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Urban Corps of San Diego County; 2018-06-05;
AMENDMENT NO. 1 TO EXTEND AND AMEND AGREEMENT FOR TRAFFIC CONTROL PLAN IMPLEMENTATION, TRASH AND RECYCLING SERVICES WITH URBAN CORPS OF SAN DIEGO COUNTY ~ This Amendment No. 1 is entered into and effective as of the ~ day of .::d. '-"'V'Sk , 2019, extending and amending the agreement dated June 05, 2018 {the "Agreement") by and between the City of Carlsbad, a municipal corporation, {"City"), and Urban Corps of San Diego County., a Non-Profit, {"Contractor") {collectively, the "Parties). RECITALS A. On June 05, 2018, the Parties entered Into a one year Agreement for TGIF Concerts in the Parks traffic control plan implementation, trash and recycling services; and B. The Parties desire to amend the Agreement's scope of work and to extend the Agreement for a period of one year. C. The Parties have negotiated and agreed to a supplemental scope of work and fee schedule, which is attached to and incorporated by this reference as Exhibit "A"; Scope of Services and Fees. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. That the above recitals are incorporated herein by the reference. 2. Pursuant to section 2 of the Agreement, the term of the Agreement is hereby extended for an additional year, through and Including June 05, 2020. Contractor will provide the services described in Exhibit "A," attached hereto and incorporated by reference. 3. City will pay Contractor for all work associated with the services described In Exhibit "A," attached hereto. The total compensation for all services required to be performed by Contractor, as contained in Exhibit A, shall not exceed ten thousand, fifty dollars ($10,050). Contractor will provide City invoices sufficiently detailed to include and related activities and costs. 4. All other provisions of the Agreement, as may have been amended from time to time, will remain in full force and effect. 5. All requisite insurance policies to be maintained by the Contractor pursuant to the Agreement, as may have been amended from time to time, will include coverage for this Amendment. City Attorney Approved Version 1 /30/13 6. The individuals executing this Amendment and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Amendment. CONTRACTOR, By: By:~ Kle-~.cw ~ (print name/tiif e1 CITY OF CARLSBAD, a municipal corporation of the State of California Library & Cultural Arts Director BARBARA ENGLESON City Clerk If required by City, proper notarial acknowledgment of execution by Contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A Chairman, President, or Vice-President Group B Secretary, Assistant Secretary, CFO or Assistant Treasurer Otherwise, the corporation !!!!!fil 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, a:orney BY: dvif:: Assistant City Attorney City Attorney Approved Version 1/30/13 EXHIBIT "A" SCOPE OF SERVICES Traffic Control Plan Implementation and Trash and Recycle Services for TGIF Concerts in the Parks 2019 series. SERVICES PROVIDED BY CONTRACTOR. Fridays, June 21 through August 16, 2019 1 to 9 p.m. on-site time Dates Locations June 21, 28 & July 5, 2019 Stagecoach Community Park, 3420 Camino de lo Coches, Carlsbad, CA July 12 & 19, 2019 Poinsettia Community Park, 6600 Hidden Valley Road, Carlsbad, CA July 26 & Aug. 2, 2019 Calavera Hills Community Park, 2997 Glasgow Drive, Carlsbad, CA Aug. 9 & 16, 2019 Alga Norte Community Park, 6565 Alicante Road, Carlsbad, CA LABOR: Per Event: Total for 9 (nine) events: 1 Supervisor & 4 Members per event $1,080 $9,720 EQUIPMENT: 50 Blue/Recycle Clear Streams with bags $36.66 $330 for all nine events TOTAL $10,050 City will provide: • Traffic Control Plan o Set up and implementation of small "no-parking" a-frames, which will be set up 36 hours in advance of events o Contract and coordinate with vendor for any use of changeable message signs o Any and all lane closure materials, equipment and implementation, as marked in traffic control plans for Calavera Hills and Alga Norte community parks. o Preparation and access to traffic control plan equipment, including signs, cones, barriers, etc. o Yellow vests, gloves and caution tape for vendor use • Trash and Recycle Plan o Preparation and implementation of trash cans and any plans related to trash collection during the event o Preparation and implementation of any recycle receptacles required outside of Contractor's 50-count of Clear Stream recycle receptacles o If needed, will provide TGIF staff to support trash and recycle removal and bag replacement during reduced Contractor's staff hours of 7 - 8 p.m. o Removal of all city-owned trash and recycle bins City Attorney Approved Version 1/30/13 Contractor will provide: • Traffic Control Plan o Gather, plan and implement all TGIF-related specialty signs in accordance with the traffic control plans for each individual event location, as provided by the city o Conduct safe driving activities at all times o Pick up of all event-related specialty and other signs that are not implemented by the City of Carlsbad Public Works Department or other vendors (any lane closure materials or changeable message signs). This includes the small "no-parking" a- frame, which were implemented by TGIF staff o Placement of all gathered traffic control plan equipment in close proximity to storage container car where equipment was provided in the morning shift • Trash and Recycle Plan o Coordination, bagging and implementation of fifty (50) Clear Stream recycle receptacles on the event area in accordance with the Trash and Recycle Plan provided by the city o Throughout the event, and any time there are public present. regularly remove full trash and recycle bags, and replace bags as needed. Recycle bags will be removed prior to filling, as glass can create heavy bags and all staff and vendors will avoid broken glass whenever possible o If glass Is broken at any time, clean and remove the glass immediately and dispose of in a proper and safe manner o At end of event, remove all trash and recycling materials to provided dumpsters and remove all Contractor-owned recycling equipment On-site schedule for Contractor staff: • 1 p.m.: Contractor's staff on site. Load necessary specialty signs in accordance with that event's traffic control plan. Implement all specialty signs as directed in a safe manner. • 3 p.m.: Implement Clear Stream recycle equipment on event site in accordance with that event's trash and recycle plan. • 4 to 7 p.m.: Regularly remove and replace trash and recycle bags • 7 to 8:30 p.m.: Portion of Contractors staff return to vehicle, retrieve all signs related to traffic control plan (not Including lane closure equipment or changeable message signs). Signs to be placed in close proximity to event storage car containers as directed by event staff • 7 to 8:30 p.m.: Portion of Contractor staff remain on site to regularly remove and replace trash and recycle bags • 8:30 to 9 p.m.: All Contractor staff to continue removing trash and recycle materials to provided dumpsters. Clean up and remove recycling equipment. Pick up trash and recycle in event area. Pricing above Includes the following services: • All Contractors driving time. • One (1) training date, date and time TBD, for Contractor's staff to work with city staff on- site for event traffic control plan and trash and recycle plan training. Training will include: o Where to find all required equipment o How to set up all equipment in accordance