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HomeMy WebLinkAboutUrban Corps of San Diego; 2018-01-30; PWL18-106GSPWL18-106GS CITY OF CARLSBAD PUBLIC WORKS LETTER OF AGREEMENT Cole Library Step Replacement This letter will seNe as an agreement between Urban Corps of San Diego, a not-for-profit corporation (Contractor) and the City of Carlsbad (City). The Contractor will provide all equipment, material and labor necessary to remove and replace existing exterior step treads at Dove Library located at 1775 Dove Lane, Carlsbad, CA 92009 per Exhibit "A" and City specifications, for a sum not to exceed two thousand six hundred dollars ($2,600). 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, Gov~~ent Code sections 12650, et seq., and Carlsbad Municipal Code Sections 3.32.025, et seq. .k~. init _____ init 6. The Contractor hereby acknowledges that debarment by another jurisdiction ~unds 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. Cole Library Step Replacement - 1 -City Attorney Approved 2/29/2016 PWL18-106GS 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: Brian Bacardi 760-434-2944 Contractor Contact: Daniel Perez 619-235-6884 CONTRACTOR Urban Corps of San Diego, a not-for-profit corporation 3127 Jefferson St. San Diego, CA 92110 P: 619-235-6884 F: 619-235-5425 dperez@u ancorps~org By: , ~ . (sign here) Dmliel t:kt\~rodiksident-(pnnt ame/title) By: CITY OF CARLSBAD, a municipal corporation of the State of California By: Elaine Lukey / P as authorized b (sign here) / ) --'------+---'-~~~~ OOt~ (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: Cole Library Step Replacement - 2 -City Attorney Approved 2/29/2016 EXHIBIT A Cole Library Step Replacement SCOPE OF WORK AND FEE DESCRIPTION Contractor to provide all tools and labor required to remove and replace stair treads on the emergency exterior staircase located on the west side of Cole Library located at 1250 Carlsbad Village Drive, Carlsbad, CA 92008. The City is to purchase the new step treads from Modern Stairways. Inc. located at 3239 Bancroft Drive, Spring Valley, CA 91977. The scope of work includes contractor to pickup new stair treads from Modern Stairways, and deliver to jobsite for installation. Scope of work also includes contractor to handle disposal of existing stair treads after removal. TOTAL* *Includes taxes, fees, expenses and all other costs. PWL18-106GS PRICE $2,600 $2,600 Cole Library Step Replacement Page 3 of 3 City Attorney Approved 9/27/16 STATE OF CALIFORNIA· THE RESOURCES AGENCY CALIFORNIA CONSERVATION CORPS Programs and Operations Division 1719 24"' Street, Sacramento, CA 95816 (916) 341-3126 FAX (877) 882-0117 www.ccc.ca.gov April 3, 2017 Robert Chavez, Chief Executive Officer Urban Conservation Corps of San Diego County 3127 Jefferson Street San Diego, CA 9211 O Dear Robert, EDMUND G. BROWN, JR., Governor SENT VIA EMAIL Thank you for your time and effort in hosting the January 12, 2017 certification review visit. The CCC review team did not identify any statutory deficiencies and Urban Conservation Corps of San Diego County (Urban Corps) meets all certification requirements. Urban Corps is being certified as a Community Conservation Corps for fiscal year 2017/2018 (July 1, 2017 -June 30, 2018), in accordance with California Public Resources Code§ 14507.5. If there are any questions regarding Urban Corps' certification status, please contact Ka-Ryn Escovedo, CCC Local Corps Analyst, at 916.341.3126 or ka-ryn.escovedo@ccc.ca.gov. Sincerely, Amy Ca eron Chief Deputy Director COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County • March 28, 2017 CalRecycle/California Conservation Corps CERTIFICATION REVIEW REPORT Review Period: 2015/2016 Fiscal Year Community Conservation Corps: Urban Corps of San Diego County Executive Director/CEO Robert Chavez Certification Staff Lead: Yolanda Maeder I Date of Visit: 01 /12/17 Report Prepared By: Ka-Ryn Escovedo, CCC Special Programs Analyst -- Report Approved By: -----'-'A"'"'m"""y_C=-a=m'-'-=e-'-'ro"""n=,-=C"--'C=-C=--=C"""h_,_,_ie=f'-'D=-e=p"-'u=-=ty~D'""irc-=e=c=to'--'-r _____ _ Name and Title OVERALL SUMMARY: 1. Does tlhe Community Conservation Corps meet the certification standards for each criterion? Describe arny areas of concern or deficiencies. Urban Corps of San Diego County (Urban Corps) meets the certification standards for each criterion outlined in the Community Conservation Corps Manual, Revised August 2016. The California Conservation Corps (CCC) Certification Review Team examined organizational, educational, and programmatic documentation during the week of January 2, 2017, and observed Urban Corps' operations on January 12, 2017. Based on the review and site visit, the CCC certifies Urban Corps for the 2017/2018 fiscal year. 2. What arre your genera! comments? Urban Corps is a vital resource to the greater San Diego region both for young adults in need of education and work experience and the communities that benefit from the natural resource and recycling work Urban Corps performs. During the 201· 5/2016 review period, Urban Corps secured new grants, including one from the California Fire Safe Council to do fuel load reduction projects, and one from the Community Development Block Grant from the US Department of Housing, which allowed Urban Corps to hire an additional case manager. Urban Corps received other grants from CalFire, Natural Resource Agency, Wildlifo Conservation Board, and Proposition 39. 11 - COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County • March 28, 2017 For the following criteria, provide a narrative related to each rating. Report on the documentation, review activities conducted, and/or information that justify the mark given in the box. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation AVERAGE ENROLLMENT: The corps consists ofan average annual enrollment of not less than 50 corpsmembers X between 18 and 25 years of age. (PRC§ 14507.5[a][5]) NARRATIVE RELATED TO RATING: Urban Corps' average annual enrollment for the 2015/2016 fiscal year was 192 corpsmembers. Urban Corps submitted the signed Corpsmember Enrollment Certification Form, certifying that corpsmembers counted in the average annual enrollment during the review period were between the ages of 18 and 25, enrolled participants in the conservation corps work program, and have signed corpsmember contracts/agreements. The Review Team examined payroll records for the months of August 2015 and May 2016 to substantiate the Corpsmember Enrollment Certification Form, and no discrepancies were identified. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation ORGANIZED CREW STRUCTURE: The corps is organized X in the form of supervised work crews. (PRC§ 14507.5[a][1]) NARRATIVE RELATED TO RATING: To verify Urban Corps is organized in the form of supervised work crews, the Review Team requested copies of supervisors' daily crew rosters, crew supervisor minimum qualifications and/or job specifications, and one year of training records for crew supervisors. Urban Corps submitted: • Daily crew rosters for the weeks of December 14, 2015 and January 2, 2016 showing date, department, crew, project number, project name, supervisor, corpsmember name, corpsmember signature, and time worked. Crew rosters were signed by the supervisor and project coordinator. • Job description for Urban Corps' crew supervisor position. Crew supervisors are required to have a high school diploma and a minimum of one year of supervisory experience. • Crew supervisor training records for 2015/2016, which included courses in workplace privacy, leadership skills, ladder safety, stress management, workplace ethics, and preventing sexual harassment. Urban Corps' documentation was complete and no issues were identified. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation HIRING PRACTICES: Participation shall be for a period of one year, and may be extended. (PRC§ 14507.5[a][1]) The corps selects young men and women for participation on X the basis of motivation for hard work, personal development, and public service, without regard for their prior employment or educational background and consistent with Section 14402. (PRC§ 14507.5[a][1]) NARRATIVE RELATED TO RATING: 2 COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County • March 28, 2017 To verify that Urban Corps' program is for one year with the possibility of extension, Urban Corps submitted a copy of its corpsmember handbook, which states that the job-training program is a one-year program. To verify that Urban Corps is in compliance with the hiring practices stated in PRC§ 14507.5[a][1], the Review Team examined documentation related to recruitment, the application process, Equal Employment Opportunity (EEO), and high school diploma status upon entering the program. Urban Corps submitted: • Corpsmember recruitment flyers, advertising paid job training and earning a high school diploma. Flyers also have eligibility and contact information. • Corpsmember job application to join Urban Corps' job training program. • EEO policy information. Urban Corps' EEO Officer is the Human Resources Manager. • List of corpsmembers who enrolled during the 2015/2016 fiscal year and their high school diploma status upon enrollment. Urban Corps hired eight corpsmembers who had already received a high school diploma. The Review Team also verified that EEO information is posted in an area visible to corpsmembers. Urban Corps' documentation was complete and no issues were identified. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation WAGE SCALE AND POST PLACEMENT: The corps compensates corpsmembers at not less than the federal minimum wage.(PRC § 14507.5[a][3]) X The corps provides corpsmembers assistance in obtaining permanent employment following their participation in the corps program. (PRC§ 14507.5[a][3]) NARRATIVE RELATED TO RATING: For the 2015/2016 fiscal year, Urban Corps paid corpsmembers a starting wage of $10.00 per hour, which was the minimum wage for the State of California, and is higher than the federal minimum wage of $7.25. To verify that Urban Corps provides corpsmembers assistance in obtaining permanent employment, the Review Team requested documentation outlining Urban Corps' post-corps employment assistance plan, listing programs and services for job training and career development, as well as a list of job-specific skills available to corpsmembers and post-corps placement statistics. Urban Corps submitted: • Description of Urban Corps' Corps-to-Career program, which includes evaluations, individual development plans, life skills classes, and assistance in building resumes, practicing interviews, enrolling in college and navigating financial aid, and completing career exploration activities. Corpsmembers also receive active case management services to remove barriers to employment. • List of job-specific skills that corpsmembers can develop in the job training program, including punctuality, accountability, time management, and customer service, in addition to the recycling, landscaping, and natural resource skills corpsmembers can build. • Post-corps placement tracking sheet, indicating that Urban Corps tracks corpsmembers' employment and education status. To substantiate the post-corps employment assistance plan submitted by Urban Corps, the Review Team examined career/employability files for 20 corpsmembers. Career files contained senior portfolios, case management documents, work readiness exercises, individual development plans, and resumes. Urban Corps' documentation was complete and no issues were identified. 3 COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County• March 28, 2017 Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation EDUCATIONAL PROGRAM: The educational component of the corps' program includes enrollment in a vocational education program, public or charter high school, or postsecondary community college. (PRC§ 14507.5[a][2]) The Corps shall give priority to providing an educational component for corpsmembers who have not completed high school. The component shall be equal in content to a high X school curriculum and provide course credits leading to a high school diploma or its equivalent, such as a California high school equivalency certificate. The work of the Corps shall be structured to accommodate the educational component without significantly reducing the productivity of the Corps. (PRC§ 14402) NARRATIVE RELATED TO RATING: To verify that Urban Corps' educational program, Urban Corps of San Diego County Charter School, is in compliance with PRC§ 14507.5[a][2] and PRC§ 14402, the Review Team requested a copy of Urban Corps' most recent charter school accreditation by the Western Association of Schools and Colleges r:,NASC), a copy of the approved charter, a corpsmember graduation list for the 2015/2016 fiscal year, and a list of education goals and objectives for corpsmembers who already have a high school diploma. Urban Corps submitted: • WASC letter dated July 3, 2016 indicating that Urban Corps Charter School is accredited through June 30, 2022. • Evidence of charter renewal by the Mono