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HomeMy WebLinkAboutVector Resources Inc dba VectorUSA; 2020-01-15; 2019-LOA/IT17Tracking #: 2019-LOA/IT17 Faraday Cabling -- 1 -- City Attorney Approved 2/29/2016 CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT FARADAY CABLING ($5000 or less) This letter will serve as an agreement between Vector Resources Inc, dba VectorUSA, a (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to provide cabling work to the computer training room and three offices, per the Contractor’s proposal dated November 11, 2019 and City specifications, for a sum not to exceed one thousand five hundred ninety-five dollars and seventy-two cents ($1,595.72). This work is to be completed within thirty (30) working days after issuance of a Purchase Order. ADDITIONAL REQUIREMENTS 1. City of Carlsbad Business License 2. The Contractor shall assume the defense of, pay all expenses of defense, and indemnify and hold harmless the City, and its agents, officers, officials, employees and volunteers, from all claims, loss, damage, injury and liability of every kind, nature and description, directly or indirectly arising from or in connection with the performance of this Contract or work; or from any failure or alleged failure of the contractor to comply with any applicable law, rules or regulations including those relating to safety and health; except for loss or damage which was caused solely by the active negligence of the City; and from any and all claims, loss, damage, injury and liability, howsoever the same may be caused, resulting directly or indirectly from the nature of the work covered by this Contract, unless the loss or damage was caused solely by the active negligence of the City. The expenses of defense include all costs and expenses, including attorney's fees for litigation, arbitration, or other dispute resolution method. 3. Contractor shall furnish policies of general liability insurance, automobile liability insurance and a combined policy of workers compensation and Employers’ Liability in an insurable amount of not less than one million dollars ($1,000,000) each, unless a lower amount is approved by the Risk Manager or the City Manager. Said policies shall name the City of Carlsbad as an additional insured. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Insurance is to be placed with California admitted insurers that have a current Best's Key Rating of not less than "A-:VII"; OR with a surplus line insurer on the State of California’s List of Approved Surplus Line Insurers (LASLI) with a rating in the latest Best’s Key Rating Guide of at least “A:X”; OR an alien non-admitted insurer listed by the National Association of Insurance Commissioners (NAIC) latest quarterly listings report. Proof of all such insurance shall be given by filing certificates of insurance with contracting department prior to the signing of the contract by the City. 4. The Contractor shall be aware of and comply with all Federal, State, County and City Statues, Ordinances and Regulations, including Workers Compensation laws (Division 4, California Labor Code) and the "Immigration Reform and Control Act of 1986" (8USC, Sections 1101 through 1525), to include but not limited to, verifying the eligibility for employment of all agents, employees, subcontractors and consultants that are included in this Contract. 5. The Contractor may be subject to civil penalties for the filing of false claims as set forth in the California False Claims Act, Government Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. ________ init ________ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to disqualify the Contractor from participating in contract bidding. ______ init ______ init 7. The Contractor agrees and hereby stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this agreement is San Diego County, California. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A Tracking #: 2019-LOA/IT17 Faraday Cabling -- 2 -- City Attorney Approved 2/29/2016 8. The general prevailing rate of wages, for each craft or type of worker needed to execute the contract, shall be those as determined by the Director of Industrial Relations pursuant to the Section 1770, 1773 and 1773.1 of the California Labor Code. Pursuant to Section 1773.2 of the California Labor code, a current copy of applicable wage rates is on file in the office of the City Engineer. Contractor shall not pay less than the said specified prevailing rates of wages to all workers employed by him or her in the execution of the work covered by this Letter of Agreement. Contractor and any subcontractors shall comply with Section 1776 of the California Labor Code, which generally requires keeping accurate payroll records, verifying and certifying payroll records, and making them available for inspection. Contractor shall require any subcontractors to comply with Section 1776. 9. City Contact: Gary Hornby, 760-602-2479 Contractor Contact: Alexandra Jones 310-436-1012 CONTRACTOR 9808 Waples Street, San Diego, CA 92121 CITY OF CARLSBAD, a municipal corporation of the State of California [Enter Address] 310-436-1012 [Enter Phone, Fax] ajones@vectorusa.com [Enter E-mail] By: By: (sign here) Information Technology Director (print name/title) By: Dated: (sign here) (print name/title) (Proper notarial acknowledgment of execution by Contractor must be attached. Chairman, president or vice-president and secretary, assistant secretary, CFO or assistant treasurer must sign for corporations. Otherwise, the corporation must attach a resolution certified by the secretary or assistant secretary under corporate seal empowering the officer(s) signing to bind the corporation.) APPROVED AS TO FORM: CELIA A. BREWER, City Attorney BY: _______________________________ Assistant City Attorney DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A PresidentDave Zukerman Jeffrey Zukerman Executive Vice President 1/15/2020 DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A Form: 16-02-0292 (Rev. 11-16) Page 1 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" COMMERCIAL AUTOMOBILE THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. COMMERCIAL AUTOMOBILE BROAD FORM ENDORSEMENT This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM This endorsement modifies the Business Auto Coverage Form. 1. EXTENDED CANCELLATION CONDITION Paragraph A.2.b. – CANCELLATION - of the COMMON POLICY CONDITIONS form IL 00 17 is deleted and replaced with the following: b. 60 days before the effective date of cancellation if we cancel for any other reason. 2. BROAD FORM INSURED A. Subsidiaries and Newly Acquired or Formed Organizations As Insureds The Named Insured shown in the Declarations is amended to include: 1. Any legally incorporated subsidiary in which you own more than 50% of the voting stock on the effective date of the Coverage Form. However, the Named Insured does not include any subsidiary that is an “insured” under any other automobile policy or would be an “insured” under such a policy but for its termination or the exhaustion of its Limit of Insurance. 2. Any organization that is acquired or formed by you and over which you maintain majority ownership. However, the Named Insured does not include any newly formed or acquired organization: (a) That is an “insured” under any other automobile policy; (b) That has exhausted its Limit of Insurance under any other policy; or (c) 180 days or more after its acquisition or formation by you, unless you have given us written notice of the acquisition or formation. Coverage does not apply to “bodily injury” or “property damage” that results from an “accident” that occurred before you formed or acquired the organization. B. Employees as Insureds Paragraph A.1. – WHO IS AN INSURED – of SECTION II – LIABILITY COVERAGE is amended to add the following: d. Any “employee” of yours while using a covered “auto” you don’t own, hire or borrow in your business or your personal affairs. C. Lessors as Insureds Paragraph A.1. – WHO IS AN INSURED – of SECTION II – LIABILITY COVERAGE is amended to add the following: e. The lessor of a covered “auto” while the “auto” is leased to you under a written agreement if: (1) The agreement requires you to provide direct primary insurance for the lessor; and (2) The “auto” is leased without a driver. Such leased “auto” will be considered a covered “auto” you own and not a covered “auto” you hire. However, the lessor is an “insured” only for “bodily injury” or “property damage” resulting from the acts or omissions by: 1. You; 2. Any of your “employees” or agents; or 3. Any person, except the lessor or any “employee” or agent of the lessor, operating an “auto” with the permission of any of 1. and/or 2. above. D. Persons And Organizations As Insureds Under A Written Insured Contract Paragraph A.1 – WHO IS AN INSURED – of SECTION II – LIABILITY COVERAGE is amended to add the following: f. 