with either traffic control plan or trash and recycle plan o How to read both plans as provided by city City Attorney Approved Version 1/30/13 o Where to store retrieved signs after event o Road safety and driving conduct guidelines The Contractor will provide itemized invoices at the completion of each site's services. All work will be coordinated and verified by Community Coordinator Megan Gilby or designee. Final invoice approval will be completed by City's Library & Cultural Arts Director or designee. City Attorney Approved Version 1/30/13 URBAN CORPS SAN DIEGO COUNTY BOARD OF DIRECTORS TRACEY WILLIAMS, 111 Vice President Principal Tax Analyst Sempra Energy BOB BENSON, 2"4 Vice President President National University International LEON BROOKS, Treasurer Principal, Leon Brooks and Associates INGRID NIELSEN, Secretary Retired, Commercial Property Manager Nielsen Properties RICHARD BARRERA Board Member Ex-officio Secretary-Treasurer and CEO San Diego-Imperial Counties Labor Council RICHARD J. FREEMAN Board Member Ex-Officio Past President & COO San Diego Padres CAMILLE GUSTAFSON Associale Paul, Ple•~n. Sullivan, & Connaughton LLP Attorneys Al Law JAMES (JIM) MADSEN Executive Vice President Loan Administration Guild Mortgage Company MATT MANNING Finance Automation Controller Intel Corporation GINO V. MAZZANTI Board Member Ex-Officio Allomey-Al-Law DANIEL PARAMO Warden, Relired Richard J Donovan Correctional Facility KEVIN A. SCHLEGEL Program Manager Viasat, INC Kyle Kennedy Chief Executive Officer Urban Corps of San Diego County Resolution Number 02-19 Resolution 02-19 of the BOARD OF DIRECTORS of the Urban Corps of San Diego County confirming: Chief Executive Officer (CEO) Kyle Kennedy, has authority to negotiate, sign, request payments for all contracts and grant agreements, and approve all reports on behalf of the Urban Corps of San Diego County. NOW, THEREFORE, BE IT RESOLVED that the BOARD OF DIRECTORS hereby: PASSED AND ADOPTED Resolution 02-19 authorizing Kyle Kennedy to negotiate, sign, request payment for all contracts and grant agreements, and approve all reports on behalf of the Urban Corps of San Diego County. Ayes: Nays: Absent 8 0 1 I, the undersigned, hereby certify that the Board of Directors duly adopted the foregoing Resolution Number 02-19 on this day January 24, 2019 Signature: Print Name: Tracey Williams Position: Vice President, Urban Corps Board of Directors Certified Local Conservation Corps & Charter School "Learning, Earning, & Conserving' 3127 Jefferson Street, Sao D e,o, CA 92110: Ma,i.,g Mdress· P.O. Box 80156, San □ego, CA 91136-0156 Te!~,,one (6Hi 235-6884. Fax (61,) 115-5425: Tell Frea (855) SO-CORPS 1•,w11ur\ar:orpssd o·g URBAN CORPS ,. l . _ .. i SAN DIEGO COUNTY BOARD OF DIRECTORS TRACEY WILLIAMS, 111 Vice President Principal Tax Analyst Sempra Energy BOB BENSON, 2nd Vice President President National University International LEON BROOKS, Treasurer Principal, Leon Brooks and Associates INGRID NIELSEN, Secretary Retired, Commercial Prof:erty Manager Nielsen Properties RICHARD BARRERA Board Member Ex-officio Secretary-Treasurer and CEO San Diego-lmf:erial CounUes Labor Council January 24, 2019 To Whom It May Concern On January 1st, 2019 the Board of Directors of the Urban Corps of San Diego County appointed Kyle Kennedy as Chief Executive Officer (CEO) of the Urban Corps of San Diego County and designated him as Agent of the Urban Corps with authority to negotiate, sign, and request payment for all contracts and grant agreements, and approve all reports on behalf of the Corporation. Please see attached Resolution Number 02-19 passed and adopted on January 24, 2019 designating authority to Mr. Kennedy. Please contact Urban Corps' Contract Compliance Officer Yolanda Maeder at ymaeder@urbancorps.org or 619-235-6884 if you have any questions or require further information. RICHARDJ. FREEMAN Sincerely, Board Member Ex-Officio Past President & COO 4 San Diego Padres -L/1 a.c~_<d l-<.~e.!;.,_ a,-,-,~ CAMILLE GUSTAFSON Associate Paul, Plevin, Sullivan, & Connaughton LLP Attorneys At Law JAMES (JIM) MADSEN Executive Vice President Loan Administration Guild Mortgage Company MATT MANNING Finance Automation Controller Intel CorfX)ralion GINO V. MAZZANTI Board Member Ex-Officio Attorney-At-Law DANIEL PARAMO Warden, Retired R,chanJ J Donovan Correctional Facility KEVIN A. SCHLEGEL Program Manager Viasal, INC Kyle Kennedy Chief Executive Officer Tracey Williams Vice President Board of Directors Certified Local Conservation Corps & Charte1· School "Learning, Earning, & Conserving' 3127 ,err,,sc, st,e,t, San o,ego, CA9211"). Ma•l11g MJ-ess P.O. Box 60156, San D•es•:, CA 92138-8156 Tele,ho0a (61&; 235-oS84 Fax (613) 235-5d25 Toll free (855) SD-CORPS 1•,,w,urta,:orpss1 o·g AGREEMENT FOR TRASH PICKUP SERVICES URBAN CORPS OF SAN DIEGO COUNTY THIS AGREEMENT is made and entered into as of the 5th day of ,:S, L/).Q,,., , 2018, by and between the CITY OF CARLSBAD, a municipal corporation, ("City"), and Urban Corps of San Diego County, a Non-profit, ("Contractor"). RECITALS A. City requires the professional services of a contractor that is experienced in providing recycling equipment, support and trash pickup services for large-scale outdoor events. B. Contractor has the necessary experience in providing professional services and advice related to trash and recycling services. C. Contractor has submitted a proposal to City and has affirmed its willingness and ability to perform such work. NOW, THEREFORE, in consideration of these recitals and the mutual covenants contained herein, City and Contractor agree as follows: 1. SCOPE OF WORK City retains Contractor to perform, and Contractor agrees to render, those services (the "Services") that are defined in Exhibit "A", attached and incorporated by this reference in accordance with the terms and conditions set forth in this Agreement. 2. TERM This Agreement will be effective from the date first written above, for a period of one (1) year with up to two (2) optional one (1) year extensions for a total of three (3) years. 3. COMPENSATION The total fee payable for the Services to be performed shall not exceed five thousand, five hundred eighty dollars ($5,400). No other compensation for the Services will be allowed except for items covered by subsequent amendments to this Agreement. City reserves the right to withhold a ten percent (10%) retention until City has accepted the work and/or the Services specified in Exhibit "A." 4. STATUS OF CONTRACTOR Contractor will perform the Services as an independent contractor and in pursuit of Contractor's independent calling, and not as an employee of City. Contractor will be under the control of City only as to the results to be accomplished. 5. INDEMNIFICATION Contractor agrees to indemnify and hold harmless the City and its officers, officials, employees and volunteers from and against all claims, damages, losses and expenses including attorneys fees arising out of the performance of the work described herein caused by any negligence, recklessness, or willful misconduct of the Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. The parties expressly agree that any payment, attorney's fee, costs or expense City incurs or makes to or on behalf of an injured employee under the City's self-administered workers' City Attorney Approved Version 4/1 /15 compensation is included as a loss, expense or cost for the purposes of this section, and that this section will survive the expiration or early termination of this Agreement. 