County Office of Education, signed July 1, 2016. • List of corpsmembers who graduated from Urban Corps Charter School during the 2015/2016 fiscal year, which was 179. • Description of academic goals for corpsmembers with a high school diploma, which includes required enrollment in community college or vocational education, as well as Corps-to-Career academic activities. The CCC lead reviewer verified on the Mono County Office of Education's website that Urban Corps' charter is currently active. To verify that Urban Corps educational component does not significantly reduce the productivity of the Corps (PRC§ 14402), the Review Team also requested copies of school attendance rosters and a description of Urban Corps' work-school attendance model. Urban Corps' submitted class rosters for the weeks of October 19, 2015 and April 18, 2016. Student corpsmembers attend class two days per week and work three days per week. Urban Corps' documentation was complete and no issues were identified. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation CIVIC CONSCIOUSNESS: The corps' program develops corpsmembers' character and civic consciousness through X rigorous work on public projects. (PRC§ 14507.5[a][2]) NARRATIVE RELATED TO RATING: To verify that Urban Corps' program develops corpsmembers' character and civic consciousness, the 4 COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County • March 28, 2017 Review Team requested a list of work ethic standards from a corpsmember handbook/agreement, a description of civic consciousness activities that corpsmembers participate in, and a description of how Urban Corps rewards and recognizes corpsmembers, with samples of awards and/or certificates. Urban Corps submitted: • Description of standards of conduct from Urban Corps' corpsmember agreement, including reporting to work every day on time, working to the best of their ability, and abstaining from illegal drugs and alcohol. • Documentation of civic consciousness activities, including participating in Urban Corps' Corpsmember Advisory Board and Government Education Day, and hearing guest speaker Senator Ben Hueso discuss Senate Bill 1216. • Description of recognition program and awards offered, including awards for corpsmember of the month, perfect attendance, and safety. Urban Corps' documentation was complete and no issues were identified. During the certification site visit on January 12, 2017, the Review Team spoke with three corpsmembers from two different crews about their experience at Urban Corps. When asked how being a participant in the program has helped them personally, one corpsmember stated that it has helped him develop a more positive attitude toward people and he has learned how to communicate better with others. Another corpsmember stated that he feels like he is doing something good with his life. These interviews provided additional information in how Urban Corps is helping corpsmembers develop good work ethic and character. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation PROJECT WORK: The corps engages in recycling and litter abatement projects, as well as projects that accomplish the conservationist and other purposes described in subdivision (a) through (h), inclusive, of Section 14300, and that assist X agencies of local governmental and other nonprofit community organizations in developing, rehabilitating, and restoring park/ands, recreational facilities, and other community resources. (PRC§ 14507.5[a][4]) NARRATIVE RELATED TO RATING: To verify that Urban Corps engages in both recycling/litter abatement projects and projects that accomplish conservationist purposes as described in PRC§ 14300, and assists local government and nonprofit organizations, the Review Team requested Urban Corps' project list for the 2015/2016 fiscal year, as well as copies of project evaluations or completion letters from agencies/organizations. Urban Corps submitted: • Project list with sponsor, type of work, and date. Sponsors included Coastal Roots Farm (weed abatement), County of San Diego (landscaping), City of San Diego (event recycling), and River Partners (habitat restoration). • Evaluations from the City of Carlsbad Public Works Department and the City of San Diego, as well as quality control reports from the City of San Diego. Urban Corps' documentation was complete and no issues were identified. The Review Team also visited an active project on the day of the on-site review. Urban Corps staff escorted the group to the project site visit, located in San Diego, where corpsmembers are planting new trees at a park for the City of San Diego .. 5 COMMUNITY CONSERVATION CORPS CERTIFICATION REPORT Urban Corps of San Diego County • March 28, 2017 Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation DESIGNATION: The corps has been designated by a Q1Y. (or city and county) to perform litter abatement, recycling, and related activities, if the city or city and county has a population of more than 250,000 persons. X (PRC§ 14581.1[a][1]) OR the corps has been designated by a county to perform litter abatement, recycling, and related activities. (PRC§ 14581.1[a][2]) NARRATIVE RELATED TO RATING: To demonstrate that Urban Corps has been designated by a city with a population of more than 250,000 persons to perform litter abatement, recycling, and related activities, Urban Corps provided a copy of their contract with the City of San Diego to perform recycling at Qualcomm Stadium. The population of the City of San Diego was estimated at 1,394,928 in 2015, above the 250,000 threshold. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation ANNUAL BUDGET: Any grants provided pursuant to this paragraph shall not comprise more than 75 percent of the X annual budget of a Community Conservation Corps. (PRC § 14581.1[b]) NARRATIVE RELATED TO RATING: Urban Corps provided an income statement for 2015/2016 from its general ledger, which listed Urban Corps' total revenue at $9,184,325. The 2015/2016 total grant allocation from CalRecycle was $1,585,725, which is 17% of Urban Corps' total revenue. Recommend Recommend CRITERIA PASS FAIL Corrective Further Action Documentation CALIFORNIA SECRETARY OF STATE STATUS: "Community Conservation Corps" means a nonprofit public benefit corporation formed or operating pursuant to Part 2 X ( commencing with Section 5110) of Division 2 of Title 1 of the Corporations Code, or an agency operated by a city, county, or city and county ... (PRC§ 14507.5a) NARRATIVE RELATED TO RATING: The Review Team verified in January 2017 that Urban Corps is in