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HomeMy WebLinkAboutCOI - Allied Fire Protection - Expires 2021-10-01P5260028002 ~ )'if, CERTIFICATE OF LIABILITY INSURANCE I DATE (MM/DDNYYY) 06/1.0/2021 THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy{ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CA LIC 0B29370 1-925-244-7700 CONTACT Certificates Department NAME: Edgewood Partners Insurance Centers (EPIC) r11g\e., .,~,, 925-244-7700 I ~ Nol: 925-901-0671 [San Ramon -Branch ID 14394] E-MAIL P. o. Box 5003 ADDRESS: EPICcerts@epicbrokers.com INSURER/SI AFFORDING COVERAGE NAIC# San Ramon, CA 94583 INSURERA: KINSALE INS CO 38920 INSURED INSURER B: TRAVELERS IND CO OF CT 25682 Allied Fire Protection INSURER c: STARR IND & LIAB CO 38318 555 High Street INSURER D: TRAVELERS PROP CAS CO OF AMER 25674 INSURER E: INDIAN HARBOR INS CO 36940 Oakland, CA 94601 INSURERF: COVERAGES CERTIFICATE NUMBER: 62463576 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 ADDL SUBR ,;gJto~ (~~i~ LTR ln•~n W\tn POLICY NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY 01000064868 07/01/20 10/01/21 EACH OCCURRENCE $1,000,000 f---D CLAIMS-MADE ~ OCCUR DAMAGE TO RENTED f---PREMISES /Ea occurrence! $ 100,000 X Contractual Liab Incl. MED EXP (Any one person) $ 5,000 -X Ded: $1.0K f---PERSONAL &ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 R ~PRO-~LOC PRODUCTS -COMP/OP AGG $ 2,000,000 POLICY JECT OTHER: $ B AUTOMOBILE LIABILITY 8109P3362652126 07/01/21 1.0/01/21 &~~:1~tf!NGLE LIMIT $ 1,000,000 -X ANY AUTO BODILY INJURY (Per person) $ -OWNED ~ SCHEDULED BODILY INJURY (Per accident) $ -AUTOS ONLY -AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ f---AUTOS ONLY -AUTOS ONLY /Per accident) X $500 COMP X $1K COLL $ C UMBRELLA LIAS H OCCUR 1000584532201 07/01/20 10/01/21 EACH OCCURRENCE $5,000,000 -X EXCESSLIAB CLAIMS-MADE AGGREGATE $ 5,000,000 OED [ X [ RETENTION$ O $ WORKERS COMPENSATION UB1R2309692026 10/01/20 10/01/21 XI ~f~TUTE I I OTH-D AND EMPLOYERS' LIABILITY ER Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE ~ N/A E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $ 1,000,000 If yes, describe under E.L. DISEASE -POLICY LIMIT $ l, 000,000 DESCRIPTION OF OPERATIONS below D 2nd Layer Excess ZUP81N3115020NF 07/01/20 10/01/21 $6,000,000 Each oc ~6,000,000Agg E Prof & Poll Incl. Mold PEC004779004 07/01/20 10/01/21. $10,000,000 Limit 50,000Ded DESCRIPTION OF OPERATIONS I LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: All Operations of the Named Insured CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Gilroy THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95020 !1--;J£l:_ I USA © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AHammonds-src 62463576 m '"" °' '"" 0 N co r-0 ...... ...... > 8 P5260028002 u •<·' \ ,,,.;,,,-1, 3000 Executive Parkway Suite325 San Ramon, CA 94583 Phone 925.244.7700 Fax 925.901.0244 To: Whom it may concern From: EP!C Insurance Brokers & Consultants Named Insured: A!Hed Fire Protection Policy Number(s}: 01000064868; 8109P3362652126; UB1R2309692026;1000584532201; ZUP81N3115020NF;PEC004779003; 106551628;6014222015 RE: Notice of Cancellation Should the above described policy be cancelled before the expiration date thereof, we wm mail 30 days written notice to the Certificate Holder; except, 10 days notice for non-payment of premium. Sincerely, SCU'Uivwtlondw Senior Account Manager 925-244-7700 www.epicbrokers.com l CA License 0829370 -al °' ""' 0 N 00 ,.__ 2: ~ I ~~~ ~~ P5260028002 g ~ ~ POLICY NUMBER: 01000064868 COMMERCIAL GENERAL LIABILITY CG 20101219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UAB!UTY COVERAGE PART SCHEDULE Name Of Additional insured Person(s} Or OmanizationCsl location(s) Of Covered Operations Blanket, as required by written contract, executed prior Blanket, as required by written contract, executed to the start of work on the project prior to the start of work on the project Locations as required and specified by written contract, executed prior to the start of work on the project. Information reauired to como!ete this Schedule, if not shown above, will be shown in the Declarations. A. 