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 under an express provision in a written “insured contract”, written agreement or a written permit issued to you by a governmental or public authority to add such person or organization to this policy as an “insured”. However, such person or organization is an “insured” only: DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A Form: 16-02-0292 (Rev. 11-16) Page 2 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" (1) with respect to the operation, maintenance or use of a covered “auto”; and (2) for “bodily injury” or “property damage” caused by an “accident” which takes place after: (a) You executed the “insured contract” or written agreement; or (b) The permit has been issued to you. 3. FELLOW EMPLOYEE COVERAGE EXCLUSION B.5. - FELLOW EMPLOYEE – of SECTION II – LIABILITY COVERAGE does not apply. 4. PHYSICAL DAMAGE – ADDITIONAL TEMPORARY TRANSPORTATION EXPENSE COVERAGE Paragraph A.4.a. – TRANSPORTATION EXPENSES – of SECTION III – PHYSICAL DAMAGE COVERAGE is amended to provide a limit of $50 per day for temporary transportation expense, subject to a maximum limit of $1,000. 5. AUTO LOAN/LEASE GAP COVERAGE Paragraph A. 4. – COVERAGE EXTENSIONS - of SECTION III – PHYSICAL DAMAGE COVERAGE is amended to add the following: c. Unpaid Loan or Lease Amounts In the event of a total “loss” to a covered “auto”, we will pay any unpaid amount due on the loan or lease for a covered “auto” minus: 1. The amount paid under the Physical Damage Coverage Section of the policy; and 2. Any: a. Overdue loan/lease payments at the time of the “loss”; b. Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage; c. Security deposits not returned by the lessor: d. Costs for extended warranties, Credit Life Insurance, Health, Accident or Disability Insurance purchased with the loan or lease; and e. Carry-over balances from previous loans or leases. We will pay for any unpaid amount due on the loan or lease if caused by: 1. Other than Collision Coverage only if the Declarations indicate that Comprehensive Coverage is provided for any covered “auto”; 2. Specified Causes of Loss Coverage only if the Declarations indicate that Specified Causes of Loss Coverage is provided for any covered “auto”; or 3. Collision Coverage only if the Declarations indicate that Collision Coverage is provided for any covered “auto. 6. RENTAL AGENCY EXPENSE Paragraph A. 4. – COVERAGE EXTENSIONS – of SECTION III – PHYSICAL DAMAGE COVERAGE is amended to add the following: d. Rental Expense We will pay the following expenses that you or any of your “employees” are legally obligated to pay because of a written contract or agreement entered into for use of a rental vehicle in the conduct of your business: MAXIMUM WE WILL PAY FOR ANY ONE CONTRACT OR AGREEMENT: 1. $2,500 for loss of income incurred by the rental agency during the period of time that vehicle is out of use because of actual damage to, or “loss” of, that vehicle, including income lost due to absence of that vehicle for use as a replacement; 2. $2,500 for decrease in trade-in value of the rental vehicle because of actual damage to that vehicle arising out of a covered “loss”; and 3. $2,500 for administrative expenses incurred by the rental agency, as stated in the contract or agreement. 4. $7,500 maximum total amount for paragraphs 1., 2. and 3. combined. 7. EXTRA EXPENSE – BROADENED COVERAGE Paragraph A.4. – COVERAGE EXTENSIONS – of SECTION III – PHYSICAL DAMAGE COVERAGE is amended to add the following: e. Recovery Expense We will pay for the expense of returning a stolen covered “auto” to you. 8. AIRBAG COVERAGE Paragraph B.3.a. - EXCLUSIONS – of SECTION III – PHYSICAL DAMAGE COVERAGE does not apply to the accidental or unintended discharge of an airbag. Coverage is excess over any other collectible insurance or warranty specifically designed to provide this coverage. 