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2200 - Interwest Consulting Group - Public Works & Engineering
Client#:1086878 INTERCON35 ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)11/07/2019 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 any rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: USI Insurance-Services,LLC rA"/c°,"lu,Ext):800 873-8500 FAX P.O.Box 7050 E-MAIL (A/C,No): ADDRESS: Englewood,CO 80155 INSURER(S)AFFORDING COVERAGE NAIC# 800 873-850025674 INSURER A:Travelers Property Cas.Co.of America INSURED INSURER B:XL Specialty Insurance Company 37885 Interwest Consulting Group Inc Travelerslndemni ty P y Com an of 25682 INSURER C: P.O.Box 18330 Boulder,CO 80308 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE-NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP WLIMITS LTR INSR VD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY X X 6806H441235 11/14/2019 10/01/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE X OCCUR PREMISESO(Eaoccurrence) $1,000,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 7 POLICY X JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 7 OTHER: .$ C AUTOMOBILE LIABILITY X X BA0J093233 11/14/2019 10/01/2020 COMBI cciNEDdent) � s SINGLE LIMIT 1 000,000 (Ea a X ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X AUTOS ONLY X AUUTOS ONLY PROPERTY(Per accident) MAGE A X UMBRELLA LIAB X OCCUR X X CUP2F178249 11/14/2019 10/01/2020 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTION$0 $ A WORKERS COMPENSATION X UB8J034006 11/14/2019 10/01/2020 X MUTE EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 B Professional Liab X DPR9951576 11/14/2019 11/14/2020 $2,000,000 per claim Pollution Liab $5,000,000 annl aggr. Claims Made DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As required by written contract or written agreement,the following provisions apply subject to the policy terms,conditions,limitations and exclusions:The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability;and Additional Insureds under Umbrella/Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Cityof Rosemead SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8838 East Valley Blvd. ACCORDANCE WITH THE POLICY PROVISIONS. Rosemead,CA 91770-0000 AUTHORIZED REPRESENTATIVE 1 !1 ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S27092511/M27088729 ADKZP DESCRIPTIONS (Continued from Page 1) The General Liability,Automobile Liability, Umbrella/Excess insurance applies on a primary and non contributory basis.A Blanket Waiver of Subrogation applies for General Liability,Automobile Liability, Umbrella/Excess Liability and Workers Compensation.The Umbrella/Excess Liability policy provides excess coverage over the General Liability,Automobile Liability and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers' Compensation. Additonal Insured:The City of Rosemead its officials employees and agents SAGITTA 25.3(2016/03) 2 of 2 #S27092511/M27088729 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2037 (07-04) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - COMPLETED OPERATIONS This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED-OWNERS, LESSEES OR CONTRACTORS-COMPLETED OPERATIONS THIS ENDORSEMENT ENT 1UDYF1ES INSURANCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAMES OF ADDITIONAL INSURED PERSON(S)OR ORGANIZATION(S): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the products-completed operations hazard, provided that such contract was signed and executed by you before, and is in effect when, the "bodily injury or "property damage"occurs. LOCATION AND DESCRIPTION OF COMPLETED OPERATIONS:Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. (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 SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "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". CG 20 37 07 04 Copyright ISO Properties, Inc. 2004 CG TS 04 10 18 Page 1 of 1 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD361 (03-05) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: 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 LIABILITY COVERAGE PART SCHEDULE NAMES OF ADDITIONAL INSURED PERSONS) OR ORGANIZATION(S): Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part, provided that such written contract was signed and executed by you before,and is in effect when, the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed. LOCATION OF COVERED OPERATIONS: Any project to which a written contract with the Additional Insured Person(s) or Organization(s) in the Schedule applies. (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 ADDITIONALINSURED THE PERSON(S)OR ORGANIZATIONS) SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY FOR "BODILY INJURY", "PROPERTY DAMAGE", PERSONAL INJURY OR "ADVERTISING INJURY" CAUSED, IN WHOLE 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 LOCATION(S) DESIGNATED ABOVE. B. WITH RESPECT TO THE INSURANCE AFFORDED TO THESE ADDITIONAL INSURED, THE FOLLOWING ADDITIONAL EXCLUSIONS APPLY:THIS INSURED DOES NOT APPLY TO CO T8 03 10 18 Page 1 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD361 (03-05) - ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: "BODILY INJURY"OR"PROPERTY DAMAGE"OCCURRING, OR"PERSONAL INJURY" OR "ADVERTISING INJURY"ARISING OUT OF AN OFFENSE COMMITTED,AFTER: 1. ALL 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 ADDITIONAL 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 D3 61 03 05 Copyright 2005 The St. Paul Travelers Companies, Inc. All rights reserved. Includes copyrighted material of Insurance Services Office, Inc. with its permission. CG T8 03 10 18 Page 2 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CGD425 (07-08) - OTHER INSURANCE ADDITIONAL INSUREDS PRIMARY AND NONCONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. OTHER INSURANCE-ADDITIONAL INSUREDS- PRIMARY AND NON-CONTRIBUTORY WITH RESPECT TO CERTAIN OTHER INSURANCE This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART The following is added to Paragraph 4. a., Primary Insurance, of SECTION IV -COMMERCIAL GENERAL LIABILITY CONDITIONS: However, if you specifically agree in a written contract or agreement that the insurance afforded to an additional insured under this Coverage Part must apply on a primary basis, or a primary and non-contributory basis, this insurance is primary to other insurance that is available to such additional insured which covers such additional insured as a named insured, and we will not share with that other insurance, provided that: (1) The "bodily injury" or "property damage" for which coverage is sought is caused by an "occurrence" that takes place; and (2) The "personal injury" or "advertising injury" for which coverage is sought arises out of an offense that is committed; subsequent to the signing and execution of that contract or agreement by you. CG D4 25 07 08 2008 The Travelers Companies, Inc. CG T8 01 10 18 Page 1 of 1 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2404 (10-93) - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization that you have agreed in a written contract or agreement to waive your right of recovery against, but only for payments we make because of: 1."Bodily injury" or "property damage" that occurs; or 2."Personal injury" or "advertising injury" caused by an offense committed; after you have executed that contract or agreement (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV-COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following: We waive any right of recovery we may have against the person or organization shown in the Schedule above 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 hazards." This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 CG T8 02 10 18 Page 1 of 2 GENERAL PURPOSE ENDORSEMENT POLICY NUMBER: 6806H441235 OFFICE PAC ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CG2404 (10-93) - WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OrAt:RS TO US This endorsement modifies insurance provided under the following: Page 1 of 1 CG T9 02 10 1a Page 2 of 2 Policy#BA0J093233 COMMERCIAL AUTO THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AUTO COVERAGE PLUS ENDORSEMENT This endorsement modifies insurance provided under the following: 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. Limitations 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. BLANKET ADDITIONAL INSURED H. AUDIO, VISUAL AND DATA ELECTRONIC B. EMPLOYEE HIRED AUTO EQUIPMENT INCREASED LIMIT C. EMPLOYEES AS INSURED I. WAIVER OF DEDUCTIBLE—GLASS D. SUPPLEMENTARY PAYMENTS — INCREASED J. PERSONAL PROPERTY LIMITS K. AIRBAGS E. TRAILERS—INCREASED LOAD CAPACITY L. AUTO LOAN LEASE GAP F. HIRED AUTO PHYSICAL DAMAGE M. BLANKET WAIVER OF SUBROGATION G. PHYSICAL DAMAGE — TRANSPORTATION EXPENSES—INCREASED LIMIT A. BLANKET ADDITIONAL INSURED performing duties related to the conduct of The following is added to Paragraph A.1., Who Is your business. An Insured,of SECTION II—COVERED AUTOS 2. The following replaces Paragraph b. in B.5., LIABILITY COVERAGE: Other Insurance, of SECTION IV — BUSI- Any person or organization who is required under NESS AUTO CONDITIONS: a written contract or agreement between you and b. For Hired Auto Physical Damage Cover- that person or organization, that is signed and age, the following are deemed to be cov- executed by you before the "bodily injury" or ered"autos"you own: "property damage" occurs and that is in effect " " during the policy period, to be named as an addi- (1) Any covered you lease, hire, auto tional insured is an "insured" for Covered Autos rent or borrow;and Liability Coverage, but only for damages to which (2) Any covered "auto" hired or rented by this insurance applies and only to the extent that your "employee" under a contract in person or organization qualifies as an "insured" an "empioyee's" name, with your under the Who Is An Insured provision contained permission, while performing duties in Section II. related to the conduct of your busi- B. EMPLOYEE HIRED AUTO ness. However, any "auto"that is leased, hired, 1. The following is added to Paragraph Al., Who Is An Insured, of SECTION II — COV- rented or borrowed with a driver is not a d "mi ERED AUTOS LIABILITY COVERAGE: coverete. C. EMPLOYEES AS INSURED An "employee" of yours is an "insured" while operating a covered "auto" hired or rented The following is added to Paragraph A.1., Who Is under a contract or agreement in an "em- An Insured, of SECTION II—COVERED AUTOS ployee's" name, with your permission, while LIABILITY COVERAGE: CA T4 20 02 15 ©2015 The Travelers Indemnity Company.All rights reserved. Page 1 of 3 Includes copyrighted material of Insurance Services Office,Inc,with its permission, COMMERCIAL AUTO Any "employee"of yours is an "insured" while us- (2) An adjustment for depreciation and physical ing a covered "auto"you don't own, hire or borrow condition will be made in determining actual in your business or your personal affairs. cash value in the event of a total"loss". D. SUPPLEMENTARY PAYMENTS — INCREASED (3) If a repair or replacement results in better LIMITS than like kind or quality,we will not pay for the 1. The following replaces Paragraph A.2.a.(2) of amount of betterment. SECTION II—COVERED AUTOS LIABILITY (4) A deductible equal to the highest Physical COVERAGE: Damage deductible applicable to any owned (2) Up to $3,000 for cost of bail bonds (in- covered "auto". eluding bonds for related traffic law viola- (5) This Coverage Extension does not apply to: lions) required because of an "accident" (a) Any "auto" that is hired, rented or bar- we cover. We do not have to furnish rowed with a driver;or these bonds. 2. The following replaces Paragraph A.2.a.