6. INSURANCE Contractor will obtain and maintain policies of commercial general liability insurance, automobile liability insurance, a combined policy of workers' compensation, employers liability insurance, and professional liability insurance from an insurance company authorized to transact the business of insurance in the State of California which has 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, in an amount of not less than one million dollars ($1,000,000) each, unless otherwise authorized and approved by the Risk Manager or the City Manager. Contractor will obtain occurrence coverage, excluding Professional Liability, which will be written as claims- made coverage. The insurance will be in force during the life of this Agreement and will not be canceled without thirty (30) days prior written notice to the City by certified mail. City will be named as an additional insured on General Liability which shall provide primary coverage to the City. The full limits available to the named insured shall also be available and applicable to the City as an additional insured. Contractor will furnish certificates of insurance to the Contract Department, with endorsements to City prior to City's execution of this Agreement. 7. CONFLICT OF INTEREST Contractor shall file a Conflict of Interest Statement with the City Clerk in accordance with the requirements of the City of Carlsbad Conflict of Interest Code. The Contractor shall report investments or interests in all categories. Yes [RI No D 8. COMPLIANCE WITH LAWS Contractor will comply with all applicable local, state and federal laws and regulations prohibiting discrimination and harassment and will obtain and maintain a City of Carlsbad Business License for the term of this Agreement. 9. TERMINATION City or Contractor may terminate this Agreement at any time after a discussion, and written notice to the other party. City will pay Contractor's costs for services delivered up to the time of termination, if the services have been delivered in accordance with the Agreement. 10. CLAIMS AND LAWSUITS By signing this Agreement, Contractor agrees it 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. Contractor further acknowledges that debarment by another jurisdiction is grounds for the City of Carlsbad to terminate this Agreement. 11. JURISDICTIONS AND VENUE Contractor agrees and stipulates that the proper venue and jurisdiction for resolution of any disputes between the parties arising out of this Agreement is the State Superior Court, San Diego County, California. 12. ASSIGNMENT Contractor may assign neither this Agreement nor any part of it, nor any monies due or to become due under it, without the prior written consent of City. City Attorney Approved Version 4/1/15 2 13. AMENDMENTS This Agreement may be amended by mutual consent of City and Contractor. Any amendment will be in writing, signed by both parties, with a statement of estimated changes in charges or time schedule. 14. AUTHORITY The individuals executing this Agreement and the instruments referenced in it on behalf of Contractor each represent and warrant that they have the legal power, right and actual authority to bind Contractor to the terms and conditions of this Agreement. CONTRACTOR (sign here) (print name/title CITY OF CARLSBAD, a municipal corporation of the State of California By: ~~-:Pt~ ATHER PIZZUTO 3 ATTEST: \i~m~l-/~ BARBARA ENGLESON City Clerk If required by City, proper notarial acknowledgment of execution by contractor must be attached. If a corporation, Agreement must be signed by one corporate officer from each of the following two groups: Group A. Chairman, President, or Vice-President Group B. Secretary, Assistant Secretary, CFO or Assistant Treasurer 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: ::LIA Ai[j[~y Assistant City Attorney City Attorney Approved Version 4/1 /15 3 EXHIBIT "A" SCOPE OF SERVICES Trash pickup services after 2018 TGIF Concerts in the Parks series. Dates of needed service listed below. June 22, 29 and July 6, 2018 3:30 to 9 p.m. Stagecoach Community Park 3420 Camino de las Caches Carlsbad, CA Labor and Equipment $1,767.48 July 13 and 20, 2018 3:30 to 9 p.m. Poinsettia Community Park 6600 Hidden Valley Road Carlsbad, CA Labor and Equipment $1,178.32 July 27 and August 3, 2018 3:30 to 9 p.m. Calavera Hills Community Park 2997 Glasgow Drive Carlsbad, CA Labor and Equipment $1,178.32 August 10 and 17, 2018 3:30 to 9 p.m. Alga Norte Community Park 6565 Alicante Road Carlsbad, CA Labor and Equipment $1,178.32 Total $5,302.44 Every Friday from June 22 to August 17, CONTRACTOR will arrive at 3:30 p.m. at each venue site listed above; set up recycling equipment, provide ongoing recycling and trash support, and trash pickup on the main field, as well as the onsite parking lots and the surrounding field's planters. CONTRACTOR'S service is expected to continue ongoing throughout the evening and until after the concert has concluded, and venue is clear of trash. The CONTRACTOR will dispose of all collected trash and debris into recycling containers on the field and work with CITY's event staff for disposal in dumpsters which will be provided by the CITY. CONTRACTOR to supply: Labor: Provide 1 Supervisor & 2 Corps members onsite per event. Covering all nine Friday events from June 22 to August 17 per schedule provided. Hours to include from 3:30 p.m.to 9 p.m. @ $552.50 per event. Equipment: 50 Blue/Recycle Clear Streams with bags for all nine events @$36.66 per event. The CONTRACTOR will provide itemized invoices at the completion of each site's services. All work will be coordinated and verified by Community Coordinator Megan Gilby or designee prior to approving invoices. City Attorney Approved Version 4/1/15 4 ~ UKt:IAN-7 Ot->IU:KV ACORD" CERTIFICATE OF LIABILITY INSURANCE I DATE {MMIDD/YYYYI ...___... 05/03/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER ~2AAi~cT Keri Voat Faith Insurance Services rtgN:o Ext!: 949-365-5144 I r..e~ No): 949-313-3288 Brakke Schafnitz Ins. Brokers 28202 Cabot Rd. Suite 600 ft1ifJ~ss: keri.voatt@sia.us Laguna Niguel, CA 92677 Charles A. Faith INSURER!SI AFFORDING COVERAGE NAIC# 1NsURERA:American States Insurance 19704 INSURED Urban Corps of San Diego INSURER B, General Ins. Co. of America 24732 County INSURERC: PO Box80156 San Diego, CA 92138 INSURERD: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL ISUBR POLICYEFF ,,2r6i}',My1 LIMITS LTR TYPE OF INSURANCE ,.,.,n \Al\ln POLICY NUMBER IMMIDD/YYYYI B X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 -~ CLAIMS-MADE DAMAGE TO RENTED 200,000 OCCUR X 24CC287662-8 10/25/2017 10/25/2018 _PREMISES/Ea occurrence\ $ -X XCU Included MED EXP (Any one person) $ 10,00C ~ PERSONAL & ADV INJURY $ 1,000,000 -3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ =7 DPRO-[!] LOC PRODUCTS -COMP/OP AGG $ 3,000,000 POLICY JECT OTHER: $ ./ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 /Ea accident\ B x ANY AUTO X 24CC32284210 10/25/2017 10/25/2018 BODILY INJURY (Per person) s -ALL OWNED SCHEDULED X AUTOS AUTOS BODILY INJURY (Per accident) $ x x NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS &Y1TPcll:io /Per accident\ X Comp 1,000 x $ _!_ UMBRELLA LIAB X~ OCCUR J EACH OCCURRENCE $ 6,000,000 A EXCESS UAB CLAIMS-MADE 01SU43636610 10/25/2017 10/25/2018 AGGREGATE $ 6,000,000 ,/ OED I I RETENTION$ $ WORKERS COMPENSATION I ~f~TUTE I I i:'Fin-AND EMPLOYERS' LIABILITY Y/N I ANY PROPRIETOR/PARTNER/EXECUTIVE D NIA E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ ~m;~ft-\°i~ o'?