9. AUDIO, VISUAL AND DATA ELECTRONIC EQUIPMENT - BROADENED COVERAGE Paragraph C.1.b. – LIMIT OF INSURANCE - of SECTION III - PHYSICAL DAMAGE is deleted and replaced with the following: b. $2,000 is the most we will pay for "loss" in any one "accident" to all electronic equipment that reproduces, receives or transmits audio, visual or data signals which, at the time of "loss", is: (1) Permanently installed in or upon the covered "auto" in a housing, opening or other location that is not normally used by the "auto" manufacturer for the installation of such equipment; (2) Removable from a permanently installed housing unit as described in Paragraph 2.a. above or is an integral part of that equipment; or (3) An integral part of such equipment. 10. GLASS REPAIR – WAIVER OF DEDUCTIBLE DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A Form: 16-02-0292 (Rev. 11-16) Page 3 of 3 "Includes copyrighted material of Insurance Services Office, Inc. with its permission" Under Paragraph D. - DEDUCTIBLE – of SECTION III – PHYSICAL DAMAGE COVERAGE the following is added: No deductible applies to glass damage if the glass is repaired rather than replaced. 11. TWO OR MORE DEDUCTIBLES Paragraph D.- DEDUCTIBLE – of SECTION III – PHYSICAL DAMAGE COVERAGE is amended to add the following: If this Coverage Form and any other Coverage Form or policy issued to you by us that is not an automobile policy or Coverage Form applies to the same “accident”, the following applies: 1. If the deductible under this Business Auto Coverage Form is the smaller (or smallest) deductible, it will be waived; or 2. If the deductible under this Business Auto Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible. 12. AMENDED DUTIES IN THE EVENT OF ACCIDENT, CLAIM, SUIT OR LOSS Paragraph A.2.a. - DUTIES IN THE EVENT OF AN ACCIDENT, CLAIM, SUIT OR LOSS of SECTION IV - BUSINESS AUTO CONDITIONS is deleted and replaced with the following: a. In the event of “accident”, claim, “suit” or “loss”, you must promptly notify us when the “accident” is known to: (1) You or your authorized representative, if you are an individual; (2) A partner, or any authorized representative, if you are a partnership; (3) A member, if you are a limited liability company; or (4) An executive officer, insurance manager, or authorized representative, if you are an organization other than a partnership or limited liability company. Knowledge of an “accident”, claim, “suit” or “loss” by other persons does not imply that the persons listed above have such knowledge. Notice to us should include: (1) How, when and where the “accident” or “loss” occurred; (2) The “insured’s” name and address; and (3) To the extent possible, the names and addresses of any injured persons or witnesses. 13. WAIVER OF SUBROGATION Paragraph A.5. - TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US of SECTION IV – BUSINESS AUTO CONDITIONS is deleted and replaced with the following: 5. We will waive the right of recovery we would otherwise have against another person or organization for “loss” to which this insurance applies, provided the “insured” has waived their rights of recovery against such person or organization under a contract or agreement that is entered into before such “loss”. To the extent that the “insured’s” rights to recover damages for all or part of any payment made under this insurance has not been waived, those rights are transferred to us. That person or organization must do everything necessary to secure our rights and must do nothing after “accident” or “loss” to impair them. At our request, the insured will bring suit or transfer those rights to us and help us enforce them. 14. UNINTENTIONAL FAILURE TO DISCLOSE HAZARDS Paragraph B.2. – CONCEALMENT, MISREPRESENTATION or FRAUD of SECTION IV – BUSINESS AUTO CONDITIONS - is deleted and replaced with the following: If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not void coverage under this Coverage Form because of such failure. 15. AUTOS RENTED BY EMPLOYEES Paragraph B.5. - OTHER INSURANCE of SECTION IV – BUSINESS AUTO CONDITIONS - is amended to add the following: e. Any “auto” hired or rented by your “employee” on your behalf and at your direction will be considered an “auto” you hire. If an “employee’s” personal insurance also applies on an excess basis to a covered “auto” hired or rented by your “employee” on your behalf and at your direction, this insurance will be primary to the “employee’s” personal insurance. 