good standing with the California Secretary of State to do business as a non-profit public benefit corporation, in compliance with PRC § 14507.5a. 6 Daniel Morales, Board President (Executive Committee) Nominating (Board Development) Committee Retired Community Services Liaison, San Diego Housing Commission Email: danielrmorales1@att.net Home: 3585 28th Street San Diego, CA 92104 PH: (619) 296-0638 Mobile: (619) 876-7798 Tracey Williams 1st Vice President (Executive Committee) Finance Committee, Chair Principal Tax Analyst, Sempra Energy 488 8th Street, HQ08N San Diego, CA 92101 PH: (619).696.4014 Mobile: (619) 248-9389 tlwilliams@sempra.com Bob Benson 2nd Vice President (Executive Committee) Nominating (Board Development) Committee Audit Committee Member Vice President, National University International PH: (858) 642-8129 Fax: (858) 642-8787 Email: bensbob@gmail.com www.nui.nusystem.org Ingrid Nielsen Board Secretary (Executive Committee) Development Committee School Board Member Nielsen Properties, Retired Home: 3626 Elliott Street San Diego CA 92106 PH: (619) 255-2877 Mobile: 619-518-8858 Email: ingridni66@qmail.com Urban Corps of San Diego County Board of Directors Roster May 2017 Leon Brooks Board Treasurer (Executive Committee) Facilities Committee Nominating (Board Development) Committee Principal and Owner Leon Brooks and Associates Work: PO Box 87629 San Diego, CA 92138-7629 PH: (619) 297-9777 Mobile: 619-572-0036 Email: lbrooksSD@aol.com Daniel Paramo Warden, Richard J. Donovan Correctional Facility 480 Alta Road San Diego, CA 92179 PH: (619) 661-7800 Email: dparamo@gmail.com, Email: Daniel.Paramo@cdcr.ca.gov (Esmeralda.Delavega@cdcr.ca.gov) Kevin A. Schlegel Lieutenant Colonel, USMC Executive Officer, MCTSSA Home: 2688 Bressi Ranch Way Carlsbad, CA 92009 Email: schlegels@gmail.com Mobile: 202-650-8767 Nora E. Vargas Vice President of Community ~overnment Relations Planned Parenthood of the Pacific South West 4704 Windsurf Way, #318 San Diego, CA 92154 Mobile: (619)-339-3634 Email: noraevargas@me.com Gail Weed Nominating Committee Director of Operations Bare Elegance Waxing Home: 8152 Roy Street Lemon Grove, Ca. 91945 Mobile: (619) 461-1717 Email: theweedpatch 777@qmail.com Mobile: 619-669-8150 Gino Mazzanti, Esq. (Board Member Ex-Officio) Facilities Committee Attorney-At-Law 550 West B Street, Suite 220 San Diego, CA 92101 PH: (619) 233.6397 Mobile: (619) 723-6706 FAX: (619) 696-0095 Email: gm@gmazzantilaw.com Richard Barrera (Board Member Ex-Officio) President Secretary-Treasurer & CEO San Diego-Imperial Counties Labor Council Home: 1732 Granada Avenue San Diego, CA 92102 Mobile: (619) 937-8619 Email: rbcoi@yahoo.com Dick Freeman (Board Member Ex-Officio) Audit Committee Past President & COO San Diego Padres Home: 7325 Remley Pl. La Jolla, Ca 92037 Mobile: (619) 977-1056 Email: dfreemansd@qmail.com Michael Sterns Audit Committee Chair (non board member) President Organizational Management Services PH: (619) 659-3801 Mobile: (619) 925-6767 Home: 10014 Boulder Creek Road Descanso, CA 91916 Email: michaelasterns@qmail.com Executive Staff Robert Chavez Chief Executive Officer Urban Corps of San Diego County Work: PO Box 80156 San Diego, CA 92138-0156 PH: (619) 235-6884 x 3110 Toll Free: 1 855 SD Corps Mobile: (619) 890-6544 Fax: (619) 235-5425 Email: rchavez@urbancorps.org Anne Bernstein Chief Operating Officer Urban Corps of San Diego County Work: PO Box 80156 San Diego CA 92138-0156 PH: (619) 235-6884 x 3408 Toil Free: 1 855 SD Corps Mobile: (619) 954-4539 Email: abernstein@urbancorps.org Klara Arter Director of Development & Administration Urban Corps of San Diego County Work: PO Box 80156 San Diego CA 92138-0156 PH: (619) 235-6884 x 3122 Toil Free: 1 855 SD Corps Mobile: (619) 833-2479 Email: abernstein@urbancorps.org Urban Corps of San Diego County Board of Directors Roster May 2017 Kyle Kennedy CFO Urban Corps of San Diego County Work: PO Box 80156 San Diego, CA 92138-0156 PH: (619) 235-6884 x 3114 Toll Free: 1 855 SD Corps Mobile: 858-663-0190 Fax: (619) 235-5425 Email: kkennedy@urbancorps.org Dan Thomas Dean of Education Urban Corps of San Diego County Charter School Work: PO Box 80156 San Diego CA 92138-0156 PH: (619) 235-6884 x 3401 Toll Free: 1 855 SD Corps Email: dthomas@urbancorps.org ~ UK~AN-7 Ut"ID: KV ACORD' CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~ 11/07/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 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(Mandatory in NH) Y/N ON/A If yes, describe under DESCRIPTION OF OPERATIONS below B Professional Liab LP77450201 POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY) LIMITS EACH OCCURRENCE $ 1,000,00( 1012512011 1012512018 1-"-!-=="""'===---+-'--------2_00--',_o--100 DAMAGE TU RENTED $ PREMISES /Ea occurrence\ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS -COMP/OPAGG $ COMBINED SINGLE LIMIT /Ea accident\ 10/25/2017 10/25/2018 BODILY INJURY (Per person), $ BODILY INJURY (Per accident) $ 10,00( 1,000,00( 3,000,00C 3,000,00( 1,000,000 EACH OCCURRENCE $ 6,000,000 10/25/2017 10/25/2018 ,_A_G'--G'--R-'-E-'-GA--'-T_E ____ ---+_$ ____ 6-'-.,o_o_oc...,o_o---lo $ E.L. EACH ACCIDENT E.L. DISEASE -EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ 10/25/2017 10/25/2018 Per lncid Aggregate 1,000,000 3,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE Agreement Number: GS1594 City of Carlsbad is named as additional insured per the attached endorsement Thirty (30) days notice of cancellation CERTIFICATE HOLDER CANCELLATION COCARLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Carlsbad/CMWD ACCORDANCE WITH THE POLICY PROVISIONS. c/o Exigis Insurance Compliance Services AUTHORIZED REPRESENTATIVE P. 0. Box 468-ECM #35050 fyNY~ New York, NY 10163-4668 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 ORIGINAi. TRANSACTION MAY INCLUDE ADDITIONAi. FORMS .... ~, Libe!'!)_'. 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 CONTRACT, SCHEDULE INSURED BY WRITTEN AGREEMENT OR PERMIT, OR The following paragraph is added to WHO IS AN INSURED (Section II): 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-PRINTOO 1-0282-0037-V "" REPRINTED FROM THE ARCHIVE. THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS "" (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 1) 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 "loading 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-PRINT001-02B2-0038-V .... REPRINTED FROM THE ARCHIVE. THE 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-M ETA2-23· 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-PRINTOO 1-0282-0040-V .... REPRINTED FROM THE ARCHIVE THE ORIGINAL TRANSACTION MAY INCLUDE ADDITIONAL FORMS .... Libe~ Mutual. COMMERCIAL GENERAL LIABILITY CG 20 26 07 04 INSURANCE POLICY NUMBER: 24-CC-287662-8 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s) ANY AND ALL FUNDING SOURCES AS RESPECTS INSURED'S OPERATIONS THE Information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 <!