(4)of (b) Any "auto" that is hired, rented or bor- rowed from your"employee". SECTION fi—COVERED AUTOS LIABILITY COVERAGE: G. PHYSICAL DAMAGE — TRANSPORTATION (4) All reasonable expenses incurred by the EXPENSES—INCREASED LIMIT "insured" at our request, including actual The following replaces the first sentence in Para- loss of earnings up to $500 a day be- graph A.4.a., Transportation Expenses, of cause of time off from work. SECTION HI — PHYSICAL DAMAGE COVER- E. TRAILERS—INCREASED LOAD CAPACITY AGE' The following replaces Paragraph C.1. of SEC- We will pay up to $50 per day to a maximum of ICOVERED AUTOS: $1,500 for temporary transportation expense in- TIONcurred by you because of the total theft of a coy- 1. "Trailers" with a load capacity of 3,000 ered"auto" of the private passenger type. pounds or less designed primarily for travel H. AUDIO, VISUAL AND DATA ELECTRONIC on public roads. EQUIPMENT INCREASED LIMIT F. HIRED AUTO PHYSICAL DAMAGE Paragraph C.1.b. of SECTION Ill — PHYSICAL The following is added to Paragraph A.4., Cover- DAMAGE COVERAGE is deleted. age Extensions, of SECTION Ill — PHYSICAL I. WAIVER OF DEDUCTIBLE—GLASS DAMAGE COVERAGE: The following is added to Paragraph D., Deducti- Hired Auto Physical Damage Coverage ble, of SECTION III -- PHYSICAL DAMAGE If hired "autos" are covered "autos" for Covered COVERAGE: Autos Liability Coverage but not covered "autos" No deductible for a covered "auto" will apply to for Physical Damage Coverage, and this policy glass damage if the glass is repaired rather than also provides Physical Damage Coverage for an replaced. owned "auto", then the Physical Damage Cover- J. PERSONAL PROPERTY age is extended to "autos" that you hire, rent or The following is added to Paragraph A.4., Cover- borrow subject to the following: age Extensions, of SECTION III — PHYSICAL (1) The most we will pay for "loss" to any one DAMAGE COVERAGE: "auto" that you hire, rent or borrow is the Personal Property Coverage lesser of: We will pay up to $400 for "loss" to wearing ap- (a) $50,000; pare! and other personal property which is: (b) The actual cash value of the damaged or (1) Owned by an "insured"; and stolen property as of the time of the (2) In or on your covered "auto". "loss';or This coverage only applies in the event of a total (c) The cost of repairing or replacing the theft of your covered"auto". damaged or stolen property with other No deductibles apply to Personal Property cover- property of like kind and quality. age. Page 2 of 3 ©2015 The Travelers Indemnity Company.All rights reserved. CA T4 20 02 15 Includes copyrighted material of Insurance Services Office,Inc.with its permission. COMMERCIAL AUTO K. AIRBAGS (2) Any: The following is added to Paragraph B.3., Exclu- (a) Overdue lease or loan payments at the slons, of SECTION Ill — PHYSICAL DAMAGE time of the loss"; COVERAGE: (b) Financial penalties imposed under a Exclusion 3.a. does not apply to "loss" to one or lease for excessive use, abnormal wear more airbags in a covered "auto" you own that in- and tear or high mileage; flate due to a cause other than a cause of loss" ( set forth in Paragraphs A.1.b. and A.1.c., but c) Security deposits not returned by the les- only: sor; a. If that "auto" is a covered "auto" for Compre- (d) Costs for extended warranties, Credit Life hensive Coverage under this policy; Insurance, Health, Accident or Disability b. The airbags are not covered under any war- Insurance purchased with the loan or ranty;and lease;and c. The airbags were not intentionally inflated. (e) Carry-over balances from previous loans or leases. We will pay up to a maximum of $1,000 for any one"loss". M. BLANKET WAIVER OF SUBROGATION L. AUTO LOAN LEASE GAP The following replaces Paragraph A.5., Transfer Of Rights Of Recovery Against Others To Us, The following is added to Paragraph A.4., Cover- of SECTION IV — BUSINESS AUTO CONDI- age Extensions, of SECTION III — PHYSICAL TIONS: DAMAGE COVERAGE: 5. Transfer Of Rights Of Recovery Against Auto Loan Lease Gap Coverage for Private Others To Us Passenger Type Vehicles In the event of a total "loss"to a covered"auto"of We waive any right of recovery we may have the private passenger type shown in the Schedule against any person or organization to the ex- or Declarations for which Physical Damage Coy- tent required of you by a written contract exe- erage is provided, we will pay any unpaid amount cuted prior to any "accident" or loss'', pro- due on the lease or loan for such covered "auto" vided that the"accident"or"loss"arises out of less the following: the operations contemplated by such con- (1) The amount paid under the Physical Damage tract.The waiver applies only to the person or Coverage Section of the policy for that"auto"; organization designated in such contract. and CA T4 20 02 15 @ 2015 The Travelers Indemnity Company.All rights reserved. Page 3 of 3 Includes copyrighted material of Insurance Services Office, Inc with its permission. TRAVELERWORKERS COMPENSATION SJ AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HARTFORD CT 06183 ENDORSEMENT WC 99 03 76 ( A) POLICY NUMBER: UB-8J034006 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 will not enforce our right against the person or organization named in the Schedule. The additional premium for this endorsement shall be 3.00 % of the California workers' compensation pre- mium. Schedule Person or Organization Job Description ANY PERSON OR ORGANIZATION FOR ENGINEERS PLAN WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT EXECUTED PRIOR TO LOSS TO FURNISH TRIS WAIVER. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured Premium Insurance Company Countersigned by DATE OF ISSUE: ST ASSIGN: Page 1 of 1 N 1 rS E MF 019504 O '9 a '‘c.i.v`C P R1,D,EV , 4,93.9 /HCoRAORATEO ve PROFESSIONAL SERVICES AGREEMENT GENERAL PUBLIC WORKS & ENGINEERING CONSULTING SERVICES (INTERWEST CONSULTING GROUP) 1. PARTIES AND DATE. This Agreement is made and entered into this this 1st day of August, 2018 (Effective Date) by and between the City of Rosemead, a municipal organization organized under the laws of the State,of California with its principal place of business at 8838 E. Valley Blvd., Rosemead, California 91770 ("City") and Interwest Consulting Group with its principal place of business at 15140 Transistor Lane, Huntington Beach, CA 92649 ("Consultant"). City and Consultant are sometimes individually referred to herein as "Party" and collectively as "Parties." 2. RECITALS. 2.1 Consultant. Consultant desires to perform and assume responsibility for the provision of certain professional services required by the City on the terms and conditions set forth in this Agreement. Consultant represents that it is experienced in providing professional general public works & engineering consulting services to public clients, is licenced in the State of California and is familiar with the plans of City. 2.2 Project. City desires to engage Consultant to render professional general public works & engineering consulting services ("Services") as set forth in this Agreement. 3. TERMS. 3.1 Scope of Services and Term. 3.1.1 General Scope of Services. Consultant promises and agrees to furnish to the City all labor, materials, tools, equipment, services, and incidental and customary work necessary to fully and adequately supply the professional general public works & engineering consulting services necessary for the Project, herein 3 INTERWEST Consulting Group Page 2 of 11 referred to a "Services". The Services are more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. All Services shall be subject to, and performed in accordance with, this Agreement, the exhibits attached hereto and incorporated herein by reference, and all applicable local, state and federal laws, rules and regulations. 3.1.2 Term. The term of this Agreement shall be from the Effective Date shown above to August 6, 2019, unless earlier terminated as provided herein. Consultant shall complete the Services within the term of this Agreement, and shall meet any other established schedules and deadlines. The parties may, by mutual, written consent extend the term of this agreement if necessary to complete the Services. 3.2 Responsibilities of Consultant. 3.2.1 Control and Payment of Subordinates;, Independent Contractor. The Services shall be performed by Consultant or under its supervision. Consultant will determine the means, methods and details of performing the Services subject to the requirements of this Agreement. City retains Consultant on an independent contractor basis and not as an employee. Consultant retains the right to perform similar or different services for others during the term of this Agreement. Any additional personnel performing the Services under this Agreement on behalf of Consultant shall also not be employees of City and shall at all times be under Consultant's exclusive direction and control. Consultant shall pay all wages, salaries, and other amounts due such personnel in connection with their performance of Services under this Agreement and as required by law. Consultant shall be responsible for all reports and obligations respecting such additional personnel, including, but not limited to: social security taxes, income tax withholding, unemployment insurance, disability insurance, and workers' compensation insurance. .3.2.2 Schedule of Services. Consultant shall perform the Services expeditiously, within the term of this Agreement. Consultant represents that it has the professional and technical personnel required to perform the Services in conformance with such conditions. In order to facilitate Consultant's conformance with the Schedule, City shall respond to Consultant's submittals in a timely manner. Upon request of City, Consultant shall provide a more detailed schedule of anticipated performance to meet the Schedule of Services. 3.2.3 Conformance to Applicable Requirements. All work prepared by Consultant shall be subject to the approval of City. 3.2.4 Substitution of Key Personnel. Consultant has represented to City that certain key personnel will perform and coordinate the Services under this Agreement. Should one or more of such personnel become unavailable, Consultant may substitute other personnel of at least equal competence upon written approval of City. In the event that City and Consultant cannot agree as to the substitution of key 3 INTERWEST Consulting Group Page 3 of 11 personnel, City shall be entitled to terminate this Agreement for cause. As discussed below, any personnel who fail or refuse to perform the Services in a manner acceptable to the City, or who are determined by the City to be uncooperative, incompetent, a threat to the adequate or timely completion of the Project or a threat to the safety of persons or property, shall be promptly removed from the Project by the Consultant at the request of the City. 3.2.5 City's Representative. The City hereby designates Assistant City Manager/Interim-Director of Public Works, or his or her designee, to act as its representative for the performance of this Agreement ("City's Representative"). City's Representative shall have the power to act on behalf of the City for all purposes under this Agreement. Consultant shall not accept direction or orders from any person other than the City's Representative or his or her designee. 3.2.6 Consultant's Representative. Consultant will designate to act as its representative for the performance of this Agreement ("Consultant's Representative"). Consultant's Representative shall have full authority to represent and act on behalf of the Consultant for all purposes under this Agreement. The Consultant's Representative shall supervise and direct.the Services, using his/her best skill and attention, and shall be responsible for all means, methods, techniques, sequences and procedures and for the satisfactory coordination of all portions of the Services under this Agreement. 3.2.7 Coordination of Services: Consultant agrees to work closely with City staff in the performance of Services and shall be available to City's staff, consultants and other staff at all reasonable times. 3.2.8 Standard of Care; Performance of Employees: Consultant shall perform all Services under this Agreement in a skillful and competent manner, consistent with the standards generally recognized as being employed by professionals in the same discipline in the State of California. Consultant represents and maintains that it is skilled in the professional calling necessary to perform the Services. Consultant warrants that all employees and subcontractors shall have sufficient skill and experience to perform the Services assigned to them. Finally, Consultant represents that it, its employees and subcontractors have all licenses, permits, qualifications and approvals of whatever nature that are legally required to perform the Services, including a City Business License, and that such licenses and approvals shall be maintained throughout the term of this Agreement. As provided for in the indemnification provisions of this Agreement, Consultant shall perform, at its own cost and expense and without reimbursement from the City, any services necessary to correct errors or omissions which are caused by the Consultant's failure to comply with the standard of care provided for herein. 3.2.9 Laws and Regulations. Consultant shall keep itself fully informed of and in compliance with all local, state and federal laws, rules and regulations in any manner affecting the performance of the Project or the Services, including all Cal/OSHA requirements, and shall give all notices required by law. Consultant shall be liable for all INTERWEST Consulting Group Page 4 of 11 violations of such laws and regulations in connection with Services. If the Consultant performs any work knowing it to be contrary to such laws, rules and regulations and without giving written notice to the City, Consultant shall be solely responsible for all costs arising therefrom. Consultant shall defend, indemnify and hold City, its officials, directors, officers, employees and, agents free and harmless, pursuant to the indemnification provisions of this Agreement, from any claim or liability arising out of any failure or alleged failure to comply with such laws, rules or regulations. 3.2.10 Insurance: Consultant shall maintain prior to the beginning of and for the duration of this Agreement insurance coverage as specified in Exhibit B attached to and part of this agreement. 