16. HIRED AUTO – COVERAGE TERRITORY Paragraph B.7.b.(5). - POLICY PERIOD, COVERAGE TERRITORY of SECTION IV – BUSINESS AUTO CONDITIONS is deleted and replaced with the following: (5) A covered “auto” of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and 17. RESULTANT MENTAL ANGUISH COVERAGE Paragraph C. of - SECTION V – DEFINITIONS is deleted and replaced by the following: “Bodily injury” means bodily injury, sickness or disease sustained by any person, including mental anguish or death as a result of the “bodily injury” sustained by that person. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? INSR ADDL SUBRLTRINSD WVD PRODUCER CONTACTNAME: FAXPHONE(A/C, No):(A/C, No, Ext): E-MAILADDRESS: INSURER A : INSURED INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY) AUTOMOBILE LIABILITY UMBRELLA LIAB EXCESS LIAB WORKERS COMPENSATION AND EMPLOYERS' LIABILITY DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) AUTHORIZED REPRESENTATIVE EACH OCCURRENCE $ DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence) MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER:GENERAL AGGREGATE $ PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT OTHER:$ COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $ OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $AUTOS ONLY AUTOS ONLY (Per accident) $ OCCUR EACH OCCURRENCE CLAIMS-MADE AGGREGATE $ DED RETENTION $ PER OTH-STATUTE ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE $ If yes, describe under E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below INSURER(S) AFFORDING COVERAGE NAIC # COMMERCIAL GENERAL LIABILITY Y / N N / A (Mandatory in NH) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 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. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: CERTIFICATE HOLDER CANCELLATION © 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03) CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD 10/31/2019 License # 0E67768 (949) 297-5534 52029 (949) 297-5960 19046 Vector Resources, Inc. 20917 Higgins Court Torrance, CA 90501 A 1,000,000 X X 630-6H947178 11/1/2019 11/1/2020 300,000 10,000 1,000,000 2,000,000 2,000,000 1,000,000A X X BA-0L893865 11/1/2019 11/1/2020 Comp/Coll Ded $1,000 15,000,000A CUP-9J207638 11/1/2019 11/1/2020 15,000,000 A X UB-0L239923 11/1/2019 11/1/2020 1,000,000 Y 1,000,000 1,000,000 Certificate Holder(s) is/are included as Additional Insured(s) with respect to General Liability (per form #CGD417) and Auto Liability (per form #CAT353);Policy is Primary and Non-Contributory as respects General Liability (per form #CGD425) and Auto Liability (per form #CAT474); Waiver of Subrogation applies as respects General Liability (per form #CGD417), Auto Liability (per form #CAT353), and Workers Compensation (per form #WC990376); All applicable as required by written contract. 30 Days Notice of Cancellation with 10 Days Notice for Non-payment of Premium in accordance with the policy provisions. SEE ATTACHED ACORD 101 City of Carlsbad 1635 Faraday Avenue Carlsbad, CA 92008 VECTRES-01 BELENS IOA Insurance Services 130 Vantis Suite 250 Aliso Viejo, CA 92656 Cheryl Perkovich Cheryl.Perkovich@ioausa.com Travelers Casualty Insurance Company of Americ X X X X X X X X DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A FORM NUMBER: EFFECTIVE DATE: The ACORD name and logo are registered marks of ACORD ADDITIONAL REMARKS ADDITIONAL REMARKS SCHEDULE FORM TITLE: Page of THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, ACORD 101 (2008/01) AGENCY CUSTOMER ID: LOC #: AGENCY NAMED INSURED POLICY NUMBER CARRIER NAIC CODE © 2008 ACORD CORPORATION. All rights reserved. IOA Insurance Services VECTRES-01 SEE PAGE 1 1 SEE PAGE 1 ACORD 25 Certificate of Liability Insurance License # 0E67768 0 SEE P 1 Vector Resources, Inc. 20917 Higgins Court Torrance, CA 90501 SEE PAGE 1 BELENS 1 Description of Operations/Locations/Vehicles: Professional Liability Aggregate Limit: $10,000,000, Deductible: $25,000. Policy #ZPL21N80907, Travelers Property Casualty Company of America, 11/01/2019 - 11/01/2020. Certificate Holder(s): City of Carlsbad, its officials, employees and volunteers DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED – PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 2.The following is added to Paragraph B.5.,Other Insurance