> EP AFP-M ETA2-23-PRINTOOI -0282-0034-V POLICY NO. 24CC32842-1 ·cofu'IMERCl,AL ~tJTO a.A. 71 ·10 05' U7 THlS ENDORSEMENT CHANGES THE POLlCV, PLEASE READ lT CAREFUil. Y. AUTO PLUS ENDORSEMENT 13USl"JESS N,Jl"O COVER/\GE mRM Wllh IQt-=.pGII'~ h>· pc)IJQ~8Qfll o,widlld I!')' tlli~ ~"1dr11ll+1'l•lilllh lt"11 ~"'1)919i9"rll-l u1 t·1~ C,J\/~IB91-l ·F.mrri HPP.•'l l.lr'l~t-S m'1difiar!"tly thA P.ndorsP.mP-nt. EltTE~OEti CANC€_L-LA l(>N C()~_DlflON Prus.:giapn .2.b .. of tao CANCi:L.A'HOt~ CD...-n,'TW,'l Po-ic•r CO'lrli tion fl re_rJ;,,ciKj by t'lA toll owing:. b. O,G doy!l ~afore the affe~ivo tlat~ :lf ~ncclfa:..b;:-n if wa care-a• for e."ly ottior roo.9on. TEMP:QRA~Y $U~i$TITUTE-AUTO--· PHYSICi\"t DAMAGE COVEFIAGE ~Mer i-;a,.~g,a~'! t .. -GEl~IAJi"i. lh~iL~ilS; M°c;~ Ali F FD(JIPMfNT ANO TFMP()~Ji.RY 8UP.,..'HfTUTF AUTOS nf SE"CTIO'\J 1 --COYF-F.FD AUTOS, tha foliowing· is ad~ec.!. It Phy:e;ir.e.' ~l;=irre.ge CG1,eragb· 's oro•1.idr:d hy tri:; Cov· emge ·Farm, thar you ha-:c C0'1.crnge-far: Any ''nuto" y.;m. tlo not own whil~ 11~orl ·,r,,.itr ino pcr- mif'.~io-1 d, ltF. 0\9/f"ler a..c;· a -tRtr,po.-ary i::ub,e.tit~~-fot -a. covered ·'a.Jic!• you o-o11r:· iti.a.t is clll of service tc- cai1M r.-1 ii.ti bi~krfo\lv'r, rensit-, !lP-t\.!ir.ir,9, ":ol'is" rir tt:s1rYCtion. BROAD FORM. NA.-!ED INSURED SECTION IT. -'...IABILIW COVERAGE -A.1. \",1HO IS AN ·11\SUP.f~: p:--cvisi:::in h:1 am11i:-ided b~· ttl~ addit:0:1 or tho lell~wlng: d. Ariy biJsme'ss erittV rrewly ;;:cquir'ed or· tonied 'Jy you during, the policy ps1ie:d ?H>Vid£d yo:.J cw.:. S8% or mor"ii: o' t~e-t:>1:sine:-1s--·c:nt=,y and thri ~Jsinass ~nt,ty .. is oot s·eparately _ .. 'lsure·d ~o.· 81JAi11&1111:i Ai,to ~ove,aga. C~fQ"fl{I ~ 8~hil•1.dG1d l.ll'l 10 ~-fM,ci~tltTl _of 180 d~ys folltlV,i:-tg qr.quisi- tian or :or'.11.:::li:l:1 ot t.:10· bus .. 1~s9 entil',', Covssago· 1JaffF.:, ·111i~ r,mvi~;.-i:i ~ ~r:r,m1c:,1 f;r"!ly u,:,11 :hP. (::M onne policy ~eriod. tlt.,.Nk;El AOPITIONAL lt.mlJREO Si::CliU',J JI - . ..J.A..01Ur'l" COli'EHl1GE -A.1. WHO •s AN. IIIJSL.HE-0 provii:;jon iR ~.mff"!dl'ld P'/ tt1.e ;;idd:tior, l)f tl'l~ tollOWing· E!. Arri pel'9on or crga"lizat;o'l for w'io-n ~-cu :ire ro- qu,rcd Cry' s.1 '"ins1..rod contract'' to·.prnvidc ,:tsur- ?-ncA· •8 AA 'fni;:iurpd", P.l.lbjQ(:t 10: t'IP ic,alr.wj,-19 addi1lonal pmvision~: ( 1) Th f.'."! ·~mmroo r.o·m r:t '' mut:lt-r.n i, oftnr.t di,r"ng :he po'lr.:i ~erlotf st-ir.-wn 11· the Der.la, ·rn.tfona, and must liave docn cx~culc:l prior 10 the ''bodliy lt1jlJ)I"' or "prop0rt, dttll·,ai:,c''. {2} r:t.iifi person c-r orgB.11izs.t,0&1 is &n ·'insurea'' or l'I·· to· t--.o fl~n(ll you i1 re, ''il "Die 1111 r, m your or>goirig op:Rrntiori~ ftif ti-mt i11sijr9d, wiie,!-tar lhe \r,•Qr~ 1~-,>t;rforrt:ied ~f:YCLJ or .:c-t yo~. atJd or: l \o' 10 1 h4'l · P.)({4'l !'"It ynu fll'P. i"IF. I r1: :ifl bl~ for ara "accident" c<:currrng whl~ a c_ovorcd '"a!Jio'' ·i ~e·ing a·i1,•cn t.Jy yc-u c:;r-0·1c of yc-ur tJm· ;:ll"ovees. {1.) Trm~ =s nr> ·co1,,·era9t:. pro~·ided·to t'll~ :pnmon -or orgs.n;zatio1 fc-r "bad'ly inju.-y" -to· its em- olay.aef;, '10r for "'prroeiiy <lamag"Rb to •IS tlfOOf.!rt't,. . ~4) CnveragP. tor th s pAr,;on or org::rni,a1inn s'le. I t:e l"'llitr.d to t1n oxmn1 of "'.{OJr ncgli· gc !'1~C O,' f au t aocordl :ig 10 the SDD!I eab: ~ · l)r nc1i;,1o:s of corl'lp~ra.1ivc·oc:g1lg~rte:iH:-r fHlllt. {5) rh!;l defense ot any clairn c-r "suit'· 'fl[lst be 1en ri<lrr:i;t by th-:5 pe 1"6011 ' IDT 01'91'! "li 7~t[r: Fl ~ ~eo 'i a~ ':)ractrcs.bl e · to· all Qt hor i ri e-Ui"-:i re 'l,":ll C !l. ;lCtO ntial h/ r.-ro1;1 :00. inaL,ra:nr.e· for SJch <:,.um or ":.:Li,t··. ll'ICIJd~ Odrlyri;g)1tcd matcrt9I of rnsu_r~nCid ·sc~i~cs c-tti.cl?, l'ic., wit~ it~ pcr1l\ ssiol'I. Co:>.yr.g..'lt,-.JnsJrar.u:;:e 3crviclls Uft.ce, Inc.-, 1 ~97 ",~:: • u: 5; i::r (~} 11w c.;ivcm~ prcvicfo(fVl111 nc-1. ~ood !hQ- lesser of: (aj Tnc .covcra~u 1jM/:.:n lirt~w o1 ttils policy; OT (b) T"'lo covataga a'"l&or lim·ts w.q:.iirad ':1'/ tre "'i 11s"1i re if i:0"!11r~ ". (7} ~ . par9on'e or Ol"tlf!. ,i ze1ic n's statue W! :?""I ·1nsured'' unde1· -th,s subparsg,·&pa d entis who'l yi>u r O'O()ro.t!Cl"lf',. tor 1 ho.t "i"ns u rod•: nm ao'l1p toted. Lhdcr Paie.!Jr.a.J:5:l A. d Sad.or.. JI -.JA.BIU:Y c::r·J~ ERAGE itorn ,. ii,i ij,(i(jcd tclS fo,,C).I.IJS: YoJr ·-e.:n.,10,ce" w:1l.1:1 us:ng hl:o o·wtied •uu:(;-"_, ur .!.'I· •·a..1to" o\riinad ti-,.: a rncn-,Oo:.Jr ol l'l,s °' 11ur 1",ousot1olo,_ flt \'OJr husini'!~S or \iOlJr rer$0rl;:i_l ·;i.ttalr.;, qroviril'ld you Cl.:l not oli'1., •. :11r9 01 llorrcw 111a.1, ··~utc-'. l."lll co\/eraga ~-mcr;m,!=l tu ;my ~ h.-;r· c:p;I nr;m:1 c? ;,1ii1.ir;m,.,c 1 1 :n.i(l tat; ti, ff'LLOW EMPLOYEE COV'ER:AGE · Exclustori 5. -FELLOW EfilP,_Oi'EE .of SECT-ION -11 ( •'ABlL.IIY COV'l:R/IC',E° --s. E'XCl.CsroNS I~ a-ria~cd :l'>'. Illa auditc.-1 ct" t:w io:ll:wing: t,:c-11VGVer, tt'i:•::· exclusion· dc-ss ·1u1 a:Jpl~· if th~ "t::Odilv i:1j:.J1'.,'• resuts 1rom the U1;,0 Qf ~ ccvernd "'autc'; \'9Cr O'Nn or hire, and provided' toat any oo;ierage unaer t'lis prc·,ision only app'ias h ~:i:;eo::ss·. O\'el. a1V ot'1cr D;>ll,i:ict bl1:1 bsura~i::c. BLA.,.NKE:T WAIV[R or SUOROGA 11.01'1 Wo 11/c.l,,o tnu rlghl of rccovor1 w~ ma;,,· hHvc lor· pc.y- mnnts m~de ;or "hodrly irijcirf~ -or ~ro::inrty d&""l=lgt" b'l bll'll'.llf bf ti,e ~c·rstm~ ·~r orgtmi2'afu"l':!I ·a.odatl a~ ''insureds" u11dar Se::::tion II -UA.aJun.-CJ'/i::HAG~ -A,1.0. ~AQl11J 1-·ofi\,' Nll.~F.1·>· l•\-SLJFE) O'l~ A 1,fl, 81_1\NJ<ET. /\DDf'P0N.1\1. IN:SUPl:D. PHYSICAL. DAMAGe -·. I\DDITlONAL._ TR.ANS· PORTA TION EXPENSE OOVERAG'E 1 ·1f1 fi,s1 'l'l~rilenr.E} ~-f paFagraoh A.4. of :$i:C1 l(it,,· l+I .... Pl-!VSICAL-DAl.1,tr,GE' COVFFIAGF. is am~ruied l35 follow~ WP. will na'{ Lip tc;i Si50 rier di=,y to R. T1ei:imu.m of $1 ,s:::r;: tor t!:!:npc:ra:ry : ra:1Si)c-rte.ti on OKj)Crl 11;c . .'\~ urre l'.l hi,' y~ ,. hp.c:ao1M bl t;1P. to;:a. t!'lE!tt ()f fU'Xlo'/.i:trP.rt ··sc1m • of rha pr!~n p.::i~scingnr tyl)n. ~cR80NAL. EfFl:QTS CO~RAOE A. sf~:~1q:<.1 ill ._ Pf-¥Sic~A.;. I ~.Al'viA-:i.E COV~~- AGE·,. A.4. ·C(NEAAGE EXTEtJSIC,NS, is amended by a.ddir.g the tollc•,,..-in_g: c. Per11ona1 f:tfeds covei'agci F.r.,r ar-iy '()>1,..