~PERATIONS below E.L. DISEASE -POLICY LIMIT $ B Professional Liab LP77450201 10/25/2017 10/25/2018 Per lncid 1,000,00C ./ Aggregate 3,000,00C DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required! Clean uti of trash & recyclables Statecoach Community Park June 22, 29 and July 6, oinsettia Community Park July 13 & 20, Calavera Hills Community Park July 27 & Auqust 3, Alga Norte Community Park Auiust 10 & 17, 2018 Additional as required by written agreement per the attac ed endorsements CERTIFICATE HOLDER CANCELLATION CARLSB8 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad, Library & THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Cultural Arts Department 1775 Dove Lane AUTHOR~EDREPRESENTATIVE Carlsbad, CA 92008 fy-kY~ I © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD POLICY NO. 24-CC-287662-8 •••• REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS •••• ~ Liberty Mutual. ~ INSURANCE COMMERCIAL GENERAL LIABILITY CG 76 35 02 07 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIABILITY PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: ADDITIONAL INSURED BY WRITTEN CONTRACT, AGREEMENT OR PERMIT, OR SCHEDULE The following paragraph is added to WHO IS AN INSURED (Section 11): 4. Any person or organization shown in the Sched- ule or for whom you are required by written con- tract, agreement or permit to provide insurance is an insured, subject to the following additional provisions: a. The contract, agreement or permit must be in effect during the policy period shown in the Declarations, and must have been exe- cuted prior to the "bodily Injury", "property damage", or "personal and advertising injury". b. The person or organization added as an in- sured by this endorsement is an insured only to the extent you are held liable due to: (1) The ownership, maintenance or use of that part of premises you own, rent, lease or occupy, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after you cease to be a tenant in any premises leased to or rented to you; (b) This insurance does not apply to any structural alterations, new con- struction or demolition operations performed by or on behalf of the person or organization added as an insured; (2) Your ongoing operations for that in- sured, whether the work is performed by you or for you; (3) The maintenance, operation or use by you of equipment leased to you by such person or organization, subject to the following additional provisions: (a) This insurance does not apply to any "occurrence" which takes place after the equipment lease expires; Includes Copyrighted Material of Insurance Services Office, Inc., with its permission. Copyright, Insurance Services, 2001 CG 76 35 02 07 Page 1 of 4 EP AFP-META2·23-PRINT001·0282·0037-V •••• REPRINTED FROM lttE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS tt•• (b) This insurance does not apply to "bodily injury" or "property dam- age" arising out of the sole negli- gence of such person or organization; (4) Permits issued by any state or political subdivision with respect to operations performed by you or on your behalf, subject to the following additional pro- vision: This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury" arising out of operations performed for the state or municipality. c. The insurance with respect to any architect, engineer, or surveyor added as an insured by this endorsement does not apply to "bodily injury", "property damage", or "per- sonal and advertising injury" arising out of the rendering of or the failure to render any professional services by or for you, includ- ing: (1) The preparing, approving, or failing to prepare or approve maps, drawings, opinions, reports, surveys, change or- ders, designs or specifications; and (2) Supervisory, inspection or engineering services. d. This insurance does not apply to "bodily injury" or "property damage" included within the "products-completed operations haz- ard". A person's or organization"s status as an insured un- der this endorsement ends when your operations for that insured are completed. No coverage will be provided if, in the absence of this endorsement, no liability would be Imposed by law on you. Coverage shall be limited to the extent of your negligence or fault according to the applicable princi- ples of comparative fault. NON-OWNED WATERCRAFT AND NON-OWNED AIRCRAFT LIABILITY Exclusion g. of COVERAGE A (Section I) is replaced by the following: g. "Bodily injury" or "property damage" arising out of the ownership, maintenance, use or entrustment to others of any aircraft, "auto" or watercraft owned or operated by or rented or loaned to any insured. Use includes oper- ation and 'foading or unloading". This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage" involved the ownership, mainte- nance, use or entrustment to others of any aircraft, "auto" or watercraft that Is owned or operated by or rented or loaned to any in- sured. This exclusion does not apply to: (1) A watercraft while ashore on premises you own or rent; (2) A watercraft you do not own that is: (a) Less than 52 feet long; and (b) Not being used to carry persons or property for a charge; (3) Parking an "auto" on, or on the ways next to, premises you own or rent, pro- vided the "auto" is not owned by or rented or loaned to you or the insured; (4) Liability assumed under any "insured contract" for the ownership, mainte- nance or use of aircraft or watercraft; or (5) "Bodily injury" or "property damage" arising out of: (a) the operation of machinery or equipment that is attached to, or part of, a land vehicle that would qualify under the definition of "mobile equipment" if it were not subject to a compulsory or financial responsibility law or other motor ve- hicle insurance law in the state where it is licensed or principally garaged; or (b) the operation of any of the machin- ery or equipment listed in Paragraph f.(2) or f.(3) of the definition of "mobile equipment". (6) An aircraft you do not own provided it is not operated by any insured. TENANTS' PROPERTY DAMAGE LIABILITY When a Damage To Premises Rented To You Limit Is shown In the Declarations, Exclusion J. of Coverage A, Section I Is replaced by the following: J. Damage To Property "Property damage" to: (1) Property you own, rent, or occupy, including any costs or expenses incurred by you, or Page 2 of 4 AFP-META2·23-PRIITT001·0282-0038-V •••• REPRINTED FROM rnE ARCHIVE. rnE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS -·· any other person, organization or entity, for repair, replacement, enhancement, restora- tion or maintenance of such property for any reason, including prevention of injury to a person or damage to another's property; (2) Premises you sell, give away or abandon, if the "property damage" arises out of any part of those premises; (3) Property loaned to you; (4) Personal property in the care, custody or control of the insured; (5) That particular part of real property on which you or any contractors or subcontractors working directly or indirectly on your behalf are performing operations, if the "property damage" arises out of those operations, or (6) That particular part of any property that must be restored, repaired or replaced because "your work" was incorrectly performed on it. Paragraphs (1), (3) and (4) of this exclusion do not apply to "property damage" (other than damage by fire) to