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 who!e or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the iocation(s) designated above. However: 1. The insurance afforded to such additional insured only applies to the extent permitted by !aw; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additiona! insured wm not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the foHowing additional exc!us!ons apply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. Al! work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additiona! insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 20101219 © Insurance Services Office, !nc., 2018 Page 1 of2 B --~ 0\ ~ 0 <:<) co r--8 -ffi --P5260028002 C. With respect to the insurance afforded to these additional insureds, the following is added to Section m -Limits Of insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we wm pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance. Page 2 of2 © Insurance Services Office, !nc., 2018 CG 20101219 -co °' µ.. 0 M 00 ,-:::: ,..., ~ U.l P5260028002 POUCY NUMBER: 01000064868 COMMERCIAL GENERAL UABIUTY C:G20 371219 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -OWNERS, LESSEES OR CONTRACTORS -COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL UABIUTY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS UABIUTY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization{s} location And Description Of Completed Operations Blanket, as required by written contract, executed Blanket, as required by written contract, executed prior to the start of work on the project. Locations as required and prior to the start of work on the project. specified by written contract, executed prior to the start of work on the project. EXCLUDES ALL NEW RESIDENTIAL CONSTRUCTION ''Your work" does not include "new residential construction", which means any building or structure not previously occupied, and designed or intended for occupancy in whole or in part as a residence by any person or persons. "New residential construction" does not include apartments or apartment buildings or assisted !ivlng facilities. Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II -Who Is An Insured is amended to include as an additional insured the person(s) or organization(s} shown in the Schedu!e, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard". However: 1. The insurance afforded to such additional insured only applies to the extent permitted by law; and 2. !f coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured wm not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to Section m -limits Of Insurance: !f coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement; or 2. Ava!iable under the applicable !imits of insurance; whichever is less. This endorsement sha!! not increase the applicable limits of insurance. CG 20 371219 © Insurance Services Office, Inc., 2018 Page 1 of 1 -fa !CI.; °' 0 'St co r---0 --ffi P5260028002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION -RESIDENTIAL CONDOMINIUMS, TOWNHOMES, TIMESHARES OR TRACT HOUSING Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 01000064868 07/01/202012:01AM at the Named Insured Allied Fire Protection address shown on the Declarations Additional Premium: I Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE The following exclusion is added to this policy: This insurance does not apply to "bodily injury" or "property damage" included within the "products completed operations hazard" arising out of, resulting from, caused by, contributed to, or in any way related to work on any: 1. Residential condominium, town home or single house in a project or development in which more than twenty (20) individual residential condominium units, town homes or single houses have been built by you or on your behalf, or, are in any stage of development, planning or construction by you or on your behalf; or 2. Location which has been or becomes converted by you or on your behalf into residential condominiums or town homes of more than twenty (20) individual condominium units or town homes, regardless of whether or not any insured knew or had involvement in the conversion or the conversion is prior to, during or subsequent to any insured's work at the location; or 3. Timeshare development. This exclusion shall not apply to maintenance, service, repairs, additions or remodeling: a. for an owner of an individual condominium unit, town home or single house described in paragraphs 1., 2., or 3.above;or b. to those areas of a completed and occupied development or project that are under the control of a residential owner's association. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS3030 0112 Page 1 of 1 -i!l °' t:; -,;-00 r--0 -> Gi P5260028002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT Attached To and Forming Part of Policy Effective Date of Endorsement 01000064868 07/01/2020 12:01AM at the Named Insured address shown on the Declarations Additional Premium: I Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE ENVIRONMENTAL CONTRACTING AND PROFESSIONAL SERVICES LIABILITY COVERAGE Named Insured Allied Fire Protection The insurance provided to Additional insureds shall be primary and non-contributory with respect to any other valid and collectible insurance available to the Additional Insured, provided that the written contract specifically requires that this insurance apply on a primary and noncontributory basis. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS5003 0110 Page 1 of 1 ~ w -. ""' °' C, <I") 00 t-o -> z ..cl ~ ?5260028002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY LIMITATION -AMENDED AGGREGATE PER PROJECT OR LOCATION Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 01000064868 07/01/2020 12:01AM at the Named Insured Allied Fire Protection address shown on the Declarations Additional Premium: I Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE SCHEDULE General Aggregate applies to EACH LOCATION in the amount of: Total ALL LOCATIONS Aggregate Limit: General Aggregate applies to EACH PROJECT in the amount of: $2,000,000 Total ALL PROJECTS Aggregate Limit: $5,000,000 SECTION Ill -LIMITS OF INSURANCE-2, is amended by the addition of the following: d. The General Aggregate Limit applies separately to each "project" of the Named Insured or to each "location" of the Named Insured as indicated in the Schedule above. Notwithstanding the application of the General Aggregate Limit to each "project" or each "location" of the Named Insured, under no circumstances will we pay more than the TOTAL ALL LOCATIONS AGGREGATE LIMIT or the TOTAL ALL PROJECTS AGGREGATE LIMIT shown in the Schedule above for all claims arising out of all "locations" or all "projects" as applicable under this policy. The following are added to the DEFINITIONS section of this policy: "Project" means all work done by you or on your behalf, away from premises owned or rented to you, to complete an individual bid or negotiated contract to provide services for a specified period of time. Multiple jobs, work orders, purchase orders, change orders or work done at multiple locations under one contract are not separate "projects" within the meaning of this coverage. "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. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS4005 0310 Page 1 of 1 co °' 5 V) 00 .--8 ~ r.!..l P5260028002 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHER TO US-BLANKET Attached To and Forming Part of Policy Effective Date of Endorsement 01000064868 07/01/2020 12:01AM at the Named Insured address shown on the Declarations Additional Premium: I Return Premium: $0 $0 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE Named Insured Allied Fire Protection SECTION IV -CONDITIONS, 8. Transfer of Rights of Recovery against Others to Us is amended by the addition of the following: We waive any right of recovery we may have against persons or organizations because of payments we make for injury or damage arising out of "your work" done under a written contract with that person or organization wherein you have agreed to provide this waiver. ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. CAS40020110 Page 1 of 1 -m r.,., °' r.,., 0 '° 00 r--s ....., i ?5260028002 POUCY NUMBER: 8109P3362652126 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BUSINESS AUTO EXTENSION ENDORSEMENT This endorsement modifies insurance provided under the fo!iowing: BUSINESS AUTO COVERAGE FORM GENERAL DESCRIPTION OF COVERAGE -This endorsement broadens coverage. However, coverage for any injury, damage or medical expenses described in any of the provisions of this endorsement may be excluded or limited by another endorsement to the Coverage Part, and these coverage broadening provisions do not apply to the extent that coverage is excluded or limited by such an endorsement The following listing is a general cover-age description only. Umitations and exclusions may apply to these coverages. Read all the provisions of this en-dorsement and the rest of your policy carefully to determine rights, duties, and what is and is not covered. A. BROAD FORM NAMED INSURED H. H!RED AUTO PHYSICAL DAMAGE -LOSS OF I B. BLANKET ADDITIONAL INSURED I USE -INCREASED UMIT C EMPLOYEE HIRED AUTO I. PHYSICAL DAMAGE -TRANSPORTATION · EXPENSES -INCREASED LIMIT D. EMPLOYEES AS INSURED J. PERSONAL PROPERTY E. SUPPLEMENTARY PAYMENTS -INCREASED LIMITS F. HIRED AUTO -LIMITED WORLDWIDE COV-ERAGE -INDEMNITY BASIS G. WAIVER. OF DEDUCTIBLE -GLASS PROVISIONS A. BROAD FORM NAMED INSURED The following is added to Paragraph A.1., Who Is An lnsured, of SECTION II -COVERED AUTOS LIABILITY COVERAGE: Any organization you newly acquire or form dur-ing the policy period over which you maintain 50% or more ownership interest and that is not separately insured for Business Auto Coverage. Coverage under this provision is afforded only un-til the 180th day after you acquire or form the or-ganization or the end of the policy period, which-B. BLANKET ADDITIONAL INSURED The foHowing is added to Paragraph c. in A.1., Who Is An insured, of SECTION H -COVERED AUTOS UABIUTY COVERAGE: Any person or organization who is required under a written contract or agreement between you and that person or organization, that is signed and executed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to be named as an addi-tional insured is an "insured" for Covered Autos Liability Coverage, but for damages to which K. AIRBAGS L NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS IM. BLANKET WAIVER OF SUBROGATION I N. UNINTENTIONAL ERRORS OR OMISSIONS this insurance applies and only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Section !I. C. EMPLOYEE HIRED AUTO 1. The following is added to Paragraph A.1., Who Is An Insured, of SECTION !I -COV-ERED AUTOS LIABILITY COVERAGE: An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your busi-ness. 2. The following replaces Paragraph b. in 8.5., Other Insurance, of SECTION !V -BUSI-NESS AUTO CONDffiONS: b. For Hired Auto Physical Damage Cover-age, the following are deemed to be cov-ered "autos" you own: (1) Any covered "auto" you lease, hire, rent or borrow; and (2) Any covered "auto" hired or rented by your "employee" under a contract in an "employee's" name, with your CA T3 53 0215 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. -P'.l °' µ. 0 '-0 00 r---0 .-> z P-l P5260028002 COMMERCIAL AUTO permission, while performing duties related to the conduct of your busi-ness. However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto". D. EMPLOYEES AS INSURED The following is added to Paragraph A.1., Who ls An Insured, of SECTION H -COVERED AUTOS UABIUTY COVERAGE: Any "employee" of yours is an "insured" while us-ing a covered "auto" you don't own, hire or borrow in your business or your personal affairs. E. SUPPLEMENTARY PAYMENTS -INCREASED LIMITS 1. The following replaces Paragraph A.2.a.(2), of SECTION Ii -COVERED AUTOS LIABIL-ITY COVERAGE: (2) Up to $3,000 for cost of bail bonds (in-cluding bonds for related traffic law viola-tions) required because of an "accident" we cover. We do not have to furnish these bonds. 2. The following replaces Paragraph A.2.a.(4), of SECTION II -COVERED AUTOS LIABIL-ITY COVERAGE: (4) All reasonable expenses incurred by the "insured" at our request. including actual loss of earnings up to $500 a day be-cause of time off from work. F. HIRED AUTO -LIMITED WORLDWIDE COV-ERAGE -INDEMNITY BASIS The following replaces Subparagraph (5) in Para-graph B.7., Policy Period, Coverage Territory, of SECTION IV -BUSINESS AUTO CONDI-TIONS: (5) Anywhere in the world, except any country or jurisdiction while any trade sanction, em-bargo, or similar regulation imposed by the United States of America applies to and pro-hibits the transaction of business with or within such country or jurisdiction, for Cov-ered Autos Liability Coverage for any covered "auto" that you lease, hire, rent or borrow without a driver for a period of 30 days or less and that is not an "auto" you lease, hire, rent or borrow from any of your "employees", partners (if you are a partnership), members (if you are a llmited liability company) or members of their households. (a) With respect to any claim made or "suit" brought outside the United States of America, the territories and possessions of the United States of America, Puerto Rico and Canada: (i) You must arrange to defend the "in-sured" against, and investigate or set-tle any such claim or "suit" and keep us advised of a!I