-1r.d ··Euto• :hs.t ·s lrvo:vod in s. r.rnit'lrf",tl "10.'1.R", W,l l,\•;1; flFii,' 11r fc:. $ii!J0 fdt "r,:ersot1.;.I '::!ffects'' tna.t are !<1st or d~Ticigsd aP. 2 reFMt of tre r.ovorecl '1:Jijf.", w·:h::il.11 ~r;ply;ng a tlell~~ LlC; P.aragrapn A. -CO\H:RAGt. ol S~CllON Ill PHYS':CA~ 'JAMAGE COVE11AGE is. arnc1dcd to add: 5. Vic:. w .. 1 ::Jid.y 1or ttao cxpo11s~ 04 <0IL1tt11t,g 2:i stolun r.twP.rP.ct "auto" to yoc 1. AIRBAG COVERAGE ;J,Ic:lai ·;mri:igrapn B. -EXCLl.SICKS ,1 5ECTIC-N TH -PHYSlCA:. DAr-f.AGE C:l'/ERJ\GE, the foHowlng ::s adaod; :-tie ~~lusu11 rolati1g·lc mcch,m;cal 1.Jroa,qjo,~1 d(}(;s not apply to tho accldo"':lai d:tehl!:lrgu of. an airuag, ii,11:w VEHICLE REPL.ACElli1E·r;n COST ~"ida11. Paragra;iti C -u·~rr Of. ltJ:Sl!P.,,__"'JOE of Scciion Ill -PHYSICAL ~,"iP/AG.E COVE~AGE s:lc- llO'"i 2-18 arncr1dcd ~ follows: :2. An Rd justme r1t. fr.., denrP.ci.=itic:m, ;md ptivsic-.al r.on- dlt0:'1 w11i .:.ic Tie.tic .n c~:crrn1.:·11ng· :!I.CtJc11 cash "i;;im ;r~ 1hc ov~r1T ,:i ;1 in:;1 10. .. s. 1,11111,it:·,,u, inn~ event of a total loss to vour "new vehicle'' to whlr.1 th":\l C::J\"Vrr.ge flpp""es, ~ !ihcr11;1 11 the ~i:; :a1 q1io1s; v~e IAI :: pa \f ai your q:iti c•n: . -a. Tt; ~ 'l.'cri Ii tiGE "'nc w ·Jct1 c. ~" ~u rc~1!iSe ::itic:e you paid tor your damaged veh cle. 1ot in- ci' Jcir·g a·ny lnsJr.t:1cei CJ{ warra·nr .cs ;;ur· Q~ii..i>Od; b. H:c purchai:lo::: ;::rice, as ··,eo;:iotiatcd· t:y ;.is:, Df a 'iCW vct1 t:lc of t ll::l MrliO maim, rnodo iit1d ·ec:uipment. nc-1: inc'uding 1!."Y'/ f:Jn·shi ngs, ;)~rts Dr ~qui ;-:rl"e'lt noT insta11eti ht the ma11uls.ctu,-er or ms.,.ilacturer's uealmsn,p. tf ho ~arna mo~:;:• il ne:t 111.~il~b~ reY the 'pii l'r. oo'sc:· ~fjf'.,C of tl'i<l r't1cist' $ 1'Tlil nr modc1 ava. 'i ub,c; c, 11W rn~tke1 .Villllt? Of Y'QOr ~l,'1.:-:--.0~ci YQl'.liC (l! nol i1cludir.tJ an\' turnisninqs, p.;.ns or equips rn·~nt (lot iiflfa''.~fl t:"{ tttf.i -:nan"iifr.c;ti..i'"nr or roonJfacturer's oc~srst-iip. T"li~ ·:::nverag!1' ·a·pr,liil:,;-r:,rily fo a c:~vrirr.d 4ie•.Jtl:l" of l"'lc--:l,l'w'alc i,;M('lo,gcr, light-trl~k or mcdl"i..,tn tr.ic:k t)·pc {?.0.00.C• lbfl or n::111 gr~:"! vehir.1c 'll'Q'g ... t}. nnd MG not n.pply fo lnflir.1.tloo or r.ot 'JP CU(.,~ USSGC.a.tccl wltn• IM1S o.· ,cases. TWO. OR MORE, DE:DUCJlBLES vrdflr SFCTIQ.\J 11• -p·.;,.,-s1tA,. DA~~~Gf COV- ER :i.G E, i1 mo. OI' lllQfP ~crr.pa')y". pol c c~ ot eovc.r• a;i{l" forms ai.;p.y to t:Te se..:'1'1E1 ac:::lct::"11. ttie 10 .. ow •. ig· a:ip:l,e~ lo par~gr;ioh a. l.ledtiCillll~: 3. 111110 aµpllcab,.:J ~usIr.1oss ..lt.Jto l'.lodlicl• !blR is the :!HT1alJP.r (.or s11a!IP.St) denu<.1- llllt! ,r W . .I .)U. \.Yell '/CCI; or b; If tho ar.pliceb·e Busi1e11Po Auto jecluc:t.· !Iller i.~ Ml hi s:m.11;, ... r {r,, i::.m.11 ;ni-.1~ ci,~· cmct1010 .t wtll "po rciduccd b1j inr. @.tn0Unl o1'1h13 r.mallnr (r.-r tma"tl(list) 1:1er.uc, r. o: oi' ~-II [~Ill lo::5:j iiLWl\'tl::! [WU ;_ii ~HIM~ l:Wti• noti"s Al.Jc.:-oo-vcragc k:rrns: or ~011c1os· ti-£ ~ma'lar (Qr srr,allcst) craduat b1c vt'.I be ·v{a[vcid. For the .p:lrpc.se of th:s er:dotse'.llcrii ''oomi,any'' mea,s: a. Sa~bco ~-.surl:'lnou Ct.:rn µu1,,· ·-o1 .Mr.it t:a - b. A,Tr-uican $1ates Insurance Company e. Galls r al I nsu ian ce Company rn A me ri ca a. A,na,!can· Ecor.orri}' lt\91.,·rs.nt.e Com~a,1y· e. F,r~t ~fut,ona." lnsurant..--c C,(:)rn;;a.,y o/ /1.-,~::,dca f; Al'fl-!.?,il'.;;m Staie5l friG\J~'I~ (',O<l)•:)~t1y of Te:ias g, Arhe,if"...il'J Sf~tesi. Pl"mf!ned lnS:ii.rR.ii:;;8 C::,.:n:,any h. Sal ecc-l.'\Sur.m c:u-Cc-ln ~e..n~.-o1 1..1 rroit l OANt.l FAse GAP COVERAGE ~Mc.:r [Jar_agt~pti G -1,.1ri.i111 01-· ·1.ri.S.Ul'l.:i.NCb or Sf<; noN Ill -l-'HY61C,!l,I_ ll,A:fy,AGf CQ\il-Al',GI-:. Fm follmri--ing ·s e.ddncl: 4. File most we w,11 pa)l ior a tota. ·:loss.'' ill any one ''llr.:idt1nt" ifl. ~~ g•nc:iO, nt Mo to11eiw•nq, r.i,..'njnr.t \o.a $1,500 ~ximum in_1it: ~. AGtJal_ :.as11 va:.;,o or Cle do.mag.ecl qr stctcn p1opert•; as ol t11e ti rne c-f the " oss ", 1ess an 4r.j11~~rimnr for dor,(r:c'ii~!nn anrt ·i;:h-y-t.i!==a' ·ccn::e:10~ or b. 9i\l1;.ner. i:::l:in u-idei t~n 1er-mi=!; ot thn" 1oari" Dr iea:so tiat. the datm.gcd· co\lCrod ··atltl.'1"· -1s -~:ib_cct to at t11n: timn ot thn ·1osit1",, r.f:i11 rir)· orp-nr .ill m tho tolfcrii•ing ;;iiW1fimr.ir.rtr.:. {1} 0-1orduo paymcn~-snd °firaanoiat :::,onalties associsJed w,t:i those ~1:1ym9")\e ~s t?f 4h-c tlatµ -c:i ~ho ··~s". (2) firutrcial ~"~~ies imposP.d 1.--id~r a ~ast due 10 high tn.£a.!,c, eJCt:.es- s11JC use°' aonorrn:al wc.:&:-.i:mi to-::.r. (J) C'&--ts. 1or c:ii:torw:tod w~rraniios, (;r(J• dit Lila lnl'l un=mcA; Hea.11h. l\r.cide nt ·er-m;-.ahilir; 1..;·surenr.e .;,urr.haflod .ruifti t~ lnlln m Inn~!. {4) Ttansfcr er ro::c)'/cr ba:ancos f·mm ;lrcvlou$ lmms or lcaS.os. (~) Final Mvme-:it d1.,11;1 uaaer a •1:!aJIQon _utin". {8) T111i ~~lltir tlf.111.JJ.fll iii ''1r·y J:l•"ri:ipaii:ed C,a:nas:io that occuricd ::iria to tne ·'tma+ l()ss"· of a covered "a11tr.". ~7) Secutitf da pc-s"".s net tefu'"ld ad by a C51'0!'. {BJ A.11 rcfl!m:ts 1:111-ye~•e er ::,aid to· you as a res.Jlt al t,e ea.r,y termi.n&1ion ;)f a !e~:9c a.gr6~rnenr or r.!'IY w.ar- ranty or cJo!tooood 1:10,-,,iee· agroo- 11am o'I a cm.·~rod ·•a:ut~"- (S) .tl.:i-y ur1icU:it topr<f!;8;1iil'\S :wtos. ( 1 O} _oon. o:-la&:;c t{J tit", ina.t o, foes GLA,SS RE~AIR -WAIVEff OF DEDt,ICTBl,.E .,J'lcle,. oar;:igr;:iph D. -DE-D~ l'l~l E of Sf-C no,,.i +II -PHVSICAI. DAI/.AGf OOVF.RA"GE. the foll911iring·is added: Nn ded.!r.ti:lle aou!iei. 10 fJ<lSS di;:m~e. if tha f]IRs,; -is 1epc.: ired 1arll€r· t·um·r~,;)laced. AIJIENDED DUTIE~ IN THE EVENT OF ACCI- DENT, CLAlrt, SUIT OR LOSS The rcQu1rcmont. In L:008 -CONDITIOtJ 2.a-. - '.):J11F:S IN Tr: :VF.-r•:T OF A,CClnFNT, Cl Al~/. SUIT-OFl _"OSS -of SECTIO~ IV -BUSll'l:l:SS A.LJTO' CONOITIOi'Js· ~lil-you rr11.JSl notiiy· us o1 an ~c~lf,lnt. ar:; p: it";'.6 01 IY W10 n t:lO "!lGG !dcnr i 3 · .K!'.lC·\\71 fo: (1 J Yot1, f you arc an in<lividuaf;. [i) A pa rfrie•. if irr. 1 .. iue Ei ~arfrie rs'ii p: or (3) An exe.:.1!fo/Q o::ir.er or insurs.'.11'.P.· r.ianager-. if yc.u: are a COTporat!m. UNINTENTIONAL FA.IL.ijRE ,:o DISCLOSE t-1.AZA~os . . . SECTIQrl [V -BL:.SJN.ESS. Al,.iO C.CNl~·or;;s B.2; Is ~rriootfud t,1 tho !tddl~un o/ lhc fuflowlng: It vo;.i u:-i::itent!onalli fail fo diilc o!lil any !ifl.Zard~ mc- istin~ . at bte inception date Qi •1c-ur pol iCV i we 1ilifa not d::ny r.ow:rane u,dr.r thiie; Covi,.ra!"].-:i form ::icr.E11Jf;e of tuch f!!:lu~c. P.owover, this ;:,rovisic-n does net i!lfoct OJf , ghl to-c.oaloet ae:ldlll ona.i pr011~ um or c;,co tcls0 01:.1r right d c;~nr:d•at:on ::ir. non-innewi!