premises, Including the con- tents of such premises, rented to you. A separate limit of insurance applies to Damage To Prem- ises Rented To You as described in Section Ill -Limits Of Insurance. Paragraph (2) of this exclusion does not apply if the premises are "your work" and were never occupied, rented or held for rental by you. Paragraphs (3), (4), (5) and (6) of this exclusion do not apply to liability assumed under a side- track agreement. Paragraph (6) of this exclusion does not apply to "property damage" included In the "products- completed operations hazard". Paragraph 6. of LIMITS OF INSURANCE (Section 111) is replaced by the following: 6. Subject to 5. above, the Damage To Premises Rented To You Limit is the most we will pay un- der Coverage A for damages because of "property damage" to any one premises, while rented to you, or in the case of damage by fire, while rented to you or temporarily occupied by you with permission of the owner. The Damage To Premises Rented To You limit is the higher of the Each Occurrence Limit shown In the Declarations or the amount shown in the Declarations as Damage To Premises Rented To You Limit. WHO IS AN INSURED -MANAGERS The following is added to Paragraph 2.a. of WHO IS AN INSURED (Section II): Paragraph (1) does not apply to executive officers, or to managers at the supervisory level or above. SUPPLEMENTARY PAYMENTS -COVERAGES A AND B -BAIL BONDS -TIME OFF FROM WORK Paragraph 1.b. of SUPPLEMENTARY PAYMENTS - COVERAGES A AND B is replaced by the following: b. Up to $3,000 for cost of bail bonds required because of accidents or traffic law violations arising out of the use of any vehicle to which the Bodily Injury Liability Coverage applies. We do not have to furnish these bonds. Paragraph 1.d. of SUPPLEMENTARY PAYMENTS - COVERAGES A AND B Is replaced by the following: d. All reasonable expenses incurred by the in- sured at our request to assist us in the in- vestigation or defense of the claim or "Suit", including actual loss of earnings up to $500 a day because of time off from work. EMPLOYEES AS INSUREDS -HEAL TH CARE SERVICES Provision 2.a.(1)(d) of WHO IS AN INSURED (Section 11) Is deleted, unless excluded by separate endorse- ment. EXTENDED COVERAGE FOR NEWLY ACQUIRED ORGANIZATIONS Provision 3.a. of WHO IS AN INSURED (Section 11) is replaced by the following: a. Coverage under this provision is afforded only until the end of the policy period. EXTENDED "PROPERTY DAMAGE" Exclusion a. of COVERAGE A (Section I) is replaced by the following: a. "Bodily injury" or "property damage" expected or intended from the standpoint of the insured. This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property. CG 76 35 02 07 Page 3 of 4 EP AFP-META2·23-PRINT001·0282·0039·V •••• REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS •••• EXTENDED DEFINITION OF BODILY INJURY Paragraph 3. of DEFINITIONS (Section V) is replaced by the following: 3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish or death resulting from any of these at any time. TRANSFER OF RIGHTS OF RECOVERY The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of COM- MERCIAL GENERAL LIABILITY CONDITIONS (Sec- tion IV): We waive any rights of recovery we may have against any person or organization because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and Included in the "products-completed operations hazard". This waiver applies only to a person or organization for whom you are required by written contract, agreement or permit to waive these rights of recovery. AGGREGATE LIMITS OF INSURANCE -PER LOCATION For all sums which the Insured becomes legally obli- gated to pay as damages caused by "occurrences" under COVERAGE A (Section I), and for all medical expenses caused by accidents under COVERAGE C (Section I), which can be attributed only to operations at a single "location": Paragraphs 2.a. and 2.b. of Limits of Insurance (Sec- tion Ill) apply separately to each of your "locations" owned by or rented to you. "Location" means premises involving the same or connecting lots, or premises whose connection Is interrupted only by a street, roadway, waterway, or right-of-way of a railroad. INCREASED MEDICAL EXPENSE LIMIT The Medical Expense Limit is amended to $10,000. KNOWLEDGE OF OCCURRENCE The following is added to Paragraph 2. Duties In The Event Of Occurrence, Offense, Claim Or Suit of COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): Knowledge of an "Occurrence", claim or "Suit" by your agent, servant or employee shall not in itself constitute knowledge of the named insured unless an officer of the named insured has received such notice from the agent, servant or employee. UNINTENTIONAL FAILURE TO DISCLOSE ALL HAZARDS The following Is added to Paragraph 6. Representa- tions of COMMERCIAL GENERAL LIABILITY CONDI- TIONS (Section IV): If you unintentionally fail to disclose any hazards ex- isting at the inception date of your policy, we will not deny coverage under this Coverage Form because of such failure. However, this provision does not affect our right to collect additional premium or exercise our right of cancellation or non-renewal. LIBERALIZATION CLAUSE The following paragraph is added to COMMERCIAL GENERAL LIABILITY CONDITIONS (Section IV): 10. If a revision to this Coverage Part, which would provide more coverage with no additional pre- mium, becomes effective during the policy period In the state shown in the Declarations, your pol- icy will automatically provide this additional cov- erage on the effective date of the revision. Page 4 of 4 AFP-META2-23-PRINT001·0282·0040·V POLICY NO. 24CC32842-1 ·eoMMERCl,AL ~lJTO c:A 71 ·10 IJ~ U7 THIS ENCORSEMENT CHANGES THE POL1CY. PLEASE READ ff CAREFULLY, AUTO PLUS ENDORSEMENT 13USl"JE$S i\JJTO COVERI\GE F"OP.M Wl•h rg,.;p~~ to· p.,w~ag~! p,widlld 1,y fl)i~ "'ldr1o;"*'ll8rlh: ltlEil ~'l'fl9i9i~rlt-t 111 t•11-1 Cw91sg1-1 ·F."orrn upp_•'/ l.11'1~"'8 m~jfiatftly thA P.ndorsAmP.nt. ~TEr,JOEl:i CANCE_L-LATtON CON.DITION Psi-s.g1apn .2.b .. of tao CANCEL...A'HOt~ Ca..'r"lmo.'l Po-ic'( CO'loition ,; re_r_l;,,cecj by t'lA lollowi119:. b. O.ri dnyf! ~etore the offe1ivo i:tat~ :,f ~ncclfa:-t:911 ii wa caree• tor e'"ly oi'lor roagon. TEM~RA~Y $U~"$°0TUTE-AUTO--· PHYSICi\t DAMAGE COVE~E ~er i.;a,·r..g,a:i,, t .. -Gi:"l·HAJI\ lh~IL~HS; M°c;~ Ali F FD(JIPMfNT AM) TFMP()~ARY 8[JfJ8TITl-JTF AUTOS of SE"CTIO"I 1 ..... CO'IF.F.FD AUTOS, tho foliowing· is ade!f;c.l. It Phyfiir.e.' ~lnrre.ge ccveragn·'i oro•;:idr:d t,y tt-i~ Cov- cmge ·Fa rm, the r you have co,1.c rage for: Any "nuto" yo11. do not own whil~ 11nct1 witr tho por- mif">si1>1 rl, ltF. owr,er a.c;· a -tRtt1porary Rub~tiM~-fQt -a. co1.•crcd ·'a.Jic!• you owr:· itiai is cut of ~crvlce t:c- cairf-3 r,if jjij bi~kf"kl\11/n re·rn,it-. !lP.tllir.int}, ":o:!is" nr tl.'Jstruction. BROAD FORM" NAMED INSURED SECTION IT. -'....IABILIT{ C:OVEAI.I.GE -A.1. v1rHo IS AN ·11\SVr.Er p:-~islJn. I~ arn:i:ided b~· th!.f addit:o:i· of tho !ellawlng: d. Any biJstne'ss eritty. rrewlv ;;:cquired or" tor1ied :Jy you during, the policy peric-d ~revidt::d yo:1 CW") 5,1)~ or nmre d t.,fl". !l1:sine~,r. ·rmt=,y A.nd thn QJsir-.eas ~llt,ty .. is l'\t:)t aceparately ... ·u11.11'E!"d ~o.· 8,1i::in&11tA A11to eove,9gq. COVflfQ~9 o£ s~te•,_dEild I.If! to~-f"OQllCi~•ll11 _of 180 ~•Y~ folrov,1:,g ije?quisi- tion or :or~:::ti:J!I of t!lo· bus.!lCS9 entit',', Cov.e,ago· umfP.r ·llli~ r,rcl\lls;r,.1 ~ ;_ir:rmnc:,i ff)ly un11 :hP. t;nd onne policy r::eriod. tlt.AN!-<El AOPITIONAl INSlJREO Si:::CTi(X',J JI -. .J.ll.31Ur'r· COli'EHl1GE. -A.1. WHO •SAN. 11\JSL.~E-O provifijo11 if'l ~-m~dl'ld "'I tt1.e ;;idd_•1ion f)f ttl~ tollOWinl'J' E!. Arri pel"lon or crga~izafo'"I for w,o..., ~-cu 9re ro- qu.rcd O')' s.1 "ina1..rod contract'' to·.ptovida ,11sur- McA· ·~ AA 'ft1ALl'Pd", i::ubjgct 1(): t'IP fo,lr.wirig ~di1i,mal pmvisions: (1) Th,;i ·~mmrM r.o•TlrF.r:t'' m11~t-r.o i'l oftor.t di,r"ng :he po"lc:i period' stin,·~n 11-the Der.la, ·rn.tforis, and must t'lave riocn cxecu1c:I ~rfor 10 the ''bodliV lt1jlJ)I .. or "proport)' daltietAv''. {2} r:t:iis person. ~r orgB11izst,oii is sn ··insurea1• orly to· t'lo nl'rtr.rrt you ii re, ''ii t>I~ du r, tc your Ol'OO;rtg op:Rrl'\tioraf; f& t'1;:'l.f il'1&ijf9d, wiieJf-tar lhe \!,•or~ 1~-;.i~rforrt£.d e;~1:-ycu or .:er yot,J, .md only io 1hA· P.YlAl'\t vou Rl"P. i1Rlr1: :iRblr-for ari "accident" cccu_rrrng whl!t' a c_ovorcd ''a!Jlo'' ·g !.:t=!"ing a·i\·cn by yc-u nr-0·1c of yt:-\Jr lA'tl· ;,l·O';EleS. (3) Trom 1i no ·c01;era9t:. provir1ed·to t'-11'.'I :pomorr -or orgsn;zatio, fc.r "bed'I~· injuty" -to· its em- olay.aeR, 'lOr for "'pr009i1y damag"A~ to •46 o~~~-. ~4) CnveragP. tor th s pP.rs.on or nrg::rni~1inn si-ia I he l''T"litr.d to t"iJo ax1cn1 of ,'OJ( nctli· ~c n~c o,· f au t axordl rig to t:ic MD! I cab:~. or n!:11?1c,s of corl"IPHtall1.1v·nc:Q1lg~ract:n;r fttC.Jlt. {5) rhe defense ot any claim c-r *suit"· '1111st be 1enriorc:d by th-a f=er&,On, llT orgrnir~tir.Ft l".t, $OO'l a~ i:i,racticable· lo a.II other irisut~re '1,/:ljci· pctontiall·17 ~ro,;tk· inaL.ra:nr:e· for SJch <:,a,m or ":.:Li,t··. lnclJ(:I~ oooyrig)'tt~d matort~I cl fl'lsu_t~ndd ·so"".i~os om_cq,, 1-ic., v1it!) it~ perm ssion. Co:iyr.g~ .JnsJrar.u:.:e Sorvicos Oft.ce, Inc,, 1 !i97 Ii: . .\.. 7• ·:, )3 0' "i~:~ • ll'. a· Er (~} 11w '-:l"-:cm~ prcv1d·a(J ·V11II not ~ood t11Q- le.sser of: (aj Tnc .CO\IOragu 1;1ndltn lirtdts ot tt1ls policy; OT (b) T""lo coyatago a"'ld/or lim·ts req:.Jirad ':l'f tre , ns· ii re ,r i:on1rac'. ". (7} fJ. • pal'9on'e or oraa "lize1ic ija statue a.2 at~ ·fosured'" uoo1H -th.s subparsg,-apil d enris who'l your oonr:it!br,f',. tor ihcit "i"rlsurodr. rue oo'l'l'ptotcd. Lndcr Prue.9~:1 A. cl Seci.or.. JI -.JA31Ll :Y· c::r·J~ ERAGE itorn r. i:'!i Mddcd 1:181a,,01..v~: YoJr ''e.:n;>lovce" \Y:11.e us-:ng hl:o owtied •uu:<;-"_, or a.:..- •·.a..1to" o"Wncd bY, a mornoot or n,s °' 1Ior 1",o..isot1010,_ in yo.Jr husir,l'!~S or yCIUr persoru:11 ".Fltlalr.;, JlUViriF.d you Cl!l not uw.1 •. :~re 01 llotrcw ttis.1,·ia11c-•. 1.1JJ coverago !'l·mc(1m,1!=1 tusir1y ~h.-~r-1:~1nr;m:1,~ ;,,ii1.ir.m,.'"..<11:n,"ir.aun, FELLOW EMPLOYEE CO\ll:RAGE. ExclUslOI) 5. -FELLOW EIIIP ... OYEE .of SECT-ION -11 l '"I\BUJrr cov1:R11C'-c -s. cxcu::sroNS 113 a"Ileat!cd :ri,: Ille adclitc.;1 cf" t:KJ io:l<.:-wing; l"c-1111aver, tt·il::· ~clu5!on· dues ·101 a::1ply if th~· _"t:_Oclily i:1j~1y• resuts 1rom the ~o Q1 .:. ccvetl*I "autc" ye-er a,,,m or hire, and pr0'Cfided• toat an',' coverage unaer t'lis pn:::•,isiQn only app'ics M e)leo::ss. 0\'el a1)' ot'lcr ce>IIEict b'.e bsura~co. BLANKET: WAIV.[R or SUOROGA llOftil Wo Vlc.lvo tnu rlUhl of rocovory· we ma;,,· httV1' lo,· ~,y- morr½$ ml'fde ~o, "h<ldrly inj!1r,"1 r.r ":)ro-:,orty da-ii\gt" b'l ba .. alf N t'ie pc-~M ·c')r orgMi2a.ro"l'S ·addat:I a~ ''insLreas.,, undar Se:::tion II -ua.aiu.r'.I'· C:>'/i!HAGe -A, 1.0. ~"Q/11] I-OR~ f\JA.~F.1·). l•\,SIJJ..:.f-j O'I~ A. "l,fl, B1-I\NKl:T /\DOIT'ON.f\1. lfll:SUPE=O. PHYSICAL. DAMAGE; -·. I\DDITlONAL TRANS· PORTATIOM EXPENSE COVERAGE 1"1f'l fi,st ;,;i:~ri4enca fl.f paFaqraoh A.4. of :$e('.110t,,,· l+I ,_ PHYSICAL-DAM.AGE" GCA,'HlAGF. is amQrined a5 follO'.Vf;'; WA will na•t 1ipi tc;i Si50 rsr d~.y to R. 11e-.:imu.rri of $1, s:::r;: tor t!'l:npc:ra:ry. : ra:1s.pm1ation Ol<j)Ol'l itc .. 'lcurre cl hlf ylll ,. hP.c:JaoJSI:! ot t;lP. to.a. 1!'l~tt of i:;._ c.o,1.1trM ··s.:iio • of rha pri~o ~~!-lnngor lyr_)Cl !:'l;R80NAL EffEQTS CO~RAOE A. sf~:~iq:<J ill ..... Pf-¥Sic~11.;. I ~Ar,..iA:iE c:ovi-:~- .!IGE·,. A.4. ·COVERAGE EXTEtJSl(:'!NS, is a.mendod by e.ddirg the tollcwin_g: c. ~er1ona1 Etfeds coveiagi:i F.m ,my "r)'ll'1nrf "S.Jto• :hat 's irvo:vod In s. C:(l'dilrl' .. d "10.-tR", \\Iii ,,..;1; PFio'.f 11r tc:-$:iOO f{lt "1,ersoo.;I l:!ffects'' tna.t are lost of di:1.11s.~sd a .. :1 reFMt (lf tre r:ovoreci ·t::Htf.", w·:h:>ut '.4~piy;ng a tlat.l~tiuc. P.aragrapn A. -COVl:R:Aa£ of Si::CllON Ill PHY$':CA'.... 'JAMAGE COVERAGE i!f. amc1dcd to add: 5. lllr.:. w .. I '-1.Y 1or tl"lo ~><p~11sc ~ <CIIJttllhg a stolun r.ovArA<1 "c1uto" to you. AIRBAG COVERAGE ;J>"iCHH ";>t.trci(lmpn B. -EXCLl.SIC·KS ::lf SECTION TH -PHYSICA:.. DAMAGE c:>'IER/.;GE, the followln.g ::s aaood; -:-tie ~~luson rolc1ti1u·lo mcchuO:cal broa~c,n cto<.:s not apply to tho accldo·Hai d::;chc;1rgu <Jf an airuag, NEW VEHICLE REPLACEME.NT COST ')"id,n Paragra:;::,ii C -Ll"~IT Of. ltJSL:R!\_'ICE of Scciion Ill -PHYSICAL ~,'INNJE CO\JE~AGE s!!c• tla, 2-18 arncnclod ~ follows: 2. An adjustment. fnr deorP.ci;ition, .;i.nd i:atiysic-.al r.on- dltO.'.l wlli .3c TLatic .n ct:cnn1:11n9· :k:tJal casn v:=;;11A ;r~ 1hc f)"\/Ant r,f ;1 in:;1 IAA~ t:iu111if:Wlt, in Jt~ event of a total 1oss to yout "new vehicle'' 10 whlr.1 11,-s CJ\-err.ge flpp··es, ~ sho·1a·1 11 the ~c:a:1~io1s; we i;.;1:: pa~ ai your option.-. .. a. Tt;~ vcrililiG£ "11C1.v ·,1ct1 c:e" purci1sse ::i,ice you paid for your damaged veh cle. 1ot in- ci' JCir·g any ll1!5Jl4.'lCa or Warran! C!!i ;,ur• Q~UOd; b_ Tt:c purcha!:;C ;:rice, e.s ·-,eqotiatod· t:y ;.is, of a ,ow vcti clc uf ttlJ sarno me.i<Q, modo tit1d ·ecuipment. nc-t, inc•uding B."Y'/ f:Jn·shin95, ;)l'l.11s or ~CJ ui prre'lt not im1ta 11eti ~)' the mamlsctu,-er or ms ,.dact.irer 's oealoisn,p. If ho :li'rne mo~=· i~ nc~t "'"~ilP-b~ pey the piirr.hsiioc:· arlr-..c· of ti-kl rr1P~-s1'Ttllor mridc1 ava·lub,c; c, 1t1.~ rnµtkeLva.1~ Of yqar (li,_~a '(qt.lice! nol i1clJ.1dir:g anv tumisnif)As, p.;.ds °' equip, nil".!nt ~bt i1!lfa'~~tl bi tllf:i j,anTJfi'l.ctu•or or l'm'lr\Jfactu~e t1ca:etship. l'iiii 0:lOVftTago: 'apr,liCH· rnily fo e C:OVrirr:d 41e•.rti,• ol' l10. -:l,lva10 i;ls~o19vr, light-trucic or modh.im trJc:k t)·pc {?.0.00.6 lbR or os~ gr~ vehicle •1110191-it}. nnd WOO not n.r,ply tn lrtii:.lt1oo Pf sot 'JP coo,s u1Ssoc.atc..-d tAitai looms ot ,cases. TINO. OR MORE DEDUCTIBLES l,f'l(ti:1f SFOT!a.J IH -p'.,r.,s1t;>,,. O,•V/i~Gf COJ- EA:i.~E, IJ 1w'o. Of IT'IQfP ~crr.pal')y". pol COS °' COV'lr• a_;Ja forms a~p.y to t:re se..T1e acdct.'\l the 10 .. ow.:1g· 9:,p:l,e1 lo par~gr.ioh a. lJed1;c;1,01~: 3. 11 tno aµpllcab,l! l:l.tJsttJOts ;{I.Ito ~Odlicl• !blR Is ttie ~rriallllr (,or STIEll!flst) danul.1- ll>ID 1r ·,1,r..1 .:,u. wa1vca; or b: If tho applicab'e Elui:.i1e11p, Auto ::lerluct·· lhln 1., ri,tJI i"ll? ~m.!1;,~.r (r,, ~J'l'.l;JI ;rihJ} tit!• auct1010 .t wm t,o rc.duccd bi/ (l'lo f,lmount of 11'1'9 r.mallet (r.-r r.m£rtl(lil) t1er.ue1 t1 tr. oi' ~ II 1~m loi:s:s ii1wlvw hv.u ;.1i ~wui ew.i· nol:fs Atk oov-oro ,~l'f'M oi ~011c1os· ti"£ ~rna'lor (or smallcet) daduct tic vt'.I bi, ·,,•afvcid. F01 flie ,p:lrpc6e of th'a er:dotse'.Tlcnt ''oomizany1' rnea-,s: a. Sa.loco li'\Surmeu Cc-111pe.1~·,.--o1 .A,'tl:ln<.:a· b. Ama,ican $1s.tas Insurance Campa.fly e. Gsnsral lnsu1ance Comparw ~ Amerlea a. A,nar!can· Ecor.orr\,· IML'rante Con'IJ:a,iy· a. F,r11t N"..1t,0;1ei.· l,1surant.-o Carn;.ia1)1 ol i\'l,-~rlca t: lvMririm Smieg fl'IG'!.l~'lr.e (',o,rH.>~tiy of Telias i, A'Tii.riC"-BIJ Sf~~R. Prm'f!ned lrlfiii.rR.rii.~ C:l_:n;,any h. Sa.tecc-l.'\Sur.mcu· Cvlnµe.ny ~ l~lneis I OANI.I PASE GAP COVERAGE ~Mt:r µar,agti;,pi\ G -1,.1r,j111 o· iri.so11..>.NGt:: l>I' ~ noN 111 -t-tHYSICt\1. ll,'U,MGf OOVI-R,t,.Gt-:. t11o follo•IL'·lng ·s s.ddoo: 4. foe most M w.U pay 1or a Iola. ·:loss.'' ifl a:ny one ''tl~id!!nt" lg ~ml gr.ioto, «>t Mt, to11tiW'll9, r.1,,,'njor.t to.,~ !1,500 ~xlmum 1,1.111: ~ • .Act.ml. :.aaL1. v3:.~ of Cle 11am~.od qi· mctcn p1opertv a:s ot the tirne of the " ass", .ess an ~r.j11:-;~rtmn1: for dop(c:c:'sir,n em1 ·µhyr.ir,a' ccn::t:io~ or b. Sa!Rnec d:i6 u-idei t'ln 1efm:, ot tha· 'oan or .oaso l1at. tho da.111,god CO\ICrod "'a.UlO"' ·IS ·s:1b.ect to !I ttm: timo ot th.n ·'1o$a'\ :Oi~ dr)· orp nr i.ill uf tho folfo-iting ~i1j1'1dmolltfl:. {1J 0,1crouo payment snd ·11-.anaia.f :>onslliss associale.d w,t.n those ~l:l ~·n~'),s i:.t: ~f ~ he det;i · r::-1 the~ ·'!Qf:.s". (2} firm11cial ~~!ties lllir,os~d 1.fldj:!r s ~3SC due to high m . .eai;c.:, exc.a:s· ~vc use ot aonorn1a1 wcanmd tear. (3) ~1s.1or oxto!i,clcd w~tran1,oc, Cro• dit Ue 1.11sur::1racP.; Hea.11h. Ar:cident 'or· D'liiabilir; l'l!lurenc:e purchaAOd' iflj ift; I'""' In.An m Ii~; 1~!. {4) T,ansfor or ro::cncr be.:ances ft.:lm ;1r()'.Vlo~ le-ans or lcaS.cs. (~) Final ~vrne-:it dt,1~ l.ll'laer a ·~allQon _uan'". {8) f'1u J.ful~r tfl'JlUJ,1'11 c~ ·4q• J:t .. repairei:I C,l!l."l\11~ that occurred ::iria to tne "to'8.+ loss"·of s.cowre:1 ";;urlr:". (7) Socutlt;' dapc·s~s nc-l tefi.ndod b'f e: C'l'il",01', {B} 1\11 rcft:nds pnye'l1e er :>aid to-)!OU as a res..ilt m t'le sar,y ter,-nine.tion ~ a lease G.tlNlt.rnenr !)r my WDl'- ranty or c,itondod l:lOP"Ji<:o· a,.reo- 11tult o"I a cm:erod ·•a:uto'". (9) .A.:i1; ut1iw.1t ro~roMa1ing :tutos. (10} _oon o:· le~totrr,ina.10, fo&s GIJ\SS REPAIR -WAIVEff 9F DECVCTUL~ ~9,_ o,!ragr.-pn D. -l>J-DvCl'lnl E at st-en~ +11 -PHYSICAi. l)Af/-1\GF COVF.A~E. the follpWing 'is added: I\Jn ded.1r.ti31e atm!iefl lo fjasg {1;:.!f1Rge. If the f]f Rs,; .is re pc.: ired 1ar11~ d.,11t1 · re;)I aced. AfJIENOED DUTIEJ IN THJ:, EVENT OF ACCI- DENT, CLAIIV, ~UIT OR LOISS Tho rcqu1romont In lOOS :CONDITIOtJ 2.a. - ?:JTIF,S IN Tt-1: '%"o/f;I\T OF .o\CClnFNT, Cl At/, SUIT-on .:oss -or SECTJOI\: IV -BYSOO:SS AUTO' OONOITIOtJs· lhlJ:1. Yoll rr11JSl notify· us ot an 1;CC:C:l!';!nt· a.~p:u~ 011v vncm t:-io ~a;.;Gtacnr is·.K001i':'I fo: (1) Y 01:1, f you aro an indJvid ua f;. {2) A paTfrie•, if ~~o:(i\re a ~arfriers'iip: or (3) An exe.:ur;tJQ ottir.er or ~1i:.ul'B,'.lr'.R·ma.ria~er. if ymi: are a COIPDratim. UNINTENTIONAL fAlµ,JRE 'J:'o Dl80LOBE: ti!\ZAFlOS . . . SECTIOl'J IV B!;SN.ESS. Al,.TO C.CNl:,;T.()r;.:S B.2: Is an1oodud ~ tho fiddl~un of lhc fullowlng: If ;·o;,i u:i'.:rti:lnt!i.mal'.i fail fo diilc osc a.ny !'laz:afcl:::; ox:· istin~.a.t tna inception m1e m •;c-ur policy{ we wh, not cf:ny c:ow:rage u1dor thiio; Covr,.r&rio form or.r;auio;e of s·Jch f!tlu~c. 1-!owover, this ;:,rovisie-n does net e:!foct oJr , ghl to r..o,loot !iddlllonai pranium or oxorct::m ~a..ir right ti r.flnccl•at:ion ::ir. noo-rnnewi,.•. HIREO AUTO -LIMllt:D WORLO WIDE CO\IF::R~ AGE kndt:r Secti0.'1 IV -BJsirlttiS Co"ld,dor.l, PW..gl"ci~i'I B.7.b:o(1) i9 rop!O.ooo:by t ... o fo:i-o~r.tg: (i) The, .. ~ccl<teo4" or' ""'o,;s• t9fl.11lts fro1'1 th$'. JM of .,...,. ·"il1 1tn" hll"Gl!i fO" ..3C days or loss: RESUL TAJt(T '41::NTAL A.NGU.ISH COVl:~AGE ~cnor,i V: -t:Jf.=1,;,~11ori,$ -c. is:r~ot"c:ert oy Uut fnllot1i:l1Jff "hiodll~ lt•l!:-ll'Y" rmW,l'IB' ·oc;.ef,IY ,l"l~Lll'Y 111.ekn~ <.-.r ti i.1- Mtto 111.IRTaml'rl ny a porAOn 1n~11ing. m~nl~ 2ng111sh oc oosth reP.LJlf1g lrom a,y-ot the~o .. Hl~Etl ·AUTO PHY'S:aCAL DAMAGE CO\#F.RAGF. If !"i roo '"IiLJln."l" are r.m,~rt'.I! ·at,tffi"! ror I 1F.b::1ty r.r,v. er8(18 and It Compl'etensli;,e, Spedftea' Causes o,. L•?ISS or CelfSIOtl Cc.."\'Qrl~CS lif.O ;,ro•/ldcE! undut lh'.9 CGvc.:raga fur;n for uny "'a.Jlo" you ovm. then tho PhytAtal Darm.tgo Covor~gQtl prOVR'.lod HtC OXlOJlCbl ta ·•ait..cs• ;oo h'.m Dr borro~~. 1 ".IB most we W1J pay tor JOSS 1o any .hired ''auto" is $SC,OC0 br :.\r.ti1i;il Ca."111 "f i'JIIC'f ot eo~i of ~:,i'li1\ Yihlc~V&r :s erra!lcdt, mll':US a. dcdacti~e. Ttie CC· il.:!(,1..:>10 'wl°II· tJo cqua, to tho largt.-sr dcdi.Jctiolo a~µ,,: cah I fl •,o ii.ny owr:i od "e".Jfu" at t'lCl 3rivate pa s.~n rr.r orlglT, !i"'JC'k type fcrlra~:CO'v'a.ra:gc. Wired. Autc· Pry-· &,cal i;:arr;agv GO'ioragc ls,cxcow wot e.ny.otoor CO.· lnJ:tit:ln inrn.t'ilflCfl, S!t,joct to 11,o il~PYn I mlt, (Jcda~ti:Jla m1~ cxc;e5s prn\~&:c-~. we· ·vi.~I! pr~de cover~e eQua1 to tile t:roadesl coverage -.apt)llcab1e 'IC li1t1 ·r.Olforec1· "fluth" YQli r:,v,,p tUREO AUTO PHYSICAL DAMAGE COVERAGE· - t.ossor use SEGTlQ\I Ill -PnYSICAL DA~'i,\GE A.4J~. form dnes 10t apply. S1..,b1ect to .& rr.axr mJm of $1.0Xi per accident; we wil, r.r,,;or :Oro of i;,,i,<J qt il hi~ "rmto/' it ~· fOliilllt:i tF.1-n an ~i::'dont. Y.QU arp loga11'/ I ~:,•o a,d tnc lctoocr in- curs·ari uctual f .. ,a1:ic,a. .otiS. RENT.AL REIMBURSEll.'ENT COVERAGE lJ.. We. -..viii pc.·f for rental 'rcirnfa.1rocin:..,t cxpana~ lnl1.lrrud oy vo1:1 lor-tho r~n1a of ,n 'Wo'· i'>O· ca:.iss of a e:,vcrcd "loe.s• t::r n ooycrod. "auto". ra,mont applicl\, anctlt'o-. io.ttio.ot,nrh'ian ap• plicabie a.rr.OJnt ot esch coverage-,OJ ha\;e O.i s. r.o'mrr.d ·~uJo~. \IQ rled11r:tibJo" appl)' 10 th·, flO'IOil'1.gC' · a. Wr:. 11, II bay only fer these a>cpansea, :1ncJJ~Gd ciuring tns pcihcy l)'eriod oog11ning 24 nours after 1ftt '"lol>S., 'a:ld CnlflJg, rugaid'f:S~ of t'iEl tc-'i~y'S Cll(;,:ie.tiori, '.vith t!lc :esser of 11\a fclloi.•,1rig·:1uir.i::or of days: . 1. rhe number ol days reasonably requirea· lo te:>a 'T ot rnr,lnc:e ,,n· c:ovflmc'I "'i\1It<":" • It "1!1s&'' re ~uei.od ~-. t~'.'t, 1ti11 :iuTibttr ot day.s I& addt:d to rt1c nt.1rnlx>r .ol daf8" 1a1ks 1p lr;r:c,:ie t")t': r;~r~ "l'l.uto" enrl Teturn It t9 yeu. ~. ~o d,'lj/$. c. 01Jr pa~mc1t :! c.n t{!d io tl:lt:· lesre, 01 t1a· !rn- lowing amo.Jnm: 1. r:Jocossary itncl a.c.11.:1111 o~ponsos 1nc1:1noc. ;2. ·$.:,O tJO r da)~. D. Thi,$ cao1c:rilgo i:loolii not: 'ap.py w.hilc fl',orc! aro spare :ll t9&ar.·e "aJtO's"' a.vaLa::ilato ·fou f0< yeur oporatioos;. C. n ·"less· resclts from t"le tot&~ t!'left of !l -covered "ao:Jto" of t~e ?riw.to ;>.Einc:n:gor typa) wc:wiH,pay under tnis cove,·sg.e o.1ty tnat Eil'tlou11t of your re~to.l roirn::>LlJ"SC'fflMt oi::,onsae W'"llch •s not al- ros.dy pra,,r.r:Jod 1cr u!ldor. lho PHYS.Cf\!.. DMA- /1{£ CO\IE.AAGl: Covar.age h1snsion. F~ Tho Aoota1 Foih1bursornc11t Col.•orugo a()llCl'flidi t.tlt,Jvl;} di.It~~: · itil ,:1;i1: y tu ij e<i\o'lllrtit.l; ",wlif;" 1111il ·~ de.scribod or tfal!'iiAnated 111.S· a c6"·:!:ted ·'at.:to~ on Ra:11~1 .R@:m:,.orscrr.t:;1t COV.(Jr~c CA 99 23. AUDI01 VISUAL AND DATA ELECTRONIC EQUIPM l:fllT COVi::RA'GE- A. CoVP-r-199 1. Wr. will -~ey wirh m~ll(lci To B r.cwmod "Bl Rn" for "l0SS" ro any c·cr:mon·c cquij.'.:ma·it t>mt tP.r:,: "e.s r.i ir,111,.~.:nfrs ~1._!lln; 11:!ll&il .--µ rt;:1;!· s1ona1s l(lfld that i~ not msign_od sQlcly .tor thQ 1 e proc1utt· 0-1 csr ~ct.ir)fl. T '1 ,~ · r:o·mr:ine-ap p ·1es ur.1~; If" U.iu uQ.u:;.,~riui1I i~ i.;tm:r[9.nt:i,r, :.-1:sliill:;i~ in toe cove 1ed ''auto" at the time ot ttie , O!'J ~-ct· t'1~ tq t.f?rna r¢ is rqt'ncvat le ."fi·crr. a heaE>iqf anit wtiic~ i:i· ·;:,cr.riancflfly ::i:sta.11::d in: tne covered ·'&Jto" at 1he time ot the "lotis•, anc:such eq:Jipnicot is des·gred to be eclely" cpcr.o.tad t~; L1aa of tho ?O\'i1e• from the· "aJto's" electiical syste·m; inm upon the eovcrad ~~ti:>11• 2; Wr. w;II :my \IYltll mop-cl:! ~o ~ r.ovnrfln ".?'JfD". fc.r •:08$• i:i any, accoseorioe Uf;IOd with" too· 1.loclrur-iic 1.;qJi~rr,o:it doscrfa~ In VtifcJ~mph A1·1.