of SECTION IV – BUSINESS AUTO1.The following is added to Paragraph A.1.c., Who CONDITIONS:Is An Insured, of SECTION Il – COVERED AUTOS LIABILITY COVERAGE:Regardless of the provisions of paragraph a. and This includes any person or organization who you paragraph d. of this part 5. Other Insurance, this are required under a written contract or insurance is primary to and non-contributory with agreement between you and that person or applicable other insurance under which an organization, that is signed by you before the additional insured person or organization is the "bodily injury" or "property damage" occurs and first named insured when the written contract or that is in effect during the policy period, to name agreement between you and that person or as an additional insured for Covered Autos organization, that is signed by you before theLiability Coverage, but only for damages to which "bodily injury" or "property damage" occurs andthis insurance applies and only to the extent of that is in effect during the policy period, requiresthat person's or organization's liability for the this insurance to be primary and non-contributory.conduct of another "insured". CA T4 74 02 16 ú 2016 The Travelers Indemnity Company. All rights reserved.Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A COMMERC TOIALAU THIS ENDORSEMENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement i ies insurance pro ided under t folmodfvhelowing: BUSINESS O C AGE ORMAUTOVERF W t respect to co pro ided by this endorsement,the pro isions of the Co For apply un modi-i h verage v v verage m less f the endorsement.ied by GENERAL DESCRI T O CPIONFOVERAGE Th endorsement broadens co Howe ve anyisverage.ver,co rage for injury da or medi e s described in any of the pro is of th endorsement may be e luded or,mage cal xpense v ions is xc li i by another endorsement to the Co Part,and these coverage broadening pro do not apply tomtedveragevisions the ex that co erage is exc or li i by such an endorsement.The folowing list is a general co r-tent v luded m ted l ing ve age description only.Li i ions and exclusions may apply to these co Read all the prov n-m tat verages.isions of this e dorsement and the rest o your pol y care l to deter ine r ies,and what is and is not co ered.f ic fuly m ights,dut v A.BROAD FORM NAMED INSURED H.HIRED AUTO PHYSICAL DAMAGE LOSS OF NCREASED L TUSEIIMI B.BLANKET ADDI IONAL INTSURED I.PHYSICAL DAMAGE TRANSPOR A ONTTI EXPENSES INCREASED LIM TI C.EMPL E HIRED O J.PERSONAL E TOYEAUTFFECS D.EMPL YE K.AIRBAGSOESASINSURED E.SUPPLE TARY PAYMEN INCREASED L.NO E AND KNOWLEDGE OF ACCIDENMENTSTICT LIM TS OR L SIOS M.BLANKET WAIVER SUBRO IONOFGATF.HIRED AUT LIM T WORLDWO I ED IDE COVERAGE INDEMNI Y ASIST B G.WAIVER OF DEDUC IB LASS N.UNIN T ORS OM SSTLEGTENIONALERRORIIONS PROVI ONSSI executed by you be the "bod y injur "orforeilyA.BROAD FORM NAMED INSURED "property da "occurs and that is in e fmagefectThefolisaddedtoParagraph,lowing A.1.Wh Iso during the pol per to be na as an addi-icy iod,medAnInsuredSECIIIL T C V-,of T ON IABILI Y O tional insured is an "insured"for L l Co er-iabi ity vERAGE:age,but only f da to which this insuranceormagesAnyorganizationyounewlyacquireorfordur-m applies and only to the extent that person or or-ing the poli period o er which you macyvintain ganization qua f as an "insured"under theliies50%or more ownership interest and that is not W Is An Insured pro conta in Sec ionhovisioninedtseparatelyinsuredforBusinessAutoCoverage.II.Co ision is af orded only un-verage under this prov f C.EMPL E HIRED OOYEAUTtithe180thdayayouacquorfortheor-l fter ire m 1.A.1.The fo lowing is added to Paragraph ,lganizationortheendofthepolicperiod,which-y Who Is An I SEC ION I LI-nsured T I,ofeisearlverier. ABILI OVERAGETYC:B.BLANKET ADDI IONAL INTSURED An "emp " o yours is an "insured"whileloyeefThefolisaddedtoParagraphin,lowing c.A.1.operating an "auto"hired or rented under aWhoIsAnI d S T II LIABILI YnsureECIONT,of contract or agree in that "e loyee's"ment mpCOVERAGE:name,with your per while per mmission,for ingAnypersonororganizatwhoisrequiredunderiondutiesrelatedtotheconductoyourbusi-fawrittencontractoragreementbetweenyouandness.that person or organization,that is signed and CA T3 53 03 10 ©2010 The Travelers Indemnity Company.Page 1 o 