\'. HIRED AUTO -LIMl11:D WORLD WIDE CO\t~R~ AGE l,11ckr Scctio.-a rv -BJsiM~s co,d,nor.s, Pa.• ... ·gra.:m B.7.b'.6(1) i9 rop~ood:by t"io hl:!•OW!t)!J: {1) 'l't-,a ·';:it;(;irlar,I" or ""oi:;s• ,g1;11lhi frn1' th~ Ji-A of a-.-.· ·":et, 1to" h!l"EiXl fD'" ·3C days m lass: RESULTANT Pi!ENTAL AIIIGU.ISH COVE~AGE ~Cr!ON. V -C)f-;;-1:'<,IJION.S -C. is:,eolqr.eff oy 1hP, fnllow.i IJff "'idcn:ill ~ I n1 !,II)'" tm.Ja/lr:r · oi.;~,ry ,n:ll')I A1ckneiss c.:-r d i.l- OOftC1 s1~tl'lmm1 ny R r,orF:On mrJ11C1ing_ m~rlill 1rno1 H~h or dnath re RL 11r 19 I mm a 1y ·of the~n .. lil~EO ·AUTO P.HYS]CAL DAMAGE CO\'F-RAGIE If !"II roo ·mnn.~" ,m'! r:11"i;:rM ·t11,tAA~ rnr I lnb::1ty r.r.,'11·· er~ and it Cc:-mj:l'ehensive, Specifiea' Causes or L•Dss ot Ce-1rs1on Cc.,'Vsra.ges um ;iro11ldc'1 unciur m:s Covuraqa Fur:n for .. my ''a.Jlo" ·,ou ovm. then tho Phy~ltal Dl:ll'J1E:1go CO\i·orl:l~ prO\lldcd HtC extended to ·•mt.c-s• you n:m or tormY~. 1 :;s most. we 1111~ pay tm 1ass to an\/ .hired "auto" is $$c,:::;C{) or Ar:tifal Ca.-ih "fi:.l11r:" or Corot ot fii:~nir; "i'ihic~over :e; s~I~! mir.us ti. dcd;.icti~re. Tlie ct- d.:lt.1,,.c wfll· I.Jo cqua1 ro i~ largusi doa..Jctiolc a'.lp-11~ cahlfl \o .-.ny o-ri•r:in<' "'e·.rto" ot tin ::irivate paii.i'l;enr,cr c"r"lighl. b•Jc-k t·:i-pa fer"tra~:i:::c.ra.ra9c. u;rc:d. Aulc" Pi")'-· ~.cal Carnage ~ow tayc Is, exec~ own e.ny .otoor co.- tn:~-:titln inr.1.1•,mr.<J. SHl1jrn;;t to 1nc aitlovn I rnit, ~cdaqti'.)la am~ CXQC65 prn,~s:c-:-i_s; we· ·v.~1: prOVi.de cover~e equa, to tile l::roaciest coverage ·apf)iicab,e tc ii~·? ·c:011nrect-··nufo" y~1i r:·'"'fl iUREO AUTO PHYSICAL OAJJIAGE: COVl::RAGE - LOS5 or UBE SEGTlON Ill -PnY61CAL DA~'w-\GE A.4·.b. form does 1ot f!PPIY, SLhject to .a. maximJm of ~1 .OXi per s.r:ciden1; we wil, r.mnr ;Qfl:a of ui..-:i ~t il hirqd "111Jto~· it ~-mSi11lb frQ-n an acoiclont. Y.QU aro la~a11i I e::i1o a1d tlic-lo.eoor in- curs· ari ucu.ial f .. lcmc.a. ,ol:iS. RENT.AL REIMBURSENIENT COVERAGE A. Wr.. ·.i'l~II Fe;.'f for ront~I "rr.im~urr.i:in::-it cixpcnsoi!i lncLJ,rvd r>'J \101;1 lor-the r~nla of c.r1 "a.Jlo'' oc- ca':JSE of a C:J'.'Ctcd "lce.s• tJ' a oo·,croc.1. "ru.rto". Pa,mrmt applic~ 1, arJr!ifu, to.f'"tn.ot1nrNisn ap• plicsbie arr.o.1nt ot e&Ch cova-rage 1·ru ha"11e o,; a. r.ow1rc:d •1;~110~. \J Q c1edLJ r.tihJo:-: ar pl~-10 th·, 00111nrr-1fjo. a. We l.',·11 os.y coly fer theso a:ic~aiise:s, :1ncJJ~ad during tne policy o·eriod Deg11ning 24 nours after tlic ~lo*'s" ·a:id cnd·l'Jg, rugaid'E:s~ of t'iE: ~c-'i~)''s 0<;,:1e..tiori, ;,Vith tx :e:;sar of 11'i9 fCllO\'fi11Q·:1Uiti~Or of days: . t. rhe number o1 days reasonably required· io moa'r ot rnr,lnce t'ln· covnrnc'I ~c1.1rtc-:". It "IO"s6'' re c~us.od ~-the1, frus ::iunbar ol di:i)'-~ I~ added to 1t1e: nt1mbor .ol tla1s 1i 1a1ec..:s 19 lr::,r.c,:1e t,c: r:ovl>r~ct "~uto" anr1 ,et1.1rn It tc;i yeu. 1. ~o 'd,"?lffl-. C. 01Jr ~;-rnc11 :!!! 1:,n tcd to U1c· lesre1 of 11~-fGI· lowing aiT10Jnts: 1. tilcrossary: <ind a<.11.H:1.I o~ 1;:1on sos 1nc1:1rrc<l. .Z. ·$.)Q !:JC r dl:l}f. D. Th~ c&.tc:ragc tlocsi not: ·ap.p y w_hilo tl'1crc arc spare :::is t9sor.·e "aJto·s"' s.vata.::llo to "i,"OU tor y0ur oporatioo~. C. If ·"less" rest.:lts from t "le tota~ t!"lcft of ~ -cove~d "e':.lto• of t'"ie pri•1.ato j)ri89c:n·gor typ-a; wc:\liiH =?e.y" under tnis co\ietag_e 0.1,y tns.t s.mouflt of ~ou·r oo~to.l raim~)l.!r.lC'Tl~lt cxi:,!Jn'9as w,Jch •s not .!ll- ros.d·1 prov1c:lod 1cr U'!"lclcr. the PHYSICI\L DJ\M- fiGE. COVE.11AGI::. Coverage E.'l(tsnsion. F. Tho Rem.a, Fo1i'r1bLJ1"SOrncti Goi.·or!:l.ge d():s(;rluoo t-liu1.·1:1 1ti:1:~: · i~il ;t:i1: y lu ij ·od•,:;;:r~iJ ";1,uli:;· l11r-l '1:, describod c,r desi1=1ne.ted as-a co1.·:ired ·'ai.;to~ on p~.-" !. d· 3 R~:11~I .R0:m::>JJl'5c~:1t COVflragc CA 99 .23 .. AUDI01 VISUAL AND DATA ELECTRONIC EQUIPM l:NT COVERAGE A.. CoVP-r.l(te 1. Wr. will ·,P-y wifh rnsraci to a r.C1V11rori "i111tn" for "luSS" ro all~ c·cc\ron·c cquti:rrio·it !'11.il tAr:f: 1iJA:. m imn .. ~.nfr~ ~1,.tlln; y;~.U.il ,'"Ji '1;:1;i· signals ~d that i~ not msign_od sQlcl;· .for thQ 1eproc1u~·c·1· csr ~ot.HJd. r-1I~ ·r:o·mr;igEi app·1es ur.1~1 il"U.!v uqll:;.,~rLur1l i~ ~tHIJ!l;:iJ1t.Hlt, ;:1~1aII~~ in toe cove 1ed ·'auto" at the time of tti.e ,o~s· er t'1~ tq~'pi"florit is rqmcvatlc.'1'i-crr.a OO;J~ir.fi· ;Jnit wtiit'.-1 ia· ·;Jcr:itancmfl:,· :i:stall;::d in: tne covered ''&.1to" at 1he time ot the "lo~s", e.nc:such eq:Jipnic:ot is de5·gred to be eofefy" cpcr.ntad t~; L1aa of tho ;:io\\1e• frnm the· ""aJto's'' electlic:a.l sy.ste·m; inm upon the eovcrad "eut~''. 2; Wr: w;II :m.y \l\'~h mnpoci ~o ~ r:o•.mroft "~·Jt1i'. fer '"lo8$• f.J any ac~oseorioe ~d with· tho· uroc1ru11ic c.:qJiirr,eat dosed::IUI In i/'ci.r.i!;mph A·1, ab~·1~. 1-~gv~r. triii:: riOG~ 1101: ir,r.hiel~ t:.10Q'A, ,'er.orris or di~i-s. 3. If Audio, VisuE.J and :Jata Elcctrcm:c Equip- roont Cove raga 1oi'm :;;A 99 6::l er Cl,: 99' 94 Is auru::t1t::0 to lh1s pc,1cy-, 1hcn 1hc Audio, \J,. sull.l ~r1rl Dctfa i-:rAC.1roriia l:.'f1uiplT'9nt" CM,n- 8.t;e dP..F.t.rihed allrwe OD~ not 8.j:!,'.)ly. 8. Exe-Ills.Ions f:i.!l; o~_c;,u~;~ri~ that uppiy tu f:iMYSI_C/i.L D.fl.l•!.- ,'\GE: COVEP,"\G~,. cicwo1 1or 1ho ~C"\J~:doti: ro-s.1- i11g ~o. Audio. ViFlual a'lrl lli=lt.;.: f:lm:troriir. -Ec:Juiµni81l, alM ipµI\{ t~ t:1ls ooveragc.. ,ti' .;dj,. tirm, H-.e rnll<>W.i'lfl R)(Chii;lnr,s ,i!Ooly. ·wo wl,, 'lut pay tor o,thor aHy e!oct'tonlc. cmµ,~- mcrit or a'--cossorics · used with s.1ch ·c!cctrori·ic .eq ul IJlt:.€ ."It th .. t Is. ·L I\CCossaty f.ot i.10 nor.i:ia.l .oi;ew.tlon of tho rnvP-rfld '"s-tU!n'' 10< ttie rr,Qr~tOf!io:J iii UJE! rnvr.m<:( ";:mrn•s~ oric-.rRJino ~Y*tr-.m; r.-r. 2. l::lotl1: a an intogra1 oart of tho se.mo urnt ooiJSing 1hy so(hd ror;:rctl'iir.l11g ritjulproe'lt r.c- signm:f :sololy fc;r 1:w rv1.m . .:·c:lJG1i-:m of sourt:I 14 tho soott:I roptod1Jc1ny !:lq,li:-1rmml i:,: ,; . .m1·11.111cmliy irnsl,:1,"taJ ir1· th: r.;ovc:rnd "'a.ut;:i\ am! b. per'-na:icntl\'· lrista~~d in ·fhe apcnin:i of tt.10 dash or cc.:-nsol<! nor1t1a.,ly uSC!d ~Y d 7: :~ ,~ lJ.1' t10 :narn.lfo.ciutcr .~c-r-trm i06la.llut::O:-i or a radio. c. Llmft ot ll)su~nc"° Wi1h respect to this coverage, the: LIMIT OF IN- SLt-A'JGt ptei'Jlslof'l al . ..:H'i'SICAL IJA.W..AGt:· COVERAGf .is renl-lri!d-i:l',i 11e fO:lnwiri'{r 1_ Tt;n rn,:}1,"t 'liA w11; ~1::iy rn: "lai,;~" tn· ,llll1:n, 'vl- sua or <lat.;. etectroriic equiprnenl and ·any- ar.c:eF;f.OrlOI user. w·F-1 11'1 r. E1QJ'o·nr.rt ss s. msuil c.1 atl)I on<;i "aoi;;;r;1,r;t" ;S' t!'.!e tussor·CJ:: a. Ttii;: awua: ~i:1 :vtj] ui:l ul· ci:1e Ut::.