proceedings and ac-tions. (ii) Neither you nor any other involved "insured" will make any settlement without our consent. (iii) We may, at our discretion, participate in defending the "insured" against, or in the settlement of, any claim or "suit". (iv) We will reimburse the "insured" for sums that the "insured" legally must pay as damages because of "bodily injury" or "property damage" to which this insurance applies, that the "in-sured" pays with our consent, but only up to the limit described in Para-graph C., Limits Of Insurance, of SECT!ON II -COVERED AUTOS LIABILITY COVERAGE. M We will reimburse the "insured" for the reasonab!e expenses incurred with our consent for your investiga-tion of such c!aims and your defense of the "insured" against any such "suit", but only up to and included within the limit described in Para-graph C., Limits Of Insurance, of SECTION Ii -COVERED AUTOS LlAB!LITY COVERAGE, and not in addition to such limit. Our duty to make such payments ends when we have used up the app!icab!e limit of insurance in payments for damages, settlements or defense expenses. (b) This insurance is excess over any valid and collectible other insurance available to the "insured" whether primary, excess, contingent or on any other basis. (c) This insurance is not a substitute for re-quired or compulsory insurance in any country outside the United States, its ter-ritories and possessions, Puerto Rico and Canada. Page 2 of 4 © 2015 The Travelers Indemnity Company. All rights reserved. CA T3 53 0215 lncludes copyrighted material of Insurance Services Office, inc. with its permission. ~ ---~ 0\ 0 t-00 t-o --> z Ul --P5260028002 You agree to maintain all required or compulsory insurance in any such coun-try up to the minimum limits required by local law. Your failure to comply with compulsory insurance requirements will not invalidate the coverage afforded by this policy, but we wi!I only be liable to the same extent we would have been liable had you complied with the compulsory in-surance requirements. (d) It is understood that we are not an admit-ted or authorized insurer outside the United States of America, its territories and possessions, Puerto Rico and Can-ada. We assume no responsibility for the furnishing of certificates of insurance, or for compliance in any way with the laws of other countries relating to insurance. G. WAIVER OF DEDUCTIBLE -GLASS The following is added to Paragraph D., Deducti-ble, of SECTION Ill -PHYSICAL DAMAGE COVERAGE: No deductible for a covered "auto" will apply to glass damage if the glass is repaired rather than replaced. H. HIRED AUTO PHYSICAL DAMAGE -LOSS OF USE -INCREASED LIMIT The following replaces the last sentence of Para-graph A.4.b., Loss Of Use Expenses, of SEC-TION Ill -PHYSICAL DAMAGE COVERAGE: However, the most we will pay for any expenses for loss of use is $65 per day, to a maximum of $750 for any one "accident". L PHYSICAL DAMAGE -TRANSPORTATION EXPENSES -INCREASED LIMIT The following replaces the first sentence in Para-graph A.4.a., Transportation Expenses, of SECTION m -PHYSICAL DAMAGE COVER-AGE: We will pay up to $50 per day to a maximum of $1,500 for temporary transportation expense in-curred by you because of the total theft of a cov-ered "auto" of the private passenger type. J. PERSONAL PROPERTY The following is added to Paragraph A.4., Cover-age Extensions, of SECTION m -PHYSICAL DAMAGE COVERAGE: Persona! Property We will pay up to $400 for "loss" to wearing ap-parel and other personal property which is: (1} Owned by an "insured"; and COMMERCIAL AUTO (2) In or on your covered "auto". This coverage applies only in the event of a total theft of your covered "auto". No deductibles apply to this Personal Property coverage. K. AIRBAGS The following is added to Paragraph B.3., Exclu-sions, of SECTION Ill -PHYSICAL DAMAGE COVERAGE: Exclusion 3.a. does not apply to "loss" to one or more airbags in a covered "auto" you own that in-flate due to a cause other than a cause of "loss" set forth in Paragraphs A.1.b. and A.1.c., but only: a. If that "auto" is a covered "auto" for Compre-hensive Coverage under this policy; b. The airbags are not covered under any war-ranty; and c. The airbags were not intentionally inflated. We will pay up to a maximum of $1,000 for any one "loss". L NOTICE AND KNOWLEDGE OF ACCIDENT OR LOSS The following is added to Paragraph A.2.a., of SECTION IV -BUSINESS AUTO CONDITIONS: Your duty to give us or our authorized representa-tive prompt notice of the "accident" or "loss" ap-plies only when the "accident" or "loss" is known to: (a) You (if you are an individual); (b) A partner (if you are a partnership); (c) A member (if you are a limited !iabi!ity com-pany); (d) An executive officer, director or insurance manager (if you are a corporation or other or-ganization); or (e) Any "employee" authorized by you to give no-tice of the "accident" or "loss". M. BLANKET WAIVER OF SUBROGATION The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, of SECTION IV -BUSINESS AUTO CONDI-TIONS: 5. Transfer Of Rights Of Recovery Against Others To Us We waive any right of recovery we may have against any person or organization to the ex-tent required of you by a written contract signed and executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by CA T3 53 0215 © 2015 The Travelers Indemnity Company. All rights reserved. Page 3 of 4 Includes copyrighted material of Insurance Services Office, Inc. with its permission. co 0\ 0 ,..._ 00 ,..._ 0 > z U-l P5260028002 COMMERCIAL AUTO such contract. The waiver applies only to the person or organization designated in such contract. N. UNINTENTIONAL ERRORS OR OMISSIONS The following is added to Paragraph B.2., Con-cealment, Misrepresentation, Or Fraud, of SECTION IV -BUSINESS AUTO CONDITIONS: The unintentional om1ss1on of, or unintentional error in, any information given by you shaH not prejudice your rights under this insurance. How-ever this provision does not affect our right to col-lect additional premium or exercise our right of cancellation or non-renewal. Page 4 of 4 © 2015 The Travelers Indemnity Company. Ali rights reserved. CA T3 53 0215 Includes copyrighted material of Insurance Services Office, Inc. wlth its permission. -m 1-l-, °' 1-l-, 0 00 co ,-.. s > z u.:i P5260028002 POUCY NUMBER: 8109P3362652126 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED -PRIMARY AND NON-CONTRIBUTORY WITH OTHER INSURANCE -CONTRACTORS This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM PROVISIONS 1. The following is added to Paragraph c. in A.1., Who Is An Insured, of SECTION Ii -COVERED AUTOS LIABILITY COVERAGE: This includes any person or organization who you are required under a written contract or agreement, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, to name as an additional insured for Covered Autos Liability Coverage, but only for damages to which this insurance applies and only to the extent of that person's or organization's liability for the conduct of another "insured". 2. The following is added to Paragraph 8.5., other Insurance of SECTION IV -BUSINESS AUTO CONDITIONS: Regardless of the provisions of paragraph a. and paragraph d. of this part 5. other Insurance, this insurance is primary to and non-contributory with applicable other insurance under which an additional insured person or organization is a named insured when a written contract or agreement with you, that is signed by you before the "bodily injury" or "property damage" occurs and that is in effect during the policy period, requires this insurance to be primary and non-contributory. CAT49902 Hi u 2016 The Travelers Indemnity Company. Ail rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, inc. with its permission. -co °' .... 0 00 00 r--0 > ~ P5260028002 ~ TRAVELERSJ WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY ENDORSEMENT WC 99 03 76 { A)-POLICY NUMBER: UB 1 R2309692026 WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT -CALIFORNIA (BLANKET WAIVER) We have the right to recover our payments from anyone liable for an injury covered by this policy. We wm not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be mium. % of the California workers' compensation pre-Person or Organization ANY PERSON OR ORGANIZATION FOR WHOM THE NAMED INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH THIS WAIVER Schedule Job Description BLANKET This endorsement changes the policy to which it ls attached and is effective on the date issued unless otherwise stated. (The information below is required on!y when this endorsement is issued subsequent to preparation of the policy.} Endorsement Effective: 10/1/2020 Insured: Amed Fire Protection Policy No. UB1R2309692026 Insurance Company: Travelers Property Casualty !ns. Co. of America Endorsement No. Premium Page 1 of 1 m . -. "'--< °' 0 °' co t-o --> :z: >LI