-a·b~ve. I-CJWg1,,r~r. trui:: riOfaA not ir,r.lLiO~ t~Oml, rer.orrts or di,;rs. 3. If Audio, Visut'.J and 3ata Eloctr.cn:c Equip-- mont covese.ga ·1otm :;:A 99 s:> er Cl~ BS 94 Is auact,~ to lh1s po,IC'(-, 1floll 1flo .11.udlo, 11,- ~:-tl .:amt Data ~l"AC1rn11ia ff1,uipment" CcwP."r- fige cf P..f:crlhed above dons nor fip,:>ly. 8. ExcllJslons f:i_!,; o~-~.u~;1;m~ that !..ipp,iy tu p,._;y~1_CA.L D.f\M- •'\GE: COVEPJ\Gi::,. c,cc.,pol 1or tho ~C-\J~loti:ro-ai- ing ~o. Audio. \lii:;u;al a'lo ffat;;,: J.JAC:tro"lir: -E<1Ui1-Jll1a11, alM .?.pl-JIJ':t~ t:ils ~oragc. ,ti" .;.d1.- tinr,, lhe rnllow.i'lf}c A)(Cll.iRlnr,t iilOOIY. VVb wl,, tluf pa)' lof o,thor aHy <J!ocl"tonlc. co,u,p- mcllt or at.'l:OS$orios · used with sJch ·o !octrori·ic squlµrtit."lt tb .. t Is. 1., l\t-Cossat)" fat 1."la l"L(sr.-na.l .01,:~tulloti of tho r:olf~rf-!o Nl-ll•fn'' IQ{ It~ rr,Qr~IO<lt\J n1 t~P. rnvr.rod: •;mrrts-" onc-.rAtino ~}hltr'.m; r.-r. 2. l::loti1: a an lntogra, oart of the serrio und oou::11ng 1(1y so(iid rop~o'(,folng ritjulprr:ae'lt r.c- sicnod· sololy lcr t:KJ wµmdJGtiJn oi sourt::l I~ lhc sot.11r.l roptodL1C11lY !:lq,li:,rniml it;: _;irwrn,11cmriy irns[,:1"taJ ir1· tt:e r.ovcrcd ·a.c.it,l\ an~ b. per'Dl!::1cnll\·-lrista~~d In ·fl-ie opcnin9 of tbo dash °' · cunsokr no rn-1a,ly used ~Y tJo :nanUlaciurcr .:or·tt,a il'.lfllallflt:O;i Of a radio. c. UmH of li,s u ranc~ Wi1h rcspccl to this ca.raago, the: LIMIT OF IN- SL~A.'JCI:. µt6'Jlslof'J af _..1fi.'l'SICAL IJ!\W..AG.t:· COVERAGf .is renl..i.r.ad .iJ'y 11e fO:lrPJ!iiri"g· 1. Tt;n rl'\Oh1 WA w11: 1-1::it l!:i.' '"IOF::~" In· ;n1:1:n, VIL sua or <:lat.;. etectrurlic equiprnenl and ·,my· ar:ceF;r,0~01 user. \\''t'l lh r. OQJ"o·mirt Bi e. msuil c.1 atr)I on~ ..;a~;tJ~t;t" ;'1 t::ie I_US!'.lOnJ:: a. Tli~ a!,Ju~ ~i:1 :vtlluti ul· ci:1~ Ut;;.·u~yi.;d or stolien property .;s of tbe time of. ihe ·1t-~s"; :n b. rhe c:ost ot rep_fliring or re.p'a1;h~: the damagod or stolen ~rope·rti W:t~ ot~or 1-1ro~·ci1,, ol lik1.; klntl isind qus.liiy. c. .$-",-,OOC: 2. An· adjJstment lor depreciation and ph1·slca. ccn~"".lon wiU ::>o, made In ~etertnl'llng C!IQt!Jal <lSBh valW,H?t t~ time o1 t!lo" ·"!ose". -~. " a rops.ii' or roplac-:1rncrt rc.iu'te if"t t:~t<l°r Iha.I~ .I~ ~Ind or quulily, wo :1,•,I, t"L:lt" puy tot I~ 31f10Uilt ol ltl~ OAtljjlrrflC,t)l. C. Oeductlble 1. ff ":oss" t-:i t•,c· a:.id c-, ·11.isual :ir dciia a'ec- 1ronic equ r;-ne:lt or acccsacries used ·o!Y'th this equlprnert Is fna result-of a• "loss" to the ccvaretf. "'a:ito• under r,ic 3:.isini;:S~ ~..rtc- ·coveraga Forrr·~ ·comprahCn3iVC ~r Co1H- s,on ~(?'lerage, then for eac'l oove,ed "al.Ito'' Ol:!r oblig;tlo"I to: pa\• fot, rtp.!lfr, tetr:,•n or to- plsoo da'll3god or c.t-:i•ori._pmpciti,' wll bk' ro"- dL.c9d a; the sppl,cab.e dad~licla shown in 1~ llec.•a<atio~. Any Co11p,8".IA116il/fl Coi.•.:. or.goF.1 dAduc:fo•e sihnwn 1., tlie D1,cl;i,;;diQri& docs not aj:!~ly to-••;oss '· to a"Jd o. v.sJ&.I or d~t:.l o,octroo,c o<;/Jll-!lliC'lU:a..J~oo by ti,o <lt li!=Jhtni ng. 2. If "OSS'' f~ the· 81.JdO,_ Vi~ua!" ot data ~IOt• lrurilr; ~q u. p.ilE:_nt t;-t ucccssor,~s. Jscd w.lh l!'IS !-!QiJIOmP.lll IS trT@! r~_Sl~'t 01 H ''Ill!!-"" 'Q tie ·r.nvomd "'Amr,• 11r.i<1r.r ~rio Rusin~ "-.iro Cove·ra:gu i-otii~ SptciffcC Cnt.1svE;" er uoos ·em.-era.gc, thcri for cacti co'lcrcc ·6UJo'-'· eur ot:iigat1on 10 pay ior. ropair, ro1Urn-or roolacc damag·eo ar stcfon rrope·rr; wlll be. ·ror1Licod ll·i 1:1. ~~C;J dr:Jtlucl 1..;·u. ·a. ·If "':c-ss•· occu7s sc-i€1y to 1h.e a:u~ic. ·..:s:ie. or data e1 ectronic-eq u p-nent or acaesoories ~st::I v,it'l tt,•15 cqai~111011t, t'"l~-r fer e~ch P'I· er!ld "autc!' cl.tr obliij~t:or. tc:i r:av for, rcpe_-:r, THIS ENDORSEMENT CHANGES THE MEMORANDUM OF COVERAGE PLEASE READ IT CAREFULLY WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US NonProfits' United Workers' Compensation Group Memorandum of Coverage: NPU-WCG 001-2018 This endorsement modifies the coverage provided under the following: Memorandum of Coverage: PART ONE: WORKERS' COMPENSATION COVERAGE Paragraph H. RECOVERY FROM OTHERS is amended with respect to the following: Name and Address of Person or Organization: City of Carlsbad library & Cultural Arts Department 1775 Dove Lane Carlsbad, CA 92008 DESCRIPTION OF OPERATIONS/LOCATIONS ADDED BY ENDORSEMENT: -The City of Carlsbad, its officials, employees and volunteers. NPU-WCG waives any right of recovery it may have against the person or organization shown above because of payments made by NPU-WCG for injury or damage arising out of the Members' operations done under a contract with that person or organization shown above and included in the coverage provided by the Memorandum of Coverage. This waiver applies only to the person or organization shown on the Schedule Above. This endorsement is part of the Memorandum of Coverage and is effective on the date shown below. All other terms and conditions remain unchanged. Effective Date: Member: Endorsement No: NPU-WCG January 1, 2018 Urban Corps of San Diego County NPUWCG-URBAN-076 Expiration Date: January 1. 2019 Date Issued: May 3. 2018 Representative for NPU-WCG MOC: NPU-WCG 001-2018 Page 1 CERTIFICATE OF WORKERS' COMPENSATION COVERAGE I DATE May 3, 2018 PRODUCER NonProfits' United Workers' Compensation Group THIS CERTIFICATE IS ISSUED AS MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 610 Fulton Avenue, Suite 200 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Sacramento, CA 95825 Phone (9 l 6) 868-623 l COVERAGE AFFORDED BY THE POLICIES BELOW. Fax (916) 880-5251 Arthur J. Gallagher & Co Insurance Brokers of California, Inc 1255 Battery Street #450 San Francisco, CA 9411 l INSURERS AFFORDING COVERAGE INSURED INSURER A NonProfits' United Workers' Compensation Group Urban Corps of San Diego County INSURER B Safety National Casualty Corp (NAIC # 15105] PO Box 80156 San Diego, CA 92138 INSURER C INSURER D INSURER E COVERAGES This Certificate is not intended to specify all endorsements, coverages, terms, conditions and exclusions of the policies shown. THE POLICIES OF COVERAGE LISTED BELOW HAVE BEEN ISSUED TO THE AFFILIATE MEMBER 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 COVERAGE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY POLICY TYPE OF COVERAGE POLICY NUMBER EXPIRATION LIMITS LTR EFFECTIVE DATE DATE GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ I CLAIMS MADE I I OCCUR MED EXPENSE (Any one person) $ GENERAL AGGREGATE LIMIT APPLIES PER: PERSONAL & ADV INJURY $ POLICY I I PROJECT I ILOC GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Each accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ X I PER I I OTHER STATUTE WORKERS' COMPENSATION A AND NPU-WCG 001-2018 1/1/18 1/1/19 E.L. EACH ACCIDENT $500,000 .,/ EMPLOYERS LIABILITY E.L. DISEASE -EA EMPLOYEE $500,000 E.L DISEASE -COVERAGE LIMIT $500,000 OTHER Limit Per Occurrence -Statutory .I B EXCESS Workers' Compensation SP 4057827 1/1/18 1/1/19 EL Per 0cc & Agg $2,000,000 XS of $500,000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAUPROVISIONS Evidence of Workers' Compensation Coverage: Waiver of Subrogation included by Endorsment NPUWCG-URBAN-076 CERTIFICATE HOLDER I CANCELLATION NPUWCG-URBAN-076 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF NOTICE \NILL BE DELIVERED City of Carlsbad IN ACCORDANCE \NITH THE POLICY PROVISIONS. Library & Cultural Arts Department 1775 Dove Lane Carlsbad, CA 92008 ~ >:__~/ ~~7 Based on ACORD 25 (2014/01)