3.2.11 Safety: Contractor shall execute and maintain its work so as to avoid injury or damage to any person or property. In carrying out its Services, the Consultant shall at all times be in compliance with all applicable local, state and federal laws, rules and regulations, and shall exercise all necessary precautions for the safety of employees appropriate to the nature of the work and the conditions under which the work is to be performed. Safety precautions as applicable shall include, but shall not be limited to: (A) adequate life protection and life saving equipment and procedures; (B) instructions in accident prevention for all employees and subcontractors, such as safe walkways, scaffolds, fall protection ladders, bridges, gang planks, confined space procedures, trenching and shoring, equipment and other safety devices, equipment and wearing apparel as are necessary or lawfully required to prevent accidents or injuries; and (C) adequate facilities for the proper inspection and maintenance of all safety measures. 3.3 Fees and Payments. 3.3.1 Compensation. Consultant shall receive compensation, including authorized reimbursements, for all Services rendered under this Agreement and shall not exceed Fifteen Thousand Dollars ($15,000.00) per fiscal year. Extra Work may be authorized in writing, as described below, and will be compensated at the rates and manner set forth in this Agreement. 3.3.2 Payment of Compensation. Consultant shall submit to City a monthly itemized statement which indicates work completed and hours of Services rendered by Consultant. The statement shall describe the amount of Services and supplies provided since the initial commencement date, or since the start of the subsequent billing periods, as appropriate, through the date of the statement. City shall, within 45 days of receiving such statement, review the statement and pay all approved charges thereon. 3.3.3 Reimbursement for Expenses: Consultant shall not be reimbursed for any expenses unless authorized in writing by City. 3.3.4 Extra Work: At any time during the term of this Agreement, City INTERWEST Consulting Group Page 5 of 11 may request that Consultant perform Extra Work. As used herein, "Extra Work" means any work which is determined by City to be necessary for the proper completion of the Project, but which the parties did not reasonably anticipate would be necessary at the execution of this Agreement. Consultant shall not perform, nor be compensated for, Extra Work without written authorization from City's Representative. 3.3.5 Prevailing Wages: Consultant is aware of the requirements of California Labor Code Section 1720, et seq., and 1770, et seq., as well as California Code of Regulations, Title 8, Section 1600, et seq., ("Prevailing Wage Laws"), which require the payment of prevailing wage rates and the performance of other requirements on "public works" and "maintenance" project, as defined by the Prevailing Wage Laws, and if the total compensation is $1,000 or more, Consultant agrees to fully comply with such Prevailing Wage Laws. City shall provide Consultant with a copy of the prevailing rates of per diem wages ineffect at the commencement of this Agreement. Consultant shall make copies of the prevailing rates of per diem wages for each craft; classification or type of worker needed to execute the Services available to interested parties upon request, and shall post copies at the Consultant's principal place of business and at the project site. Consultant shall defend, indemnify and hold the City, its elected officials, officers, employees and agents free and harmless from any claim or liability arising out of any failure or alleged failure to comply with the Prevailing Wage Laws. 3.4 Accounting Records. 3.4.1 Maintenance and Inspection: Consultant shall maintain complete and accurate records with respect to all costs and expenses incurred under this Agreement. All such records shall be clearly identifiable. Consultant shall allow a representative of City during normal business hours to examine, audit, and make transcripts or copies of such records and any other documents created pursuant to this Agreement. Consultant shall allow inspection of all work, data, documents, proceedings, and activities related to the Agreement for a period of three (3) years from the date of final payment under this Agreement. 3.5 General Provisions. 3.5.1 Termination of Agreement. 3.5.1.1 Grounds for Termination: City may, by written notice to Consultant, terminate the whole or any part of this Agreement at any time and without cause by giving written notice to Consultant of such termination, and specifying the effective date thereof, at least seven (7) days before the effective date of such termination. Upon termination, Consultant shall be compensated only for those services which have been adequately rendered to City, and Consultant shall be entitled to no' further compensation. Consultant may not terminate this Agreement except for cause. 3.5.1.2 Effect of Termination: If this Agreement is terminated as provided herein, City may require Consultant to provide all finished or unfinished INTERWEST Consulting Group Page 6 of 11 Documents/ Data and other information of any kind prepared by Consultant in connection with the performance of Services under this Agreement. Consultant shall be required to provide such document and other information within fifteen (15) days of the request. 3.5.1.3 Additional Services: In the event this Agreement is terminated in whole or in part as provided herein, City may procure, upon such terms and in such manner as it may determine appropriate, services similar to those terminated. 3.5.2 Delivery of Notices. All notices permitted or required under this Agreement shall be given to the respective parties at the following address, or at such other address as the respective parties may provide in writing for this purpose: CONSULTANT: Interwest Consulting Group 15140 Transistor Lane Huntington Beach, CA 92649 Attn: Terry Rodrigue Tel: (714) 899-9039 CITY: City of Rosemead P.O. Box 399 Rosemead, CA 91770 Attn: Assistant City Manager/Interim-Director of Public Works Such notice shall be deemed made when personally delivered or when mailed, forty-eight (48) hours after deposit in the U.S. Mail, first class postage prepaid and addressed to the party at its applicable address. Actual notice shall be deemed adequate notice on the date actual notice occurred, regardless of the method of service. 3.5.3 Ownership of Materials and Confidentiality. 3.5.3.1 Documents & Data; Licensing of Intellectual Property: This Agreement creates a non-exclusive and perpetual license for City to copy, use, modify, reuse, or sublicense any and all copyrights, designs, and other intellectual property embodied in plans, specifications, studies, drawings, estimates, and other documents or works of authorship fixed in any tangible medium of expression, including but not limited to, physical drawings or data magnetically or otherwise recorded on computer diskettes, which are prepared or caused to be prepared by Consultant under this Agreement ("Documents & Data"). Consultant shall require all subcontractors to INTERWEST Consulting Group Page 7 of 11 agree in writing that City is granted a non-exclusive and perpetual license for any Documents & Data the subcontractor prepares under this Agreement. Consultant represents and warrants that Consultant has the legal right to license any and all Documents & Data. Consultant makes no such representation and warranty in regard to Documents & Data which were prepared by design professionals other than Consultant or provided to Consultant by the City. City shall not be limited in any way in its use of the Documents and Data at any time, provided that any such use not within the purposes intended by this Agreement shall be at City's sole risk. 3.5.3.2 Confidentiality. All ideas, memoranda, specifications, plans, procedures, drawings, descriptions, computer program data, input record data, written information, and other Documents and Data either created by or provided to Consultant in connection with the performance of this Agreement shall be held confidential by Consultant. Such materials shall not, without the prior written consent of City, be used by Consultant for any purposes other than the performance of the Services. Nor shall such materials be disclosed to any person or entity not connected with the performance of the Services or the Project. Nothing furnished to Consultant which is otherwise known to Consultant or is generally known, or has become known, to the related industry shall be deemed confidential. Consultant shall not use City's name or insignia, photographs of the Project, or any publicity pertaining to the Services or the Project in any magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of City. 3.5.4 Cooperation; Further Acts: The Parties shall fully cooperate with one another, and shall take any additional acts or sign any additional documents as may be necessary, appropriate or convenient to attain the purposes of this Agreement. 3.5.5 Attorney's Fees: If either party commences an action against the other party, either legal, administrative or otherwise, arising out of or in connection with this Agreement, the prevailing party in such litigation shall be entitled to have and recover from the losing party reasonable attorney's fees and all costs of such action. 3.5.6 Indemnification: To the fullest extent permitted by law, Consultant shall defend, indemnify and hold the City, its officials, officers, employees, volunteers and agents free and harmless from any and all claims, demands, causes of action, costs, expenses, liability, loss, damage or injury, in law or equity, to property or persons, including wrongful death, in any manner arising out of or incident to any alleged acts, omissions or willful misconduct of Consultant, its officials, officers, employees, agents, consultants and contractors arising out of or in connection with the performance of the Services, the Project or this Agreement, including without limitation the payment of all consequential damages and attorneys fees and other related costs and expenses. Consultant shall defend, at Consultant's own cost, expense and risk, any and all such aforesaid suits, actions or other legal proceedings of every kind that may be brought or instituted against City, its directors, officials, officers, employees, agents or volunteers. Consultant shall pay and satisfy any judgment, award or decree that may be rendered against City or its directors, officials, officers, employees, agents or volunteers, in any INTERWEST Consulting Group Page 8 of 11 such suit, action or other legal proceeding. Consultant shall reimburse City and its directors, officials, officers, employees, agents and/or volunteers, for any and all legal expenses and costs incurred by each of them in connection therewith or in enforcing the indemnity herein provided. Consultant's obligation to indemnify shall not be restricted to insurance proceeds, if any, received by the City, its directors, officials officers, employees, agents or volunteers. 3.5.7 Entire Agreement: This Agreement contains the entire Agreement of the parties with respect to the subject matter hereof, and supersedes all prior negotiations, understandings or agreements. This Agreement may only be modified by a writing signed by both parties. 3.5.8 Governing Law: This Agreement shall be governed by the laws of the State of California. Venue shall be in Los Angeles County. 3.5.9 Time of Essence: Time is of the essence for each and every provision of this Agreement. 3.5.10 City's Right to Employ Other Consultants: City reserves right to employ other consultants in connection with this Project. 3.5.11 Successors and Assigns: This Agreement shall be binding on the successors and assigns of the parties. 3.5.12 Assignment or Transfer: Consultant shall not assign, hypothecate, or transfer, either,directly or by operation of law, this Agreement or any interest herein without the prior written consent of the City. Any attempt to do so shall be null and void, and any assignees, hypothecates or transferees shall acquire no right or interest by reason of such attempted assignment, hypothecation or transfer. 3.5.13 Construction; References; Captions: Since the Parties or their agents have participated fully in the preparation of this Agreement, the language of this Agreement shall be construed simply, according to its fair meaning, and not strictly for or against any Party. Any term referencing time, days or period for performance shall be deemed calendar days and not work days. All references to Consultant include all personnel, employees, agents, and subcontractors of Consultant, except as otherwise specified in this Agreement. All references to City include its elected officials, officers, employees, agents, and volunteers except as otherwise specified in this Agreement. The captions of the various articles and paragraphs are for convenience and ease of reference only, and do not define, limit, augment, or describe the scope, content, or intent of this Agreement. 3.5.14 Amendment; Modification: No supplement, modification, or amendment of this Agreement shall be binding unless executed in writing and signed by both Parties. INTERWEST Consulting Group Page 9 of 11 3.5.15 Waiver: No waiver of any default shall constitute a waiver of any other default or breach, whether of the same or other covenant or condition. No waiver, benefit, privilege, or service voluntarily given or performed by a Party shall give the other Party any contractual rights by custom, estoppel, or otherwise. 3.5.16 No Third Party Beneficiaries: There are no intended third party beneficiaries of any right or obligation assumed by the Parties. 3.5.17 Invalidity; Severability: If any portion of this Agreement is declared invalid, illegal, or otherwise unenforceable by a court of competent jurisdiction, the remaining provisions shall continue in full force and effect. 3.5.18 Prohibited Interests: Consultant maintains and warrants that it has not employed nor retained any company or person, other than a bona fide employee working solely for Consultant, to solicit or secure this Agreement. Further, Consultant warrants that it has not paid nor has it agreed to pay any company or person, other than a bona fide employee working solely for Consultant, any fee, commission, percentage, brokerage fee, gift or other consideration contingent upon, or resulting from the award or making of this Agreement. Consultant further agrees to file, or shall cause its employees or subconsultants to file, a Statement of Economic Interest with the City's Filing Officer as required under state law in the performance' of the Services. For breach or violation of this warranty, City shall have the right to rescind this Agreement without liability. For the term of this Agreement, no member, officer or employee of City, during the term of his or her service with City, shall have any direct interest in this Agreement, or obtain any present or anticipated material benefit arising therefrom. 3.5.19 Equal Opportunity Employment: Consultant represents that it is an equal opportunity employer and it shall not discriminate against any subcontractor, employee or applicant for employment because of race, religion, color, national origin, handicap, ancestry, sex or age. Such non-discrimination shall include, but not be limited to, all activities related to initial employment, upgrading, demotion, transfer, recruitment or recruitment advertising, layoff or termination. Consultant shall also comply with all relevant provisions 'of City's Minority Business Enterprise program, Affirmative Action Plan or other related programs or guidelines currently in effect or hereinafter enacted. , 3.5.20 Labor Certification: By its signature hereunder, Consultant certifies that it is aware of the provisions of Section 3700 of the California Labor Code which require every employer to be insured against liability for Worker's Compensation or to undertake self-insurance in accordance with the provisions of that Code, and agrees to comply with such provisions before commencing the performance of the Services. 3.5.21 Authority to Enter Agreement: Consultant has all requisite power and authority to conduct its business and to execute, deliver, and perform the Agreement. Each Party warrants that the individuals who have signed this Agreement INTERWEST Consulting Group Page 10 of 11 have the legal power, right, and authority to make this Agreement and bind each respective Party. 3.5.22 Counterparts: This Agreement may be signed in counterparts, each of which shall constitute an original. 3.6 Subcontracting. 3.6.1 Prior Approval Required: Consultant shall not subcontract any portion of the work required by this Agreement, except as expressly stated herein, without prior written approval of City. Subcontracts, if any, shall contain a provision making them subject to all provisions stipulated in this Agreement. [Signatures on next page] INTERWEST Consulting Group Page 11 of 11 CITY OF ROSEMEAD INTERWEST CONSULTING GROUP el'61)b 0/63 Gloria Molleda, City Manager Date / Dat Name: �-� rl Tl Attest: Title `e5 i ► y l City Clerk Date [If Corporation, TWO SIGNATURES, President OR Vice President AND Secretary, AND CORPORATE SEAL OF CONTRACTOR REQU -ED] Approved as to Form: By: g /H// ic Name: rCt I iVO{_5O , Rachel Richman Date City Attorney Title: CFO EXHIBIT A PROPOSAL FOR SERVICES/ RATE SCHEDULE/RESUME A-1 July 10,2018 INTERWEST CONSULTING GROUP City of Rosemead Greg Tsujiuchi,Assistant City Manager 8838 East Valley Boulevard, Rosemead,CA 91770 RE: Proposal to Provide General Engineering and Public Works Consulting Services Mr. Tsujiuchi, • Interwest Consulting Group is pleased to submit our proposal to provide general engineering and public works consulting services to the City of Rosemead's Public Works Department to support and advise the Interim Public Works Director while the City recruits for a permanent candidate. We understand that the City requires a qualified individual onsite for approximately 20 hours per week. For this engagement, we propose Al Cablay, PWLF at an hourly rate of$160 to be billed on a monthly basis. Al has more than 35 years of experience managing public and private projects that have encompassed Maintenance Operations, Public Works Engineering, Water and Wastewater Systems, and Personnel Administration. His municipal expertise extends throughout Southern California,having served in management roles in the Cities of Bell,Santa Ana, Pico Rivera,San Luis Obispo,and Loma Linda. More information on Al's specific qualifications and work history can be found in his resume,attached. I will serve as the Principal-in-Charge for this engagement and as the City's management contact..I am an authorized representative of Interwest Consulting Group,able to sign all necessary agreements. Please do not hesitate to contact me at 303.549.7776 or trodrigue@interwestgrp.com should you. have any questions.Thank you again for the opportunity to assist the City of Rosemead. Sincerely, • . . Terry drigue,PE,TE Owner I President . Interwest Consulting Group 15140 TRANSISTOR LANE•HUNTINGTON BEACH,CA 92649•714.899.9039•www.interwestgLJ.com .o- Alfred Cab e,=@y� PL Public Works Leadership Fellow I N T E R W E S T Public Works Project Manager CONSULTING { Al's Public Works experience spans over 35 years in.Administration, Engineering, GROUP ! Construction, Contract Services and Maintenance Operations.He possesses a broad range www.interwestgrp.com of experience in Public Works Engineering,Water and Wastewater Systems, Maintenance Operations, and Personnel Administration. He brings a solid history of private and public experience with success in managing and implementing large-scale projects. His depth of EDUCATION public works practices fold in both past and present practices with the ever-changing Masters of Business Administration technology trends. Northcentral University I Al adds value to an organization by providing service that model innovation,creativity and Master of Science customer care. His ultimate goal is to always provide superior support to our clients, Civil Engineering Columbia Pacific University effectively and efficiently manage all projects and collaboratively lead and mentor staff. He has maintained a strong involvement in the industry and has experience in technical Bachelor of Science Civil Engineering writing and teaching. Columbia Pacific University • ! PROJECT SPE© NFOC EXPER? SCICE REGISTRATIONS CERTIFICATIONS Senior Engineer 2014—Present Interwest Consulting Group I CA Certified Stormwater Inspector National Stormwater Center • Provide project and program management for various city clients • Ensure Quality Assurance/Quality Control on an array of public improvement Water Treatment i projects for City Clients Special and/or Capital Improvement Program(CIP) Projects California State University-Sacramento f • During 2014 — 2017 Successfully performed the duties as Deputy City Engineer Transportation Planning-Air Quality assigned to the City of Bell. UC Riverside ✓ Assisted in directing City's Capital Improvement Program (CIP) Projects—Annual Registered Construction Inspector . Citywide Pavement Rehabilitation Program, Bi-Annual City Sewer Collection • Division I#5004,ACIA. System Flushing Program and implementation of EPA's Wastewater Grant for Sewer Collection Operator System Modernization Grade III#600,CWEA ✓ Provided technical services (review of Hydrology-Hydraulic Study, Low Impact Water Distribution Operator Development/LID Permitting,Street Improvement Plans, Grading-Erosion Control Grade I#5145,AWWA ; Plans and Parcel/Final Map checks)for all Private Development entitlements Project Management i ✓ Prepared all Stormwater/NPDES documents and reports for MS4 Permit . San Diego State University Compliance and participation to LA River Upper Reach 2 Watershed meetings Certified Engineering Technician Interim Facilities Manager Traffic Operations#71251,NICET • 2013—2014 City of Newport Beach I CA • Provided support to Assistant City Engineer's efforts on new $150 million Civic Center I • Complex for all Turn-key Facility Maintenance Operations systems - Energy Efficiency, Storm Drainage, Sewer Collection, Water Distribution and Air Quality • Systems • • Managed Facility Maintenance Work Orders for Municipal Operations and Public Works • Senior Project Engineer 2013—2014 DR Consultants&Designer, Inc. I CA • • Performed civil design oversight on Front Street Landscape Improvement Project for the City of Los Angeles—Port of Los Angeles/P.OLA • Assisted CALTRANS Prime Consultant CH2M Hill on METRO'S SR710 Environmental Analysis of TSM/TDM Alternatives • - Field Operations Engineer 2012—2013 The Olson Company 1 CA Processed Construction Plans and Permits for Transit Oriented Development/TOD and In- NT E R W E ST Town Residential and Commercial projects in various Southern California Cities CONSULTING Director of Public Works • GROUP 2006—2011 City of Pico Rivera I CA wrww,interwestgrp.co s i • Construction of$45M BNSF&UPRR Railroad Underpass for Passons Boulevard • Project managed $5M ARRA funded projects; Beverly Blvd. median and roadway rehabilitation;and the Citywide Energy Efficiency Community Block Grant Program PROFESSIONAL ( • Represented City for Congressional hearings to obtain Federal Appropriations for AFFILIATIONS the BNSF Railroad Underpass Repair/Reconstruction projects obtaining $2M in President funding Maintenance Superintendents Association 1 • Implemented City Master Plans for Citywide Pavement Rehabilitation, Community 2017 Development Block Grant/CDBG Sidewalk-Handicapped Ramp Improvement Public Works Leadership Fellow + Program, Traffic Signals, Storm Water, Water Distribution (including Recycled American Public Works Association Water),and Sanitary Sewer Management Plan/SSM P. 2015 • Provided technical and financial support data for the inclusion of Public Works Vice President Infrastructure needs in the City's Local Tax Measure 'TR' which was successfully Maintenance Superintendents Association passed in November 2009 2014-15 • In conjunction with the Water Replenishment District/WRD and the thru the Southeast Water Coalition/SEWAC helped to develop the framework for the President San Diego County Water Works Group Groundwater Reliability Improvement Project/GRIP as an active member of the 2002-06 ; Central Basin Municipal Water District/CBMWD acting as the City's Water Purveyor (Rico Rivera Water Authority)at all District functions and activities President Associate Development Engineer Inland Empire Chapter of APWA l 1994-96 2004—2006 City of Oceanside 1 CA Past Committee Member Performed technical review(Planning and Final Design Review)on all Coastal Development Institute of Transportation Engineers projects for impacts to all city infrastructure—Streets,Sewers and Storm Drainage Past Committee Member Los Angeles Stormwater Quality Public Works Superintendent Partnership 2000-2004 City of El Cajon I CA Past Committee Member As Maintenance Operations Manager assisted the Public Works Director with drafting APWASoCalChapter/Sustainability I Standard Operating Procedures/SOPs for all services and activities including Sewer 2008-2011 Collection,Storm Drainage,Streets and Sidewalks Advisory Member Public Works Superintendent Gateway Cities Public Works Officers i 1998—2000 City of Encinitas I CA 2007-11 Developed Standard Operating Procedures/SOPs for all services and activities including Past Committee Member Water,Sewer,Storm Drain, Beaches,Fleet and Facilities Maintenance San Gabriel and Los Angeles River Stormwater Groups i Public Works Manager Past Committee Member 1996-1998 City of San Luis Obispo I CA Coalition for Practical Regulations Division Manager providing oversight, direction and guidance to Section Managers of Interim President Transportation Planning,Traffic Engineering,Transit-Light Rail and Parking Management Western Council of Engineers .! 2006 Director of Public Works/Services Co-editor of Newsletter 1989-1996 City of Loma Linda I CA American Public Works/Central Coast Chapter 1st City Department Head position created to merge previously separated divisions of 1996-1998 Water,Sewer,Storm Drainage,Streets,Parks, Facilities and Fleet Educator Author of several technical publications, and was a regularly scheduled guest lecturer at California Polytechnic Institute — San Luis Obispo, undergraduate course on Public Transportation, 1996 to 1998. Past Adjunct Faculty,Environmental Management course at • 1 Citrus College,Glendora EXHIBIT B INSURANCE REQUIREMENTS Prior to the beginning of and throughout the duration of the Work, Consultant will maintain insurance in conformance with the requirements set forth below. Consultant will use existing coverage to comply with these requirements. If that existing coverage does not meet the requirements set forth here, Consultant agrees to amend,supplement or endorse the existing coverage to do so. Consultant acknowledges that the insurance coverage and policy limits set forth in this section constitute the minimum amount of coverage required. Any insurance proceeds available to City in excess of the limits and coverage required in this agreement and which is applicable to a given loss, will be available to City. Consultant shall provide the following types and amounts of insurance: Commercial General Liability Insurance using Insurance Services Office "Commercial General Liability" policy form CG 00 01 or the exact equivalent. Defense costs must be paid in addition to limits. There shall be no cross liability exclusion for claims or suits by one insured against another. Limits are subject to review but in no event less than $1,000,000 per occurrence. Business Auto Coverage on ISO Business Auto Coverage form CA 00 01 including symbol 1 (Any Auto) or the exact equivalent. Limits are subject to review, but in no event to be less that $1,000,000 per accident. If Consultant owns no vehicles, this requirement may be satisfied by a non-owned auto endorsement to the general liability policy described above. If Consultant or Consultant's employees•will use personal autos in any way on this project, Consultant shall provide evidence of personal auto liability coverage for each such person. Excess or Umbrella Liability Insurance (Over Primary) if used to meet limit requirements, shall provide coverage at least as broad as specifiedfor the underlying coverages. Any such coverage provided under an umbrella liability policy shall include a drop down provision providing primary coverage above a maximum $25,000 self- insured retention for liability not covered by primary but covered by the umbrella. Coverage shall be provided on a "pay on behalf" basis, with defense costs payable in addition to policy limits. Policy shall contain a provision obligating insurer at the time insured's liability is determined, not requiring actual payment by the insured first. There shall be no cross liability exclusion precluding coverage for claims or suits by one insured against another. Coverage shall be applicable to City for injury to employees of Consultant, subconsultants or others involved in the Work. The scope of coverage provided is subject to approval of City following receipt of proof of insurance as required herein. Limits are subject to review but in no event less than $1 Million per occurrence. C-1 r , Professional Liability or Errors and Omissions Insurance as appropriate shall be written on a policy form coverage specifically designed to protect against acts, errors or omissions of the consultant and "Covered Professional Services" as designated in the policy must specifically include work performed under this agreement. The policy limit shall be no less than $1,000,000 per claim and in the aggregate. The policy must "pay on behalf of" the insured and must include a provision establishing the insurer's duty to defend. The policy retroactive date shall be on or before the effective date of this agreement. Insurance procured pursuant to these requirements shall be written by insurers that are admitted carriers in the state of California and with an A.M. Bests rating of A- or better and a minimum financial size VII. General conditions pertaining to provision of insurance coverage by Consultant. Consultant and City agree to the following with respect to insurance provided by Consultant: 1. Consultant agrees to have its insurer endorse the third party general liability coverage required herein to include as additional insureds City, its officials, employees and agents, using standard ISO endorsement No. CG 2010 with an edition prior to 1992. Consultant also agrees to require all contractors, and subcontractors to do likewise. 2. No liability insurance coverage provided to comply with this Agreement shall prohibit Consultant, or Consultant's employees, or agents, from waiving the right of subrogation prior to a loss. Consultant agrees to waive subrogation rights against City regardless of the applicability of any insurance proceeds, and to require all contractors and subcontractors to do likewise. 3. All insurance coverage and limits provided by Contractor and available or applicable to this agreement are intended to apply to the full extent of the policies. Nothing contained in this Agreement or any other agreement relating to the City or its operations limits the application of such insurance coverage. 4. None of the coverages required herein will be in compliance with these requirements if theyinclude any limiting endorsement of any kind that has not been first submitted to City and approved of in writing. 5. No liability policy shall contain any provision or definition that would serve to eliminate so-called "third party action over" claims, including any exclusion for bodily injury to an employee of the insured or of any contractor or subcontractor. 6. All coverage types and limits required are subject to approval, modification and additional requirements by the City, as the need arises. Consultant shall not make any reductions in scope of coverage (e.g. elimination of contractual liability or reduction of discovery period) that may affect City's protection without City's prior written consent. C-2 4 7. Proof of compliance with these insurance requirements, consisting of certificates of insurance evidencing all of the coverages required and an additional insured endorsement to Consultant's general liability policy, shall be delivered to City at or prior to the execution of this Agreement. In the event such proof of any insurance is not delivered as required, or in the event such insurance is canceled at any time and no replacement coverage is provided, City has the right, but not the duty, to obtain any insurance it deems necessary to protect its interests under this or any other agreement and to pay the premium. Any premium so paid by City shall be charged to and promptly paid by Consultant or deducted from sums due Consultant, at City option. 8. Certificate(s) are to reflect that the insurer will provide 30 days notice to City of any cancellation of coverage. Consultant agrees to require its insurer to modify such certificates to delete any exculpatory wording stating that failure of the insurer to mail written notice of cancellation imposes no obligation, or that any party will "endeavor" (as opposed to being required) to comply with the requirements of the certificate. 9. It is acknowledged by the parties of this agreement that all insurance coverage required to be provided by Consultant or any subcontractor, is intended to apply first and on a primary, noncontributing basis in relation to any other insurance or self insurance available to City. - 10.Consultant agrees to ensure that subcontractors, and any other party involved with the project who is brought onto or involved in the project by Consultant, provide the same minimum insurance coverage required of Consultant. Consultant agrees to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this section. Consultant agrees that upon request, all agreements with subcontractors and others engaged in the project will be submitted to City for review. 11.Consultant agrees not to self-insure or to use any self-insured retentions or deductibles on any portion of the insurance required herein and further agrees that it will not allow any contractor, subcontractor, Architect, Engineer or other entity or person in any way involved in the performance of work on the project contemplated by this agreement to self-insure its obligations to City. If Consultant's existing coverage includes a deductible or self-insured retention, the deductible or self-insured retentionmust be declared to the City. At that time the City shall review options with the Consultant, which may include reduction'or elimination of the deductible or selfinsured retention, substitution of other coverage, or other solutions. 12.The City reserves the right at any time during the term of the contract to change the amounts and types of insurance required by giving the Consultant ninety (90) days advance written notice of such change. If such change results in substantial additional cost to the Consultant, the City will negotiate additional compensation proportional to the increased benefit to City. C-3 13.For purposes of applying insurance coverage only, this Agreement will be deemed to have been executed immediately upon any party hereto taking any steps that can be deemed to be in furtherance of or towards performance of this Agreement. 14.Consultant acknowledges and agrees that any actual or alleged failure on the part of City to inform Consultant of non-compliance with any insurance requirement in no way imposes any additional obligations on City nor does it waive any rights hereunder in this or any other regard. 15.Consultant will renew the required coverage annually as long as City, or its employees or agents face an exposure from operations of any type pursuant to this agreement. This obligation applies whether or not the agreement is canceled or terminated for any reason. Termination of this obligation is not effective until City executes a written statement to that effect. 16.Consultant shall provide proof that policies of insurance required herein expiring during the term of this Agreement have been renewed or replaced with other policies providing at least the same coverage. Proof that such coverage has been ordered shall be submitted prior to expiration. A coverage binder or letter from Consultant's insurance agent to this effect is acceptable. A certificate of insurance and/or additional insured endorsement as required in these specifications applicable to the renewing or new coverage must be provided to City within five days of the expiration of the coverages. 17.The provisions of any workers' compensation or similar act will not limit the obligations of Consultant under this agreement. Consultant expressly agrees not to use any statutory immunity defenses under such laws with respect to City, its employees, officials and agents. 18.Requirements of specific coverage features or limits contained in this section are not intended as limitations on coverage, limits or other requirements nor as a waiver of any coverage normally provided by any given policy. Specific reference to a given coverage feature is for purposes of clarification only as it pertains to a given issue, and is not intended by any party or insured to be limiting or all- inclusive. 19.These insurance requirements are intended to be separate and distinct from any other provision in this agreement and are intended by the parties here to be interpreted as such. 20.The requirements in this Section supersede all other sections and provisions of this Agreement to the extent that any other section or provision conflicts with or impairs the provisions of this Section. 21.Consultant agrees to be responsible for ensuring that no contract used by any party involved in any way with the project reserves the right to charge City or C-4 Consultant for the cost of additional insurance coverage required by this agreement. Any such provisions are to be deleted with reference to City. It is not the intent of City to reimburse any third party for the cost of complying with these requirements. There shall be no recourse against City for payment of premiums or other amounts with respect thereto. Consultant agrees to provide immediate notice to City of any claim or loss against Consultant arising out of the work performed under this agreement. City assumes no obligation or liability by such notice, but has the right (but not the duty) to monitor the handling of any such claim or claims if they are likely to involve City. C-5 ( • l ® DATE(MM/DD/YYYY) ACC)Ro CERTIFICATE OF LIABILITY INSURANCE ‘t...;*"'"'" 11/14/2017 • 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 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). CONTPRODUCER -' NAME: Kathy Star USI Colorado, LLC Prof Liab PHONE 800-873-8500 (AX .Na): P.O. Box 7050 . (A/C,No,Ext): E-MAIL Englewood CO 80155 ADDRESS: . INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:XL Specialty Insurance Company . 37885 INSURED INTERCON35 INSURER B:Travelers Indemnity Company of CT 25682 Interwest Consulting Group INSURER c:Travelers Property Cas. Co.of Amer 25674 P.O. Box 18330 INSURER D Boulder CO 80308 INSURERE: - .. - INSURER F: COVERAGES CERTIFICATE NUMBER:2139537919 • REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED.ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP ' LTR TYPE OF.INSURANCE INSD WVD POLICY NUMBER ,MM/DD/YYYY) (MM/DDIYYYY) - LIMITS B x COMMERCIAL GENERAL LIABILITY Y Y 6806H441235 11/14/2017 11/14/2018 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED CLAIMS-MADE 'X OCCUR PREMISES(Ea occurrence) $1,000,000 MED EXP(Any one person) $10,000 - 'PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 X POLICY .X JECT x LOC PRODUCTS COMP/OP AGO $2,000,000 OTHER: - $ C AUTOMOBILE LIABILITY - V V BA0J093233 - 11/14/2017 11/14/2018 COMBINED SINGLE LIMIT $1;000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ TSNNOOWNED ROPEdnQAMAGE X HIREDAUTOS X AUTOS r $ $ C X UMBRELLA LIAB X OCCUR Y Y CUP2F178249 11/14/2017 11/14/2018 EACH OCCURRENCE $4,000,000 EXCESS LIAB CLAIMS-MADE . AGGREGATE . $4,000,000 DED X RETENTION$0 $ C WORKERS COMPENSATION y UB8J034006_ 11/14/2017 11/14/2018 X. STATUTE OERH - AND EMPLOYERS'LIABILITY Y/N • - - ANY PROPRIETOR/PARTNER/EXECUTIVEN/A EL.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - DESCRIPTION OF OPERATIONS below • .E.L.DISEASE-POLICY LIMIT $1,000,000 A Professional Liability Y DPR9919387 11/14/2017 11/14/2018 Per Claim $2,000,000 Pollution Liab Included Annual Aggregate $5,000,000 Claims Made DESCRIPTIONOFOPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) As required by written contract or written agreement,the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured's under Umbrella/Excess Liability but only with respect to liability arising out of the Named Insured work performed on behalf of the certificate holder and owner. The.General Liability Automobile Liability, Umbrella/Excess insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability,Automobile Liability,'Umbrella/Excess Liability and Workers Compensation. The Umbrella/Excess Liability policy See Attached... . CERTIFICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Rosemead.. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 8838 East Valley Blvd. . ACCORDANCE WITH THE POLICY PROVISIONS. Rosemead CA 91770 • - ., AUTHORIZED REPRESENTATIVE 114456416340014atia ©1988-2014 ACORD CORPORATION. All rights reserved.. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: INTERCON35 LOC#: ACCORD- ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED USI Colorado, LLC Prof Liab Interwest Consulting Group P.O. Box 18330 POLICY NUMBER Boulder CO 80308 CARRIER NAIC CODE • EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE provides excess coverage over the General Liability,Automobile Liability and Employers Liability. Please note that Additional Insured status does not apply to Professional Liability or Workers'Compensation. Additonal Insured:The City of Rosemead its officials employees and agents ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD COMMERCIAL GENERAL LIABILITY' Policy#6806H441235 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BLANKET ADDITIONAL INSURED _ (ARCHITECTS ENGINEERS AND SURVEYORS) This endorsement modifies insurance provided under the following: I COMMERCIAL.GENERAL LIABILITY COVERAGE PART A. The following is added to WHO IS AN INSURED INSURANCE (Section III) for this Coverage (Section II): Part. Any person or organization that you agree in a B. The following is added to Paragraph a. of 4. 'contract or agreement requiring insurance'to in-. Other Insurance in COMMERCIAL GENERAL dude as an additk3nal Insured on this Coverage LIABILITY CONDITIONS(Section IV): Part,but only with respect to liability for"bodily in- However,if you specifically agree in a*contract or jury', "properly damage" or 'personal injury agreement requiring insurance"that the insurance caused,in whole or in part, by your acts or omis- provided,to an additional insured under this Cov- sions or the acts or omissions of those acting on eiage Part must apply on a primary basis, or a your behalf: primary and nan-contributory basis,this insurance a. In the performance of your ongoing opera- is primary to other insurance that is available to' lions; such additional insured which covers such add- b. In connection with premises owned by.or Sorra!insured as a named insured,and we will not rented to you;or share with the other insurance,provided that: c. in connection with "your work" and Included (1) The 'bodily injury" or "property damage" for within the 'products-completed operations which coverage is sought occurs;and hazard". (2) The "personal injury" for which coverage is Such person or organization does not qualify as sought arises out of an offense committed; an additional insured for"bodily injury", "properly after you have entered into that "contract or damage" or"personal injury" for which that per- agreement requiring insurance. But this Instil- son or organization has assumed liability in a con- ance still is excess over valid and collectible other tract or agreement. Insurance,whether primary,excess,contingent or The insurance provided to such additional insured on any other basis,that is available to the Insured Is limited as follows when the insured is an additional insured under d. This insurance does not ply,.on any basis to any other insurance. any person or organization for which cover- C. The following is added to Paragraph 8.Transfer age as an additional insured specifically is Of Rights Of Recovery Against Others To Us added by another endorsement to this Cover- in COMMERCIAL GENERAL LIABILITY CON- age Part DMONS(Section IV): e. This insurance does not apply to the render- We waive any rights of recovery we may have Ing of or failure to render any.'professional against any person or organization because of services". payments we make for "bodily injury", "property f. The limits of insurance afforded to the addi- damage'or'PersOnal!NM" arising out of*Your Menai insured shall be the limits which you work"performed by you,or on your behalf, under agreed in that'contract or agreement requir- a"contract or agreement requiring insurance'with In insurance" to provide for that additional that person or organization. We waive these Insured, or the limits shown in the Declare- rights only where you have agreed to do so as lions for this Coverage Part, whichever are part of the"contract or agreement requiring Insur- less This endorsement does not increase the ante" with such person or organization entered limits of Insurance stated in the IJMITS OF into by you before,and in effect when,the"bodily CG 03 81 09 07 C 2007 Tho travelog Curnpariles,MG. Page 1 of 2 Includes the copyrighted material of Insurance Services Chic&lac.;Mth its penelsslen COMMERCIAL GENERAL LIABILITY injury"or"property damage*occurs. or the "per erage Part, provided that the "bodily injury":and sorrel injury"offense is committed. "property damage" occurs, and the "personal In- D. The following definition is added to DEFINITIONS jury'is caused by an offense committed: (Section V): a. After you have entered into that contract or "Contract or agreement requiring insurance" agreement; means that part of any contract or agreement un- b. While that part of the contract or agreement is der which you are required to include a person or in effect and organization as art additional insured on this Cov- c. Before the end of the policy period. Page 2 of 2 C 2807 The Travelers Companha,Inc CG 133 81 09 07 Includes the copyrighted material of Insurance Services Office,Inc.wi;h its permission • Policy#6806F1441235 COMMERCIAL GENERAL LIABIUTY THIS ENDORSEMENT CHANGES THE POLICY:-PLEASE READ IT CAREOULLY. ARCHItECTS;-,ENGINEERS:'AND SURVEYORS XTENb'ENDOIASEMENT This endorsement mod isles insurance provided under the fowlng , COMMERCIAL.GENERAL LIABILITY COVERAGE PART . " GENERAL DESCRIPTION OF COVERAGE Provisions A.- T. arid V. of this endorsement broaden coverage. Provisions IL and W. of this endorsement"May limit coverege. The following listing is'a general coverage ' description only. Limitations and exclusions may apply to these coverages. Read all the PROVISIONS of this endorsement carefully to determine rights.duties; end what is and is not covered. A. Broadened Named tniiired' N. Additional Insured - Architect, Engineer Or B. Incidental Medical Malpractice Surveyor C. C. Reasonable Force Bodily injury Or Property 0. Who Is An Insured -Newly Acquired Or Formed Damage Organizations P. Whe Is An Insured - Unnamed Partnership Or D. Nan-Owned Watercraft--increased To Up To 75 feet Joint Venture-Excess E. Aircraft Chartered With Crew Q. Per Project General Aggregate Limit F. Extension Of Coverage Damage To Premises R. Knowledge And Notice Of Occurrence Or Rented To You Offense G. Malicious Prosecution - Exception Te Knowing S. Unintentional Omission Violation Of Rights Of Another Exclusion • T. Waiver 'of Transfer Of Rights Of Recovery H. Medical Payments Limit Against Others To Us When Required By Con tract Or Agreement I. Increased Supplementary Payments - U. Amended Bodily Injury Definition • J. Additional Insured-Owner, Manager Or Lessor. Of Premises • V. Amended Instead Contract pefinfficri-Railroad Easement K. Additional Insured--Lessor Of Leased Equipment Insured - State Or W. Amended Property Damage Definition-Tangible L. Additional Insured •Subdivi- : • - Wane--Permits Relating To Premises X. Additional bitiniffon Contract or Agreement M. Additional Insured - Stale Or Political Subdivi- Requirirtg Insurance shins .Perrnits Relating To Operations 4 PROVISIONS coverage for any such additional organization A. BROADENED NAMED INSURED will cease es of the data, If any; during the , peliCy mon Period, that you no longer are the sele ' 1. The.Nained insured In of the Com- ovnier.of or maintain the majority ownership Policy Dialarethins is amended es fol- ' - 'Merest in such organization P , • 2• This provision A.,does not apply to any per- • • The person or orgenikation penned in Item 1. sun or Organitation fOr which coverage is ex- of the Ceinniorf PeliciDeelaritiOns and any eluded by another endorsement to this Coy- alhe! than a iiE,0e010. Joint eragl'Oint .„ venture, Hilted liabilitiiarripain(er trust, of which you are the sole owner or in which you INCIDENTAL!!!1EPCA!-MALPRACTICE maintain the majority ownership interest on I. the following Is added to Paragraph 1.Insur- the effective date of the policy. However, Mg Agreement of COVERAGE A BODILY oG 03 is 09 Di 2007 VW Toisvelers Ccurpanils.Inc Pagelofsl • • • COMMERCIAL GENERAL LiABILiTY INJURY AND PROPERTY DAMAGE LI- C.- REASONABLE FORCE— BODILY INJURY OR ABILITY in COVERAGES(Section I): -PROPERTY DAMAGE "Bodily injury"arising out of the rendering of, The Expected Or Intended Injury Exclusion in • or failure to render, "first aid" or"Good Sa- Paragraph 2. Exclusions of COVERAGE A maritan services" to a person, other than a BODILY INJURY AND PROPERTY DAMAGE co-"employee" or 'volunteer worker", wili.be LIABILITY in COVERAGES (Section i) is de- deemed to be caused by an "occurrence'. feted and replaced by the following: For the purposes of determining the applica- Expected Or intended Injury Or Damage ble limits of insurance. any act or omission together with all related acts or omissions in 'Bodily injury" or"property damage"expected or the furnishing of-the services to any one per- intended from the standpoint of the insured.This son will be deemed_one"occurrence", exclusion does not apply to "bodily injury" or "property damage"resulting from the use of rea- 2. As used In this Provision B.: sonable force to protect any person or property. a. 'First aid"means medical or nursing ser- D. NON-OWNED WATERCRAFT — INCREASED vice, treatment: advice or Instruction; the TO UP TO 75 FEET related furnishing of food or beverages; 1. The exception contained in Subparagraph Z the furnishing or dispensing of drugs or A Pa graph( ) medical supplies or appliances; of the Aircraft, Auto Or Watercraft Exclu- Sion in 2. Exclusions of COVERAGE A b. "Good Samaritan services" means those BODILY INJURY AND PROPERTY DAM- medical services rendered or provided in AGE LIABtUTY In COVERAGES(Section I) an emergency and for which no remu- is deleted and replaced by the following: neration Is demanded or received. 3. Paragraph 2.a.(1)(d) of WHO IS AN IN- (2) A watercraft you do not own that is: IN- SURED (Section II)does not apply to any of . (a) Less than 75 feet long;and your"employees", who are not employed as (b) Not being used to carry persons-or a doctor or nurse by you, but only while per- - property for a charge; . forming the services described in Paragraph 2. Only as respects the insurance provided by 1.above and while acting within the scope of this Provision D., WHO iS AN INSURED their employment by you.Any such'employ- (Section II) Is amended to Include as an in- aes" rendering 'Good Samaritan services' cured any person who, with your expressed will be deemed to be acting within the scope or implied consent, either Uses or Is respon- of their employment by you. Siibe for the use of the watercraft. 4. The fallowing exclusion is added to Para- 3. The insurance provided by this Provision D. graph 2.Exclusions of COVERAGE A BOO- shall be excess over any valid and collectible (LY• INJURY .AND PROPERTY DAMAGE other insurance available to the insured, UABILIIY in COVERAGES(Section 1): whether primary, excess, contingent or on Sale of Pharmaceuticals any other basis, except for insurance per- "Body injury'or"property damage'oris- . chased specifically by you to apply in excess Ing out of the willful violation of a penal of the Limits of Insurance shown in the Dada- statute or ordinance relating to the sale of rations for this Coverage Part. pharmaceuticals committed by or with the E. AIRCRAFT CHARTERED WITH CREW lutowledge or consent Of the insured. 1,. The following is added to the exceptions cot- 5. The insurance provided by this Provision B. tamed In the Aircraft, Auto Or Watercraft shall be excess over any valid and collectible Exclusion .in Paragraph 2. Exclusions of other insurance available to the insured, COVERAGE A BODILY INJURY AND whether primary, excess, contingent or on • • PROPERTY DAMAGE LIABILITY in CM- any other basis, except for Insurance pur- ERAGES(Section I): chased specifically by you to apply In excess Aircraft chartered with crew,Including a pilot, of the Limits of Insurance shown In the Dada- to any Insured. rations for this Coverage Part Page 2 of 8 ®2007 The Travelers Companies,inc.. CG 03 70 09 07 l: COMMERCIAL GENERAL LIABILITY - 2. This Provision E. does not apply if the char: any one premises while rented to you, or tared aircraft is owned by any insured. temporarily occupied by you with permission 3. .The insurance provided by this Provision E. of the owner,caused by;lire;explosion;light- shall be excess over any valid and collectible ring; smoke resulting from such fire, expio- other insurance available to the insured, cion, or lightning;_or water. The Damage To whether. primary, excess, contingent or on Premises Bankes! To You Limit will apply. to any other basis except for insurance pur- all"property damage'proximately caused by chased specifically by you to apply in excess the same."occurrence', whether such dam- chased the Limits of Insurance shown in the Decca age results from:'fire; explosion; lightning; rations for Coverage Part, smoke resulting from such fire,explosion,or F. EXTENSION OF,COVERAGE DAMAGE TO lightning;or water,or any combination of any PREMISES RENTED TO YOU of these causes. The.Damage To Premises Rented To You 1. The last paragraph of,COVERAGE A BOD- Limit wilt be the higher of; ILY INJURY AND, PROPERTY DAMAGE a $1,000,000;or LIABILITY in COVERAGES_(Section i) Is deleted and replaced by the following: b. The amount shown for the Damage To Exclusions c.through it.do not apply to dam- Premises Rented. To You Limit in the age to'premises White rented to you, or tem- Declarations for this Coverage Part. pararily occupied by you with permission of 4. Paragraph a.of the definition of'insured con- the owner,caused by: Tract"in DEFINITIONS ISactlon V)is deleted • a. Fire,. and replaced by the following: b. Explosion; a. A contract for a lease of premises.How- aver, that portion of the contract for a. c. lightning, lease of premises that indemnifies any d. Smoke resulting from such fire, explo- person or organization for darriage to sign,or lightning;or - premises while rented to you, or tempo- e. Water. rarNy occupied yby you with permission of iii A separate limit of.insurance applies to ibis ®,owner, txsused by: fire; explosion; coverage as described In EMITS OF IN- Ngltratng;smoke resulting from such ire. . ex SURANCE(Section Iii)- plosion,or lightning;or wilier Is not an "Injured contract";^ 2. The insurance under thisProvis ion F. does S, This Provision F. does applynot if coverage nol apply to damage to premises while rented for Damage To Premises Rented To You of to you, or temporarily occupied by you with COVERAGE A BODILY INJURY AND permission of the owner,caused by: PROPERTY.DAMAGE LIABILITY in COV- a. Rupture, bursting, or operation of pres- ERAt3ES (Section I)is excluded by another sure relief deities; endorsement to this Coverage Part.. ` b. 'Rupture or burstingdue to expansion or G. MALICIOUS PROSECUTION CLITION FJtCEPTI®N TO swelling of the contents of any building or KNOWING f VIOLATION OF RIGHTS OF AN- stricture,caused biy or resulting from tiaa- OTHER EXCLUSION , o The followingIs added ter;or dried to the Knowing Violation o. Explosion of steam boilers. steam pipes. Of Rights,;,Of Another Exclusion in 2. Exclu- steam engines,or steam turbines. sions'of COVERAGE B PERSONAL=INJURY, 3: Paragraph 6. of LIMITS OF INSURANCE • •ADVERTISING•INJURY AND WEB SITE IN- _.. t (Section III) is deleted and replaced by the JURY I.IAB*LlTY of_the WEB XTEND LIABILITY foRawirtg Endorsement;. eaused Subject to 5.-above, the Damage To Pram- This excby malitusionycious prosecution.does not apply to'personal injury' ises Rented To You Limit Is the most we will pay under Coverage A for the sum of all damages because of "property damage" to p:• CO 03 79 0907 122Do7 The Travelers Companies.Inc. Page 3 of 8 1- (,' COMMERCIAL GENERAL LIABILITY i H. MEDICAL PAYMENTS LIMIT (2) Any structural alterations, new con . The Medical Expense Limit sham In the Declare- struction or demolition operations• liens for this Coverage Part Is increased to performed by or on behalf of such il • $10,000. additional insured;or I. INCREASED SUPPLEMENTARY PAYMENTS (3) Any premises for which coverage is excluded by another endorsement to Paragraphs 1.b. and 1.d.of SUPPLEMENTARY this Coverage Part. PAYMENTS —COVERAGES A AND B in COV- ERAGES(Section t}are amended as follows: 3. This Provision J. does not apply on any basis to any person or organization for • 1. In Paragraph 1.b., the amount we will pay for which coverage as an additional insured the cost of bail bonds is Increased to$2500, specifioally is added by another en- 2. In Paragraph 1.d.,the amount we will pay for dorsement to this Coverage Part. • loss of e.amings Is increased to$500 a day. it. ADDITIONAL INSURED — LESSOR OF J. ADDITIONAL INSURED—OWNER, MANAGER LEASED EQUIPMENT OR LESSOR OF PREMISES 1. WHO IS AN INSURED (Section II) is 1. WHO Is AN INSURED (Seation II) is amended to include as en Insured: amended to include as an insured: Any person or organization, that you have Any person or organization that you have agreed in a contract or agreement to include agreed in a contract or agreement to Include as an additional insured on this Coverage as an additional insured on this Coverage • Part,but Part,but: a. Only with respect to liability for°bodily In- a. Only with respect to liability for"bodily in- jury'or"property damage'that occurs,or • jury"or"properly damage"that occurs;or 'personal injury" caused by an offense "personal injury" caused by an offense committed, after you have entered Into - • committed, after you have entered into that contract or agreement;and , that contract or agreement;and b. Only if the'bodily Injury", "property darn- b. Only if the"bodily injury","property dam- age" or 'personal injury' is caused, in • age or °personal injury' Is caused, in whole or in pad, by acts or omissions of whole or in pad, by acts or omissions or you or any person or organization per- you or any person or organization per- forming operations on your behalf.In the forming operations on your behalf, and maintenance, operation or use of equip- arises out of the ownership,maintenance . • merit leased to you by such additional ire or use of that part of any premises leased sured. to you under that contract or agreement. • 2.• The insurance provided to such additional • • .r., 2. The Insurance provided to such additional • insured under this Provision K. is subject to Insured under this Provision.J. is subject to • the following provisions: the following provisions: a. The limits of Insurance afforded to such a. The limits of insurance afforded to such • additional Insured shall be the limits t additional insured shall be the limits which you agreed to provide in the con- which you agreed to provide in the con- • tract or agreement,or the limits shown in tract or agreement,or the limits shown in the Declarations for this Coverage Part, the Declarations for this Coverage Part whichever are less;and , whichever are less;and b. The Insurance afforded to such additional b. The,insurance afforded to such additional • • insured does not apply: • insured does not pply to: (1) To any "bodily injury or "property ' (1) Any °bodily Injury"or'property dam- damage"that occurs,or'personal In age"that occurs, or"personal injury' jury' caused by an offense commit- ' , i caused by an offense committed, af- ted; after the equipment lease ex- ter you cease to be a tenant in that • plres;or premises: f Page 4 of B • 0 2007 The Travelers Companies.inc. CG D3 79119 07 • r . ( • COMMERCIAL GENERAL LIABILITY (2} If the equipment is leased with an N. ADDITIONAL INSURED — ARCHITECT, ENGI- operator. NEER OR SURVEYOR 3. This Provision K.does not apply on any basis 1 ' . The following is added to Paragraph 2. of , _. , to any person or organization for which cov- WHO IS AN INSURED(Section II)to include erage as an additional Insured specifically is as an insured: added by another endorsement to this Coy- Any architect, engineer or surveyor engaged erage Part. by or for you that you agree in a"contract or L ADDMONAL INSURED,— STATE,OR POLITI- agreement requiring insurance*to include as CAL SUBDIVISIONS — PERMITS RELATING an additional insured on this Coverage Pail, TO PREMISES but only with respect to liability for'bodily in- The following is added to Paragraph L of WHO fury", "preperty damage' or'personal injury that Is caused, in whole or in part, by acts or IS AN INSURED (Section II) to include as an Insured: omissions of you or any person or organiza- tion acting on your behalf in connection with Any state or political subdivision that has Issued a your premises or"your work". permit in connection with premises owned or cc- . cupled by. or rented or loaned to. you, but only 2. This Provision N.does not apply on any basis _ with respect le'bodily injury.,'property damage'. to any person or organization for which cov- 'personal injury'or"advertising injury"arising out erage as an additional insured specifically is of the existence, ownership, use, maintenance, added by another endorsement to this Cov- ._ _ repair.construction,erection or removal of adver- erage Part. Using signs, awnings, canopies, cellar entrances, 0. WHO IS AN INSURED—NEWLY ACQUIRED coal holes,driveways,manholes,marquees,hoist OR FORMED ORGANIZATIONS . • , away openings,sidewalk vaults.elevators. street 1. Pa ph 4.a. of WHO IS AN INSURED banners or decorations for which that state or A . , 'Section II) is deleted and replaced by the political subdivision has issued such permit. fonowinid: . . M. ADDITIONAL INSURED —STATE OR POLITI- " a. Coverage under this preVieleil Is afforded CAL. SUBDIVISidNS — PERMITS RELATING . only until the 180th day atter you acquire TO OPERATION-S- or form the organization or the end of the . The following is added to Paragraph 2. of WHO policy periodwhichever is earlier. Any IS AN INSURED (Section till to include as an such newly acquired or formed organize - insured: lion that you report in writing to us within . „ o or Any180 days- after you acquireor form the permit, but oniV,wi state plitical subdivision that has issued a , _ - .... • - ,, ,, ...„-- _ organization will be covered under this • with rasped to 'today injury". 'property provision until the end of the policy pa- 'property damage', "Persorial injUry"or"asiverlis- , .., lag injury'arising out'of oPiralkinipierforined by dod, even if there are more than 180 days remaining until the end of the policy you or on your behalf for which that state or pd- ' !Weal'.subdivision has Issued such permit. How- Period; . , _ , . ever. no Each state or political subdivision is an 2. This Provision 0. does not apply to any •'-',, or- insured for ganization for which coverage is excluded by another endorsement to this Coverage Part 1. 'Bodily injury", 'property damage'. "personal .. ,_ .•, injury" or "advertising,Injury' arising out of P. WHO IS AN INSURED—UNNAMED PART- ,n. -- -,..— ... — . . . Operations performed for that state or political NERSHIP OR JOINT VENTURE—EXCESS subdiiielorn or 1. The last paragraph of WHO IS AN INSURED ',•'-, 2. "OndilY Injury'or"property damage'included (Sietiiiii,111) Is deleted and itipleCiil by the • within the 'products — completed operations fOliaidrig: -• -T, hazard'. , .., .• No person or organization is an Insured with ' . _.. ,...- respect to the conduct of any currant or past ,. , , ... partn„aratiip, joint venture or limited liability , company that is not shown as a Narked in- sured in the Common Policy Declarations V. .., eq 03 79 09 070 2007 The Trays4ers Companies.Inc. rage 5 of 13 ,..., , ( ( - --- - - ---- - -- - COMMERCIAL GENERAL LIABILITY However, this exclusion does not apply to My payments made under Coverage A for your liability with respect to your conduct of damages and under Coverage C for medical the business of any current or past partner- expenses shall reduce the Par Project Gen- ship or joint venture: eral Aggregate Limit for that "projecr, but a. That is not shown as a Named Insured in shall not reduce: the Common Policy Declarations,and a. My other Per Project General Aggregate b. In which you ere a member or partner Limit for any other"project"; where each and every one of your co- b. The General Aggregate Limit;or ventures in that joint venture is an archl- c. The Products-Completed Operations Ag- tectural,engineering,or surveying firm. Limit. gregate 2. This Provision P. does not apply to any per- The limits shown in the Declarations for this son or organization for which coverage Is ex- Coverage Part for.Each Occurrence. Dam- cluded by another endorsement to this Coy- age To Premises Rented To You and Medical erage Part. Expense are also subject to the Per Project 3. The insurance provided by this Provision P. General Aggregate Limit when the Per Pro- shall be excess over any valid and collectible Ject General Aggregate Limit applies. other insurance, whether primary. excess, 3.. As used in the Provision Q.: contingent or on any other basis. which Is available covering your liability with respect Project"means an area away from premises to your conduct of the business of any current owned by or rented to you at which you are or past partnership or joint venture that is performing operations pursuant to a contract not shown as a Named Insured in the Common or agreement; For the purposes of determin- Policy Declarations and which is issued to • lug the applicable aggregate limit of Insur- such padnership or joint venture. ance, each "project" that Includes premises involving the same or connecting lots, or Q. PER PROJECT GENERAL AGGREGATE LIMIT . priamises whose connection is interrupted 1. Paragraph 2. of LIMITS. OF INSURANCE only by a street, roadway,waterway or right- (Section III) is deleted and replaced by the of-way of a railroad shall be considered a sin- following: cite°project". The General Aggregate Limit is the most we R. KNOWLEDGE AND NOTICE OF OCCUR- will pay for the sum of: RENCE OR OFFENSE a. Damages under Coverage B;and • The following Is added to Paragraph 2. Duties In , bDamages from "occurrences"under Cov- The Event of Occurrences Offense, Claim Or . • erage A and for all medical expenses Suit ef COMMERCIAL GENERAL LIABILITY • caused by accidents under Coverage C CONDITIONS(section IV): which cannot be attributed only to opera- Notice of an "occurrence"or of an offense which lions at a single"projacrmay result in a claim must be given as soon as , • 2 The following is added to LIMITS OF practicable after knowledge of the "occurrence IN- surtAticc(section iin: or offense has been reported to you,one of your 'executive officers (if you are a corporation),one A separate Per Project General Aggregate of your partners who is an Individual (if you are a Limit applies to each "project for all sums partnership), one of your mariagera(if yitu are a • which the insured becomes legally obligated , , • ,_, . limited liability company), one cit your trustees to.pay as damages cameo by"cccurrences. who is an individual (if you are a-bust). or an I under Coverage A and for all medical ex- "employee"(such as an insurance,loss control or penses caused by accidents under Coverage risk Manager or administrator)designated by you f C which can be attributed only to operations to such j give notice at a single"project", and that limit Is equal to the amount of the General'Aggregate Limit Knowledge by any other'employee"of an"occur- shown in the Declarations for this Coverage mica' or offense does not Imply that you also 4. Part. have such knowledge. -, Page to of 8 ei 2007 The Travelesz ComPefige•Inc. 00 D3 79 09 07 • ' t 1 COMMERCIAL GENERAL LIABILITY Notice of an "occurrence"or of an offense which 4. "Your produc€s may result in a claim will be deemed to be given We waive these rights only where you have as soon as practicable to us If it isgiven in good ,. agreed to do so as part of a contract or agree- faith ii soon as"practicable to your workers°corn- ment entered into by you before, and in effect pensation, accident, or health inssurer. This ap- when, the 'bodily injury" or "property damage" piles only if you subsequently give notice of the offense or'personal i adv8r occurs,or the"a r5�`u "occurrence" or offense to us as soon as pracfi-- tiling Injury"offense is committed. cable atter,you, one of your"executive officers" U. AMENDED BODILY INJURY DEFINITION (if you are a corporation), one of your partners who is an individual (if you are a partnership), The definition of'bodily injury' in DEFINITIONS one of your managers(if you are a limited liability (Section V)is deleted and replaced by the follow- company),one of your trustees who is an€ndivid• Ing: an ual (if youInsurance,arelaotrusscontst).orrol anor"risk employeemanager"(suchor asad "Bodily injury"means: - ministrator)designated by you to give such notice a. Physical harm, including sickness or disease, discovers that the "occurrence" or offense may sustained by a person; Involve this policy: b. Mental anguish.Injury or illness,or emotional S. UNINTENTIONAL OMISSION distress, resulting at any time from such physical harm,sickness or disease;or 1. The following is added to Paragraph 6. Rep- c. Care, foss of services or death resultin at resentatiots of COMMERCIAL GENERAL anytime from such physical harm, sickness LIABILITY CONDITIONS(Section IV): or disease. The unintentional omission of, or uninten- tional error in, any information provided by you which we relied upon in issuing this pat- —RAILROAD EASEMENT Icy shall not prejudice your rights under.this I. Subparagraph c.of the definition of"insured insurance. contract"in DEFINITIONS(Section V)is de- 2. This Provision S. does not affect our right to leted and replaced by the following;. collect additional premium or to exercise our c. My easement or license agreement. right of:cancellation or nonrenewal in actor 2. Subparagraph f.(1) of the definition of In dance with applicable insurance laws or regu- sured contract"in DEFINITIONS(Section V) labors. Is deleted. T. WAIVER OF TRANSFER OF RIGHTS OF W. AMENDED PROPERTY DAMAGE DEFINITION RECOVERY AGAINST OTHERS TO US WHEN d TANGIBLE PROPERTY REQUIRED BY CONTRACT OR AGREEMENT Tice following Is. added CoParagraph B. Transfer The definition of "property damage"' in DEFINE- TiONS (Section V) is deleted and replaced by of Rights of Recovery Against Others.to Us of the following: COMMERCIAL GENERAL LIABILITY CONDI- TIONS(Section iv): "Property damage'means: • We waive any rights of recovery we may have a. Physical Injury to tangible property,including against any person or.organization because of all resulting loss of use of that property. Ali c'. payments we make for "bodily injury", 'property such loss of use shell be deemed to occur at damage", "personal Injury" or'advertising Injury" the time of the physical injury that caused it arising out of: or 9. Premises owned by you, temporarily oar L- b. Loss of use of tangible property that is not '` such loss of use shall pied.by you with permission of the owner, ar physically Injured. All leased or rented to you; be deemed to occur at the time or the"occur- ' 2. Ongoing operations performed by you,or on rence"that caused it. your behalf. under a contract or agreement For the purposes of this insurance,tangible prop with that person or organization; arty does not include data. 3. "Your work";or CG 133 79 09 07, 0 2007 The Trnveisra Co+npaies,Inc Page 7 of 8 COMMERCIAL GENERAL UABILITY X The following definition is added to SECTION V— and "property damage"occurs, and the°personal DEFINITIONS: injury'is caused by an offense committed: "Contract` or agreement requiring Insurance a. After you have entered into that contract or means that part of any contract or agreement agreement under which you are required to Include a person b. While that part of the contract or agreement or organization as an additional insured on this is In effect;and Coverage Part. provided that the 'bodily injury" c.. Before the end of the policy period. Page 8 of 8 N 2007 The-T aveters Caw:Airs,Inc. CO 03 79 09 07 Polity#BA0J093233 . OOMM RCW.AUTO THIS ENDCRSENIENT CHANGES THE POLICY.PLEASE READ IT CAREFULLY. E. AUTO COVERAGE.PLUS ENDORSEMENT . nisindorsement mks insurance toad BUSSOAUTOCOVERA aoderda.( EISCia d ` , fes� . v-. /�..�' T anima nydae metddaedtmtieoaotedanMay- beeidedr baled jlethsren0oserraittotia Pad.sad fats* a donoay o the extant Mat age Is exckatied or tlNmtt by sndiin asidonarant The folo*Q tip is a mat ca rer aaede:cdisimn wit!halation and des tar,qty totem ceriapes.ted tithe• �of this en :-. doesaateal led theta ot� b dUembt . a rtD�4 is mid iirtMt c�r.msd. A. ®i.AtESi:TADDITIONAL t aMMIED H.''MID o :VISuAL AND '',DATA �.Et:1R 8. LOYifiHIRED AUTO, EOiI T"Wgt�LstSD t.M_ t C.,ILleLOY®11ls RioltRim L WAltilBt t�FDEDUCT/ME BEAN D. ARY PAYMEBilB W •-- . ------ -PlLRTY E. 1RA3L tatCREASEDLOAD CAPAaBY ' L. AUTOLOAN MBE GAP , F. t AUTO PHYSICAL RAalAgE' - a ROF8UIBROOATION. . 6.'PHHYS&CALI iaAMR E& 7RAI TATIOW EmmenEs-! 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Pc' coCOMUIDICMLAUTO } C; _ 4 7.-- . to Pah `l iilt1• w� �r�y at ````__ lease or loan monads z sem;ci 'u..PHYSICAL DAMAGE binenflhi'�oss`. cavERAaSe rte. .. r_a 1104 Vi!ions a t FM.f0"o*_lo one or lass for git itis,abnormal gear room abbots i a!covered fade`you own Thai h- acrd arhiph llelew Media to lialuas.albor +a came at"Ian' (c)Sea tfly depose;ml iaturaed W. flet ies� sal iodb`ii Ra Gya, ;t °A.9s.. but . • s Yi Wig vet is a ii naiad!tortoni- .. (d)scow for Wooded roogos,Omit Leo i t htsmanta flaan Aid or Obabilty fte,.iilVs Ca>v<saQe na-- ,--lips pow purchased tr. :in on twit o iodo - Insurance;t wee van'an-lase',or e, fisc ie t ill tat lyMale& (Cf beA x.R. . crlaasas. , ..,,,,-.7..,,,,,:r.,,,-„--,,,,„„,„-„:„.:-:„, Pa1f,+P to a maw+:a 57.7911 raor mr �. f31..Alt1'LET-WANERaf=fluffiit30l►TftEN ,x L O LOAM LEASE GAP Tf o Step s P rpli:AS4 T . TI*1040412 to i MN M Pan OMPA A.4.;"Catia Wa. '130 To List , - ��Ofttedi Mel Eidsaisfass it DECODE:M-4 PliVMDAL N –f3tf8 AUiI�= DI- TIOIIS.` L 1 Of�Riyhts Of facoraty liras! Ado',Loyal Leas Gip eayenljp far Rivals Of;t¢szs To las Pariernptr731peVeli is In the avant di foul loot Ii 'S1uref Via sacra _ o mammy m ow hove aw or olganIzokai Oa nate* , lira private �°` fltoael tri$le ate .wird owl or, a rcr Pla D�ipa CAN teettoratirod d you byaa>Atanao Iowa la weanFa!any ea eld aaioonl Pi.kr.yi#rwlicciazir or di,cif-lief aafrW-firs iw 'auto• -'Wit mil 11e= /emu-aims cda, fmssfericr th.e rooet+ rlbymdieon= is s: I2''''' '''''''-::;'::;" i}Ttiissiaixi�"'''' �det_!M fes 1 t le: �tl'�h ial' laara es°Obithains=or Commas taillopigforain " "' "+"'—" . _ ;- - . _ = 5 y' e 4 er... - t s . GT4sup tltlls oaatsiis sntlu*eolOi 'M!tm i4._ Page also i+dmlts .iteaidditilizaaa,i.sOaliktac.ib war t Alth. WORKERS COMPENSATION TRAVELERS J. AND ONE TOWER SQUARE EMPLOYERS LIABILITY POLICY HART10213. Cr 06123 ENDORSEMENT WC 99 03 76( A)— 001 POLICY NUMBER: UB8J034006 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 will not enforce our right against the person or organization named In the Schedule. The additional premium for this endorsement shall be 3 . %of the California workers'compensation pre- mium. Schedule Person or Organization Job Description ANT PERSON OR ORGANIZATION FOR WHICH THE INSURED HAS AGREED BY WRITTEN CONTRACT !Jam= PRIOR TO LOSS TO FURNISH THIS WAIVER. This endorsement changes the policy to which it Isattached.and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is Issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No, Insured- Premium Insurance Company Countersigned by DATE OF ISSUE: ST ASSIGN: Page 1 of 1 POLICY NUMBER:6ao-6H441235• ISSUE DATE: THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED ENTITY - NOTICE OF CANCELLATION/NONRENEWAL PROVIDED BY US This endorsement modifies insurance provided under the following: ALL COVERAGE PARTS INCLUDED IN THIS POLICY SCHEDULE CANCELLATION: . Number of Days Notice of Cancellation: 30 NONRENEWAL:_ Number of Days.Notice of Nonrenewal: 30 PERSON OR - ORGANIZATION: ANY PERSON OR ORGANIZATION TO WHOM YOU HAVE AGREED IN A WRITTEN CONTRACT THAT NOTICE OF CANCELLATION OR NONRENEWAL.OF THIS POLICY WILL BE GIVEN, BUT ONLY IF; 1. YOU SEND US A .WRITTEN REQUEST TO PROVIDE SUCH NOTICE, INCLUDING THE . NAME AND ADDRESS OF SUCH PERSON OR ORGANIZATION, AFTER THE FIRST NAMED INSURED RECEIVES NOTICE FROM US OF THE CANCELLATION OR NONRENEWAL OF THIS POLICY; AND 2. WE RECEIVE SUCH WRITTEN REQUEST AT LEAST 14 DAYS BEFORE THE BEGINNING OF THE APPLICABLE NUMBER OF DAYS SHOWN IN THIS SCHEDULE. ADDRESS: THE AlDRESSFOR THAT PERSON OR ORGANIZ- ATION INCLUDED IN SUCK WRITTEN REQUEST FROM YOU .TO US. PROVISIONS: B. If we decide to not renew this policy for any statu- A. If we cancel this policy for any statutorily permit- .torily permitted reason. and a number of days is ted reason otherthan nonpayment of premium, shown for nonrenewal in the schedule above we and a number of days is shown for cancellation in will mail notice of the nonrenewal to the person or the schedule above,we will mail notice of cancel- organization shown In the schedule above. We lation to the person or organization shown in the will mail such notice to the address shown in the schedule above. We will mail such notice to the schedule above at least the number of,days. address shown in the schedule above at least the shown for nonrenewal in the schedule above be- number of days shown for cancellation in the fore,the expiration date. schedule above before the effective date of can- cellation. an cellation. . IL T4 DO 12 09 2009 The Travelers indemnity Company Page 1 of 1