4f Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A COMMERC TOIALAU 2.b B.5TheforeplacesParagraphin ,llowing . .within such country or jurisdict for L lion,iabi ity Other I SEC I IV BUSI-nsurance T ON,of Co rage for any co "auto"that youvevered NESS AUT ONDI IO C T ONS:lease,hire,rent or borrow without a dri er forv a period of 30 days or less and that is not anb.For Hi Auto Physica Da Co er-red l mage v "auto"you lease,hire rent or borrow fro,mage,the fo lowing are deemed to be co -l v any of your "emp ",partners (i you areloyeesfered"autos"you own:a partnership),me (i you are a li imbersfmted(1)Any co red "auto"you lease,hire,ve liab li co or m mbers o their house-i ty mpany)e frentorborrow;and holds. (2)Any co red "auto"h or rented byveired (a)W t respect to any cla m made or "suit"i h iyour"employee"under a contract in brought outside the United States ofthatindii"e ployee's"navdualmme,A ,the terri ies and possessionsmericatorwithyourperission,while per m-m for of the United States o A ica,PuertofmeringdutiesrelatedtotheconductofRicoandCanada:your business.(i)You must arrange to defend the "in-Howe any "auto"that is leased,hired,ver,sured"against,and in estigate or t-v serentedorborrowedwithadrvisnotaiertleanysuchclamor "sui "and keepi tco"au ".vered to us adv of al proceedings and ac-ised l tions.D.EMPL ES AS INSUREDOYE (ii)Neither you nor any other in vvoledThefolisaddedtoParagraph,lowing A.1.Wh Iso "insured"wil make any settlelmentAnInsuredSECIIIL T C V-,of T ON IABILI Y O without our consent.ERAGE: (iii)W may,at our d par ipateeiscretion,ticAny"e " o yours is an " "while us-mployee f insured in defend the "insured"against,oringingaco"auto"you don't own,hire or borrowvered in the settle o ,any cla m ormentf iinyourbusinessoryourpersonalafirs.fa "suit".E.SUPPLE TARY PAYMEN INCREASEDMENTS (iv)W wi l rei the "insured"fore l mburseLIMTSI sums that the "insured"legally must1.A.2.a.(2)The fo lowing replaces Paragraph ,l pay as damages because of "bodilyof:SEC I I LIABIL TY VERAGETONI I CO injury or "property da "to which"mage (2)Up to $3,000 for cost o bai bonds (in-f l this insurance applies,that the "in- cluding bonds for rela tra f c law v a-ted f i iol sured"pays with our consent,but tions)required because of an "accident"only up to the lim t described in Para-i we cover.We do not ha to furnishve graph ,Li it O Insurance,o SEC-C.m f f these bonds.TI L ILIT OVERAONIABY C GE.II 2.A.2.a.(4)The fo lowing replaces Paragraph ,l (v)W wi l rei the "insured"fore l mburse of :SEC I I LIABIL TY VERAGETONI I CO the reasonable expenses incurred with our consent for your in estiga-v(4)Al reasonable expenses incurred by thel tion o such clai and your defensefms"insured"at our request,including actual of the "insured"against any suchlossofearningsupto$500 a day be- "suit",but only up to and includedcauseoftmeffrowork.i o f m within the l m described in Para-i itF.HIRED AUTO LI T WORLDWID COV-MI ED E graph , Lm O Insurance,oC.i it f fERAGEINDEMNTYIBASISSECTILIATYCR-ON BILI OVEII The fol replaces Subparagraph in Para-lowing (5)AGE,and not in addi on to such li itimt. graph ,,B.7.Po Peri d,C Terrilicyooveragetory Our duty to make such payments of S T I BUSINESS AU C I-EC ION V TO OND ends when we have used up the ap- T ONSI:plicab li i o insurance in pay-le m t f ments for da settle ormages,ments(5)Anywhere in the world,except any country or defense expenses.jurisdic ion while any trade sanction,em-t (b)This insurance is excess over any v lidabargo,or sim lar regula i by theitionmposed United States o A ica appl to and pro-and collect other insurance a lablefmeriesiblevai hibi the transaction o business with ortsf Page 2 o 4f ©2010 The Travelers Indemnity Company.CA T3 53 03 10 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A COMMERC TOIALAU to the "insured"whether pri emary,xcess J.PERSONAL E TFFECS contingent or asis.on any other b The fo is added to Paragraph ,llowing A.4.C r-ove (c)This insurance is not a substitute for re-age Extensi ns SEC I I PHYSoTONIIICAL,of quired or co lsory insurance in anympu DAMAGE COVERAGE: country outside the United States,i ter-ts Personal Effectsritorandpossessions,Puerto Rico andies W wil pay up to $400 for "loss"to wearing ap-e lCanada. parel and other personal e fecfts which are:You agree to mainta al required orinl (1)Owned by an "insured";andcompuinsuranceinanysuchcoun-lsory try up to the m mu l m required byinim i its (2)In or on your v "auto"co ered . local law.Your f lure to co ly withaimp This co appl only in the e o a toverageiesventftalcompuinsurancerequirementswilllsorythefcored"auto".ft o your venotinathecoerageafordedbyvlidatev f No deductibles apply to this Personal Ef ctsfethispolicwilbelthey,but we l only iable to coverage.same extent we would have been liable had you compl with the compulsory in-ied K.AIRBAGS surance requirements.The fo is added to Paragraph ,llowing B.3.Exc u-l (d)It is understood that we are not an adm t-i sions SEC I I PHYS DAMAGE,of T ON II ICAL ted or authorized insurer outside the COVERAGE: United States of A eri i territormca,ts ies Ex does not apply to "loss"to one orclusion3.a.and possessions,Puerto Rico and Can-more a in a covered "auto"you own that in-irbagsada.We assume no responsibili for thety f due to a cause other than a cause of " "late lossfurnocertf o insurance,orishingf i icates f set forth in Paragraphs and ,butA.1.b.A.1.c.for co iance in any way with the lawsmpl only:of ies relat to rance.other countr ing insu a.I that "auto"is a co "auto"for Compre-f veredG.WAIVER OF DEDUC IB LASSTLEG hensi v l y;ve Co erage under this po ic The fo is added to Paragraph ,llowing D.Ded i-uct b.The airbags are not covered under any war-ble SEC I III PHYS DAMAGE,of T ON ICAL ranty;andCOVERAGE: c.The airbags were not intent al in latedionlyf .No deductible f a co ered "au "wil appl toorvtol y W wi pay up to a max mu o $1,000 for anyelli m fglassdamageitheglassisrepaired rather thanf one "loss".replaced. L.NO E AND KNOWLEDGE O ACCIDEN ORTICF TH.HIRED AUTO PHYS DAMAGE LOSS OFICAL LOSSUSEINCREASEDILIMT The fo is added to Paragraph ,ofllowingA.2.a.The fol replaces the last sentence of Para-lowing SEC ON S AUT ONDI ITIIVBUSINESO C T ONS:graph ,, oA.4.b.L Of Use Expenses SEC-oss f T ON I PHYSIIIICAL DAMAGE COVERAGE:Your duty to gi e us or our authorized representa-v ti e pro noti of the "accident or "loss"ap-v mpt ce "Howe the most we will pay fo any e sver,r xpense plies only when the "accident"or "loss"is knownforlossofuseis$65 per day,to a ma i m oxmuf to:$750 for "acc ".any one ident (a)You (i you are an i iduafindvl);I.PHYSICAL DAMAGE TRANSPOR IONTAT EXPENSES INCREASED LIM TI (b)A partner (f partnership);i you are a The fol replaces the fi sentence in Para-lowing rst (c)A me (f you are a li ited liab li comberim i ty m- graph ,, oA.4.a.Tra ortatio Exnspnpenses f pany); SEC ON II PH DAMAGE COVER-TI I YSICAL (d)An execut v o f cer,di or insurancei e f i rectorAGE:manager (i you are a corporation or other or-f W wil pay up to $50 per day to a ma i m oe l x mu f ganization);or $1,500 for te transportation expense in-mporary (e)Any "e "author by you to gi e no-mployee ized vcurredbyyoubecauseofthetotatheo a co -l ft f v tice f "acc "or "".o the ident lossered"auto"o the pr vf i ate passenger type. CA T3 53 03 10 ©2010 The Travelers Indemnity Company.Page 3 o 4f Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A COMMERC TOIALAU such contract.The wai applies only to theverM.BLANKET WAIVER SUBRO IONOFGAT person or organization designated in suchTheforeplacesParagraph,llowing A.5.Transfer contract.Of Ri Of Recovery Against Others T Usghtso, of S T I BUSINESS AU C I-N.UNIN T ORS OM IONSECIONVTOONDTENIONALERRORISS T ONSI:The fol is added to Paragraph ,lowing B.2.C n-o cealment,M on Or Fraisrepresentati,ud,of5.Tra Of R hts Of Rec Againstnsferigovery SEC ON S AUT ONDI ITIIVBUSINESO C T ONS:Others oT Us The unintentiona om of,or unintentlissionionalWwaieanyrightorecoywemayhavee v f ver error in any in ma ion gi en by you shal not,for t v lagainstanypersonororganizationtotheex- prejudice your r under this insurance.How-ightstentrequiredoyoubyawrittencontractf e th pro ision does not af t our right to col-ver is v fecsignedandexecutedprtoany"acc "ior ident lect addit pre iu or exerc our right ofionalm m iseor"loss",pro the "acc dent"or " "vided that i loss cancella non-renewal.tion orarisesoutofoperationscontempbylated Page 4 o 4f ©2010 The Travelers Indemnity Company.CA T3 53 03 10 Includes copyrighted material of Insurance Services Office,Inc.with its permission. DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A DocuSign Envelope ID: 60F75B57-CE0E-4134-BC64-678B74F54D9A