·mfyt,;d or stolen property c:s of tbe time of. fhe ~,t-~sn; ::ll b, rhe r.olt ot rep.fliring or rL':p'ac',!l: the dama:~od or stolen ~ropEirti W:t~ ot~er µtoi,;tii1~1 ol like.: klntl rsirld QU!si.lily. c. $-·,-,COC: 2. An· ad jJstme rit lor depreciiitio ri arid ph1·sica. ccm1~lon will :,o, made in 1'.leterty1I ,1ng o.qt!..la.l cseh val Cl~, at t~ ti mo o4 t!lo' -~i:;ise". ·a. " a ro ps. ii' or ropl s.c-J'l"tC rt r<'i EU'le irl l:!c~to ·;- 1 hM .I~ i'.f nd or qu~li!y, we :1,•,I, ti.:J.t' puy 1ot 1 lls :.l<tlOU ilt °' u,~ OAUQ rm~'ll. C. Oeductlb1e 1. If ":os~" tci t•,c· a:.idc·, ·11.isual JT data a'ac- 1mnic equ r-:,-ne:it or acc::c~sc:ri~s used ·,.iy:th lhis equipmert is tne result-of a• "loss" to the ccvaretf. "a::.ito• under t"lc 3:Jsine5~ A.Jtc- "Co.verago Fonr·~ ·camprahCrt3i\'C. or Co11i- s ,on CO\!e rage, then for eac., oove,ed ''auto'' 01:!r obiig~lo"I to: poy fot, rtpllrr, tetu•n or to- plsco oom:;igcd or sf-J'o'l .. P.rnperty w II be-ro·- d1..c3d a; tile e.ppl,cab,e ~dut:liola shown in Ills !Jsc.,a,,Uiorw;:, Ai~ Co11p,8".1Ansi~ Coi.r.:. ora1gi. df'ldur.fole shown i'l tl-ie D1,clc1•atiQ'lS dcos not ap.~ly to-•0:0ss •. tc a·Jo c.. v.sJe.l Dr d~t:.l. (l,act.-oo ,c Cl<l!JI ~ ll·,c 'lt. ~aJ~ud by 1 i ru m lightning . 2. If ".ass" tq thll" aud o.. \/i~ua! · Ot data ~ICi:!- 1 runlr; e~u.p:ne_1,t c.:-t UCCcS$ur,ti~. Jscd w.lh 111,s. t-!QiJlorn~tll 19, tne re.st~~ 01 H ''In!!,.~" 1Q ttie ·r.nvnmci ·•mnri" 11r.i<inr tnn RusinnM A..1ro Cove·ra:gu i-cwri'l:l Spt;:clflcCl CuusGS· cT I.loss 'Cm.-eragc, thcri for cacti CO"tered "6Ulo'-'· eur ot:iigat1on 10 pay 1or, rop.air, rotum or rolllaco darniig·eo or ..tc:-ion i::rope·rr,· will be. ·roc1ucod ll·~ a ~~c;:;, uBLluc::1 t;'t.:. ·3_ ·lf <1:c-ss·· occLrn sc-kly to 111.a a:u~ic-. ·l.s~a or data e; ectrornc-eq u p-nent or accesoories :isd v,it!-i th's cq;_ibrno11t, t"lt:1· fc.r E!qd1 t;.':f't· er:id "autc" our obli!}at:or. 1:ci i:av for, rcps.':r, ACORDe CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DD/YYYY) ~· 12/15/2017 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 riahts to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Arthur J. Gallagher & Co. PHONE I FAX Insurance Brokers of California, Inc. LIC# 0726293 1111r-Nn C-•\· •••r "-'· E-MAIL 1255 Battery Street #450 Anne~••· San Francisco CA 94111 INSURER{Sl AFFORDING COVERAGE NAIC# INsuRERA ,NonProfits' United Workers' Compensation INSURED NONPUNl-01 INsuRERB ,Safety National Casualty Corporation 15105 Urban Corps of San Diego County INSURERC: P.O. Box 80156 San Diego, CA 92138 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER· 1473950847 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 TYPE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM/DD/YYYYl fMM/DD/YYYYl COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ ~ D CLAIMS-MADE D OCCUR DAMAGE TO RENTED '--PREMISES {Ea occurrence) $ ~ MED EXP (Any one person) $ '--PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ R DPRO-DLOC PRODUCTS -COMP/OP AGG $ POLICY JECT OTHER: $ AUTOMOBILE LIABILITY /EOMolNccu SINGLcc LIMI 1 $ ~ Ea accident) ANY AUTO BODILY INJURY (Per person) $ ~ ~ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ ~ HIRED '--NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ ~ ~ $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ ~ EXCESS LIAB CLAIMS-MADE AGGREGATE $ OED I I RETENTION$ $ A WORKERS COMPENSATION NPU -WCG 001-2018 1/1/2018 1/1/2019 I ~f~TUTE I X I ~~H-AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE D NIA E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $500,000 / If yes, describe under E.L. DISEASE -POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below B Excess Wokers' Comp SP4057827 1/1/2018 1/1/2019 Limit Per Occurence Statutory E.L. Per 0cc & Agg 2,000,000 / XS of 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required} Re: All California operations of the named insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Public Works/General Services ACCORDANCE WITH THE POLICY PROVISIONS. 405 Oak Avenue Carlsbad CA 92008 AUTHORIZED REPRESENTATIVE I ~5I1&iv © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD ACORD .. CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) ~-· 12/15/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the 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 riahts to the certificate holder in lieu of such endorsement/sl. PRODUCER CONTACT NAME: Arthur J. Gallagher & Co. ~ .. ~2~t ---·"'• I rt~ Mn\• Insurance Brokers of California, Inc. LIC# 0726293 ~;._M_~\cnn, 1255 Battery Street #450 San Francisco CA 94111 INSURER/Sl AFFORDING COVERAGE NAIC# INsuRER A: Non Profits' United Workers' Comoensation INSURED NONPUNl-01 INSURER B ,Safetv National Casualtv Corooration 15105 Urban Corps of San Diego County INSURERC: P.O. Box 80156 San Diego, CA 92138 INSURER D: INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER· 6242432 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. NOTWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WlTH 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 . , POLICY EFF ,~g~~%Yv~~~\ LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER 1MM/DDNYYY' LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -D CLAIMS-MADE D OCCUR DAMAGE TO RENTED PREMISES tEa occurrence' $ MED EXP (Any one person) $ - PERSONAL & ADV INJURY $ - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ~ DPRO-DLOC POLICY JECT PRODUCTS -COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY !Ea accide~;?NGLE LIMI I $ -ANY AUTO BODILY INJURY (Per person) $ -OWNED -SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ f---HIRED f---NON-OWNED ip~~~;c~d~t?AMAGE AUTOS ONLY AUTOS ONLY $ -f--- $ UMBRELLA LIAB H OCCUR EACH OCCURRENCE $ f--- EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION NPU -WCG 001-2018 1/1/2018 1/1/2019 I ~~fTUTE l X l ~~H-AND EMPLOYERS" LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE D N/A E.L. EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? {Mandatory in NH} E.L. DISEASE -EA EMPLOYEI $500,000 If yes, describe under $500,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT B Excess Wokers' Comp SP4057827 1/1/2018 1/1/2019 Limit Per Occurence Statutory E.L. Per 0cc & Agg 2,000,000 XS of 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: City of Carlsbad City Wide Litter Removal CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Carlsbad THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attn: John McKelvey ACCORDANCE WITH THE POLICY PROVISIONS. 1635 Faraday Avenue Carlsbad CA 92008-7314 I ;IJ;:;EPRESENTATIVE © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD