry standards. To keep our personnel on the
industry's cutting edge, many serve as popular educational instructors and lecturers as
well as sit on leading boards and committees for organizations developing and
implementing important code regulations. We also keep up with the latest in
procedures and use of products.
� Environmentally friendly practices. Our corporate policy on sustainability supports a
healthy environment, reduces our carbon footprint and promotes environmental
stewardship through environmentally preferable purchasing and other sustainability
actions. Our digital plan review system encourages the bypass of paper use, and all
possible documents at CSG are printed double-sided on recycled, post-consumer
content paper.
FIRE PLAN REVIEW SERVICES
Compliance Standards
Our team of professionals is ready to assist in all aspects of plan review and to focus on the special
needs and requirements of each of our clients. Our plan checkers carefully review all documents for
compliance with building codes,fire codes, NFPA standards, industry regulations, and all local
ordinances.We understand and will comply with the Department's own requirements for fire plan
review services. Our plan reviewers review plans for compliance with all policy and model codes
adopted by the State of California, including but not limited to:
� California Building Code, Volumes 1 and 2 with local amendments
� California Residential Code
� California Electrical Code
� California Plumbing Code
� California Mechanical Code
I California Fire Code as amended and adopted by the State of California (Title-24, Part 9
California Fire Code)
► National Fire Codes as published by the National Fire Protection Association {NFPA}; as
adopted and referenced by the State of California (California Code of Regulations,Title-
19, Section 1.09)
L:1caldjm�AgreementslFirc Plan Revie�t�Profcssional.Services.PS-l.l.doc
PS-1.1(91]Ul8)
o State Histarica[ Building Cod�
i California Energy Code
e California Green Building Cade
► FEMA, ASCE 41, and NEHRP requirer�ents (i.e. far existing buildings if required for
application to be re�iewed)
► California �[ealth and Safety Cade
► Appropriate Listings (e.g., CSFM, UL, FM)
► NPDES/WQMP/SWPPP Comp[iance
i Local adopted ordinances and amendments relative to building and mur�icipal cades,
including project Conditions of Appro�al from other agency departments, diuisions,
regulating agencies, and jurisdictian
FiR� IN5PECTION � COD� ENFORCEME[VT S�RVlC�S
Constructian Inspection
CSG offers experienced,CSFM/!CC certified inspectors.Typical responsif�ilities include but are not
lirr�ited ta pro�iding inspection services for fire and life safety systems and construction, and maintaining
records and fi[es concerning fire permits and cade adrrtir�istration documents.We offer fully integrated,
multi-disciplined fire inspection services for residential, commercial, and industrial projects, and are
experienced in all eonstruction types. Our inspectors ensure compliance with applicable cfldes and
requirements by identifying code�iolations, off�ring solutions to develoPers, property owners and
tenants on potential risks and safety hazards, and by working as a team to correct viola�ions. Our
inspection staff easily integrates into client organizations, consistently imp[ementing policies and
pracedures and remaining transp�rent ta applicants and customers.Speei#ic inspections include, hut are
no�limited to:
� Autamatic Fire Sprink[er�ysterns
6 Engineered and Pre-engineered Fire Protection Systems(e.g., Ecitchen hoods,spray booths,clean
agent systems]
i Fire Afarm Systems
► Develaprnent Impravements (e.g.,fire hydrant and other types of water supply systems,f�re
department access, undergraund fire Ser�ices}
► �ire Cot{e Maintenance/Life Safety (e.g., permitted sites, public and private schools,State
ficensed facilit[es, ha�els, mntels and apartment complexes)
Code Enforcement
Cade enforcement is a critical e[ement in the success of fir� pre�ention pragrams and ensuring State
Manc[ated occupancies are in compliance with state law. It plays a major role in fire and [ife safety
inspections, plans re�iew, hazardous mat�rials and environmental investigations,wildland urban
interface,and the issuance of fire pr�vention permits. CSG's team of fire service specialists possesses
the code knowfedge necessary to effectively identify hazards and code�io[ations and conduct code
enforcement inspections in a manner that best rr�eets the specific fire prevention goals of our elients.
While conducting code enforcement inspections, a�r fire service specialists educate business and
proper�y owners in fire safety and aim to cievelop or change attitudes towards fire prevention.
L:1ca1djmlAgreemen3slFire Plan I2cvie»�Professional.3crvices.PS-l.l,dg
�s-�.�t�n���s}
Continuing Certificatinn and Training
We take pride in einploying inspectors who are rnativated to achieve a variety of experiences and
highest Ievel of ce�-tification. We work hard to matc�your jurisdiction's level of safety and code
coinpliance and understand that personality and custanner sezvic� are crucial ta on-the job
success. All CSG inspectars are ICC and/or CSFM certified and/or possess additional requirecl
certifications. In addition, they xoutinely update their knowledge and skzlls throug�specialized
training classes and seminar attendance in approved and modErn methods, materials, tools and
safety usetl zn building inspection, as well as the most cturent building standards.
L:1ca1djmlAgreementslFire Plan Re�ieu Prpfessinnal.3ervices.PS-l.l.do�c
PS-I.I(9/I I/IS)
EXHIBIT "B"
Professional Senrices Fees
CSG's fee schedule which includes fees for personnel providing the proposed scope of work is provided
in the table below. CSG will mail an invoice at the beginning of every month for services rendered during
the previous month.
Hourly Fee Structure for Personnel
. .
Fire Plan Review $110
Fire Inspection Services � " � ' ` � ' $110
Expedited/Overtime 1.5 x Hourly Rate
Total compensation will NOT EXCEED the budgeted amaunt of$5,000.00
All hourly rates include overhead costs including, but not limited to, salaries, benefits,Warkers
Compensation Insurance,office expenses, etc.Should the scope of work change or circumstances
develop which necessitate special handling, we will notify the Department prior to proceeding. On eath
anniversary ofthe contract start date,CSG will initiate a rate increase based on change in CPI-U forthe
applicable region.
L:1ca\djm�AgreementsU'ire Plan Revien-Professional.Services.PS-l.l.doc�
PS-1.1(9/11/l8)
EXHIBIT "C"
WORKERS' COMPENSATION INSURANCE CERTIFICATION
�very employer, except the State, shall secure the payment of coinpensation in one or more of
the following ways:
{a) By being insured against liability to pay compensation by one or more insurers
duly autl�orized to write con�pensation insurance in this State.
{b) By securing from the Director of Industrial Relations, a certificate of consent to
self-insure, either as an individual employer, or as one employer in a group of
einployers, which inay be given upon filrnishing proof satisfactory to the Director
of Industrial Relations of ability to self-insure and to pay any compensation that
may l�ecome due to his or her employees.
CH�CK ONE
�I am aware of the provisions of Section 3700 of the Labor Code which requires every
erz�ployez• to be insured against liability for Workers' Compensation or to undertake self-
insurance in accordance with the provisions of that Code, and I will comply with such provisions
before cammencing the performance of the work and activities required or pez;n�itted undez- this
Agreement. (LaborCode §1861).
I affirin that at all tiines, in perfonning the work and activities required or permitted under
this Agreement, I shall not employ any person in any manner such that 1 become subject to the
warkers' cozx�pensation laws of Califonlia. However, at any time, if I employ any person such
that I become subject to the workers' compensation laws of California, immediately I shall
provide the City with a certificate of consent to self-insure, or a certification of workers'
compensation insurance.
I certify under penalty of pet jury under the laws of the State of Califoz-nia that tlie anfoi-mation
and representations made in this certificate are true and correct.
CSG CONSULTANTS Date: �j•D6-lg
By:
b � ax
Cynis Kianpo , President
L:1ca1djmlAgreements\Fire Plan Revie���Professional.Seil�ices.PS-l.l.doe
� 550 Pilgrim Drive
Foster City,CA 94404
C�� phone 650.52L2500
fax 650.522.2599
CONSULTANTS
� www.csgengr.com
November 6, 2018
Rich Sessler
Deputy Chief
Redlands Fire Department
35 Cajon St
Redlands,CA 9Z373
RE: AGREEMENT FOR PROFESSIONAL SERVICES
Dear Chief Sessler: '
Enclosed please find two (2) wet signed originals of the Agreement to Perform Professronal Services
between the City of Rediands and CSG Consultants, Inc.for off-site fire plan review services. Our
Certificate of Liability Insurance has also been included in this package.
Upon the City's final signatures;please return an executed copy to my attention via email at
�re�m@cs�engr.com, or mail a hard copy to our corporate headquarters at:
Greg Masztal
CSG Consultants, Inc.
550 Pilgrim Drive
Foster City, CA 94404 �
We appreciate this opportunity to ser�ice the City of Redlands.
Feel free to contact me by phone at (650)522-2523 or by email at gre�m@cs�en�r.com should there be
questions or concerns.
Sincerely,
�/�`� "`�'
Greg Masztal
Enclosures
cc: Project Files
. . . . .• . �
�
TH1S END4RSElV1ENT CHANGES THE P�LICY. PL.EASE READ 1T CARE�ULI.Y.
�taT[CE OF CANCELLATI�N � CERTIFICATE H�L.dERS
(SPECIFIE� �A.VS)
Th� person(s) ar arganizatic�n(s) Iist�d or described in the Sched►�I� below heve requested that they �
receive writ�en notice r�f cancellatian when this paGcy is canc�lled by us. We will rrjail or deliver to the
Person{s} or Organization{s) listed or describ�d in the Sched�le a copy of the written notice of ;
cancella#ior� that we sent t4 you. If possib[e, such copies o� the notic� will he mailed at least 30 days, ;
except for cancellatinn for non-payment of prernium w�ich wifl 6e rnailed 1D days, priar to the effec#ive '
dafe of the cancella#ian, to the add�`ess or addresses of certifcate ho[ders as pro�ided by your broker or �
agent. ;
Schedule I'
Persan(s)or Organizatian(s}including rnailing address:
E
[
E
�
All certificate ho[ders where written nofice of the eancellation af this palicy is required by writ#en
coniract, permit or agreerr�ent with the Named Insured and whose names and acidresses will be
pro�ided by the broker or agent listed in the Declarations Page o# this palicy for ih� p[arposes of !
complying with such request. '
This notification o# cancellation of the palicy is inte�cied as a caurtesy only. Our failure to pro�ide such �
notification to the persan(s) or organization(s) shawn in the Schedu[e will nat exient[ any policy
cancellation date nor impact or negate ar�y canc�[[ation of fhe policy. 7his endarsement does not entifle
the person(s} or organization{s} [isted ar d�scrihed in the Scheduie above ta any benefit, rights or
pratection under this policy.
Any provision nf this endorsament that is irt canflict with a statute or ru[e is hereby amendec[to conform to
that statuEe or rufe. �
All other terms and cnnditions Qf ihis policy remain unchanged.
�
Endorsement Number: 7
Policy 3Vumber: PAAEP�D08802
Named Insured: CSG Consulfants, lnc.
7his endorsement is effecti�e on the inception date of tF�is Policy unless otherwise stated herein:
�ndorsement�ffective Date: December 4, 2D'I6
00 MLOD87 00 11 10 p�g� � of � `
�
' WORKERS COMPENSATION A?�D EMPLOYERS LIABi�.ITY IN5LIRANC�POLICY WG 99 Q4'[D�
(Ed.9-7�4)
W,41VER OF UUR RIGH�'TO R�C�VER �'ROM QTH�R5 �NDORS�M��d7-CAL��ORNiA
BLA[�KET BASIS
We have fhe right tn recover our paymenEs from anyone tiable for aR injury eovered 6y this policy. We will not enforce
our right against the person or organization named in Ehe 5chedu[e. (This agreement applies only to the exfent fhat you
perform work under a written conEract that requires you to obtain this agreement from us.)
7he adriitional premium far this endorsemenf shall be 2% of the tofal manual premium othErwise due on sueh
remuneration. The minimum prertiium for this endorsement is $350.
This agreernent shall noi operate directly or indirectly to benefii anyone not named ir� the Sched�le.
SCHEDULE
BLANKET WAIVER
PersonlOrganizatian Blanket Waiver— Any person or argar�ization for whom the Named Insured has
agreed by written cor�tract to furnish this waiver.
Ja6 Descriptian Waiver Prerrs9um
All CA Operatians ����•fl�
This endarsement changes the pplicy to which i#is aKach�d and is elfecEive an the date issu�;d unl�ss otherwise staEed.
(The infarmation befow is required ortly a�hen this endarsernent is issucd su6sequent to preparation of the policy.)
Endarsement Effective q���/17 Palicy No. C5WC821833 Endorsement No.
Insured CSG Cc�nsultants, Inc. �'��"""u�S
Insurance Company Berkshire Hathaway Womestate Ins Co
WC 49 04 708
(Ed.9-9�)
Policy# BAA(1$}57695795 .
THIS �NpQRS�fVI�NT GHAI�GES THE POLtCY. PLEASE READ IT GAREFULLY.
- AMENt]IUIENT OF CANGELLATIDN PROVISIUNS
This endorsement modifies insurance provided under the following:
BUS!l�ESS AU70 COVERAG�F'ORM
MC�T4R CARRI�R COVERAGE FORM
GARAGE COVERAGE �ORM
IlUiih respect ta cvverage provided by this endorsemenf,the pr€�visions of th�policy appiy cinless madi�ed by this endorsement.
Any term or prov[sion af lhe Cancellation Conditinns of the Policy or any endorsement em�nding or re�lacing such Conditions is
amended by the foflowing:
If you hav� agre�d in a written contract or written agreerr�ent to provide a person or arganizatian noiice of cancellation we
agree to fhe follo4ving:
a. Provide a 3� days prior wriit�n canc�€latian natic� ta sc�ch persons or or�anizatian for reasons other than
nonpayment of premium, but only if we are provi�ed with a sch�dul� of persans or organizations with rvhom
you ha�c agreed to pro�ide natification rnore than 30 da�is before the cancelfation is fo take effect.
As a cnndition of this endorsement, you m�st notify your age�t of any writfen contract or agreement where yo� have agreed to
provide natice of cancellation, other than nonpayrr�ent of premium, to a specific person or arganization.
Failure io pravide to a person ar arganizalion in accordance with tt�e terrr�s af this endorsernent shall not exlend iha effective
date of ihe cancelfatian or flthen,vise affect car�cellation of the policy as to any iEisured.
�q gg 7g p$ q� �20t3 Litierty Mutua[Insuranee.AI[rights€eserved. Pcfg2 1 Of 1
[ncludes copyrighted material of Insurance Services Otfic�,Inc.,with ifs permission.
_ _
PolicY 'BAA(1$)57695795
COMMERCIAL AUTO
CA 88 6fi Q5 'I3
THIS ENDORS�MEN'�CHANG�S TH� pOL.ICY. p�.�AS� �t�A�iT CAF���'UL�Y,
D�SIGNAT�D 1NSURED — NONC{)NTRIBUTING
This endorsement modifies insurance pro�ided under the following:
BU5INESS AUTO COVERAGE FORM
GARAG�COV�RAG� �ORM
MOTOR CARRlER COVERAGE FORM
7RUCK�RS COVERAGE FORM
With respect to coverage prpvided by this endorsement, the provisinns nf the Cov�rage Form appEq unless modified by this
endorsemen#.
This endnrsement it[entifes person(s)or organization(s)who are "insureds" under-the Who fs AR fnsured Provision of#he
Coverage Form. T}�is endorsement does nof�lier coverage pravided in the Coverege Form.
5chedule
Name of Person{s� ar 4rganization(s): Any entity wifh respect to a co�cr�d"�uto" provid�cE that you and such�ntity E3�ve
agreed in a written contract, agreeinerat, or permit to add such entity as an "insured".
Regarding �esi�nated Contract or Project: NIA
Each person or organizatinn showrt in the Schedule of this endorsement is an"insured"for Liability Coverage, but only to the
extent that person or organization quali�ies as an"insured"under th�Who Is An lnsured Pravision cantained in 5�ction II of th�
Cover�g� Fnrm.
The fallowing is at�ded to the Ot�er Ins�arance Con�itlon:
If yau ha�e agreed in a written agreement that this po[icy will be primary and without right of contribution from any
[nsurance in force for an Additional lnsured for liability arising out of your operations, and Ihe agreement was executed
prior ta the"bodily injury"or"property damage", then khis insurance will be�rir�ary and we will not seek contri�ution
frc�rn such insurance.
p2d13 Liherly hAutual Insurance.All ri�hts reserved.
C�A 8$$6 05 13 Includes copyrighted material of Insurance Services Office,Inc.,with its permission. Pa�e 1 of 1
POLICY NUMBER: BAA(18}57695795 COMMERCIAL AUTO
C�120�8 02 99
THfS ENQORSEMENT CHANGES THE POL,ICY. PI.EAS� REAa 1T GAREFUL.LY,
DES�GNATED �NSURED
This endorsement madifies insur�nce pro�ided under the following:
BUSIN�SS AUTO COVERAGE FORM
GARAGE COVERAGE F�RM
MOTOR CARRIER COVERAGE F�RM
TRUCK�RS COVERAG� FURM
With respecf to caverage pro�ided by this endorsetnent, the provisions of the Coverage Form apply unless modi-
fied by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" under the Who ]s An Insured Provi-
sion of the Caverage Form. This endorsement does not alter co�erage pro�ided fn the Coverage form.
This endorsement ohanges the poficy efFective on fhe inception date of lhe policy uNess ar�othec date is indio�ted
below.
�fFective aate: 12/4/2017
Named lnsured; GSG Consulkanls, Inc.; Precision Inspeckion-CSG
SCN�DULE
Na�ne of Person(s) or brganization{s}: as required by written eontract
(i�no entry appears a�ove, ir�formatic�n required to complete fhis endorsement will be shown in the Declarations as
applic:ak�le lo lt�e erldc�rsemer�l.� -
�ach persoh or orgar�ization shown in the 5chedule is an "insured" for Liability Goverage, but oniy to fhe extent
l�tat person or organization qu�li�es as an "insured" under the Who Is An Insured Provisian contained
ir� Section t[ of the Couera�e Form_
CA 2a 48 02 99 Copyright, [nsurance Ser�ices �ffice, Inc., 1598 F'age� of 9 Ll
To the exlent possible,notice ta us shauld include:
(1) How,when and where the"accident"or"lass"took place;
(2) The"insureds"name and address, and
(3} The narr�es and addresses of any injured persons and wi#nesses.
20. WAIV�R��1'�2AN5���2 O�RIGH"�S 0�' �tECC]V�RY AGAWST DTHERS TO U5
SECTION IV — BUSINESS RUTO CONI]ITI�NS, paragraph A.S., Transfer af Rights of Recovery Agai�st
Otf�ers to Us,is amended by the addition of the fol[owing:
ff the persor� ar organization has waived fhose rigftts before an"accident°or "Ioss", our rights are waived aEso.
21. HlRED AUT� C�VERAGE TERRITORY
5�C"I]ON IV — �USIN�SS AU7fl CQNC311�IC7NS, paragraph B.7., F�alicy Period, Coverage Territory, is
amended by tE�e addition of the follawing:
f. �ar "autos" hired 30 days or [ess, the coverage territory is anywhere in the worfd, provided that the
insured's responsibility ta pay for damages is determined in a "suit", on the merils, in the United
States, the territories and possessions of the United States of America, Pue�to Ricn or Canada or in a
settlement we agree to.
7his extension of caverage daes not apply#o an"auto"hired, leased, rented or barro�ved with a driver.
S�C'CION V--D�FINE710N5 is amenc4ed as fallows:
22. �c�QILY[NJIJRY R�CI�FIPIED
Under SECTION V— QEFINTIONS,definitian C. is rep[aced by fhe following:
"Bodily injury" means physical injury, sickness or disease sus#ained by a person, ir�cluciing mental anguish,
mental injury, shock, fright or death resulting frvm any of these at any time.
COMMMON PClLICY CQTlDITIONS
23. EXTENDEq CANCE�.I.ATiON CC?NpIT10N
CUMMON POLICY CONDlTIONS, paragraph A.--CANCELI.ATIOiV condition applies except as foll�ws:
!f we cancel for any r�ason athsr than nonpaym�nt of prernium,we wi11 mail to tha first Named Insured writter�
nofice of cancellation at ]east 6U days �efare the effeetirre date of cancellation. This provision does not apply
' in thase states vvhich require rnore than 60 days prior r�atice of cancellation.
C92(t'13 Liberty Mutual Ensurance
CA 88 '!0 �}9 93 Includes eopyrightetf material nf Ensurance Services OHice,Inc.,with its permission. p��� �d�]
15, G�ASS R�PA1R -WA1V�R aF pEpUCTIBLE
Paragraph D. Deductibie of SECTIOI� III — PHYSICAL DAMAG� GdVERAG�is amended �y the addifian of
the fallawing:
iVo detiuctiE�l�app[ies t�c�lass darnaye if lt�e glass is r�pair�d ratlier lt�ar� replaced.
16. PARiCED AUTO CC}LLIS14�1 C(3V�RAG� (WAIV�R()F' b�DlJCTIBLE)
Paragraph D. DerJuc#ible of SECTI�N III — PHYSICAL DAMAGE C�VERAGE is amended by fhe addition of
lhe following:
The deductible does not apply to "fnss" caused by collision to such covered "auto" of tF�e private passenger
type or light weighl trucEc wifh a gross vehicle weight of 10,Q4Q lbs. or less a� clefin�d by the manufacturer as
maxirn�m laaded weight the"auto"is designed to c�rry while it is:
a. fn ihe charge of an"insured";
b. Legally parked; and
c. Unoecupied.
7he"lass"must be reported to ihe police authorities within 24 hours of[cnown darnage.
The total amount pf the damage to the cavered"auto"must exceed Ihe deductible shown in the D�clarations.
This provision does nat apply Ea any "lass" if khe cavered "auto" is in i�e eharge af any person or organization
er�gaged in the automobile business.
17. 7W0 OR MO�2� D�pUCTIBI»�S
Under 5ECT10N I[I PHYSICAL DAMAGE COVERAGE, if i�,vo or more company policies or coverage forms
app[y to the same accicient,the following applies to par�grapf� D. �eductibfe:
a. If the applicable Business Auto deductible is the smaller(or smallest}deduckible it wili be waived; or
b. If tfi�e applicable Business Auto deductible is not Ehe smaller(or smallest)deductible it wi[I be reduced
by the arnount of the smaller(ar smallest)deductible; or
c, [f the loss involves iwo or r�ore Business Auto coverage forms or policies fhe smaller (or sma[lest)
deductible wi[I be waived.
For the purpose of t�ls endorsemenE company means any company that Is part of the Llberty Mutual Group.
SECT[aN IV—BUSiNESS AUTO Cf)NDITIONS is arnended as follows:
78. IJNINTENTIONAL FAILURE TO DISCL�S� HAZA�2�15
S�C710N 1V-BUSINESS AUTC7 COAIDITIONS, Paragraph 8.2. is amended by adding the following:
If yau uninter�tionapy fail fo disclose any hazards, expasures ar material Facts existing as of the inception dat�
ar renewal dake of the Busir�ess Auto Gvverage Farm, the co�erage afforded by this {101tCy bV1II not be
prejudiG�d.
Ho+nrever, you must report the undisclosed hazard of �xposure as soon as practica6le after its disc��ery, and
we have the right to collect additional premium for any such hazard ar exposure.
19. AMENDED bUT1ES I1V TWE EVENT QF ACCiUEtVT, GL.,�11M, SUIT,aR LOSS
SECTION IV—BUSWESS AUTO CONDITIONS,paragraph A2.a.is r�plac�d in its enlirety by the follawing:
a. [n the event af"accident", claim, "suit"or"loss", you must promptly notify tas w�en it is known to:
�[_ You, if you are an indi�idual;
2. A partner, if you are a partnership;
3. Member, if you are a limiked liability company;
4. A� executive officer or the "employee" designated by fhe Named Insured to give such noEice,
if you are a corporation.
�20i3 Liberiy Muival Insurznc�
CA 88 10 ff1 13 1ncludes cupyrigEitod matcrial o{Insurance Services Office,inc.,vriUi its pcnr�ission. Fsa��g pf]
�xcluslon 4.c, and 4.d. do not appry to:
a. �lectranic equiprnent that receives or transmits auciio, visual ar data signals, w�ether or not designed
solely for the reproducfion of sound, if the equiprneni is permanently installed in the covered "auto" at
the tirne of the "loss"and such equipment is designed to be soEely operated by use of the power from
the "auto's" electrica] system, in or upon ti�e covered "�uto" and physical damage couerac�es are
provided for the covered"aufo";or
If fh� "IossA oecurs solefy to audio, �isual or data electronic equiprr�ent c�r accessories used with tE�is
equipmenE, tY�en our ob[igation to pay for, repair, return or replace damaged or stoler� pr�perry will be reduced
by a�10b deduc�ibfe.
1a. L.UAN 1�.�ASE GAP GOVERAGE
A. Paragraph C., LIMIT OF INSLIRA�ICE of SECTION III — PHYSICAL �AMAGE COVEF�AGE is
arnended by adding the following:
The mast we will pay for a "tota! foss" ta a covered "auto" owned by or leased ta you in any one
"accident" is the greater of the:
1. Balance due uhder the terms of the loan or Iease ta which tf�e damaged cover�d "auto" is
subject at the fime of fhe"[oss"less the amount oF:
a. �verdue payments and financial penalties assoeiated with those payments as of the
date of the"foss",
h. Financial penalties impose� under a lease d�e tn high mileage, excessiv� use or
abnorrn�al wear and tear,
c. Costs for extended vrarranties, Credit Life Insurance, Health, Accident or Disability
[nsuranee purchased with lhe laan or lease,
d. Transfer or rallover balances fram previous Inans nr leases,
e. Final payment due under a "Balloan Loan",
f. The dollar a�ount af any unrepaired damage which occurred prior to the"totai loss"of
a covered "at�#v",
g. Securily depasits not refunded by a Iess4r,
h. All refunds payable or paid to yo€� as a result of the early terminatian of a lease
agreement or as a cesuit of the ear[y termination of any warranty or ex�ended service
agreernent on a covered"auto",
i. Any amaunt representing taxes,
j. Laan or lease termination fees; or
2. The aetual cash value of 1he damage or stolen praper�y as of the time af the"loss".
An adjustmen� for depreciation and physica! conditian will be made in determi€�ing the actual cash
value at the time of the"loss". This adjuslment is not applicable in Texas.
B. ADDITIONAL CONDITI�NS
TY�is coverage applies only tn the orig�nal [oan far which the covered "auto" that incurr�d th� loss
serves as collateral, or lease wr�ttan on the covereci"auto"that incurred the loss_
C. SECTION V—DEFENTlONS is changed by adciing the fo[lowing:
As usEd in this endorsement pro�is[on, the foll4rving definitions apply:
"Tota! lass"means a "ioss"in which the cas�of repairs plus the sal�age�alue exceeds the actual cash
va[ue.
A"balloon loan" is one with periadic payments that are insufFcient to repay the ba[anc� ov�r th� term
of khe loan, thereby requiring a large final Payrnent.
c�24i3 Liherty Mutual[nsurance
CA 8$ 10 01 13 Includes eopydghted material of,lnsur�nce Services Oifice,Inc.,vri�its permission. �+a�e�Of 7
9. R�Ni'AL REIMBURSENIENT
S�CTION I€I—pFiYSICAL DAMAGE COVERAGE,A. COVERAGE, is amenc[ed by adding the faf[owing:
a. We wil[ pay up to �75 per day for rental reimb�rsement expenses incurred iay yau fflr the renfal af an
"auto" because of "accident" or "loss", tv an "auta" for which we also pay a "loss" under
Carrrpre�ensive, 5pecified Causes of Loss or Collision Coverages. We wiil pay on[y for thos�
expenses incurred aiter the first�4 hours fallowing the°accident"or"loss"to the covered"auto."
b, Rental Reimbursement+,vi11 be based on the rental of a camparable uehide, which in many cases may
be substantially less tYtan �75 per day, and will only i�e allowed for the period of Eirne it shouEd take to
repair or replace the vehicle witF� reasonable speed and similar quality, up to a maximum€�f 30 days.
c. W� will also pay up ta $5�(} far reasonable anc! necessary expenses incurred by you to remove and
replace your tools and�quipment from the covered"auto".
d. 1"his coverage does not apply unless yflu ha�e a business necessity Eha# athar "autos" availabEe for
your use anc[operatinn can�at fill.
e. [f"loss" resu[ts frorri the total theft of a covered "auto"of the private passenger type,we will pay under
this co�erage only that amount of your renta[ reimbursement expenses whici� is not already provided
under Paragraph 4.Co�erage Extension.
f, f�o deducfib[�appli�s la this cov�rage.
For the purposes of this e�dorserrtent provis9on, maferials and equipmenf do nat include "persanal efFects" as
defined in provisior� �1.
10. EXTRA EKPENSE -BROADENE�COVERAGE
EJnd�r BECTION Ili — PHYSICAL DAMAG� COVERAGE, A. C�VERAGE, we will pay for the expense of
retvming a stalen co�ered "auto"to you. The rRaximum amount we will pay is 5�,000.
'i4. P�R50NAl. EFFECTS COVE�2AGE
A. S�CTION III �- PHYSICAL C7AMRGE COVERAGE, A. C�VERAG�, is amended by adding the
follo�ring:
]f you have purchased Comprehensive Coverage on this po[icy for an"auto"you own and that"auEo"is stofen,
we will pay,witt�out appEicatinn of a deducfibfe, up t� $BOfl fnr up�rsana! effects"stnlen witf�the"au[o."
7he insurance provided under this provision is excess over any other collectible insurance.
B. S�CTION V—b�FINITIONS is arnended by adding the following:
Foc the purposes of this pravision, "personal effects" mean tangible Property that is worn or carried by an
insured." "Personal e�fecfs"do�s not include tools, equipment,j�w�lry, money or s�curiti�s.
12. ACGIDENTAL AIRBAG DEPLOYMENT
SEC7lON III--PHYSICAL �AMAGE COVERAGE, B, EXCLUSIDNS is arnended by adding the following:
[f you have purchaseci Comprehensive or Collision Coverage under ihis policy,the exclusion for"Ioss" relating
, ta mechanical breakdown does not appfy ta t�e accidental discharge of an airbag.
Ar�y insurance we pro�ide shall Eae excess aver any other collectible insurance ar reimbursement by
manufacturer's warranty. How�ver, w� agr�� io pay any d�ductible applicab[e to the ather coverac�� or
warranry.
13. AIiDIO, VISUAI,ANp �ATA EI.�CTRi,�t�1G �QUIPM�NT CC}V�RAG�
S�CTION lIl — PHYSICA�. DAMAGE COVERAGE, �3. �XCLUSIONS, exception ParagraPh a. ta exclusians
4.c. and A�.d. is de[eteci and replaced with the follo�ving:
�2013 Liberty blutuat Insuranc�
CA 88 '[4 E�� �`13 lncludes cc�pyriyhfed r�iaterial of Ir�su��rice Services�lfee,Inc.,wi11i Its�errnis�ion. �a��,$ p��
b. Your "empfoyee" hires or rents und�r a written contract ar agreem�nt in that "employee's" name, bt�t
only if the damage occurs while the vehfele is being used in the conduct of your business,
subject to the foflowing limit and deductible:
A. The mast we wiEl pay for"laas"in any one"accidenf"or"[os�"i�thc smalle,t of:
(7) �50,000;or
�2) The actual cash valL�e of ihe d�maged or stofen property�s of the iime of the"loss"; or
(3) The cost of repairing or replac€ng the damagEd or stolen property wifh oth�:r properfy of IiEce
kind and quality, minus a deductible.
B. The deductible will be equal to the fargest cfeduc#ible applicable to any owr�ed"a��to"for that co�erage.
C. S��ject #o the limit, deductibl� and �xcess provisians d�scribed in t�is provision, we will provide
co�erage equal to the broadest co�erage applicabfe to any covered "auto"yo�a own.
D. 5ubject to a maximum of$1,000 per "accident", we will also eover tE�e actual Idss of use of the hired
°auto" if it results from �n "accident", you are legally liable and Ihe lessor inct�rs an acival financia9
loss.
�. This coverage extension does not apply to:
(1} Any"auto" Ehat is hired, rented or borrowetl wit�t a dri�er; or
(2) Any°auto" li�at is hire�, rent�d or borrowed from your"employee".
For the purpases of this pro�ision, SECTION V—QEFINITIONS is amended by aciding the following:
'Tota9 [oss"means a"loss"in which the cosf of repairs plus the salvage value exceeds the actua[cash value.
7. TGIWENG AN� LABOR
S�CTI�N III — PHYSfCAL DAMAGE COV�RAG�, paragraph A.2. Towing, is amended by the additia� of the
following:
We wiE[ pay towing and labor cosls ir�curr�d, u� to th� limits shown below, each time a covered "auto"
c[assiFied and r�ted as a private passenger typ�,"(ight truck"or"medium truck"is disabled:
a. For private passenger type vahicles,we will pay up ta�50 per disablement.
b. For"light trucks", we will pay up to 5�Q per disablement. "Light trucks" are trucks ihat have a gross
vehicle weight(GVW)of�0,000 pounds or[ess.
c. For"medium trucEts" ,we:wi[[ pay up to$150 per disablem�:nt. "Medium trueks" ar� frucks Ehat have a
gross�ehicle weight(GVW}of 14,p09 --2�,C1�0 pounds.
However, the labor musf be performed at ihe place of disableme�t.
8. PHYSICAL DAMAGE -ADQiT[ONAL TRANSPORTA�'laN �XPENSE COVERAGE
Paragraph A.4.a., Ca�erage Exfension of SECTI�N III — Ph1YSICAL �AMAGE COVERAGE, is amend�d io
provide a limit oF�54 per day and a maximum limit of�9,b0�
C'�20i3 Liherty Mutual Insurance
CA$8 10 01 '13 fnc[udes copyrighted material of Insurance Sentices O�ice,Inc.,vr�lh its permission. p��� $qf 7
(2) If fhe Limits of Insurance of any oth�:r insuranc�po[icy have ���n�xhausted;or
(3} To "badily injury" or "property damage" that occurred befare you acquired or forrried the
organizati4n.
2. EMP�.OY�,�S A& INSUR�DS
S�CTION II — I.IABII.ITY COV�RAGE, paragraph A.1. —WH� IS AN INSURED is amended to include the
fvllowing as an insured:
f. Any"employee"of yours whil� �[sing a covered "auto"yau do not own, hire or borrow, but only for acts
within the scop� of their employmer�t by you. Insurance pravicied by fhis endorserr�enf is excess over
any vther insurance available to any"employee".
g. An "em�loyee" of yours while operaiing an "auto" hired or borrowed under a written coniract or
agreement in that "erriployee's" name, with your permission, whi[e performing duties rela#ec� to the
canduct of yaur business and within the sco�e of their employment. lr�sura�ce provided by this
enciorsement is�xcess over any other insUrance avaifable tv the"employee".
3. ARRITIUNA�.INSUR�p BY CQl�TRACT, AGREEMENT aR PERMIT
S�C710N II — LIABfLITI( COVERAG�, paragraph A.1. —WHO IS AN INSUR�❑ is amended to i€�clude the
foElovring as an insured:
h. Any person or organization wit� respect to the operafion, maintenance or case of a covered "auto",
provided khat you and such person or organization have agreed in a written cor�tra�t, agreemenf, or
permik issued to you by govarnmental or public authority, to add sueh person, or organization, or
governmental or public authority to #his policy as an"insured".
Nowever, such person or organization is an"insured":
(1} Unly with respect to the operation, rrEaintenance or use of a covered �auto";
(2) Dnly for "bodily injury" or "property damage" caused by an "accident" whicf� takes
place after you executed fhe wriEfen contract or agreemenf, or the permit has been
issued to yaea; and
(3} �nly for th� c[uration of th�f contr�ct, �greement ar permit
4. SUPPLEMENTARY AAYMEN3S
SECTfON II — LIABlLITY COV�RAGE, Coverage Extensions, 2.a. 5upple�entacy Payments, paragraphs (2)
and(4)are replaced by fl�e fo[lawing:
(2) Up to �3,Oqp for cost of baii bonds (including bonds fnr r�lated traffic vioEations) required because of
an "accident"we cover. We do not have to furnish these bonds.
(4} Rf1 reasonable expenses incucred by the insured at our request, inc[uding actual foss of earnings up to
�500 a day because af time off�r�m work,
s. AMENDED FELLOW EMPLQYEE EXC�IlSION
ln those jurisdictions where, by law, fello�v err�ployees are not entitled to the protectian afforded ta the
employer�y th�workers c�mpensation exclusiviry ru1e, or similar protectian, the following pravision is added:
SECTION II— LIABILITY,exclusion 6.5. FELLOW EMPLOYEE does not apply if the"bodily injury"result5�rom
the use of a cavered"auio"you own or hire.
SEC1"ION III— PHYSICAL QAMAGE COVERAGE is amend�d as fol[ows:
6. HlRED AUTO FHY5ICAL DAMA�E
Paragraph A.4. Coverage Extensians af BECTION 1I1 — PHYSICA�. �AMAGE COVERAGE, is amended by
addir€g the fallowing:
]f hired "autas" are covered "autos"for Liabifity Coverage, and if Comprehensive, Specified Causes af Loss or
Callision coverage are provided under the Business Auto Coverage �orm for any "auto" yota own, fhen fhe
Physical Damage coverages provided are extended to"autps":
a. You hire, rent or borraw; or
�2Q13 l.iberty Mutual lnsurance
C,4 8$ 10 [}1 1$ Inctudes copyrightcd material o{Insurance Services Uffice,Inc_,v�iih its psrmiss'son. Fa�e 2 of 7
- Policy# BAA(18)57695795
connM�Rc���aura
CA88 't0 D1 93
THIS ENDORS�M�NT GHANGES THE PaLICY. PLEASE READ IT CAREFl1L»L.Y.
BUSINESS AUTO C�VERAGE ENHANCEM�NT �NDORSEMENT
T}�is endors�ment madifies insurance provided under#he following:
BUSINESS AUT�COVERAGE FURM
With respect to coverage afforded by this endorserr�ent, tt�e pro�isions of the policy appEq unfess modif ed by fhe endorsement.
GC]V�RAGE 1NDEX
SUBJECI' F'ROVISION N11MB�R
ADDITIONAL INSURED 8Y CDNTRACT,AGREEM�NT OR P�RMIT 3
ACCIC]�A1TAL�11RBAG DEFLOYMENT 12
AMENDEO DUTIES IN TNE EVENT�F ACClaEN1', CLA1M, SUIT OR L05S 99
AMENDE� �ELLOW EMPL�YEE EXC�US]ON 6
AUDIO,VISUAL AND DAl'A��.EGTRQNIC EQUIPMENT COVERAGE 13
BROA� FORM INSURED 1
BODILY INJURY REbE�INEQ 22
EMPL�YEES AS INSUREDS (including empinyee hired auto) 2
EXT�NDED CAtVCELLATION CONDITION 23
EXTRA EXPENSE—BROAD�NEQ COVERAGE 10
GLASS R�PAIR—WAIV�R 4F C3�DUC7IBL� 15
HIRED AUTO PHYSICAL�AMAGE(incl�ding�mp[oyee hired auto and loss of use) 6
I-IIRCD AUTO CUVEi'•AGC T�RE�ITORY 20
L�AN !�.EAS�GAP 94
' PARKEQ AUTO COLLISIOf� C�VERAGE(WAlVER�F DEDUCT[BLE) 16
PERSONAL EFFECTS C�V�RAGE 9 9
PHYSICAL DAMAGE--A�DITIONAL TRANSP�RTATION EXPENSE COVERAGE 8
RENTAL REIMBURS�MENT 9
St�PPI.EM�[�7ARY PAYM�NTS 4
TOWING AND LABaR 7
7W0�R MaRE D�QUCTIBLES 17
UNIN�'ENTiONAL FAILllRE Tfl DISCLOSE HPZARDS 18
WA(V�R QF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO U5 20
S�CTIaN �t—LIABIL.ITY CflV�RAG� is amended as follows:
1. BRDAb �'ORM INSURE�
SECTf�fV ll — LlAB1LITY C�VEf�AG�, paragraph A.1. —WN4 IS �It� INSURED [s amended to include the
foifowing as an insured:
d. Any [egally incorporated entity af which you own rt�ore than 5a percent of the vo#ing stock dunng the
policy period. However, "insured"does not include any organization that:
(1} Is a partnership or joint venture; or
(2) 1s an insured under any other automobile poficy;or
(3) Has exhaus#ed its Limif of Insurance under any other automobile policy.
Paragraph d. (2) of this provision does not apply to a policy writfen to apply specifically in excess of
ti�is policy.
e. Any organization you newly acquire or form, �ther than a partnership or joint venture, of which yau
o�vn mare than 50 p�rcent of the voting stock. This automatic coverage is aiforded oniy for 1 SO days
fram the dafe of acquisition or formation. However, caverage under ihis provisian does not apply:
(1 j If fP�ere is similar insurance or a self-insured retention pfan availahle io that organizatior�;
Q�24i3 Liberty Mutual Insuranrx
CA 88 R fl D�i 13 Enc[udes copyrighted rs3aterial of Insurance S�r�ices pffice,fnc.,wi�h its permission. P�lge `1 of 7
Policy #: BKW{18)�7�95795 COMIVI�EiCIAL GEIVERAL LIABIL[TY
CG 89 7U 04 'i 3
THIS EN�ORS�MEIVT CHANGES THE POLICY. PLEAS�READ IT CAREFULLY.
AMENDMENT OF CANCELLATION PROVISIONS
This endorsement modifi�s insurance provided under the folfowing:
COMMERCIAL GENERAL LIAB[LIT( COVERP,GE PAR7
Any term or provision of the Cancellafion Conditions of the policy or any endorsement amending or replac-
ing such Conditions is amended 6y the foflowing:
If you have agreed in a written cantract or written agreement ta pro�ide a person or organization notice
of cancellation we agree to the following:
Provide 34 days prior written cancellation natice to such person or organization for reasons other than
nonpayment of premium, but only if we are pro�ided with a schedule of persor�s or organizations with
whom you have agreed to provide notification more than 30 days before tf�e cancellation is to ta€ce
effect.
�or purposes of fhis endorsement, knowledge af the agent as to the persons or organizations requesting
notice of cancellation is insufficient to in�oke our duty ta provide notice of cancellation unless the identity of
the persons or organizations is provided directly to us in accordance with the terms of this endorsement.
Failure to pro�ide notice to a per5an or organizakion in accordance witF� the #erms of this endorsernent shall
not extend the effective date af the cancellation or otherwise affect cancellation of the policy as ta any
insured.
�
s
V
� 2013 Liberty Niutual lnsurance
CG 89 70 04 13 Inclt�des copyrighted material of[nsurancs 8ervices Office,[nc.,with its permission. Page '[ of 1
_ _ _ _ _ _ __ _ _ __ _ _ _ _ _ _ __ _ _ _ __ __ _
P. EXTEND�U PROPERTY DAMAGE
Exclusiost a. Of COV�RAGE A. BOL}(LY.1N.�UfiY ANQ �'�(li'ER7Y DQMAGE UABILITY is r�;pEaced �y f�te
fo![owirtg:
a. �xpected Or�ntended lrtju�+
"Bodily injury" or "prope�y dama�e" expected ar iniend�d fram the standpoint af the ins�red,
Th�s exc�usio� d�es not apply to "bodily inJury" or "praperty damage" resulting �rom tha use of
reasona6[e torce to pratect persons nr pr€�perty.
C3. WAIV�� QF TRANSFER OF RIGHTS OF RECOVERY AfAiNST OTH�RS T� tl$ - WHEN REQUlRED iN �
C�NTRACT IlR r4GRE�MEf1iT W1TH YOU
tJnd�r Section IV- Commerciat Generat k.iahility Canditior�s,the follo+nring is added t� CQndition 8.Trans-
fer Of Rigi�ts Of Recovery Against�thers To Us:
We wSive at�y right of recovery we may have against a person or organiza�ion bec�use of payments we
make for injury or damage arising out af your ongaing operations or "your wark" dane unc{er �
contract with that person or orgenization anr� incl��ed in the "producEs-campieted opera;ia�s haza��"
provided:
1. Yau and t�at persan or organizatior� have agraed in writing in a cnntract or agree��ent that ycu
waive such rlghts against t�at p�rscn nr organization; and
2. 7he injury or damage vccurs subsequer�t#o the executior� of t}!e wriiten conEract ar written agree-
rnent.
� 20�3 I.iberly Mutual,nsuraE�ce
CG$$ '1�1�4�1� Includes oopyrighted maicriakof�lhsurance 5ervices Office,inc.,with its p�rmission, Peg�$v$�
advertising injury" arising oui af their willful conduct,which is deiined as the pur�oseful or wi4lfui intent to
c�use "bodily injury" or "persnnaf and advertising injury",ar caused in whole or in pal't by their intoxica-
tion t�y liquar or controlied substanees.
The coverage provided by pravision.l.is�xcess over any aiher vafid and collsc;ab�e insurance available to
your"employee".
1C. N�WLY�C1FiM�D OR AaDlTIa11�A1.1.Y ACQUIFiEb EN7`iT1ES
Faragraph 3.o#'Sectiors!!�Wha(a An Insured is rep[aced by the falfowing:
3. Any arganizatian you ne►ufy �cqu9re or form and o�er which you rr�aintain ownership or r'najority
interest, will qual�fy as a Named I�rsured [f there is na c�ther slmilar insurance available ta that
arganization. Mowever:
a. �overage under #his provision is a#forded only �ntil ;h� expiration of the policy period �n
which the entity was acquired or formed by you;
b. Coverage A does not apply to "6odify injury" or"property damage" that occurred before you
acqUired or formed tl�e organiaation, and
c. Caverage � d�es not apply to "persoRa! ar�d acfvertising ir►jury" arEsing out of an affense
cammittec!before you acqui�ed or formed the organizatian.
d. fiecords and descriptior�s of operatians rnust be maintained t�y the first Named ]nsured.
Na person or organiz�tion is an insured with respect to the canduct�f ar�y curreni or past partnership,joint
ventur�ar iimited Eiabillty campar�y thai ls nat shown as a Named Insure�l in the Declarations or qualifies
as an insured under this pro�isiors.
L. �Alf.li�t�TQ�ISCLQ5�HAZ�tROS Ar11�PRIQR dCCl.7RF�Ei1tC�S
Under Sectian IV-Commercial General Li�bility Conditians,the#ollowing is added to Condition 8.Repre-
sentatians:
Your faiiure ta disciose all hazards or prEor "occurrences" existing as of the inceptian date of the paliey
shall nc�t prejudice t�e coverag�affardecf by this pof�cy pravidec3 such fail�re to discfase�II hazarcEs ar
prior"occurrences" is not intez�tional.
M. KN41dIdLEDGE OF QCCURRENC�,OFFENS�,CLAIM t7R S[JiT
Unsler 5ectian IV-Corrimercial Generaf Liahi[ity Cc�nditinns,the following is aclded to Condition 2. Duties
In 7he Ev�r�t af�cc�rrence.(Nfense,Claim Or Suit.
Knvs+vledge of an 'bccurrence", offer�se� cEaim or "sult" by an agent, servant or "emp�oyee" af any
insured shaff not in ttself canstitute knowledHe o#khe insuretl unless an insured listed und�r Paragraph
1.af Section II-Who[s An Msur�d or a person wha has been designaied by thern ta receive reports ofi
"oocurrences", offienses, cl�irns vr "suits" shatl hav� reeeived such notice from the agen#, servant nr
„errtpfoyee".
N, Zi�E�lALIZATi�N CLAUSL�
If we rev9sa th�s Cnmmercial G�nerai Liat�iiity Extension Endorsement ta pravide more coverage withcsut
additlnn�l prert�i�m charge,your palicy will�utornatically pravide the co�era�e as nf the rlay the re�ision is
effective 9n yaur state.
D. BODILY 1NJURY REOEFfI�ED �
tJnde�r&eGtion V-�sfinitions,Definition 3. is repfaced by the foElowing:
3. "BadiEy ln�ury" mearts physica! i�jury, sickn�ss or disease sustained by a person. 7hfs includes
mental anguis�, mentai injury, shack, fright or death tF►at results irom sueh phys�cal injury, sick-
r�ess or disease.
� 2013 Liberry MutuaE InsuranG�
GG$$ 10�+� 13 EnCludes copyrighted matet'ial of 1nsUrance Services O�fiae,Inc.,with its permission. P�ge 7 Of$
b_ The foltowing is added to f�aragraph b.�xoess insurance:
When a written contract or r�vr�tten agreement,other t�an a premises iease, facilities renta�cvntract or
agreement, an equipment rental or lease contract or agreem�ni,or permit is5u�d by a sfate br pplitical
subdfv�sian b�tween you�and an additianal insured does nat requ�re this insurance ta be primary c�r
primary �nd non-c€�ntributory, this insuranee is exc�ss over any ather insuranee fs�r which the addi-
tional insured is designated as a Named lnsured,
Regardless of the written agreament beiween you and �n �dditional insured, this insur�nc� is excess
over any other lnsurance whether Primary, excess, contingent or on gny other b8sis for which the
addition�i insured has been added as an additianal insurec#on other pvlicies.
I. ADDfT10NAl.(NSU�i�aS-EX�ENDED pROT�CTIDN OF YflUR"�I�AAITS OF INSURAIItCE"
This pro�isi�n applies to any persan or organizatian who quatifies as an additiflna� insured under any fnrm
or endorsernent under this policy.
1. The fpllowir�g is addec�to Condition 2.Duties ln The E�ent Of Qccurren�a,Uf#ense,C(airrt ar S�it:
An additiona! €nsured under this endorsem�nt will as soon as ptacticable:
a. C�ive wtiiten notice of an "occ�rrence" or an offertse that may result fn a claim ar "suit" under
this ins�ranceto �s;
b. 7ender tf�e defense anrl inderr►nity af a�y clair� or "suit" to �fl insurers whvrr� atso hav�
insuran�e available ta the additional inscared; and
c. Agree ta m�k� availabie any other insuranc� which the additianal insured has for a loss wa
cflvef under this Couerage Part,
d, W� have no duty to defend or indemnify an addikivnal insured under this endorsemeni until
w� receive written notice csf a "suit" by the addition8l insured.
2. The Iimits of ins�rance applicabte to the additionat ins�red are those specified in a written ca�tract
or vvriiten agreerrient or the Iimlts af insuranca as stated in the [�eclarations Qf this palicy a�d
defined in Section itl - Limits of l�sur�nce of this policy, whichever �re less, These limits are
' incfusive of and not in addition to the�ir�its of insurance ava9lable under this policy.
J. WHO IS AN INSUR�b-INGIDENTAL MEDICAL ERRORS 1 MA[.PRACTICE
WHO IS AN iNSU�iED-FELLQ1dU��PLOYEE EXT�NSlQN-MANAGEiVtENT EMPLOYEES
Paragr�ph 2.a.(1)of Section 11�Whn is An Inse�reci Is repla�ed with the faltowEng:
('Ej "godily injury" or "personal and advertising injury":
{�) '�o you,to your partners ar mernbers{ifi you are a partnership or joint ventute?,to your members tif
you are a limitec# tiabiiity company}, to a co-"empfayea" uuhile in the not�rse of his or her emp3ay-
ment or per�orr�ing duti�s related to the canduct n# your business, ar ta your ather "�vlunteer
rnrorke�s"while performing duties related to the canduct of your b�siness;
(bJ T� the spouse, chitci, parent, br�ther or sister of that co-"er�p3ayee" or "volunteer worker" as a
consequence af Paragraph [i� (a�above;
(nj �or which th�re is any obligation ta share damages wiih or repay sorr�eone e[se who must pay
damages because of the inJury described in Par�graphs{1j(�}or(6�above; or
�dj Arising out of his or her providing ar faiiing#o provide prefes5iar�al t�ealth care serviees.Hov�t�ver,
i�yov are not in the businass of providing professional heafih car� services nr providing prflfes-
sianal fi�ealth care personnel t� otf�ers, or if coverage for providing pres#essianai health care ser-
vices is rooi ofherwise exclucfed k�y separate er�dorsement, this pro�is€on (Paragraph �d�) cioes not
apply.
Paragraphs{a) and (bj above do not apply to "badily injury" ar"pers4nal and advertising injury" ca�sed by
an "employee" who is actir�g in� supervisory capaeity for yflu, Supervisory capac4ty as used herein meat�s
ihe "employ�e's" job responsibRlities assigned by you, includes the direct supervision af other "empEoy-
e2s" of yaurs. However, none of these "employees" are insureds for "bodily injury" ar "persanat and
� 2D13 Liberty Nlutual Insurance
r.nnn .rnnw en . . . . . . . . . .. - - --- ' ' . _ .. ._.
Z. l�iith respecE to the insurance prvvided by this e�dorsement,the fo�fowing are addec4 io Paragra�h Z.
�xclusfons under Section 1-Coverage A-Badily Injury And PEoperty Damag�Liability:
Thts insuranee does not�pply ta:
a. "Bodily injury" or "p€operty damage"arising from the sole negligence of the additianal insured.
#a. "�odily ln�ury" or '<praperky dam��e" that oceurs prior ttr you commencing operations at the
facatian whar�such "bodily injury" or"property damage°accurs.
c. "�adi(y injury", °property damage" or"personai and adv�rtising injury"arising out af the rend�r-
Ing of, ar the iailure to render, any professlonal architectural,engineering or surveying services.
inctuding:
('i) The preparing, approving, nr failing to prepare or �ppro�e, maps, shop drawings, opinions,
reparts, su�veys,fiefd orders.change arders or drawings and speclficatinns; or
(2� Supervisory, inspection,architectural or engineering activities.
This exclusion applies even if the claims against any insured alfege n�gligence ar nt�er wrongdaing in
the super�ision, hiring, emplaymer�t, training or monitoring of nihers by that insured, if the "occ�r-
rence" which caused the "bodily 'rnjury" or "properiy damage", ar iha affens� whicf� caused the
"personat and adver�ising i�Jury", invc�ived the'rendering of, or the fallure tcs render,any professionaf
�rchiteciura�,engineering or surveying 5ervices.
d. "8odily injury"or"prapertydsmage° eccu�ring aiter:
�1} Al1 wark, ir�cluding materials, parts ar equipment furnished in connection with such wark, on
tF�e praject�ather th�n service, rnair�tenence or repairs)ta iae performed by or on behakf of the
addltianal insured(s)at the location af the coverer�vperatians has been compleied; or
{2) That portian oi "your work" out nf which the in�ury or darr�age arises has been put to its
intended use by any person or organizatiar� ather than anofher concra�tar or subcor�tractor
engaged in periorrning operatiQns for a principal as a part of t�e same project.
e. Any person or organizaiion specifically designaEed as an additional iRsured for ongoing operatians
by a separate ADDITIONAL INSUE�ED -flWN�E�S, l,ESSEES QR CCIN7'�tAC70FiS endorsement is-
sued by us and made a part af t�is pnlicy.
3. With respect io the insurance afforded to these additionat insureds,the foliowing is�dded ta 5��t9on IIl
-Li�tti#s Qf I�surance:
� If cav�rage pravided to ihe ad�itian�l �nsured is required hy a c�ntract nr agreement,t�e most we will
pay vn behalf af the additional i�surecf is the amaunf af insurance:
a. Required by the contract or agreer�ent; ot'
6. Available under the applic�ble Limits of Insuranee shown in the Declarations;
wE�ichever is fess,
1'h�s end€►esement shaE?nat increase Ehe applicahle Lirnits of Insuranca�hawn in the�3�cEarations.
H. RRIMRRY At1iD NOf�•CQi�T'RIBUTORY A�IDlTIOAIAL INSU�EQ EKTENSEON
7his �arovision applies to any person or organizatiort who qualifies as an additional insured ur�der any farrn
orendors�m�nt underthi�palicy.
Canditian d�. Other 3nsurance of SECT[ON(V-CdMM�E�CIAL G�N�RA!�.tAB[LIl'Y CdN�ETiONS is amend-
ed as fal lou+s:
a. The faltnuving is added to Paragrap�a.Prim�ry ir�suranca:
!f an additional insu�ed's poliey has an Other Insurance �rovision making its policy excess, �nd you
t�ave agreed in a written contraet or+�►ritten egreement ta provide the additiona9 insured ca��rage an a
primary and noncontributory bas'ss,th�s palicy shall b�primary and w�will not seek ccsntribution from
the�ddifional insur�d`s poficy for damages v+re cQver.
• � 2Dt3 liberry Mutual Insurance
CG 88 1�44 13 Includes capyrlghted matetial oilnsurance Serv�ces t3Efice,Inc.,with its permission. RagB 5 t1f 8
b. Premises or facilities re�ted by you or used�ry yau; ar
c. The maintenance,aperation or use by yti�af equfpment rentect or leased La you by such persan or
organizetian; or
d, Dperations perFnrrned hy you or on yaur �ehal# far whieh �he state or pofitieal subdivision has
issued a permit su6j�ct to the follawing a�Iditianal pravisians:
{1) This insurance does not appfy fv "bodiiy injury", "property damage", or "�ersonal and ad-
�ertising injury"arising out of the opera#ians{�erfarmed for the state or pnlitical subdivisian;
42) This insurance do�5 not app�y ta "bodiiy injury" or "praperty damage" included withir� the
"comp[eted operations hazard", ,
�3} Irts�rance applies tv premises you awn, rent,or eontrol but only witf� respeot to the follo�Nirtg
hazards:
{a} Th� existenee, rnaintenance, repair, construction, ereccic�n, or removal ofi advertising
signs, awnings, canopies, cellar entrances, coal holes, driveways, manholes, rr�arque�s,
hoist away openings, siciewafk vaults, street banners, c�r decoratians and similar expo-
sures, ar
�IJ} �TFI$COFI$�CUfitlO�lr erection,or removal of eievators; or
{c) The awnership, maint�nanc�,or use af�r�y elev�idrs covered hy this insurgnc�.
Hawever:
'1. 7he insurance affarded to such additiona[ insured only applies to the extent permitted fly law; ar�ci
2. 1f cfl�erage provided t� the additional insured is required by a contract or agreement, the fr�sur-
ance afforBed ta such additi�nal insured will not be broader than ihat which you are required by
€he cantract or agreement to}�rovide for such additional insu�ed.
With respect to Paragraph 1.a. a6ove, a person's ar organizaiian`s status as an additional insurer�
under this endvrserrzent ends when:
�1] AI[ work, including rraaterials, parts or equipment furnished in conn�ction with such +nrnrk,on
the proj2ct tott�er than serviCe, rnaint�nanc�ar repairs�to be performed by or on behal#of ih�
additionat insured(s}at the incation of the covered vp�ratians jias been completed; or
{2� That portion of "your woric° out of which the ir��ury or damage arises has been put ta i=s
iniendad u5e by any person or argarrization ather tha�t �noiher contractnr or subcantractar
eRgaged in performing operat�c�r�s far a principal as a part of t�e same project.
With res�ect tv Paragra�h 7.b. abvve, a person's or organizatior�'s sEatus as an additianal inse��ed
under this endarsement ends when their written contraat pr wr�it�rs agreement with you for such
premises or facilities ends.
With respeets #o Paragraph ].c. above, this insurAnce does nat ap�iy to any "occurrence" uvhich takes
place after the ec�uipment rentat or lease agreerrseni has explre!� or you have returr�ed such equipment
ta the lessor.
The insurance pro�ided by this endorsement app[ies only if tE��writien contrsct qr written agreerr;�nt
is signed prior to the "bodily injury" ar"pro�erty da�age".
We have nn duty ta defenc� an additionai insured under this endorsement until we re��ive written
notice af a "suit" �y the additio�al �nsured as reauired in Paragraph b. of Conditior� ?. �uties Ir�the
�v'er�t Uf OccurreR�e, Off�nse, C�aim Or Suit under Seetion IV-Comrn�raia�l Ganeral Liability i,ondi-
�1Of15.
� 7Qt3 E.iberry Mutnai[nsurance
G�a$$ �Q �4�� lncludes capyrighted material of Insuranee Services�itice,lnc.,with its permission. P����O�$
6. The last paragragh o#subsect�on 2,�xclusians is replaced by the fo![owing:
�xclusions c. through �. da not apply to damage by fire, lightning, explosion, smoke or leakage
trom auromaE�c fire prot�ction systems to premises i+vhile rented to you or tsmporarify occupied by
you with perrr�ission vf#he awner. A separate limit of insurance applies tn pamage To Pr�m9ses
Rented To You as described in Seation Ili»Limits Qf insuranc�.
Z. Paragraph 6. under Section ill•Limits Of Ins�sranc�is replaGed�y the folic�wing:
6. Subject to Paragraph 5,a��ue,the Damage 7o Premises Rented To Y�u Limit is the rrrost we wvill
pay under Coverage�for damages because of"�raperiy damage"ta:
a. Any ane prernise:
(1} Whife renfed ta yau; ar
(2} Whife Cented to you or tem�orarily occupied by yau with permission af the ow�er far
d8mage by fire, iightning, exp�osion, srnoke or le�kage from autorr�atic proteeiion sys-
fems; or
b. Contents ihat you rent c�r lease as part of a premises rental or(ease agreement.
3. �s regards cnverage provicled �y this pra�ision Q. EX'FEND�D C3AMAG� TQ FROPEf{TY FiENTE� TO
YOU��'en�nt's Prvperty Clarnag��-Paragraph 9.a.of 1]efir�itions is replaced with the folfawing:
9.a. A contract#or a le�se of premises. hivwever, that port�on af tf�e cantract for a lease of premises
that indemnifies any persan or organization for dama�e hy fsre, fightning, explasion, smoke, or
[ealcage fram autnmatic fire prokectiort systems to premises while r�nted to yau or temporarily
occupied by you v+�ith the perrnission of the owner, o� for darriage ta eontents af such premis�s
that are included in yo�r premises rentaf or lease agreemenE,is nof an "insured Contract".
E. MEUICAL F�,�YM�NT5 EXTENSiON
li Caverage C �+fediaal P�ymcnts is not atheruvise exctuded,the Medical Payments provided by this policy
are amended as fQlfov,rs:
ilnder Paragra�h '�. Insuri�g Agreerne�t of 5ection 1-Caver�ge C-Medical Payrne�ts, Subparagraph
(b)of Paragraph a.is replaced�y the follawing:
�b� The expenses are incurred�nd reported v,�ithin three years of the date ofithe accident; and
F. �3(T�I�ISIDN OF$llP�'L�MENTARY PAYM�NTS-COVERAG�S A AND B
1. l�nder S�rpplem�ntary Payrr�e�t�-Caverages�and B, Raragraph 1.�a.is replaced by the#oll�wing:
b. Up to �3,�00 for cost af bai! bonds require� because af accidents or t�aff�e faw vio[ations arising
out af the t�se of any vehicle ta w�ich th� Bodiiy Injury�iability Cnyerage applies. We cfo not have �
tc�furr�ish these bands.
2, P�ragraph 1,d.is replac�d by the follvr�►ing:
d. All re�son�b[e expenses inaurred by the insured at aur request to assist us in the inuestigatian ar
ctefense of fhe c[aim or "suit", including actual loss nf esrnings u� to �5{�0 a day bec�us�o[time
offi#rom work,
G. ARD1TiONAI INSUREDS-BY COIVi'FiACT,AG�i��M�NT OFt P�CRMf�
7. Par�graplt 2. under S�ction II-Who IS An Insured is arnended to include as a� insured any person ar
organizatsan whom you have agreed to add as an addiiional lns�red in a written contract, writtsn
agreement o� permit. Such person or organization is an additior�al insured but only with respect ta
liability far "bodily injury", "property damage" or "personal and advertising injury" caused in whole
or in pari by:
a. Your acts ar omis5ions, or the acts or amissions of those actir��on your behalfi,in the perfprmance
of your on going o�eratfons fnr ti�e additiar�al insur�:d that are the su6�ect of the writter�cnntr�at nr
written agreemsnt providecE that the "bodi[y injury" Ot' "property d�mage" OGCUtS. Of t�76 "R@f-
sonat and advertis}ng injury" ts cominitted, subsequenL to the signing nf such written contract or
vuritken agreement, or
� 201$Liberty Mukual(nsurance
�G�$ 9Q Q+�13 Includes capyrighted matcrinl af Insurance Services Qftice,tnc.,with iCs permission. P�lge� �f 8
. j
With resp�ct fa caverage affQrded by this endorsernent, the provisions af th� pnEicy a�pply unless modified by
the endorsement.
A. N(]N-OWN�D AIRCRQ�T
Under Paragraph 2. Exclusions of Sectinn i - Cqverage A - Bpcfily lnjury Anrt Proper#y Darri�gs Li�bllity,
exclusion g.AircraTt,Autn Qr Watetcrttft does not apply to an aireraft provided:
7. It is not owned by any insured,
2. It is hired,chartared or Ioaned witFs a trainetl p�id crew;
3. The piiot in comm�nd halds e currentiy effective certi#icate, issued by the duly canstituted authari#y af
the United States of America or Canada,designating �ter ar him a comrrtercial c�r 8iriine piRo#; and
4. !t is nat}�eirtg used to c8rry persons or property for a cf�arge.
I-iowe�er, the insurance af�orded by fhis p�ovision dnes not apply if there is a�ai[able to the insured other
valid and collectible insurance,�rhetf�er primary,excess �oiher than insurance �nrritten to apply sp�ci#ically
in excess of tt�is poficy), contingent or on any other basis,that would also appfy to the fass cover€d �snder
this provision.
B. NQN-OINNED WA�ERC�tAF'T'
�nde�'Pa�agraph 2,�xclusions of Sectidn I-Coverage A-8odily lnjury And P�aper#y aamage�iabi�iiy,
SuB�aragraph �2)of exc[usion�.Aircraft,Auto Or Watercraft is replaced by the#otiQwing: �
This exclusion do�s not gpply to:
(2� A watercraft you do not own tE�at is:
{a} �.ess than 52 ieet fong; ar�d
{b) IVot being used to carry persons nr property for a charge.
C. F't�OPERTY DNIMAG�E.IABILiTY-EL�VATORS
'I. Under Paragrapfi� 2. �xc�usians of Section I - Ca�erage A - Bodily Injury And Prnperty aar�age I.iabil-
ity, S�bparagra�hs f3}, �e€) and (s) of excl�sion�, �at�age To Prnperty da not apply if suc� "prnperty
damage" results frorn the use o#eEevators. �or the purpose nf ihis provis�on,elevator5 dcs r�ot include
�ehicle lifts.V�hicle lifts are lifts ar hoisis used in autamabife service or repair aperatics�s.
2. The following is �dded to Section IV - Cnmmercia[ General Liability Conditio�s. Co�dition 4. Qther
(nsurance,Paragrapf� h.Excess Ins�rance:
The insuranaa aiforded by this prnvision of thls enciorsement is excess o�er any prcpeny insuraMae,
whether primary,�xcess,cantingent n�on any other basi5.
�. �XTENDED DAMAG�TQ PR{?PERTY REN7�t�TO YDU{Tenant'�Property Damage}
1#Damage To Premises Rented To You is not otherwise excfuded fram this Coverage Part:
l. Under Paragraph 2.ExclusiQns af Section I-Co�erage A��odity Injury and Prop�rty i3amage Li�bility;
a. The fourth from the last paragraph af excic,sion j. Damage Ta#'rap�rty is replaced by the follauv-
If1Q:
Paragraphs j1�,(3)and (4)of thi5 exclusian dv nat apply to"property damage" {other t�an damage
by fire, fightning,explosion,smoke,or leakage firom an automatia#ire proteetion systamj to:
(E) PremiSes rented to you fot'� period of 7 or fewer eansecutiu�d�ys; or
�ii� Contenis that you rent or fease as part vf a premises re�tal or Eease agreernent for a perie�d af
more than 7 days.
� f'aragraphs (f�, (3� and (4) ofi this �xclusior� do not apply to "praperty damage" to contents of
premises rented to yov far a perip�af 7 or fewer eor�secutive days.
A separate �imit af insurance app[ies ta this coverage as described in Sect�un IIl - Limits a�
Insuranc�.
m 2013 Liberty Mutuat Insurance
�G$8 10 Q4 13 Includes copyrighied rnaterial oi Insurance Seruices OfCee,Inc.,with i;s permission. Paga 2 a#8
COMMERCiAL GEMEFIAl.LIRBILt7"Y '
�o�icy�: BKW(18)�7695795 CG 88 i0 4413
TEi[S ENDQRSE�111Ei11T CHANGES TW� POL�CY. PL�AS�FiE,4D 1T�AFi��ULLY.
CQMMERCIa4L G�NFRAL LIABILiTY EXTENS�4N
7his endorsement modifies insurance providaci t�nder tF�e following:
COMM�RCIAL G�IVERAL LiAB1LITY CQV��iAGE k�Af�7
iNdEX
SUBJ�C�" PAGE
NQN•aWNE�AIFiCRAfT �
NON-OWNEE7 WA7�RCRA�T �
PR�PERTY DAMAG�L1AB1LiTY•ELEVATOFiS �
EXTENaEU DAM�GE TO P�QPERTY RENTED Tfl YOU tTenant's Froperty Darnage) �
MEDICAL PQYMEN�'S�X'T�NS10N �
EX�'ENSION 8�SUPpI»�M�WTA�iY PAYMEI1i7"5-CDV��iAGES A A�lD B 3
ADDITIDNAL 1NSUREDS-BY CONTFiACT,AGR��MENT t]R P�RMIT 3
PE�IMARY qNp NdN-CQNTRtBUTURY-AD�ITIONAL INSUREQ�XT�NSI�N S
Ai7QIT10NAL INSUREDS-�xTEN�ED PROT�C7[C3N OF YOUR "�.IMlTS(1F lNSURA[110E" 6
WHO IS AN 1N5L�f�ER-INCID�NTAl.M�DICAL E�t�tORSlMALPRACTICE AN[3 WHp 1S AN
[NSURED•FELLQW�MPLOYEE EXT�NSI�N-MANAGE{VlE�11T EMPLOYEES &
NEWLY FORME�IOR ADDITE4NALLY AC{IUIREO ENTIfIES 7
FAILURE Td Dt$CLOSE HAZAR�S AND PR[OR OCCUAR�NC�3 7'
K�11pWLE�E(?F OCCilRRENCE,4FFEN5E,CLAIM tJFt 5U1'T 7
LIB��tALf�AT1QN CLAUS� 7
�iQDILY INJi7RY R�D�FINEI] 7
EXTENDED PROPER7Y DAMAGE �
w,aiv��o�T�aNSF�a o���c�ss o���cov���r aGatNsr o�H�RS To us- 8
WHEN R�tIUiR�D IN A C4NTRAC�"QFt AGFtE�M�Ni"W1TN YOIi
� 2Qi3 LibertY Mutual lnsuranee
CG 88 30 04 'i3 Inciudas copyrighted material af Insuranas Services qliicc,lna.,with iEs permission. PB�� 1 4�$
AC4RD� onr���nrnrnonrfv�
`� CERTIF[CATE OF LIABILITY INSUR.ANCE �01�5�2aza
TH15 CEFt71FECAi'L� IS ISSUED AS A MATi'ER QF INFORMATION ONLY AN� CONFERS NO R[GHTS EJPON THE CER7IFICATE HO�DER. TH[5
CEI2TIFICATE DOES N07 A�'�IRMA7EVELY OR NEGATNELY AM�ND, �XTENA QR A�.TER THE COVERAC�E AFFORDE� BY THE POLiC[ES
BELpW. THIS CERTIFICATE OF WBtJRANCE DOES NOl' CON5Tl7UTE A CONTRAC7 BEiWEE�1 THE ISSUING 1NSURER{5), AUTHORIZED
REPRESENTATIVE OR PRODl10ER,AND THE CERT[FICATE HOL�ER.
1MPORTANT: lf the certificate holder is an A��ITIONAL INSURED, the po[icy(ies) must have Adti1710NAt INSUR�b provisions or be endorsed.
1f SUBROGAT[ON [S WAIVED, subject to the terms and conditlons of the policy, certain policies may require an endorsement. A statement on
this eertificate does not confer rights to the certificate holder in lieu of such endorsement{s).
PRQ�UCER CONTACT
NAME:
Arthur J. Gallagher&Co. P�o"� .415-536-86�[7 � r,o:415-53B-8B27
Insurance Brokers of CA, Inc. LIC#0726293 E-FAAIL
1255 8attery Street, Su[te 450 AC]�RESS;
San Francisco CA 941�1 INSURER 5 AFFORAING COVERAGE NAICn
iNsu�eRn:American Fire and Casual Com an 24066
iNsuReo cs�co�s-oi iNsuueR s:Arch Insurance Com an 1115Q
CSG Consultants, Inc.
550 Pilgrlt7t DI'I�e iNsuReRc:West American Insurance Cam an 44393
Foster City, CA 94404 ir+su�eRo:BerKshire Haihawa Homestate Insurance Com an 2�044
INSURER E:
1NSURER F:
CQVERAGES C�R7I�ICA7E NUMBER:1645812880 REVISION NUMBER: -
TN[S IS Td CERTIFY THAT THE POLICIES OF INSIlRANCE L15T�D BELOW HAVE BEEN 155UED TO THE INSURED NAMED ABOVE FOR TNE POL]CY PERIOD
INDICATED. NO'TWITHSTAN�ING ANY REQUIR�MEN7,TERNf O{2 CONI]I'i"IOH OF ANY CONTRACT OR dTMER �OCt1MENT WiTH RESPECT Td WH[CH'iH15
CERTIFICATE MAY BE ISSUED OR MAY P�RTAIN, 7HE ]NSt1RAHCE AFFORaE� BY TME POLICfES D�SCRIBED HEREIN IS SUB,IECT TO RLL THE TERMS,
EXCLUSIflNS AN�CONQITI4NS OF SUCH POLfCIES.LIMII'S SHOWN MAY HAVE BEEN REDUCE�BY PAIl7 CLAIMS.
�LTR "f1'PE OF INSGRANCE ApA�-SUBR pOLICY MUMBER MMf AD� MM1�OY� L1MIT5
C )( COMMERCIALGENERpLL1ABILITY Y 8KW{18)57fi95795 12l412017 12I42018 EACHOCCURRENCE 51,00�,000
CLAIMS-MADE �OCCUR �AMA @ TO RENTED
PREMISES Eaoccunence 5500,000
ME�EXP(Any one person) S 5,000
PERSONAL&ADV[NJURY S 1,000,000
GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE 52,OOO,Q00
POLICY�PEfl �40G
PROOl1CTS-COMPIOPAGG 52.000,000
OTHER: No�ed S
A A1370MOB[LE LIABELITY Y 8AA{18}57695795 121q12017 111Af2018 COMBINED SINGLE LIMIF g 1,000,000
Ea acdden[
)( ANY Al]TO BO�ILY[NJURY{Per perSan) $
OWNED SCH�DUL�[] BOOILY[NJURY(perapr,ident) 5
AUTOS ONLY AUTOS
HIREO tJON-pWNEO PROPERTY�AMAGE 5
AUTOS ONLY AUT4S ONLY Per accident
No�etl �
A X 11MBRELLALIAB �' OCCUR USA(18)57695795 12IqI2017 '1214I20i8 EpCHOCCURRENCE 55,006,pi30
EXCESSLIAB CLAIMS-MA�E AGGREGATE $5,0O�,OflO
DE� X RETENT[ON S $
p YYORKERSCOMPENSATION CSWC82S833 t21412017 �214120i8 X STAT�F1'E �R� No�ed
AFl6 EMPLOYERS'LIqBELlTY Y 1 N
ANYPROPRIETOR/PARTNERlEXECUTIVE � �fA . E.L.EACHACCIOENT 51,0OO.OQO
OFFICERlMEMBER EXCLI}�E07
{Mandatory In NHy E.l.OISEASE-EA EMPLOYE� 51,0OO,�EkO
If yes,describe under
�HSCRIPTION OF OPERATIDNS 6elow E.L.iISSEASE-POLICY LIMI7 $1.tlpq.00D
B Professioaal Liabillty PAAEPo0a8802 12f4f2017 121412618 Each Glaim 55,000,000
�et�o date: 111f5991 Aggregate 55,000,6�0
�educlihlec 550,000
�ESCRIPTION OF OPERATIONS!LOCA710N51 V�HICLES (ACORb in�,Additianal Remarks Schedu3e,may de atlached if mure space€s requirad)
re: agreement to pe€�orm professional senrices made artd enteFed 10128118(fire plan review services and fire inspection&code enforcement services). C€ty o€
Redlands and its elected officials,employees and agenfs are inc[udad as additional insureds on a Primary 8�Npn-ConUibutory basis on GL&A`uto with a 3Q
pay Notice af Gancellation per attached. 3D Day Notice of Cance[lation on Pro€essional per atfached. 30 Day Notice of Cancel[ation is noi avaifable on WC.
CERTIFfCATE HOLDER CANCELLA�lON
SH011L�ANY OF THE ABOVE�ESCF21B�1]pOL[C1ES BE CANC�LL�C3 B�F'ORE
THE EXpIRA710N 17A7E 7HEREOF, NOT[CE WILL BE �ELIVERE❑ IN
City of Redlands ACCORCIANCE WITF{7H�POL[CY PRdVIS10NS.
PO Box 3fl05
Redlands CA 92373 AUTHORI2EDREPRESENTATIVE
USA
� �`
O 9988-2095 ACOR€3 CORPORATION. AIE rights reserved.
ACpRD 25{2p161U3) The ACOR�name and logo are registered marks of ACQRD